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Ouyang Z, Jiang H, Zhang F, Wang X, Geng C, Zhao M, Cui D, Zheng Z, Dong L, Jiao Q, Cao W. Enhanced reciprocal connections of the prefrontoparietal-thalamo-hippocampal circuit in older adults. Cereb Cortex 2025; 35:bhaf080. [PMID: 40253694 DOI: 10.1093/cercor/bhaf080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2024] [Revised: 02/19/2025] [Accepted: 03/12/2025] [Indexed: 04/22/2025] Open
Abstract
Cognitive functions rely on specific brain circuits involving cortical and subcortical regions. However, how age-related changes in effective connectivity within the prefrontoparietal-thalamo-hippocampal circuit affect cognition remains unclear. This study included 143 healthy older adults (60 to 88 yrs) and 124 young adults (18 to 44 yrs), using regression dynamic causal modeling to analyze resting-state functional magnetic resonance imaging data. Compared to young adults, older adults showed increased reciprocal effective connectivity within the ventromedial prefrontal cortex-lateral thalamic nuclei-right caudal hippocampus circuit. Enhanced bidirectional connectivity was also observed within the frontoparietal network, between the pregenual cingulate gyrus and superior frontal gyrus, and between lateral thalamic nuclei (LTN) and frontal pole. Additionally, heightened connectivity between thalamus and hippocampus negatively correlated with cognitive performance. Our findings reveal significant age-related increases in effective connectivity within the prefrontoparietal-thalamo-hippocampal circuit, linked to cognitive performance levels. Increased connectivity may indicate compensatory mechanisms helping preserve cognitive function in healthy aging. These results advance our understanding of neural dynamics underlying cognitive aging and potential adaptive mechanisms in older adults.
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Affiliation(s)
- Zhen Ouyang
- School of Radiology, Shandong First Medical University & Shandong Academy of Medical Sciences, 619 Changcheng Road, Tai'an, Shandong Province 271000, China
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Haixia Jiang
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Feng Zhang
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Xue Wang
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Chuqiao Geng
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Mingjuan Zhao
- Department of Radiology, Tai'an City Central Hospital, Qingdao University, No. 29 Longtan Road, Tai'an, Shandong Province 271000, China
| | - Dong Cui
- School of Radiology, Shandong First Medical University & Shandong Academy of Medical Sciences, 619 Changcheng Road, Tai'an, Shandong Province 271000, China
| | - Zihao Zheng
- Ministry of Education (MOE) Key Laboratory for Neuroinformation, School of Life Sciences and Technology, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, 2006 Xiyuan Avenue, High-Tech District, Chengdu, Sichuan Province 611731, China
| | - Li Dong
- Ministry of Education (MOE) Key Laboratory for Neuroinformation, School of Life Sciences and Technology, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, 2006 Xiyuan Avenue, High-Tech District, Chengdu, Sichuan Province 611731, China
| | - Qing Jiao
- School of Radiology, Shandong First Medical University & Shandong Academy of Medical Sciences, 619 Changcheng Road, Tai'an, Shandong Province 271000, China
| | - Weifang Cao
- School of Radiology, Shandong First Medical University & Shandong Academy of Medical Sciences, 619 Changcheng Road, Tai'an, Shandong Province 271000, China
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Liu YH, Lin YC, Shih LC, Lin CP, Chang LH. Dissociation of focal and large-scale inhibitory functions in the older adults: A multimodal MRI study. Arch Gerontol Geriatr 2024; 127:105583. [PMID: 39059036 DOI: 10.1016/j.archger.2024.105583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 07/11/2024] [Accepted: 07/18/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND The decline of inhibitory in cognitive aging is linked to reduced cognitive and mental capacities in older adults. However, this decline often shows inconsistent clinical presentations, suggesting varied impacts on different inhibition-related tasks. Inhibitory control, a multifaceted construct, involves various types of inhibition. Understanding these components is crucial for comprehending how aging affects inhibitory functions. Our research investigates the influences of aging on large-scale and focal-scale inhibitory and examines the relationship with brain markers. METHODS We examined the impact of aging on inhibitory in 18 younger (20-35 years) and 17 older adults (65-85 years) using focal and large-scale inhibition tasks. The Gabor task assessed focal-scale inhibition, while the Stop Signal Task (SST) evaluated large-scale inhibition. Participants underwent neuropsychological assessments and MRI scans, including magnetic resonance spectroscopy (MRS) and structural and resting fMRI. RESULTS Older adults exhibited a marked decline in inhibitory function, with slower SST responses indicating compromised large-scale inhibition. Conversely, the Gabor task showed no significant age-related changes. MRS findings revealed decreased levels of GABA, glutamate, glutamine, and NAA in the pre-SMA, correlating with observed large-scale inhibition in older adults. Additionally, pre-SMA seed-based functional connectivity analysis showed reduced brain network connections in older adults, potentially contributing to inhibitory control deficits. CONCLUSIONS Our study elucidates the differential effects of aging on inhibitory functions. While large-scale inhibition is more vulnerable to aging, focal-scale inhibition is relatively preserved. These findings highlight the importance of targeted cognitive interventions and underscore the necessity of a multifaceted approach in aging research.
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Affiliation(s)
- Yi-Hsuan Liu
- Institute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Yi-Cheng Lin
- Institute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, Taiwan; Taipei Municipal Gan-Dau Hospital, Taipei, Taiwan; Department of Neurology, Columbia University Irving Medical Center, New York, NY, USA
| | - Ling-Chieh Shih
- Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Ching-Po Lin
- Institute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, Taiwan; Deptartment of Education and Research, Taipei City Hospital, Taipei, Taiwan; Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Miaoli, Taiwan
| | - Li-Hung Chang
- Institute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, Taiwan; Institute of Philosophy of Mind and Cognition, National Yang Ming Chiao Tung University, Taipei, Taiwan.
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Mecklenbrauck F, Gruber M, Siestrup S, Zahedi A, Grotegerd D, Mauritz M, Trempler I, Dannlowski U, Schubotz RI. The significance of structural rich club hubs for the processing of hierarchical stimuli. Hum Brain Mapp 2024; 45:e26543. [PMID: 38069537 PMCID: PMC10915744 DOI: 10.1002/hbm.26543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 10/17/2023] [Accepted: 11/09/2023] [Indexed: 03/07/2024] Open
Abstract
The brain's structural network follows a hierarchy that is described as rich club (RC) organization, with RC hubs forming the well-interconnected top of this hierarchy. In this study, we tested whether RC hubs are involved in the processing of hierarchically higher structures in stimulus sequences. Moreover, we explored the role of previously suggested cortical gradients along anterior-posterior and medial-lateral axes throughout the frontal cortex. To this end, we conducted a functional magnetic resonance imaging (fMRI) experiment and presented participants with blocks of digit sequences that were structured on different hierarchically nested levels. We additionally collected diffusion weighted imaging data of the same subjects to identify RC hubs. This classification then served as the basis for a region of interest analysis of the fMRI data. Moreover, we determined structural network centrality measures in areas that were found as activation clusters in the whole-brain fMRI analysis. Our findings support the previously found anterior and medial shift for processing hierarchically higher structures of stimuli. Additionally, we found that the processing of hierarchically higher structures of the stimulus structure engages RC hubs more than for lower levels. Areas involved in the functional processing of hierarchically higher structures were also more likely to be part of the structural RC and were furthermore more central to the structural network. In summary, our results highlight the potential role of the structural RC organization in shaping the cortical processing hierarchy.
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Affiliation(s)
- Falko Mecklenbrauck
- Department of Psychology, Biological PsychologyUniversity of MünsterMünsterGermany
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
| | - Marius Gruber
- Institute for Translational PsychiatryUniversity of MünsterMünsterGermany
- Department for Psychiatry, Psychosomatic Medicine and PsychotherapyUniversity Hospital Frankfurt, Goethe UniversityFrankfurtGermany
| | - Sophie Siestrup
- Department of Psychology, Biological PsychologyUniversity of MünsterMünsterGermany
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
| | - Anoushiravan Zahedi
- Department of Psychology, Biological PsychologyUniversity of MünsterMünsterGermany
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
| | - Dominik Grotegerd
- Institute for Translational PsychiatryUniversity of MünsterMünsterGermany
| | - Marco Mauritz
- Institute for Translational PsychiatryUniversity of MünsterMünsterGermany
- Institute for Computational and Applied MathematicsUniversity of MünsterMünsterGermany
| | - Ima Trempler
- Department of Psychology, Biological PsychologyUniversity of MünsterMünsterGermany
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
| | - Udo Dannlowski
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
- Institute for Translational PsychiatryUniversity of MünsterMünsterGermany
| | - Ricarda I. Schubotz
- Department of Psychology, Biological PsychologyUniversity of MünsterMünsterGermany
- Otto Creutzfeldt Center for Cognitive and Behavioral NeuroscienceUniversity of MünsterMünsterGermany
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Clifford KP, Miles AE, Prevot TD, Misquitta KA, Ellegood J, Lerch JP, Sibille E, Nikolova YS, Banasr M. Brain structure and working memory adaptations associated with maturation and aging in mice. Front Aging Neurosci 2023; 15:1195748. [PMID: 37484693 PMCID: PMC10359104 DOI: 10.3389/fnagi.2023.1195748] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 06/13/2023] [Indexed: 07/25/2023] Open
Abstract
Introduction As the population skews toward older age, elucidating mechanisms underlying human brain aging becomes imperative. Structural MRI has facilitated non-invasive investigation of lifespan brain morphology changes, yet this domain remains uncharacterized in rodents despite increasing use as models of disordered human brain aging. Methods Young (2m, n = 10), middle-age (10m, n = 10) and old (22m, n = 9) mice were utilized for maturational (young vs. middle-age) and aging-related (middle-age vs. old mice) comparisons. Regional brain volume was averaged across hemispheres and reduced to 32 brain regions. Pairwise group differences in regional volume were tested using general linear models, with total brain volume as a covariate. Sample-wide associations between regional brain volume and Y-maze performance were assessed using logistic regression, residualized for total brain volume. Both analyses corrected for multiple comparisons. Structural covariance networks were generated using the R package "igraph." Group differences in network centrality (degree), integration (mean distance), and segregation (transitivity, modularity) were tested across network densities (5-40%), using 5,000 (1,000 for degree) permutations with significance criteria of p < 0.05 at ≥5 consecutive density thresholds. Results Widespread significant maturational changes in volume occurred in 18 brain regions, including considerable loss in isocortex regions and increases in brainstem regions and white matter tracts. The aging-related comparison yielded 6 significant changes in brain volume, including further loss in isocortex regions and increases in white matter tracts. No significant volume changes were observed across either comparison for subcortical regions. Additionally, smaller volume of the anterior cingulate area (χ2 = 2.325, pBH = 0.044) and larger volume of the hippocampal formation (χ2 = -2.180, pBH = 0.044) were associated with poorer cognitive performance. Maturational network comparisons yielded significant degree changes in 9 regions, but no aging-related changes, aligning with network stabilization trends in humans. Maturational decline in modularity occurred (24-29% density), mirroring human trends of decreased segregation in young adulthood, while mean distance and transitivity remained stable. Conclusion/Implications These findings offer a foundational account of age effects on brain volume, structural brain networks, and working memory in mice, informing future work in facilitating translation between rodent models and human brain aging.
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Affiliation(s)
- Kevan P. Clifford
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada
- Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Amy E. Miles
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada
| | - Thomas D. Prevot
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Keith A. Misquitta
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada
- Departments of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada
| | - Jacob Ellegood
- Mouse Imaging Centre (MICe), Hospital for Sick Children, Toronto, ON, Canada
| | - Jason P. Lerch
- Mouse Imaging Centre (MICe), Hospital for Sick Children, Toronto, ON, Canada
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom
- Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada
| | - Etienne Sibille
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
- Departments of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada
| | - Yuliya S. Nikolova
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Mounira Banasr
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
- Departments of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada
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Wang Y, Zhang Y, Zheng W, Liu X, Zhao Z, Li S, Chen N, Yang L, Fang L, Yao Z, Hu B. Age-Related Differences of Cortical Topology Across the Adult Lifespan: Evidence From a Multisite MRI Study With 1427 Individuals. J Magn Reson Imaging 2023; 57:434-443. [PMID: 35924281 DOI: 10.1002/jmri.28318] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 06/13/2022] [Accepted: 06/13/2022] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Healthy aging is usually accompanied by alterations in brain network architecture, influencing information processing and cognitive performance. However, age-associated coordination patterns of morphological networks and cognitive variation are not well understood. PURPOSE To investigate the age-related differences of cortical topology in morphological brain networks from multiple perspectives. STUDY TYPE Prospective, observational multisite study. POPULATION A total of 1427 healthy participants (59.1% female, 51.75 ± 19.82 years old) from public datasets. FIELD STRENGTH/SEQUENCE 1.5 T/3 T, T1-weighted magnetization prepared rapid gradient echo (MP-RAGE) sequence. ASSESSMENT The multimodal parcellation atlas was used to define regions of interest (ROIs). The Jensen-Shannon divergence-based individual morphological networks were constructed by estimating the interregional similarity of cortical thickness distribution. Graph-theory based global network properties were then calculated, followed by ROI analysis (including global/nodal topological analysis and hub analysis) with statistical tests. STATISTICAL TESTS Chi-square test, Jensen-Shannon divergence-based similarity measurement, general linear model with false discovery rate correction. Significance was set at P < 0.05. RESULTS The clustering coefficient (q = 0.016), global efficiency (q = 0.007), and small-worldness (q = 0.006) were significantly negatively quadratic correlated with age. The group-level hubs of seven age groups were found mainly distributed in default mode network, visual network, salient network, and somatosensory motor network (the sum of these hubs' distribution in each group exceeds 55%). Further ROI-wise analysis showed significant nodal trajectories of intramodular connectivities. DATA CONCLUSION These results demonstrated the age-associated reconfiguration of morphological networks. Specifically, network segregation/integration had an inverted U-shaped relationship with age, which indicated age-related differences in transmission efficiency. EVIDENCE LEVEL 2 TECHNICAL EFFICACY: Stage 1.
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Affiliation(s)
- Yin Wang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Yinghui Zhang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China.,Guangyuan Mental Health Center, Guangyuan, China
| | - Weihao Zheng
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Xia Liu
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Ziyang Zhao
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Shan Li
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Nan Chen
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Lin Yang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Lei Fang
- PET/CT Center, The 940th Hospital of Joint Logistic Support Force of PLA, Lanzhou, China
| | - Zhijun Yao
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Bin Hu
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China.,CAS Center for Excellence in Brain Science and Intelligence Technology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China.,Joint Research Center for Cognitive Neurosensor Technology of Lanzhou University & Institute of Semiconductors, Chinese Academy of Sciences, Lanzhou, China.,Engineering Research Center of Open Source Software and Real-Time System, Lanzhou University, Ministry of Education, Lanzhou, China
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Déli É, Peters JF, Kisvárday Z. How the Brain Becomes the Mind: Can Thermodynamics Explain the Emergence and Nature of Emotions? ENTROPY (BASEL, SWITZERLAND) 2022; 24:1498. [PMID: 37420518 PMCID: PMC9601684 DOI: 10.3390/e24101498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 10/07/2022] [Accepted: 10/11/2022] [Indexed: 07/09/2023]
Abstract
The neural systems' electric activities are fundamental for the phenomenology of consciousness. Sensory perception triggers an information/energy exchange with the environment, but the brain's recurrent activations maintain a resting state with constant parameters. Therefore, perception forms a closed thermodynamic cycle. In physics, the Carnot engine is an ideal thermodynamic cycle that converts heat from a hot reservoir into work, or inversely, requires work to transfer heat from a low- to a high-temperature reservoir (the reversed Carnot cycle). We analyze the high entropy brain by the endothermic reversed Carnot cycle. Its irreversible activations provide temporal directionality for future orientation. A flexible transfer between neural states inspires openness and creativity. In contrast, the low entropy resting state parallels reversible activations, which impose past focus via repetitive thinking, remorse, and regret. The exothermic Carnot cycle degrades mental energy. Therefore, the brain's energy/information balance formulates motivation, sensed as position or negative emotions. Our work provides an analytical perspective of positive and negative emotions and spontaneous behavior from the free energy principle. Furthermore, electrical activities, thoughts, and beliefs lend themselves to a temporal organization, an orthogonal condition to physical systems. Here, we suggest that an experimental validation of the thermodynamic origin of emotions might inspire better treatment options for mental diseases.
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Affiliation(s)
- Éva Déli
- Department of Anatomy, Histology, and Embryology, University of Debrecen, 4032 Debrecen, Hungary
| | - James F. Peters
- Department of Electrical & Computer Engineering, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- Department of Mathematics, Adiyaman University, Adiyaman 02040, Turkey
| | - Zoltán Kisvárday
- Department of Anatomy, Histology, and Embryology, University of Debrecen, 4032 Debrecen, Hungary
- ELKH Neuroscience Research Group, University of Debrecen, 4032 Debrecen, Hungary
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Poza J, García M, Gomez-Pilar J. Entropy in Brain Networks. ENTROPY (BASEL, SWITZERLAND) 2021; 23:1157. [PMID: 34573781 PMCID: PMC8465288 DOI: 10.3390/e23091157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 08/31/2021] [Indexed: 12/03/2022]
Abstract
A thorough and comprehensive understanding of the human brain ultimately depends on knowledge of large-scale brain organization[...].
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Affiliation(s)
- Jesús Poza
- Biomedical Engineering Group, University of Valladolid, 47011 Valladolid, Spain; (M.G.); (J.G.-P.)
- Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), 47011 Valladolid, Spain
- Instituto de Investigación en Matemáticas—IMUVA, University of Valladolid, 47001 Valladolid, Spain
| | - María García
- Biomedical Engineering Group, University of Valladolid, 47011 Valladolid, Spain; (M.G.); (J.G.-P.)
- Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), 47011 Valladolid, Spain
| | - Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, 47011 Valladolid, Spain; (M.G.); (J.G.-P.)
- Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), 47011 Valladolid, Spain
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