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Brem, S.

Publications and source records attributed to Brem, S..

15 recordsLinked to original sources

Predicting children's literacy from task-based fMRI: Neural heterogeneity and task-dependent performance

Reading is a complex skill with a well-characterized neural basis. Multivariate fMRI analyses have deepened our neuroscientific understanding of literacy by linking neural patterns to behavioral traits. Although task-based fMRI often outperforms resting-state fMRI in predicting cognitive traits, few studies have applied it to continuous measures of childrens reading ability. To identify neural markers of literacy, we compared predictive performance across multiple fMRI tasks and reading-related measures. In this data-driven study, we predicted literacy skills in school-aged children (6.7-10.3 years) from eleven behavioral scores grouped into Reading (fluency and comprehension), Verbal (vocabulary knowledge and verbal intelligence), and Naming (object naming speed). Predictive performance was examined across four fMRI tasks completed by subgroups of children (n = 73-97): two active tasks - phonological-lexical decisions (PhonLex) and audiovisual character learning (Learn) - and two passive tasks - word and face viewing (Localizer) and character processing (CharProc). Individual activation contrast maps, categorized as simple (single condition) or subtractive (condition contrasts), were analyzed using a machine learning model with whole-brain predictors derived from principal component analysis. Results showed the highest predictive performance for Reading and Naming with PhonLex > Learn > Localizer = CharProc, and for Verbal with PhonLex = Learn > Localizer = CharProc. Simple contrasts generally outperformed subtractive contrasts in predicting behavioral scores. Key neural predictors, identified through whole-brain and region-of-interest analyses, included the left inferior frontal gyrus, supramarginal gyrus, ventral occipitotemporal cortex, insula, and default mode network regions. Together, these findings indicate that, for predicting literacy traits in children, active tasks and tasks that engage brain systems involved in multisensory learning tend to outperform both passive paradigms and simple subtractive task contrasts. This study provides a methodological benchmark for brain-based prediction of reading ability and highlights the value of activation heterogeneity across distributed regions as a potential marker for tracking literacy development over time.

neuroscience↗

Disrupted Higher-Order Topology in OCD Brain Networks Revealed by Hodge Laplacian - an ENIGMA Study

Brain disorders are increasingly understood as disorders of distributed brain circuits, yet functional connectivity (FC), the dominant framework for mapping them, treats the brain as a collection of pairwise relationships between regions and cannot represent pathology distributed across coordinated sets of connections. We introduce a Hodge-Laplacian topological framework that localizes higher-order "loop" (1-cycle) organization within functional connectome, maps each loop to specific edges and networks, and yields a subject-level measure of loop expression. Applied to resting-state fMRI from the ENIGMA-OCD consortium (1,024 patients and 1,028 controls across 28 sites), the framework identified 93 loop-level abnormalities in obsessive-compulsive disorder (OCD), concentrated in frontoparietal and somatomotor systems. The edges forming these loops largely showed no significant differences between groups, indicating that the abnormalities were invisible to conventional FC analysis. The frontoparietal and somatomotor loop clusters recurred across the clinical subgroups, suggesting convergence on a shared higher-order phenotype. Robustness analyses showed the loop signal reflected higher-order organization rather than an artifact of individual edges, the network backbone, or any single site. These results indicate that coordinated, multi-edge pathology exists and can be localized even when pairwise analyses fail to detect it, positioning higher-order topology as a generalizable axis for mapping circuit pathology across psychiatric and neurological disorders.

neuroscience↗

Separable neurocomputational mechanisms underlying multisensory learning

Efficient control of behavior requires multisensory learning from information distributed across senses. However, most neurocomputational studies have focused on unisensory signals. Here, we identify distinct but interacting neurocomputational mechanisms that support learning of multisensory associations. We designed a task in which behaviorally relevant information was available only from combinations of visual cues with either auditory or tactile cues. In 58 participants undergoing fMRI, we dissociated three processes: multisensory statistical learning (SL), modeled as stimulus-locked Shannon surprise; reinforcement learning (RL), modeled as feedback-locked signed reward prediction errors (RPEs); and feedback-locked unsigned RPEs (uRPEs), reflecting surprise about reward outcomes. Behaviorally, response times scaled with Shannon surprise (SL) while accuracy improved with feedback (RL). Model-based fMRI revealed dissociable but complementary networks: RPEs engaged ventral striatum, vmPFC, and left angular gyrus; surprise recruited bilateral angular gyrus, dlPFC, and precuneus; and uRPEs involved insula, dorsomedial prefrontal, and lateral frontoparietal cortices. Several of these regions extend beyond canonical learning circuits and may contribute to learning when behavior depends on information distributed across sensory modalities. All three networks were modality-general, showing comparable strength for audiovisual and visuotactile learning. Notably, left angular gyrus tracked both Shannon surprise and RPE, suggesting its potential role for integrating structural and value information. These findings indicate that the brain engages distinct but complementary systems for structure-based, reward-based, and outcomesurprise computations. By combining behavioral modeling and fMRI with a novel task design, we provide a framework for dissecting the neurocomputational architecture of multisensory learning.

neuroscience↗

Inhibitory control and error processing in Obsessive-Compulsive Disorder: A mega-analysis of task-based fMRI data by the ENIGMA-OCD consortium

ObjectiveObsessive-compulsive disorder (OCD) is a chronic condition in which impaired inhibitory control and excessive error monitoring may contribute to the maintenance of obsessions and compulsions. This mega-analysis investigates neural activation during response inhibition and error processing using adult and pediatric data from the ENIGMA-OCD consortium and the ABCD study. MethodsIndividual participant data was uniformly processed using HALFpipe to extract statistical maps for response inhibition and error processing contrasts. Bayesian multilevel models were used to assess regional and whole-brain effects of OCD, with additional analyses examining the association between the OCD clinical profile and task-related activation. ResultsAcross inhibitory control tasks, both individuals with OCD and control participants showed robust activation in regions implicated in response inhibition and error processing. During response inhibition, compared to controls, adults with OCD showed stronger somatomotor cortex activation, while children with OCD showed stronger occipital cortex activation. Children with likely OCD from the ABCD cohort showed reduced activity in the frontoparietal network in the anterior insula/frontal operculum region. During error processing, relative to controls, adults with OCD showed weaker activation in fronto-striatal regions, while children with OCD showed stronger activation in frontoparietal and attention networks. Greater OCD symptom severity was associated with weaker task-related activation in adults and stronger activation in children during response inhibition. ConclusionCase-control differences in brain activation during inhibitory control varied by age group and task contrast. Symptom severity emerged as the main clinical correlate of activation during inhibition, suggesting that inhibitory control deficits in OCD may be both state-dependent and developmentally specific.

neuroscience↗

Growing Minds, Integrating Senses: Neural and Computational Insights into Age-related Changes in Audio-Visual and Tactile-Visual Learning in Children

Multisensory processing and learning shape cognitive and language development, influencing how we perceive and interact with the world from an early age. While multisensory processes mature into adolescence, it remains poorly understood how age influences multisensory associative learning. This study investigated age-related effects on multisensory processing and learning during audio-visual and tactile-visual learning in 67 children (5.7-13 years) by integrating behavioural and neuroimaging data with computational methods. A reinforcement-learning drift diffusion model revealed that older children processed information faster and made more efficient decisions on multisensory associations. These age-related increases coincided with higher activity in brain regions associated with cognitive control, multisensory integration, and memory retrieval, specifically during audio-visual learning. Notably, the bilateral anterior insula exhibited heightened activation in response to lower reward prediction errors, indicative of increased sensitivity to negative feedback with development. Finally, reward prediction errors modulated activation in reward processing and cognitive control regions, with this modulation remaining modality-independent and largely stable across age. In conclusion, while children employ similar learning strategies, older children make decisions more efficiently and engage neural resources more strongly. Our findings reflect ongoing maturation of neural networks supporting multisensory learning in middle childhood, enabling more adaptive learning in later childhood. Highlights- faster information processing in older children during a multisensory learning task - increasing brain activation with age in visual, parietal, and frontal regions - reward prediction error processing are independent of age and modality - heightened response to negative reward prediction errors with increasing age

neuroscience↗

Temporal multi-modal single-cell analyses reveal dynamic interactions of CAR-T cells with glioblastoma and targeting of antigen-negative neoplastic cells

CAR-T therapy is a promising new immunotherapy for cancers, but its efficacy for solid tumors requires improvement. A detailed understanding of the interplay between solid tumors and CAR-T cells is critical. Here we report temporal, multi-modal, single-cell profiling of patient-derived glioblastoma organoids with CAR-T treatment. We found that all tumor cell types responded to CAR-T cell activation and contributed to an initially anti-tumor, but subsequently pro-tumor and immune-inhibitory microenvironment, accompanied by CAR-T cell exhaustion. Unexpectedly, CAR-T treatment attenuated glioma stem-like states of both antigen-positive and antigen-negative neoplastic cells and reduced their proliferation via diffusible factors, including IFN{gamma}. Analysis of samples from additional patients, including those in clinical trials, supported these findings. Our study reveals the dynamic interplay among different tumor cells and T cells in adaptive responses to immunotherapy and identifies previously unappreciated benefits of CAR-T therapy directly on antigen-negative neoplastic cells that may be leveraged to enhance therapeutic efficacy.

cancer biology↗

Neural Mechanisms of Feedback Processing and Behavioral Adaptation during Neurofeedback Training

The acquisition of new skills is facilitated by providing individuals with feedback that reflects their performance. This process creates a closed loop that involves feedback processing and regulation recalibration to promote effective training. Functional magnetic resonance imaging (fMRI)-based neurofeedback is unique in applying this principle by delivering direct feedback on the self-regulation of brain activity. Understanding how feedback-driven learning occurs requires examining how feedback is evaluated and how regulation adjusts in response to feedback signals. In this pre-registered mega-analysis, we re-analyzed data from eight intermittent fMRI neurofeedback studies (N = 153 individuals) to investigate brain regions where activity and connectivity are linked to feedback processing and regulation recalibration (i.e., regulation after feedback) during training. We harmonized feedback scores presented during training in these studies and computed their linear associations with brain activity and connectivity using parametric general linear model analyses. We observed that, during feedback processing, feedback scores were positively associated with (1) activity in the reward system, dorsal attention network, default mode network, and cerebellum; and with (2) reward system-related connectivity within the salience network. During regulation recalibration, no significant associations were observed between feedback scores and either activity or associative learning-related connectivity. Our results suggest that neurofeedback is processed in the reward system, supporting the theory that reinforcement learning shapes this form of brain training. In addition, the involvement of large-scale networks in feedback processing, continuously transitioning between evaluating external feedback and internally assessing the adopted cognitive state, suggests that higher-level processing is integral to this type of learning. Our findings highlight the pivotal role of performance-related feedback as a driving force in learning, potentially extending beyond neurofeedback training to other feedback-based processes. Key PointsWe conducted a pre-registered mega-analysis integrating data from eight fMRI neurofeedback studies to examine feedback processing and regulation recalibration during neurofeedback training. During feedback processing, feedback was associated with activity in the reward system, dorsal attention network, default mode network, and cerebellum; as well as with reward system-related connectivity within the salience network. We found no positive results during regulation blocks; however, additional analyses suggest that recalibration may have already occurred during feedback presentation.

neuroscience↗

Neural representation of association strength and prediction error during novel symbol-speech sounds learning

Efficient learning of letters-speech sound associations leads to specialization of visual and audiovisual brain regions and is necessary to develop adequate reading skills. We still do not understand the brain dynamics of this learning process, and the involvement of learning and performance monitoring networks is still underexplored. Here we examined a feedback learning task with two mutually dependent parts in which novel symbol-speech sound associations were learned by 39 healthy adults. We used functional magnetic resonance (fMRI) and a reinforcement learning drift diffusion model that described learning across trials. The model-based analysis showed that posterior-occipital activations during stimulus processing were positively modulated by the trial-by-trial learning, described by the increase in association strength of each audiovisual pair. Prediction errors, describing the update mechanism to learn with feedback across trials, modulated activations in several mid-frontal, striatal and cingulate regions. The two task parts yielded a similar pattern of results although they varied in their relative difficulty. This study demonstrates which processes during audiovisual learning contribute to the rapid visual specialization within an experimental session and delineates a set of coactivated regions engaged in learning from feedback. Our paradigm provides a framework to advance our understanding of the neurobiology of learning and reading development.

neuroscience↗

CrOssing fiber Modeling in the Peritumoral Area using dMRI (COMPARI)

Visualization of fiber tracts around the tumor is critical for neurosurgical planning and preservation of crucial structural connectivity during tumor resection. Biophysical modeling approaches estimate fiber tract orientations from differential water diffusivity information of diffusion MRI. However, the presence of edema and tumor infiltration presents a challenge to visualize crossing fiber tracts in the peritumoral region. Previous approaches proposed free water modeling to compensate for the effect of water diffusivity in edema, but those methods were limited in estimating complex crossing fiber tracts. We propose a new cascaded multi-compartment model to estimate tissue microstructure in the presence of edema and pathological contaminants in the area surrounding brain tumors. In our model (COMPARI), the isotropic components of diffusion signal, including free water and hindered water, were eliminated, and the fiber orientation distribution (FOD) of the remaining signal was estimated. In simulated data, COMPARI accurately recovered fiber orientations in the presence of extracellular water. In a dataset of 23 patients with highly edematous brain tumors, the amplitudes of FOD and anisotropic index distribution within the peritumoral region were higher with COMPARI than with a recently proposed multi-compartment constrained deconvolution model. In a selected patient with metastatic brain tumor, we demonstrated COMPARIs ability to effectively model and eliminate water from the peritumoral region. The white matter bundles reconstructed with our model were qualitatively improved compared to those of other models, and allowed the identification of crossing fibers. In conclusion, the removal of isotropic components as proposed with COMPARI improved the bio-physical modeling of dMRI in edema, thus providing information on crossing fibers, thereby enabling improved tractography in a highly edematous brain tumor. This model may improve surgical planning tools to help achieve maximal safe resection of brain tumors.

bioengineering↗

Self-Regulation of Visual Word Form Area activation with real-time fMRI neurofeedback

The Visual Word Form Area (VWFA) is a key region of the brains reading network and its activation has been shown to be strongly associated with reading skills. Here, for the first time, we investigated whether voluntary regulation of VWFA activity is feasible using real-time fMRI neurofeedback. 40 adults with typical reading skills were instructed to either upregulate (UP group) or downregulate (DOWN group) their own VWFA activity during six neurofeedback training runs. The VWFA target region was individually defined based on a functional localizer task. Before and after training, also regulation runs without feedback ("no-feedback runs") were performed. When comparing the two groups, we found stronger activity across the whole reading network, including the VWFA, for the UP than the DOWN group. Crucially, we observed a significant interaction of group and time (pre, post) for the no-feedback runs: The two groups did not differ in their VWFA activity before neurofeedback training, but the UP group showed significantly stronger activity than the DOWN group after neurofeedback training. Our results indicate that self-regulation of the VWFA activity is feasible and that, once learned, successful self-regulation can even be performed in the absence of feedback. These results are a crucial step toward to development of a potential clinical intervention to improve reading skills in individuals with reading impairments.

neuroscience↗

Visual occipito-temporal sensitivity to digits through elementary school

Number processing abilities are important for academic and personal development. The course of initial specialization of ventral occipito-temporal cortex (vOTC) for visual number processing is crucial for the development of numeric and arithmetic skills. We examined the visual N1, the electrophysiological correlate of vOTC activations across five time points in kindergarten (T1), middle and end of first grade (T2, T3), second (T4) and fifth grade (T5). 62 children (35 female) performed a target detection task which included visual presentation of digits, false fonts, and letters. Arithmetic skills were measured at T4 and T5 with standardized math tests. Stronger N1 amplitudes for digits than false fonts were found across all 5 measurements. Arithmetic skills correlated negatively with visual N1 sensitivity to digits at T4 (2nd grade, mean age 8.3 yrs) over the left hemisphere, possibly reflecting allocation of more attentional or cognitive resources with poorer arithmetic skills. Our main result shows persistent visual N1 sensitivity to digits that is already present early on in pre-school and remains stable until fifth grade. This differs from the relatively sharp rise and fall of the visual N1 sensitivity to words or letters between kindergarten and middle of elementary school. The present study thus indicates different trajectories in the development of visual processing for written characters that are relevant to numeracy and literacy.

neuroscience↗

White Matter Microstructure and its Relation to Clinical Features of Obsessive-Compulsive Disorder: Findings from the ENIGMA OCD Working Group

ImportanceMicrostructural alterations in cortico-subcortical connections are thought to be present in Obsessive-Compulsive Disorder (OCD). However, prior studies have yielded inconsistent findings, perhaps because small sample sizes provided insufficient power to detect subtle abnormalities. ObjectiveTo investigate microstructural white matter alterations and their relation to clinical features in the largest dataset of adult and pediatric OCD to date. Design, Setting, and ParticipantsIn this cross-sectional case-control magnetic resonance study, we investigated diffusion tensor imaging metrics from 700 adult patients and 645 adult controls, as well as 174 pediatric patients and 144 pediatric controls across 19 sites participating in the ENIGMA-OCD Working Group. Main Outcomes and MeasuresWe extracted measures of fractional anisotropy (FA) as main outcome, and mean diffusivity, radial diffusivity, and axial diffusivity as secondary outcomes for 25 white matter regions. We meta-analyzed patient-control group differences (Cohens d) across sites, after adjusting for age and sex, and investigated associations with clinical characteristics. ResultsAdult OCD patients showed significant FA reduction in the sagittal stratum (d=-0.21, z=-3.21, p=0.001) and posterior thalamic radiation (d=-0.26, z=-4.57, p<0.0001). In the sagittal stratum only, lower FA was associated with a younger age of onset (z=2.71, p=0.006), longer duration of illness (z=-2.086, p=0.036) and a higher percentage of medicated patients in the cohorts studied (z=-1.98, p=0.047). No significant association with symptom severity was found. Pediatric OCD patients did not show any detectable microstructural abnormalities compared to matched controls. Conclusions and RelevanceMicrostructural alterations in projection and association fibers to posterior brain regions were found in adult OCD, and related to disease course and medication status. Such results are relevant to models positing deficits in connectivity as a crucial mechanism in OCD. KEY POINTSO_ST_ABSQuestionC_ST_ABSDo patients with Obsessive-Compulsive Disorder (OCD) show white matter microstructural alterations, and are these alterations related to clinical features? FindingsData from 19 sites of the ENIGMA-OCD Consortium were included, involving 700 adult patients and 645 adult controls, 174 pediatric patients and 144 pediatric controls. Diffusion tensor imaging data were meta-analyzed using a harmonized data processing and analysis protocol. Adult, but not pediatric, patients showed alterations in the sagittal stratum and posterior thalamic radiation; sagittal stratum differences were associated with clinical features. MeaningMicrostructural abnormalities found in adult but not in the pediatric cohort, are related to illness duration and medication status.

neuroscience↗

Freewater EstimatoR using iNtErpolated iniTialization (FERNET): Toward Accurate Estimation of Free Water in Peritumoral Region Using Single-Shell Diffusion MRI Data

Characterization of healthy versus pathological tissue is a key concern when modeling tissue microstructure in the peritumoral area, confounded by the presence of free water (e.g., edema). Most methods that model tissue microstructure are either based on advanced acquisition schemes not readily available in the clinic, or are not designed to address the challenge of edema. This underscores the need for a robust free water elimination (FWE) method that estimates free water in pathological tissue but can be used with clinically prevalent single-shell diffusion tensor imaging data. FWE in single-shell data requires the fitting of a bi-compartment model, which is an ill-posed problem. Its solution requires optimization, which relies on an initialization step. We propose a novel initialization approach for FWE, FERNET, which improves the estimation of free water in edematous and infiltrated peritumoral regions, using single-shell diffusion MRI data. The method has been extensively investigated on simulated data and healthy and brain tumor datasets, demonstrating its applicability on clinically acquired data. Additionally, it has been applied to data from brain tumor patients to demonstrate the improvement in tractography in the peritumoral region.

bioengineering↗

Single Cell Spatial Chromatin Analysis of Fixed Immunocytochemically Identified Neuronal Cells

Assays examining the open-chromatin landscape in single cells require isolation of the nucleus, resulting in the loss of spatial/microenvironment information. Here we describe CHEX-seq (CHromatin EXposed) for identifying single-stranded open-chromatin DNA regions in paraformaldehyde-fixed single cells. CHEX-seq uses light-activated DNA probes that binds to single-stranded DNA in open chromatin. In situ laser activation of the annealed probes 3-Lightning Terminator in selected cells permits the probe to act as a primer for in situ enzymatic copying of single-stranded DNA that is then sequenced. CHEX-seq is benchmarked with human K562 cells and its utility is demonstrated in dispersed primary mouse and human brain cells, and immunostained cells in mouse brain sections. Further, CHEX-seq queries the openness of mitochondrial DNA in single cells. Evaluation of an individual cells chromatin landscape in its tissue context enables \"spatial chromatin analysis\".\n\nOne Sentence SummaryA new method, CHEX-seq (CHromatin eXposed), identifies the open-chromatin landscape in single fixed cells thereby allowing spatial chromatin analysis of selected cells in complex cellular environments.

neuroscience↗

Mapping Cortical Brain Asymmetry in 17,141 Healthy Individuals Worldwide via the ENIGMA Consortium

Hemispheric asymmetry is a cardinal feature of human brain organization. Altered brain asymmetry has also been linked to some cognitive and neuropsychiatric disorders. Here the ENIGMA consortium presents the largest ever analysis of cerebral cortical asymmetry and its variability across individuals. Cortical thickness and surface area were assessed in MRI scans of 17,141 healthy individuals from 99 datasets worldwide. Results revealed widespread asymmetries at both hemispheric and regional levels, with a generally thicker cortex but smaller surface area in the left hemisphere relative to the right. Regionally, asymmetries of cortical thickness and/or surface area were found in the inferior frontal gyrus, transverse temporal gyrus, parahippocampal gyrus, and entorhinal cortex. These regions are involved in lateralized functions, including language and visuospatial processing. In addition to population-level asymmetries, variability in brain asymmetry was related to sex, age, and brain size (indexed by intracranial volume). Interestingly, we did not find significant associations between asymmetries and handedness. Finally, with two independent pedigree datasets (N = 1,443 and 1,113, respectively), we found several asymmetries showing modest but highly reliable heritability. The structural asymmetries identified, and their variabilities and heritability provide a reference resource for future studies on the genetic basis of brain asymmetry and altered laterality in cognitive, neurological, and psychiatric disorders.\n\nSignificance StatementLeft-right asymmetry is a key feature of the human brain's structure and function. It remains unclear which cortical regions are asymmetrical on average in the population, and how biological factors such as age, sex and genetic variation affect these asymmetries. Here we describe by far the largest ever study of cerebral cortical brain asymmetry, based on data from 17,141 participants. We found a global anterior-posterior 'torque' pattern in cortical thickness, together with various regional asymmetries at the population level, which have not been previously described, as well as effects of age, sex, and heritability estimates. From these data, we have created an on-line resource that will serve future studies of human brain anatomy in health and disease.

neuroscience↗