Biology subjects

Foulon, C.

Publications and source records attributed to Foulon, C..

6 recordsLinked to original sources

bioRxiv2024

Benchmarking Stroke Outcome Prediction through Comprehensive Data Analysis - NeuralCup 2023

Stroke remains a leading cause of mortality and long-term disability worldwide, with variable recovery trajectories posing substantial challenges in anticipating post-event care and rehabilitation planning. To address these challenges, we established the NeuralCup consortium to benchmark predictive models of stroke outcome through a collaborative, data-driven approach. This study presents findings from 15 international teams who used a comprehensive dataset including clinical and imaging data, to identify and compare predictors of motor, cognitive, and emotional outcomes one year post-stroke. Our analyses integrated traditional statistical approaches and novel machine learning algorithms to uncover optimal recipes for predicting each domain. The differences in these optimal recipes reflect distinct brain mechanisms in response to different tasks. Key predictors across all domains included infarct characteristics, T1-weighted MRI sequences, and demographic factors. Additionally, integrating FLAIR imaging and white matter tract analysis significantly improved the prediction of cognitive and motor outcomes, respectively. These findings support a multifaceted approach to stroke outcome prediction, underscoring the potential of collaborative data science to develop personalized care strategies that enhance recovery and quality of life for stroke survivors. To encourage further model development and validation, we provide access to the training dataset at http://neuralcup.bcblab.com

neuroscience↗

bioRxiv2023

Deep Learning disconnectomes to accelerate and improve long-term predictions for post-stroke symptoms

Deep learning as a truly transformative force is revolutionizing a wide range of fields, making a significant difference in medical imaging, where recent advancements have yielded some truly remarkable outcomes. In a connected brain, maps of white matter damage -- otherwise known as disconnectomes -- are essential for capturing the effects of focal lesions. However, the current tools for obtaining such information are prohibitively slow and not admitted for clinical usage. Here, we have explored the potential of deep-learning models to accurately generate disconnectomes in a population of stroke survivors. We trained a 3D U-Net algorithm to produce deep-disconnectomes from binary lesion masks. This artificial neural network was able to capture most information obtained in conventional disconnectomes, i.e., statistical maps filtering normative white-matter networks, but output a deep-disconnectome 170 times faster - compared to disconnectome computation with the state-of-the-art BCBToolkit software. Moreover, the deep-disconnectomes were challenged to predict cognitive and behavioral outcomes one-year post-stroke. In an additional cohort of N=139 stroke survivors, N=86 neuropsychological scores were predicted from deep-disconnectomes achieving, on average, 85.2% of accuracy and R2= 0.208. The deep-disconnectomes predictivity power outperformed the conventional disconnectome predictions for clinical scores. In summary, we have achieved a significant milestone for clinical neuroimaging by accelerating and ameliorating the creation of disconnectome maps using deep learning. By integrating deep learning into the management of stroke, one of the most prevailing catalysts for acquired disabilities, we deepen our understanding of its impact on the brain. This novel approach may offer potential avenues for acute intervention, ultimately enhancing patients overall quality of life.

neuroscience↗

bioRxiv2020

Brain disconnections link structural connectivity with function and behaviour

Brain lesions do not just disable but also disconnect brain areas, which once deprived of their input or output, can no longer subserve behaviour and cognition. The role of white matter connections has remained an open question for the past 250 years. Based on 1333 stroke lesions we reveal the human Disconnectome and demonstrate its relationship to the functional segregation of the human brain. Results indicate that functional territories are not only defined by white matter connections, but also by the highly stereotyped spatial distribution of brain disconnections. While the former has granted us the possibility to map 590 functions on the white matter of the whole brain, the latter compels a revision of the taxonomy of brain functions. Overall, our freely available Functional Atlas of the White Matter will enable improved clinical-neuroanatomical predictions for brain lesion studies and provide a platform for novel explorations in the domain of cognition.

neuroscience↗

bioRxiv2019

Anosognosia for Hemiplegia as a tripartite disconnection syndrome

The rare syndrome of Anosognosia for Hemiplegia (AHP) can provide unique insights into the neurocognitive processes of motor awareness. Yet, prior studies have only explored predominately discreet lesions. Using advanced structural neuroimaging methods in 174 patients with a right-hemisphere stroke, we were able to identify three neural networks that contribute to AHP, when disconnected: the (1) premotor loop (2) limbic system, and (3) ventral attention network. Our results suggest that human motor awareness is contingent on the joint contribution of these three systems.

neuroscience↗

bioRxiv2019

Subcortical Anatomy of the Default Mode Network: a functional and structural connectivity study

Most existing research into the default-mode network (DMN) has taken a corticocentric approach. Despite the resemblance of the DMN with the unitary model of the limbic system, the anatomy and contribution of subcortical structures to the network may be underappreciated due to methods limitation. Here, we propose a new and more comprehensive neuroanatomical model of the DMN including the basal forebrain and anterior and mediodorsal thalamic nuclei and cholinergic nuclei. This has been achieved by considering functional territories during interindividual brain alignment. Additionally, tractography of diffusion-weighted imaging was employed to explore the structural connectivity of the DMN and revealed that the thalamus and basal forebrain had high importance in term of values of node degree and centrality in the network. The contribution of these neurochemically diverse brain nuclei reconciles previous neuroimaging with neuropathological findings in diseased brain and offers the potential for identifying a conserved homologue of the DMN in other mammalian species.

neuroscience↗

bioRxiv2017

Advanced Lesion Symptom Mapping Analyses And Implementation As BCBtoolkit

BackgroundPatients with brain lesions provide a unique opportunity to understand the functioning of the human mind. However, even when focal, brain lesions have local and remote effects that impact functionally and structurally connected circuits. Similarly, function emerges from the interaction between brain areas rather than their sole activity. For instance, category fluency requires the association between executive, semantic and language production functions.\n\nFindingsHere we provide, for the first time, a set of complementary solutions to measure the impact of a given lesion upon the neuronal circuits. Our methods, which were applied to 37 patients with a focal frontal brain lesion, revealed a large set of directly and indirectly disconnected brain regions that had significantly impacted category fluency performance. The directly disconnected regions corresponded to areas that are classically considered as functionally engaged in verbal fluency and categorization tasks. These regions were also organized into larger directly and indirectly disconnected functional networks, including the left ventral fronto-parietal network, whose cortical thickness correlated with performance on category fluency.\n\nConclusionsThe combination of structural and functional connectivity together with cortical thickness estimates reveals the remote effects of brain lesions, provide for the identification of the affected networks and strengthen our understanding of their relationship with cognitive and behavioural measures. The methods presented are available and freely accessible in the BCBtoolkit as supplementary software (http://toolkit.bcblab.com).

neuroscience↗