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Patel, G. H.

Publications and source records attributed to Patel, G. H..

11 recordsLinked to original sources

Multiscale Network Disruption of Auditory-Language Circuits Underlying Auditory Hallucinations in Schizophrenia

Background: Auditory verbal hallucinations (AVH) are among the most disabling symptoms of schizophrenia, yet the network-level mechanisms linking auditory dysfunction to hallucination severity remain poorly characterized, limiting targeted therapeutic development. Methods: Using resting-state fMRI and high-resolution surface-based parcellation (HCP-MMP), we examined auditory-language functional connectivity and mesoscale network organization in 56 patients with schizophrenia and 22 healthy controls (primary dataset, N=78). Pairwise auditory-language connectivity associations with hallucination severity (PANSS P3) were examined alongside auditory network community structure, assortativity, hub organization, and routing efficiency. To further characterize these parcel-level findings at the vertex level, we applied a region-growing approach to identify auditory-frontal connectivity patterns maximally associated with severity. In silico perturbation analyses tested the causal role of belt cortex connectivity. Key findings were independently replicated in 93 patients from the Human Connectome Project for Early Psychosis (HCP-EP), for a combined total of 171 participants. Results: Auditory-language connectivity disruptions were concentrated in belt cortex and specifically implicated ventral what-stream connections, with a vertex-wise analysis converging on the same anatomy. Auditory network segregation scaled with hallucination severity, with belt cortex emerging as the primary integrative hub governing auditory-to-language routing efficiency. Perturbation analyses showed that strengthening earlier hierarchy auditory regions reduced network segregation more than strengthening later-hierarchy regions. Reduced belt cortex coupling and elevated network segregation replicated independently in the HCP-EP sample. Conclusions: Auditory network disorganization scales with hallucination severity and replicates across independent samples, with belt cortex as the critical locus of connectivity disruption and network integration failure, identifying it as a candidate neuromodulatory target.

neuroscience↗

Feasibility of Precision Functional Mapping in Youth Multi-Echo fMRI Data

There is growing interest in identifying brain function underlying adolescent cognition, personality, and psychopathology. One promising approach is Precision Functional Mapping (PFM) of MRI functional connectivity, a data-intensive method for characterizing individualized brain networks. Foundational studies suggest that PFM can detect stable, task-responsive, and clinically relevant networks. Studies demonstrate that both functional connectivity reliability and network stability improve with increasing data quantity, although benchmark estimates vary across populations, preprocessing pipelines, and MRI acquisition approaches. Accordingly, it is important to understand how PFM performs in adolescent populations and with multi-echo fMRI acquisition. In a case study of eight youth (ages 10-17), we applied PFM to 80-minutes of combined resting-state and task-based fMRI. The resulting networks were highly modular, consistent with adult templates, and without evidence of structural registration artifacts. Functional connectivity reliability compared favorably to prior single-echo studies, with multivariate similarity and ICC estimates showing early stabilization around 10-15 minutes despite continued improvement with additional data. Trait-like stability increased gradually with acquisition time and a Bayesian algorithm (MS-HBM) demonstrated higher stability than Infomap. Across algorithms, stability was greatest in sensory networks (somatomotor, auditory, visual). Furthermore, when evaluating task-based responses to threat and attention paradigms, only the auditory network consistently benefited from individualized mapping over group template networks. These findings suggest that, with constrained scanning time, PFM is especially effective for characterizing sensory and perceptual networks in adolescents. Bridging the methodological divide between deeply sampled individual cases and large-scale developmental studies will require further innovation and validation.

neuroscience↗

fMRIPrep Lifespan: Extending A Robust Pipeline for Functional MRI Preprocessing to Developmental Neuroimaging

The adoption of a standardized preprocessing workflow is vital for fostering community, sharing, and reproducibility. fMRIPrep has been a critical advancement towards this end, however, it is limited in its capacity to be applied to data across the lifespan, starting from infancy. Here, we introduce fMRIPrep Lifespan, an extension of fMRIPrep that extends the standardized processing from childhood to senescence to include neonatal, infant, and toddler structural and functional MRI data preprocessing. This effort involves a NiPreps integration of 1) a workflow akin to fMRIPrep optimized for MRI data in the first years of life (previously NiBabies) and 2) upstream enhancements to the entire NiPreps suite, including multi-echo data processing, modularization of workflow components, and convergence of processing with other popular workflows (ABCD-BIDS, Human Connectome Project Pipelines). Using data from the Baby Connectome Project (participants 1-43 months of age), we demonstrate that fMRIPrep Lifespan produces high-quality outputs across a wide age range. Moving forward, the scalable, modular infrastructure of fMRIPrep Lifespan will ensure adaptability to data from birth to old age while maintaining robust and reproducible frameworks for functional MRI research across the lifespan.

bioinformatics↗

Heritability of movie-evoked brain activity and connectivity

The neural bases of sensory processing are conserved across people, but no two individuals experience the same stimulus in exactly the same way. Recent work has established that the idiosyncratic nature of subjective experience is underpinned by individual variability in brain responses to sensory information. However, the fundamental origins of this individual variability have yet to be systematically investigated. Here, we establish a genetic basis for individual differences in sensory processing by quantifying (1) the heritability of high-dimensional brain responses to movies and (2) the extent to which this heritability is grounded in lower-level aspects of brain function. Specifically, we leverage 7T fMRI data collected from a twin sample to first show that movie-evoked brain activity is heritable across the cortex, and that this heritability is greater for information encoded in lower temporal frequencies, especially in more associative cortical areas. Next, we use hyperalignment to decompose this heritability into genetic similarity in where vs. how sensory information is processed. We also show that the heritability of brain activity patterns can be partially explained by the heritability of the neural timescale, a one-dimensional measure of local circuit functioning. Finally, we generalize our findings by illustrating a similar pattern of results for the heritability of movie-evoked functional connectivity. These results demonstrate that brain responses to complex stimuli are heritable, and that this heritability is due, in part, to genetic control over stable aspects of brain function.

neuroscience↗

Neural correlates of drinking reduction during cognitive behavioral therapy for alcohol use disorder

Cognitive behavioral therapy (CBT) is an effective treatment for alcohol use disorder (AUD). We hypothesized that the dorsolateral prefrontal cortex (DLPFC), a brain region implicated in cognitive control and goal-directed behavior, plays a role behavior change during CBT by facilitating regulation of craving. To examine this, treatment-seeking participants with AUD (N=22) underwent functional MRI scanning both before and after a 12-week single-arm trial of CBT, using a regulation of craving (ROC) fMRI task designed to measure an individuals ability to control alcohol craving and previously shown to engage the DLPFC. We found that both the number of heavy drinking days (NHDD, the primary clinical outcome) and the self-reported alcohol craving measured during the ROC paradigm were significantly reduced from pre- to post-CBT [NHDD: t=15.69, p<0.0001; alcohol craving: (F(1,21)=16.16; p=0.0006)]. Contrary to our hypothesis, there was no change in regulation effects on self-reported craving over time (F(1,21)=0.072; p=0.79), nor was there was a significant change in regulation effects over time on activity in any parcel. Searching the whole brain for neural correlates of reductions in drinking and craving after CBT, we found a significant 3-way interaction between the effects of cue-induced alcohol craving, cue-induced brain activity and timepoint of assessment (pre- or post-CBT) on NHDD in a parcel corresponding to area 46 of the right DLPFC ({beta}=-0.37, p=0.046, FDR corrected). Follow-up analyses showed that reductions in cue-induced alcohol craving from pre- to post-CBT were linearly related to reductions in alcohol cue-induced activity in area 46 only among participants who ceased heavy drinking during CBT (r=0.81, p=0.005) but not among those who continued to drink heavily (r=0.28, p=0.38). These results are consistent with a model in which CBT impacts heavy drinking by increasing the engagement of the DLPFC during cue-induced craving.

neuroscience↗

The road not taken: disconnection of a human-unique cortical pathway in schizophrenia and its effects on naturalistic social cognition

BackgroundEfficient processing of complex and dynamic social scenes relies on intact connectivity of many underlying cortical areas and networks, but how connectivity deficits affect this functioning in social cognition remains unknown. Here we measure these relationships using functionally based localization of social cognition areas, resting-state functional connectivity, and movie-watching data. MethodsIn 42 schizophrenia participants (SzP) and 41 healthy controls (HC), we measured the functional connectivity of areas localized by face-emotion processing, theory-of-mind, and attention tasks. We quantified the weighted shortest path length between visual and medial prefrontal theory-of-mind areas in both populations to assess the impact of functional connectivity deficits on network structure. We then correlated connectivity along the shortest path in each group with movie-evoked activity in a key node of the theory-of-mind network (TPJp). ResultsSzP had pronounced connectivity deficits in temporoparietal junction/posterior superior temporal sulcus (TPJ-pSTS) areas involved in face-emotion processing (t(81)=4.4, p=0.00002). In HC the shortest path connecting visual and medial prefrontal theory-of-mind areas passed through TPJ-pSTS, whereas in SzP the shortest path passed through prefrontal cortex (PFC). While movie-evoked TPJp activity correlated with connectivity along the TPJ-pSTS pathway in both groups (r=0.43, p=0.002), it additionally correlated with connectivity along the PFC pathway only in SzP (rSzP=0.56, p=0.003). ConclusionsConnectivity along the human-unique TPJ-pSTS pathway affects both the network architecture and functioning of areas involved in processing complex dynamic social scenes. These results demonstrate how focal deficits can have widespread impacts across cortex.

neuroscience↗

Brain connectivity at rest predicts individual differences in normative activity during movie watching

When multiple individuals are exposed to the same sensory event, some are bound to have less typical experiences than others. These atypical experiences are underpinned by atypical stimulus-evoked brain activity, the extent of which is often indexed by intersubject correlation (ISC). Previous research has attributed individual differences in ISC to variation in trait-like behavioral phenotypes. Here, we extend this line of work by showing that an individuals degree and spatial distribution of ISC are closely related to their brains intrinsic functional architecture. Using resting state and movie watching fMRI data from 176 Human Connectome Project participants, we reveal that resting state functional connectivity (RSFC) profiles can be used to predict cortex-wide ISC with considerable accuracy. Similar region-level analyses demonstrate that the amount of ISC a brain region exhibits during movie watching is associated with its connectivity to others at rest, and that the nature of these connectivity-activity relationships varies as a function of the regions role in sensory information processing. Finally, we show that an individuals unique spatial distribution of ISC, independent of its magnitude, is also related to their RSFC profile. These findings suggest that the brains ability to process complex sensory information is tightly linked to its baseline functional organization and motivate a more comprehensive understanding of individual responses to naturalistic stimuli.

neuroscience↗

Failure to engage the TPJ-pSTS during naturalistic scene processing in schizophrenia

The ability to search for and detect social cues, such as facial expressions of emotion, is critical to the understanding of complex dynamic social situations. This ability involves the coordinated actions of multiple cognitive domains, including face-emotion processing, mentalization, and visual attention. Individuals with schizophrenia are generally impaired in social cognition, and have been shown to have deficits in all of these domains. However, the whether the neural substrates of these impairments are shared or separate remains unclear. One candidate region for a shared substrate is the right temporoparietal junction/posterior superior temporal sulcus (TPJ-pSTS), which contains areas belonging to all of the cortical networks underlying these domains. Here we use functional MRI to examine differences in cortical activity evoked by a naturalistic movie, and link these results to impaired visual scanning and social cognition. 27 schizophrenia participants and 21 healthy controls watched a 15-minute clip of the movie \"The Good, the Bad, and the Ugly\" while high resolution multiband BOLD-fMRI activity was recorded. Inter-subject correlation was used to measure the evoked activity. BOLD-fMRI activity was also correlated with motion content in the movie, with the average activity in other cortical areas, and with frequency of saccades made during the movie. Visual scanning performance was measured in a separate behavioral experiment, and social cognition measured by The Awareness of Social Inference Test (TASIT). Contrasting the groups revealed that the TPJ-pSTS has the largest engagement deficit in both cortical hemispheres in schizophrenia patients versus healthy controls. Follow-up analyses find that brain activity in this region is less correlated with the motion content of the movie, that this region is abnormally synchronized to the other cortical areas involved in the cognitive domains underlying visual scanning of social scenes, and that activity this region is less correlated with the saccades made during the movie. Lastly, schizophrenia participant visual scanning performance of this clip was impaired compared to healthy controls, and correlated across the two groups with social cognition. These results indicate that the TPJ-pSTS plays less of an integral role in the coordination of face-emotion processing, mentalization, and visual attention in schizophrenia participants versus healthy controls. This functional deficit then impacts the visual scanning of a complex dynamic visual scenes, which in turn affects the comprehension of that scene. These findings indicating that the TPJ-pSTS is potentially the shared substrate for all of these deficits will lead to new treatments targeting this region to improve social cognition in individuals with schizophrenia.

neuroscience↗

Comparison of stimulus-evoked BOLD responses in human and monkey visual cortex

We characterized the blood oxygenation level dependent (BOLD) signal in humans and macaque monkeys by comparing the response in visual cortex to a single checkerboard or two checkerboards, spaced 1.5, 3.0, or 4.5 s apart. We found that the magnitude and shape of the BOLD response to a single checkerboard was similar in the two species. In addition, we found that the BOLD responses summed similarly, and that at an inter-stimulus interval (ISI) of 4.5 sec BOLD summation was nearly linear in both species. When comparing the ratio of the amplitude of the response to the second checkerboard at the 4.5 sec ISI with that of the single checkerboard between subjects in both species, the results from both monkey subjects fell within one standard deviation of the mean human results (human mean (n=12): .95 +/- .31 second/single response amplitude; monkey 1: 1.16; monkey 2: .86). At the shorter ISIs, both species demonstrated increased suppression of the BOLD response to the second checkerboard. These findings indicate that the magnitude of the BOLD response to events separated by 4.5 seconds can be accurately measured in and compared between human and monkey visual cortex.

neuroscience↗

Topographic Organization of Extraoccipital Visual Processing Areas in the Macaque

The macaque visual system has long been used as a model for investigating the processing of incoming visual stimuli results from the coordinated work of a distributed network of areas interacting at many different levels (Felleman and Van Essen, 1991). While much is known about the organization and layout of the occipital visual areas, there are still substantial gaps in our understanding of layout and organization of the higher-level areas. The goal of this study is to describe the whole brain functional anatomy using BOLD-fMRI in macaques performing a series of demanding visuospatial attention tasks. We wish to study the spatial specificity of visual responses in terms of contralateral preference, i.e. stronger responses to contralateral visual stimuli, as well as retinotopic organization both in terms of polar angle and eccentricity. We found that most visuospatial processing areas only respond to contralaterally presented stimuli; ipsilaterally presented stimuli evoked little or no activity in these areas. Additionally, we found that LIP, MT, and possibly PITd contained polar-angle maps of the contralateral hemifield. These same areas, plus FEF and area 46, appear to have separate representations of the fovea and periphery. When compared to previous human fMRI studies, these results indicate that there may be significant differences between macaque visual processing areas and their putative human homologues.

neuroscience↗

Attentional Modulation of Macaque Visual Processing Areas

Introduction Introduction Materials and Methods Results Discussion References The visual expectation that an object will appear at a certain location or time may increase the accuracy and speed of its detection (Eriksen and Hoffman, 1974; Posner, 1980; Carrasco et al., 2000; Dosher and Z-L., 2000). The ability to use prior information to enhance the processing of visual stimuli at a specific location is critical for quickly sorting through the myriad of incoming stimuli and making decisions regarding future actions. This selection process, known as visual attention, appears to be fundamental to our ability to navigate and interact with the environment, and accordingly has been the focus of innumerable psychological and neurobiological studies (Pa ...

neuroscience↗