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Personalized models of disorders of consciousness reveal complementary roles of connectivity and local parameters in diagnosis and prognosis.

作者信息

Zonca Lou, Escrichs Anira, Patow Gustavo, Manasova Dragana, Sanz-Perl Yonathan, Annen Jitka, Gosseries Olivia, Laureys Steven, Sitt Jacobo Diego, Deco Gustavo

机构信息

Center for Brain and Cognition, University Pompeu Fabra, Barcelona, Spain.

Girona University, Girona, Spain.

出版信息

PLoS One. 2025 Sep 2;20(9):e0328219. doi: 10.1371/journal.pone.0328219. eCollection 2025.


DOI:10.1371/journal.pone.0328219
PMID:40892891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12404413/
Abstract

The study of disorders of consciousness (DoC) is very complex because patients suffer from a wide variety of lesions, affected brain mechanisms, different severity of symptoms, and are unable to communicate. Combining neuroimaging data and mathematical modeling can help us quantify and better describe some of these alterations. The goal of this study is to provide a new analysis and modeling pipeline for fMRI data leading to new diagnosis and prognosis biomarkers at the individual patient level. To do so, we project patients' fMRI data into a low-dimension latent-space. We define the latent space's dimension as the smallest dimension able to maintain the complexity, non-linearities, and information carried by the data, according to different criteria that we detail in the first part. This dimensionality reduction procedure then allows us to build biologically inspired latent whole-brain models that can be calibrated at the single-patient level. In particular, we propose a new model inspired by the regulation of neuronal activity by astrocytes in the brain. This modeling procedure leads to two types of model-based biomarkers (MBBs) that provide novel insight at different levels: (1) the connectivity matrices bring us information about the severity of the patient's diagnosis, and, (2) the local node parameters correlate to the patient's etiology, age and prognosis. Altogether, this study offers a new data processing framework for resting-state fMRI which provides crucial information regarding DoC patients diagnosis and prognosis. Finally, this analysis pipeline could be applied to other neurological conditions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/b49499e6e593/pone.0328219.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/a187fc104cda/pone.0328219.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/d4f4a3488737/pone.0328219.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/99b652317fd7/pone.0328219.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/d6d80ab5d3c9/pone.0328219.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/b49499e6e593/pone.0328219.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/a187fc104cda/pone.0328219.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/d4f4a3488737/pone.0328219.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/99b652317fd7/pone.0328219.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/d6d80ab5d3c9/pone.0328219.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac55/12404413/b49499e6e593/pone.0328219.g005.jpg

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本文引用的文献

[1]
Modelling low-dimensional interacting brain networks reveals organising principle in human cognition.

Netw Neurosci. 2025-5-8

[2]
Complex harmonics reveal low-dimensional manifolds of critical brain dynamics.

Phys Rev E. 2025-1

[3]
Cognitive Motor Dissociation in Disorders of Consciousness.

N Engl J Med. 2024-8-15

[4]
Generative whole-brain dynamics models from healthy subjects predict functional alterations in stroke at the level of individual patients.

Brain Commun. 2024-7-13

[5]
Restoring consciousness with pharmacologic therapy: Mechanisms, targets, and future directions.

Neurotherapeutics. 2024-7

[6]
The flattening of spacetime hierarchy of the -dimethyltryptamine brain state is characterized by harmonic decomposition of spacetime (HADES) framework.

Natl Sci Rev. 2024-4-4

[7]
Astroglial gap junctions strengthen hippocampal network activity by sustaining afterhyperpolarization via KCNQ channels.

Cell Rep. 2024-5-28

[8]
Cortical synaptic basis of consciousness.

Eur J Neurosci. 2024-3

[9]
A low dimensional embedding of brain dynamics enhances diagnostic accuracy and behavioral prediction in stroke.

Sci Rep. 2023-9-21

[10]
Outcomes of Neurorehabilitation Among Patients With Prolonged Disorders of Consciousness.

Cureus. 2023-5-10

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