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Brain Structure and Function

Springer Science and Business Media LLC

Preprints posted in the last 30 days, ranked by how well they match Brain Structure and Function's content profile, based on 83 papers previously published here. The average preprint has a 0.02% match score for this journal, so anything above that is already an above-average fit.

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Neuroanatomical differences between early bilingual and monolingual children

Eden, G. F.; Coutinho, M. R.

2026-05-09 neuroscience 10.64898/2026.05.08.722956 medRxiv
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Prior studies have reported inconsistent results for neuroanatomical differences between early bilinguals and monolinguals. These studies primarily measured gray matter volume (GMV), involved small samples, and prioritized adults. Few studies of early bilinguals have measured cortical thickness (CT), which offers more anatomical specificity. It remains unclear whether results derived from differing metrics and approaches (e.g., vertex-versus parcel-wise analyses) converge. Using data from the Adolescent Brain Cognitive DevelopmentSM (ABCD) Study, we compared neuroanatomy between large groups of early cultural Spanish-English bilingual and English monolingual children (N = 1,209) matched on age, pubertal status, sex, handedness, socioeconomic status (SES), and nonverbal reasoning. Whole-brain voxel-based morphometry revealed areas of greater and of lesser GMV in bilinguals than monolinguals across all lobes. Vertex-wise CT analyses similarly identified widespread differences, with bilinguals showing areas of both thicker and thinner cortex. We contextualized these findings with parcel-wise CT analyses (average CT values), utilizing two atlases of differing spatial granularity. Parcel-wise results showed good correspondence with vertex-wise findings when implementing the more fine-grained atlas (Destrieux), but use of the coarser atlas (Desikan-Killiany) provided results that led to different conclusions. Finally, we tested for interaction effects between bilingualism and SES on CT and found several regions where differences between bilinguals and monolinguals in CT were modulated by SES. Together, these findings indicate that early bilingualism is associated with extensive neuroanatomical differences relative to monolinguals during childhood, and that these results can vary as a function of neuroanatomical metric, analysis approach, atlas granularity, and SES. Research HighlightsEarly Spanish-English bilingual and monolingual children differ in gray matter volume and cortical thickness across multiple brain regions. Cortical thickness differences between bilinguals and monolinguals cannot be firmly attributed to adaptations associated with language or executive control. Socioeconomic status modulates cortical differences between early bilinguals and monolinguals, revealing unique thickness patterns for those with lower versus higher SES backgrounds. Parcel-wise between-group cortical thickness results are affected by atlas choice and can influence the interpretation of the findings.

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Associations between brain structure and both language proficiency and language balance in early bilinguals

Coutinho, M. R.; Eden, G. F.; Brignoni-Perez, E.; Jamal, N. I.

2026-05-15 neuroscience 10.64898/2026.05.14.725184 medRxiv
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Prior studies in bilinguals have reported relationships between brain structure and the dimensions of (i) language proficiency or (ii) language balance (the discrepancy between a bilinguals two proficiencies), but rarely both, even though they are highly related. These studies were often conducted in late bilinguals and the analyses limited to regions of interest. Here, we tested for relationships between brain structure and these two dimensions in 46 early cultural Spanish-English bilinguals (mean age = 16.7 years) at the level of the whole brain for gray matter volume (GMV) and cortical thickness (CT). Results revealed a positive association between GMV and proficiency in the weaker language in the right angular gyrus (AG; BA 39) extending into the superior temporal gyrus (BA 22). More balanced bilingualism was also associated with more GMV in the AG (BA 39), in addition to less GMV in left postcentral gyrus (BA 1), right cerebellum lobule IX and right superior occipital gyrus (BA 18). However, these relationships between GMV and balance disappeared after controlling for language proficiency. No significant associations were observed for CT and these two dimensions of language. Our findings suggest that relationships between GMV and balance are driven by language proficiency, and that the relationship between GMV and language proficiency likely does not involve language-specific mechanisms, given the location of the association is in the right inferior parietal cortex. Together, this study separates the neuroanatomical bases of these two language dimensions and places them in brain regions outside those usually targeted in prior studies. HighlightsO_LINeuroanatomy was correlated with proficiencies in early Spanish-English bilinguals C_LIO_LIRight angular gyrus gray matter volume (GMV) was positively related to proficiency C_LIO_LIGMV was positively related to balance, but not after controlling for proficiency C_LIO_LIRelations with these language dimensions are located outside of language cortex C_LIO_LINo significant associations were observed for cortical thickness C_LI

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Higher PVS volume in adults born very preterm

Huerter, N. M.; Schmenger, V. S.; Barda, T.; Thalhammer, M.; Schmitz-Koep, B. M.; Menegaux, A.; Daamen, M.; Priller, J.; Decker, A.; Deike, K.; Zimmer, C.; Bartmann, P.; Wolke, D.; Zott, B.; Sorg, C.; Hedderich, D. M.

2026-05-25 radiology and imaging 10.64898/2026.05.23.26353943 medRxiv
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Abstract: BACKGROUND: Perivascular spaces (PVS), visible on brain MRI, contribute to the brain clearance system and are associated with age and neurodegenerative disorders. While lower volumes of PVS in the forebrains white matter and basal ganglia have been also demonstrated in preterm-born neonates, the long-term trajectory of PVS after premature birth remains unclear. This study tests for altered PVS volumes in very preterm/very low birthweight-born (VP/VLBW) adults compared to full-term controls and explores potential associations with cognitive performance. METHODS: PVS were assessed on T2-weighted MRI from 97 VP/VLBW and 89 full-term (FT) subjects at 26 years from the prospective, population-based Bavarian Longitudinal Study. PVS volume and count was based on automated nnU-Net-based segmentation. Regional PVS volumes were normalized by corresponding regional parenchyma volumes. Cognitive performance was assessed by the Wechsler Adult Intelligence Scale. MANCOVA was used for PVS group comparisons, Spearman rank correlations for testing PVS relationships with birth variables and cognitive scores. RESULTS: VP/VLBW-born adults showed significantly higher normalized PVS volumes in bilateral basal ganglia (p < 0.001, partial eta-squared = 0.096) and insula-related white matter (p = 0.001, partial eta-squared = 0.057). In the basal ganglia, higher PVS volumes were negatively correlated with gestational age (rho = -0.223, p = 0.030) and positively correlated with the Intensity of Neonatal Treatment Index (rho = 0.222, p = 0.030) in the VP/VLBW group. PVS volume was not associated with IQ scores. CONCLUSION: We demonstrate region-specific alterations of perivascular spaces in VP/VLBW-born adults. Data suggest that prematurity has lasting impact on the PVS.

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Greater gray matter volume in somatosensory and parietal regions in elite skiers compared with other athletes

Nakagawa, K.; Kanosue, K.

2026-05-13 neuroscience 10.64898/2026.05.10.724084 medRxiv
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Elite athletes exhibit sport-specific neural adaptations, yet it remains unclear whether such changes reflect general effects of training or the unique demands of individual sports. Skiing requires postural control and whole-body coordination under dynamically unstable environments, placing high demands on somatosensory processing and sensorimotor integration. The present study aimed to identify structural brain characteristics specific to elite skiers by comparing them with athletes from other sports disciplines and non-athletes. T1-weighted MRI data were analyzed using voxel-based morphometry in 13 skiers, 23 non-ski control athletes and 25 non-athletes. Whole-brain analysis comparing skiers with non-ski athletes revealed a significant cluster showing greater gray matter volume in skiers compared with non-ski athletes in the left postcentral gyrus, extending into the superior parietal lobule. The identified cluster primarily encompassed cytoarchitectonic Areas 2 and 5L. These regions are involved in higher-order somatosensory processing and multisensory integration. Importantly, region-of-interest analysis demonstrated that gray matter volume within this cluster was greater in skiers compared with non-ski athletes and non-athletes, with no difference between non-ski athletes and non-athletes. These findings highlight the relative prominence of structural adaptations within somatosensory-parietal networks, reflecting the unique integration of proprioceptive and other sensory information required for elite skiing. Overall, these findings provide evidence for sport-specific structural brain differences in elite athletes and highlight the importance of somatosensory and parietal regions in sensorimotor integration relevant to skiing. These findings may have implications for understanding neural markers of expertise and may inform future approaches to training and performance evaluation in skiing.

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Regional reconfiguration of functional brain networks during childhood and adolescence: evaluating age and sex effect

Fang, C. Z.; Nakua, H.; Ma, X.; Zhang, A.; Lee, S.

2026-05-22 neuroscience 10.64898/2026.05.21.726818 medRxiv
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IntroductionWhile global topological properties of brain networks reach relative maturity early in development, functional reconfigurations at the regional level continue throughout adolescence to support cognitive maturation. However, regional age and sex-specific developmental patterns of functional reconfiguration remain incompletely understood. MethodsWe analyzed resting-state fMRI data from 528 participants aged 5-21 years from the Human Connectome Project in Development. Three regional graph-theory metrics (betweenness centrality, hub score, and local efficiency) were computed for each individuals functional network. Cognition was measured using NIH toolbox. Parallel factor analysis was employed to decompose an individual x region x metric array into factors representing distinct developmental properties in the full sample and separately for males and females. Brain-cognition associations were examined in developmental subgroups (<13, 13-18, >18 years). ResultsThree factors emerged, characterizing visual, multimodal integration, and higher-order factors. Across development, metrics capturing network integration (betweenness centrality and hubness) showed general stability, while metrics capturing segregation (local efficiency) presented distinct peaks, particularly in the visual factor. Females showed earlier peaks and declines in higher-order factor, while males exhibited greater variability and protracted maturation in multimodal and higher-order factors. Brain-cognition associations were modest with early childhood and crystallized cognition composites showed small negative correlations with hub score in entire sample (r=-0.212) and local efficiency in males aged <13 years (r=-0.215). ConclusionFindings highlight nonlinear, sex-specific functional reconfiguration at region-level during childhood and adolescence, underscoring the importance of sex-stratified analyses in developmental and providing a crucial foundation for future investigations of developmental disorders.

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Rapid connectivity alterations of thalamic nuclei during initial learning of goal-directed behaviour

Jarrett, C.; Fregni, S.; Kriegstein, K. v.; Ruge, H.

2026-05-16 neuroscience 10.64898/2026.05.15.725154 medRxiv
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The thalamus is essential for learning, dynamically engaging with other subcortical and cerebral cortex regions throughout the learning process. Here, the thalamus serves as a critical connector hub and synchroniser within the thalamocortical system of the brain. However, whilst higher order thalamic nuclei are known to be particularly important for this process, the exact contributions of individual higher order and first order thalamic nuclei, alongside their individual involvement with cortical networks and subcortical regions, remains unexplored within the initial phase of learning. In light of this, we analysed fMRI data obtained within a paradigm which is designed to examine initial learning processes within feedback-driven stimulus-response learning, in order to explore thalamic contributions. We investigated dynamic learning-related functional connectivity alterations between various thalamic nuclei with other subcortical regions and cortical networks. Our results show that the initial phase of learning was associated with: (1) decreasing functional connectivity between thalamic nuclei and frontoparietal and cingulo-opercular networks, (2) increasing functional connectivity between thalamic nuclei with default mode and salience networks, (3) decreasing functional connectivity between thalamic nuclei and the putamen, and (4) decreasing functional connectivity amongst higher order thalamic nuclei. Furthermore (5) these dynamic alterations were associated primarily by mediodorsal thalamus. Altogether, these results indicate that higher order thalamic nuclei play a crucial role within initial learning and in the generation of novel goal-directed behaviour. This was demonstrated through enhanced functional connectivity with selected cortical networks which drive goal-directed behaviour, alongside decreased functional connectivity with striatal regions which drive motor selectivity.

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A discovery and replication study of dyslexia does not reveal reproducible gray matter volume differences

Schug, A. K.; Gutierrez-Schieferl, I. S.; Eden, G. F.

2026-05-07 neuroscience 10.64898/2026.05.05.722925 medRxiv
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Two decades of research have provided evidence for gray matter volume (GMV) differences in developmental dyslexia (or reading disability, RD) in the left perisylvian cortex. However, there are concerns about result inconsistencies, likely attributable to small sample sizes, lenient statistical thresholds, and insufficient accounting for demographic variables and global GMV (Ramus et al., 2018). To address these concerns, we conducted a Discovery and Replication Study (N=262) using data from the Adolescent Brain Cognitive Development Study. We found GMV differences between the RD and Control Groups did not replicate across the Discovery and Replication Studies using voxel-based morphometry (VBM) in Statistical Parametric Mapping (SPM), and that a more conservative threshold yielded far fewer results. We then conducted Reproducibility Studies and first found that when using surface-based morphometry in FreeSurfer instead of VBM, the Discovery and the Replication Study results again failed to converge. Second, we combined all groups in a factorial VBM/SPM analysis and the interaction analysis provided quantitative confirmation for diverging between-group difference results across the two studies. Third, we tested for the role of covariates of no interest and found that when total GMV is not controlled for, this divergence dissipates and group differences in RD (main effect of Reading Ability) are amplified. In conclusion, replication of GMV differences in RD is low, even when using large, well-matched groups, and analyses approaches play a modulating role. As such, results from prior studies using lenient statistical thresholds and not accounting for total GMV should therefore be viewed with caution.

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Nmur1 and Cckar fail to support functional genetic access in adult dopamine neurons and challenge GPCR atlas assignments

Shah, M.; Wu, R.; Ye, Q.; Bugescur, R.; Villa, A.; Wong, J.; Garcia, F.; Tan, Z.; Xu, X.; Leinninger, G.; Steele, A.

2026-05-14 neuroscience 10.64898/2026.05.11.724447 medRxiv
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Apuschkin et al. (2024) proposed a GPCR-based transcriptomic atlas for midbrain dopamine (DA) neuron subpopulations, including candidates such as Nmur1, Cckar, and Ffar4. To guide genetic targeting, these markers must reflect functional expression in adult DA neurons. Using in situ hybridization, Cre-dependent reporter lines, and both intracranial and systemic viral approaches, we find no evidence of adult Nmur1-mediated recombination in DA neurons, while Cckar-driven recombination is consistent with developmental expression only. Notably, Ffar4 expression overlaps extensively with Ntsr1 midbrain populations, indicating that it does not define a distinct DA neuron class. Furthermore, analysis of independent spatial transcriptomic datasets together with our MERFISH data shows that many proposed GPCR markers are not detectably expressed in adult DA neurons. These findings demonstrate that transcriptomic enrichment does not always yield reliable adult markers and highlight the need for functional validation prior to use in circuit targeting.

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Representational similarity of hemodynamic brain responses to written and spoken words increases when learning to read

Maruo, K.; Kessler, R.; Huettig, F.; Skeide, M. A.

2026-05-09 neuroscience 10.64898/2026.05.08.723790 medRxiv
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Learning to read requires linking auditory and visual information, yet how the developing brain maps information across sensory modalities remains poorly understood. To shed light on this topic we employed functional MRI to investigate hemodynamic brain responses during spoken and written word or pseudoword recognition in 61 primary school children with different levels of reading experience. Audiovisual representational similarity of activation patterns in the inferior frontal gyrus, inferior parietal lobule, superior temporal gyrus, and temporo-occipital cortex, increased linearly with school grade and this effect was largest in the left posterior superior temporal gyrus. Our results suggest that learning to read is related to a progressively increasing similarity of auditory and visual word representations within canonical language areas.

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Fronto-limbic and Thalamocortical Network Alterations after COVID-19 Recovery: a Multimodal MRI Study

Mishra, S. S.; Misra, R.; Douaud, G.; Biswal, B.; Gandhi, T.

2026-05-22 radiology and imaging 10.64898/2026.05.19.26353613 medRxiv
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Background: Persistent neurological and cognitive symptoms following SARS-CoV-2 infection point to long-term alterations in brain structure and function. The thalamus, orbitofrontal cortex, and limbic networks are particularly susceptible to inflammatory and neurovascular stressors. However, the relationship between cortical, white-matter, and thalamocortical alterations in post-COVID syndrome remains unclear. Methods: 76 COVID-19 recovered participants (CRPs) and 51 healthy controls (HCs) underwent multimodal MRI comprising T1-weighted structural, diffusion, and resting-state functional acquisitions. Grey-matter morphology was assessed using voxel-based morphometry (VBM), white-matter microstructure using tract-based spatial statistics (TBSS), and thalamocortical functional connectivity (TC-FC) using seed-based analyses from major thalamic nuclei. Results were evaluated both across the groups (HC vs. CRP) and after stratifying CRPs by hospitalisation status (HC vs. Non-hospitalized patients (NHPs) vs. Hospitalized patients (HPs)). Results: No group-level grey-matter differences were observed between HCs and CRPs; however, HPs showed localized volume loss in the orbitofrontal and frontal-pole cortices (pFWE < 0.05). TBSS revealed widespread microstructural abnormalities, including reduced fractional anisotropy and mean diffusivity across association and commissural tracts (pcorr < 0.05), with regional increases in mode of anisotropy indicating selective loss of crossing fibres (pcorr < 0.05). Resting-state analyses revealed increased TC-FC from the mediodorsal thalamic nucleus to anterior cingulate, parietal, and occipital cortices (pcorr < 0.05), while differences in pulvinar and ventrolateral nuclei were not significant (pcorr > 0.05). Conclusions: Our findings indicate that COVID-19 recovery is associated with enduring alterations in fronto-limbic and thalamo-cortical circuits, most prominently in individuals with severe infection. Convergent structural and functional changes involving the orbitofrontal cortex and mediodorsal thalamus suggest network-specific reorganisation that may underpin persistent cognitive and affective symptoms of post-COVID syndrome.

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Mu-opioid receptor expression across cell-type specific afferents to the ventral tegmental area in male mice.

Hohmeister, M.; Culver, O. P.; Jhou, T.

2026-05-23 neuroscience 10.64898/2026.05.21.726769 medRxiv
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The addictive properties of opioids are due in part to these drugs ability to alter ventral tegmental area (VTA) activity via activation of mu opioid receptors (MORs) on local and distal inputs. Prior studies have identified numerous opioid-modulated afferents to the VTA, some of which show differing levels of functional modulation by opioids, but the degree to which this parallels differences in receptor expression is not known. Hence, we used retrograde labeling combined with RNAscope to examine oprm1 mRNA expression in VTA-projecting afferents arising from a variety of distal brain regions. Because opioids are thought to be particularly influential on GABAergic afferents to the VTA, we also examined colocalization of oprm1 with GABAergic markers in VTA-projecting neurons. Interestingly, we found that oprm1 mRNA is present in both GABAergic and non-GABAergic VTA-projecting neurons. However, many (though not all) GABAergic afferents expressed higher levels of oprm1 compared to most non-GABAergic afferents (especially those arising from the cortex). These results complement previous anatomical studies that had examined oprm1 expression in these regions but in a non-quantitative way and without regard to their efferent targets. Our findings encourage future work to examine the functional implications of MOR sensitivity within these afferent pathways.

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Tractometry reproducibility and generalizability across scanners, scanner models, and acquisition protocols

Taguma, D.; Yokoi, I.; Kinjo, T.; Tsuchida, S.; Miyata, T.; Matsuda, T.; Lerma-Usabiaga, G.; Takemura, H.

2026-05-18 neuroscience 10.64898/2026.05.13.723388 medRxiv
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Diffusion-weighted magnetic resonance imaging (dMRI)-based tractometry enables the quantification of white matter tissue properties in living humans while preserving anatomical specificity. Although tractometry is highly reproducible when the same scanner and acquisition protocol are used, its generalizability across scanners and protocols remains unclear. To address this gap, we performed a traveling-head experiment involving five subjects to evaluate tractometry across progressively different acquisition conditions, including multiple scanners, different scanner models, and two distinct protocols. Tractometry was performed for 20 major white matter tracts using diffusion tensor imaging metrics, neurite orientation dispersion and density imaging (NODDI) metrics, and a semi-quantitative ratio metric (T1w/b0). Generalizability across dataset pairs was quantified using the intraclass correlation coefficient (ICC). Tractometry showed consistently high ICCs when the scanner and protocol were identical; however, ICCs declined as differences in scanner model and acquisition protocol increased. Fractional anisotropy and orientation dispersion index retained relatively high ICCs across these comparisons, whereas other metrics showed marked declines when scanners or protocols differed. ComBat harmonization partially mitigated these declines, but ICCs did not reach the levels observed for datasets acquired using identical scanners and protocols. Finally, the minimum detectable change (MDC) for tractometry in datasets pooled across scanners and protocols varied by tract; for example, the optic radiation showed a lower MDC than the cingulum hippocampus. These findings highlight both the strengths and limitations of tractometry in multisite studies and highlight the importance of quantifying scanner- and protocol-dependent effects for specific metrics and tracts when interpreting measurements from heterogeneous datasets.

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Gray Matter Morphological Networks are Associated with Neurobiological Features, Cognitive Status and Clinical Recovery in Traumatic Brain Injury

Sadikov, A.; Cai, L. T.; Xiao, J.; Yuh, E. L.; Choi, H. L.; Sun, X.; Mac Donald, C. L.; Vassar, M. J.; Diaz-Arrastia, R.; Giacino, J. T.; Okonkwo, D. O.; Robertson, C. S.; Stein, M. B.; Temkin, N.; McCrea, M. A.; Jain, S.; Manley, G. T.; Mukherjee, P.; TRACK-TBI Investigators,

2026-05-27 neurology 10.64898/2026.05.25.26354074 medRxiv
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Generalizable neuroimaging biomarkers that detect cerebral cortical changes after traumatic brain injury (TBI) and predict patient outcomes are needed to improve care and to develop targeted therapies. We used morphometric inverse divergence (MIND) analysis of structural MRI to investigate cortical gray matter morphological networks cross-sectionally and longitudinally after TBI and correlate these with symptoms, disability and cognition six months after injury. Our findings support the Triple Network Model from functional MRI of post-traumatic alterations in the relationship between task-positive, default mode and salience networks. However, the strongest associations between early cortical similarity metrics and long-term patient outcomes involved the dorsal attention network and the limbic network as well as similarity metrics across Mesulam's hierarchy of laminar differentiation. Since MIND mapping of cortical gray matter networks only requires data that is a routine part of standard clinical MRI protocols and does not need image harmonization across different scanners, this work reports a promising new tool that is immediately available for advancing research and clinical care in TBI.

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High-Frequency Activity for Language Mapping during Stereo-EEG: Comparison with Direct Cortical Stimulation

Sagar, P.; Hudson, M.; wittayacharoenpong, T.; Cockle, E.; Mcilroy, A.; Bunyamin, J.; Laing, J.; Gutman, M.; Hunn, M.; Kwan, P.; O'Brien, T. J.; Rayner, G.; Neal, A.

2026-05-04 neurology 10.64898/2026.04.30.26352093 medRxiv
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ObjectiveDirect cortical stimulation (DCS) is the gold standard for language mapping during SEEG but is prone to false negatives and false positives that may contribute to post-operative dysphasia or else overly conservative resections. Task-induced high-frequency activity (HFA, 30-200Hz) is an emerging functional biomarker that may augment DCS, but its clinical utility remains uncertain. We aimed to quantify HFAs diagnostic concordance with DCS, assessing its potential as both a surrogate marker and a screening tool. MethodsIn this single-centre prospective study, 23 adults undergoing SEEG completed language mapping with DCS and HFA. HFA was mapped using auditory and visual naming tasks (ANT/VNT), quantified via Morlet wavelet transforms with baseline-normalised z-scores. DCS-positive channels were those where 50Hz stimulation elicited language disruption. HFA distribution was examined independently of DCS. HFA-DCS concordance was assessed for individual and combined (ANT+VNT; maximal HFA across tasks) conditions at channel and sublobar levels across two thresholds: a specificity-optimized stringent threshold (Z>0.8) to examine HFA as a surrogate for DCS, and a sensitivity-optimized permissive threshold (Z>0.3) to evaluate its potential as a screening tool. ResultsTwelve (52%) participants were female, and 17 (74%) were MRI-negative. HFA patterns differed by task: VNT produced greater HFA magnitude in the dominant frontal lobe (p=0.0498), while ANT produced greater magnitude and activation rate in the non-dominant temporal lobe (p=0.015; p=0.0189), highest in the non-dominant superior temporal gyrus. In the combined condition, concordance with DCS was low at the stringent threshold (channel-wise sensitivity/specificity=0.24/0.88; region-wise=0.43/0.77). Sensitivity improved at the permissive threshold (channel-wise 0.56, NPV=0.96), with region-wise sensitivity of 0.75, specificity=0.45, and NPV=0.94. SignificanceRegion-level HFA at a permissive threshold is useful for identifying language-negative regions and prioritising DCS testing. Poor concordance at a stringent threshold suggests HFA and DCS index distinct functional properties and are not interchangeable. Anatomically plausible HFA localisation supports the need for further multimodal validation to clarify its role in presurgical mapping. Key PointsO_LIHFA and DCS show threshold- and scale-dependent diagnostic concordance for language mapping during SEEG C_LIO_LISensitivity-optimized sublobar HFA shows high negative predictive value and moderate sensitivity for DCS-positive language sites C_LIO_LIThese metrics support sublobar HFA as a screening tool to exclude non-eloquent regions and streamline DCS language mapping C_LIO_LISpecificity-optimized HFA concords poorly with DCS, indicating these markers index distinct properties and are not interchangeable C_LIO_LICombined HFA/DCS profiles may help stratify surgical risk: HFA-/DCS-regions as low risk, while HFA+/DCS+ sites denote high risk C_LI

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Motor Sequence Learning in Children and Adults: Age Differences in the Time Course of Brain Activation and Representational Stability

Hille, M.; Wenger, E.; Papadaki, E.; Fandakova, Y.

2026-05-13 neuroscience 10.64898/2026.05.12.724531 medRxiv
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Humans possess an astounding ability to acquire complex movement sequences with limited practice. Motor sequence learning engages a distributed network of brain regions that show distinct learning-related changes: the prefrontal cortex (PFC) is predominantly involved early in learning, whereas the primary motor cortex (M1) becomes increasingly engaged later in learning. Because motor regions mature relatively earlier than the PFC during development, we examined how children and adults differ in the time course of neural changes underlying motor sequence learning. Using functional magnetic resonance imaging (fMRI), we compared brain activation in children (7-10 years, N = 39, 17 female) and adults (20-32 years, N = 39, 19 female) during an associative visuomotor learning task. In both age groups, response times decreased with sequence repetition, with greater reductions in adults than in children. Across age groups, early learning was associated with heightened PFC activation, whereas later learning was characterized by increased activation in left M1 and bilateral supplementary motor area. Children and adults showed comparable decreases in PFC activation and PFC-M1 connectivity with sequence repetition. In contrast, adults exhibited larger learning-related increases in activation and stability of multivariate patterns in left M1. Together, these findings indicate that although both age groups engage the PFC similarly to support increased control demands in early learning, children show less pronounced modulation of M1 activation and representational similarity, suggesting that M1s capacity to form stable, sequence-related representations may still be developing in middle childhood. Significance StatementAlthough motor sequence learning has been widely studied in adults, less is known about how brain activation changes as learning progresses during childhood. This question is particularly relevant because prefrontal cortex (PFC) and primary motor cortex (M1) both support motor learning, but mature at different rates, with PFC developing relatively later than M1. Here, we used functional MRI to compare children (7-10 years) and adults performing a motor sequence learning task. We found no age-related differences in PFC engagement early in learning; instead children showed less refinement of M1 activation and neural representations over the course of learning than adults. These findings provide new insight into how the brain supports motor learning throughout development.

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Effects of theta burst stimulation on neural connectivity and visual perception following attention modification of own-face viewing in body dysmorphic disorder

Diaz-Fong, J. P.; Peel, H. J.; Zhang, K.; Qian, J.; Lewis, M.; Wong, W.-W.; Leuchter, A. F.; Tadayonnejad, R.; Voineskos, D.; Konstantinou, G.; Lam, E.; Blumberger, D. M.; Feusner, J. D.

2026-05-26 psychiatry and clinical psychology 10.64898/2026.05.25.26354053 medRxiv
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Background: Individuals with body dysmorphic disorder misperceive defects of their physical appearance. Current evidence suggests that visual processing abnormalities may underlie this core symptom. Separate pre-clinical studies testing perceptual and attentional interventions and non-invasive neuromodulation suggest that these visual processing abnormalities may be modifiable, but their combined effects on neural connectivity and perceptual processing remain unclear. Methods: Thirty-nine unmedicated men and women with body dysmorphic disorder or subclinical body dysmorphic disorder received intermittent theta burst stimulation and continuous theta burst stimulation targeting the lateral parietal cortex combined with a visual attention modification paradigm during functional magnetic resonance imaging, in a crossover design. Dynamic effective connectivity within dorsal and ventral visual stream pathways was calculated, and global visual processing biases were assessed using the face inversion effect before and after stimulation plus attention modification. Results: Intermittent theta burst stimulation resulted in increased connectivity in higher-level dorsal visual stream pathways during naturalistic viewing following attention modification, whereas continuous theta burst stimulation was associated with reduced connectivity in lower-level dorsal pathways and increased connectivity in ventral stream pathways. These changes were accompanied by differential effects on global visual processing, with stimulation type modulating the magnitude of the face inversion effect. Conclusions: Combined neuromodulation and visual attention modification modulate visual system connectivity and perceptual processing in individuals with body dysmorphic disorder symptoms. These findings support a mechanistic link between dorsal-ventral stream dynamics and perceptual biases. Integrating neuromodulation with perceptual retraining may represent a viable approach for targeting core symptoms of distorted appearance perception.

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Disentangling Pontine Fiber Geometry and Microstructure in ARSACS Using Advanced MRI

Leppert, I. R.; Benbachir, A.; Campbell, J. S.; Coelho, S.; Feizollah, S.; Nelson, M. C.; Brais, B.; Cocozza, S.; Pike, G. B.; La Piana, R.; Tardif, C. L.

2026-05-28 radiology and imaging 10.64898/2026.05.20.26353196 medRxiv
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Background: Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is a genetic disease characterized by spasticity and ataxia which reflects involvement of the corticospinal tracts (CST) and cerebellum. The primary involvement of the middle cerebellar peduncles (MCP) and transverse pontine fibers (TPF) at the crossing with the CST, and their role in the pathophysiology of the disease, is currently debated. Objectives: Advanced MRI techniques capable of isolating sub-voxel microstructural parameters can test the hypothesis that the MCP and TPF are abnormally large, compressing the CST at their crossing, and potentially impairing CST development. Methods: Tract macro- and micro-structural properties, including axon and tract caliber, axon density and geometry, and myelin content were estimated from diffusion-relaxometry and magnetization transfer imaging. These features were analyzed along segments of the CST, MCP, and TPF of 9 patients and 9 age-matched controls. Results: While the CST showed significant decreases in tract size, axon caliber, and myelination throughout its length compared to controls (p<0.01), the MCP and TPF were relatively unaffected. In our group, neither the MCP nor the pons were enlarged. The proximal MCP showed an increase in axon caliber. Conclusions: The increase in fractional anisotropy and axon density towards the center of the TPF could be driven by geometric confounds related to differences in the relative sizes of the CST and TPF compared to controls. This highlights the importance of investigating tract-specific microstructural profiles, particularly in regions of geometric complexity. The findings confirm the involvement of the CST, with a relatively limited involvement of the MCP and TPF.

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Statistical Parametric Mapping of Gaze Duration: A Novel Application of a Spatially Extended Statistical Approach to Eye Movement Data

Singh, N.; Zeidman, P.; Flandin, G.; Leyton, P. Q.; Doogan, C.; Nyffeler, T.; Kaufmann, B.; Geiser, N.; Leff, A. P.

2026-05-06 neurology 10.64898/2026.04.30.26351939 medRxiv
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Statistical parametric mapping (SPM) software was implemented in the early 1990s so that neuroscientists could test spatially extended hypotheses using functional imaging data, usually in 3D space and allowing for a mass univariate approach to hypothesis testing that is agnostic to where any significant effects may lie. Here, we apply the same approach to gaze duration data, i.e. visual fixations, collected using a virtual reality headset, which extends across a large 2D area of visual space, measuring 32{degrees} either side of central fixation and 24{degrees} above and below this point. In order to evaluate this novel method, we measured the locus of average gaze in a group of 17 patients with hemispatial inattention to the left, a neurological condition caused by damage to the right parieto-frontal brain networks, that induces a systematic bias in lateralised visual attention. This causes people to experience difficulty in paying attention to one side of space, both in their extrapersonal world and relative to their own bodies. We used a free visual exploration paradigm (viewing multiple naturalistic scenes for 7 seconds), which is sensitive to spatial biases encountered in this condition. 23 age-matched and neurologically healthy controls also took part. The visual stimuli were original and mirror flipped versions (Left to Right ie L-R) to correct for any lateralised informational biases inherent in the images. When compared with age-matched controls, the patients exhibited an average spatial shift of attention of 18{degrees} to the right of the midline. We demonstrated this approach using patients with hemispatial inattention, but it can be applied to any fixation-based or dwell time data. This is an advance on current methods that generated visual heatmaps or attentional maps, as our technique allows formal testing of spatially extended hypotheses on gaze duration data using a standard, frequentist statistical approach.

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The microstructure-weighted human connectome: network properties and structure-function correlations across spatial scales

Spencer, A. P. C.; Asadi, S.; Aleman-Gomez, Y.; Wang, Q.; Jedynak, M.; Chan, C. H. M.; Cionca, A.; Van De Ville, D.; David, O.; Hagmann, P.; Jelescu, I.

2026-05-19 neuroscience 10.64898/2026.05.19.726180 medRxiv
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Conventional connectome edge weights, such as number of streamlines (NOS) or diffusion tensor imaging (DTI) metrics, lack specificity to microstructural details which may hold relevance for macroscale brain organisation. Since biophysical diffusion modelling offers greater specificity to microstructure, we investigated whether parameters from the Standard Model of diffusion in white matter provide informative alternatives for connectome weights - namely the intra-axonal signal fraction (f) and perpendicular extra-axonal diffusivity [Formula], as proxies of axonal density and myelination, respectively. Using diffusion MRI data from healthy adults, we constructed structural networks at four parcellation scales, weighted by f, [Formula], NOS, fractional anisotropy (FA) and radial diffusivity (RD). While all weights reproduced expected small-world properties, only [Formula] and normalised NOS captured non-random properties of local organisation across all spatial scales. We then correlated each weighted connectome with resting-state fMRI functional connectivity and intracranial measurements of conduction velocity. At the whole-brain level, although NOS gave strongest coupling with fMRI functional connectivity, only [Formula] exhibited significant structure-function coupling across all spatial scales and modalities. At the regional level, [Formula] and RD gave highest consistency in structure-function coupling across spatial scales. Thus, connectome weights derived from [Formula] capture meaningful aspects of brain network organisation with functional relevance.

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Causal dependencies between frontal and temporal lobe regions underlying word search and retrieval

Winzer, B.; Burns, W.; Chikoti, R.; Strawderman, E.; Meyers, S. P.; Walter, K. A.; Pilcher, W. H.; Tivarus, M. E.; Mahon, B. Z.; Garcea, F. E.

2026-05-22 neuroscience 10.64898/2026.05.20.726706 medRxiv
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Verbal fluency is a behavioral task that requires the generation of words from a semantic category (category fluency) or words beginning with a specific letter (letter fluency). Although word production engages a frontal-temporal-parietal network, no studies have tested how lesions to temporal and parietal lobe areas that represent semantic and phonological knowledge dampen neural responses in the left pars triangularis and the left pars opercularis, two adjacent regions in the left inferior frontal gyrus implicated in word search and retrieval. Here, 52 patients with temporal lobe lesions underwent clinical functional MRI while performing the category and letter fluency tasks. We investigated where lesion presence was inversely related to the magnitude of task-specific neural responses in pars triangularis and pars opercularis using a technique referred to as voxel-based lesion activity mapping (VLAM). We found that lesions to the left anterior superior temporal gyrus, left temporal pole, left hippocampus, left insula, and underlying inferior fronto-occipital fasciculus were associated with reduced neural responses in the left pars triangularis during the category fluency task. Lesion damage to the right hippocampus was associated with reduced neural responses in the left pars opercularis during category fluency. By contrast, lesions to the left posterior superior temporal gyrus, left supramarginal gyrus, left parietal operculum, and the inferior fronto-occipital fasciculus and left arcuate fasciculus were associated with reduced neural responses in the left pars triangularis and the left pars opercularis during the letter fluency task. These results suggest that anatomically dissociable brain networks interact with the left inferior frontal gyrus when different search strategies constrain the retrieval of word representations.