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Cerebral Cortex

15 training papers 2019-06-25 – 2026-03-07

Top medRxiv preprints most likely to be published in this journal, ranked by match strength.

1
Psychedelics distinctly alter brain entropy and complexity compared to psychostimulants
2026-01-16 pharmacology and therapeutics 10.64898/2026.01.15.26344193
#1 (3.5%)
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Classical psychedelics have regained interest for their potential to treat psychiatric and neurological disorders, and explore neural mechanisms supporting perception, cognition, and mood. Acute psychedelic effects have been linked to increases in brain complexity and entropy, but it is unclear if these changes are specific to psychedelics or reflect more general psychoactive effects. Here, we examined whether brain complexity and entropy metrics can identify features specific to the psychedelic...

2
Higher pre-treatment evoked alpha-band oscillatory brain dynamics predict chronic pain reduction of non-invasive brain stimulation of non-motor targets
2026-01-02 pain medicine 10.64898/2025.12.31.25343260
#1 (2.3%)
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Repetitive transcranial magnetic stimulation (rTMS) of non-motor cortical targets, including the left dorsolateral prefrontal cortex (DLPFC), anterior cingulate cortex (ACC), and posterosuperior insula (PSI), has been proposed as a treatment for chronic pain with variable clinical outcomes. Pre-treatment local cortical dynamics were hypothesized to serve as markers of chronic pain reduction. In this secondary analysis of a large clinical trial comparing different rTMS targets for pain relief, it...

3
Mindfulness-Oriented Recovery Enhancement rebalances prefrontal responses to drug and natural reward cues in opioid use disorder
2026-02-15 addiction medicine 10.64898/2026.02.12.26346211
#1 (2.0%)
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Despite decades of clinical implementation of medications for opioid use disorder (OUD), overdose mortality rates remain high, underscoring a critical gap in treatments that target brain mechanisms driving addiction. Mindfulness-Oriented Recovery Enhancement (MORE) has demonstrated efficacy in reducing opioid use and craving, hypothetically by restructuring the salience of drug and natural rewards. Yet, to date, MOREs neurobiological mechanisms remain unclear. In this first functional magnetic r...

4
Energy Landscape and Dynamic State Modeling for Schizophrenia Biomarker Extraction in Task-Based fMRI
2025-12-15 radiology and imaging 10.64898/2025.12.14.25342238
#1 (1.9%)
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Task-based functional magnetic resonance imaging (fMRI) examines how the brain dynamically responds to cognitive and perceptual demands, offering complementary insight beyond traditional activation-based analyses in schizophrenia. Prior task-based fMRI studies have identified reduced functional connectivity within auditory and associated cortical areas. In this study, we investigated task-evoked functional connectivity and brain state dynamics in 25 healthy controls, 23 patients with schizophren...

5
Targeting Cortico-Striatal-Amygdalar Networks via Theta-Band Frontoparietal Synchronization in Opioid Use Disorder: A Randomized tACS-fMRI Trial
2026-02-11 addiction medicine 10.64898/2026.02.10.26346048
#1 (1.9%)
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BackgroundTheta-band oscillation is integral to fronto-parietal connectivity in the executive control network and its top-down regulation on subcortical areas. External frontoparietal synchronization using theta-frequency transcranial alternating current (tACS) is a technology to potentially engage this network. In this pre-registered, triple-blind, sham-controlled trial (NCT03907644), we tested this intervention targeting the right frontoparietal network in people with opioid use disorder (OUD)...

6
Shared and Distinct Neural Signatures of Cue-Induced Response in Substance and Behavioral Addictions: A Coordinate-Based Neuroimaging Meta-Analysis
2026-01-25 addiction medicine 10.64898/2026.01.23.26344591
#1 (1.9%)
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As the global burden of addiction intensifies, the neurobiological commonalities and distinctions between substance use disorders (SUDs) and behavioral addictions (BAs) remain poorly characterized. This coordinate-based meta-analysis of 59 fMRI articles (n = 2,951) mapped the neural signatures of visual cue-reactivity across the addictive disorders. Our results revealed a universal core network shared by SUDs and BAs centered in the bilateral opercular inferior frontal gyrus, suggesting a shared...

7
The impact of alcohol use in youth neurodevelopment: A systematic review of longitudinal structural neuroimaging studies
2026-01-08 addiction medicine 10.64898/2026.01.06.26343559
#1 (1.9%)
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Youth alcohol use is a significant global health concern. Despite the widespread nature of alcohol use-related problems, the longitudinal effects of alcohol on brain structure in youth remain unclear. This review aimed to systematically synthesise the findings from the longitudinal structural magnetic resonance imaging (sMRI) literature on how alcohol use is associated with changes in brain structure in youth. Following PRISMA guidelines, five databases were searched, and studies of youth alcoho...

8
Extended High Frequency Hearing Loss, Not Cochlear Synaptopathy, Predicts Speech Recognition in a Population Cohort
2026-01-30 otolaryngology 10.64898/2026.01.27.26344934
Top 0.1% (1.9%)
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Age-related hearing loss is the leading sensory deficit in older adults, yet audiometric thresholds at conventional frequencies often poorly predict speech understanding. Two competing hypotheses have emerged: extended high-frequency (eHF) hearing loss beyond 8 kHz may unmask variance in speech performance, while hidden hearing loss from cochlear synaptopathy---detectable via auditory brainstem response (ABR) wave I amplitude reduction---may degrade temporal coding independent of audiometry. Her...

9
Effect of uni- and multi-modal exercise interventions on visuo-motor functional connectivity in glaucoma patients and healthy elderly
2025-12-18 rehabilitation medicine and physical therapy 10.64898/2025.12.17.25342381
Top 0.1% (1.8%)
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MotivationGlaucoma is a progressive visual pathway disorder leading to visual field loss, which can be linked to disruptions in visuo-motor function and an increase in fall risk. Motor-cognitive training has been shown to affect visuo-motor functional connectivity (FC) in healthy controls (HC) and could therefore be a viable strategy for the management of glaucoma patients (GL). MethodsUsing 3T resting state functional-MRI (rs-fMRI), we studied the effect of a multimodal intervention (MMI [resi...

10
TMS-evoked phosphenes and oculomotor responses in visual-snow syndrome
2026-02-09 neurology 10.64898/2026.02.05.26344851
Top 0.1% (1.8%)
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Visual Snow Syndrome (VSS) is a neurological condition characterized by continuous visual disturbances resembling television static across the visual field. Despite its significant impact on quality of life, objective assessment methods remain limited, with diagnosis relying primarily on subjective patient reports. Current understanding of VSS pathophysiology suggests cortical hyperexcitability, but precise mechanisms remain unclear. Here we developed an integrated protocol combining transcrania...

11
A Sensory-Cognitive Dissociation in Listeners with Hearing Difficulties: An Exploratory Analysis Linking Tinnitus to Binaural Unmasking Deficits and Speech Complaints to Memory
2025-12-19 otolaryngology 10.64898/2025.12.18.25342552
Top 0.2% (1.6%)
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BackgroundThe construct of Hidden Hearing Loss (HHL) proposes a link between patient-reported hearing difficulties and underlying neural deficits not captured by the standard audiogram. However, the heterogeneity of this population challenges the utility of HHL as a unitary diagnosis. This study presents an exploratory analysis aimed at deconstructing the HHL symptom complex. MethodsIn 30 participants with a range of hearing abilities and complaints, we measured binaural unmasking using the Bin...

12
Simulation of Natural Language from Brain Activity Using Wearable EEG and Deep Learning
2026-01-15 health systems and quality improvement 10.64898/2026.01.14.26344099
Top 0.2% (1.5%)
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Severe motor impairments such as amyotrophic lateral sclerosis and locked-in syndrome lead to partial or complete loss of speech, severely restricting communication as voluntary motor control deteriorates. In this study, we developed a non-invasive, wearable EEG-based brain-computer interface that reconstructs coherent natural language sentences by decoding linguistic components directly from neural activity. EEG data were collected from 20 healthy volunteers using two bilateral temporal electro...

13
Regulating brain activity in the Visual Word Form Area with real-time fMRI neurofeedback in adults with typical and poor reading skills
2025-12-11 psychiatry and clinical psychology 10.64898/2025.12.08.25341820
Top 0.2% (1.5%)
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Reading proficiency is essential for everyday life, with the Visual Word Form Area (VWFA) of the brains reading network playing a key role in fluent reading. Reduced VWFA activation has been linked to impaired reading. Real-time functional magnetic resonance imaging (rt-fMRI) neurofeedback allows individuals to learn to regulate brain activity in targeted brain areas. While our previous study demonstrated the feasibility of VWFA regulation in adults with typical reading skills, this study invest...

14
fMRI analysis parameters affect the concordance with TMS in noninvasive speech mapping
2026-01-30 radiology and imaging 10.64898/2026.01.29.26345106
Top 0.2% (1.5%)
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BackgroundSpeech cortical mapping (SCM) conducted with widely available functional MRI (fMRI) can yield divergent results compared to the more commonly used navigated TMS (nTMS). The impact of specific fMRI task paradigms and preprocessing choices on reaching similarity with nTMS has not been explored before. ObjectiveTo test how the fMRI experimental task and spatial smoothing of the data compare with nTMS-based results, to subsequently increase the reliability of object naming fMRI for SCM. ...

15
Tactile Perception and Tolerability Thresholds of TMS Characterized by Intensity across Locations and Frequencies
2026-01-30 psychiatry and clinical psychology 10.64898/2026.01.28.26345065
Top 0.2% (1.5%)
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Transcranial Magnetic Stimulation (TMS) involves pulsed magnetic fields that pass through the scalp to stimulate the brain, with incidental stimulation to superficial nerves and muscles. From a research perspective, the tactile sensations can be a problematic confound, particularly when stimulation approaches an unpleasant or painful level. Additionally, tactile sensations contribute to difficult challenges in establishing an appropriate sham control condition. Clinically, some patients find sti...

16
Face Identity Recognition with Interference of Unusual Features by People with Schizophrenia
2026-02-09 psychiatry and clinical psychology 10.64898/2026.02.07.26345453
Top 0.3% (1.3%)
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Schizophrenia is a serious mental disorder characterized by enhanced sensory-perceptual alterations. We investigated face identity recognition in people with schizophrenia with the Facial Identity Recognition Structured Task (FIRST) develop at our laboratory. This was created with natural interference features (beard, makeup and mask). This task consists in six block-trails of six images for identity recognition. Forty three adult volunteers divided into two groups: a Health Control (HC) and a g...

17
Associations of Prenatal Cannabis Exposure and Neonatal Brain Development in the HBCD Cohort
2026-03-03 pediatrics 10.64898/2026.03.02.26347436
Top 0.4% (1.3%)
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ImportancePrenatal cannabis exposure is increasing in prevalence, yet its associations with early brain development--particularly how the timing and frequency of exposure across gestation relate to neonatal brain structure--remain insufficiently understood. Clarifying these associations is essential for informing early risk identification and guiding perinatal care. ObjectiveTo examine associations between patterns of maternal prenatal cannabis exposure, including exposure presence, gestational...

18
Theta-Beta Ratio in Attention Deficit Hyperactivity Disorder: A Multiverse Analysis
2026-01-09 psychiatry and clinical psychology 10.64898/2026.01.08.26343676
Top 0.5% (1.2%)
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Attention Deficit Hyperactivity Disorder (ADHD) affects 5-7% of children worldwide, yet diagnosis continues to rely on clinical-behavioral assessments. The theta/beta ratio (TBR) derived from electroencephalography (EEG) has long been proposed as a complementary neurobiological marker of ADHD, based on reports of elevated TBR in affected children. However, accumulating evidence has raised concerns about the robustness and generalisability of these findings, pointing to a strong sensitivity to me...

19
Precise modeling of task-related sensorimotor activation based on simultaneous surface electromyography
2026-02-03 neurology 10.64898/2026.02.01.26345279
Top 0.5% (1.2%)
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ObjectiveTo evaluate central and peripheral correlates of motor control using functional magnetic resonance imaging (fMRI) and surface electromyography (EMG), with a focus on the added value of EMG-informed analysis during movement of the lower limb in healthy controls. MethodsTwenty participants performed dorsi-/plantarflexion of the ankle (Ankle) and gait imagery (GI) in a block design during fMRI. Accelerometry (Acc) and surface EMG from tibialis anterior (TA) activity were recorded and incl...

20
From Thought to Speech: Integrating a Low-Cost Electroencephalography Device with AI to Decode Neural Language Signals in Amyotrophic Lateral Sclerosis Patients
2026-01-21 neurology 10.64898/2026.01.18.26344355
Top 0.5% (1.2%)
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PurposeNearly all amyotrophic lateral sclerosis (ALS) patients develop dysarthria, with many progressing to anarthria and global expressive communication failure despite preserved consciousness. Despite the severity of this communication loss, available augmentative communication technologies remain limited. Brain-computer interface (BCI) technology provides a theoretically compelling approach for decoding speech directly from neural activity. Current BCI technologies are predominantly invasive,...