Time-averaged and Time-varying Structure of the Gastric Network Revealed Through fMRI-Electrogastrogram Synchronization

The gastric network, comprised of brain regions whose activity synchronizes with the stomach's slow-wave rhythm, offers a unique window into the brain-body interaction involved in interoceptive processing. While previous work has established the existence of this network, its intrinsic organization and temporal unfolding remain poorly understood. Here, we reanalyzed resting-state fMRI-electrogastrogram data from 43 healthy adults of both sexes to characterize the time-averaged architecture and time-varying reconfiguration of the gastric network. We identified regions exhibiting phase-locked synchronization with the stomach slow electrical rhythm (0.05 Hz) and characterized cortical parcels comprising this network. Time-averaged graph-theoretical analysis revealed a fixed unimodal organization of functional communities, with primary visual, default mode network (DMN) and dorsal attention regions emerging as the principal time-averaged hubs. Next, we applied edge-centric functional connectivity (eFC) to capture the network state during transient high-amplitude "bursts". Time-varying community detection revealed communities whose compositions formed integrative combinations of DMN, visual, attentional and control elements. Edge-derived hubs shifted away from primary visual dominancy in the time-averaged analysis, and were instead directed by DMN regions, suggesting that moments of heightened connectivity in the network are coordinated by multisensory integration rather than passive sensory processing. These findings demonstrate that the gastric network is not merely a time-averaged, sensory-bound system, but rather a flexible and dynamically reconfiguring interoceptive network whose organization is selectively coordinated by transient cofluctuation events. This work provides a comprehensive network analysis of gastric-brain coupling and reveals a temporally structured mode of interoceptive integration that may support adaptive physiological and cognitive regulation.