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Showing papers in "Frontiers in Human Neuroscience in 2021"
Journal Article•10.3389/FNHUM.2020.568051•
International Consensus Based Review and Recommendations for Minimum Reporting Standards in Research on Transcutaneous Vagus Nerve Stimulation (Version 2020).

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Adam D Farmer1, Adam Strzelczyk2, Alessandra Finisguerra, Alexander V. Gourine3, Alireza Gharabaghi4, Alkomiet Hasan5, Alkomiet Hasan6, Andreas M. Burger7, Andrés M. Jaramillo8, Ann Mertens9, Arshad Majid10, Bart Verkuil11, Bashar W. Badran12, Carlos Ventura-Bort13, Charly Gaul, Christian Beste14, Christopher M. Warren15, Daniel Quintana16, Daniel Quintana17, Dorothea Hämmerer3, Dorothea Hämmerer18, Elena Freri, Eleni Frangos, Eleonora Tobaldini19, Eleonora Tobaldini20, Eugenijus Kaniusas21, Felix Rosenow2, Fioravante Capone22, Fivos Panetsos23, Gareth L. Ackland24, Gaurav Kaithwas25, Georgia H. O’Leary12, Hannah Genheimer26, Heidi I.L. Jacobs27, Heidi I.L. Jacobs28, Ilse Van Diest7, Jean Schoenen29, Jessica Redgrave10, Ji-Liang Fang30, Jim Deuchars31, Jozsef Constantin Szeles32, Julian F. Thayer33, Kaushik More8, Kaushik More18, Kristl Vonck9, Laura Steenbergen11, Lauro C. Vianna34, Lisa M. McTeague12, Mareike Ludwig35, Maria G. Veldhuizen36, Marijke De Couck, Marina Casazza4, Marius Keute4, Marom Bikson37, Marta Andreatta38, Marta Andreatta26, Martina D'Agostini7, Mathias Weymar13, Matthew J. Betts35, Matthew J. Betts18, Matthias Prigge8, Michael Kaess39, Michael Kaess40, Michael Roden41, Michelle Thai42, Nathaniel M. Schuster43, Nicola Montano20, Nicola Montano19, Niels Hansen44, Nils B. Kroemer4, Peijing Rong30, Rico Fischer45, Robert H Howland46, Roberta Sclocco47, Roberta Sclocco28, Roberta Sellaro11, Roberta Sellaro48, Ronald G. Garcia28, Sebastian Bauer2, Sofiya Gancheva41, Sofiya Gancheva49, Stavros Stavrakis31, Stefan Kampusch21, Susan A. Deuchars31, Sven Wehner50, Sylvain Laborde51, Taras I. Usichenko52, Taras I. Usichenko53, Thomas Polak, Tino Zaehle18, Uirassu Borges51, Vanessa Teckentrup4, Vera K. Jandackova54, Vitaly Napadow28, Vitaly Napadow47, Julian Koenig40, Julian Koenig39 •
University Hospitals of North Midlands NHS Trust1, Goethe University Frankfurt2, University College London3, University of Tübingen4, University of Augsburg5, Ludwig Maximilian University of Munich6, Katholieke Universiteit Leuven7, Leibniz Institute for Neurobiology8, Ghent University Hospital9, University of Sheffield10, Leiden University11, Medical University of South Carolina12, University of Potsdam13, Dresden University of Technology14, Utah State University15, University of Oslo16, Oslo University Hospital17, Otto-von-Guericke University Magdeburg18, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico19, University of Milan20, Vienna University of Technology21, Università Campus Bio-Medico22, Complutense University of Madrid23, Queen Mary University of London24, Babasaheb Bhimrao Ambedkar University25, University of Würzburg26, Maastricht University27, Harvard University28, University of Liège29, Peking Union Medical College30, University of Leeds31, Medical University of Vienna32, University of California, Irvine33, University of Brasília34, Mersin University35, Vrije Universiteit Brussel36, City College of New York37, Erasmus University Rotterdam38, University of Bern39, Heidelberg University40, University of Düsseldorf41, University of Minnesota42, University of California, San Diego43, University of Göttingen44, University of Greifswald45, University of Pittsburgh46, Logan College of Chiropractic47, University of Padua48, University of Oklahoma Health Sciences Center49, University Hospital Bonn50, German Sport University Cologne51, McMaster University52, Greifswald University Hospital53, University of Ostrava54
23 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, a review of transcutaneous vagus nerve stimulation (tVNS) literature is presented, and a set of minimal reporting items are proposed to guide future tVNS studies.
Abstract: Given its non-invasive nature, there is increasing interest in the use of transcutaneous vagus nerve stimulation (tVNS) across basic, translational and clinical research. Contemporaneously, tVNS can be achieved by stimulating either the auricular branch or the cervical bundle of the vagus nerve, referred to as transcutaneous auricular vagus nerve stimulation(VNS) and transcutaneous cervical VNS, respectively. In order to advance the field in a systematic manner, studies using these technologies need to adequately report sufficient methodological detail to enable comparison of results between studies, replication of studies, as well as enhancing study participant safety. We systematically reviewed the existing tVNS literature to evaluate current reporting practices. Based on this review, and consensus among participating authors, we propose a set of minimal reporting items to guide future tVNS studies. The suggested items address specific technical aspects of the device and stimulation parameters. We also cover general recommendations including inclusion and exclusion criteria for participants, outcome parameters and the detailed reporting of side effects. Furthermore, we review strategies used to identify the optimal stimulation parameters for a given research setting and summarize ongoing developments in animal research with potential implications for the application of tVNS in humans. Finally, we discuss the potential of tVNS in future research as well as the associated challenges across several disciplines in research and clinical practice.

225 citations

Journal Article•10.3389/FNHUM.2021.653659•
BENDR: Using Transformers and a Contrastive Self-Supervised Learning Task to Learn From Massive Amounts of EEG Data.

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Demetres Kostas1, Stéphane Aroca-Ouellette1, Frank Rudzicz1, Frank Rudzicz2•
University of Toronto1, St. Michael's Hospital2
23 Jun 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, a pre-trained deep neural network was adapted to EEG data and applied to a variety of downstream BCI and EEG classification tasks, outperforming prior work in more task-specific (sleep stage classification) self-supervision.
Abstract: Deep neural networks (DNNs) used for brain-computer interface (BCI) classification are commonly expected to learn general features when trained across a variety of contexts, such that these features could be fine-tuned to specific contexts. While some success is found in such an approach, we suggest that this interpretation is limited and an alternative would better leverage the newly (publicly) available massive electroencephalography (EEG) datasets. We consider how to adapt techniques and architectures used for language modeling (LM) that appear capable of ingesting awesome amounts of data toward the development of encephalography modeling with DNNs in the same vein. We specifically adapt an approach effectively used for automatic speech recognition, which similarly (to LMs) uses a self-supervised training objective to learn compressed representations of raw data signals. After adaptation to EEG, we find that a single pre-trained model is capable of modeling completely novel raw EEG sequences recorded with differing hardware, and different subjects performing different tasks. Furthermore, both the internal representations of this model and the entire architecture can be fine-tuned to a variety of downstream BCI and EEG classification tasks, outperforming prior work in more task-specific (sleep stage classification) self-supervision.

121 citations

Journal Article•10.3389/FNHUM.2021.645209•
The Role of the Dorsolateral Prefrontal Cortex for Speech and Language Processing

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Ingo Hertrich1, Susanne Dietrich1, Corinna Blum1, Hermann Ackermann1•
University of Tübingen1
17 May 2021-Frontiers in Human Neuroscience
TL;DR: The authors summarizes various functions of the dorsolateral prefrontal cortex (DLPFC) that are related to language processing, such as discourse management, integration of prosody, interpretation of non-literal meanings, inference making, ambiguity resolution, and error repair.
Abstract: This review article summarizes various functions of the dorsolateral prefrontal cortex (DLPFC) that are related to language processing. To this end, its connectivity with the left-dominant perisylvian language network was considered, as well as its interaction with other functional networks that, directly or indirectly, contribute to language processing. Language-related functions of the DLPFC comprise various aspects of pragmatic processing such as discourse management, integration of prosody, interpretation of nonliteral meanings, inference making, ambiguity resolution, and error repair. Neurophysiologically, the DLPFC seems to be a key region for implementing functional connectivity between the language network and other functional networks, including cortico-cortical as well as subcortical circuits. Considering clinical aspects, damage to the DLPFC causes psychiatric communication deficits rather than typical aphasic language syndromes. Although the number of well-controlled studies on DLPFC language functions is still limited, the DLPFC might be an important target region for the treatment of pragmatic language disorders.

113 citations

Journal Article•10.3389/FNHUM.2021.631838•
Neurobiological Mechanisms of Transcranial Direct Current Stimulation for Psychiatric Disorders; Neurophysiological, Chemical, and Anatomical Considerations.

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Yuji Yamada, Tomiki Sumiyoshi
04 Feb 2021-Frontiers in Human Neuroscience
TL;DR: Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique for the treatment of several psychiatric disorders, e.g., mood disorders and schizophrenia as mentioned in this paper.
Abstract: Backgrounds: Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique for the treatment of several psychiatric disorders, eg, mood disorders and schizophrenia Therapeutic effects of tDCS are suggested to be produced by bi-directional changes in cortical activities, ie, increased/decreased cortical excitability via anodal/cathodal stimulation Although tDCS provides a promising approach for the treatment of psychiatric disorders, its neurobiological mechanisms remain to be explored Objectives: To review recent findings from neurophysiological, chemical, and brain-network studies, and consider how tDCS ameliorates psychiatric conditions Findings: Enhancement of excitatory synaptic transmissions through anodal tDCS stimulation is likely to facilitate glutamate transmission and suppress gamma-aminobutyric acid transmission in the cortex On the other hand, it positively or negatively modulates the activities of dopamine, serotonin, and acetylcholine transmissions in the central nervous system These neural events by tDCS may change the balance between excitatory and inhibitory inputs Specifically, multi-session tDCS is thought to promote/regulate information processing efficiency in the cerebral cortical circuit, which induces long-term potentiation (LTP) by synthesizing various proteins Conclusions: This review will help understand putative mechanisms underlying the clinical benefits of tDCS from the perspective of neurotransmitters, network dynamics, intracellular events, and related modalities of the brain function

101 citations

Journal Article•10.3389/FNHUM.2021.662031•
Cerebral White Matter Myelination and Relations to Age, Gender, and Cognition: A Selective Review.

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Irina S. Buyanova1, Marie Arsalidou1, Marie Arsalidou2•
National Research University – Higher School of Economics1, York University2
06 Jul 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors describe methods of assessing myelination and evaluate effects of age and gender in nine major fiber tracts, highlighting their role in higher-order cognitive functions.
Abstract: White matter makes up about fifty percent of the human brain. Maturation of white matter accompanies biological development and undergoes the most dramatic changes during childhood and adolescence. Despite the advances in neuroimaging techniques, controversy concerning spatial, and temporal patterns of myelination, as well as the degree to which the microstructural characteristics of white matter can vary in a healthy brain as a function of age, gender and cognitive abilities still exists. In a selective review we describe methods of assessing myelination and evaluate effects of age and gender in nine major fiber tracts, highlighting their role in higher-order cognitive functions. Our findings suggests that myelination indices vary by age, fiber tract, and hemisphere. Effects of gender were also identified, although some attribute differences to methodological factors or social and learning opportunities. Findings point to further directions of research that will improve our understanding of the complex myelination-behavior relation across development that may have implications for educational and clinical practice.

92 citations

Journal Article•10.3389/FNHUM.2021.722323•
Glutamate: The Master Neurotransmitter and Its Implications in Chronic Stress and Mood Disorders.

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Mia Michaela Pal
01 Jan 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors make the argument that glutamate is an excitatory neurotransmitter with several types of receptors found throughout the central nervous system, and its metabolism is important to maintaining optimal levels within the extracellular space.
Abstract: This brief review article makes the argument that glutamate is deserving of its newfound attention within the neuroscience literature and that many directions of important research have yet to be explored. Glutamate is an excitatory neurotransmitter with several types of receptors found throughout the central nervous system, and its metabolism is important to maintaining optimal levels within the extracellular space. As such, it is important to memory, cognition, and mood regulation. The mechanisms by which chronic stress affect the glutamatergic system and neuroplasticity are outlined. Several implications for potential pharmacologic and non-pharmacologic interventions are discussed.

92 citations

Journal Article•10.3389/FNHUM.2020.584312•
Dance on the Brain: Enhancing Intra and Inter-Brain Synchrony

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Julia C. Basso1, Medha K. Satyal1, Rachel Rugh1•
Virginia Tech1
07 Jan 2021-Frontiers in Human Neuroscience
TL;DR: The Synchronicity Hypothesis of Dance as mentioned in this paper suggests that humans dance to enhance both intra-and inter-brain synchrony, which leads to enhanced interpersonal coordination, and suggests that dance may help to repattern oscillatory activity, leading to clinical improvements in autism spectrum disorder and other disorders with oscillatory activation impairments.
Abstract: Dance has traditionally been viewed from a Eurocentric perspective as a mode of self-expression that involves the human body moving through space, performed for the purposes of art, and viewed by an audience. In this Hypothesis and Theory article, we synthesize findings from anthropology, sociology, psychology, dance pedagogy, and neuroscience to propose The Synchronicity Hypothesis of Dance, which states that humans dance to enhance both intra- and inter-brain synchrony. We outline a neurocentric definition of dance, which suggests that dance involves neurobehavioral processes in seven distinct areas including sensory, motor, cognitive, social, emotional, rhythmic, and creative. We explore The Synchronicity Hypothesis of Dance through several avenues. First, we examine evolutionary theories of dance, which suggest that dance drives interpersonal coordination. Second, we examine fundamental movement patterns, which emerge throughout development and are omnipresent across cultures of the world. Third, we examine how each of the seven neurobehaviors increases intra- and inter-brain synchrony. Fourth, we examine the neuroimaging literature on dance to identify the brain regions most involved in and affected by dance. The findings presented here support our hypothesis that we engage in dance for the purpose of intrinsic reward, which as a result of dance-induced increases in neural synchrony, leads to enhanced interpersonal coordination. This hypothesis suggests that dance may be helpful to repattern oscillatory activity, leading to clinical improvements in autism spectrum disorder and other disorders with oscillatory activity impairments. Finally, we offer suggestions for future directions and discuss the idea that our consciousness can be redefined not just as an individual process but as a shared experience that we can positively influence by dancing together.

71 citations

Journal Article•10.3389/FNHUM.2021.594234•
Executive Functions in Neurodevelopmental Disorders: Comorbidity Overlaps Between Attention Deficit and Hyperactivity Disorder and Specific Learning Disorders.

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Giulia Crisci1, Sara Caviola2, Sara Caviola1, Ramona Cardillo1, Irene C. Mammarella1 •
University of Padua1, University of Leeds2
10 Feb 2021-Frontiers in Human Neuroscience
TL;DR: The results showed that all children in the clinical samples exhibited impairments on EF measures (inhibition and shifting tasks) when compared with TD children, whereas children with ADHD and those with SLD in comorbidity with ADHD, had the worst performance in visuospatial updating.
Abstract: The present study examines the comorbidity between specific learning disorders (SLD) and attention deficit and hyperactivity disorder (ADHD) by comparing the neuropsychological profiles of children with and without this comorbidity Ninety-seven schoolchildren from 8 to 14 years old were tested: a clinical sample of 49 children with ADHD (n = 18), SLD (n = 18) or SLD in comorbidity with ADHD (n = 13), and 48 typically-developing (TD) children matched for age and intelligence Participants were administered tasks and questionnaires to confirm their initial diagnosis, and a battery of executive function (EF) tasks testing inhibition, shifting, and verbal and visuospatial updating Using one-way ANOVAs, our results showed that all children in the clinical samples exhibited impairments on EF measures (inhibition and shifting tasks) when compared with TD children A more specific pattern only emerged for the updating tasks Only children with SLD had significant impairment in verbal updating, whereas children with ADHD, and those with SLD in comorbidity with ADHD, had the worst performance in visuospatial updating The clinical and educational implications of these findings are discussed

65 citations

Journal Article•10.3389/FNHUM.2021.721206•
Brain Structural and Functional Connectivity: A Review of Combined Works of Diffusion Magnetic Resonance Imaging and Electro-Encephalography

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Parinaz Babaeeghazvini1, Laura M. Rueda-Delgado2, Laura M. Rueda-Delgado3, Jolien Gooijers2, Jolien Gooijers4, Stephan P. Swinnen4, Stephan P. Swinnen2, Andreas Daffertshofer1 •
VU University Amsterdam1, Katholieke Universiteit Leuven2, Trinity College, Dublin3, Allen Institute for Brain Science4
07 Oct 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors reviewed the literature of combined recordings of electro-encephalography (EEG) and diffusion-based magnetic resonance imaging (MRI) and found that the strength of event-related EEG activity increases with increased integrity of structural connectivity, while latency drops.
Abstract: Implications of structural connections within and between brain regions for their functional counterpart are timely points of discussion. White matter microstructural organization and functional activity can be assessed in unison. At first glance, however, the corresponding findings appear variable, both in the healthy brain and in numerous neuro-pathologies. To identify consistent associations between structural and functional connectivity and possible impacts for the clinic, we reviewed the literature of combined recordings of electro-encephalography (EEG) and diffusion-based magnetic resonance imaging (MRI). It appears that the strength of event-related EEG activity increases with increased integrity of structural connectivity, while latency drops. This agrees with a simple mechanistic perspective: the nature of microstructural white matter influences the transfer of activity. The EEG, however, is often assessed for its spectral content. Spectral power shows associations with structural connectivity that can be negative or positive often dependent on the frequencies under study. Functional connectivity shows even more variations, which are difficult to rank. This might be caused by the diversity of paradigms being investigated, from sleep and resting state to cognitive and motor tasks, from healthy participants to patients. More challenging, though, is the potential dependency of findings on the kind of analysis applied. While this does not diminish the principal capacity of EEG and diffusion-based MRI co-registration, it highlights the urgency to standardize especially EEG analysis.

62 citations

Journal Article•10.3389/FNHUM.2021.672665•
Functional Contributions of the Arcuate Fasciculus to Language Processing.

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Maria Ivanova1, Allison Zhong, And U. Turken, Juliana V. Baldo, Nina F. Dronkers2, Nina F. Dronkers1 •
University of California, Berkeley1, University of California, Davis2
25 Jun 2021-Frontiers in Human Neuroscience
TL;DR: For instance, this article evaluated the role of the arcuate fasciculus (AF) in language processing following a stroke in a well-characterized cohort of individuals with chronic aphasia (n = 33).
Abstract: Current evidence strongly suggests that the arcuate fasciculus (AF) is critical for language, from spontaneous speech and word retrieval to repetition and comprehension abilities. However, to further pinpoint its unique and differential role in language, its anatomy needs to be explored in greater detail and its contribution to language processing beyond that of known cortical language areas must be established. We address this in a comprehensive evaluation of the specific functional role of the AF in a well-characterized cohort of individuals with chronic aphasia (n = 33) following left hemisphere stroke. To evaluate macro- and microstructural integrity of the AF, tractography based on the constrained spherical deconvolution model was performed. The AF in the left and right hemispheres were then manually reconstructed using a modified 3-segment model (Catani et al., 2005), and a modified 2-segment model (Glasser and Rilling, 2008). The normalized volume and a measure of microstructural integrity of the long and the posterior segments of the AF were significantly correlated with language indices while controlling for gender and lesion volume. Specific contributions of AF segments to language while accounting for the role of specific cortical language areas - inferior frontal, inferior parietal, and posterior temporal - were tested using multiple regression analyses. Involvement of the following tract segments in the left hemisphere in language processing beyond the contribution of cortical areas was demonstrated: the long segment of the AF contributed to naming abilities; anterior segment - to fluency and naming; the posterior segment - to comprehension. The results highlight the important contributions of the AF fiber pathways to language impairments beyond that of known cortical language areas. At the same time, no clear role of the right hemisphere AF tracts in language processing could be ascertained. In sum, our findings lend support to the broader role of the left AF in language processing, with particular emphasis on comprehension and naming, and point to the posterior segment of this tract as being most crucial for supporting residual language abilities.

62 citations

Journal Article•10.3389/FNHUM.2021.749162•
Transcranial Focused Ultrasound Neuromodulation: A Review of the Excitatory and Inhibitory Effects on Brain Activity in Human and Animals.

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Tingting Zhang1, Na Pan1, Yuping Wang1, Chunyan Liu1, Shimin Hu1 •
Capital Medical University1
01 Jan 2021-Frontiers in Human Neuroscience
TL;DR: Low-intensity transcranial focused ultrasound (tFUS) can exert non-destructive mechanical pressure effects on cellular membranes and ion channels without producing cavitation and thermal injury as mentioned in this paper.
Abstract: Improved methods for noninvasively modulating human brain function are needed. The effects of focused ultrasound on neuronal activity have been investigated since the 1920s. FUS has been shown to modulate the activity of peripheral nerves, spinal reflexes, the cortex, and even deep brain nuclei, such as the thalamus. Unlike high-intensity ultrasound, low-intensity transcranial focused ultrasound (tFUS) can exert nondestructive mechanical pressure effects on cellular membranes and ion channels without producing cavitation and thermal injury. Therefore, it has obvious advantages in terms of security. This technology is considered to have broad application prospects in brain diseases such as neurodegenerative disorders and neuropsychiatric disorders. This review synthesizes animal and human research outcomes and offers an integrated description of the excitatory and inhibitory effects of tFUS in varying experimental and disease conditions.
Journal Article•10.3389/FNHUM.2021.645952•
Data Augmentation: Using Channel-Level Recombination to Improve Classification Performance for Motor Imagery EEG

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Pei Yu1, Luo Zhiguo, Ye Yan2, Yan Huijiong2, Jing Jiang, Weiguo Li1, Xie Liang2, Erwei Yin2 •
Beihang University1, Academy of Military Science2
11 Mar 2021-Frontiers in Human Neuroscience
TL;DR: Zhang et al. as discussed by the authors proposed a DA method for the motor imagery (MI) EEG signal called brain-area-recombination (BAR), where each sample was first separated into two ones by left/right brain channels, and the artificial samples were generated by recombining the half-samples.
Abstract: The quality and quantity of training data are crucial to the performance of a deep-learning-based brain-computer interface (BCI) system. However, it is not practical to record EEG data over several long calibration sessions. A promising time- and cost-efficient solution is artificial data generation or data augmentation (DA). Here, we proposed a DA method for the motor imagery (MI) EEG signal called brain-area-recombination (BAR). For the BAR, each sample was first separated into two ones (named half-sample) by left/right brain channels, and the artificial samples were generated by recombining the half-samples. We then designed two schemas (intra- and adaptive-subject schema) corresponding to the single- and multi-subject scenarios. Extensive experiments using the classifier of EEGnet were conducted on two public datasets under various training set sizes. In both schemas, the BAR method can make the EEGnet have a better performance of classification (p < 0.01). To make a comparative investigation, we selected two common DA methods (noise-added and flipping), and the BAR method beat them (p < 0.05). Further, using the proposed BAR for augmentation, EEGnet achieved up to 8.3% improvement than a typical decoding algorithm CSP-SVM (p < 0.01), note that both the models were trained on the augmented dataset. This study shows that BAR usage can significantly improve the classification ability of deep learning to MI-EEG signals. To a certain extent, it may promote the development of deep learning technology in the field of BCI.
Journal Article•10.3389/FNHUM.2020.613254•
Analysis of Human Gait Using Hybrid EEG-fNIRS-Based BCI System: A Review.

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Haroon Khan1, Noman Naseer2, Anis Yazidi1, Per Kristian Eide3, Hafiz Wajahat Hassan1, Peyman Mirtaheri4, Peyman Mirtaheri1 •
University of Oslo1, Air University (Islamabad)2, Oslo University Hospital3, Michigan Technological University4
25 Jan 2021-Frontiers in Human Neuroscience
TL;DR: HBCI (EEG + fNIRS) system is not yet much explored for the lower limb due to its complexity compared to the higher limb, and there is a long way to go in adopting hBCI in gait analysis.
Abstract: Human gait is a complex activity that requires high coordination between the central nervous system, the limb, and the musculoskeletal system. More research is needed to understand the latter coordination's complexity in designing better and more effective rehabilitation strategies for gait disorders. Electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) are among the most used technologies for monitoring brain activities due to portability, non-invasiveness, and relatively low cost compared to others. Fusing EEG and fNIRS is a well-known and established methodology proven to enhance brain-computer interface (BCI) performance in terms of classification accuracy, number of control commands, and response time. Although there has been significant research exploring hybrid BCI (hBCI) involving both EEG and fNIRS for different types of tasks and human activities, human gait remains still underinvestigated. In this article, we aim to shed light on the recent development in the analysis of human gait using a hybrid EEG-fNIRS-based BCI system. The current review has followed guidelines of preferred reporting items for systematic reviews and meta-Analyses (PRISMA) during the data collection and selection phase. In this review, we put a particular focus on the commonly used signal processing and machine learning algorithms, as well as survey the potential applications of gait analysis. We distill some of the critical findings of this survey as follows. First, hardware specifications and experimental paradigms should be carefully considered because of their direct impact on the quality of gait assessment. Second, since both modalities, EEG and fNIRS, are sensitive to motion artifacts, instrumental, and physiological noises, there is a quest for more robust and sophisticated signal processing algorithms. Third, hybrid temporal and spatial features, obtained by virtue of fusing EEG and fNIRS and associated with cortical activation, can help better identify the correlation between brain activation and gait. In conclusion, hBCI (EEG + fNIRS) system is not yet much explored for the lower limb due to its complexity compared to the higher limb. Existing BCI systems for gait monitoring tend to only focus on one modality. We foresee a vast potential in adopting hBCI in gait analysis. Imminent technical breakthroughs are expected using hybrid EEG-fNIRS-based BCI for gait to control assistive devices and Monitor neuro-plasticity in neuro-rehabilitation. However, although those hybrid systems perform well in a controlled experimental environment when it comes to adopting them as a certified medical device in real-life clinical applications, there is still a long way to go.
Journal Article•10.3389/FNHUM.2021.644593•
Proceedings of the Eighth Annual Deep Brain Stimulation Think Tank: Advances in Optogenetics, Ethical Issues Affecting DBS Research, Neuromodulatory Approaches for Depression, Adaptive Neurostimulation, and Emerging DBS Technologies

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Vinata Vedam-Mai1, Karl Deisseroth2, James Giordano3, Gabriel Lázaro-Muñoz4, Winston Chiong5, Nanthia Suthana6, Jean-Philippe Langevin7, Jean-Philippe Langevin6, Jay Gill6, Wayne K. Goodman4, Nicole R. Provenza8, Casey H. Halpern2, Rajat S. Shivacharan2, Tricia N. Cunningham2, Sameer A. Sheth4, Nader Pouratian6, Katherine W. Scangos5, Helen S. Mayberg9, Andreas Horn10, Kara A. Johnson11, Christopher R. Butson11, Roee Gilron5, Coralie de Hemptinne1, Coralie de Hemptinne5, Robert Wilt5, Maria S. Yaroshinsky5, Simon Little5, Philip A. Starr5, Greg Worrell12, Prasad Shirvalkar5, Edward F. Chang5, Jens Volkmann13, Muthuraman Muthuraman14, Sergiu Groppa14, Andrea A. Kühn10, Luming Li15, Matthew D. Johnson16, Kevin J. Otto1, Robert S. Raike17, Steve Goetz17, Chengyuan Wu18, Peter A. Silburn19, Binith Cheeran20, Yagna J. Pathak20, Mahsa Malekmohammadi, Aysegul Gunduz1, Joshua K. Wong1, Stephanie Cernera1, Aparna Wagle Shukla1, Adolfo Ramirez-Zamora1, Wissam Deeb21, Addie Patterson1, Kelly D. Foote1, Michael S. Okun1 •
University of Florida1, Stanford University2, Georgetown University3, Baylor College of Medicine4, University of California, San Francisco5, University of California, Los Angeles6, Veterans Health Administration7, Brown University8, Icahn School of Medicine at Mount Sinai9, Charité10, University of Utah11, Mayo Clinic12, University of Würzburg13, University of Mainz14, Tsinghua University15, University of Minnesota16, Medtronic plc17, Thomas Jefferson University18, University of Queensland19, Abbott Laboratories20, University of Massachusetts Medical School21
19 Apr 2021-Frontiers in Human Neuroscience
TL;DR: The Eighth Annual Deep Brain Stimulation Think Tank (DBS Think Tank) as discussed by the authors was held on September 1 and 2, 2020 (Zoom Video Communications) due to restrictions related to the COVID-19 pandemic.
Abstract: We estimate that 208,000 deep brain stimulation (DBS) devices have been implanted to address neurological and neuropsychiatric disorders worldwide. DBS Think Tank presenters pooled data and determined that DBS expanded in its scope and has been applied to multiple brain disorders in an effort to modulate neural circuitry. The DBS Think Tank was founded in 2012 providing a space where clinicians, engineers, researchers from industry and academia discuss current and emerging DBS technologies and logistical and ethical issues facing the field. The emphasis is on cutting edge research and collaboration aimed to advance the DBS field. The Eighth Annual DBS Think Tank was held virtually on September 1 and 2, 2020 (Zoom Video Communications) due to restrictions related to the COVID-19 pandemic. The meeting focused on advances in: (1) optogenetics as a tool for comprehending neurobiology of diseases and on optogenetically-inspired DBS, (2) cutting edge of emerging DBS technologies, (3) ethical issues affecting DBS research and access to care, (4) neuromodulatory approaches for depression, (5) advancing novel hardware, software and imaging methodologies, (6) use of neurophysiological signals in adaptive neurostimulation, and (7) use of more advanced technologies to improve DBS clinical outcomes. There were 178 attendees who participated in a DBS Think Tank survey, which revealed the expansion of DBS into several indications such as obesity, post-traumatic stress disorder, addiction and Alzheimer's disease. This proceedings summarizes the advances discussed at the Eighth Annual DBS Think Tank.
Journal Article•10.3389/FNHUM.2020.605246•
Two-Level Domain Adaptation Neural Network for EEG-Based Emotion Recognition

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Guangcheng Bao, Ning Zhuang, Li Tong, Bin Yan, Jun Shu, Linyuan Wang, Ying Zeng1, Zhichong Shen •
University of Electronic Science and Technology of China1
20 Jan 2021-Frontiers in Human Neuroscience
TL;DR: Wang et al. as discussed by the authors proposed a two-level domain adaptation neural network (TDANN) to construct a transfer model for EEG-based emotion recognition, where the first level uses maximum mean discrepancy (MMD) to reduce the distribution discrepancy of deep features between source domain and target domain, and the second level uses domain adversarial neural network to force the deep features closer to their corresponding class centers.
Abstract: Emotion recognition plays an important part in human-computer interaction (HCI). Currently, the main challenge in electroencephalogram (EEG)-based emotion recognition is the non-stationarity of EEG signals, which causes performance of the trained model decreasing over time. In this paper, we propose a two-level domain adaptation neural network (TDANN) to construct a transfer model for EEG-based emotion recognition. Specifically, deep features from the topological graph, which preserve topological information from EEG signals, are extracted using a deep neural network. These features are then passed through TDANN for two-level domain confusion. The first level uses the maximum mean discrepancy (MMD) to reduce the distribution discrepancy of deep features between source domain and target domain, and the second uses the domain adversarial neural network (DANN) to force the deep features closer to their corresponding class centers. We evaluated the domain-transfer performance of the model on both our self-built data set and the public data set SEED. In the cross-day transfer experiment, the ability to accurately discriminate joy from other emotions was high: sadness (84%), anger (87.04%), and fear (85.32%) on the self-built data set. The accuracy reached 74.93% on the SEED data set. In the cross-subject transfer experiment, the ability to accurately discriminate joy from other emotions was equally high: sadness (83.79%), anger (84.13%), and fear (81.72%) on the self-built data set. The average accuracy reached 87.9% on the SEED data set, which was higher than WGAN-DA. The experimental results demonstrate that the proposed TDANN can effectively handle the domain transfer problem in EEG-based emotion recognition.
Journal Article•10.3389/FNHUM.2020.598161•
Immersive Virtual Reality Reminiscence Reduces Anxiety in the Oldest-Old Without Causing Serious Side Effects: A Single-Center, Pilot, and Randomized Crossover Study

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Kazuyuki Niki1, Megumi Yahara1, Michiya Inagaki1, Nana Takahashi1, Akira Watanabe1, Takeshi Okuda, Mikiko Ueda1, Daisuke Iwai1, Kosuke Sato1, Toshinori Ito •
Osaka University1
18 Jan 2021-Frontiers in Human Neuroscience
TL;DR: In this article, the authors examined the efficacy and safety of reminiscence using immersive virtual reality focusing on anxiety that often appears with cognitive decline, and revealed the preference for VR image types for reminers: live-action (LA) or computer graphics (CG).
Abstract: Background: Dementia is one the major problems of aging societies, and, novel and effective non-drug therapies are required as interventions in the oldest-old to prevent cognitive decline. Objective: This study aims to examine the efficacy and safety of reminiscence using immersive virtual reality (iVR reminiscence) focusing on anxiety that often appears with cognitive decline. The secondary objective is to reveal the preference for VR image types for reminiscence: live-action (LA) or computer graphics (CG). Methods: This was a pilot, open-label, and randomized crossover study which was conducted on January 2020 at a single nursing home. The subjects were randomly divided into two groups (A or B) in equal numbers, and they alternately viewed two types of VR images (LA and CG) themed on the mid- to late Showa era (A.D. 1955-1980) in Japan. In group A, the CG images were viewed first, and then the LA images were viewed (CG→ LA). In group B, the images were viewed in the opposite order (LA→ CG). Before VR viewing, subjects responded to Mini-Mental State Examination (MMSE) Japanese version and State-Trait Anxiety Inventory (STAI) Japanese version. After viewing the first and second VR, subjects responded to STAI and the numerical rating scale (NRS) for satisfaction and side effects (nausea, dizziness, headache, and tiredness). Results: Ten subjects participated in this study. The values of analyses are presented in the mean (SD). The age was 87.1 years (4.2), and the MMSE was 28.5 (1.8). The total STAI score before VR viewing was 36.1 (7.2), but it significantly decreased to 26.8 (4.9) after the first VR viewing (P = 0.0010), and further decreased to 23.4 (2.8) after the second VR viewing (P < 0.001). The NRS score for satisfaction tended to be higher after viewing LA in group A (CG→ LA) (CG vs. LA; 7.0 (2.3) vs. 8.6 (1.5), P = 0.0993), while in group B (LA→ CG), the score after CG was slightly lower than that after LA. There were no serious side effects. Conclusions: This study suggests that iVR reminiscence can reduce anxiety in the oldest-old without causing serious side effects. Furthermore, the impacts might be better with LA images.
Journal Article•10.3389/FNHUM.2020.604639•
Recognition of Consumer Preference by Analysis and Classification EEG Signals.

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Mashael Aldayel1, Mourad Ykhlef1, Abeer Al-Nafjan2•
King Saud University1, Imam Muhammad ibn Saud Islamic University2
13 Jan 2021-Frontiers in Human Neuroscience
TL;DR: In this article, the authors examined preference detection of neuromarketing dataset using different feature combinations of EEG indices and different algorithms for feature extraction and classification, including discrete wavelet transform (DWT) and power spectral density (PSD), which were utilized to measure the EEG-based preference indices that enhance the accuracy of preference detection.
Abstract: Neuromarketing has gained attention to bridge the gap between conventional marketing studies and electroencephalography (EEG)-based brain-computer interface (BCI) research. It determines what customers actually want through preference prediction. The performance of EEG-based preference detection systems depends on a suitable selection of feature extraction techniques and machine learning algorithms. In this study, We examined preference detection of neuromarketing dataset using different feature combinations of EEG indices and different algorithms for feature extraction and classification. For EEG feature extraction, we employed discrete wavelet transform (DWT) and power spectral density (PSD), which were utilized to measure the EEG-based preference indices that enhance the accuracy of preference detection. Moreover, we compared deep learning with other traditional classifiers, such as k-nearest neighbor (KNN), support vector machine (SVM), and random forest (RF). We also studied the effect of preference indicators on the performance of classification algorithms. Through rigorous offline analysis, we investigated the computational intelligence for preference detection and classification. The performance of the proposed deep neural network (DNN) outperforms KNN and SVM in accuracy, precision, and recall; however, RF achieved results similar to those of the DNN for the same dataset.
Journal Article•10.3389/FNHUM.2021.669120•
Effects of Early Life Stress on the Developing Basolateral Amygdala-Prefrontal Cortex Circuit: The Emerging Role of Local Inhibition and Perineuronal Nets.

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Angela Guadagno1, Angela Guadagno2, Claudia Belliveau2, Claudia Belliveau1, Naguib Mechawar2, Naguib Mechawar1, Claire-Dominique Walker1, Claire-Dominique Walker2 •
Douglas Mental Health University Institute1, McGill University2
01 Jan 2021-Frontiers in Human Neuroscience
TL;DR: Early life stress (ELS) and the emergence of psychopathology such as increased anxiety and depression are now well established, although the specific neurobiological and developmental mechanisms that translate ELS into poor health outcomes are still unclear.
Abstract: The links between early life stress (ELS) and the emergence of psychopathology such as increased anxiety and depression are now well established, although the specific neurobiological and developmental mechanisms that translate ELS into poor health outcomes are still unclear. The consequences of ELS are complex because they depend on the form and severity of early stress, duration, and age of exposure as well as co-occurrence with other forms of physical or psychological trauma. The long term effects of ELS on the corticolimbic circuit underlying emotional and social behavior are particularly salient because ELS occurs during critical developmental periods in the establishment of this circuit, its local balance of inhibition:excitation and its connections with other neuronal pathways. Using examples drawn from the human and rodent literature, we review some of the consequences of ELS on the development of the corticolimbic circuit and how it might impact fear regulation in a sex- and hemispheric-dependent manner in both humans and rodents. We explore the effects of ELS on local inhibitory neurons and the formation of perineuronal nets (PNNs) that terminate critical periods of plasticity and promote the formation of stable local networks. Overall, the bulk of ELS studies report transient and/or long lasting alterations in both glutamatergic circuits and local inhibitory interneurons (INs) and their associated PNNs. Since the activity of INs plays a key role in the maturation of cortical regions and the formation of local field potentials, alterations in these INs triggered by ELS might critically participate in the development of psychiatric disorders in adulthood, including impaired fear extinction and anxiety behavior.
Journal Article•10.3389/FNHUM.2021.675433•
Diffusional Kurtosis Imaging in the Diffusion Imaging in Python Project.

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Rafael Neto Henriques, Marta M Correia1, Maurizio Marrale2, Elizabeth Huber3, John Kruper3, Serge Koudoro4, Jason D. Yeatman3, Jason D. Yeatman5, Eleftherios Garyfallidis4, Ariel Rokem3 •
Cognition and Brain Sciences Unit1, University of Palermo2, University of Washington3, Indiana University4, Stanford University5
19 Jul 2021-Frontiers in Human Neuroscience
TL;DR: The Diffusion in Python (DIPY) project as mentioned in this paper is a large collaborative open-source project which aims to provide well-tested, well-documented and comprehensive implementation of different dMRI techniques.
Abstract: Diffusion-weighted magnetic resonance imaging (dMRI) measurements and models provide information about brain connectivity and are sensitive to the physical properties of tissue microstructure. Diffusional Kurtosis Imaging (DKI) quantifies the degree of non-Gaussian diffusion in biological tissue from dMRI. These estimates are of interest because they were shown to be more sensitive to microstructural alterations in health and diseases than measures based on the total anisotropy of diffusion which are highly confounded by tissue dispersion and fiber crossings. In this work, we implemented DKI in the Diffusion in Python (DIPY) project-a large collaborative open-source project which aims to provide well-tested, well-documented and comprehensive implementation of different dMRI techniques. We demonstrate the functionality of our methods in numerical simulations with known ground truth parameters and in openly available datasets. A particular strength of our DKI implementations is that it pursues several extensions of the model that connect it explicitly with microstructural models and the reconstruction of 3D white matter fiber bundles (tractography). For instance, our implementations include DKI-based microstructural models that allow the estimation of biophysical parameters, such as axonal water fraction. Moreover, we illustrate how DKI provides more general characterization of non-Gaussian diffusion compatible with complex white matter fiber architectures and gray matter, and we include a novel mean kurtosis index that is invariant to the confounding effects due to tissue dispersion. In summary, DKI in DIPY provides a well-tested, well-documented and comprehensive reference implementation for DKI. It provides a platform for wider use of DKI in research on brain disorders and in cognitive neuroscience.
Journal Article•10.3389/FNHUM.2021.655947•
A Systematic Review on the Effect of Transcranial Direct Current and Magnetic Stimulation on Fear Memory and Extinction.

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Vuk Marković1, Vuk Marković2, Carmelo M. Vicario, Fatemeh Yavari2, Mohammad Ali Salehinejad2, Michael A. Nitsche1 •
Ruhr University Bochum1, Technical University of Dortmund2
22 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors systematically reviewed 30 research articles that investigated the impact of rTMS and tDCS on fear memory and extinction in animal models and humans, in clinical and healthy populations.
Abstract: Anxiety disorders are among the most prevalent mental disorders. Present treatments such as cognitive behavior therapy and pharmacological treatments show only moderate success, which emphasizes the importance for the development of new treatment protocols. Non-invasive brain stimulation methods such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) have been probed as therapeutic option for anxiety disorders in recent years. Mechanistic information about their mode of action, and most efficient protocols is however limited. Here the fear extinction model can serve as a model of exposure therapies for studying therapeutic mechanisms, and development of appropriate intervention protocols. We systematically reviewed 30 research articles that investigated the impact of rTMS and tDCS on fear memory and extinction in animal models and humans, in clinical and healthy populations. The results of these studies suggest that tDCS and rTMS can be efficient methods to modulate fear memory and extinction. Furthermore, excitability-enhancing stimulation applied over the vmPFC showed the strongest potential to enhance fear extinction. We further discuss factors that determine the efficacy of rTMS and tDCS in the context of the fear extinction model and provide future directions to optimize parameters and protocols of stimulation for research and treatment.
Journal Article•10.3389/FNHUM.2021.656313•
Neuropsychiatric Symptoms of COVID-19 Explained by SARS-CoV-2 Proteins' Mimicry of Human Protein Interactions.

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Hale Yapici-Eser1, Yunus Emre Koroglu1, Ozgur Oztop-Cakmak1, Ozlem Keskin1, Attila Gursoy1, Yasemin Gursoy-Ozdemir1 •
Koç University1
23 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, a computational methodology was used to explain the molecular paths of COVID-19 associated neuropsychiatric symptoms, based on the mimicry of the human protein interactions with SARS-CoV-2 proteins.
Abstract: The first clinical symptoms focused on the presentation of coronavirus disease 2019 (COVID-19) have been respiratory failure, however, accumulating evidence also points to its presentation with neuropsychiatric symptoms, the exact mechanisms of which are not well known. By using a computational methodology, we aimed to explain the molecular paths of COVID-19 associated neuropsychiatric symptoms, based on the mimicry of the human protein interactions with SARS-CoV-2 proteins. Methods: Available 11 of the 29 SARS-CoV-2 proteins' structures have been extracted from Protein Data Bank. HMI-PRED (Host-Microbe Interaction PREDiction), a recently developed web server for structural PREDiction of protein-protein interactions (PPIs) between host and any microbial species, was used to find the "interface mimicry" through which the microbial proteins hijack host binding surfaces. Classification of the found interactions was conducted using the PANTHER Classification System. Results: Predicted Human-SARS-CoV-2 protein interactions have been extensively compared with the literature. Based on the analysis of the molecular functions, cellular localizations and pathways related to human proteins, SARS-CoV-2 proteins are found to possibly interact with human proteins linked to synaptic vesicle trafficking, endocytosis, axonal transport, neurotransmission, growth factors, mitochondrial and blood-brain barrier elements, in addition to its peripheral interactions with proteins linked to thrombosis, inflammation and metabolic control. Conclusion: SARS-CoV-2-human protein interactions may lead to the development of delirium, psychosis, seizures, encephalitis, stroke, sensory impairments, peripheral nerve diseases, and autoimmune disorders. Our findings are also supported by the previous in vivo and in vitro studies from other viruses. Further in vivo and in vitro studies using the proteins that are pointed here, could pave new targets both for avoiding and reversing neuropsychiatric presentations.
Journal Article•10.3389/FNHUM.2021.621620•
Spontaneous Alpha and Theta Oscillations Are Related to Complementary Aspects of Cognitive Control in Younger and Older Adults.

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Grace M. Clements1, Daniel C. Bowie1, Mate Gyurkovics1, Kathy A. Low1, Monica Fabiani1, Gabriele Gratton1 •
University of Illinois at Urbana–Champaign1
05 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this article, a cued flanker task was used to investigate the relationship between alpha and 1/f activity and cognitive control in younger and older adults, and the results showed that alpha was associated with proactive control processes, whereas theta power was related to reactive control.
Abstract: The resting-state human electroencephalogram (EEG) power spectrum is dominated by alpha (8-12 Hz) and theta (4-8 Hz) oscillations, and also includes non-oscillatory broadband activity inversely related to frequency (1/f activity). Gratton proposed that alpha and theta oscillations are both related to cognitive control function, though in a complementary manner. Alpha activity is hypothesized to facilitate the maintenance of representations, such as task sets in preparation for expected task conditions. In contrast, theta activity would facilitate changes in representations, such as the updating of task sets in response to unpredicted task demands. Therefore, theta should be related to reactive control (which may prompt changes in task representations), while alpha may be more relevant to proactive control (which implies the maintenance of current task representations). Less is known about the possible relationship between 1/f activity and cognitive control, which was analyzed here in an exploratory fashion. To investigate these hypothesized relationships, we recorded eyes-open and eyes-closed resting-state EEG from younger and older adults and subsequently tested their performance on a cued flanker task, expected to elicit both proactive and reactive control processes. Results showed that alpha power and 1/f offset were smaller in older than younger adults, whereas theta power did not show age-related reductions. Resting alpha power and 1/f offset were associated with proactive control processes, whereas theta power was related to reactive control as measured by the cued flanker task. All associations were present over and above the effect of age, suggesting that these resting-state EEG correlates could be indicative of trait-like individual differences in cognitive control performance, which may be already evident in younger adults, and are still similarly present in healthy older adults.
Journal Article•10.3389/FNHUM.2021.708481•
Implantable Pulse Generators for Deep Brain Stimulation: Challenges, Complications, and Strategies for Practicality and Longevity.

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Can Sarica1, Christian Iorio-Morin2, Christian Iorio-Morin1, David H. Aguirre‐Padilla1, David H. Aguirre‐Padilla3, Ahmed Najjar4, Ahmed Najjar1, Michelle Paff5, Michelle Paff1, Anton Fomenko1, Kazuaki Yamamoto1, Ajmal Zemmar6, Ajmal Zemmar7, Ajmal Zemmar1, Nir Lipsman1, George M. Ibrahim1, Clement Hamani8, Clement Hamani1, Mojgan Hodaie1, Mojgan Hodaie9, Andres M. Lozano9, Andres M. Lozano1, Renato P. Munhoz9, Renato P. Munhoz10, Alfonso Fasano1, Alfonso Fasano10, Alfonso Fasano9, Suneil K. Kalia •
University of Toronto1, Université de Sherbrooke2, University of Chile3, Taibah University4, University of California, Irvine5, Henan University6, University of Louisville7, Sunnybrook Health Sciences Centre8, University Health Network9, Toronto Western Hospital10
26 Aug 2021-Frontiers in Human Neuroscience
TL;DR: In this article, the authors provide an overview of key hardware and software specifications of commercially available IPG systems such as rechargeability, MRI compatibility, electrode configuration, pulse delivery, IPG case architecture, and local field potential sensing.
Abstract: Deep brain stimulation (DBS) represents an important treatment modality for movement disorders and other circuitopathies. Despite their miniaturization and increasing sophistication, DBS systems share a common set of components of which the implantable pulse generator (IPG) is the core power supply and programmable element. Here we provide an overview of key hardware and software specifications of commercially available IPG systems such as rechargeability, MRI compatibility, electrode configuration, pulse delivery, IPG case architecture, and local field potential sensing. We present evidence-based approaches to mitigate hardware complications, of which infection represents the most important factor. Strategies correlating positively with decreased complications include antibiotic impregnation and co-administration and other surgical considerations during IPG implantation such as the use of tack-up sutures and smaller profile devices.Strategies aimed at maximizing battery longevity include patient-related elements such as reliability of IPG recharging or consistency of nightly device shutoff, and device-specific such as parameter delivery, choice of lead configuration, implantation location, and careful selection of electrode materials to minimize impedance mismatch. Finally, experimental DBS systems such as ultrasound, magnetoelectric nanoparticles, and near-infrared that use extracorporeal powered neuromodulation strategies are described as potential future directions for minimally invasive treatment.
Journal Article•10.3389/FNHUM.2021.644570•
Sleep-Related Problems in Night Shift Nurses: Towards an Individualized Interventional Practice

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Valentina Alfonsi1, Serena Scarpelli, Maurizio Gorgoni1, Mariella Pazzaglia1, Anna Maria Giannini1, Luigi De Gennaro1 •
Sapienza University of Rome1
16 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors provide an updated overview of the literature on sleep problems in night shift nurses and their adverse consequences; and critically analyze the psychosocial factors that mediate the negative impact of shift work with the ultimate goal of defining an effective countermeasure based on an individualized approach.
Abstract: Rotating shifts (mostly 8- or 12-h) are common among nurses to ensure continuity of care. This scheduling system encompasses several adverse health and performance consequences. One of the most injurious effects of night-time shift work is the deterioration of sleep patterns due to both circadian rhythm disruption and increased sleep homeostatic pressure. Sleep problems lead to secondary effects on other aspects of wellbeing and cognitive functioning, increasing the risk of errors and workplace accidents. A wide range of interventions has been proposed to improve the sleep quality of nurses and promote an increase in attention levels. In recent years, particular attention has been paid to individual and environmental factors mediating the subjective ability to cope with sleep deprivation during the night shift. Given the predictive role of these factors on the negative impact of a night shift, an individualized intervention could represent an effective countermeasure by ensuring suitable management of shift schedules. Therefore, the aims of this mini-review are to: (a) provide an updated overview of the literature on sleep problems in night shift nurses and their adverse consequences; and (b) critically analyze the psychosocial factors that mediate the negative impact of shift work with the ultimate goal of defining an effective countermeasure based on an individualized approach.
Journal Article•10.3389/FNHUM.2021.701916•
Rate of Force Development as an Indicator of Neuromuscular Fatigue: A Scoping Review

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Samuel D’Emanuele1, Nicola A. Maffiuletti, Cantor Tarperi2, Cantor Tarperi1, Alberto Rainoldi2, Federico Schena1, Gennaro Boccia2 •
University of Verona1, University of Turin2
09 Jul 2021-Frontiers in Human Neuroscience
TL;DR: In this article, a general overview of the main studies published on neuromuscular fatigue is presented, and the most commonly fatiguing exercises were resistance exercises (37% of the studies), endurance exercises/locomotor activities (23%), isokinetic contractions (17%), and simulated/real sport situations (13%).
Abstract: Because rate of force development (RFD) is an emerging outcome measure for the assessment of neuromuscular function in unfatigued conditions, and it represents a valid alternative/complement to the classical evaluation of pure maximal strength, this scoping review aimed to map the available evidence regarding RFD as an indicator of neuromuscular fatigue. Thus, following a general overview of the main studies published on this topic, we arbitrarily compared the amount of neuromuscular fatigue between the "gold standard" measure (maximal voluntary force, MVF) and peak, early (≤100 ms) and late (>100 ms) RFD. Seventy full-text articles were included in the review. The most-common fatiguing exercises were resistance exercises (37% of the studies), endurance exercises/locomotor activities (23%), isokinetic contractions (17%), and simulated/real sport situations (13%). The most widely tested tasks were knee extension (60%) and plantar flexion (10%). The reason (i.e., rationale) for evaluating RFD was lacking in 36% of the studies. On average, the amount of fatigue for MVF (-19%) was comparable to late RFD (-19%) but lower compared to both peak RFD (-25%) and early RFD (-23%). Even if the rationale for evaluating RFD in the fatigued state was often lacking and the specificity between test task and fatiguing exercise characteristics was not always respected in the included studies, RFD seems to be a valid indicator of neuromuscular fatigue. Based on our arbitrary analyses, peak RFD and early phase RFD appear even to be more sensitive to quantify neuromuscular fatigue than MVF and late phase RFD.
Journal Article•10.3389/FNHUM.2021.705064•
Toward EEG-Based BCI Applications for Industry 4.0: Challenges and Possible Applications.

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Khalida Douibi1, Solène Le Bars1, Alice Lemontey1, Alice Lemontey2, Lipsa Nag1, Rodrigo Balp1, Gabrièle Breda1 •
Capgemini1, École Normale Supérieure2
01 Jan 2021-Frontiers in Human Neuroscience
TL;DR: In this article, the authors carried out a detailed literature review to investigate the main challenges and present criteria relevant to the future deployment of Brain-Computer Interface (BCI) applications for Industry 4.0.
Abstract: In the last few decades, Brain-Computer Interface (BCI) research has focused predominantly on clinical applications, notably to enable severely disabled people to interact with the environment. However, recent studies rely mostly on the use of non-invasive electroencephalographic (EEG) devices, suggesting that BCI might be ready to be used outside laboratories. In particular, Industry 4.0 is a rapidly evolving sector that aims to restructure traditional methods by deploying digital tools and cyber-physical systems. BCI-based solutions are attracting increasing attention in this field to support industrial performance by optimizing the cognitive load of industrial operators, facilitating human-robot interactions, and make operations in critical conditions more secure. Although these advancements seem promising, numerous aspects must be considered before developing any operational solutions. Indeed, the development of novel applications outside optimal laboratory conditions raises many challenges. In the current study, we carried out a detailed literature review to investigate the main challenges and present criteria relevant to the future deployment of BCI applications for Industry 4.0.
Journal Article•10.3389/FNHUM.2021.647513•
Brain Entropy During Aging Through a Free Energy Principle Approach

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Filippo Cieri1, Xiaowei Zhuang1, Jessica Z.K. Caldwell1, Dietmar Cordes1•
Lou Ruvo Brain Institute1
22 Mar 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors proposed an extension of the entropic brain hypothesis to physiological and pathological aging with a focus on resting-state functional Magnetic Resonance Imaging (MRI).
Abstract: Neural complexity and brain entropy (BEN) have gained greater interest in recent years. The dynamics of neural signals and their relations with information processing continue to be investigated through different measures in a variety of noteworthy studies. The BEN of spontaneous neural activity decreases during states of reduced consciousness. This evidence has been showed in primary consciousness states, such as psychedelic states, under the name of "the entropic brain hypothesis." In this manuscript we propose an extension of this hypothesis to physiological and pathological aging. We review this particular facet of the complexity of the brain, mentioning studies that have investigated BEN in primary consciousness states, and extending this view to the field of neuroaging with a focus on resting-state functional Magnetic Resonance Imaging. We first introduce historic and conceptual ideas about entropy and neural complexity, treating the mindbrain as a complex nonlinear dynamic adaptive system, in light of the free energy principle. Then, we review the studies in this field, analyzing the idea that the aim of the neurocognitive system is to maintain a dynamic state of balance between order and chaos, both in terms of dynamics of neural signals and functional connectivity. In our exploration we will review studies both on acute psychedelic states and more chronic psychotic states and traits, such as those in schizophrenia, in order to show the increase of entropy in those states. Then we extend our exploration to physiological and pathological aging, where BEN is reduced. Finally, we propose an interpretation of these results, defining a general trend of BEN in primary states and cognitive aging.
Journal Article•10.3389/FNHUM.2021.667709•
Sweet Taste Is Complex: Signaling Cascades and Circuits Involved in Sweet Sensation

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Elena von Molitor1, Katja Riedel, Michael Krohn, Mathias Hafner1, Rüdiger Rudolf2, Rüdiger Rudolf1, Tiziana Cesetti1 •
Mannheim University of Applied Sciences1, Heidelberg University2
22 Jun 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors discuss evidence supporting the existence of an alternative pathway, independent of the sweet taste receptor, to sense sugars and its proposed role in glucose homeostasis, and expand on the multiple direct and indirect effects of sugars on the brain.
Abstract: Sweetness is the preferred taste of humans and many animals, likely because sugars are a primary source of energy. In many mammals, sweet compounds are sensed in the tongue by the gustatory organ, the taste buds. Here, a group of taste bud cells expresses a canonical sweet taste receptor, whose activation induces Ca2+ rise, cell depolarization and ATP release to communicate with afferent gustatory nerves. The discovery of the sweet taste receptor, 20 years ago, was a milestone in the understanding of sweet signal transduction and is described here from a historical perspective. Our review briefly summarizes the major findings of the canonical sweet taste pathway, and then focuses on molecular details, about the related downstream signaling, that are still elusive or have been neglected. In this context, we discuss evidence supporting the existence of an alternative pathway, independent of the sweet taste receptor, to sense sugars and its proposed role in glucose homeostasis. Further, given that sweet taste receptor expression has been reported in many other organs, the physiological role of these extraoral receptors is addressed. Finally, and along these lines, we expand on the multiple direct and indirect effects of sugars on the brain. In summary, the review tries to stimulate a comprehensive understanding of how sweet compounds signal to the brain upon taste bud cells activation, and how this gustatory process is integrated with gastro-intestinal sugar sensing to create a hedonic and metabolic representation of sugars, which finally drives our behavior. Understanding of this is indeed a crucial step in developing new strategies to prevent obesity and associated diseases.
Journal Article•10.3389/FNHUM.2021.625321•
A Critical Review of Cranial Electrotherapy Stimulation for Neuromodulation in Clinical and Non-clinical Samples.

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Tad T. Brunyé1, Joseph E Patterson2, Thomas Wooten2, Erika K. Hussey2, Erika K. Hussey1 •
United States Department of the Army1, Tufts University2
01 Feb 2021-Frontiers in Human Neuroscience
TL;DR: Cranial electrotherapy stimulation (CES) is a neuromodulation tool used for treating several clinical disorders, including insomnia, anxiety, and depression as mentioned in this paper, and studies have examined CES for altering affect, physiology, and behavior in healthy, non-clinical samples.
Abstract: Cranial electrotherapy stimulation (CES) is a neuromodulation tool used for treating several clinical disorders, including insomnia, anxiety, and depression. More recently, a limited number of studies have examined CES for altering affect, physiology, and behavior in healthy, non-clinical samples. The physiological, neurochemical, and metabolic mechanisms underlying CES effects are currently unknown. Computational modeling suggests that electrical current administered with CES at the earlobes can reach cortical and subcortical regions at very low intensities associated with subthreshold neuromodulatory effects, and studies using electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) show some effects on alpha band EEG activity, and modulation of the default mode network during CES administration. One theory suggests that CES modulates brain stem (e.g., medulla), limbic (e.g., thalamus, amygdala), and cortical (e.g., prefrontal cortex) regions and increases relative parasympathetic to sympathetic drive in the autonomic nervous system. There is no direct evidence supporting this theory, but one of its assumptions is that CES may induce its effects by stimulating afferent projections of the vagus nerve, which provides parasympathetic signals to the cardiorespiratory and digestive systems. In our critical review of studies using CES in clinical and non-clinical populations, we found severe methodological concerns, including potential conflicts of interest, risk of methodological and analytic biases, issues with sham credibility, lack of blinding, and a severe heterogeneity of CES parameters selected and employed across scientists, laboratories, institutions, and studies. These limitations make it difficult to derive consistent or compelling insights from the extant literature, tempering enthusiasm for CES and its potential to alter nervous system activity or behavior in meaningful or reliable ways. The lack of compelling evidence also motivates well-designed and relatively high-powered experiments to assess how CES might modulate the physiological, affective, and cognitive responses to stress. Establishing reliable empirical links between CES administration and human performance is critical for supporting its prospective use during occupational training, operations, or recovery, ensuring reliability and robustness of effects, characterizing if, when, and in whom such effects might arise, and ensuring that any benefits of CES outweigh the risks of adverse events.
Journal Article•10.3389/FNHUM.2021.630813•
Increase in Beta Power Reflects Attentional Top-Down Modulation After Psychosocial Stress Induction.

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Ismael Palacios-García1, Ismael Palacios-García2, Jaime R. Silva3, Jaime R. Silva4, Mario Villena-González1, Mario Villena-González2, German Campos-Arteaga2, Claudio Artigas-Vergara2, Nicolas Luarte2, Eugenio Rodríguez2, Conrado A. Bosman5 •
Diego Portales University1, Pontifical Catholic University of Chile2, Universidad del Desarrollo3, Clínica Alemana4, University of Amsterdam5
01 Jan 2021-Frontiers in Human Neuroscience
TL;DR: In this paper, the authors explored how psychosocial stress can modulate brain rhythms during an attentional task and a task-free period, and found that stress-related states can change the balance between goal-directed and stimulus-driven factors, each relayed by different brain rhythms.
Abstract: Selective attention depends on goal-directed and stimulus-driven modulatory factors, each relayed by different brain rhythms. Under certain circumstances, stress-related states can change the balance between goal-directed and stimulus-driven factors. However, the neuronal mechanisms underlying these changes remain unclear. In this study, we explored how psychosocial stress can modulate brain rhythms during an attentional task and a task-free period. We recorded the EEG and ECG activity of 42 healthy participants subjected to either the Trier Social Stress Test (TSST), a controlled procedure to induce stress, or a comparable control protocol (same physical and cognitive effort but without the stress component), flanked by an attentional task, a 90 s of task-free period and a state of anxiety questionnaire. We observed that psychosocial stress induced an increase in heart rate (HR), self-reported anxiety, and alpha power synchronization. Also, psychosocial stress evoked a relative beta power increase during correct trials of the attentional task, which correlates positively with anxiety and heart rate increase, and inversely with attentional accuracy. These results suggest that psychosocial stress affects performance by redirecting attentional resources toward internal threat-related thoughts. An increment of endogenous top-down modulation reflected an increased beta-band activity that may serve as a compensatory mechanism to redirect attentional resources toward the ongoing task. The data obtained here may contribute to designing new ways of clinical management of the human stress response in the future and could help to minimize the damaging effects of persistent stressful experiences.
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