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1.
Lancet Digit Health ; 6(7): e526-e535, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38906618

RESUMO

The sharing of human neuroimaging data has great potential to accelerate the development of imaging biomarkers in neurological and psychiatric disorders; however, major obstacles remain in terms of how and why to share data in the Open Science context. In this Health Policy by the European Cluster for Imaging Biomarkers, we outline the current main opportunities and challenges based on the results of an online survey disseminated among senior scientists in the field. Although the scientific community fully recognises the importance of data sharing, technical, legal, and motivational aspects often prevent active adoption. Therefore, we provide practical advice on how to overcome the technical barriers. We also call for a harmonised application of the General Data Protection Regulation across EU countries. Finally, we suggest the development of a system that makes data count by recognising the generation and sharing of data as a highly valuable contribution to the community.


Assuntos
Disseminação de Informação , Neuroimagem , Humanos , Disseminação de Informação/métodos , Neuroimagem/métodos , Encéfalo/diagnóstico por imagem
2.
Nat Commun ; 15(1): 4662, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-38821913

RESUMO

Deep Brain Stimulation can improve tremor, bradykinesia, rigidity, and axial symptoms in patients with Parkinson's disease. Potentially, improving each symptom may require stimulation of different white matter tracts. Here, we study a large cohort of patients (N = 237 from five centers) to identify tracts associated with improvements in each of the four symptom domains. Tremor improvements were associated with stimulation of tracts connected to primary motor cortex and cerebellum. In contrast, axial symptoms are associated with stimulation of tracts connected to the supplementary motor cortex and brainstem. Bradykinesia and rigidity improvements are associated with the stimulation of tracts connected to the supplementary motor and premotor cortices, respectively. We introduce an algorithm that uses these symptom-response tracts to suggest optimal stimulation parameters for DBS based on individual patient's symptom profiles. Application of the algorithm illustrates that our symptom-tract library may bear potential in personalizing stimulation treatment based on the symptoms that are most burdensome in an individual patient.


Assuntos
Estimulação Encefálica Profunda , Córtex Motor , Doença de Parkinson , Tremor , Humanos , Estimulação Encefálica Profunda/métodos , Doença de Parkinson/terapia , Doença de Parkinson/fisiopatologia , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Tremor/terapia , Tremor/fisiopatologia , Córtex Motor/fisiopatologia , Algoritmos , Hipocinesia/terapia , Hipocinesia/fisiopatologia , Substância Branca/patologia , Substância Branca/fisiopatologia , Rigidez Muscular/terapia , Cerebelo/fisiopatologia , Estudos de Coortes , Resultado do Tratamento
3.
Nat Commun ; 15(1): 3570, 2024 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-38670965

RESUMO

Traveling waves and neural oscillation frequency gradients are pervasive in the human cortex. While the direction of traveling waves has been linked to brain function and dysfunction, the factors that determine this direction remain elusive. We hypothesized that structural connectivity instrength gradients - defined as the gradually varying sum of incoming connection strengths across the cortex - could shape both traveling wave direction and frequency gradients. We confirm the presence of instrength gradients in the human connectome across diverse cohorts and parcellations. Using a cortical network model, we demonstrate how these instrength gradients direct traveling waves and shape frequency gradients. Our model fits resting-state MEG functional connectivity best in a regime where instrength-directed traveling waves and frequency gradients emerge. We further show how structural subnetworks of the human connectome generate opposing wave directions and frequency gradients observed in the alpha and beta bands. Our findings suggest that structural connectivity instrength gradients affect both traveling wave direction and frequency gradients.


Assuntos
Córtex Cerebral , Conectoma , Humanos , Córtex Cerebral/fisiologia , Córtex Cerebral/diagnóstico por imagem , Magnetoencefalografia , Rede Nervosa/fisiologia , Rede Nervosa/diagnóstico por imagem , Modelos Neurológicos , Masculino , Adulto , Feminino
4.
eNeuro ; 11(4)2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38565295

RESUMO

The accumulation of amyloid-ß (Aß) and hyperphosphorylated-tau (hp-tau) are two classical histopathological biomarkers in Alzheimer's disease (AD). However, their detailed interactions with the electrophysiological changes at the meso- and macroscale are not yet fully understood. We developed a mechanistic multiscale model of AD progression, linking proteinopathy to its effects on neural activity and vice-versa. We integrated a heterodimer model of prion-like protein propagation and a brain network model of Jansen-Rit neural masses derived from human neuroimaging data whose parameters varied due to neurotoxicity. Results showed that changes in inhibition guided the electrophysiological alterations found in AD, and these changes were mainly attributed to Aß effects. Additionally, we found a causal disconnection between cellular hyperactivity and interregional hypersynchrony contrary to previous beliefs. Finally, we demonstrated that early Aß and hp-tau depositions' location determine the spatiotemporal profile of the proteinopathy. The presented model combines the molecular effects of both Aß and hp-tau together with a mechanistic protein propagation model and network effects within a closed-loop model. This holds the potential to enlighten the interplay between AD mechanisms on various scales, aiming to develop and test novel hypotheses on the contribution of different AD-related variables to the disease evolution.


Assuntos
Doença de Alzheimer , Deficiências na Proteostase , Humanos , Doença de Alzheimer/patologia , Encéfalo/metabolismo , Proteínas tau/metabolismo , Peptídeos beta-Amiloides/metabolismo , Neuroimagem/métodos , Deficiências na Proteostase/metabolismo , Deficiências na Proteostase/patologia , Progressão da Doença
5.
bioRxiv ; 2024 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-38585882

RESUMO

INTRODUCTION: Alzheimer's disease (AD) affects brain structure and function along its evolution, but brain network dynamic changes remain largely unknown. METHODS: To understand how AD shapes brain activity, we investigated the spatiotemporal dynamics and resting state functional networks using the intrinsic ignition framework, which characterizes how an area transmits neuronal activity to others, resulting in different degrees of integration. Healthy participants, MCI, and AD patients were scanned using resting state fMRI. Mixed effects models were used to assess the impact of ABeta and tau, at the regional and whole-brain levels. RESULTS: Dynamic complexity is progressively reduced, with Healthy participants showing higher metastability (i.e., a more complex dynamical regime over time) than observed in the other stages, while AD subjects showed the lowest. DISCUSSION: Our study provides further insight into how AD modulates brain network dynamics along its evolution, progressively disrupting the whole-brain and resting state network dynamics.

6.
Alzheimers Res Ther ; 15(1): 210, 2023 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-38053164

RESUMO

BACKGROUND: Alzheimer's disease is a neurodegenerative condition associated with the accumulation of two misfolded proteins, amyloid-beta (A[Formula: see text]) and tau. We study their effect on neuronal activity, with the aim of assessing their individual and combined impact. METHODS: We use a whole-brain dynamic model to find the optimal parameters that best describe the effects of A[Formula: see text] and tau on the excitation-inhibition balance of the local nodes. RESULTS: We found a clear dominance of A[Formula: see text] over tau in the early disease stages (MCI), while tau dominates over A[Formula: see text] in the latest stages (AD). We identify crucial roles for A[Formula: see text] and tau in complex neuronal dynamics and demonstrate the viability of using regional distributions to define models of large-scale brain function in AD. CONCLUSIONS: Our study provides further insight into the dynamics and complex interplay between these two proteins, opening the path for further investigations on biomarkers and candidate therapeutic targets in-silico.


Assuntos
Doença de Alzheimer , Humanos , Doença de Alzheimer/metabolismo , Peptídeos beta-Amiloides/metabolismo , Encéfalo/metabolismo , Neurônios/metabolismo , Proteínas tau/metabolismo , Biomarcadores/metabolismo
7.
Front Neurosci ; 17: 1159914, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37529235

RESUMO

Introduction: Brain Network Models (BNMs) are mathematical models that simulate the activity of the entire brain. These models use neural mass models to represent local activity in different brain regions that interact with each other via a global structural network. Researchers have been interested in using these models to explain measured brain activity, particularly resting state functional magnetic resonance imaging (rs-fMRI). BNMs have shown to produce similar properties as measured data computed over longer periods of time such as average functional connectivity (FC), but it is unclear how well simulated trajectories compare to empirical trajectories on a timepoint-by-timepoint basis. During task fMRI, the relevant processes pertaining to task occur over the time frame of the hemodynamic response function, and thus it is important to understand how BNMs capture these dynamics over these short periods. Methods: To test the nature of BNMs' short-term trajectories, we used a deep learning technique called Neural ODE to simulate short trajectories from estimated initial conditions based on observed fMRI measurements. To compare to previous methods, we solved for the parameterization of a specific BNM, the Firing Rate Model, using these short-term trajectories as a metric. Results: Our results show an agreement between parameterization of using previous long-term metrics with the novel short term metrics exists if also considering other factors such as the sensitivity in accuracy with relative to changes in structural connectivity, and the presence of noise. Discussion: Therefore, we conclude that there is evidence that by using Neural ODE, BNMs can be simulated in a meaningful way when comparing against measured data trajectories, although future studies are necessary to establish how BNM activity relate to behavioral variables or to faster neural processes during this time period.

8.
Front Aging Neurosci ; 15: 1204134, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37577354

RESUMO

Introduction: Neural circuit alterations lay at the core of brain physiopathology, and yet are hard to unveil in living subjects. The Virtual Brain (TVB) modeling, by exploiting structural and functional magnetic resonance imaging (MRI), yields mesoscopic parameters of connectivity and synaptic transmission. Methods: We used TVB to simulate brain networks, which are key for human brain function, in Alzheimer's disease (AD) and frontotemporal dementia (FTD) patients, whose connectivity and synaptic parameters remain largely unknown; we then compared them to healthy controls, to reveal novel in vivo pathological hallmarks. Results: The pattern of simulated parameter differed between AD and FTD, shedding light on disease-specific alterations in brain networks. Individual subjects displayed subtle differences in network parameter patterns that significantly correlated with their individual neuropsychological, clinical, and pharmacological profiles. Discussion: These TVB simulations, by informing about a new personalized set of networks parameters, open new perspectives for understanding dementias mechanisms and design personalized therapeutic approaches.

9.
Nat Commun ; 14(1): 2963, 2023 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-37221168

RESUMO

To better understand how network structure shapes intelligent behavior, we developed a learning algorithm that we used to build personalized brain network models for 650 Human Connectome Project participants. We found that participants with higher intelligence scores took more time to solve difficult problems, and that slower solvers had higher average functional connectivity. With simulations we identified a mechanistic link between functional connectivity, intelligence, processing speed and brain synchrony for trading accuracy with speed in dependence of excitation-inhibition balance. Reduced synchrony led decision-making circuits to quickly jump to conclusions, while higher synchrony allowed for better integration of evidence and more robust working memory. Strict tests were applied to ensure reproducibility and generality of the obtained results. Here, we identify links between brain structure and function that enable to learn connectome topology from noninvasive recordings and map it to inter-individual differences in behavior, suggesting broad utility for research and clinical applications.


Assuntos
Algoritmos , Conectoma , Humanos , Reprodutibilidade dos Testes , Encéfalo , Inibição Psicológica
10.
eNeuro ; 10(2)2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36750361

RESUMO

Science is changing: the volume and complexity of data are increasing, the number of studies is growing and the goal of achieving reproducible results requires new solutions for scientific data management. In the field of neuroscience, the German National Research Data Infrastructure (NFDI-Neuro) initiative aims to develop sustainable solutions for research data management (RDM). To obtain an understanding of the present RDM situation in the neuroscience community, NFDI-Neuro conducted a comprehensive survey among the neuroscience community. Here, we report and analyze the results of the survey. We focused the survey and our analysis on current needs, challenges, and opinions about RDM. The German neuroscience community perceives barriers with respect to RDM and data sharing mainly linked to (1) lack of data and metadata standards, (2) lack of community adopted provenance tracking methods, (3) lack of secure and privacy preserving research infrastructure for sensitive data, (4) lack of RDM literacy, and (5) lack of resources (time, personnel, money) for proper RDM. However, an overwhelming majority of community members (91%) indicated that they would be willing to share their data with other researchers and are interested to increase their RDM skills. Taking advantage of this willingness and overcoming the existing barriers requires the systematic development of standards, tools, and infrastructure, the provision of training, education, and support, as well as additional resources for RDM to the research community and a constant dialogue with relevant stakeholders including policy makers to leverage of a culture change through adapted incentivization and regulation.


Assuntos
Pesquisa Biomédica , Neurociências , Gerenciamento de Dados , Inquéritos e Questionários , Disseminação de Informação
11.
Cereb Cortex ; 33(10): 6241-6256, 2023 05 09.
Artigo em Inglês | MEDLINE | ID: mdl-36611231

RESUMO

Structural connectivity of the brain at different ages is analyzed using diffusion-weighted magnetic resonance imaging (MRI) data. The largest decrease of streamlines is found in frontal regions and for long inter-hemispheric links. The average length of the tracts also decreases, but the clustering is unaffected. From functional MRI we identify age-related changes of dynamic functional connectivity (dFC) and spatial covariation features of functional connectivity (FC) links captured by metaconnectivity. They indicate more stable dFC, but wider range and variance of MC, whereas static features of FC did not show any significant differences with age. We implement individual connectivity in whole-brain models and test several hypotheses for the mechanisms of operation among underlying neural system. We demonstrate that age-related functional fingerprints are only supported if the model accounts for: (i) compensation of the individual brains for the overall loss of structural connectivity and (ii) decrease of propagation velocity due to the loss of myelination. We also show that with these 2 conditions, it is sufficient to decompose the time-delays as bimodal distribution that only distinguishes between intra- and inter-hemispheric delays, and that the same working point also captures the static FC the best, and produces the largest variability at slow time-scales.


Assuntos
Conectoma , Humanos , Conectoma/métodos , Rede Nervosa , Encéfalo/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Imagem de Difusão por Ressonância Magnética , Mapeamento Encefálico/métodos
12.
Sci Data ; 9(1): 676, 2022 11 05.
Artigo em Inglês | MEDLINE | ID: mdl-36335218

RESUMO

We present a dataset of magnetic resonance imaging (MRI) data (T1, diffusion, BOLD) acquired in 25 brain tumor patients before the tumor resection surgery, and six months after the surgery, together with the tumor masks, and in 11 controls (recruited among the patients' caregivers). The dataset also contains behavioral and emotional scores obtained with standardized questionnaires. To simulate personalized computational models of the brain, we also provide structural connectivity matrices, necessary to perform whole-brain modelling with tools such as The Virtual Brain. In addition, we provide blood-oxygen-level-dependent imaging time series averaged across regions of interest for comparison with simulation results. An average resting state hemodynamic response function for each region of interest, as well as shape maps for each voxel, are also contributed.


Assuntos
Neoplasias Encefálicas , Imageamento por Ressonância Magnética , Humanos , Encéfalo/fisiologia , Mapeamento Encefálico/métodos , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/cirurgia , Neoplasias Encefálicas/patologia , Simulação por Computador , Imageamento por Ressonância Magnética/métodos
14.
Alzheimers Dement (N Y) ; 8(1): e12303, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35601598

RESUMO

Introduction: Computational brain network modeling using The Virtual Brain (TVB) simulation platform acts synergistically with machine learning (ML) and multi-modal neuroimaging to reveal mechanisms and improve diagnostics in Alzheimer's disease (AD). Methods: We enhance large-scale whole-brain simulation in TVB with a cause-and-effect model linking local amyloid beta (Aß) positron emission tomography (PET) with altered excitability. We use PET and magnetic resonance imaging (MRI) data from 33 participants of the Alzheimer's Disease Neuroimaging Initiative (ADNI3) combined with frequency compositions of TVB-simulated local field potentials (LFP) for ML classification. Results: The combination of empirical neuroimaging features and simulated LFPs significantly outperformed the classification accuracy of empirical data alone by about 10% (weighted F1-score empirical 64.34% vs. combined 74.28%). Informative features showed high biological plausibility regarding the AD-typical spatial distribution. Discussion: The cause-and-effect implementation of local hyperexcitation caused by Aß can improve the ML-driven classification of AD and demonstrates TVB's ability to decode information in empirical data using connectivity-based brain simulation.

15.
Exp Neurol ; 354: 114111, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35569510

RESUMO

Deep brain stimulation (DBS) has been successfully applied in various neurodegenerative diseases as an effective symptomatic treatment. However, its mechanisms of action within the brain network are still poorly understood. Many virtual DBS models analyze a subnetwork around the basal ganglia and its dynamics as a spiking network with their details validated by experimental data. However, connectomic evidence shows widespread effects of DBS affecting many different cortical and subcortical areas. From a clinical perspective, various effects of DBS besides the motoric impact have been demonstrated. The neuroinformatics platform The Virtual Brain (TVB) offers a modeling framework allowing us to virtually perform stimulation, including DBS, and forecast the outcome from a dynamic systems perspective prior to invasive surgery with DBS lead placement. For an accurate prediction of the effects of DBS, we implement a detailed spiking model of the basal ganglia, which we combine with TVB via our previously developed co-simulation environment. This multiscale co-simulation approach builds on the extensive previous literature of spiking models of the basal ganglia while simultaneously offering a whole-brain perspective on widespread effects of the stimulation going beyond the motor circuit. In the first demonstration of our model, we show that virtual DBS can move the firing rates of a Parkinson's disease patient's thalamus - basal ganglia network towards the healthy regime while, at the same time, altering the activity in distributed cortical regions with a pronounced effect in frontal regions. Thus, we provide proof of concept for virtual DBS in a co-simulation environment with TVB. The developed modeling approach has the potential to optimize DBS lead placement and configuration and forecast the success of DBS treatment for individual patients.


Assuntos
Estimulação Encefálica Profunda , Doença de Parkinson , Gânglios da Base/fisiologia , Encéfalo , Humanos , Doença de Parkinson/terapia , Tálamo/fisiologia
16.
Neuroimage ; 251: 118973, 2022 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-35131433

RESUMO

The Virtual Brain (TVB) is now available as open-source services on the cloud research platform EBRAINS (ebrains.eu). It offers software for constructing, simulating and analysing brain network models including the TVB simulator; magnetic resonance imaging (MRI) processing pipelines to extract structural and functional brain networks; combined simulation of large-scale brain networks with small-scale spiking networks; automatic conversion of user-specified model equations into fast simulation code; simulation-ready brain models of patients and healthy volunteers; Bayesian parameter optimization in epilepsy patient models; data and software for mouse brain simulation; and extensive educational material. TVB cloud services facilitate reproducible online collaboration and discovery of data assets, models, and software embedded in scalable and secure workflows, a precondition for research on large cohort data sets, better generalizability, and clinical translation.


Assuntos
Encéfalo , Computação em Nuvem , Animais , Teorema de Bayes , Encéfalo/diagnóstico por imagem , Simulação por Computador , Humanos , Imageamento por Ressonância Magnética/métodos , Camundongos , Software
17.
Neuroimage ; 250: 118928, 2022 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-35101596

RESUMO

What dynamic processes underly functional brain networks? Functional connectivity (FC) and functional connectivity dynamics (FCD) are used to represent the patterns and dynamics of functional brain networks. FC(D) is related to the synchrony of brain activity: when brain areas oscillate in a coordinated manner this yields a high correlation between their signal time series. To explain the processes underlying FC(D) we review how synchronized oscillations emerge from coupled neural populations in brain network models (BNMs). From detailed spiking networks to more abstract population models, there is strong support for the idea that the brain operates near critical instabilities that give rise to multistable or metastable dynamics that in turn lead to the intermittently synchronized slow oscillations underlying FC(D). We explore further consequences from these fundamental mechanisms and how they fit with reality. We conclude by highlighting the need for integrative brain models that connect separate mechanisms across levels of description and spatiotemporal scales and link them with cognitive function.


Assuntos
Cognição/fisiologia , Modelos Neurológicos , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Neuroimagem , Humanos
18.
Hum Brain Mapp ; 43(7): 2348-2364, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35133058

RESUMO

Sensorimotor coordination requires orchestrated network activity in the brain, mediated by inter- and intra-hemispheric interactions that may be affected by aging-related changes. We adopted a theoretical model, according to which intra-hemispheric inhibition from premotor to primary motor cortex is mandatory to compensate for inter-hemispheric excitation through the corpus callosum. To test this as a function of age we acquired electroencephalography (EEG) simultaneously with functional magnetic resonance imaging (fMRI) in two groups of healthy adults (younger N = 13: 20-25 year and older N = 14: 59-70 year) while learning a unimanual motor task. On average, quality of performance of older participants stayed significantly below that of the younger ones. Accompanying decreases in motor-event-related EEG ß-activity were lateralized toward contralateral motor regions, albeit more so in younger participants. In this younger group, the mean ß-power during motor task execution was significantly higher in bilateral premotor areas compared to the older adults. In both groups, fMRI blood oxygen level dependent (BOLD) signals were positively correlated with source-reconstructed ß-amplitudes: positive in primary motor and negative in premotor cortex. This suggests that ß-amplitude modulation is associated with primary motor cortex "activation" (positive BOLD response) and premotor "deactivation" (negative BOLD response). Although the latter results did not discriminate between age groups, they underscore that enhanced modulation in primary motor cortex may be explained by a ß-associated excitatory crosstalk between hemispheres.


Assuntos
Imageamento por Ressonância Magnética , Córtex Motor , Idoso , Envelhecimento/fisiologia , Estudos de Coortes , Eletroencefalografia , Humanos , Imageamento por Ressonância Magnética/métodos , Córtex Motor/diagnóstico por imagem , Córtex Motor/fisiologia
19.
eNeuro ; 9(1)2022.
Artigo em Inglês | MEDLINE | ID: mdl-35105657

RESUMO

Following traumatic brain injury (TBI), cognitive impairments manifest through interactions between microscopic and macroscopic changes. On the microscale, a neurometabolic cascade alters neurotransmission, while on the macroscale diffuse axonal injury impacts the integrity of long-range connections. Large-scale brain network modeling allows us to make predictions across these spatial scales by integrating neuroimaging data with biophysically based models to investigate how microscale changes invisible to conventional neuroimaging influence large-scale brain dynamics. To this end, we analyzed structural and functional neuroimaging data from a well characterized sample of 44 adult TBI patients recruited from a regional trauma center, scanned at 1-2 weeks postinjury, and with follow-up behavioral outcome assessed 6 months later. Thirty-six age-matched healthy adults served as comparison participants. Using The Virtual Brain, we fit simulations of whole-brain resting-state functional MRI to the empirical static and dynamic functional connectivity of each participant. Multivariate partial least squares (PLS) analysis showed that patients with acute traumatic intracranial lesions had lower cortical regional inhibitory connection strengths than comparison participants, while patients without acute lesions did not differ from the comparison group. Further multivariate PLS analyses found correlations between lower semiacute regional inhibitory connection strengths and more symptoms and lower cognitive performance at a 6 month follow-up. Critically, patients without acute lesions drove this relationship, suggesting clinical relevance of regional inhibitory connection strengths even when traumatic intracranial lesions were not present. Our results suggest that large-scale connectome-based models may be sensitive to pathophysiological changes in semi-acute phase TBI patients and predictive of their chronic outcomes.


Assuntos
Lesões Encefálicas Traumáticas , Conectoma , Adulto , Lesões Encefálicas Traumáticas/diagnóstico por imagem , Conectoma/métodos , Seguimentos , Humanos , Imageamento por Ressonância Magnética/métodos , Neuroimagem
20.
Fractal Fract ; 6(12)2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38106971

RESUMO

Dopaminergic treatment (DT), the standard therapy for Parkinson's disease (PD), alters the dynamics of functional brain networks at specific time scales. Here, we explore the scale-free functional connectivity (FC) in the PD population and how it is affected by DT. We analyzed the electroencephalogram of: (i) 15 PD patients during DT (ON) and after DT washout (OFF) and (ii) 16 healthy control individuals (HC). We estimated FC using bivariate focus-based multifractal analysis, which evaluated the long-term memory (H(2)) and multifractal strength (ΔH15) of the connections. Subsequent analysis yielded network metrics (node degree, clustering coefficient and path length) based on FC estimated by H(2) or ΔH15. Cognitive performance was assessed by the Mini Mental State Examination (MMSE) and the North American Adult Reading Test (NAART). The node degrees of the ΔH15 networks were significantly higher in ON, compared to OFF and HC, while clustering coefficient and path length significantly decreased. No alterations were observed in the H(2) networks. Significant positive correlations were also found between the metrics of H(2) networks and NAART scores in the HC group. These results demonstrate that DT alters the multifractal coupled dynamics in the brain, warranting the investigation of scale-free FC in clinical and pharmacological studies.

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