Understanding brain states across spacetime informed by whole-brain modelling

In order to survive in a complex environment, the human brain relies on the ability to flexibly adapt ongoing behaviour according to intrinsic and extrinsic signals. This capability has been linked to specific whole-brain activity patterns whose relative stability (order) allows for consistent functioning, supported by sufficient intrinsic instability needed for optimal adaptability. The emergent, spontaneous balance between order and disorder in brain activity over spacetime underpins distinct brain states. For example, depression is characterized by excessively rigid, highly ordered states, while psychedelics can bring about more disordered, sometimes overly flexible states. Recent developments in systems, computational and theoretical neuroscience have started to make inroads into the characterization of such complex dynamics over space and time. Here, we review recent insights drawn from neuroimaging and whole-brain modelling motivating using mechanistic principles from dynamical system theory to study and characterize brain states. We show how different healthy and altered brain states are associated to characteristic spacetime dynamics which in turn may offer insights that in time can inspire new treatments for rebalancing brain states in disease. This article is part of the theme issue 'Emergent phenomena in complex physical and socio-technical systems: from cells to societies'

Multi-view machine learning methods to uncover brain-behaviour associations

The heterogeneity of neurological and mental disorders has been a key confound in disease understanding and treatment outcome prediction, as the study of patient populations typically includes multiple subgroups that do not align with the diagnostic categories. The aim of this thesis is to investigate and extend classical multivariate methods, such as Canonical Correlation Analysis (CCA), and latent variable models, e.g., Group Factor Analysis (GFA), to uncover associations between brain and behaviour that may characterize patient populations and subgroups of patients. In the first contribution of this thesis, we applied CCA to investigate brain-behaviour associations in a sample of healthy and depressed adolescents and young adults. We found two positive-negative brain-behaviour modes of covariation, capturing externalisation/ internalisation symptoms and well-being/distress. In the second contribution of the thesis, I applied sparse CCA to the same dataset to present a regularised approach to investigate brain-behaviour associations in high dimensional datasets. Here, I compared two approaches to optimise the regularisation parameters of sparse CCA and showed that the choice of the optimisation strategy might have an impact on the results. In the third contribution, I extended the GFA model to mitigate some limitations of CCA, such as handling missing data. I applied the extended GFA model to investigate links between high dimensional brain imaging and non-imaging data from the Human Connectome Project, and predict non-imaging measures from brain functional connectivity. The results were consistent between complete and incomplete data, and replicated previously reported findings. In the final contribution of this thesis, I proposed two extensions of GFA to uncover brain behaviour associations that characterize subgroups of subjects in an unsupervised and supervised way, as well as explore within-group variability at the individual level. These extensions were demonstrated using a dataset of patients with genetic frontotemporal dementia. In summary, this thesis presents multi-view methods that can be used to deepen our understanding about the latent dimensions of disease in mental/neurological disorders and potentially enable patient stratification

The effects of DMT and associated psychedelics on the human mind and brain

This work presents seven investigations conducted with the aim to determine the effects of DMT (a compound which is able to cause remarkable effects in consciousness) and associated psychedelic drugs on the human brain and mind. Including a variety of neuroimaging (EEG, MEG and fMRI), phenomenological, psychometric and naturalistic research methods, these are the first controlled investigations of the impact of DMT in the human resting brain. Results revealed that DMT disrupted several brain mechanisms associated with top-down control (alpha power, integrity of high-level networks, modularity), increased measures related to entropy, or disorder (Lempel-Ziv complexity, novel pairwise connectivity) and immersive states of consciousness (delta/theta power), with some of these effects following the experiential trajectories of the DMT state. We also observed a significant temporal correlation between some of these effects (alpha power and default-mode network integrity fluctuations), which were supported by LSD effects of reduced feedback connectivity and neural adaption mechanisms. suggesting that the psychedelic brain state is one of reduced modularity, increased integration and functional plasticity. These findings were complemented by psychological studies showing that the DMT state is one of immersive visual imagery, intense somatic experiences and partial disconnection from the environment, which we found shared significant overlap with near- death experiences. DMT administration also resulted in positive mental health outcomes in healthy volunteers providing evidence for the first time that DMT may provide a useful alternative to currently- investigated psychedelic treatments. Finally, results from our last study performed in naturalistic environments revealed that psychedelics are able to have a transformative potential on core beliefs concerning the fundamental nature of reality and consciousness for up to 6 months, with important social and bioethical implications. Collectively these results attest to the strong impact that psychedelics have on varied human domains, which range experience, brain activity, mental health, intersubjectivity and beliefs.Open Acces

Tractographie adaptative basée sur la microstructure pour des analyses précises de la connectivité cérébrale

Le cerveau est un sujet de recherche depuis plusieurs décennies, puisque son rôle est central dans la compréhension du genre humain. Le cerveau est composé de neurones, où leurs dendrites et synapses se retrouvent dans la matière grise alors que les axones en constituent la matière blanche. L’information traitée dans les différentes régions de la matière grise est ensuite transmise par l’intermédiaire des axones afin d’accomplir différentes fonctions cognitives. La matière blanche forme une structure d’interconnections complexe encore dif- ficile à comprendre et à étudier. La relation entre l’architecture et la fonction du cerveau a été étudiée chez les humains ainsi que pour d’autres espèces, croyant que l’architecture des axones déterminait la dynamique du réseau fonctionnel. Dans ce même objectif, l’Imagerie par résonance (IRM) est un outil formidable qui nous permet de visualiser les tissus cérébraux de façon non-invasive. Plus partic- ulièrement, l’IRM de diffusion permet d’estimer et de séparer la diffusion libre de celle restreinte par la structure des tissus. Cette mesure de restriction peut être utilisée afin d’inférer l’orientation locale des faisceaux de matière blanche. L’algorithme de tractographie exploite cette carte d’orientation pour reconstruire plusieurs connexions de la matière blanche (nommées “streamlines”). Cette modélisation de la matière blanche permet d’estimer la connectivité cérébrale dite structurelle entre les différentes régions du cerveau. Ces résultats peuvent être employés directement pour la planification chirurgicale ou indirectement pour l’analyse ou une évaluation clinique. Malgré plusieurs de ses limitations, telles que sa variabilité et son imprécision, la tractographie reste l’unique moyen d’étudier l’architecture de la matière blanche ainsi que la connectivité cérébrale de façon non invasive. L’objectif de ce projet de doctorat est de répondre spécifiquement à ces limitations et d’améliorer la précision anatomique des estimations de connectivité structurelle. Dans ce but, nous avons développé un algorithme d’optimisation globale qui exploite les informations de micro et macrostructure, en introduisant une procédure itéra- tive qui utilise les propriétés sous-jacentes des tissus pour piloter la reconstruction en utilisant une approche semi-globale. Ensuite, nous avons étudié la possibilité d’adapter dynamiquement la position d’un ensemble de lignes de courant candidates tout en intégrant le préalable anatomique de la douceur des trajectoires et en adap- tant la configuration en fonction des données observées. Enfin, nous avons introduit le concept de bundle-o-graphy en mettant en œuvre une méthode pour modéliser des groupes de lignes de courant basées sur le concept que les axones sont organisés en fascicules, en adaptant leur forme et leur étendue en fonction de la microstructure sous-jacente.Abstract : Human brain has been subject of deep interest for centuries, given it’s central role in controlling and directing the actions and functions of the body as response to external stimuli. The neural tissue is primarily constituted of neurons and, together with dendrites and the nerve synapses, constitute the gray matter (GM) which plays a major role in cognitive functions. The information processed in the GM travel from one region to the other of the brain along nerve cell projections, called axons. All together they constitute the white matter (WM) whose wiring organization still remains challenging to uncover. The relationship between structure organization of the brain and function has been deeply investigated on humans and animals based on the assumption that the anatomic architecture determine the network dynamics. In response to that, many different imaging techniques raised, among which diffusion-weighted magnetic resonance imaging (DW-MRI) has triggered tremendous hopes and expectations. Diffusion-weighted imaging measures both restricted and unrestricted diffusion, i.e. the degree of movement freedom of the water molecules, allowing to map the tissue fiber architecture in vivo and non-invasively. Based on DW-MRI data, tractography is able to exploit information of the local fiber orien- tation to recover global fiber pathways, called streamlines, that represent groups of axons. This, in turn, allows to infer the WM structural connectivity, becoming widely used in many different clinical applications as for diagnoses, virtual dissections and surgical planning. However, despite this unique and compelling ability, data acqui- sition still suffers from technical limitations and recent studies have highlighted the poor anatomical accuracy of the reconstructions obtained with this technique and challenged its effectiveness for studying brain connectivity. The focus of this Ph.D. project is to specifically address these limitations and to improve the anatomical accuracy of the structural connectivity estimates. To this aim, we developed a global optimization algorithm that exploits micro and macro- structure information, introducing an iterative procedure that uses the underlying tissue properties to drive the reconstruction using a semi-global approach. Then, we investigated the possibility to dynamically adapt the position of a set of candidate streamlines while embedding the anatomical prior of trajectories smoothness and adapting the configuration based on the observed data. Finally, we introduced the concept of bundle-o-graphy by implementing a method to model groups of streamlines based on the concept that axons are organized into fascicles, adapting their shape and extent based on the underlying microstructure.Sommario : Il cervello umano è oggetto di profondo interesse da secoli, dato il suo ruolo centrale nel controllare e dirigere le azioni e le funzioni del corpo in risposta a stimoli esterno. Il tessuto neurale è costituito principalmente da neuroni che, insieme ai dendriti e alle sinapsi nervose, costituiscono la materia grigia (GM), la quale riveste un ruolo centrale nelle funzioni cognitive. Le informazioni processate nella GM viaggiano da una regione all’altra del cervello lungo estensioni delle cellule nervose, chiamate assoni. Tutti insieme costituiscono la materia bianca (WM) la cui organizzazione strutturale rimane tuttora sconosciuta. Il legame tra struttura e funzione del cervello sono stati studiati a fondo su esseri umani e animali partendo dal presupposto che l’architettura anatomica determini la dinamica della rete funzionale. In risposta a ciò, sono emerse diverse tecniche di imaging, tra cui la risonanza magnetica pesata per diffusione (DW-MRI) ha suscitato enormi speranze e aspettative. Questa tecnica misura la diffusione sia libera che ristretta, ovvero il grado di libertà di movimento delle molecole d’acqua, consentendo di mappare l’architettura delle fibre neuronali in vivo e in maniera non invasiva. Basata su dati DW-MRI, la trattografia è in grado di sfruttare le informazioni sull’orientamento locale delle fibre per ricostruirne i percorsi a livello globale. Questo, a sua volta, consente di estrarre la connettività strutturale della WM, utilizzata in diverse applicazioni cliniche come per diagnosi, dissezioni virtuali e pianificazione chirurgica. Tuttavia, nonostante questa capacità unica e promettente, l’acquisizione dei dati soffre ancora di limitazioni tecniche e recenti studi hanno messo in evidenza la scarsa accuratezza anatomica delle ricostruzioni ottenute con questa tecnica, mettendone in dubbio l’efficacia per lo studio della connettività cerebrale. Il focus di questo progetto di dottorato è quello di affrontare in modo specifico queste limitazioni e di migliorare l’accuratezza anatomica delle stime di connettività strutturale. A tal fine, abbiamo sviluppato un algoritmo di ottimizzazione globale che sfrutta le informazioni sia micro che macrostrutturali, introducendo una procedura iterativa che utilizza le proprietà del tessuto neuronale per guidare la ricostruzione utilizzando un approccio semi-globale. Successivamente, abbiamo studiato la possibilità di adattare dinamicamente la posizione di un insieme di streamline candidate incorporando il prior anatomico per cui devono seguire traiettorie regolari e adattando la configurazione in base ai dati osservati. Infine, abbiamo introdotto il concetto di bundle-o-graphy implementando un metodo per modellare gruppi di streamline basato sul concetto che gli assoni sono organizzati in fasci, adattando la loro forma ed estensione in base alla microstruttura sottostante

A novel diffusion tensor imaging-based computer-aided diagnostic system for early diagnosis of autism.

Autism spectrum disorders (ASDs) denote a significant growing public health concern. Currently, one in 68 children has been diagnosed with ASDs in the United States, and most children are diagnosed after the age of four, despite the fact that ASDs can be identified as early as age two. The ultimate goal of this thesis is to develop a computer-aided diagnosis (CAD) system for the accurate and early diagnosis of ASDs using diffusion tensor imaging (DTI). This CAD system consists of three main steps. First, the brain tissues are segmented based on three image descriptors: a visual appearance model that has the ability to model a large dimensional feature space, a shape model that is adapted during the segmentation process using first- and second-order visual appearance features, and a spatially invariant second-order homogeneity descriptor. Secondly, discriminatory features are extracted from the segmented brains. Cortex shape variability is assessed using shape construction methods, and white matter integrity is further examined through connectivity analysis. Finally, the diagnostic capabilities of these extracted features are investigated. The accuracy of the presented CAD system has been tested on 25 infants with a high risk of developing ASDs. The preliminary diagnostic results are promising in identifying autistic from control patients

Adaptive microstructure-informed tractography for accurate brain connectivity analyses

Human brain has been subject of deep interest for centuries, given it's central role in controlling and directing the actions and functions of the body as response to external stimuli. The neural tissue is primarily constituted of neurons and, together with dendrites and the nerve synapses, constitute the gray matter (GM) which plays a major role in cognitive functions. The information processed in the GM travel from one region to the other of the brain along nerve cell projections, called axons. All together they constitute the white matter (WM) whose wiring organization still remains challenging to uncover. The relationship between structure organization of the brain and function has been deeply investigated on humans and animals based on the assumption that the anatomic architecture determine the network dynamics. In response to that, many different imaging techniques raised, among which diffusion-weighted magnetic resonance imaging (DW-MRI) has triggered tremendous hopes and expectations. Diffusion-weighted imaging measures both restricted and unrestricted diffusion, i.e. the degree of movement freedom of the water molecules, allowing to map the tissue fiber architecture in vivo and non-invasively. Based on DW-MRI data, tractography is able to exploit information of the local fiber orientation to recover global fiber pathways, called streamlines, that represent groups of axons. This, in turn, allows to infer the WM structural connectivity, becoming widely used in many different clinical applications as for diagnoses, virtual dissections and surgical planning. However, despite this unique and compelling ability, data acquisition still suffers from technical limitations and recent studies have highlighted the poor anatomical accuracy of the reconstructions obtained with this technique and challenged its effectiveness for studying brain connectivity. The focus of this Ph.D. project is to specifically address these limitations and to improve the anatomical accuracy of the structural connectivity estimates. To this aim, we developed a global optimization algorithm that exploits micro and macro-structure information, introducing an iterative procedure that uses the underlying tissue properties to drive the reconstruction using a semi-global approach. Then, we investigated the possibility to dynamically adapt the position of a set of candidate streamlines while embedding the anatomical prior of trajectories smoothness and adapting the configuration based on the observed data. Finally, we introduced the concept of bundle-o-graphy by implementing a method to model groups of streamlines based on the concept that axons are organized into fascicles, adapting their shape and extent based on the underlying microstructure

Role of network topology based methods in discovering novel gene-phenotype associations

The cell is governed by the complex interactions among various types of biomolecules. Coupled with environmental factors, variations in DNA can cause alterations in normal gene function and lead to a disease condition. Often, such disease phenotypes involve coordinated dysregulation of multiple genes that implicate inter-connected pathways. Towards a better understanding and characterization of mechanisms underlying human diseases, here, I present GUILD, a network-based disease-gene prioritization framework. GUILD associates genes with diseases using the global topology of the protein-protein interaction network and an initial set of genes known to be implicated in the disease. Furthermore, I investigate the mechanistic relationships between disease-genes and explain the robustness emerging from these relationships. I also introduce GUILDify, an online and user-friendly tool which prioritizes genes for their association to any user-provided phenotype. Finally, I describe current state-of-the-art systems-biology approaches where network modeling has helped extending our view on diseases such as cancer.La cèl•lula es regeix per interaccions complexes entre diferents tipus de biomolècules. Juntament amb factors ambientals, variacions en el DNA poden causar alteracions en la funció normal dels gens i provocar malalties. Sovint, aquests fenotips de malaltia involucren una desregulació coordinada de múltiples gens implicats en vies interconnectades. Per tal de comprendre i caracteritzar millor els mecanismes subjacents en malalties humanes, en aquesta tesis presento el programa GUILD, una plataforma que prioritza gens relacionats amb una malaltia en concret fent us de la topologia de xarxe. A partir d’un conjunt conegut de gens implicats en una malaltia, GUILD associa altres gens amb la malaltia mitjancant la topologia global de la xarxa d’interaccions de proteïnes. A més a més, analitzo les relacions mecanístiques entre gens associats a malalties i explico la robustesa es desprèn d’aquesta anàlisi. També presento GUILDify, un servidor web de fácil ús per la priorització de gens i la seva associació a un determinat fenotip. Finalment, descric els mètodes més recents en què el model•latge de xarxes ha ajudat extendre el coneixement sobre malalties complexes, com per exemple a càncer

Bayesian Modeling Strategies for Complex Data Structures, with Applications to Neuroscience and Medicine

Bayesian statistical procedures use probabilistic models and probability distributions to summarize data, estimate unknown quantities of interest, and predict future observations. The procedures borrow strength from other observations in the dataset by using prior distributions and/or hierarchical model specifications. The unique posterior sampling techniques can handle different issues, e.g., missing data, imputation, and extraction of parameters (and their functional forms) that would otherwise be difficult to address using conventional methods. In this dissertation, we propose Bayesian modeling strategies to address various challenges arising in the fields of neuroscience and medicine. Specifically, we propose a sparse Bayesian hierarchical Vector Autoregressive (VAR) model to map human brain connectivity using multi-subject multi-session functional magnetic resonance image (fMRI) data. We use the same model on patient diary databases, focusing on patient-level prediction of medical conditions using posterior predictive samples. We also propose a Bayesian model with an augmented Markov Chain Monte Carlo (MCMC) algorithm on repeat Electrical Stimulation Mappings (ESM) to evaluate the variability of localization in brain sites responsible for language function. We close by using Bayesian disproportionality analyses on spontaneous reporting system (SRS) databases for post-market drug safety surveillance, illustrating the caution required in real-world analysis and decision making