{"title":"Structural signatures of language reorganization after left hemispherotomy in patients with Rasmussen's encephalitis.","authors":"Anna Borne, Marcela Perrone-Bertolotti, Christine Bulteau, Emilie Cousin, Elise Roger, Monica Baciu","doi":"10.1007/s00429-025-02923-7","DOIUrl":"10.1007/s00429-025-02923-7","url":null,"abstract":"<p><p>Rasmussen's encephalitis (RE) is a rare neurological disorder affecting a single cerebral hemisphere, often requiring hemispherotomy as a curative treatment. While significant brain plasticity occurs due to the pathology and surgical intervention, the mechanisms underlying cognitive functioning in the remaining hemisphere remain poorly understood. This multiple-case study longitudinally investigates neurocognitive reorganization in childhood after left hemispherotomy for RE and identifies structural patterns in the right hemisphere associated with language recovery. Indeed, the mechanisms that allow the right hemisphere to support language, after left hemispherotomy remain unclear. Cognitive trajectories were analyzed in three RE patients, and their cortical thickness (CT) changes were compared with data from a publicly available cohort of 393 healthy subjects. Language neuropsychological scores and T1-weighted MRI data were assessed in the healthy right hemisphere before hemispherotomy, one year, and five years post-surgery. Specifically, principal component analysis, structural covariance, and graph theory approaches were employed to investigate language network organization in patients and controls. Results reveal diverse language recovery trajectories among the three patients. Regarding CT, three potential signatures associated with favorable language outcomes were identified: (1) normal or below-normal CT values in cortical regions; (2) a more associative and integrative organization of the language network; and (3) increased global efficiency. These preliminary longitudinal findings provide novel insights into the mechanisms of neurocognitive reorganization following left hemispherotomy in childhood. By emphasizing structural patterns linked to favorable postoperative language recovery, this study highlights their value for guiding future research and clinical interventions.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 5","pages":"63"},"PeriodicalIF":2.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shin Tai Chong, Joseph Yuan-Mou Yang, Ching-Po Lin
{"title":"Understanding tractography in edematous brain regions: challenges and solutions.","authors":"Shin Tai Chong, Joseph Yuan-Mou Yang, Ching-Po Lin","doi":"10.1007/s00429-025-02925-5","DOIUrl":"10.1007/s00429-025-02925-5","url":null,"abstract":"<p><p>Fiber tractography is a powerful method for visualizing the complex network of neural connections in the brain, essential for understanding white matter architecture and guiding neurosurgical procedures. However, brain edema presents significant challenges for accurate tractography due to altered diffusion patterns that can obscure critical pathways. The increased isotropic diffusion in edematous regions disrupts traditional diffusion tensor imaging (DTI), limiting its ability to delineate fiber tracts reliably. This article explores the impact of edema on tractography and reviews recent advancements in diffusion models, including Free Water Imaging (FWI), Neurite Orientation Dispersion and Density Imaging (NODDI), Restriction Spectrum Imaging (RSI), Diffusion Basis Spectrum Imaging (DBSI), and Unscented Kalman Filter (UKF) tractography. These advanced techniques mitigate the limitations of conventional DTI by separating diffusion signals into multiple compartments, utilizing higher b-value encodings, and improving tract in heterogeneous environments. By enhancing the accuracy and reliability of fiber tracking, these approaches have significant implications for clinical applications, particularly in neurosurgical planning and connectivity analysis.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 5","pages":"64"},"PeriodicalIF":2.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francois Rheault, Helen Mayberg, Michel Thiebaut de Schotten, Alard Roebroeck, Stephanie J Forkel
{"title":"The scientific value of tractography: accuracy vs usefulness.","authors":"Francois Rheault, Helen Mayberg, Michel Thiebaut de Schotten, Alard Roebroeck, Stephanie J Forkel","doi":"10.1007/s00429-025-02921-9","DOIUrl":"10.1007/s00429-025-02921-9","url":null,"abstract":"<p><p>Tractography has emerged as a central tool for mapping the cerebral white matter architecture. However, its scientific value continues to be a subject of debate, given its inherent limitations in anatomical accuracy. This concise communication showcases key points of a debate held at the 2024 Tract-Anat Retreat, addressing the trade-offs between the accuracy and utility of tractography. While tractography remains constrained by limitations related to resolution, sensitivity, and validation, its usefulness and utility in areas such as surgical planning, disorder prediction, and the elucidation of brain development are emphasized. These perspectives highlight the necessity of context-specific interpretation, anatomically informed algorithms, and the continuous refinement of tractography workflows to achieve an optimal balance between accuracy and utility.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"59"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rudolf Nieuwenhuys and the meaning of it all.","authors":"R Jarrett Rushmore","doi":"10.1007/s00429-025-02926-4","DOIUrl":"10.1007/s00429-025-02926-4","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"60"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian Beaulieu, Alessandro Daducci, Helen Mayberg, Alexander Leemans
{"title":"Due to difference in anatomical definitions, population variability and tractography methods, it will not be possible to standardize brain tractography for users, or will it?","authors":"Christian Beaulieu, Alessandro Daducci, Helen Mayberg, Alexander Leemans","doi":"10.1007/s00429-025-02924-6","DOIUrl":"10.1007/s00429-025-02924-6","url":null,"abstract":"<p><p>Standardization of diffusion MRI tractography remains a major challenge due to variability in anatomical definitions, subject-specific white matter organization, pathology, acquisition protocols, and tractography methods. This short communication summarizes the key points of a debate on the limitations and opportunities in standardizing tractography across basic research and clinical settings held at the 2024 Tract-Anat Retreat. While full harmonization may be infeasible, there is optimism given the high performance of many current tractography methods, their demonstrated utility in multiple applications, and flexibility for adapting to the previously mentioned variabilities. Ultimately, what will be best will depend on the brain region and application, thereby reflecting the need for multiple dedicated standardized protocols.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"61"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Dubois, Mareike Grotheer, Joseph Yuan-Mou Yang, Jacques-Donald Tournier, Christian Beaulieu, Catherine Lebel
{"title":"Small brains but big challenges: white matter tractography in early life samples.","authors":"Jessica Dubois, Mareike Grotheer, Joseph Yuan-Mou Yang, Jacques-Donald Tournier, Christian Beaulieu, Catherine Lebel","doi":"10.1007/s00429-025-02922-8","DOIUrl":"10.1007/s00429-025-02922-8","url":null,"abstract":"<p><p>In the human brain, white matter development is a complex and long-lasting process involving intermingling micro- and macrostructural mechanisms, such as fiber growth, pruning and myelination. Did you know that all these neurodevelopmental changes strongly affect MRI signals, with consequences on tractography performances and reliability? This communication aims to elaborate on these aspects, highlighting the importance of tracking and studying the developing connections with dedicated approaches.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"58"},"PeriodicalIF":2.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I S Fernández Del Campo, A J de la Fuente, I Díaz, I Plaza, M A Merchán
{"title":"Anodal direct current stimulation of the auditory cortex at the onset of presbycusis delays cortical aging.","authors":"I S Fernández Del Campo, A J de la Fuente, I Díaz, I Plaza, M A Merchán","doi":"10.1007/s00429-025-02912-w","DOIUrl":"10.1007/s00429-025-02912-w","url":null,"abstract":"<p><p>Presbycusis or age-related hearing loss (ARHL) affects millions of people worldwide, increasing their risk of cognitive decline and poor quality of life. However, ARHL remains an irreversible condition due to our inability to induce inner-ear hair cell regeneration. Nevertheless, multisession epidural stimulation of the auditory cortex (AC) at the onset of ARHL prevents hearing threshold elevation in naturally aging Wistar rats. Accordingly, we hypothesized that anodal direct current (DC) stimulation of the AC may also compensate for age-related maladaptive, activity-dependent changes. Here, we examined immunocytochemical markers in the AC, including early genes (c-fos and Arc), AMPA receptors (GluR2/3), parvalbumin (PV), and GAD67, along with auditory-evoked potentials (CAEPs) recorded in both auditory and visual (VC) cortices. When comparing 6 and 18.13-month-old rats without AC simulation, we observed loss of c-fos and Arc-positive neurons and decreased GluR2/3 expression, confirming altered AC neuronal network plasticity and activation. In addition, we noted changes in PV and decreased GAD67 immunoreactivity suggesting disrupted inhibition and significantly increased wave amplitudes in CAEPs, altered AC latencies, and decreased VC responses. By contrast, electrically stimulated rats showed no significant variations in early gene markers, GluR2/3, PV, or GAD67 with age, and the amplitudes and latencies of CAEPs recorded in their AC and VC resembled those of young rat. These findings indicate that anodal DC stimulation at the onset of ARHL delays AC aging by minimizing the loss of inhibition and preventing increases in cortical excitability in Wistar rats.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"56"},"PeriodicalIF":2.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12031871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Farewell Rudolf Nieuwenhuys, you neuroanatomical legend.","authors":"Michel Thiebaut de Schotten","doi":"10.1007/s00429-025-02917-5","DOIUrl":"10.1007/s00429-025-02917-5","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"54"},"PeriodicalIF":2.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhanced brain myelination and cognitive development in young children associated with milk fat globule membrane (MFGM) intake: a temporal cohort study.","authors":"Sean C L Deoni, Jennifer Beauchemin, Viren D'Sa","doi":"10.1007/s00429-025-02907-7","DOIUrl":"10.1007/s00429-025-02907-7","url":null,"abstract":"<p><p>Myelination is an important neurodevelopmental process that facilitates efficient brain messaging and connectivity, and contributes to the emergence and refinement of cognitive skills and abilities. Healthy maturation of the myelinated white matter requires coordinated delivery of key nutritional building blocks, including short and long-chain polyunsaturated fatty acids, phospholipids, and sphingolipids. While many of these nutrients are amply supplied by breastmilk, they may not be present in sufficient quantity in infant formula milk. Milk fat globule membrane (MFGM) is a rich source of phospholipids, including sphingomyelin and has been associated with improved cognitive development in infants and children when added to infant formula. To determine if added bovine MFGM is also associated with improved myelination, this study used myelin-sensitive MRI to compare myelination trends in healthy infants and toddlers, 0-2 years of age, who received the same branded infant formula with and without added bovine MFGM in two temporal cohorts: Without Added MFGM between 2010 and 2017; and With Added MFGM between 2018-2020. Concurrent with imaging, cognitive development was assessed using the Mullen Scales of Early Learning (MSEL). Matched for important demographic and socioeconomic characteristics, we found that children who received infant formula with added MFGM showed improved myelination in motor-related areas (motor cortices, internal capsule, and cerebellum) and improved MSEL gross and fine motor scores. No significant differences in verbal or overall cognitive ability scores were noted. These results support the importance of phospholipids, sphingolipids, and sphingomyelin in promoting brain myelination and cognitive development.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"52"},"PeriodicalIF":2.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rudolf Nieuwenhuys's later studies in neuroanatomy and functional neuroimaging.","authors":"Robert Turner","doi":"10.1007/s00429-025-02918-4","DOIUrl":"10.1007/s00429-025-02918-4","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 4","pages":"51"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}