Frontal Lobe Areas Research Articles

Neuroanatomical and clinical correlates of prodromal dementia with Lewy bodies: a systematic literature review of neuroimaging findings.

Prodromal Dementia with Lewy bodies (pro-DLB) has been recently defined; however, the neuroanatomical and functional correlates of this stage have not yet been univocally established. This study aimed to systematically review neuroimaging findings focused on pro-DLB. A literature search of works employing MRI, PET, and SPECT was performed. Forty records were included: 15 studies assessed gray matter (GM) and white matter (WM) integrity, and 31 investigated metabolism, perfusion, and resting-state connectivity. Results showed that, in pro-DLB, frontal lobe areas were characterized by decreased function, cortical atrophy, and WM damage. Volumetric reductions were found in the insula, which also showed heightened metabolism. A pattern of hypofunction and structural damage was observed in the lateral and ventral temporal lobe; instead, the parahippocampal cortex and hippocampus exhibited greater function. Hypofunction marked parietal and occipital regions, with additional atrophy in the medial occipital lobe and posterior parietal cortex. Subcortically, atrophy and microstructural damage in the nucleus basalis of Meynert were reported, and dopamine transporter uptake was reduced in the basal ganglia. Overall, structural and functional damage was already present in pro-DLB and was coherent with the possible clinical onset. Frontal and parieto-occipital alterations may be associated with deficits in attention and executive functions and in visuo-perceptual/visuo-spatial abilities, respectively. Degeneration of cholinergic and dopaminergic transmission appeared substantial at this disease stage. This review provided an updated and more precise depiction of the brain alterations that are specific to pro-DLB and valuable to its differentiation from physiological aging and other dementias.

Partially dissociative role of the left inferior frontal gyrus and left dorsolateral prefrontal cortex in reasoning.

Reasoning is the ability to formulate inferences or conclusions from available information. The two major types, deductive and inductive, are thought to rely on distinct cognitive mechanisms and recruit separate brain areas. Neuroimaging studies yield mixed results; some found the left inferior frontal gyrus (IFG) activations for deductive reasoning and the left dorsolateral prefrontal cortex (DLPFC) for inductive reasoning. This assumption was put to the test in the present study. In two double-blinded, sham-controlled experiments, high-definition transcranial direct current stimulation (HD-tDCS) was used to systematically explore the left IFG's and DLPFC's causal role in deductive and inductive reasoning. Participants with no formal training in logic judged deductive and inductive arguments before and after 10 minutes of anodal, cathodal, or sham tDCS of the left IFG (Experiment 1, n = 20) or left DLPFC (Experiment 2, n = 21). Left IFG anodal tDCS impairs reaction times (RTs) for easy categorical (p = < .001) and propositional (p = .025) deductive arguments and the accuracy for easy inductive propositional arguments (p = .003). Meanwhile, regardless of the active stimulation conditions, left DLPFC tDCS shortens RTs (anodal: p = < .001, cathodal: p = .014) and increases accuracy (anodal: p = .029, cathodal: p = .001) for difficult categorical inductive arguments, but decreases accuracy (anodal: p = .027, cathodal: p = < .001) for difficult propositional inductive arguments. The overall results showed a partial dissociation of the left frontal lobe areas subserving the two types of reasoning and argument difficulty-dependent stimulation effects. This study extends knowledge of the neural basis of reasoning and hopefully inspires interventions that could augment reasoning impairments associated with normal aging and brain lesions.

The two-stage processing of judgment of confidence: evidence from ERP

BackgroundThe judgment of confidence (JOC) refers to the confidence in the accuracy of the target item individuals have just retrieved and is a typical retrospective metacognitive monitoring process. In the classical paradigm of JOC, JOC occurs after the recognition or recall task. While initially viewed as a single-stage monitoring process, recent research on JOC suggests its internal mechanisms may be more complex, potentially encompassing both retrieval and monitoring processes. This study aims to delve into these mechanisms concerning neural temporal processes.MethodsIn this study, event-related potential (ERP) was used to compare N400 and slow-wave ERPs of high and low JOCs at different time windows using a classic JOC paradigm.ResultsBehavioral results showed an inverted-U shaped relationship between response time (RT) and JOCs, peaking at magnitude 3 before declining. There were significantly longer RT for low JOCs compared with high JOCs, along with lower recognition scores. The ERP results showed that low JOCs induced larger N400 in the right frontal lobe and right central area, while high JOCs induced larger slow-wave components (500 ~ 700ms) in the right frontal lobe.ConclusionsBased on these findings, the present study suggests that JOC involves two processing stages. N400 reflects the process of cue acquisition, while the slow-wave component reflects the process of cue application. Furthermore, a two-stage model was proposed and validated, enriching the study of metacognition monitoring mechanisms, offering insights into the processing mechanisms of retrospective metacognitive monitoring.

Acute Effects of Transcranial Direct Current Stimulation Combined with High-Load Resistance Exercises on Repetitive Vertical Jump Performance and EEG Characteristics in Healthy Men.

Transcranial direct current stimulation (tDCS) is a non-invasive technique known to enhance athletic performance metrics such as vertical jump and lower limb strength. However, it remains unclear whether combining tDCS with the post-activation effects of high-load resistance training can further improve lower limb performance. This study investigated the synergistic effects of tDCS and high-load resistance training, using electroencephalography to explore changes in the motor cortex and vertical jump dynamics. Four experiments were conducted involving 29 participants. Each experiment included tDCS, high-load resistance training, tDCS combined with high-load resistance training, and a control condition. During the tDCS session, participants received 20 min of central stimulation using a Halo Sport 2 headset, while the high-load resistance training session comprised five repetitions of a 90% one-repetition maximum weighted half squat. No intervention was administered in the control group. Electroencephalography tests were conducted before and after each intervention, along with the vertical jump test. The combination of tDCS and high-load resistance training significantly increased jump height (p < 0.05) compared to tDCS or high-load resistance training alone. As for electroencephalography power, tDCS combined with high-load resistance training significantly impacted the percentage of α-wave power in the frontal lobe area (F3) of the left hemisphere (F = 6.33, p < 0.05). In the temporal lobe area (T3) of the left hemisphere, tDCS combined with high-load resistance training showed a significant interaction effect (F = 6.33, p < 0.05). For β-wave power, tDCS showed a significant main effect in the frontal pole area (Fp1) of the left hemisphere (F = 17.65, p < 0.01). In the frontal lobe area (F3) of the left hemisphere, tDCS combined with high-load resistance training showed a significant interaction effect (F = 7.53, p < 0.05). The tDCS combined with high-load resistance training intervention also resulted in higher β-wave power in the parietal lobe area (P4) and the temporal lobe area (T4) (p < 0.05). The findings suggest that combining transcranial direct current stimulation (tDCS) and high-load resistance training significantly enhances vertical jump performance compared to either intervention alone. This improvement is associated with changes in the α-wave and β-wave power in specific brain regions, such as the frontal and temporal lobes. Further research is needed to explore the mechanisms and long-term effects of this combined intervention.

An EEG study to understand semantic and episodic memory retrieval in creative processes

AbstractThis study aimed to identify and compare the EEG activities associated with semantic and episodic memory retrieval during creative processes. Episodic and semantic memory induction studies were conducted and EEG was used to collect data. The results showed that (i) Episodic and semantic memory retrieval are related to the frontal lobe area; (ii) Semantic memory retrieval is evoked more swiftly compared with episodic memory retrieval (ii) Prior to episodic memory retrieval, semantic memory retrieval is evoked first.

Research on Brain Networks of Human Balance Based on Phase Estimation Synchronization.

Phase synchronization serves as an effective method for analyzing the synchronization of electroencephalogram (EEG) signals among brain regions and the dynamic changes of the brain. The purpose of this paper is to study the construction of the functional brain network (FBN) based on phase synchronization, with a special focus on neural processes related to human balance regulation. This paper designed four balance paradigms of different difficulty by blocking vision or proprioception and collected 19-channel EEG signals. Firstly, the EEG sequences are segmented by sliding windows. The phase-locking value (PLV) of core node pairs serves as the phase-screening index to extract the valid data segments, which are recombined into new EEG sequences. Subsequently, the multichannel weighted phase lag index (wPLI) is calculated based on the new EEG sequences to construct the FBN. The experimental results show that due to the randomness of the time points of body balance adjustment, the degree of phase synchronization of the datasets screened by PLV is more obvious, improving the effective information expression of the subsequent EEG data segments. The FBN topological structures of the wPLI show that the connectivity of various brain regions changes structurally as the difficulty of human balance tasks increases. The frontal lobe area is the core brain region for information integration. When vision or proprioception is obstructed, the EEG synchronization level of the corresponding occipital lobe area or central area decreases. The synchronization level of the frontal lobe area increases, which strengthens the synergistic effect among the brain regions and compensates for the imbalanced response caused by the lack of sensory information. These results show the brain regional characteristics of the process of human balance regulation under different balance paradigms, providing new insights into endogenous neural mechanisms of standing balance and methods of constructing brain networks.

The biportal transorbital approach: quantitative comparison of the anterior subfrontal craniotomy, bilateral transorbital endoscopic, and microscopic approaches.

The aim of this study was to assess the surgical use and applicability of a biportal bitransorbital approach. Single-portal transorbital and combined transorbital transnasal approaches have been used in clinical practice, but no study has assessed the surgical use and applicability of a biportal bitransorbital approach. Ten cadaver specimens underwent midline anterior subfrontal (ASub), bilateral transorbital microsurgery (bTMS), and bilateral transorbital neuroendoscopic surgery (bTONES) approaches. Morphometric analyses included the length of the bilateral cranial nerves I and II, the optic tract, and A1; the area of exposure of the anterior cranial fossa floor; craniocaudal and mediolateral angles of attack (AOAs); and volume of surgical freedom (VSF; maximal available working volume for a specific surgical corridor and surgical target structure normalized to a height of 10 mm) of the bilateral paraclinoid internal carotid arteries (ICAs), bilateral terminal ICAs, and anterior communicating artery (ACoA). Analyses were conducted to determine whether the biportal approach was associated with greater instrument freedom. The bTMS and bTONES approaches provided limited access to the bilateral A1 segments and the ACoA, which were inaccessible in 30% (bTMS) and 60% (bTONES) of exposures. The average total frontal lobe area of exposure (AOE) was 1648.4 mm2 (range 1516.6-1958.8 mm2) for ASub, 1658.9 mm2 (1274.6-1988.2 mm2) for bTMS, and 1914.9 mm2 (1834.2-2014.2 mm2) for bTONES exposures, with no statistically significant superiority between any of the 3 approaches (p = 0.28). The bTMS and bTONES approaches were significantly associated with decreases of 8.7 mm3 normalized volume (p = 0.005) and 14.3 mm3 normalized volume (p < 0.001) for VSF of the right paraclinoid ICA compared with the ASub approach. No statistically significant difference in surgical freedom was noted between all 3 approaches when targeting the bilateral terminal ICA. The bTONES approach was significantly associated with a decrease of 105% in the (log) VSF of the ACoA compared with the ASub (p = 0.009). Although the biportal approach is intended to improve maneuverability within these minimally invasive approaches, these results illustrate the pertinent issue of surgical corridor crowding and the importance of surgical trajectory planning. A biportal transorbital approach provides improved visualization but does not improve surgical freedom. Furthermore, although it affords impressive anterior cranial fossa AOE, it is unsuitable for addressing midline lesions because the preserved orbital rim restricts lateral movement. Further comparative studies will elucidate whether a combined transorbital transnasal route is preferable to minimize skull base destruction and maximize instrument access.

Celecoxib treatment alleviates cerebral injury in a rat model of post-traumatic epilepsy

Background An important factor contributing to the development and occurrence of post-traumatic epilepsy (PTE) is neuroinflammation and oxidative stress. The effects of celecoxib include inhibiting inflammatory reactions and antioxidant stress and reducing seizures, making it a potential epilepsy treatment solution. Objective To observe the effect of celecoxib on early epilepsy in post-traumatic epilepsy rats. Methods: Twenty-four adult healthy male Sprague-Dawley rats were randomly assigned to three groups: sham-operated, PTE, and celecoxib. A rat model of PTE was established by injecting ferrous chloride into the right frontal cortex. Afterward, the behavior of rats was observed and recorded. 3.0T superconducting magnetic resonance imaging (MRI) was used to describe the changes in ADC values of the brain. HE and Nissl staining were also used to detect the damage to frontal lobe neurons. Furthermore, the expression of COX-2 protein in the right frontal lobe was detected by Western blot. Moreover, the contents of IL-1 and TNF-α in the right frontal lobe were detected by enzyme-linked immunosorbent assay. Results Compared with the PTE group, the degree of seizures in rats treated with celecoxib declined dramatically (P &lt; 0.05). Celecoxib-treated rats had significant decreases in tissue structural damage and cell death in the brain. The results of the MRI showed that celecoxib reduced the peripheral edema zone and ADC value of the cortex around the damaged area of the right frontal lobe in the celecoxib-treatment group, which was significantly decreased compared with the PTE group (P &lt; 0.05). Furthermore, celecoxib decreased the expression of COX-2, IL-1β, and TNF-α in brain tissue (P &lt; 0.05). Conclusions In PTE rats, celecoxib significantly reduced brain damage and effectively reduced seizures. As a result of celecoxib’s ability to inhibit inflammation, it can reduce the edema caused by injury in rat brain tissue.

A Group Level Analysis of Self-evaluations Associated with Cognitive Load

Self-evaluation, or self-rating, is the process by which people evaluate themselves with the purpose of improving several aspects of their personalities or skills and it is closely related to the cognitive function of metacognition. The purpose of the study was to investigate the degree of implication of various brain areas to meta-cognition as it relates to subjective ratings of cognitive effort when performing mathematical problems of different complexity. To achieve this, participants were recruited to solve mathematical problems (addition, subtraction, multiplication, and division) in three levels of difficulty, while inside an fMRI scanner. After solving a given task, they were asked to evaluate the amount of effort they spent to solve it. Brain signal was collected during their answers, which was then analyzed with the aid of computer software. Results of the analysis show that increases in task difficulty activate the frontal lobe, cingulate and insular cortex areas. The parietal lobule, the precuneus and the cingulate gyrus were found to be active as well as during all four mathematical operations.

Bilingualism in the Clinical Diagnosis of Mild Cognitive Impairment and Dementia

AbstractBackgroundNeuropsychological assessments determine the presence of cognitive impairment in Alzheimer’s Disease and Related Dementias (ADRD). These tests are susceptible to the influence of cultural and linguistic variables. Bilingualism is a potential contributor to cognitive reserve in elderly individuals. Positive effects of bilingualism have been observed in executive function tasks, while negative effects have been reported on verbal fluency tests. Maintaining two active languages may modify cognitive and brain reserve among bilinguals, but evidence is inconsistent and contradictory. We investigated the relationship between bilingualism and neuropsychological test performance in aging participants from the 1Florida ADRC using a longitudinal design.MethodsWe studied 238 Latino older adults (age 71.79 ± 8.01 years old, 65% female). 158 Latino participants were Spanish‐English bilinguals; 80 were Spanish monolinguals. Bilingualism was assessed by a proficiency questionnaire. Six cognitive composites were developed (Figure 1). We investigated cognitive test change scores between language group, visit (2 visits: M = 14.61 months; SD = 3.52), and diagnosis (normal, MCI, dementia) using 2×2×3 repeated measures ANCOVAs (age and level of education). Cognitive scores were correlated with frontal and temporal brain volumes in bilinguals and monolinguals separately.ResultsMain effects of the diagnostic group and visit were significant for all composites (ps &lt; .001), with the dementia group showing the lowest scores. No significant main effect of Bilingualism was observed for any of the composites. An interaction between visit and bilingualism was seen for the Trail Making Test B‐ A. Three‐way interactions were found between diagnostic groups, visit, and bilingualism for the Verbal composite and the Logical Memory delay subtest (part of the Memory composite). A more significant decline in the monolingual groups was observed, more so in the dementia group. Significant correlations were found between most composites in both language groups, being more related to the temporal than frontal lobe areas, using MRI volumetric measures.ConclusionBilingualism seems to interact with cognitive decline in aging. It is essential to consider the individual’s level of bilingualism to obtain an accurate assessment of cognitive impairment. The interaction of bilingualism with other sociodemographic and cognitive variables will be discussed.

Multiple Intracranial Tuberculomas In Immunocompetent Patient: An Uncommon Primary Manifestation Of Central Nervous System Tuberculosis (CNS TB)

Tuberculosis (TB) is a serious yet potentially-curable health issue among most developing countries including Pakistan. We report the case of an immunocompetent patient having multiple intracranial tuberculomas without evidence of meningitis which is an uncommon manifestation of CNS tuberculosis. A 50-year old man presented with 5 episodes of tonic-clonic generalized fits for 1 day, right sided body weakness for 2 weeks, generalized headaches and intermittent low-grade fever for 1 month. No contact or past history of tuberculosis was reported. On neurologic examination, there was hypertonia, exaggerated deep tendon reflexes and power of 3/5 in both right upper limb and right lower limb with a right plantar extensor response. CT scan (Brain) showed hyperdense areas in left frontal and temporal lobes with surrounding vasogenic edema. ESR was raised at 86 mm/hour. CSF analysis demonstratedRBC 0 cells/uL, WBC 783 cells/uL with 100% lymphocytes, Glucose 39 mg/dl andProtein 81 mg/dl with negative organism microscopy onAFB and Giemsa staining. However, CSF was positive for GeneXpert-PCR-MTB but drug resistance was not detected to rifampicin. Brain MRI with FLAIR demonstrated multiple disseminated, rim enhancing lesions with perilesional edema in bilateral cerebral hemispheres, thalami, left basal ganglia, medulla oblangata and cerebellum having no meningeal enhancement. Workup for immune-suppression was normal. A diagnosis of multiple intracranial tuberculomas was established and Anti-tubercular therapy was commenced. He was asymptomatic and taking ATT with good compliance having no adverse affects by 6-week follow up.

B - 22 Cerebral Blood Flow in Patients with Autism Spectrum Disorder.

The current study aims to investigate whether hyperactivity is present in the parietal lobe of individuals with autism spectrum disorder (ASD). The data for this study was derived from an archival SPECT database. Participants in the ASD group (n = 91, Mage = 10.07, 78% male, 20.9% female, 1.1% others) were like those in the control group (n = 2983, Mage = 12.20, 69.7% male, 30% female, 0.3% other). Multiple independent t-tests were performed between the ASD and control groups on CBF levels in the left and right sides of the parietal lobe. Statistically significant differences existed between the ASD and control groups on CBF levels as follows: left and right side of the cerebellum, frontal lobe, occipital lobe, temporal lobe, vermis, and subcortical areas. In all cases, CBF was higher in the control group than in the ASD group. Findings suggest lower CBF within these areas in individuals with ASD may lead to why children with ASD have difficulties regulating emotions, over sensitivity to auditory stimuli, hand posturing, toe walking, or repetitive behaviors (such as flapping). These areas with lower CBF also lead to poorer memory functioning; these findings may suggest children with ASD have limited ability to remember large amount of information which may suggest why children with ASD have specific interests.

Slowing of EEG waves correlates with striatal [18 F]fluorodopa PET/CT uptake and executive dysfunction in Parkinson's disease.

Parkinson's disease (PD) research on specific neuroimaging and neurophysiological biomarkers revealing executive dysfunction mechanisms is limited, necessitating validation. Thus, our study aimed to assess associations between electroencephalographic power spectral density (PSD-EEG), striatal [18 F]Fluorodopa uptake and neuropsychological executive function (EF) testing parameters in PD, while also estimating their diagnostic accuracy. We compared resting PSD-EEG, striatal [18 F]Fluorodopa uptake ratios based on positron emission computed tomography ([18 F]FDOPA PET/CT) and neuropsychological EF tests outcomes [Trail Making Test (TMT) and Stroop Test (ST)] between PD patients and healthy controls (HCO) and then calculated correlations among these measures separately for each group. Additionally, we estimated PD diagnostic accuracy of the PSD-EEG and [18 F]FDOPA PET/CT parameters. In PD patients, we observed the following: (i) slower EEG waves, reflected in increased power of the EEG theta and lower-alpha bands in frontal lobe areas; (ii) reduced [18 F]FDOPA PET/CT uptake in the putaminal and caudate nuclei, along with a decreased putamen-to-caudate ratio ([18 F]FDOPA PET/CT PCR); and (iii) longer performance times evident in nearly all EF tests' parameters. Slower EEG waves correlated negatively with [18 F]FDOPA PET/CT PCR and positively with most of the EF test parameters. Furthermore, we found negative correlations between [18 F]FDOPA PET/CT PCR and certain EF measures related to ST. [18 F]FDOPA PET/CT ratios and several PSD-EEG parameters, particularly those from the prefrontal cortex, demonstrated clinically reasonable diagnostic accuracy for PD. In conclusion, EEG waves slowing in the frontal lobe were correlated with striatal dopaminergic deficiency and impaired executive function in mild PD patients and showed promise as a biomarker of PD-related executive dysfunction.

인지재활에서 고기능 인지 평가도구 사용에 관한 문헌고찰 : 집행기능을 중심으로

Objective: This study aims to conduct an analysis according to the frequency of use, implementation method, and evaluation area of high-functional cognitive assessment tool. Methods: A systematic review of literature published from January 2017 to December 2022 was conducted, and the frequency, subjects, evaluation methods, and evaluation areas of 9 evaluation tools extracted from 45 papers suitable for the selection criteria were analyzed. Results: The most commonly used frontal lobe evaluation tool was identified as BRIEF. As a result of analyzing the subjects using the evaluation tool, Cerebral Palsy was the most common subject diagnosis. Most of the evaluation types were task performance assessments. The frontal systems behavior scale (FrSBe), dysexecutive questionnaire (DEX), and computerized neurocognitive battery (CNB) included areas for evaluating emotional and psychosocial cognitive components along with executive functions, and the executive function praxis test (EFPT) was the only ADL-based task performance assessment Most of the assessments were reliable and valid. Conclusion: The number of evaluation tools measuring both 'Hot executive function (EF)' and 'Cold EF' was small, and the number of evaluation tools based on the practice of daily tasks was also limited. Both development and research on a comprehensive frontal lobe function evaluation tool that complements this point are needed to evaluate a wider frontal lobe area and enable independent functions in daily life, which are important for rehabilitation treatment.

The neurophysiology of closed-loop auditory stimulation in sleep: A magnetoencephalography study.

Closed-loop auditory stimulation (CLAS) is a brain modulation technique in which sounds are timed to enhance or disrupt endogenous neurophysiological events. CLAS of slow oscillation up-states in sleep is becoming a popular tool to study and enhance sleep's functions, as it increases slow oscillations, evokes sleep spindles and enhances memory consolidation of certain tasks. However, few studies have examined the specific neurophysiological mechanisms involved in CLAS, in part because of practical limitations to available tools. To evaluate evidence for possible models of how sound stimulation during brain up-states alters brain activity, we simultaneously recorded electro- and magnetoencephalography in human participants who received auditory stimulation across sleep stages. We conducted a series of analyses that test different models of pathways through which CLAS of slow oscillations may affect widespread neural activity that have been suggested in literature, using spatial information, timing and phase relationships in the source-localized magnetoencephalography data. The results suggest that auditory information reaches ventral frontal lobe areas via non-lemniscal pathways. From there, a slow oscillation is created and propagated. We demonstrate that while the state of excitability of tissue in auditory cortex and frontal ventral regions shows some synchrony with the electroencephalography (EEG)-recorded up-states that are commonly used for CLAS, it is the state of ventral frontal regions that is most critical for slow oscillation generation. Our findings advance models of how CLAS leads to enhancement of slow oscillations, sleep spindles and associated cognitive benefits and offer insight into how the effectiveness of brain stimulation techniques can be improved.

Cytoarchitectonic, receptor distribution and functional connectivity analyses of the macaque frontal lobe.

Based on quantitative cyto- and receptor architectonic analyses, we identified 35 prefrontal areas, including novel subdivisions of Walker's areas 10, 9, 8B, and 46. Statistical analysis of receptor densities revealed regional differences in lateral and ventrolateral prefrontal cortex. Indeed, structural and functional organization of subdivisions encompassing areas 46 and 12 demonstrated significant differences in the interareal levels of α2 receptors. Furthermore, multivariate analysis included receptor fingerprints of previously identified 16 motor areas in the same macaque brains and revealed 5 clusters encompassing frontal lobe areas. We used the MRI datasets from the non-human primate data sharing consortium PRIME-DE to perform functional connectivity analyses using the resulting frontal maps as seed regions. In general, rostrally located frontal areas were characterized by bigger fingerprints, that is, higher receptor densities, and stronger regional interconnections. Whereas more caudal areas had smaller fingerprints, but showed a widespread connectivity pattern with distant cortical regions. Taken together, this study provides a comprehensive insight into the molecular structure underlying the functional organization of the cortex and, thus, reconcile the discrepancies between the structural and functional hierarchical organization of the primate frontal lobe. Finally, our data are publicly available via the EBRAINS and BALSA repositories for the entire scientific community.

Effect of Obesity and Osteocalcin on Brain Glucose Metabolism in Healthy Participants.

We evaluated the effects of obesity and osteocalcin on glucose metabolism in the brain. A total of 179 healthy men were enrolled in this study. After preprocessing positron emission tomography images, including by performing coregistration, spatial normalization, and smoothing, regression analysis was conducted to identify the correlation between body mass index, osteocalcin, and brain glucose metabolism. Body mass index was positively correlated with brain glucose metabolism in the anterior lobe of the right cerebellum, the anterior and posterior lobes of the left cerebellum, the right middle frontal gyrus (Brodmann area 9), the right cingulate gyrus (Brodmann area 32), the right anterior cingulate (Brodmann area 32), the left middle frontal gyrus (Brodmann area 10), and the subgyral area of the left frontal lobe. Osteocalcin was negatively correlated with glucose metabolism in the anterior lobe of the left cerebellum. Body mass index was positively correlated with brain glucose metabolism in the prefrontal cortex and cerebellum. Osteocalcin levels were negatively correlated with brain glucose metabolism in the left cerebellum.

A case of catalepsy after multiple cerebral infarctions

AbstractReports of stroke‐related catalepsy and other catatonia syndromes are rare. A 68‐year‐old man was admitted to a local hospital 10 days prior for heart failure. He subsequently developed multiple cerebral infarctions and was referred to our hospital for emergency care. He spontaneously opened his eyes but did not speak. He had hemiparesis on the right side. Diffusion‐weighted imaging revealed high‐intensity areas in the left frontal and parietal lobes and right cerebellar hemisphere. Rehabilitation therapy was initiated in the acute stage. When he was instructed to raise his left upper limb 90°, he maintained the posture for more than 5 min. We hypothesized that catatonia syndromes, including catalepsy, were caused by damage to the orbitofrontal, premotor, supplementary motor cortices, and basal forebrain. These abnormalities disappeared after 4 months. Catalepsy may also be observed in organic central nervous system diseases, such as stroke, and should be considered in stroke care.

325 Predictors of Substance Use Initiation by Late Childhood: Findings from the Adolescent Brain Cognitive Development (ABCD) Study

OBJECTIVES/GOALS: Adolescence represents a critical period for substance use initiation. Various factors may contribute to trying a sip or single puff of a substance, that could lead to more frequent use. However, less is known about how predictors from multiple domains converge to impact risk for general substance use initiation. METHODS/STUDY POPULATION: The Adolescent Brain Cognitive Development (ABCD) study is a multi-site longitudinal study following youth into early adulthood. The present study included 7,644 ABCD children who reported no lifetime substance use (including any experimentation) at baseline (ages 9–10). Our primary aim was to use a random forest classification model to predict binary substance use initiation, defined as trying any non-prescribed substance (e.g., alcohol, tobacco, cannabis, non-prescribed medications), during a 2-year follow-up after baseline. A total of 402 variables from the following categories were examined as predictors: demographics, peer substance use and availability, mental and physical health, culture and environment, biospecimens, neurocognitive functioning, and structural neuroimaging variables. RESULTS/ANTICIPATED RESULTS: Over a two-year follow-up, 751 (9.8%) of substance-naïve children reported trying a substance by age 11. The most common substance was alcohol, followed by cannabis and tobacco. Mean Decrease Accuracy (MDA) values were used to assess the relative importance of each predictor. The overall accuracy of the model in accurately predicting group membership (no substance use initiation vs. substance use initiation) was 57.66%. Of the top 5 predictors, the most important predictor was intent to use alcohol (MDA = .002). The following top predictors were structural neuroimaging variables: volume and surface area of right lateral occipital lobe (MDA = .0009 and .0008, respectively), surface area of right inferior temporal lobe (MDA = .0007), and surface area of left superior frontal lobe (MDA = .0007). DISCUSSION/SIGNIFICANCE: A combination of intent to use alcohol and structural neuroimaging indices were among the top predictors of substance use initiation. Understanding predictors of early substance use experimentation is important for identifying at-risk youth that may require targeted intervention approaches.

The Resting State of Taiwan EEG Normative Database: Z-Scores of Patients with Major Depressive Disorder as the Cross-Validation

This study referred to the standard of electroencephalography (EEG) collection of normative databases and collected the Taiwan normative database to examine the reliability and validation of the Taiwan EEG normative database. We included 260 healthy participants and divided them into five groups in 10-year age-group segments and calculated the EEG means, standard deviation, and z-scores. Internal consistency reliability was verified at different frequencies between the three electrode locations in the Taiwan normative database. We recruited 221 major depressive disorder (MDD) patients for cross-validation between the Taiwan and NeuroGuide normative databases. There were high internal consistency reliabilities for delta, theta, alpha, beta, and high-beta at C3, Cz, and C4 in the HC group. There were high correlations between the two z-scores of the Taiwan and NeuroGuide normative databases in the frontal, central, parietal, temporal, and occipital lobes from MDD patients. The beta z-scores in the frontal lobe and central area, and the high-beta z-scores in the frontal, central, parietal, temporal, and occipital lobes were greater than one for MDD patients; in addition, the beta and high-beta absolute value z-scores in the whole brain were greater than the ones of MDD patients. The Taiwan EEG normative database has good psychometric characteristics of internal consistency reliability and cross-validation.