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Conelea, C. A.

Publications and source records attributed to Conelea, C. A..

3 recordsLinked to original sources

Movie Watching for Individual Functional Brain Network Estimation in Adolescents

Precision functional mapping (PFM) reveals stable individual differences in brain functional network organization and holds promise for advancing neuropsychiatric clinical care. PFM requires sufficient high-quality and densely-sampled functional MRI data at the individual level that is typically acquired during the so-called resting state while passively fixating on a crosshair. However, crosshair fixation acquisitions can be challenging especially for pediatric or patient populations, where alternatives like movie watching might be used to improve data quality and reduce participant burden. Here, we compare the use of resting state crosshair fixation and movie watching fMRI data to derive individual-specific functional brain network topography using PFM data (28-38 minutes of low-motion fMRI data per-participant per-condition) in nineteen adolescents (12-18 years) with a range of transdiagnostic psychiatric diagnoses. Network assignments were largely conserved between crosshair fixation and movie watching, with a smaller subset of reproducible network reassignments which were overwhelmingly border shifts between neighboring networks. This suggests largely conserved global structure of functional network topography between crosshair fixation and movie watching, though border shifts can compound into variable estimates of cortical network size particularly for movie positive (language, salience, and parietal memory) and movie negative networks (default mode, action mode). Functional network assignments derived from movies and crosshair were also similarly individual-specific and consistent within common neuromodulation targets including dorsolateral prefrontal cortex and somatomotor cortex. Key results were replicated in independent pediatric consortia data (Healthy Brain Network, n = 466, 6-22 years) and reproduced across independent PFM data sessions. Acknowledging individual differences and level of analysis, we conclude that movies are a viable alternative to resting state crosshair fixation for individual network definitions.

neuroscience↗

Developmental delay in attaining adult levels of motor excitability in children and adolescents with Tourette syndrome: a mega-analysis study

Tourette syndrome (TS) is a neurodevelopmental disorder of childhood onset characterised by vocal and motor tics and is associated with cortical-striatal-thalamic-cortical circuit [CSTC] dysfunction. TS often follows a developmental time course in which tics become increasingly more controlled during adolescence. However, many individuals continue to have debilitating tics into adulthood. This indicates that there may be important differences between adults with TS for whom the clinical phenotype is more stable, and children and adolescents with the disorder who may be undergoing developmental neuroplastic changes linked to the reduction of their tics. Previous studies have used transcranial magnetic stimulation (TMS) to investigate changes in cortical motor excitability in individuals with TS, including measurement of resting motor threshold (RMT). However, the findings from these studies have been mixed, have varied between adult and child samples, and have often been based on small sample sizes. Here we report a multi-centre, mega-analytic, study in which RMT data collected from children and adults with TS at multiple research centres was pooled for analysis. Results confirmed that mean RMT was significantly increased in individuals with TS compared to neurotypical controls. However, this result can be explained by the more important findings that: (a) RMT for adults with TS did not differ from that of neurotypical adults; and (b) the rate that RMT decreases with age during childhood and adolescence is reduced in individuals with TS compared to controls. Thus, while neurotypical individuals reach an adult RMT level by ~12-13 years of age, individuals with TS are substantially delayed in doing so, and do not reach an adult RMT level until much later, at ~24 years of age. We conclude therefore that differences in measures of cortical excitability between children and adolescents with TS and chronologically age-matched neurotypical controls may likely reflect a developmental delay in the maturation of functional brain networks in individuals with TS, which may normalise with age.

neuroscience↗

Patterns and predictors of tic suppressibility in youth with tic disorders

Background: Tic suppression is the primary target of tic disorder treatment, but factors that influence voluntary tic inhibition are not well understood. Several studies using the Tic Suppression Task have demonstrated significant inter-individual variability in tic suppressibility but have individually been underpowered to address correlates of tic suppression. The present study explored patterns and clinical correlates of tic suppression in youth with tic disorders using a large, pooled dataset.\n\nMethods: Individual-level data from 9 studies using the Tic Suppression Task were pooled, yielding a sample of 99 youth with tic disorders. Analyses examined patterns of tic suppressibility and the relationship between tic suppressibility and demographic and clinical characteristics.\n\nResults: A large majority of youth demonstrated a high degree of tic suppression, but heterogeneous patterns of tic suppressibility were also observed. Better tic suppressibility was related to older age and more frequent tics but unrelated to other clinical variables, including presence of psychiatric comorbidity, psychotropic medication status, and tic and premonitory urge severity.\n\nConclusions: The mechanisms underlying the observed heterogeneity in tic suppressibility warrant further investigation. The Tic Suppression Task is a promising method for testing mechanistic hypotheses related to tic suppression.

neuroscience↗