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Escrichs, A.

Publications and source records attributed to Escrichs, A..

At least 19 recordsLinked to original sources

Brain dynamics predict oral contraceptive treatment duration

Oral contraceptives are used by millions of women worldwide, yet their cumulative effects on the female brain remain poorly understood. We analyzed resting-state fMRI from 192 women (never, current, and past users) using brain-dynamics metrics that quantify information transfer across spatiotemporal scales. Duration of use was associated with a progressive, age-independent modulation of brain dynamics: prolonged use was related to restricted local synchronization but enhanced information flow across scales. Machine learning predicted individual duration of use from brain dynamics, and node-level classifiers distinguished users from never-users based on a spatially distributed cortical pattern spanning multiple functional networks, most clearly detectable in long-term users. In past users, these associations were inverted in sign, scaling with prior duration rather than returning to the never-user baseline, suggesting active reorganization following cessation. Together, these results indicate that cumulative oral contraceptive exposure acts as a neuromodulator of information processing.

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Distinct brain responses to psilocybin and escitalopram in depression captured by the Fluctuation-Dissipation Theorem

In recent decades, the psychedelic psilocybin has been studied as a potential treatment for major depressive disorder (MDD), offering an alternative to traditional antidepressants. However, the brain changes underlying the clinical effects of different interventions remain unclear. Here, we investigated the effects of psilocybin and a conventional antidepressant, escitalopram, from the double-blind randomised controlled trial (DB-RCT) -NCT03429075- on the brains hierarchical organisation. Using pre- and post-treatment resting-state functional magnetic resonance imaging (fMRI) we built whole-brain models and obtained a generative effective connectivity (GEC) matrix for each patient. Based on the GEC, we measured the level of non-equilibrium brain dynamics by quantifying the deviation from the fluctuation-dissipation theorem (FDT) and performed complementary analysis on brain segregation and asymmetry. Our results showed opposite reconfigurations of the hierarchical non-equilibrium brain dynamics following each treatment. Additionally, baseline measures effectively distinguished responders from non-responders within each treatment. These findings suggest that the deviation of the FDT may serve as a marker for differentiating the effects of psilocybin and escitalopram in MDD treatment, overall, contributing to the understanding of therapeutic mechanisms of depression.

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Modeling Hierarchical Brain Dynamics Outperforms Hormonal Biomarkers in Predicting Menstrual Cycle Phases

Hormonal fluctuations across the menstrual cycle influence large-scale brain dynamics, yet the underlying neurobiological mechanisms remain poorly understood. In this study, 60 nat-urally cycling women were scanned using resting-state fMRI during the early follicular, pre-ovulatory, and mid-luteal phases. We then applied a thermodynamics-inspired framework to explore the functional hierarchical organization of whole-brain dynamics across these phases. First, we found that brain dynamics are significantly modulated by estradiol, progesterone, and age across multiple resting-state networks. Second, to elucidate underlying mechanisms, we es-timated generative effective connectivity (GEC) matrices using whole-brain models and trained support vector machine classifiers to predict menstrual phases. These model-based biomarkers outperformed traditional functional connectivity and hormone measures in classifying men-strual cycle phases. These findings reveal that menstrual cycle-related changes modulate the hierarchical reorganization of brain dynamics, highlighting the potential of model-based ap-proaches to advance womens brain health research.

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The Turbulent Brain: a toolbox to compute the turbulent dynamical behaviour of whole-brain activity

Brain disorders remain one of the greatest challenges in neuroscience. Computational precision medicine offers a promising framework to reveal the mechanistic principles governing both healthy and pathological brain dynamics. In this context, we present The Turbulent Brain (TTB) toolbox, an open-source MATLAB platform that implements and disseminates the turbulence framework for immediate and widespread application in neuroscience research. The toolbox combines model-free and model-based analyses through an intuitive graphical interface, enabling customizable workflows across different parcellations and preprocessing pipelines. Our toolbox builds on recent advances demonstrating that turbulence physics can effectively capture the complex spatiotemporal dynamics of brain activity as a high-dimensional system operating far from equilibrium. This framework allows researchers to explore how fundamental mechanisms are modulated across distinct brain states and neurological and psychiatric disorders, including disorders of consciousness and major depressive disorder. As an illustrative application case, we used TTB to analyse fMRI data from 176 individuals from the Human Connectome Project during resting state and movie watching, showing that movie watching, as compared to resting state, significantly reduces information transmission in terms of turbulence measures, with stronger reductions observed during Creative Commons movie watching compared to Hollywood movies. In summary, the TTB toolbox establishes an accessible framework providing a methodological bridge between nonlinear physics and computational neuroscience, offering new tools for investigating psychiatric conditions and altered states of consciousness.

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Disrupted hierarchical organization in disorders of consciousness revealed by fluctuation-dissipation deviations

Evaluating consciousness levels after coma remains clinically challenging, and probing the brains functional hierarchy offers model-based biomarkers of brain states. We characterize the hierarchy loss in disorders of consciousness (DoC) via departures from non-equilibrium dynamics. Irreversible, directed interactions are indexed by deviation from the fluctuation- dissipation theorem (FDT), computed from individualized whole-brain models fit to fMRI from controls and patients in minimally conscious state (MCS) or unresponsive wakefulness syndrome (UWS). Global and resting-state network dynamics in DoC were closer to equilibrium than in controls, decreasing stepwise with decreasing levels of consciousness. Mapping site-specific hierarchical drive over the system revealed disruptions within default-mode network components (e.g., medial and dorsolateral superior frontal gyrus) and subcortical hubs (e.g., thalamus, pallidum and putamen) differentiating between all groups. Recovery of near-control hierarchy in the visual network differentiated MCS from UWS, whereas multiple limbic areas showed similar abnormalities across both DoC groups. Together, these results identify non-equilibrium dynamics as a signature of conscious capacity and stablish FDT deviation as a principled, model-based hierarchy measure that can be operationalised for clinical stratification and monitoring, opening avenues for targeted in silico intervention planing.

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Inception: Simulating Personalized Long-Term Recovery in Disorders of Consciousness using Whole-Brain Computational Perturbations

Advancements in the treatment of Disorders of Consciousness have seen significant progress with per-turbative techniques and pharmacological therapies. Despite their potential, the underlying mechanisms of their variable efficacy remain poorly understood. To address this challenge, recent studies have utilised whole-brain modelling to simulate in silico perturbations. However, existing models focus exclusively on system behaviour during active stimulations, leaving unexplored how the brain dynamics evolve in post-acute and long-term stages, crucial in the recovery of consciousness. Here, we introduce Inception, a novel personalized approach to in silico perturbation modelling. We use a whole-brain models to simulate the perturbations and to unravel information about the long term effects of the proposed intervention. Applied to fMRI data from patients in a minimally conscious state and an unresponsive wakefulness state, our approach effectively simulates the transition to a healthy state, generating perturbed data closely resembling healthy brain activity. Moreover, we show that Inception enhances patient classification through machine learning, outperforming functional connectivity-based approaches. Finally, we investigate the correlation between perturbation responses and brain neuroreceptors, proposing that Inception might capture the long-term effects of pharmacological interventions in Disorders of Consciousness treatment.

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Impact of meningioma and glioma on whole-brain dynamics

Brain tumors, particularly meningiomas and gliomas, can profoundly affect neural function, yet their impact on brain dynamics remains incompletely understood. This study investigates alterations in normal brain function among meningioma and glioma patients by assessing dynamical complexity through the Intrinsic Ignition Framework. We analyzed resting-state fMRI data from 34 participants to quantify brain dynamics using intrinsic ignition and metastability metrics. Our results revealed distinct patterns of disruption: glioma patients showed significant reductions in both metrics compared to controls, indicating widespread network disturbances. In contrast, meningioma patients exhibited significant changes predominantly in regions with substantial tumor involvement. Resting-state network analysis demonstrated strong metastability and metastability/ignition correlations between regions in controls, which were slightly weakened in meningioma patients and severely disrupted in glioma patients. These findings highlight the differential impacts of gliomas and meningiomas on brain function, offering insights into their distinct pathophysiological mechanisms. Furthermore, these results show that brain dynamics metrics can be effective biomarkers for identifying disruptions in brain information transmission caused by tumors.

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Nonequilibrium dynamics elicited as the origin of perturbative complexity

Assessing the level of consciousness someone is in, is not a trivial question and physicians have to rely on behavioural evaluations instead of quantifiable metrics. Many studies have empirically investigated measures related to the complexity elicited after the brain is stimulated to quantify and assess the level of consciousness across different states. Here we hypothesized that the level of non-equilibrium dynamics of the unperturbed brain already contains the information needed to know how the system will react to an external stimulus. We created personalized whole-brain models fitted to resting state fMRI data recorded in participants in different states of reduced consciousness (such as deep sleep and disorders of consciousness) to infer the effective connections underlying their brain dynamics. We then measured the out-of-equilibrium nature of the unperturbed brain by evaluating the level of asymmetry of the inferred connectivity, the time irreversibility in each model and compared this with the elicited complexity generated after in silico perturbations. Crucially, we found that states of reduced consciousness had a lower level of asymmetry in their effective connectivities compared to control subjects, as well as a lower level of irreversibility in their simulated dynamics, and a lower complexity. We demonstrated that the asymmetry in the underlying connections drives the nonequilibrium state of the system and in turn the differences in complexity as a response to the external stimuli.

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Long-term effects of psilocybin on dynamic and effectivity connectivity of fronto-striatal-thalamic circuits

Psilocybin has been shown to induce fast and sustained improvements in mental well-being across various populations, yet its long-term mechanisms of action are not fully understood. Initial evidence suggests that longitudinal functional and structural brain changes implicate fronto-striatal-thalamic (FST) circuitry, a broad system involved in goal-directed behavior and motivational states. Here, we apply empirical methods and computational modeling to resting-state fMRI data from a within-subject longitudinal psilocybin trial in psychedelic-naive healthy volunteers. We first show increases in FST dynamic activity four weeks after a full dose of psilocybin. We then proceed to mechanistically account for these increased dynamics, by showing that reduced structural constraints underlie increased FST dynamic activity post psilocybin. Further, we show that these reduced structural constraints come along with increased bottom-up and reduced top-down modulation of FST circuits. While cortical reductions in top-down modulation are linked to regional 5-HT2A receptor availability, increased information outflow via subcortical and limbic regions relate to local D2 receptor availability. Together, these findings show that increased FST flexibility weeks after psilocybin administration is linked to serotonergic-mediated decreases in top-down information flow and dopaminergic-mediated increases in bottom-up information flow. This long-term functional re-organization of FST circuits may represent a common mechanism underling the potential clinical efficacy of psilocybin across various neuropsychiatric disorders including substance abuse, major depression, and anorexia. Significance StatementFronto-striatal-thalamic systems, which underlie motivation and reward, go through profound functional and structural changes following psilocybin administration. We leveraged longitudinal fMRI data from a within-subject psilocybin trial in psychedelic-naive healthy participants to show that psilocybin increases fronto-striatal-thalamic dynamic activity as well as flexibility four weeks after dosing. Computational modeling revealed that this increased flexibility is mechanistically caused by reduced structural constraints on functional dynamics. Further long-term changes included increased bottom-up and reduced top-down information flow mediated by the serotonergic and dopaminergic systems. This long-term functional re-organization of fronto-striatal-thalamic circuits may reflect a common mechanism underlying clinical symptoms improvements across diagnostic groups, such as increased openness, improved well-being, and reductions in anhedonia, apathy, and substance craving.

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Whole-brain dynamics and hormonal shifts throughout women's lifespan: From reproductive stages to menopausal transition and beyond

Neuroimaging studies have identified significant age-related disruptions in whole-brain dynamics, yet the influence of womens reproductive stages and associated hormonal shifts remains underexplored. This study leverages resting-state fMRI data from the Human Connectome Project in Aging to examine brain dynamics through five reproductive stages: reproductive, late reproductive, perimenopause, early postmenopause, and late postmenopause. Our results indicate that the late reproductive stage is characterized by the highest dynamical complexity across whole-brain and resting-state networks, while brain dynamics significantly decline at menopause onset. Additionally, we employ machine learning classifiers using two approaches: (1) brain dynamics alone and (2) brain dynamics combined with follicle-stimulating hormone (FSH) and estradiol (brain-hormone model). Both models accurately distinguished reproductive stages, but the brain-hormone model outperformed the brain dynamics model. Key predictors included decreased estradiol, increased FSH, and altered brain dynamics in later life stages. These results offer a framework for assessing brain health across womens reproductive lifespan.

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Off-Equilibrium Fluctuation-Dissipation Theorem Paves the Way in Alzheimer's Disease Research

INTRODUCTIONAlzheimers disease (AD) is a neurodegenerative disorder characterized by progressive cognitive decline. Although traditional methods have provided insights into brain dynamics in AD, they have limitations in capturing non-equilibrium dynamics across disease stages. Recent studies suggest that dynamic functional connectivity in resting-state networks (RSNs) may serve as a biomarker for AD, but the role of deviations from dynamical equilibrium remains underexplored. OBJECTIVEThis study applies the off-equilibrium fluctuation-dissipation theorem (FDT)1 to analyze brain dynamics in AD, aiming to compare deviations from equilibrium in healthy controls, patients with mild cognitive impairment (MCI), and those with AD. The goal is to identify potential biomarkers for early AD detection and understand disease progressions mechanisms. METHODSWe employed a model-free approach based on FDT to analyze functional magnetic resonance imaging (fMRI) data, including healthy controls, MCI patients, and AD patients. Deviations from equilibrium in resting-state brain activity were quantified using fMRI scans. In addition, we performed model-based simulations incorporating Amyloid-Beta (A{beta}), tau burdens, and Generative Effective Connectivity (GEC) for each subject. RESULTSOur findings show that deviations from equilibrium increase during the MCI stage, indicating hyperexcitability, followed by a significant decline in later stages of AD, reflecting neuronal damage. Model-based simulations incorporating A{beta} and tau burdens closely replicated these dynamics, especially in AD patients, highlighting their role in disease progression. Healthy controls exhibited lower deviations, while AD patients showed the most significant disruptions in brain dynamics. DISCUSSIONThe study demonstrates that the off-equilibrium FDT framework can accurately characterize brain dynamics in AD, providing a potential biomarker for early detection. The increase in non-equilibrium deviations during the MCI stage followed by their decline in AD offers a mechanistic explanation for disease progression. Future research should explore how combining this framework with other dynamic brain measures could further refine diagnostic tools and therapeutic strategies for AD and other neurodegenerative diseases.

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Modeling disorders of consciousness at the patient level reveals the network's influence on the diagnosis vs the local node parameters role in prognosis

The study of disorders of consciousness (DoC) is very complex because patients suffer from a wide variety of lesions, affected brain mechanisms, different severity of symptoms, and are unable to communicate. Combining neuroimaging data and mathematical modeling can help us quantify and better describe some of these alterations. The goal of this study is to provide a new analysis and modeling pipeline for fMRI data leading to new diagnosis and prognosis biomarkers at the individual patient level. To do so, we project patients fMRI data into a low-dimension latent-space. We define the latent spaces dimension as the smallest dimension able to maintain the complexity, non-linearities, and information carried by the data, according to different criteria that we detail in the first part. This dimensionality reduction procedure then allows us to build biologically inspired latent whole-brain models that can be calibrated at the single-patient level. In particular, we propose a new model inspired by the regulation of neuronal activity by astrocytes in the brain. This modeling procedure leads to two types of model-based biomarkers (MBBs) that provide novel insight at different levels: (1) the connectivity matrices bring us information about the severity of the patients diagnosis, and, (2) the local node parameters correlate to the patients etiology, age and prognosis. Altogether, this study offers a new data processing framework for resting-state fMRI which provides crucial information regarding DoC patients diagnosis and prognosis. Finally, this analysis pipeline could be applied to other neurological conditions.

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Reconfiguration of Functional Brain Hierarchy in Schizophrenia

The multidimensional nature of schizophrenia requires a comprehensive exploration of the functional and structural brain networks. While prior research has provided valuable insights into these aspects, our study goes a step further to investigate the reconfiguration of the hierarchy of brain dynamics, which can help understand how brain regions interact and coordinate in schizophrenia. We applied an innovative thermodynamic framework, which allows for a quantification of the degree of functional hierarchical organization by analysing resting state fMRI-data. Our findings reveal increased hierarchical organization at the whole-brain level and within specific resting-state networks in individuals with schizophrenia, which correlated with negative symptoms, positive formal thought disorder and apathy. Moreover, using a machine learning approach, we showed that hierarchy measures allow a robust diagnostic separation between healthy controls and schizophrenia patients. Thus, our findings provide new insights into the nature of functional connectivity anomalies in schizophrenia, suggesting that they could be caused by the breakdown of the functional orchestration of brain dynamics.

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Whole-Brain Dynamics Disruptions in the Progression of Alzheimer's Disease: Understanding the Influence of Amyloid-Beta and Tau

Alzheimers disease (AD) progressively alters brain structure and function, yet the associated changes in large-scale brain network dynamics remain poorly understood. We applied the intrinsic ignition framework to resting-state functional MRI (rs-fMRI) data from AD patients, individuals with mild cognitive impairment (MCI), and cognitively healthy controls (HC) to elucidate how AD shapes intrinsic brain activity. We assessed node-metastability at the whole-brain level and in 7 canonical resting-state networks (RSNs). Our results revealed a progressive decline in dynamical complexity across the disease continuum. HC exhibited the highest node-metastability, whereas it was substantially reduced in MCI and AD patients. The cortical hierarchy of information processing was also disrupted, indicating that rich-club hubs may be selectively affected in AD progression. Furthermore, we used linear mixed-effects models to evaluate the influence of Amyloid-{beta} (A{beta}) and tau pathology on brain dynamics at both regional and whole-brain levels. We found significant associations between both protein burdens and alterations in node-metastability. Lastly, a machine learning classifier trained on brain dynamics, A{beta}, and tau burden features achieved high accuracy in discriminating between disease stages. Together, our findings highlight the progressive disruption of intrinsic ignition across whole-brain and RSNs in AD and support the use of node-metastability in conjunction with proteinopathy as a novel framework for tracking disease progression.

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Whole-brain modelling supports the use of serotonergic psychedelics for the treatment of disorders of consciousness

Disorders of consciousness (DoC) are a challenging and complex group of neurological conditions characterised by absent or impaired awareness. The current range of therapeutic options for DoC patients is limited, offering few non-invasive pharmacological alternatives. This situation has sprung a growing interest in the development of novel treatments, such as the proposal to study the efficacy of 5HT2A receptor agonists (also known as psychedelics) to restore impaired consciousness. Given the ethical implications of exploring novel compounds in non-communicative individuals, we assessed in silico their effects in the whole-brain dynamics of DoC patients. We embedded the whole-brain activity of patients in a low-dimensional space, and then used this representation to visualise the effects of simulated neuromodulation across a range of receptors representing potential drug targets. Our findings show that activation of serotonergic and opioid receptors shifted brain dynamics of DoC patients towards patterns typically seen in conscious and awake individuals, and that this effect was mediated by the brain-wide density of activated receptors. These results showcase the role of whole-brain models in the discovery of novel pharmacological treatments for neuropsychiatric conditions, while also supporting the feasibility of accelerating the recovery of consciousness with serotonergic psychedelics.

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Inducing a meditative state by artificial perturbations: A causal mechanistic understanding of brain dynamics underlying meditation

Contemplative neuroscience has increasingly explored meditation using neuroimaging. However, the brain mechanisms underlying meditation remain elusive. Here, we implemented a causal mechanistic framework to explore the spatiotemporal dynamics of expert meditators during meditation and rest. We first applied a model-free approach by defining a probabilistic metastable substate (PMS) space for each state, consisting of different probabilities of occurrence from a repertoire of dynamic patterns. Different brain signatures were mainly found in the triple-network model (i.e., the executive control, salience, and default-mode networks). Moreover, we implemented a model-based approach by adjusting the PMS of the resting state to a whole-brain model, which enabled us to explore in silico perturbations to transition to the meditation state. Consequently, we assessed the sensitivity of different brain areas regarding their perturbability and their mechanistic local-global effects. Using a synchronous protocol, we successfully transitioned from the resting state to the meditative state by shifting areas mainly from the somatomotor and dorsal attention networks. Overall, our work reveals distinct whole-brain dynamics in meditation compared to rest, and how the meditation state can be induced with localized artificial perturbations. It motivates future work regarding meditation as a practice in health and as a potential therapy for brain disorders.

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Whole-brain dynamics and hormonal fluctuations across the menstrual cycle: The role of progesterone and age in healthy women

Recent neuroimaging research suggests that female sex hormone fluctuations modulate brain activity. Nevertheless, how brain network dynamics change across the female menstrual cycle remains largely unknown. Here, we investigated the dynamical complexity u nderlying three menstrual cycle phases (i.e., early follicular, pre-ovulatory, and mid-luteal) in 60 healthy naturally-cycling women scanned using resting-state fMRI. Our results revealed that the preovulatory phase exhibited the highest variability over time (node-metastability) across the whole-brain functional network compared to the early follicular and mid-luteal phases, while the early follicular showed the lowest. Additionally, we found that large-scale resting-state networks reconfigure along the menstrual cycle phases. Finally, we used multilevel mixed-effects models to examine the impact of hormonal fluctuations and age on whole-brain and resting-state networks. We found significant age-related changes across the whole brain, control, and dorsolateral attention networks. Additionally, we observed progesterone-related changes, specifically within limbic and somatomotor networks. Overall, these findings evidence that both age and progesterone modulate brain network dynamics along the menstrual cycle.

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Re-awakening the brain: Forcing transitions in disorders of consciousness by external in silico perturbation

A fundamental challenge in neuroscience is accurately defining brain states and predicting how and where to perturb the brain to force a transition. The ability to promote a transition from one brain state to another by externally driven stimulation could significantly impact rehabilitation and treatments for patients suffering from complex brain injury cases. Thus, it is crucial to find therapeutic interventions able to re-balance the dynamics of brain disorders towards more healthy regimes. Here, we investigated resting-state fMRI data of patients suffering from disorders of consciousness (DoC) after coma (minimally conscious and unresponsive wakefulness states) and healthy controls. We applied model-free and model-based approaches to help elucidate the underlying brain mechanisms of patients with DoC. The model-free approach allowed us to characterize brain states in DoC and healthy controls as a probabilistic metastable substate (PMS) space. The PMS of each group was characterized by a repertoire of unique patterns (i.e., metastable substates) with different probabilities of occurrence. In the model-based approach, we adjusted the PMS of each DoC group to a causal whole-brain model. This allowed us to explore optimal strategies for promoting a transition to the PMS of the control group by applying off-line in silico probing. Furthermore, this approach enabled us to evaluate the impact of all possible local perturbations in terms of their global effects and sensitivity to stimulation, which is a biomarker providing a deeper understanding of the mechanisms underlying DoC. Our results show that transitions from DoC to more healthy regimes were obtained in a synchronous protocol, in which areas from the motor and subcortical networks were the most sensitive to perturbation. This motivates further work to continue understanding brain function and treatments of disorders of consciousness by external stimulation. Author summaryWe studied disorders of consciousness by defining a brain state as a repertoire of metastable substates with different probabilities of occurrence. We created whole-brain computational models of DoC to uncover the causal mechanisms underlying recovery. These models allowed us to transition from DoC to a control healthy state by studying the effects of artificial individual local perturbations under different protocol regimes. We demonstrated successful transitions in the synchronization protocol and showed that the most sensitive areas were located in the motor network and subcortical regions. We believe this could be very valuable for developing clinical treatments and has a great deal for future therapies.

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