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Herz, N.

Publications and source records attributed to Herz, N..

3 recordsLinked to original sources

A framework for quality assurance in human intracranial electrophysiology

Intracranial electroencephalography (iEEG) provides an unprecedented opportunity to directly record neural activity and causally perturb the human brain through electrical stimulation. Yet, the increasingly collaborative nature and complexity of modern iEEG studies pose substantial challenges for experimental control, data quality, and standardization. Unlike most experimental modalities, human iEEG data are acquired within dynamic clinical environments, where patient condition, recording quality, hardware configuration, and experimental protocols may vary across recording sessions and collaborating sites. The resulting heterogeneity creates opportunities for technical and procedural failures that often remain undetected until downstream analyses, when corrective action is no longer possible. Here, we present a framework for standardized session-level quality assurance in human iEEG research and provide an open-source implementation compatible with Brain Imaging Data Structure (BIDS)-organized datasets. The framework defines four complementary domains of quality assessment crucial for human iEEG studies: protocol fidelity, behavioral integrity, stimulation validation, and signal quality. These domains integrate electrophysiological recordings, behavioral event logs, and stimulation metadata to verify data completeness, confirm participant engagement, validate stimulation delivery, and identify potentially compromised recording channels. Automated quality metrics and standardized diagnostic visualizations are generated following each testing session, enabling rapid identification of technical and procedural failures while corrective action is still possible. By providing a standardized approach to session-level quality assurance, the framework improves data integrity, enhances reproducibility, facilitates analyst training, and supports harmonized data collection across laboratories and clinical sites.

neuroscience↗

Structural and Functional Connectivity Predict the Effects of Direct Brain Stimulation on Memory

Intracranial stimulation can enhance episodic memory in humans; however, the behavioral effects vary substantially across individuals and stimulation sites. Here, we investigated whether the network embedding of a stimulation target, defined by MRI-based normative structural and functional connectivity, accounts for variability in stimulation-linked memory enhancement. We analyzed data from 50 adults with medically refractory epilepsy who underwent intracranial EEG monitoring and completed a verbal delayed free-recall task during stimulation of left temporal cortex sites across 61 sessions (39 closed-loop; 22 random). On average, closed-loop stimulation delivered during classifier-detected low-encoding states increased recall rates, whereas random stimulation produced no reliable benefit. Diffusion tractography from a normative database showed that sites yielding greater memory enhancement were characterized by stronger structural coupling to a distributed fronto-temporo-parietal network. Greater structure-function congruence with a normative verbal-encoding activation network predicted larger closed-loop memory benefit (Spearman {rho} = 0.58, P < 0.0001). Functional connectivity exhibited overlapping trends but did not yield robust regional associations after permutation correction. Multivariate Partial Least Squares Structural Equation Modeling further identified stimulation mode, baseline memory, and a structural profile factor as independent predictors of memory enhancement, with no independent contribution of functional connectivity. These findings indicate that reliable stimulation-driven memory improvement depends not only on the timing of stimulation, but also on whether the stimulated target is structurally embedded within an encoding-relevant network scaffold. Significance statementMemory enhancement through direct brain stimulation holds substantial clinical promise, yet inconsistent outcomes have limited its therapeutic translation. This study shows that the effectiveness of closed-loop brain stimulation for memory improvement is determined by the structural network architecture of the stimulation target. Sites more deeply embedded within white-matter pathways connecting a distributed verbal encoding network yield the greatest mnemonic benefits when stimulation is delivered adaptively during poor encoding states. These findings establish a principled, network-based rationale for precision-guided neuromodulation: optimizing both the targets structural embedding and the timing of stimulation delivery are necessary and complementary conditions for reliable, individualized memory enhancement.

neuroscience↗

Neural oscillations while remembering traumatic memories in PTSD

BackgroundIn posttraumatic stress disorder (PTSD), the traumatic event is often re-experienced through vivid sensory fragments of the traumatic experience. Though the sensory phenomenology of traumatic memories is well established, neural indications for this qualitative experience are lacking. The current study aimed at monitoring the oscillatory brain activity of PTSD patients during directed and imaginal exposure to the traumatic memory using magnetoencephalography (MEG), in a paradigm resembling exposure therapy.\n\nMethodsBrain activity of healthy trauma-exposed controls and PTSD participants was measured with MEG as they listened to individualized trauma narratives as well as to a neutral narrative and as they imagined the narrative in detail. Source localization analysis on varied frequency bands was conducted in order to map neural generators of altered oscillatory activity.\n\nResultsPTSD patients exhibited increased power of high-frequency bands over visual areas and increased delta and theta power over auditory areas in response to trauma recollection compared to neutral recollection, while controls did not show such differential activation. PTSD participants also showed abnormal modulation of lower frequencies in the medial prefrontal cortex.\n\nConclusionsElicitation of traumatic memories results in a distinct neural pattern in PTSD patients compared to healthy trauma-exposed individuals. Investigating the oscillatory neural dynamics of PTSD patients can help us better understand the processes underlying trauma re-experiencing.

neuroscience↗