Biology subjects

Papageorgiou, T. D.

Publications and source records attributed to Papageorgiou, T. D..

3 recordsLinked to original sources

bioRxiv2025

Individualized AI-driven neuromodulation enhances tongue motor and sensory control: preliminary efficacy targeted towards the alleviation of chronic cranial neuropathies

Precise modulation of brain networks responsible for tongue motor and sensory control (TMSC) is critical for restoring functions, such as speech and swallowing in neurodegenerative disease or in treatment-induced chronic cranial neuropathy. We present an individualized, AI-driven fMRI neuromodulation (iNM) platform that adaptively targets subject-specific TMSC networks in real time. To enhance iNM precision and encodability --critical for neurorehabilitation--we mapped each healthy participants individualized TMSC selectivity network, creating a subject-specific TMSC digital twin. iNM increased signal strength, spatial expansion, and consistency across motor, sensory, and attention regions, while it reduced signal variability. The bilateral inferior parietal lobule emerged as key sensorimotor integration hub, as it exhibited exclusive activation under iNM along with highest discriminability, and largest spatial expansion. iNM also significantly strengthened and expanded motor, sensory, and attention-related networks -- medial-middle frontal areas, insula-claustrum, S1, M1, basal ganglia, motor cerebellum, and inferior temporal-- supporting interoceptive and proprioceptive-motor integration. Machine learning and unsupervised hidden Markov modeling revealed that iNM enhanced the decodability and stability of TMSC-neural states, while it suppressed competing swallow-neural state interference. Notably, the iNM effects extended beyond the neuromodulation window, indicating functional persistence--a key requirement for rehabilitation. iNM reconfigured TMSC networks by strengthening cortico-subcortical connectivity and adaptive circuit dynamics. Our findings show iNM as a non-invasive, personalized intervention capable of selectively enhancing sensorimotor control with high spatiotemporal specificity. By demonstrating mechanistic network-precision and functional carryover, iNM offers a promising intervention for individuals with limited treatment options, including head and neck cancer survivors and early-stage neurodegenerative disease patients.

neuroscience↗

bioRxiv2024

Individualized fMRI neuromodulation enhances visuospatial perception: a guided approach targeted towards the neuro-rehabilitation of cortical blindness and deceleration of subjective cognitive impairment.

Neuromodulation is a growing precision-medicine approach to modulating neural activity that can be used to treat neuropsychiatric, and general pathophysiologic conditions. We developed individualized fMRI neuromodulation (iNM) to study the mechanisms of visuospatial perception modulation with the long-term goal of applying it in low-vision patient populations having cortical blindness or visuospatial impairment preceding subjective cognitive impairment. To determine these mechanisms, we developed a direction and coherence discrimination task to engage visual perception (VP), visual imagery (VI), selective extero-intero-ceptive attention (SEIA), and motor planning (MP) networks. Participants discriminated up and down direction, at full and subthreshold coherence under iNM or control (no iNM). We determined the blood-oxygen-level-dependent (BOLD) magnitude as area under the curve (AUC) for VI, SEIA, and MP encoded networks and used a decoder to predict the stimulus from brain maps. The increased AUC BOLD magnitude under iNM across directions and coherences ranged from: 48-76% for SEIA, 26-59% for MP, 20-47% for VI, and 100% for strong VP coherences, but decreased for weak coherences. iNM increased classification performance. Our results imply a causal role of iNM-induced visuospatial mechanisms in strengthening these networks and provide a pathway for more accurate encoding models and effective treatment.

neuroscience↗

bioRxiv2018

Organization of Area hV5/MT+ in Subjects with Homonymous Visual Field Defects

Damage to the primary visual cortex (V1) leads to a visual field loss (scotoma) in the retinotopically corresponding part of the visual field. Nonetheless, a small amount of residual visual sensitivity persists within the blind field. This residual capacity has been linked to activity observed in the middle temporal area complex (V5/MT+). However, it remains unknown whether the organization of hV5/MT+ changes following V1 lesions. We studied the organization of area hV5/MT+ of five patients with dense homonymous defects in a quadrant of the visual field as a result of partial V1+ or optic radiation lesions. To do so, we developed a new method, which models the boundaries of population receptive fields directly from the BOLD signal of each voxel in the visual cortex. We found responses in hV5/MT+ arising inside the scotoma for all patients and identified two possible sources of activation: 1) responses might originate from partially lesioned parts of area V1 corresponding to the scotoma, and 2) responses can also originate independent of area V1 input suggesting the existence of functional V1-bypassing pathways. Apparently, visually driven activity observed in hV5/MT+ is not sufficient to mediate conscious vision. More surprisingly, visually driven activity in corresponding regions of V1 and early extrastriate areas including hV5/MT+ did not guarantee visual perception in the group of patients with post-geniculate lesions that we examined. This suggests that the fine coordination of visual activity patterns across visual areas may be an important determinant of whether visual perception persists following visual cortical lesions.

neuroscience↗