Evidence map›Paper›PMID 34193521›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Dissociations between glucose metabolism and blood oxygenation in the human default mode network revealed by simultaneous PET-fMRI.

Lars Jonasson Stiernman, Filip Grill, Andreas Hahn, Lucas Rischka, Rupert Lanzenberger, Vania Panes Lundmark, Katrine Riklund, Jan Axelsson, Anna Rieckmann

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Task-evoked deactivations: dissociation between BOLD fMRI and FDG.bioRxiv : the preprint server for biology · 2026
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  10. Brain glucodynamic variability is an essential feature of the metabolism-cognition relationship.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  18. PET-MRI Applications and Future Prospects in Psychiatry.Journal of magnetic resonance imaging : JMRI · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Lars Jonasson StiernmanDepartment of Integrative Medical Biology, Umeå University, 90187 Umeå, Sweden; lars.stiernman@umu.se anna.rieckmann@umu.se.ORCID 0000-0001-6169-5836
Filip GrillUmeå Center for Functional Brain Imaging, Umeå University, 90187 Umeå, Sweden.ORCID 0000-0003-2081-3562
Andreas HahnDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0001-9727-7580
Lucas RischkaDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria.
Rupert LanzenbergerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-4641-9539
Vania Panes LundmarkDepartment of Integrative Medical Biology, Umeå University, 90187 Umeå, Sweden.ORCID 0000-0002-6041-5537
Katrine RiklundUmeå Center for Functional Brain Imaging, Umeå University, 90187 Umeå, Sweden.ORCID 0000-0001-5227-8117
Jan AxelssonUmeå Center for Functional Brain Imaging, Umeå University, 90187 Umeå, Sweden.ORCID 0000-0002-3731-3612
Anna RieckmannDepartment of Integrative Medical Biology, Umeå University, 90187 Umeå, Sweden; lars.stiernman@umu.se anna.rieckmann@umu.se.
Umeå University · SEMedical University of Vienna · ATMax Planck Institute for Social Law and Social Policy · DE

Funding

Austrian Science Fund FWF KLI 610
6 · The paper itself

Abstract

The finding of reduced functional MRI (fMRI) activity in the default mode network (DMN) during externally focused cognitive control has been highly influential to our understanding of human brain function. However, these negative fMRI responses, measured as relative decreases in the blood-oxygenation-level-dependent (BOLD) response between rest and task, have also prompted major questions of interpretation. Using hybrid functional positron emission tomography (PET)-MRI, this study shows that task-positive and -negative BOLD responses do not reflect antagonistic patterns of synaptic metabolism. Task-positive BOLD responses in attention and control networks were accompanied by concomitant increases in glucose metabolism during cognitive control, but metabolism in widespread DMN remained high during rest and task despite negative BOLD responses. Dissociations between glucose metabolism and the BOLD response specific to the DMN reveal functional heterogeneity in this network and demonstrate that negative BOLD responses during cognitive control should not be interpreted to reflect relative increases in metabolic activity during rest. Rather, neurovascular coupling underlying BOLD response patterns during rest and task in DMN appears fundamentally different from BOLD responses in other association networks during cognitive control.

Indexed as

Magnetic Resonance ImagingPositron-Emission TomographyAdultAttentionDefault Mode NetworkFemaleFluorodeoxyglucose F18GlucoseHumansMaleOxygenTask Performance and AnalysisYoung AdultFluorodeoxyglucose F18GlucoseOxygendefault mode networkFDGneurovascular couplingPET-fMRIworking memory

Identifiers

PMID34193521
PMCPMC8271663
OpenAlexW3177305897

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.