Evidence map›Paper›PMID 34785719›Full record

Trial reportScientific reports2021

Processing of fMRI-related anxiety and bi-directional information flow between prefrontal cortex and brain stem.

Gert Pfurtscheller, Katarzyna J Blinowska, Maciej Kaminski, Andreas R Schwerdtfeger, Beate Rassler, Gerhard Schwarz, Wolfgang Klimesch

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. An autonomic mode of brain activity.Progress in neurobiology · 2023
    Article
  8. Dynamic fluctuations in ascending heart-to-brain communication under mental stress.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gert PfurtschellerInstitute of Neural Engineering, Graz University of Technology, Graz, Austria.
Katarzyna J BlinowskaNalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Ks. Trojdena 4, 02-109, Warsaw, Poland. kjbli@fuw.edu.pl.
Maciej KaminskiFaculty of Physics, University of Warsaw, Pasteura 5, 02-093, Warsaw, Poland.
Andreas R SchwerdtfegerInstitute of Psychology, University of Graz, Graz, Austria.
Beate RasslerCarl-Ludwig-Institute of Physiology, University of Leipzig, Leipzig, Germany.
Gerhard SchwarzDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Wolfgang KlimeschCentre of Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain-heart synchronization is fundamental for emotional-well-being and brain-heart desynchronization is characteristic for anxiety disorders including specific phobias. Recording BOLD signals with functional magnetic resonance imaging (fMRI) is an important noninvasive diagnostic tool; however, 1-2% of fMRI examinations have to be aborted due to claustrophobia. In the present study, we investigated the information flow between regions of interest (ROI's) in the cortex and brain stem by using a frequency band close to 0.1 Hz. Causal coupling between signals important in brain-heart interaction (cardiac intervals, respiration, and BOLD signals) was studied by means of Directed Transfer Function based on the Granger causality principle. Compared were initial resting states with elevated anxiety and final resting states with low or no anxiety in a group of fMRI-naïve young subjects. During initial high anxiety the results showed an increased information flow from the middle frontal gyrus (MFG) to the pre-central gyrus (PCG) and to the brainstem. There also was an increased flow from the brainstem to the PCG. While the top-down flow during increased anxiety was predominant, the weaker ascending flow from brainstem structures may characterize a rhythmic pacemaker-like activity that (at least in part) drives respiration. We assume that these changes in information flow reflect successful anxiety processing.

Indexed as

Anxiety DisordersBrain StemMagnetic Resonance ImagingPrefrontal CortexAdultFemaleHumansMale

Identifiers

PMID34785719
PMCPMC8595881

What OpenQuestion holds

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Registered trials

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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.