Evidence map›Paper›PMID 41867070›Full record

ArticleHuman brain mapping2026

Revisiting Amplitude of Low-Frequency Fluctuations (ALFF) in Resting-State fMRI: Clarifications and Improvements.

Lejian Huang, Rami Jabakhanji, Andrew D Vigotsky, Paulo Branco, Marwan N Baliki, A Vania Apkarian

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Article in Human brain mapping, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lejian HuangDepartment of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Rami JabakhanjiDepartment of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Andrew D VigotskyDepartments of Biomedical Engineering and Statistics and Data Science, Northwestern University, Evanston, Illinois, USA.
Paulo BrancoCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Marwan N BalikiCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
A Vania ApkarianDepartment of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

National Science Foundation DGE-1324585NIH HHS 1P50DA044121-01A1
6 · The paper itself

Abstract

The amplitude of low-frequency fluctuations (ALFF) and its related measure, fractional ALFF (fALFF), are widely used resting-state fMRI techniques for quantifying spontaneous neural activity within specific frequency bands. However, inconsistencies in the definition and implementation of ALFF have led to confusion in the field. In this study, we provide a mathematical clarification of ALFF and fALFF by introducing two variants: the arithmetic mean-defined ALFF/fALFF (amALFF/amfALFF) and the quadratic mean-defined ALFF/fALFF (qmALFF/qmfALFF). We examine the relationships between mean BOLD intensity (MBI), amALFF, and qmALFF across both subjects and voxels using two independent datasets mapped onto different brain templates. Additionally, we investigate the impact of z-scoring the original BOLD signal on ALFF and fALFF metrics. Finally, we evaluate the validity and test-retest reliability of (f)ALFF using a dataset with two runs at voxel, parcellation, and cortical level. Our key findings include: (1) MBI is positively correlated with both amALFF and qmALFF, highlighting the need for normalization to subject-level means; (2) normalized qmALFF and qmfALFF are highly correlated with normalized amALFF and amfALFF, respectively, at both the subject and voxel levels; (3) z-scoring the BOLD signal does not affect amfALFF or qmfALFF, but it substantially alters amALFF and qmALFF; (4) ALFF exhibits higher reliability than fALFF and both perform best at the parcellation level compared to voxel and cortical (subject) levels. Based on these findings, we present a comprehensive flowchart of the (f)ALFF algorithm implemented in the temporal domain. The full procedure is implemented in R, and the corresponding script is available at: https://github.com/lejianhuang/ALFF.

Indexed as

AlgorithmsBrainBrain MappingImage Processing, Computer-AssistedMagnetic Resonance ImagingDatasets as TopicHumansReproducibility of ResultsRestSoftware DesignBOLD intensityfMRIqmALFFqmfALFFspontaneous neural activityz‐scoring

Identifiers

PMID41867070
PMCPMC13081689

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LicenceCC BY-NC-ND
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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.