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@ARTICLE{Feige:285027,
author = {Feige, Bernd and von Zedtwitz, Katharina and Matteit,
Isabelle and Schlump, Andrea and Coenen, Volker A and
Nickel, Kathrin and Runge, Kimon and Prüss, Harald and Rau,
Alexander and Reisert, Marco and Matthies, Swantje and
Domschke, Katharina and Maier, Simon J and Tebartz van Elst,
Ludger and Endres, Dominique},
title = {{F}unctional {B}rain {A}ctivity {A}ssociated {W}ith
{I}ntermittent {R}hythmic {D}elta/{T}heta {A}ctivity: {A}
{T}ransdiagnostic {E}lectroencephalography-{F}unctional
{M}agnetic {R}esonance {I}maging {R}esting-{S}tate {S}tudy.},
journal = {Biological psychiatry: global open science},
volume = {6},
number = {2},
issn = {2667-1743},
address = {Amsterdam},
publisher = {Elsevier},
reportid = {DZNE-2026-00152},
pages = {100661},
year = {2026},
abstract = {Intermittent rhythmic delta/theta activity (IRDA/IRTA)
detected via electroencephalography (EEG) has been
implicated in the pathophysiology of neuropsychiatric
illnesses. Therefore, a combined EEG and functional magnetic
resonance imaging (fMRI) approach was applied in a
transdiagnostic group of patients with different
causalities, i.e., autoimmune-mediated (in suspected
autoimmune psychiatric syndromes [APS]) and primary
psychiatric (borderline personality disorder [BPD])
causalities, as well as in healthy control (HC)
participants, to characterize the brain regions functionally
correlated with IRDA/IRTA.Overall, 135 EEG-fMRI datasets met
the quality criteria, including 33 patients with suspected
APS, 59 cases with BPD, and 43 HC participants. fMRI data
were obtained using ultrafast MR encephalography and
analyzed using AFNI. IRDA/IRTA events were separated from
artifacts using independent component analysis and detected
algorithmically. Brain regions (clusters) significantly
correlated with IRDA/IRTA were first determined in all
participants. Clusters occurring across all groups were
classified as consensus areas. The groups were also analyzed
individually, adding disease- or disorder-specific clusters
not overlapping with the consensus areas.Eleven consensus
areas were identified across the 3 groups: 5 of them showed
increased activity (Brodmann area [BA] 43-right [r], BA
2-left [l], BA 4-r, BA 18-r, BA 26/29/30-r), and 6 had
reduced activity (BA 39-l, BA 10-l, BA 23-l, BA 19-l, BA
10-r, BA 18-l). The APS group showed 5 additional clusters,
all with reduced activity (BAs 39-r, 1/3-r, 8-r, 4-l, 21-r).
The BPD group showed one further cluster with increased
activity (BA 17-l).In this study, IRDA/IRTA-related brain
activity changes across the groups were identified, with
excitatory brain activity especially in
fronto-centro-temporal brain areas with similarities to the
salience network. Additional disease- or disorder-specific
changes were discovered in APS and BPD.},
keywords = {Autoimmune psychosis (Other) / Borderline personality
disorder (Other) / EEG slowing (Other) / Epilepsy (Other) /
Excitation (Other) / MREG (Other)},
cin = {AG Prüß},
ddc = {610},
cid = {I:(DE-2719)1810003},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41630827},
pmc = {pmc:PMC12861157},
doi = {10.1016/j.bpsgos.2025.100661},
url = {https://pub.dzne.de/record/285027},
}