High brain network dynamics mediate audiovisual integration deficits and cognitive impairment in Alzheimer's disease
Bibliographic record
Abstract
BackgroundAudiovisual integration deficits are frequent in patients with Alzheimer's disease (AD). In addition, patients with AD have altered functional brain networks, such as those supporting auditory and visual processing. However, the mechanisms driving this association remain unclear.ObjectiveTo investigate whether dynamic functional network disruptions underlie audiovisual integration and cognitive deficits in AD.MethodsSeventy-nine participants (41 AD, 38 controls) completed audiovisual stimuli tasks. A multilayer modularity algorithm was utilized to assess the resting-state fMRI-based brain dynamics of the primary sensory and higher-order functional networks. Mediation analysis was conducted to test our hypothesis.ResultsAD patients showed delayed response time and reduced peak benefit of audiovisual integration. Dynamic switching rates of primary sensory and higher-order networks were significantly increased in AD, particularly in the dynamic integration between the default mode network (DMN) and visual network (VN). The peak benefit of audiovisual integration negatively correlated with DMN-VN dynamic integration and positively with Mini-Mental State Examination, Montreal Cognitive Assessment, and Auditory Verbal Learning Test delayed scores. Notably, excessive integration between the DMN and VN mediated the relationship between audiovisual integration deficits and cognitive impairment in patients with AD.ConclusionsThese findings suggest that audiovisual integration impairment may disturb the dynamic integration between the DMN and VN, contributing to cognitive impairment in AD. The neural mechanisms underlying audiovisual integration deficit and cognitive decline might help with early diagnosis and intervention for AD.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".