Jesse Brown
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jesseab.bsky.social
Jesse Brown
@jesseab.bsky.social
Neuro + data scientist, building radiata.ai - better brain biomarkers.
One major benefit resulting from all the LNM studies, regardless of how the dust settles: a massive collection of lesions have been compiled. That can be a powerful reference set for future studies testing how clustered a new set of lesions are.
January 17, 2026 at 6:27 AM
For existing LNM studies, preprocessing choices for the normative connectome play a big role in determining how the LNM maps look. Global signal regression is going to change the degree distribution, and we know GSR is not a no-brainer.
January 17, 2026 at 6:27 AM
Maybe a set of lesions converge on how they perturb the low-dimensional functional state space (h/t D Jones). We talk about this in our recent atrophy-FC paper: www.nature.com/articles/s41.... I think structure-function methods like ours can help link disparate lesions to common cognitive outcomes.
Functional network collapse in neurodegenerative disease - Nature Communications
This study demonstrates that brain functional network imbalance appears linked to progressive brain atrophy and cognitive decline across the dementia spectrum.
www.nature.com
January 17, 2026 at 6:27 AM
The core question motivating LNM studies is: how do disparate lesions converge on a common syndrome? Put another way: what's the structure-function-cognition mapping? I think patient fMRI is crucial here!
January 17, 2026 at 6:27 AM
To strengthen the "chance" case, the simulated null lesions should have the same spatial autocorrelation as the true lesions.
January 17, 2026 at 6:27 AM
For future "LNM 2.0" studies, a good research question may simply be: does a set of lesions cluster on some spatial feature - connectivity, gradient, gene expression - more than expected by chance?
January 17, 2026 at 6:27 AM
If they did, you'd get different LNM connectivity maps back for different syndromes. Instead, the lesions are actually uniformly distributed across the connectome, which results in you getting the functional connectome degree map back as the LNM map.
January 17, 2026 at 6:27 AM
The LNM method in a nutshell is: do the lesions for a syndrome cluster on some spatial feature of the healthy functional connectome? The takeaway from this study: no, the lesions don't cluster.
January 17, 2026 at 6:27 AM
This is strong and careful work. I like how they boiled LNM down to its essence: LNM = sum(M x C). They clearly thought deeply about the method.
January 17, 2026 at 6:27 AM
Where to next?
- Deploy this biomarker as a real world test (radiata.ai)
- Develop non-invasive neurostimulation therapy for functional connectivity imbalances
- Apply eigenmode analysis to develop new fMRI biomarkers
Radiata
radiata.ai
November 25, 2025 at 5:17 PM
- @lollopasquini.bsky.social's curiosity led to us looking into gradients, which led to the idea of gradient imbalance and hypo/hyper connectivity in dementia. Just followed the thread.
November 25, 2025 at 5:17 PM
- Eigenmode analysis finally made sense after reading Strogatz’s “Nonlinear dynamics and chaos” and taking a long hike to the beach at Point Reyes.
November 25, 2025 at 5:17 PM
Things that happened along the way:
- Back in 2013, Helen Zhou’s Brain paper about convergent and divergent functional connectivity in AD/FTD got lodged in my mind and never left.
- The idea for structure-function mapping in AD and FTD came at OHBM 2019 in Rome. Idea to paper took a long time.
November 25, 2025 at 5:17 PM
Sincere thanks to the participants, outstanding colleagues at the @ucsfmac.bsky.social, and to the Tau Consortium for support. 🙏
November 25, 2025 at 5:17 PM
Key finding 5: Sensory-association imbalance is a promising cognitive biomarker for prognosis/monitoring because 1) higher imbalance at baseline predicts accelerated cognitive decline and 2) functional biomarkers will likely show more dynamic response to treatment.
November 25, 2025 at 5:17 PM
Key finding 4: Structure and function biomarker scores both contribute to cognitive impairment.
November 25, 2025 at 5:17 PM
Key finding 3: Eigenmode analysis reveals reductions in gradient amplitude and phase, which we call collapse. Those disruptions that add up to observed FC differences.
November 25, 2025 at 5:17 PM
Key finding 2: Hypo and hyperconnectivity appear as two sides of the same coin. Different atrophy patterns perturb specific functional gradients, in which anticorrelated network pairs are embedded.
November 25, 2025 at 5:17 PM
Key finding 1: Sensory-association functional connectivity imbalance (SAI) appears in all syndromes. As atrophy increases, sensory connectivity weakens and association connectivity gets stronger. Did not expect this.
November 25, 2025 at 5:17 PM
We mapped structure-function relationships in Alzheimer’s disease and frontotemporal dementia. This was a good cohort because the atrophy patterns collectively cover almost the entire brain.
November 25, 2025 at 5:17 PM