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The structural and metabolic basis of control energy in the brain is uncovered by leveraging epilepsy as a human lesion model. 

Over one third of the estimated 3 million people with epilepsy in the United States are medication resistant. Responsive neurostimulation from chronically implanted electrodes provides a promising treatment alternative to resective surgery. However, determining optimal personalized stimulation parameters, including when and where to intervene to guarantee a positive patient outcome, is a major open challenge. Network neuroscience and control theory offer useful tools that may guide improvements in parameter selection for control of anomalous neural activity. Here we use a method to characterize dynamic controllability across consecutive effective connectivity (EC) networks based on regularized partial correlations between implanted electrodes during the onset, propagation, and termination regimes of 34 seizures. We estimate regularized partial correlation adjacency matrices from 1-s time windows of intracranial electrocorticography recordings using the Graphical Least Absolute Shrinkage and Selection Operator (GLASSO). Average and modal controllability metrics calculated from each resulting EC network track the time-varying controllability of the brain on an evolving landscape of conditionally dependent network interactions. We show that average controllability increases throughout a seizure and is negatively correlated with modal controllability throughout. Our results support the hypothesis that the energy required to drive the brain to a seizure-free state from an ictal state is smallest during seizure onset, yet we find that applying control energy at electrodes in the seizure onset zone may not always be energetically favorable. Our work suggests that a low-complexity model of time-evolving controllability may offer insights for developing and improving control strategies targeting seizure suppression. 

Adolescents are known for taking risks, from driving too fast to experimenting with drugs and alcohol. Such behaviors tend to decrease as individuals move into adulthood. Most people in their mid-twenties have greater self-control than they did as teenagers. They are also often better at planning, sustaining attention, and inhibiting impulsive behaviors. These skills, which are known as executive functions, develop over the course of adolescence. Executive functions rely upon a series of brain regions distributed across the frontal lobe and the lobe that sits just behind it, the parietal lobe. Fiber tracts connect these regions to form a fronto-parietal network. These fiber tracts are also referred to as white matter due to the whitish fatty material that surrounds and insulates them. Cui et al. now show that changes in white matter networks have implications for teen behavior. Almost 950 healthy young people aged between 8 and 23 years underwent a type of brain scan called diffusion-weighted imaging that visualizes white matter. The scans revealed that white matter networks in the frontal and parietal lobes mature over adolescence. This makes it easier for individuals to activate their fronto-parietal networks by decreasing the amount of energy required. Cui et al. show that a computer model can predict the maturity of a person's brain based on the energy needed to activate their fronto-parietal networks. These changes help explain why executive functions improve during adolescence. This in turn explains why behaviors such as risk-taking tend to decrease with age. That said, adults with various psychiatric disorders, such as ADHD and psychosis, often show impaired executive functions. In the future, it may be possible to reduce these impairments by applying magnetic fields to the scalp to reduce the activity of specific brain regions. The techniques used in the current study could help reveal which brain regions to target with this approach.