Highlights We develop a dual-branch combination network (DCN) for combined segmentation and classification of COVID-19 using CT images. Inspired by the attention mechanism, we propose a lesion attention (LA) module to improve the sensitivity to CT images with small lesions and facilitate early screening of COVID-19. The LA module provide accurate attention maps to improve the interpretability of the network and contribute to further assessment of the classification result.

Recently, resting-state functional magnetic resonance imaging (fMRI) studies have been extended to explore fluctuations in correlations over shorter timescales, referred to as dynamic functional connectivity (dFC). However, the impact of global signal regression (GSR) on dFC is not well established, despite the intensive investigations of the influence of GSR on static functional connectivity (sFC). This study aimed to examine the effect of GSR on the performance of the sliding-window correlation, a commonly used method for capturing functional connectivity (FC) dynamics based on resting-state fMRI and simultaneous electroencephalograph (EEG)-fMRI data. The results revealed that the impact of GSR on dFC was spatially heterogeneous, with some susceptible regions including the occipital cortex, sensorimotor area, precuneus, posterior insula and superior temporal gyrus, and that the impact was temporally modulated by the mean global signal (GS) magnitude across windows. Furthermore, GSR substantially changed the connectivity structures of the FC states responding to a high GS magnitude, as well as their temporal features, and even led to the emergence of new FC states. Conversely, those FC states marked by obvious anti-correlation structures associated with the default model network (DMN) were largely unaffected by GSR. Finally, we reported an association between the fluctuations in the windowed magnitude of GS and the time-varying EEG power within subjects, which implied changes in mental states underlying GS dynamics. Overall, this study suggested a potential neuropsychological basis, in addition to nuisance sources, for GS dynamics and highlighted the need for caution in applying GSR to sliding-window correlation analyses. At a minimum, the mental fluctuations of an individual subject, possibly related to ongoing vigilance, should be evaluated during the entire scan when the dynamics of FC is estimated.

Increasing evidence has suggested that the dynamic properties of functional brain networks are related to individual behaviors and cognition traits. However, current fMRI-based approaches mostly focus on statistical characteristics of the windowed correlation time course, potentially overlooking subtle time-varying patterns in dynamic functional connectivity (dFC). Here, we proposed the use of an end-to-end deep learning model that combines the convolutional neural network (CNN) and long short-term memory (LSTM) network to capture temporal and spatial features of functional connectivity sequences simultaneously. The results on a large cohort (Human Connectome Project, n = 1,050) demonstrated that our model could achieve a high classification accuracy of about 93% in a gender classification task and prediction accuracies of 0.31 and 0.49 (Pearson's correlation coefficient) in fluid and crystallized intelligence prediction tasks, significantly outperforming previously reported models. Furthermore, we demonstrated that our model could effectively learn spatiotemporal dynamics underlying dFC with high statistical significance based on the null hypothesis estimated using surrogate data. Overall, this study suggests the advantages of a deep learning model in making full use of dynamic information in resting-state functional connectivity, and highlights the potential of time-varying connectivity patterns in improving the prediction of individualized characterization of demographics and cognition traits.

Previous static resting-state functional connectivity (FC) MRI (rs-fcMRI) studies have suggested certain heredity characteristics of schizophrenia. Recently, dynamic rs-fcMRI analysis, which can better characterize the time-varying nature of intrinsic activity and connectivity and may therefore unveil the special connectivity patterns that are always lost in static FC analysis, has shown a potential neuroendophenotype of schizophrenia. In this study, we have extended previous static rs-fcMRI studies to a dynamic study by exploring whether healthy siblings share aberrant dynamic FC patterns with schizophrenic patients, which may imply a potential risk for siblings to develop schizophrenia. We utilized the dynamic rs-fcMRI method using a sliding window approach to evaluate FC discrepancies within transient states across schizophrenic patients, unaffected siblings, and matched healthy controls. Statistical analysis showed five trait-related connections that are related to cingulo-opercular, occipital, and default mode networks, reflecting the shared connectivity alterations between schizophrenic patients and their unaffected siblings. The findings suggested that schizophrenic patients and their unaffected siblings shared common transient functional disconnectivity, implying a potential risk for the healthy siblings of developing schizophrenia.