Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review

IntroductionThe Balloon Analog Risk Task (BART), a computerized behavioral paradigm, is one of the most common tools used to assess the risk-taking propensity of an individual. Since its initial behavioral version, the BART has been adapted to neuroimaging technique to explore brain networks of risk...

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Main Authors: Charline Compagne, Juliana Teti Mayer, Damien Gabriel, Alexandre Comte, Eloi Magnin, Djamila Bennabi, Thomas Tannou
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1237734/full
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author Charline Compagne
Charline Compagne
Juliana Teti Mayer
Juliana Teti Mayer
Damien Gabriel
Damien Gabriel
Damien Gabriel
Alexandre Comte
Alexandre Comte
Eloi Magnin
Eloi Magnin
Djamila Bennabi
Djamila Bennabi
Djamila Bennabi
Thomas Tannou
Thomas Tannou
Thomas Tannou
author_facet Charline Compagne
Charline Compagne
Juliana Teti Mayer
Juliana Teti Mayer
Damien Gabriel
Damien Gabriel
Damien Gabriel
Alexandre Comte
Alexandre Comte
Eloi Magnin
Eloi Magnin
Djamila Bennabi
Djamila Bennabi
Djamila Bennabi
Thomas Tannou
Thomas Tannou
Thomas Tannou
author_sort Charline Compagne
collection DOAJ
description IntroductionThe Balloon Analog Risk Task (BART), a computerized behavioral paradigm, is one of the most common tools used to assess the risk-taking propensity of an individual. Since its initial behavioral version, the BART has been adapted to neuroimaging technique to explore brain networks of risk-taking behavior. However, while there are a variety of paradigms adapted to neuroimaging to date, no consensus has been reached on the best paradigm with the appropriate parameters to study the brain during risk-taking assessed by the BART. In this review of the literature, we aimed to identify the most appropriate BART parameters to adapt the initial paradigm to neuroimaging and increase the reliability of this tool.MethodsA systematic review focused on the BART versions adapted to neuroimaging was performed in accordance with PRISMA guidelines.ResultsA total of 105 articles with 6,879 subjects identified from the PubMed database met the inclusion criteria. The BART was adapted in four neuroimaging techniques, mostly in functional magnetic resonance imaging or electroencephalography settings.DiscussionFirst, to adapt the BART to neuroimaging, a delay was included between each trial, the total number of inflations was reduced between 12 and 30 pumps, and the number of trials was increased between 80 and 100 balloons, enabling us to respect the recording constraints of neuroimaging. Second, explicit feedback about the balloon burst limited the decisions under ambiguity associated with the first trials. Third, employing an outcome index that provides more informative measures than the standard average pump score, along with a model incorporating an exponential monotonic increase in explosion probability and a maximum explosion probability between 50 and 75%, can yield a reliable estimation of risk profile. Additionally, enhancing participant motivation can be achieved by increasing the reward in line with the risk level and implementing payment based on their performance in the BART. Although there is no universal adaptation of the BART to neuroimaging, and depending on the objectives of a study, an adjustment of parameters optimizes its evaluation and clinical utility in assessing risk-taking.
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spelling doaj.art-6ad629b5e7964a869377e7aad8d4e4752023-09-19T07:21:06ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-09-011710.3389/fnins.2023.12377341237734Adaptations of the balloon analog risk task for neuroimaging settings: a systematic reviewCharline Compagne0Charline Compagne1Juliana Teti Mayer2Juliana Teti Mayer3Damien Gabriel4Damien Gabriel5Damien Gabriel6Alexandre Comte7Alexandre Comte8Eloi Magnin9Eloi Magnin10Djamila Bennabi11Djamila Bennabi12Djamila Bennabi13Thomas Tannou14Thomas Tannou15Thomas Tannou16UR LINC, Université de Franche-Comté, Besançon, FranceCIC-1431 INSERM, Centre Hospitalier Universitaire, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FranceCentre Département de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FranceCIC-1431 INSERM, Centre Hospitalier Universitaire, Besançon, FrancePlateforme de Neuroimagerie Fonctionnelle Neuraxess, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FranceCentre Département de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FranceCHU Département de Neurologie, Centre Hospitalier Universitaire, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FranceCentre Département de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire, Besançon, FranceCentre Expert Dépression Résistante Fondamentale, Centre Hospitalier Universitaire, Besançon, FranceUR LINC, Université de Franche-Comté, Besançon, FrancePlateforme de Neuroimagerie Fonctionnelle Neuraxess, Besançon, FranceCIUSS Centre-Sud de l’Ile de Montréal, Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Montréal, QC, CanadaIntroductionThe Balloon Analog Risk Task (BART), a computerized behavioral paradigm, is one of the most common tools used to assess the risk-taking propensity of an individual. Since its initial behavioral version, the BART has been adapted to neuroimaging technique to explore brain networks of risk-taking behavior. However, while there are a variety of paradigms adapted to neuroimaging to date, no consensus has been reached on the best paradigm with the appropriate parameters to study the brain during risk-taking assessed by the BART. In this review of the literature, we aimed to identify the most appropriate BART parameters to adapt the initial paradigm to neuroimaging and increase the reliability of this tool.MethodsA systematic review focused on the BART versions adapted to neuroimaging was performed in accordance with PRISMA guidelines.ResultsA total of 105 articles with 6,879 subjects identified from the PubMed database met the inclusion criteria. The BART was adapted in four neuroimaging techniques, mostly in functional magnetic resonance imaging or electroencephalography settings.DiscussionFirst, to adapt the BART to neuroimaging, a delay was included between each trial, the total number of inflations was reduced between 12 and 30 pumps, and the number of trials was increased between 80 and 100 balloons, enabling us to respect the recording constraints of neuroimaging. Second, explicit feedback about the balloon burst limited the decisions under ambiguity associated with the first trials. Third, employing an outcome index that provides more informative measures than the standard average pump score, along with a model incorporating an exponential monotonic increase in explosion probability and a maximum explosion probability between 50 and 75%, can yield a reliable estimation of risk profile. Additionally, enhancing participant motivation can be achieved by increasing the reward in line with the risk level and implementing payment based on their performance in the BART. Although there is no universal adaptation of the BART to neuroimaging, and depending on the objectives of a study, an adjustment of parameters optimizes its evaluation and clinical utility in assessing risk-taking.https://www.frontiersin.org/articles/10.3389/fnins.2023.1237734/fullballoon analog risk taskfunctionalneuroimagingdecision makingtakingelectroencephalography
spellingShingle Charline Compagne
Charline Compagne
Juliana Teti Mayer
Juliana Teti Mayer
Damien Gabriel
Damien Gabriel
Damien Gabriel
Alexandre Comte
Alexandre Comte
Eloi Magnin
Eloi Magnin
Djamila Bennabi
Djamila Bennabi
Djamila Bennabi
Thomas Tannou
Thomas Tannou
Thomas Tannou
Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
Frontiers in Neuroscience
balloon analog risk task
functional
neuroimaging
decision making
taking
electroencephalography
title Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
title_full Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
title_fullStr Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
title_full_unstemmed Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
title_short Adaptations of the balloon analog risk task for neuroimaging settings: a systematic review
title_sort adaptations of the balloon analog risk task for neuroimaging settings a systematic review
topic balloon analog risk task
functional
neuroimaging
decision making
taking
electroencephalography
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1237734/full
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