Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review

Dysregulated frontostriatal circuitries are viewed as a common target for the treatment of aberrant behaviors in various psychiatric and neurological disorders. Accordingly, experimental neurofeedback paradigms have been applied to modify the frontostriatal circuitry. The human frontostriatal circui...

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Main Authors: Linda Orth, Johanna Meeh, Ruben C. Gur, Irene Neuner, Pegah Sarkheil
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2022.933718/full
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author Linda Orth
Johanna Meeh
Ruben C. Gur
Irene Neuner
Irene Neuner
Pegah Sarkheil
author_facet Linda Orth
Johanna Meeh
Ruben C. Gur
Irene Neuner
Irene Neuner
Pegah Sarkheil
author_sort Linda Orth
collection DOAJ
description Dysregulated frontostriatal circuitries are viewed as a common target for the treatment of aberrant behaviors in various psychiatric and neurological disorders. Accordingly, experimental neurofeedback paradigms have been applied to modify the frontostriatal circuitry. The human frontostriatal circuitry is topographically and functionally organized into the “limbic,” the “associative,” and the “motor” subsystems underlying a variety of affective, cognitive, and motor functions. We conducted a systematic review of the literature regarding functional magnetic resonance imaging-based neurofeedback studies that targeted brain activations within the frontostriatal circuitry. Seventy-nine published studies were included in our survey. We assessed the efficacy of these studies in terms of imaging findings of neurofeedback intervention as well as behavioral and clinical outcomes. Furthermore, we evaluated whether the neurofeedback targets of the studies could be assigned to the identifiable frontostriatal subsystems. The majority of studies that targeted frontostriatal circuitry functions focused on the anterior cingulate cortex, the dorsolateral prefrontal cortex, and the supplementary motor area. Only a few studies (n = 14) targeted the connectivity of the frontostriatal regions. However, post-hoc analyses of connectivity changes were reported in more cases (n = 32). Neurofeedback has been frequently used to modify brain activations within the frontostriatal circuitry. Given the regulatory mechanisms within the closed loop of the frontostriatal circuitry, the connectivity-based neurofeedback paradigms should be primarily considered for modifications of this system. The anatomical and functional organization of the frontostriatal system needs to be considered in decisions pertaining to the neurofeedback targets.
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spelling doaj.art-c4321e7289a54ff9905fcd5bc74d125a2022-12-22T02:16:13ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612022-08-011610.3389/fnhum.2022.933718933718Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic reviewLinda Orth0Johanna Meeh1Ruben C. Gur2Irene Neuner3Irene Neuner4Pegah Sarkheil5Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, GermanyDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, GermanyDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, GermanyInstitute of Neuroscience and Medicine 4, Forschungszentrum Jülich, Jülich, GermanyDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, GermanyDysregulated frontostriatal circuitries are viewed as a common target for the treatment of aberrant behaviors in various psychiatric and neurological disorders. Accordingly, experimental neurofeedback paradigms have been applied to modify the frontostriatal circuitry. The human frontostriatal circuitry is topographically and functionally organized into the “limbic,” the “associative,” and the “motor” subsystems underlying a variety of affective, cognitive, and motor functions. We conducted a systematic review of the literature regarding functional magnetic resonance imaging-based neurofeedback studies that targeted brain activations within the frontostriatal circuitry. Seventy-nine published studies were included in our survey. We assessed the efficacy of these studies in terms of imaging findings of neurofeedback intervention as well as behavioral and clinical outcomes. Furthermore, we evaluated whether the neurofeedback targets of the studies could be assigned to the identifiable frontostriatal subsystems. The majority of studies that targeted frontostriatal circuitry functions focused on the anterior cingulate cortex, the dorsolateral prefrontal cortex, and the supplementary motor area. Only a few studies (n = 14) targeted the connectivity of the frontostriatal regions. However, post-hoc analyses of connectivity changes were reported in more cases (n = 32). Neurofeedback has been frequently used to modify brain activations within the frontostriatal circuitry. Given the regulatory mechanisms within the closed loop of the frontostriatal circuitry, the connectivity-based neurofeedback paradigms should be primarily considered for modifications of this system. The anatomical and functional organization of the frontostriatal system needs to be considered in decisions pertaining to the neurofeedback targets.https://www.frontiersin.org/articles/10.3389/fnhum.2022.933718/fullneurofeedbackreal-time fMRIconnectivity neurofeedbackneuromodulationfrontostriatal circuitry
spellingShingle Linda Orth
Johanna Meeh
Ruben C. Gur
Irene Neuner
Irene Neuner
Pegah Sarkheil
Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
Frontiers in Human Neuroscience
neurofeedback
real-time fMRI
connectivity neurofeedback
neuromodulation
frontostriatal circuitry
title Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
title_full Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
title_fullStr Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
title_full_unstemmed Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
title_short Frontostriatal circuitry as a target for fMRI-based neurofeedback interventions: A systematic review
title_sort frontostriatal circuitry as a target for fmri based neurofeedback interventions a systematic review
topic neurofeedback
real-time fMRI
connectivity neurofeedback
neuromodulation
frontostriatal circuitry
url https://www.frontiersin.org/articles/10.3389/fnhum.2022.933718/full
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