Michael Fox

Michael Fox

@foxmdphd.bsky.social

Raymond D. Adams Endowed Chair and Professor of Neurology at Harvard Medical School / Mass General Brigham; Director of the Center for Brain Circuit Therapeutics @braincircuits.bsky.social

2.2K followers91 following49 posts

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Excited to join Bluesky! I’m an engineer, neurologist, and neuroscientist interested in causal mapping of neurological and psychiatric symptoms to human brain circuits to identify therapeutic targets for neuromodulation. #DBS, #TMS

Michael Fox reposted

New publication using Lead-DBS: In this article by Barlatey et al., the authors tested the robustness of DBS lead reconstruction using two distinct postoperative CT scans per patient and found mean lead tip translation of 0.79 mm, ind... Check out the paper here 👇👇 https://doi.org/10.1159/000552349

Michael Fox reposted

New UCL research has identified a brain network linked to diffuse midline glioma (DMG), one of the deadliest childhood brain cancers. Published in Nature, the study suggests a tumour's location within this network may help predict outcomes and guide future treatments. https://bit.ly/3S8109e

Michael Fox reposted

Where, exactly, does learning happen in the brain? Out today in @nature.com, we identify a synaptic locus of birdsong learning and show that the circuit can be tuned to make birds learn faster - but at a cost. Read on👇 #neuroskyence 🧪 #prattle 💬 #bioacoustics Shareable link: rdcu.be/fiyrS

nature.comA synaptic locus of song learning - NatureCombining a computational framework and optogenetic and chemogenetic manipulations within and downstream of the cortico-basal ganglia circuit identifies the specific cortico-basal ganglia synapse...

Michael Fox reposted

The rarely told story of DBS before DBS from an industry perspective. Thank you very much, Keith Mullett, for taking part in this interview! Tune in below:

Stimulating Brains@stimulatingbrains.org

What was deep brain stimulation before the Benabid era? Listen to this new episode with a very unique view behind the scenes at Medtronic developing DBS for pain, just in time for the Grenoble team to come in: stimulatingbrains.org/78-keith-mul...

Michael Fox reposted

Moreover, did you know that Stimulating Brains Episodes are now searchable – and citeable? Check the website for a transcript player with search functionality – great to check back to "something you've heard" on the show in some of the episodes. All transcripts also available on figshare etc.

Stimulating Brains@stimulatingbrains.org

What was deep brain stimulation before the Benabid era? Listen to this new episode with a very unique view behind the scenes at Medtronic developing DBS for pain, just in time for the Grenoble team to come in: stimulatingbrains.org/78-keith-mul...

Thank you @avaskham.bsky.social @thetransmitter.bsky.social for covering the ongoing discussion re lesion network mapping. It is commendable when a news publication covers both sides of an issue, and a great example of unbiased and responsible reporting.

The Transmitter @thetransmitter.bsky.social

A wave of new papers discuss the merits and limitations of lesion network mapping. #neuroskyence By @avaskham.bsky.social www.thetransmitter.org/brain-imagin...

Michael Fox reposted

When clinicians and researchers work together toward the goal of improving lives for those with #bipolardisorder, collaboration shifts how research progresses. Hear from Tracy Young-Pearse, PhD, on BD²'s integrated approach in the latest #InvestigatorInsights. 🧠

Congratulations @shansiddiqi.bsky.social and Joe Taylor @braincircuits.bsky.social on their paper In Mol Psych demonstrating the translational power of LNM and brain circuit therapeutics. It has already changed clinical TMS practice @massgeneralbrigham.bsky.social @harvardmed.bsky.social.

Shan Siddiqi@shansiddiqi.bsky.social

New paper in Molecular Psychiatry: In patients with anxiety + depression, targeting a novel “anxiosomatic” circuit (dmPFC) outperforms standard dlPFC for anxiety—and is equally effective for depression. Free link: rdcu.be/faL22 Full link: lnkd.in/e4WZTncu But the bigger story is the pipeline 1/n

Michael Fox reposted

New paper in Molecular Psychiatry: In patients with anxiety + depression, targeting a novel “anxiosomatic” circuit (dmPFC) outperforms standard dlPFC for anxiety—and is equally effective for depression. Free link: rdcu.be/faL22 Full link: lnkd.in/e4WZTncu But the bigger story is the pipeline 1/n

Michael Fox reposted

🧠 Resting-state fMRI is often treated as the gold standard for studying the brain’s intrinsic organization. But is it actually the best way to estimate functional architecture? We tested this directly. 🧵1/8

Michael Fox reposted

Replying to @foxmdphd.bsky.social

We don't think it invalidates the approach. We looked into this in our data and replicated the key result showing convergence to non-specific connectome structure. However, our results also suggest there is a practical fix that is already implemented in some LNM studies. bsky.app/profile/pete...

Michael Fox reposted

A recent @natneuro.nature.com paper analyzed lesion network mapping and raised concerns about the validity of the method. See below 👇 for our response. www.biorxiv.org/content/10.6...

Michael Fox@foxmdphd.bsky.social

A recent paper in @natureportfolio.nature.com raised concerns about the lesion network mapping method. Our team of 16 coauthors analyzed >1000 lesions and 34 symptoms and found that "The methodological foundations of lesion network mapping remain sound" www.biorxiv.org/content/10.6...

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Taken together, these results suggest that LNM 1) shows symptom specificity across studies, 2) produces results that do not converge on a single map, and 3) controls for false positives with specificity testing.

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Second, we tested the concern that LNM results all converge to the same degree map. We found the spatial correlation between lesion networks from patients with the same symptom was higher than the spatial correlation w the degree map (median spatial r = 0.44 vs 0.16, p< 0.0001).

Third, we tested the concern that LNM is prone to false positive results because of flawed specificity testing. We did not identify a single false positive in 1000 iterations when we compared 50 lesions randomly extracted from our database to the remaining 1040 lesions.

First, we tested the concern that LNM results are not symptom-specific. We found the spatial correlation between lesion networks from patients with the same symptom was significantly higher than between those with different symptoms (median spatial r= 0.44 vs 0.09; p < 0.0001).

Michael Fox reposted

Michael Fox reposted

Are connectome-based network mapping methods and the >200 papers that have used it invalid? New paper out in @NatureNeuro says YES. nature.com/articles/s41... I have concerns about this new paper's methods and conclusions, but am biased. What do others think?

nature.comInvestigating the methodological foundation of lesion network mapping - Nature NeuroscienceThe lesion network mapping method links diverse brain lesions to similar functional brain networks, reflecting general brain organization rather than disorder-specific circuits.

Michael Fox reposted

Michael Fox reposted

Very interesting findings! Gliomas selectively locate within in the Action-mode Network, using glioma network mapping derived from lesion network mapping @foxmdphd.bsky.social

weigangcui.bsky.social@weigangcui.bsky.social

Check out our new work on the relationship between glioma and system-level functional networks! We identify that nearly all gliomas localize within a common brain functional network, Action-Mode Network (AMN) . biorxiv.org/content/10.64898/2026.01.05.697608v1

Michael Fox reposted

Excited to share that our new review, "Depression as a disease of white matter network disruption: Learning from Multiple Sclerosis," is out now in Biological Psychiatry! We propose MS as a powerful model for studying how white matter network changes contribute to depression.

biologicalpsychiatryjournal.comDepression as a disease of white matter network disruption: Learning from Multiple SclerosisDepression is a common and debilitating psychiatric disorder that is associated with substantial morbidity and mortality. For nearly 40 years, scientists have attempted to localize depression in the b...

Michael Fox reposted

What is the burden in the US of Parkinson's, Alzheimer's and other diseases? Spoiler alert: there are surges beyond the pure numbers and we need to raise awareness for the increases in both disability and burden. Parkinson disease has shown the largest growth in burden on society. cutt.ly/xtyUtS0D

Michael Fox reposted

Pruckner et al. show that the structural effects of neurosurgery extend beyond the resected tissue into connected networks through transneuronal degeneration. They were able to reliably predict these changes from preoperative MRI. tinyurl.com/a6rxvbey

Michael Fox reposted

🧪 Research Spotlight: Ziad Nahas, MD, MSCR, is studying how brain networks regulate mood in #BipolarDisorder & how instability drives shifts between depression & mania with PACE 👉 Goal: Test if targeting networks can improve mood & reveal mechanisms behind switches. 🔗 bit.ly/4gTbBwU

Michael Fox reposted

This is 🤯 All publicly available. Looks like an amazing new histology-based human probabilistic atlas and parcellation tool. #neuroskyence #mri #brainmapping A probabilistic histological atlas of the human brain for MRI segmentation | Nature share.google/5AD0iW7pxgb4...

share.googleA probabilistic histological atlas of the human brain for MRI segmentation - NatureNextBrain is an open source, probabilistic atlas of the entire human brain, assembled using artificial-intelligence-enabled registration and segmentation methods to reconstruct the multimodal serial h...