Increased sensitivity to strong perturbations in a whole-brain model of LSD
This in silico modelling study, based on fMRI data from healthy volunteers (n=14) administered LSD (75 μg), investigated brain-wide dynamical stability. It finds that LSD shifts the brain towards a more unstable, complex state, with the most significant dynamical changes occurring in the limbic, visual, and default mode networks.
Authors
- Atasoy, S.
- Carhart-Harris, R. L.
- Deco, G.
Published
Abstract
Lysergic acid diethylamide (LSD) is a potent psychedelic drug, which has seen a revival in clinical and pharmacological research within recent years. Human neuroimaging studies have shown fundamental changes in brain-wide functional connectivity and an expansion of dynamical brain states, thus raising the question about a mechanistic explanation of the dynamics underlying these alterations. Here, we applied a novel perturbational approach based on a whole-brain computational model, which opens up the possibility to externally perturb different brain regions in silico and investigate differences in dynamical stability of different brain states, i.e. the dynamical response of a certain brain region to an external perturbation. After adjusting the whole-brain model parameters to reflect the dynamics of functional magnetic resonance imaging (fMRI) BOLD signals recorded under the influence of LSD or placebo, perturbations of different brain areas were simulated by either promoting or disrupting synchronization in the regarding brain region. After perturbation offset, we quantified the recovery characteristics of the brain area to its basal dynamical state with the Perturbational Integration Latency Index (PILI) and used this measure to distinguish between the two brain states. We found significant changes in dynamical complexity with consistently higher PILI values after LSD intake on a global level, which indicates a shift of the brain's global working point further away from a stable equilibrium as compared to normal conditions. On a local level, we found that the largest differences were measured within the limbic network, the visual network and the default mode network. Additionally, we found a higher variability of PILI values across different brain regions after LSD intake, indicating higher response diversity under LSD after an external perturbation. Our results provide important new insights into the brain-wide dynamical changes underlying the psychedelic state - here provoked by LSD intake - and underline possible future clinical applications of psychedelic drugs in particular psychiatric disorders.
Research Summary of 'Increased sensitivity to strong perturbations in a whole-brain model of LSD'
Introduction
Recent neuroimaging studies indicate that LSD produces widespread changes in brain functional connectivity and an expanded repertoire of dynamical brain states, including increased BOLD variance and greater diversity of dynamic functional connectivity patterns. Despite these empirical observations, a mechanistic understanding of how whole-brain dynamics are altered by LSD is incomplete. Previous work using controlled perturbations (for example TMS or DBS) has shown the value of probing dynamical responses, but in vivo perturbations are limited in scope, duration and regional specificity. Jobst and colleagues set out to combine a whole-brain computational model with an in silico perturbational approach to explore how the brain’s dynamical stability differs under LSD versus placebo across three scanning conditions: rest, rest while listening to music, and rest after music. Using a Hopf-based whole-brain model fitted to fMRI data recorded under LSD and placebo, the investigators simulated region-specific perturbations and quantified recovery dynamics with the Perturbational Integration Latency Index (PILI). They hypothesised that LSD would produce stronger and longer-lasting responses to perturbation—consistent with dynamics closer to bifurcation or criticality—and expected music to amplify these effects.
Methods
Empirical data derived from an fMRI experiment in which 20 healthy participants underwent six scanning conditions: LSD and placebo (PCB) each in rest, rest while listening to music, and rest after music. Sessions were at least 14 days apart and order was balanced; participants were blind to condition. Eight participants were excluded (one early termination for anxiety, four for excessive head motion using a scrubbing threshold, three for technical problems with sound), leaving 12 participants for the analyses reported. The extracted text reports an intravenous LSD dose as "75 g" given ~70 minutes before scanning, but this value appears inconsistent with typical dosing and thus the exact dose is not clearly reported in the extracted text. fMRI acquisition parameters (TR/TE = 2000/35 ms, field of view = 220 mm, 64 × 64 matrix, 7:20 min per BOLD scan) and an extensive preprocessing pipeline are described, including motion scrubbing, spatial smoothing, band-pass filtering (0.01–0.08 Hz), nuisance regression and parcellation into 90 AAL regions (AAL90). Structural connectivity (SC) was obtained from probabilistic tractography applied to DTI data from an independent cohort of 16 healthy participants; the individual SC matrices were averaged to produce the anatomical coupling matrix used in the model. The whole-brain model comprised 90 coupled nodes whose local dynamics were given by the normal form of a supercritical Hopf bifurcation; nodes were coupled through the SC matrix scaled to a maximum of 0.2. Intrinsic node frequencies were estimated from the peak frequency of the filtered empirical BOLD time series for each region and condition. The global coupling parameter G was explored from 0 to 2 in steps of 0.01 and model fits to empirical functional connectivity (FC) were assessed using the Kolmogorov–Smirnov (KS) distance between empirical and simulated FC matrices; 50 simulations per G value were averaged to reduce noise. Functional connectivity matrices were computed as Pearson correlations of band-pass filtered (0.04–0.07 Hz) and z-scored regional BOLD time series, and group-level FC matrices were obtained via Fisher r-to-z transform and averaging. To test condition differences, surrogate datasets were constructed by random permutation of condition labels. A jackknife Gaussian classifier was implemented to test whether single-subject covariance structure predicted drug state: covariances were estimated on N-1 participants and log-likelihood used to assign the left-out subject; significance was evaluated against chance. Two in silico perturbation protocols were implemented by transiently changing the local bifurcation parameter a of a single node for 100 s: a = +0.6 to push a node into a more synchronous (oscillatory) regime and a = −0.6 to push it into a noisier regime. Each node was perturbed individually for 3000 trials. After perturbation offset the parameter was reset to a = 0. For each simulation the instantaneous phase of each regional time series was obtained via the Hilbert transform and a phase-locking matrix computed at each time point. Integration at time t was defined as the size of the largest connected component of the binarised phase-locking matrix averaged over 100 thresholds; integration curves were computed for 200 s in the basal state and following perturbation offset. The Perturbational Integration Latency Index (PILI) was defined as the area under the integration curve from perturbation offset until the integration reached the basal-state maximum (or recovery point), averaged over 3000 trials per node. Statistical comparisons between LSD and PCB PILI distributions used Mann–Whitney U tests (node-wise) with Bonferroni correction across 90 nodes, and RSN-level differences were summarised with Cohen’s d and tested with Mann–Whitney U tests corrected across 7 networks. Response variability was measured as the standard deviation of PILI values across nodes per trial and compared between conditions using a two-sided t-test.
Results
After exclusions, 12 participants contributed to the primary analyses. Comparing empirical FC across conditions, a significant increase in mean FC under LSD versus placebo was observed in the music condition (LSD: 0.204 ± 0.179, PCB: 0.140 ± 0.197; p = 0.0297). Small non-significant increases in mean FC under LSD were reported for rest and rest after music. Fitting the Hopf model to empirical FC produced a shift of the optimal global coupling parameter G towards higher values under LSD in all three scanning conditions (rest: LSD 0.31 vs PCB 0.27; rest with music: LSD 0.35 vs PCB 0.25; rest after music: LSD 0.29 vs PCB 0.28), with the difference reaching significance for the music condition (p = 0.0099). The Gaussian jackknife classifier assigned single-subject covariance patterns to drug state with accuracy above chance in all conditions: 75% for rest, 79.17% for rest with music and 70.83% for rest after music; these performances exceeded the significance threshold given the sample size. Using the fitted models, simulated perturbations produced larger and longer-lasting deviations in the LSD state than in PCB when quantified by the global integration measure. Basal (unperturbed) integration was higher under LSD than PCB in all conditions and increased further in the music condition under LSD while music decreased basal integration in the PCB model. Between the two perturbation protocols, the synchronization protocol (a = +0.6) yielded larger LSD–PCB differences than the noise protocol, so subsequent analyses focused mainly on the synchronization perturbation. PILI values (node-wise, averaged over 3000 trials) were consistently higher under LSD than PCB across all three scanning conditions, with the largest effect in the music condition. Recovery latency analysis showed that for the synchronization protocol, 88/90 nodes had significantly higher latencies in LSD versus PCB in the first resting state, 90/90 nodes in the rest-with-music condition, and 62/90 nodes in the rest-after-music condition. Node-wise statistical testing with Bonferroni correction identified the most affected regions (top 20 reported in the paper), including the cingulate cortex, precuneus, medial orbitofrontal cortex, supplementary motor area, calcarine sulcus, olfactory sulcus, superior and medial frontal gyri, thalamus and hippocampus. At the network level, standardized differences (Cohen’s d) and statistical tests showed significant LSD–PCB PILI increases across all seven resting-state networks in the rest and rest-with-music conditions; in rest after music only two networks (limbic and default mode) survived correction. Across conditions the limbic, visual and default mode networks consistently exhibited the largest PILI differences, with the limbic network showing the highest effect in all three conditions. Finally, perturbation-response variability, measured as the standard deviation of PILI across nodes per trial, was significantly larger under LSD than PCB in all three conditions (p < 0.0001), with the largest effect in the music condition.
Discussion
Jobst and colleagues interpret their findings as evidence that LSD shifts whole-brain dynamics toward a regime that is more highly connected, more responsive to perturbation and slower to recover — characteristics consistent with operation closer to a bifurcation or critical point. The observed increase in basal functional integration and the shift to higher optimal global coupling under LSD—most pronounced when participants listened to music—are taken to indicate enhanced propagation of activity and communication between regions in the psychedelic state. The larger and longer-lasting perturbation-elicited deviations (higher PILI and longer latencies) are framed as increased sensitivity and ‘‘critical slowing’’, which the authors link to prior work suggesting greater brain complexity under psychedelics. Locally, the limbic, visual and default mode networks were identified as especially sensitive to perturbation under LSD; the limbic system in particular showed strong effects, which the investigators relate to heightened emotional responsivity and the therapeutic relevance of emotional processing in psychedelic-assisted therapy. Increased perturbation-response variability across regions is interpreted as greater heterogeneity or independence of regional dynamics, consistent with a breakdown of typical hierarchical constraints and an expanded repertoire of brain states. Music appears to amplify these dynamical changes, consistent with reports that music intensifies emotional and imagery-related aspects of the psychedelic experience. The authors acknowledge several important limitations. The whole-brain model was homogeneous in local dynamics (all regions set to a = 0 in the basal state), meaning regional differences in results arise only from differences in connectivity rather than intrinsic regional parameters; introducing heterogeneity would require estimating many additional parameters. The model is also limited to slow BOLD frequencies and cannot speak to faster electrophysiological rhythms; the authors propose that MEG data would be informative for frequency-specific effects. The relatively small final sample (12 participants) is noted, and although single-subject classification exceeded chance, the authors state that larger samples would strengthen generalisability. Finally, pharmacokinetic timing may explain the reduced effects in the post-music scan, and the extracted text does not clearly report the precise LSD dose delivered. Overall, the investigators conclude that an in silico perturbational whole-brain modelling approach can reveal mechanistic features of the psychedelic state, showing increased global connectivity, regional sensitivity (notably limbic, visual and DMN), and heightened variability — findings the authors argue are consistent with theories that psychedelics move brain dynamics closer to criticality and that contextual factors such as music modulate these effects.
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RESULTS
We investigated the differences between LSD and PCB brain states in three different scanning conditions, namely LSD and PCB during rest, LSD and PCB during rest while listening to music and LSD and PCB during rest after listening to music. We applied a previously published offline perturbational approach based on a whole-brain model, which characterizes the return of the brain dynamics to the basal state after a model perturbation of the system (see Fig.for overview of the method).
CONCLUSION
We applied a novel in silico model-based perturbational approach to analyze the perturbation-elicited changes in global and local brain activity under the influence of LSD compared with PCB in three consecutive scanning conditions, namely a resting state followed by resting while listening to music and finally a post-music resting state. Besides finding an increase in global functional connectivity and a shift of the brain's global working point to higher connectivity in the LSD state, we showed that under the influence of LSD, brain dynamics show a larger divergence from and take longer to return to baseline activity after a strong model perturbation compared with the PCB state. Although we found that this effect was global on the whole cortex, our findings also revealed that certain brain regions and networks, such as the limbic network, the visual network, and the default mode network, were most sensitive to these changes. Finally, we also evaluated the differences between LSD and PCB with regard to the variability of these perturbational responses and found higher response variability under the influence of LSD. We found that the empirical functional connectivity was higher on average in the LSD condition compared with the PCB condition, and this difference was especially pronounced in the music condition ( Fig.A), Fig.. PILI -RSN analysis. The differences between the PILIs in LSD and PCB are shown on an RSN level. For all the nodes forming part of one RSN the Cohen's d value was calculated based on the mean and standard deviation over nodes in each state, indicating the standardized mean difference between the PILIs of each RSN in LSD and PCB. This was done for each of the 7 RSNs. The RSNs were ordered for each scanning condition (rest, rest with music, rest after music) by Cohen's d values, where darker colours indicate larger differences in PILI between the LSD and PCB conditions. The white area, which represents the corpus callosum and the subcortical structures, is to be discarded. It should be noted that the differences between PILI values in LSD and PCB state models for each RSN have found to be statistically significant in the rest and the rest with music condition. In the rest after music condition only 2 out of 7 networks (limbic network and DMN) show statistically significant differences (see Supplementary Table). where the effects of LSD seem to be amplified -as reported in the literature. This finding consolidates the results of previous studies, where it was found that high-level association cortices and the thalamus exhibit increased global functional connectivity under the influence of psychedelics. At least two previous studies have found increased thalamic functional connectivity to various cortical regionsand another found a dramatic increase in functional connectivity between the primary visual cortex and other cortical areas under LSD -an effect that correlated strongly with ratings of enhanced visual imagery. Similar results have been reported for other psychedelic drugs such as psilocybin (the main psychedelic component of magic mushrooms). One study found an expanded repertoire of dynamical brain states under the influence of psilocybin, characterized by an increase of the variance of the Blood-Oxygen Level Dependent (BOLD) signal measured with (fMRI) and a higher diversity of dynamic functional connectivity states. In another study psilocybin was found to have an increasing effect on DMN-Task-positive network (TPN) functional connectivity, thus underlining similarities of the psychedelic state to psychosis and meditatory states, where the same effect has been found). Yet another study byfound an increase in betweennetwork functional connectivity under psilocybin, suggesting that the psychedelic state makes networks become less differentiated from each other. All these findings confirm our results of an increase of global functional connectivity. Additionally to comparing the functional connectivity between LSD and PCB, we also assessed how specific the functional connectivity is to the drug state, meaning how well the functional connectivity of a single participant relates to either the LSD or the PCB state. We found that the brain states were predicted with an accuracy exceeding the significance level for all 3 scanning conditions (see Supplementary Figure). The finding that the FC matrices of single participants can be classified to the corresponding drug state with an accuracy higher than the chance level, implies that the characteristics of the single subjects are reflected in the group-level results. Importantly, these classification performances were significantly higher than expected by chance given the number of subjects. This suggests that also a small number of participants, as is the case in this study, and the characteristics of their fMRI recordings for each of the two drug states can be seen as a representative sample which can be used to draw general conclusions on a global level. Nevertheless, it would be undoubtedly advantageous to perform further similar experiments in the future with more participants involved. In order to study the whole-brain dynamics underlying the psychedelic state, first, we applied a whole-brain model based on the normal form of a supercritical Hopf bifurcation simulating directly the fMRI BOLD responses. Our analyses revealed that the global working region of brain dynamics shifts to higher global coupling parameters in the LSD state when compared with PCB. Notably however, statistical significance was only reached in the music condition, implying that the differences in brain dynamics between the LSD and PCB state may be accentuated under conditions of significant emotional evocation here represented by listening to music ( Fig.). This result underlines yet again the enhancing effect of music on the psychedelic state, as previously reported. Taken together, our results suggest increased propagation of activity and enhanced communication between distinct brain regions. This finding is in agreement with previous studies that have demonstrated that the dynamical repertoire of the brain expands under the influence of psilocybin, implying that, in this state, the brain operates in a different dynamic working region. Similar findings have also been recently demonstrated by, where LSD was found to tune brain dynamics closer to criticality, entailing an increase Fig.. Response variability. Here the distribution over trials of the standard deviation of PILI values is shown for the three different scanning conditions for LSD and PCB. Statistical differences between LSD and PCB brain states were evaluated with a two-sided t -test resulting in highly significant differences in all three scanning conditions with significantly higher PILI variability in the LSD state with respect to PCB. Especially in the music condition under the influence of LSD a considerably larger response variability can be observed with a p-value significantly smaller than 0.0001. in the diversity of the repertoire of brain states -a finding replicated more recently using both LSD and psilocybin data. Increased brain criticality is consistent with the so-called entropic brain hypothesis 58,59 -and note the schematic Fig.in Carhart-. In order to understand the optimal working point of brain dynamics in each scanning condition, we evaluated the responses to strong offline model perturbations in each state. In a previous study, this method was successfully used to discriminate between awake and sleep states. The importance of this new methodology lies in the fact that perturbations are exclusively applied in silico to a whole-brain computational model, allowing for stronger, longer lasting and brain nodespecific perturbations in ways not possible experimentally. Furthermore, an important difference of this model-based perturbation approach to previously described perturbation proceduresis the fact that with this new approach, we measure the recovery characteristics of the system after the offset of the perturbation, not the dynamical reaction to the perturbation itself. Following this approach, we characterized return to the basal brain activity by the Perturbative Integration Latency Index (PILI). Interestingly, we found differences in the global integration, even without applying any perturbation, where the basal integration was increased under LSD in contrast to PCB, which was again amplified in the music condition ( Fig.). These findings indicate that the communication and interaction between distinct brain areas is enhanced under the influence of LSD, in line with the previous study of, where, amongst other findings, LSD was found to increase global integration by enhancing the level of communication between normally distinct brain networks. Similar effects could be observed with psilocybin. Interestingly, we also observed an increase in the basal integration in the music condition under LSD, while music during PCB condition led to a slight decrease in the basal integration. This opposing effect of music in the LSD versus PCB conditions could be related to an accentuated psychological response to music under psychedelics, as observed more generally in the psychedelic research literature. The effect of music on brain activity in the placebo condition appeared to be more consistent with a generic 'focused' brain response -as suggested by a decrease in brain-wide integration and a narrowing of the repertoire of activity. Music could be characterized as a type of (felt) intrinsic perturbation under LSD but perhaps less so under placebo, where it is more likely to be witnessed more as an external object. That there was less of a difference between the LSD and placebo condition in the final resting state scan (post-music), could be due to a waning effect of the drug (i.e. a pharmacokinetic factor) -as described in the Materials and Methods section, the third and final fMRI session (rest after music) was more temporally distanced to the subjective peak effect of the drug than the first two sessions -, or a residual effect of having just listened to music, e.g. stabilising mind and brain dynamics under LSD, such that they differ less from those of the placebo condition. It would be useful to test these speculations in the future with more experiments. It was evident that almost every node revealed a marked difference in PILI values under LSD versus placebo (see Supplementary Tablesand) -and this was evident across all three scanning conditions (rest, rest with music, rest after music). A higher PILI value indicates that the perturbed node shows increased sensitivity and stronger reaction to a model perturbation and requires longer recovery time to return to normal baseline activity. This suggests there is a diminished ability of the brain to homeostatically 'right itself' after perturbation under LSD. It is well established that slowness of recovery to perturbation is a key property of critical systems, where it is sometimes referred to in the literature as "critical slowing ". That the brain should exhibit critical slowing under psychedelics was recently hypothesised in a narrative review on the effects of psychedelics on global brain function (and note Fig.in this article). The present findings therefore provide important empirical support for this principle. Heightened sensitivity and the stronger reaction to a model perturbation in the LSD state models is also consistent with the work of, where elevated measures of MEG-recorded spontaneous or resting state brain complexity was found under psychedelics using an approach not unrelated to that of Massimini and colleagues, who used TMS and complexity measures to characterise (diminished) states of consciousness. The here described effect of a simulated perturbation to LSD fMRI data could be regarded as a logical extension of these previous studies, where actual brain stimulation may be difficult to perform under a potent psychedelic. Moreover, the finding of elevated brain complexity is consistent with the finding of,as well as the entropic brain hypothesis, which stipulates that within reasonable bounds, the complexity or entropy of spontaneous activity indexes the richness of conscious experience, where greater 'richness' implies greater diversity and depth. Analyzing the perturbation-elicited differences on a local node and network level ( Fig.and Table), we found that some brain regions and networks were more dominant regarding differences in PILI than others. For example, the limbic network yielded the highest perturbationelicited differences between the LSD and the PCB state models indicating an enhanced sensitivity of this network under the effect of LSD. Within this network, the cingulate cortex showed a remarkably large sensitivity ( p < 10 -8 , effect size: 0.51 in music condition). The cingulate cortex, and the limbic system more generally, are both implicated in emotional processing. Moreover, they are both also implicated in the brain action of psychedelics. Interestingly, limbic brain regions, especially the medial temporal lobe, have been associated with producing transient dreamlike states with visual hallucinations, similar to psychedelic-like phenomena, upon electrical depth stimulation, also supporting the involvement of these brain regions in psychedelic visions. The here presented finding of enhanced sensitivity to a model perturbation of the limbic network supports the well known effect of LSD to facilitate emotional arousal. One could infer that heightened sensitivity of the limbic circuitry in particular is implicated in the heightened emotional responsivity that has been found in relation to psychedelic therapy. The release of emotional content is thought to be a key aspect of the therapeutic action of psychedelic therapy. Abnormal functioning of the limbic circuitry is well reported in mood disorders-and depression in particularwhich has been the target of psychedelic therapy. Two other networks, the visual network and the default mode network (DMN), were strongly altered by LSD, consistent with previous studies reporting changes in the functioning of visual areas and in the functional properties of the DMN under LSD. Consistent with this result, brain changes involving visual regions have been found to correlate with eyesclosed imagery under LSD, while changes in DMN properties have been found to correlate with high-level characteristics of the experience, including ego dissolution. Finally, in order to understand the level of variation across brain nodes in the perturbation response, we analyzed the perturbation response variability by looking at the variance over nodes of the perturbation-elicited responses. Larger variance over brain nodes means higher heterogeneity across brain regions. A larger response variability signifies that each brain region is becoming more independent in its activity after a strong model perturbation. We found that the response variability was significantly higher in all three scanning conditions under LSD than PCB ( Fig.), which indicates an enhanced diversity in brain dynamics, as also previously suggested for the LSD state. This effect is consistent with what one would expect from a breakdown in the usual hierarchical constraints governing global brain function. Interestingly, abnormal hierarchical organization has previously been associated with neuropathological disorders such as depression, with changes in multimodal network organizationas well as psychosis and schizophrenia, with connectivity disturbances afflicting hierarchical brain organizationleading to attenuated top-down cognitive control. Furthermore autism also has been found to relate to differences in this multimodal network hierarchy. The relationship between hierarchical organization in the brain and criticality (including critical slowing) was the focus of a recent major review on the acute and potential therapeutic action of psychedelics ( Carhart-Harris and Friston, 2019 ) -and flattened functional hierarchy in the brain has recently been observed in formal 'gradient-based' analyses applied to the present dataset. The present study's results suggest fundamental changes in brain dynamics and complexity under the influence of psychedelic drugs, consistent with the brain moving closer to a critical regime in which the brain is exquisitely sensitive to perturbation. These findings are therefore consistent with recent ( Carhart-and older theoretical models of the effects of psychedelics on global brain function. They also bear significant relevance to principles of psychedelic psychotherapy, where great emphasis is placed on the importance of context, or 'set and setting', as a principal modulator of outcomes. More plainly, the present findings of increased brain sensitivity to perturbation under LSD could be interpreted as related to evidence-based assumptionsabout increased emotional sensitivity to environmental and other contextual factors (such as music) under psychedelics. The present version of the model allows us to understand how the global changes induced by LSD (i.e., global coupling) interact with the connectome and produce different network dynamics. The main limitation of the model is its homogeneity. In this model, all the brain regions were assumed to have the same intrinsic dynamics ( a = 0). Therefore, within this model, the differences in the dynamics of the brain regions were a consequence of the different effective connectivity of the regions. The model could be extended by introducing heterogeneity in local dynamics (i.e., by allowing the parameter a to vary between brain regions, thus requiring the estimation of N new model parameters). This extension might be useful to investigate local changes produced by LSD. A further limitation of the model is its limited frequency range. Since the model was constructed based on BOLD signals, it can only produce slow frequencies. Probing the model with MEG signals could provide insights on how LSD affects the different frequency bands of brain activity. In summary, by exploring the underlying mechanistic properties of the whole-brain dynamics in the LSD state using a novel in silico perturbational approach, we have provided important new insights into global brain function underlying a possible altered state of consciousness that could bear relevance to our understanding of brain function and conscious states more generally. Importantly, the perturbational approach based on whole-brain modelling allows for the exploration of characteristic changes in whole-brain dynamics in ways that are extremely challenging to do via in vivo experiments. Furthermore, the here presented results enrich our understanding of how psychedelic drugs may have
Study Details
- Study Typeindividual
- Populationhumans
- Characteristicsbrain measuresplacebo controlledsingle blindrandomized
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