| The endogenous, or voluntary, control of visuospatial attention relies upon interactions within a frontoparietal dorsal attention network (DAN) and this network's top-down influence on visual occipital cortex (VOC). While these interactions have been shown to occur during attention tasks, they are also known to occur to some extent at rest, but the degree to which task-related interactions reflect either modulation or reorganization of such ongoing intrinsic interactions is poorly understood. In addition, it is known that in spatial neglect---a syndrome following unilateral brain lesions in which patients fail to attend to the contralesional side of space---symptom severity covaries with disruptions to intrinsic interhemispheric interactions between left and right homologous regions of the DAN; however, similar covariance with disruptions to intrahemispheric interactions within the DAN, and between the DAN and VOC, has not been demonstrated. These issues are addressed herein via the measurement of both undirected and directed functional connectivity (UFC, DFC) within the DAN and between the DAN and VOC. UFC and DFC were derived from correlations of, and multivariate vector autoregressive modeling of, fMRI BOLD time-series, respectively. Time-series were recorded from individuals performing an anticipatory visuospatial attention task and individuals at rest, as well as from stroke patients either with or without neglect and age-matched healthy controls. With regard to the first issue, the results show that relative to rest, top-down DAN-to-VOC influence and within-DAN coupling are elevated during task performance, but also that intrinsic connectivity patterns are largely preserved during the task. With regard to the second issue, results show that interhemispheric imbalances of intrahemispheric UFC and DFC both within the DAN and between the DAN and VOC strongly correlate with neglect severity, and may co-occur with functional decoupling of the hemispheres. This work thus demonstrates that the intrinsic functional integrity of the DAN and its relationship to VOC is crucial for the endogenous control of visuospatial attention during tasks, and that the compromise of this integrity due to stroke likely plays a role in producing spatial neglect. |
