{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:48:23Z","timestamp":1782312503967,"version":"3.54.5"},"reference-count":107,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000320","name":"Alzheimer's Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000320","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>The brain is a complex dynamical system, influenced by arousal state. Cortical synchrony supports information processing and is disrupted in Alzheimer's disease (AD). Locus coeruleus (LC) integrity and pupillometry index arousal system structure and function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Sixty\u2010four AD and 26 controls underwent resting\u2010state pupillometry\u2010fMRI. Neuromelanin MRI and Addenbrooke's Cognitive Examination were conducted. Mean and standard deviation of blood oxygen level dependent (BOLD) phase coherence yielded synchrony and metastability, respectively. Leading Eigenvector Dynamics Analysis (LEiDA) produced coherence\u2010based states.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      AD had reduced global synchrony [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a0\u22120.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001], metastability [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a0\u22120.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01], LEiDA \u201cglobal coherence state\u201d occupancy [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a0\u22120.06,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01], and LC integrity [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a0\u22120.37,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01]. Synchrony [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a00.19,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01] and LC integrity [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a00.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01] related to cognition and one another [\n                      <jats:italic>b\u00a0<\/jats:italic>\n                      =\u00a00.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01]. Pupil\u2010linked arousal correlated with synchrony and global coherence state maintenance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>In health, cortical activity shows widespread but dynamic synchrony across regions to meet changing demands. In AD, arousal dysfunction appears to disrupt these dynamics, impacting cognition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71547","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T09:38:26Z","timestamp":1781170706000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cortical synchrony is reduced in Alzheimer's disease and relates to arousal state"],"prefix":"10.1002","volume":"22","author":[{"given":"Michael C. B.","family":"David","sequence":"first","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London UK"},{"name":"Imperial College London, Brain Sciences  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma\u2010Jane","family":"Mallas","sequence":"additional","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London UK"},{"name":"Imperial College London, Brain Sciences  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena A.","family":"Kolanko","sequence":"additional","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London UK"},{"name":"Imperial College London, Brain Sciences  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Del Giovane","sequence":"additional","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London UK"},{"name":"Imperial College London, Brain Sciences  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle L.","family":"Kurtin","sequence":"additional","affiliation":[{"name":"Imperial College London, Brain Sciences  London UK"},{"name":"Division of Psychiatry Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Nilforooshan","sequence":"additional","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London UK"},{"name":"Surrey and Borders Partnership NHS Foundation Trust  Leatherhead UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl A.","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"UK Dementia Research Institute Care Research and Technology Centre Imperial College London  London 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