The human brain's information flow alternates between two dominant modes roughly every 200 milliseconds: a top-down mode where anterior brain regions drive posterior activity, and a bottom-up mode with reverse directionality. These sub-second alternations are most prominent during wakefulness, gradually diminish under anesthesia, and show pathological imbalance in attention-deficit/hyperactivity disorder (ADHD). Simultaneous EEG-fMRI recordings reveal that top-down dynamics coincide with increased activity in higher-order cognitive networks, while bottom-up dynamics correspond to heightened sensory network activity. A connectome-based coupled-oscillator model reproduces these transitions, suggesting they emerge naturally from structural connectivity. Relative phase analysis (RPA) enables tracking these whole-brain dynamics with millisecond precision in real time from electroencephalography.
The human brain shifts between two directional modes on a sub-second timescale: a top-down mode where anterior regions drive posterior activity and a bottom-up mode with reverse directionality. These shifts are most distinct during full consciousness and become less pronounced as awareness fades. Simultaneous EEG-fMRI recordings show the top-down mode coincides with higher-order cognitive network activity, while the bottom-up mode aligns with sensory system activity. An inattentive ADHD cohort exhibited imbalances in these transition dynamics compared to typically developing individuals. A coupled-oscillator model of the structural brain network reproduced these patterns, suggesting they arise naturally from inter-regional neural interactions.