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Updated: Feb 5, 2026

A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
Rapid acquisition of dynamic control over DLPFC using real-time fMRI feedback
Max Alexander Van den Boom1, Johan Martijn Jansma2, Nick Franciscus Ramsey1
1Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, P.O. Box 85500, Utrecht, The Netherlands.
Healthy individuals can learn to dynamically control dorsolateral prefrontal cortex (DLPFC) activity using real-time neurofeedback. This dynamic self-regulation, involving both increasing and decreasing DLPFC activity, shows promise for cognitive enhancement and psychiatric disorder treatment.
Area of Science:
- Neuroscience
- Cognitive Science
- Psychiatry
Background:
- The dorsolateral prefrontal cortex (DLPFC) is crucial for working memory and cognitive functions.
- Previous neurofeedback studies focused on increasing DLPFC activity.
- Dynamic control over DLPFC activity states may offer superior self-regulation.
Purpose of the Study:
- To investigate the feasibility of achieving dynamic control over DLPFC activity within a single fMRI session.
- To determine if real-time neurofeedback enhances the ability to switch between high and low DLPFC activity states.
- To explore implications for cognitive performance and psychiatric disorders.
Main Methods:
- Healthy volunteers (N=24) underwent fMRI scans at 7 Tesla.
- Participants were instructed to intentionally increase and decrease left DLPFC activity using real-time visual feedback.
- An experimental group received real-time feedback, while a control group received sham feedback.
Main Results:
- The experimental group significantly improved the speed of intentionally alternating DLPFC activity.
- The control group showed no significant changes in DLPFC activity control.
- Neurofeedback training primarily reduced the time for DLPFC to return to baseline after activation.
Conclusions:
- Real-time neurofeedback enables dynamic self-regulation of DLPFC activity.
- This ability to up- and down-regulate DLPFC activity at will is achievable within a single fMRI session.
- Findings suggest potential therapeutic applications for psychiatric conditions involving DLPFC dysfunction.
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