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<journal-id journal-id-type="publisher-id">Front. Hum. Neurosci.</journal-id>
<journal-title>Frontiers in Human Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Hum. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5161</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fnhum.2024.1347386</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Embodied metacognition as strengthened functional connection between neural correlates of metacognition and dance in dancers: exploring creativity implications</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Yang</surname> <given-names>Ching-Ju</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author">
<name><surname>Yu</surname> <given-names>Hsin-Yen</given-names></name>
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<name><surname>Hong</surname> <given-names>Tzu-Yi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>Cheng</surname> <given-names>Li-Kai</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Wei-Chi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<contrib contrib-type="author">
<name><surname>Yeh</surname> <given-names>Tzu-Chen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
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<contrib contrib-type="author">
<name><surname>Chen</surname> <given-names>Li-Fen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Hsieh</surname> <given-names>Jen-Chuen</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Institute of Brain Science, College of Medicine, National Yang Ming Chiao Tung University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<aff id="aff2"><sup>2</sup><institution>Integrated Brain Research Unit, Division of Clinical Research, Department of Medical Research, Taipei Veterans General Hospital</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<aff id="aff3"><sup>3</sup><institution>Graduate Institute of Arts and Humanities Education, Taipei National University of the Arts</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<aff id="aff4"><sup>4</sup><institution>Center for Intelligent Drug Systems and Smart Bio-devices (IDS<sup>2</sup>B), National Yang Ming Chiao Tung University</institution>, <addr-line>Hsinchu</addr-line>, <country>Taiwan</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of Biological Science and Technology, College of Biological Science and Technology, National Yang Ming Chiao Tung University</institution>, <addr-line>Hsinchu</addr-line>, <country>Taiwan</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of Radiology, Taipei Veterans General Hospital</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<aff id="aff7"><sup>7</sup><institution>Institute of Biomedical Informatics, College of Medicine, National Yang Ming Chiao Tung University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<aff id="aff8"><sup>8</sup><institution>Brain Research Center, National Yang Ming Chiao Tung University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Andrea Orlandi, Sapienza University of Rome, Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: C&#x00E9;cil J. W. Meulenberg, Scientific Research Center Koper, Slovenia</p><p>Claire Deshayes, Office National d&#x2019;&#x00C9;tudes et de Recherches A&#x00E9;rospatiales, Salon-de-Provence, France</p></fn>
<corresp id="c001">&#x002A;Correspondence: Jen-Chuen Hsieh, <email>jchsiehibru@nycu.edu.tw</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>02</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>18</volume>
<elocation-id>1347386</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>12</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>01</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2024 Yang, Yu, Hong, Cheng, Li, Yeh, Chen and Hsieh.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Yang, Yu, Hong, Cheng, Li, Yeh, Chen and Hsieh</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Dance education fosters embodied metacognition, enhancing student&#x2019;s creativity. This study examines the crucial role of functional connectivity (FC) between the neural correlates of metacognition (NCM) and dance (NCD) as the neurological foundation for dancers&#x2019; embodied metacognition. The investigation also explores whether these consolidated FCs inform the general creativity in dancers.</p>
</sec>
<sec>
<title>Methods</title>
<p>The research involved 29 dancers and 28 non-dancer controls. The study examined resting-state connections of the NCM through seed-based FC analysis. Correlation analyses were employed to investigate the connections between the targeted NCM-NCD FCs, initiated from the <italic>a priori</italic> NCM seed, and general creativity.</p>
</sec>
<sec>
<title>Results</title>
<p>Dancers demonstrated heightened FC between NCM and NCD compared to non-dancer controls. The targeted regions included the putamen, globus pallidus, posterior cerebellum, and anterior insula of NCD. The dancers exhibited higher originality scores. In dancers, the enhanced FC showed a negative correlation with originality and a positive correlation with flexibility. Conversely, the controls exhibited no significant correlations.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Extended dance training enhances the NCM-NCD connection signifying embodied metacognition. This interconnectedness may serve as the neural predisposition for fostering general creativity performance in dancers. Dancers with heightened levels of originality could leverage the relatively weaker NCM-NCD FCs to facilitate better integration and coordination of creative cognitive processes. Our findings suggest that the consolidated functional connections as sculpted by domain-specific training may inform general creativity.</p>
</sec>
</abstract>
<kwd-group>
<kwd>dancer</kwd>
<kwd>metacognition</kwd>
<kwd>creativity</kwd>
<kwd>originality</kwd>
<kwd>flexibility</kwd>
<kwd>motor</kwd>
<kwd>functional connectivity</kwd>
<kwd>resting-state functional MRI</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="85"/>
<page-count count="11"/>
<word-count count="7815"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Cognitive Neuroscience</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>1 Introduction</title>
<p>Metacognition, the reflective examination of cognitive processes (e.g., memory, perception, and judgment), consists primarily of three interconnected components&#x2014;metacognitive knowledge, metacognitive experience, and metacognitive monitoring and control (<xref ref-type="bibr" rid="B26">Flavell, 1979</xref>). Metacognition is crucial in art education, particularly in dance (<xref ref-type="bibr" rid="B23">Douglas, 2017</xref>; <xref ref-type="bibr" rid="B10">Buck-Pavlick, 2022</xref>). In dance, embodied metacognition involves a profound understanding of cognitive processes within the realm of bodily movement and expression. Dancers leverage this awareness to optimize performance and skill development by strategically managing attention in areas like muscle engagement, fellow dancers&#x2019; positions, memorized movements, and emotional portrayals (<xref ref-type="bibr" rid="B80">van Vugt, 2014</xref>). This extends beyond conventional metacognition, involving the intricate interplay between physical sensations, motor control, and cognitive reflections during dance (<xref ref-type="bibr" rid="B61">Moffett, 2012</xref>; <xref ref-type="bibr" rid="B80">van Vugt, 2014</xref>). Dancers practicing embodied metacognition attune themselves to their body&#x2019;s signals, continually refining movements based on introspective insights (<xref ref-type="bibr" rid="B80">van Vugt, 2014</xref>; <xref ref-type="bibr" rid="B16">Christensen et al., 2018</xref>). Active metacognition empowers dancers, enhancing performance quality and forging a deep connection between cognitive awareness and dance artistry (<xref ref-type="bibr" rid="B18">Cooper, 2013</xref>). This engagement facilitates rapid progress and continuous refinement, infusing movements with authenticity and meaningful expression (<xref ref-type="bibr" rid="B18">Cooper, 2013</xref>; <xref ref-type="bibr" rid="B54">MacIntyre et al., 2014</xref>). While our comprehension of embodied metacognition in dancers has advanced, the neurological representation of embodied metacognition remains elusive.</p>
<p>Creativity in dance relies on embodied metacognition, involving cognitive knowledge and regulation (<xref ref-type="bibr" rid="B56">May et al., 2011</xref>, <xref ref-type="bibr" rid="B57">2020</xref>; <xref ref-type="bibr" rid="B34">Hanna, 2014</xref>). Dancers tap into creativity by reflecting on personal experiences and emotions. Research highlights the influence of metacognitive elements&#x2014;knowledge, experience, monitoring, and control&#x2014;on creativity (<xref ref-type="bibr" rid="B25">Fayena-Tawil et al., 2011</xref>; <xref ref-type="bibr" rid="B52">Lizarraga and Baquedano, 2013</xref>; <xref ref-type="bibr" rid="B41">Jia et al., 2019</xref>). Metacognition supports diverse aspects of dance creativity, such as movement creation, interoceptive awareness, self-reflection, risk-taking, adaptability, emotional expression, problem-solving, artistic clarity, collaboration, continuous learning, and inspiration (<xref ref-type="bibr" rid="B56">May et al., 2011</xref>, <xref ref-type="bibr" rid="B57">2020</xref>; <xref ref-type="bibr" rid="B18">Cooper, 2013</xref>; <xref ref-type="bibr" rid="B34">Hanna, 2014</xref>; <xref ref-type="bibr" rid="B16">Christensen et al., 2018</xref>). Mental training for embodied metacognition, particularly through validated use of mental imagery, enhances both specific choreographic creativity and general creativity in dance students (<xref ref-type="bibr" rid="B57">May et al., 2020</xref>). <xref ref-type="bibr" rid="B44">Kaufman and Beghetto (2009)</xref> developed a framework categorizing creativity into four distinct levels: mini-C, which encompasses personal insights; little-C, referring to everyday creativity recognized by non-experts; Pro-C, denoting professional contributions in a domain that are acknowledged by experts, typically following extensive practice; and Big-C, which represents eminent creativity that has a significant impact on culture. According to this model, progression through these stages isn&#x2019;t a prerequisite for reaching eminent creativity (<xref ref-type="bibr" rid="B66">Preiss, 2022</xref>). Dancers who have undergone extensive professional training and gained substantial experience can likely achieve Pro-C status, integrating their dance expertise with metacognitive knowledge. This integration enhances the precision of evaluation and judgment in dance performance, contributing to aesthetically pleasing expressions. However, the impacts of embodied metacognition on general creativity and its neurological underpinnings in dancers are still largely unknown.</p>
<p>Neural correlates of metacognition (NCM), involving the lateral and medial prefrontal cortex (PFC), insula/inferior frontal gyrus (IFG), dorsal anterior cingulate cortex/pre-supplementary motor area (dACC/pre-SMA), precuneus, and ventral striatum, plays a pivotal role in various metacognition-related cognitive domains, including memory, perception, and decision-making (<xref ref-type="bibr" rid="B27">Fleming and Dolan, 2012</xref>; <xref ref-type="bibr" rid="B62">Morales et al., 2018</xref>; <xref ref-type="bibr" rid="B77">Vaccaro and Fleming, 2018</xref>). The neural correlates of dance (NCD) involve brain regions that process the motor, cognitive, emotional, spatial, temporal, and bodily dimensions of dance during performance, perception, imagination, and creation (<xref ref-type="bibr" rid="B73">Sevdalis and Keller, 2011</xref>; <xref ref-type="bibr" rid="B8">Bl&#x00E4;sing et al., 2012</xref>; <xref ref-type="bibr" rid="B42">Karpati et al., 2015</xref>; <xref ref-type="bibr" rid="B71">Savrami, 2017</xref>; <xref ref-type="bibr" rid="B5">Basso et al., 2020</xref>; <xref ref-type="bibr" rid="B85">Zardi et al., 2021</xref>; <xref ref-type="bibr" rid="B29">Foster Vander Elst et al., 2023</xref>; <xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>). NCD&#x2019;s motor components, linked to dance-related motor learning, involve the motor cortices, premotor cortex, supplementary motor area (SMA), basal ganglia, and cerebellum (<xref ref-type="bibr" rid="B33">H&#x00E4;nggi et al., 2010</xref>; <xref ref-type="bibr" rid="B42">Karpati et al., 2015</xref>; <xref ref-type="bibr" rid="B50">Li et al., 2015</xref>; <xref ref-type="bibr" rid="B53">Lu et al., 2018</xref>; <xref ref-type="bibr" rid="B5">Basso et al., 2020</xref>; <xref ref-type="bibr" rid="B29">Foster Vander Elst et al., 2023</xref>; <xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>). Non-motor components of NCD, linked to cognitive and socio-affective dimensions of dance, include the insula, frontoparietal regions (mirror neuron network/action observation network), superior temporal gyrus/superior temporal sulcus (STG/STS), and limbic system substrates (<xref ref-type="bibr" rid="B42">Karpati et al., 2015</xref>; <xref ref-type="bibr" rid="B12">Burzynska et al., 2017</xref>; <xref ref-type="bibr" rid="B85">Zardi et al., 2021</xref>; <xref ref-type="bibr" rid="B29">Foster Vander Elst et al., 2023</xref>). Long-term artistic training may consolidate relevant networks and functional connections in the resting brain (<xref ref-type="bibr" rid="B51">Lin et al., 2013</xref>; <xref ref-type="bibr" rid="B15">Cheng et al., 2023</xref>; <xref ref-type="bibr" rid="B38">Hong et al., 2023a</xref>,<xref ref-type="bibr" rid="B39">b</xref>; <xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>). Acknowledging the crucial role of metacognition in dance training, our proposition asserts that proficient dancers are likely to display enhanced connectivity between NCM and NCD, especially in motor components. This increased connectivity serves as a neural marker indicative of embodied metacognition. Subsequent analyses provide supporting evidence for the predilection influence of the NCM-NCD connection on the overall general creativity of dancers (cf., <xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>).</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>2 Materials and methods</title>
<sec id="S2.SS1">
<title>2.1 Participants</title>
<p>Right-handed participants in this study were recruited from individuals majoring in dance (DANCE) and non-dancer controls (CON). After 14 participants chose to withdraw from the study and an additional 12 were excluded due to structural brain abnormalities, severe motion artifacts, or technical issues with data collection, a total of 29 DANCEs (mean age 23.1 &#x00B1; 2.9 years) and 28 CONs (mean age 22.8 &#x00B1; 1.6 years), carefully matched for age and education level, were included in the analyses. None of the participants in both the DANCE and CON groups reported having received any training in sports. All participants were selected from the identical sample previously detailed in our earlier study, and specifics regarding demographics and dance training can be found in Table 1 of the published work (<xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>). The study received approval from the Institutional Review Board of Taipei Veterans General Hospital, and written informed consent was obtained from each participant.</p>
</sec>
<sec id="S2.SS2">
<title>2.2 Assessment of general creativity performance</title>
<p>The Abbreviated Torrance Test for Adults (ATTA) was employed to assess general creativity (<xref ref-type="bibr" rid="B14">Chen, 2006</xref>). The ATTA battery includes one verbal and two figural tests, with four norm-referenced creativity indicators (fluency, originality, elaboration, flexibility), a creativity index (the sum of the aforementioned 4 measures), and two criterion-referenced creativity indicators (verbal and visual creativity) calculated for an overall creativity profile of each participant (<xref ref-type="bibr" rid="B46">Kharkhurin and Samadpour Motalleebi, 2008</xref>; <xref ref-type="bibr" rid="B2">Althuizen et al., 2010</xref>; <xref ref-type="bibr" rid="B45">Kharkhurin, 2010</xref>; <xref ref-type="bibr" rid="B74">Shen and Lai, 2014</xref>; <xref ref-type="bibr" rid="B75">Sunavsky and Poppenk, 2020</xref>). A comparison of the creativity profiles between the DANCE and CON groups was conducted based on the six indicators of general creativity. Between-group differences were assessed using a two-sample <italic>t</italic>-test (SPSS Statistics version 27.0, SPSS Inc., USA), with statistical significance set at <italic>p</italic> &#x003C; 0.05.</p>
</sec>
<sec id="S2.SS3">
<title>2.3 MRI data acquisition</title>
<p>Magnetic resonance imaging was conducted using the 3T MAGNETOM Trio&#x2122; system, with participants positioned supine within the scanner. To minimize motion artifacts, foam cushions were used for head fixation inside the head coil. Resting-state functional scans were obtained through a T2&#x002A;-weighted gradient echo planar imaging (EPI) sequence with the following parameters: repetition time (TR) = 2500 ms, echo time (TE) = 30 ms, flip angle = 90&#x00B0;, field of view (FOV) = 220 &#x00D7; 220 mm<sup>2</sup>, slice thickness = 3.4 mm, slice number = 40, matrix size = 64 &#x00D7; 64, tilted angle = 30&#x00B0;, and voxel size = 3.4 mm &#x00D7; 3.4 mm &#x00D7; 3.4 mm. Each resting-state fMRI time series consisted of 200 volumes, with a duration of 500 s per time series. Additionally, T1-weighted structural images were acquired using the magnetization-prepared rapid gradient echo (MPRAGE) sequence with the following parameters: TR = 2530 ms, TE = 3.03 ms, flip angle = 7&#x00B0;, FOV = 224 &#x00D7; 256 mm<sup>2</sup>, matrix size = 224 &#x00D7; 256, and slice thickness = 1 mm. Participants were instructed to maintain a motionless and alert state, keeping their eyes open and refraining from engaging in any specific thoughts.</p>
</sec>
<sec id="S2.SS4">
<title>2.4 Data preprocessing</title>
<p>The advanced DPARSF module V5.4 was used to preprocess the resting-state fMRI data (<xref ref-type="bibr" rid="B83">Yan et al., 2016</xref>). The preprocessing involved a series of sequential steps, starting with slice timing correction and followed by realignment to correct for head motion. Participants displaying head motion exceeding 2 mm displacement or 2&#x00B0; rotation in any cardinal direction were excluded. Subsequently, T1-weighted images were co-registered to the mean functional image using intra-subject spatial alignment. The segmentation of gray matter, white matter, and cerebrospinal fluid was carried out using the unified segmentation model. Nuisance regression utilized the Friston 24-parameter model (<xref ref-type="bibr" rid="B30">Friston et al., 1996</xref>) and default masks from SPM, eliminating head motion parameters and signals from white matter and cerebrospinal fluid. Spatial normalization to a study-specific DARTEL template (<xref ref-type="bibr" rid="B3">Ashburner, 2007</xref>), transformed to MNI space, was performed with image resampling to 3 mm isotropic voxels. Spatial smoothing was applied using a Gaussian kernel with a full width at half-maximum (FWHM) of 6 mm. Temporal band-pass filtering (0.01&#x2212;0.1 Hz) was implemented to minimize high-frequency noise and low-frequency drift. Global signal regression (GSR) was not applied due to its tendency to amplify negative correlations and distort between-group differences (<xref ref-type="bibr" rid="B63">Murphy et al., 2009</xref>; <xref ref-type="bibr" rid="B81">Weissenbacher et al., 2009</xref>; <xref ref-type="bibr" rid="B70">Saad et al., 2012</xref>).</p>
</sec>
<sec id="S2.SS5">
<title>2.5 Resting-state functional connectivity</title>
<p>Metacognition-related regions, including the rostrolateral PFC (rlPFC, BA10), dorsolateral PFC (dlPFC, BA46), dACC/pre-SMA (BA32), medial PFC (mPFC, BA10/32), insula/IFG (BA47), precuneus (BA7/23), and ventral striatum, were defined as seed regions of interest (ROIs) since they have been identified in various tasks-based fMRI studies (<xref ref-type="bibr" rid="B28">Fleming et al., 2012</xref>; <xref ref-type="bibr" rid="B58">McCurdy et al., 2013</xref>; <xref ref-type="bibr" rid="B62">Morales et al., 2018</xref>; <xref ref-type="bibr" rid="B77">Vaccaro and Fleming, 2018</xref>). These seed ROIs were constructed as twelve 10-mm radius spheres centered at MNI coordinates identified by <xref ref-type="bibr" rid="B62">Morales et al. (2018)</xref> and <xref ref-type="bibr" rid="B77">Vaccaro and Fleming (2018)</xref> (see <xref ref-type="table" rid="T1">Table 1</xref> for details of ROIs). The creation of these spheres was executed using WFU Pickatlas 3.0.5 (<xref ref-type="bibr" rid="B55">Maldjian et al., 2003</xref>). Given that dancers dynamically engage different aspects of metacognitive functioning for their learning and performance, it&#x2019;s logical to merge individual ROIs into a unified, overarching composite ROI for resting-state functional connectivity (FC) analysis. This approach is rooted in the belief that these dispersed regions, having interconnected functions, are likely to function in a synergistic and holistic way (<xref ref-type="bibr" rid="B68">Rasero et al., 2018</xref>). The reference time course was derived by averaging the time courses of all voxels within this composite ROI consisting of 12 predefined ROIs. The FC map was then generated by assessing Pearson&#x2019;s correlation coefficients (<italic>r</italic>) between the reference time course and the time course of each voxel of the brain. The <italic>r</italic>-value of each voxel was transformed to a <italic>z</italic>-value using Fisher&#x2019;s <italic>r</italic>-to-<italic>z</italic> transformation to normalize the distribution. Multiple regression analyses were conducted on all <italic>z</italic>-transformed FC maps for controlling the effects of age and sex. Between-group comparisons were examined using two-sample <italic>t</italic>-tests on FC maps, with significance set at peak-level thresholds <italic>p</italic> &#x003C; 0.005 and <italic>p</italic> &#x003C; 0.001, followed by cluster-level <italic>p</italic><sub><italic>FWE</italic></sub> &#x003C; 0.05 in SPM.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p><italic>A priori</italic> metacognition regions of interest for seed-based functional connectivity analysis.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Study</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Region of interest</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Laterality</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">BA</td>
<td valign="top" align="left" colspan="3" style="color:#ffffff;background-color: #7f8080;">MNI coordinates</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>x</italic></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>y</italic></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>z</italic></bold></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="4"><xref ref-type="bibr" rid="B62">Morales et al., 2018</xref></td>
<td valign="top" align="center" rowspan="2">rostrolateral prefrontal cortex (rlPFC)</td>
<td valign="top" align="center">L</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">&#x2212;33</td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">28</td>
</tr>
<tr>
<td valign="top" align="center">R</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">53</td>
<td valign="top" align="center">25</td>
</tr>
<tr>
<td valign="top" align="center">dorsal anterior cingulate cortex/<break/> pre-supplementary motor area (dACC/pre-SMA)</td>
<td valign="top" align="center">L/R</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">46</td>
</tr>
<tr>
<td valign="top" align="center">precuneus</td>
<td valign="top" align="center">L/R</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">&#x2212;64</td>
<td valign="top" align="center">24</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="8"><xref ref-type="bibr" rid="B77">Vaccaro and Fleming, 2018</xref></td>
<td valign="top" align="center">posterior medial frontal cortex (pMFC)</td>
<td valign="top" align="center">L/R</td>
<td valign="top" align="center">8/32</td>
<td valign="top" align="center">&#x2212;2</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">38</td>
</tr>
<tr>
<td valign="top" align="center" rowspan="2">insula/inferior frontal gyrus (insula/IFG)</td>
<td valign="top" align="center">L</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">&#x2212;36</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">&#x2212;6</td>
</tr>
<tr>
<td valign="top" align="center">R</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="center">dorsolateral prefrontal cortex (dlPFC)</td>
<td valign="top" align="center">L</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">&#x2212;50</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">28</td>
</tr>
<tr>
<td valign="top" align="center">anterior dorsolateral prefrontal cortex (ant. dlPFC)</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">26</td>
</tr>
<tr>
<td valign="top" align="center">ventromedial prefrontal cortex (vmPFC)</td>
<td valign="top" align="center">L/R</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">&#x2212;2</td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">&#x2212;12</td>
</tr>
<tr>
<td valign="top" align="center">dorsal precuneus</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">&#x2212;66</td>
<td valign="top" align="center">54</td>
</tr>
<tr>
<td valign="top" align="center">ventral striatum</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center"></td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">&#x2212;2</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>L, left; R, right; BA, Brodmann&#x2019;s area; MNI, Montreal Neurological Institute.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S2.SS6">
<title>2.6 Correlation analysis</title>
<p>This study aimed to explore the impact of the interconnectedness between NCM and NCD on dancers&#x2019; general creativity performance, evaluated through the ATTA test battery. Drawing from the findings of <xref ref-type="bibr" rid="B57">May et al. (2020)</xref>, three creativity indicators&#x2014;fluency, originality, and flexibility&#x2014;which exhibited a notable increase in dance students following metacognitive skills training were probed. Regions displaying significant between-group differences (DANCE vs. CON) in NCM-seeded FCs were identified. Spherical ROIs, each centered at the coordinates of these significant regions with a radius of 5 mm, were generated. The <italic>z</italic>-values extracted from these spherical ROIs were then correlated with ATTA metrics. Statistical significance was set at <italic>p</italic> &#x003C; 0.05. Further, to address multiple comparisons, a Bonferroni correction was applied by adjusting the <italic>p</italic>-value to 0.0166 (0.05 divided by 3), given the three measures (fluency, originality, and flexibility) under examination.</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<title>3 Results</title>
<sec id="S3.SS1">
<title>3.1 Creativity outcomes</title>
<p>The DANCE group exhibited significantly elevated originality scores on the ATTA (DANCE: 17.17 &#x00B1; 1.77, CON: 15.32 &#x00B1; 2.51, <italic>p</italic> = 0.002), with no discernible between-group differences observed for fluency, elaboration, flexibility, visual creativity, verbal creativity, or creativity index. These findings are derived from the identical sample and results reported in our earlier study (<xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>).</p>
</sec>
<sec id="S3.SS2">
<title>3.2 Heightened connectivity between NCM and NCD in dancers</title>
<p>The DANCE group demonstrated elevated interconnectedness between NCM and NCD. The targeted motor components of NCD included the bilateral putamen, bilateral globus pallidus (GP), left posterior cerebellum (lobule VI and crus I), right SMA, and right dACC/cingulate motor area (CMA). Moreover, these target regions also covered non-motor components of NCD, such as the bilateral anterior insula (AI), right IFG, left hippocampus, left STG, left mediodorsal thalamus, and left amygdala. <xref ref-type="fig" rid="F1">Figure 1</xref> and <xref ref-type="table" rid="T2">Table 2</xref> provide additional details.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Between-group disparities in FC originating from the predefined composite metacognition mask. The composite metacognition ROI comprises regions associated with metacognition from <xref ref-type="bibr" rid="B62">Morales et al. (2018)</xref> and <xref ref-type="bibr" rid="B77">Vaccaro and Fleming (2018)</xref>. Significant differences in FC, originating from the composite ROI, were noted between the dancer and control groups in both motor components of NCD (including the putamen, globus pallidus, supplementary motor area, cingulate motor area, and posterior cerebellum) and metacognition-related regions within the cingulo-opercular network (involving bilateral anterior insula, right inferior frontal gyrus, dorsal anterior cingulate cortex, and bilateral thalamus). FC, functional connectivity; ROI, region of interest; NCD, neural correlates of dance. Red color denotes the seed region and details for the coordinates are listed in <xref ref-type="table" rid="T1">Table 1</xref>. All displayed images are significant at a peak-level threshold <italic>p</italic> &#x003C; 0.005, corrected for multiple comparisons at <italic>p</italic><sub><italic>FWE</italic></sub> &#x003C; 0.05, with additional sub-significant findings at <italic>p</italic><sub><italic>FWE</italic></sub> = 0.061.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnhum-18-1347386-g001.tif"/>
</fig>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Between-group differences in functional connectivity seeded from <italic>a priori</italic> unified metacognition mask.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Contrast</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Cluster-level</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">K</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Region</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Laterality</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">BA</td>
<td valign="top" align="center" colspan="3" style="color:#ffffff;background-color: #7f8080;">MNI<break/> coordinates</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><italic>t-</italic>value</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>p</italic><sub><italic>FWE</italic></sub></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>x</italic></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>y</italic></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold><italic>z</italic></bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
</tr>
<tr>
<td valign="top" align="left" rowspan="15"><italic>DANCE</italic> &#x003E; <italic>CON</italic></td>
<td valign="top" align="center">&#x003C;0.001</td>
<td valign="top" align="center">634</td>
<td valign="top" align="center">GP<xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;21</td>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">4.36</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Putamen<xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;27</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">3.90</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Hippocampus</td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;27</td>
<td valign="top" align="center">&#x2212;33</td>
<td valign="top" align="center">&#x2212;6</td>
<td valign="top" align="center">3.59</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">STG</td>
<td valign="top" align="center">L</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">&#x2212;45</td>
<td valign="top" align="center">&#x2212;15</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">3.55</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Thalamus (MD)</td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">&#x2212;12</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">3.50</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">AI<xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="center">L</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">&#x2212;39</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">3.49</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Amygdala</td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;18</td>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">&#x2212;15</td>
<td valign="top" align="center">3.48</td>
</tr>
<tr>
<td valign="top" align="center">0.007</td>
<td valign="top" align="center">204</td>
<td valign="top" align="center">IFG</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">45</td>
<td valign="top" align="center">39</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">4.68</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">AI</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">39</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">3.92</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">GP</td>
<td valign="top" align="center">R</td>
<td/>
<td valign="top" align="center">18</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">&#x2212;3</td>
<td valign="top" align="center">3.42</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Putamen</td>
<td valign="top" align="center">R</td>
<td/>
<td valign="top" align="center">27</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">&#x2212;6</td>
<td valign="top" align="center">3.12</td>
</tr>
<tr>
<td valign="top" align="center">0.042</td>
<td valign="top" align="center">143</td>
<td valign="top" align="center">Cerebellar lobule VI<xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;27</td>
<td valign="top" align="center">&#x2212;57</td>
<td valign="top" align="center">&#x2212;24</td>
<td valign="top" align="center">4.60</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">Cerebellar crus I<xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="center">L</td>
<td/>
<td valign="top" align="center">&#x2212;42</td>
<td valign="top" align="center">&#x2212;63</td>
<td valign="top" align="center">&#x2212;27</td>
<td valign="top" align="center">4.28</td>
</tr>
<tr>
<td valign="top" align="center">0.061</td>
<td valign="top" align="center">131</td>
<td valign="top" align="center">SMA</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">51</td>
<td valign="top" align="center">3.55</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="center">dACC/CMA</td>
<td valign="top" align="center">R</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">3.55</td>
</tr>
<tr>
<td valign="top" align="left"><italic>DANCE</italic> &#x003C; <italic>CON</italic></td>
<td valign="top" align="center">NS</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Significant results at peak-level threshold <italic>p</italic> &#x003C; 0.005, corrected for multiple comparisons at <italic>p<sub><italic>FWE</italic></sub></italic> &#x003C; 0.05, with additional sub-significant findings at <italic>p</italic><sub><italic>FWE</italic></sub> = 0.061. DANCE, dancer group; CON, control group; GP, globus pallidus; STG, superior temporal gyrus; MD, mediodorsal; AI, anterior insula, IFG, inferior frontal gyrus; SMA, supplementary motor area; dACC, dorsal anterior cingulate cortex; CMA, cingulate motor area; NS, not significant; also refer to <xref ref-type="table" rid="T1">Table 1</xref> for other abbreviations. For more information, see <xref ref-type="fig" rid="F1">Figure 1</xref>.</p></fn>
<fn id="t2fns1"><p>&#x002A;Signifies statistical significance at peak-level threshold <italic>p</italic> &#x003C; 0.001, followed by cluster-level <italic>p</italic><sub><italic>FWE</italic></sub> &#x003C; 0.05.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S3.SS3">
<title>3.3 Correlations between connectivity strength and behavioral variables</title>
<p>The DANCE group demonstrated significant negative correlations between originality scores and the strength of FCs linking NCM with NCD, specifically the left putamen (<italic>r</italic> = &#x2212;0.529, <italic>p</italic> = 0.003) and left GP (<italic>r</italic> = &#x2212;0.422, <italic>p</italic> = 0.023) (<xref ref-type="fig" rid="F2">Figures 2A, B</xref>). On the contrary, the DANCE group displayed distinct positive correlations between flexibility scores and the strength of FCs linking NCM and NCD, specifically the left putamen (<italic>r</italic> = 0.416, <italic>p</italic> = 0.025), left GP (<italic>r</italic> = 0.494, <italic>p</italic> = 0.006), and left cerebellar crus I (<italic>r</italic> = 0.642, <italic>p</italic> &#x003C; 0.001) (<xref ref-type="fig" rid="F2">Figures 2A, B, D</xref>). The left AI, a common neural substrate of NCM and NCD, was also targeted (<italic>r</italic> = 0.54, <italic>p</italic> = 0.003) (<xref ref-type="fig" rid="F2">Figure 2C</xref>). Notably, the CON group exhibited no significant correlations in these aspects.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Abbreviated Torrance Test for Adults (ATTA) correlations with the strength of FC between NCM and NCD. Regarding ATTA originality, dancers demonstrate a discernible negative correlation between originality score and the strength of FC linking NCM and motor components of NCD [the putamen <bold>(A)</bold>]. Regarding ATTA flexibility, dancers demonstrate a discernible positive correlation between flexibility score and the strength of FC linking NCM and NCD [the globus pallidus <bold>(B)</bold>, anterior insula <bold>(C)</bold>, and cerebellar crus I <bold>(D)</bold>]. Collectively, the strength of NCM-NCD FC manifest a negative correlation trend with originality and a positive correlation trend with flexibility in dancers. These correlations are statistically non-significant in the control group. L, left; FC, functional connectivity; NCM, neural correlates of metacognition; NCD, neural correlates of dance. &#x002A;Denotes significant results after Bonferroni correction (<italic>p</italic> &#x003C; 0.0166).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnhum-18-1347386-g002.tif"/>
</fig>
<p>Upon detailed examination, within both the DANCE and CON groups, no substantial relationships were identified between the strength of NCM-NCD FCs and other ATTA metrics. These parameters encompass the creativity index, fluency, elaboration, as well as verbal and visual creativity metrics.</p>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>4 Discussion</title>
<p>Dancers showcased the expression of their embodied metacognition by exhibiting heightened interconnectedness between regions associated with metacognition and those linked to dance movements, motor imagery, spatial cognition, rhythm synchronization, salience detection, and emotional processing. Expanding on our prior investigations, the notable hyperconnectivity observed in areas related to motor functions reinforces and expands upon the notion that the neuroplastic changes associated with embodied learning in dancers are concentrated within the domain of dance movement. Furthermore, the correlations between FC strength and scores in originality and flexibility of the ATTA suggest that dancers achieve a harmonious blend of controlled and spontaneous creative cognition following extensive dance training.</p>
<sec id="S4.SS1">
<title>4.1 Coalescence of NCM and NCD signifying embodied metacognition in dancers</title>
<p>In dancers, the NCM exhibit increased intrinsic FCs involving the AI, IFG, dACC/CMA, and rlPFC (<xref ref-type="fig" rid="F1">Figure 1</xref>). Together with the mediodorsal thalamus, which is the target region of the extrinsic FC of NCM, all these regions collectively form the cingulo-opercular network, a key neural network involved in metacognition (<xref ref-type="bibr" rid="B22">Dosenbach et al., 2008</xref>; <xref ref-type="bibr" rid="B62">Morales et al., 2018</xref>). The cingulo-opercular network is recognized for its central role in the cognitive control of salience detection, reorientation, and mental switching, allowing for the flexible allocation of processing resources to other goal-relevant networks (i.e., the sensorimotor network) (<xref ref-type="bibr" rid="B17">Cocuzza et al., 2020</xref>). This neural network plays a significant role in fostering cognitive flexibility and participating in advanced cognitive functions such as attention, inhibition control, action preparation, working memory, and sensation (<xref ref-type="bibr" rid="B13">Camilleri et al., 2018</xref>). The AI and dACC/CMA have pivotal functions in detecting salience and integrating sensory, emotional, and cognitive information to foster self-awareness and social behavior (<xref ref-type="bibr" rid="B19">Craig, 2009</xref>; <xref ref-type="bibr" rid="B59">Menon and Uddin, 2010</xref>). The rlPFC empowers individuals to focus on environmental changes and on self-generated or sustained mental representations, often termed as &#x201C;thoughts in our head&#x201D; (<xref ref-type="bibr" rid="B11">Burgess et al., 2007</xref>). The enhanced intrinsic connectivity within the cingulo-opercular network may reflect the enhanced metacognitive abilities in dancers following extensive training.</p>
<p>In dance training, embodied metacognition demands that dancers comprehend dance concepts, infuse meaning into their movements, and apply their knowledge by deciding how to organize elements of body, gesture, locomotion, time, space, and energy (<xref ref-type="bibr" rid="B34">Hanna, 2014</xref>). Through extensive physical practice, rapid interactions are facilitated, allowing for quick adjustments in anticipation of performance outcomes. As expected, expert dancers demonstrated enhanced extrinsic FC between NCM and NCD (particularly motor components) as the neurological underpinning of (dancer) domain-specific embodied metacognition. This tight cognitive-dance movement interaction aligns with our earlier discoveries of optimized cortico-basal ganglia and cortico-cerebellar loops in dancers, particularly the interconnectedness of motor and cognitive/associative circuits (<xref ref-type="bibr" rid="B84">Yang et al., 2023</xref>). The specific regions targeted within the motor components of NCD encompassed both subcortical structures (putamen, GP, and posterior cerebellum) and cortical motor areas (SMA/CMA) (<xref ref-type="fig" rid="F1">Figure 1</xref>). These motor substrates are acknowledged for their participation in executing movements (<xref ref-type="bibr" rid="B32">Haber, 2003</xref>; <xref ref-type="bibr" rid="B24">Errante and Fogassi, 2020</xref>). However, they play distinct roles in motor processing: the putamen regulates and facilitates voluntary movements, the GP inhibits movement, the posterior cerebellum coordinates movement and corrects prediction errors, and the SMA/CMA is involved in movement planning and anticipation (<xref ref-type="bibr" rid="B35">Hardwick et al., 2013</xref>; <xref ref-type="bibr" rid="B48">Koziol et al., 2014</xref>; <xref ref-type="bibr" rid="B72">Seghezzi et al., 2019</xref>; <xref ref-type="bibr" rid="B69">Rocha et al., 2023</xref>). The enhanced connectivity is consistent with the idea that dancers exercise heightened engagement in complex motor cognition, involving activities like nuanced action observation/simulation and refined motor imagery (<xref ref-type="bibr" rid="B36">Henschke and Pakan, 2023</xref>).</p>
<p>In dancers, the heightened FCs between NCM and NCD also involve the hippocampus, STG, and amygdala, as well as AI (the shared neural substrate of NCM and NCD) (<xref ref-type="fig" rid="F1">Figure 1</xref>). These regions play roles in spatial cognition, rhythm synchronization, salience detection, and emotional processing. In the spatial dimension of dance, extensive training enhances dancers&#x2019; balance and spatial orientation skills, accompanied by observable increases in gray matter volumes in the hippocampus, insula, and CMA, setting dancers apart from non-dancers (<xref ref-type="bibr" rid="B21">Dordevic et al., 2018</xref>). Proficient dancers, in the temporal dimension of dance, exhibit heightened cortical thickness in the STG, particularly linked to rhythm synchronization, melody discrimination, and dance imitation, facilitating auditory&#x2013;motor interaction in rhythmic contexts (<xref ref-type="bibr" rid="B43">Karpati et al., 2017</xref>). In the cognitive and emotional dimensions of dance, the AI serves a crucial integrative role, bridging physical, cognitive, and emotional domains, enabling advanced cognitive control and interoceptive awareness by converging various sensory and affective inputs (<xref ref-type="bibr" rid="B19">Craig, 2009</xref>, <xref ref-type="bibr" rid="B20">2011</xref>). Both the AI and amygdala significantly contribute to processing socio-affective information, fostering emotional awareness and reactions associated with dancers&#x2019; empathic abilities (<xref ref-type="bibr" rid="B31">Gujing et al., 2019</xref>; <xref ref-type="bibr" rid="B85">Zardi et al., 2021</xref>). Alongside these two regions, the cerebellar crus I, in addition to participating in motor processing, plays a pivotal role in perception, emotion, and social cognition (<xref ref-type="bibr" rid="B48">Koziol et al., 2014</xref>; <xref ref-type="bibr" rid="B6">Baumann et al., 2015</xref>; <xref ref-type="bibr" rid="B1">Adamaszek et al., 2017</xref>; <xref ref-type="bibr" rid="B79">Van Overwalle et al., 2020</xref>). Overall, the increased connectivity may lead dancers to integrate top-down processes guided by knowledge with bottom-up processes driven by their dance experiences (<xref ref-type="bibr" rid="B61">Moffett, 2012</xref>).</p>
<p>The coordinated functioning of the identified areas, via both intrinsic and extrinsic connections in the NCM and NCD, could underpin the neural framework for dancers&#x2019; embodied metacognition. This coordination may heighten their metacognitive awareness and potentially improve their artistic expression in dance.</p>
</sec>
<sec id="S4.SS2">
<title>4.2 Creative originality and flexibility of dancers</title>
<sec id="S4.SS2.SSS1">
<title>4.2.1 Enhanced originality in dancers</title>
<p>Metacognitive skills enable dancers to evaluate, adjust, and effectively apply their understanding and imagination to their physical movements. Dancers trained under special education system extensively utilize mental imagery and decision-making to execute movements as per a choreographer&#x2019;s directives, processes that significantly depend on their metacognitive abilities (i.e., self-awareness and self-regulation) (<xref ref-type="bibr" rid="B56">May et al., 2011</xref>, <xref ref-type="bibr" rid="B57">2020</xref>). Both (dance) domain-specific creativity and general creativity (specifically originality aspect) can be enhanced by honing metacognitive skills through mental imagery (<xref ref-type="bibr" rid="B57">May et al., 2020</xref>). The basal ganglia (putamen and GP) and cerebellum of NCD as identified in our study (<xref ref-type="fig" rid="F1">Figure 1</xref>) subserve motor execution and motor imagery in creativity-related tasks (i.e., creative production) (<xref ref-type="bibr" rid="B40">Jeannerod, 1994</xref>; <xref ref-type="bibr" rid="B56">May et al., 2011</xref>; <xref ref-type="bibr" rid="B9">Brown and Kim, 2021</xref>; <xref ref-type="bibr" rid="B85">Zardi et al., 2021</xref>) and may play an important role in these cognitive-motor interactions (<xref ref-type="bibr" rid="B49">Leisman et al., 2014</xref>). Our study, while not measuring individual creativity in dance specifically, suggests that expert participants likely reached the Pro-C level due to their extensive training in specialized art education system. The findings from the ATTA indicate that the DANCE group demonstrated significantly enhanced performance in general creative originality, indicative of a successful influence from the Pro-C level of domain-specific creativity (<xref ref-type="bibr" rid="B66">Preiss, 2022</xref>).</p>
</sec>
<sec id="S4.SS2.SSS2">
<title>4.2.2 Absence of flexibility enhancement in dancers</title>
<p>In the realm of behavior, training that is tailored specifically to dance uniquely influences dancers&#x2019; ATTA performance. This impact manifests without significant variations in ATTA metrics, with the notable exception of originality. This observation aligns with research findings which suggest that metacognitive skills tailored, respectively, to different art forms may result in different outcomes of creativity aspects: dance imagery-based metacognition training predominantly fosters originality in dance students (<xref ref-type="bibr" rid="B57">May et al., 2020</xref>), while visual art-related metacognition training primarily promotes flexibility and fluency in students, but not originality (<xref ref-type="bibr" rid="B78">van de Kamp et al., 2015</xref>). Such a context-dependent distinction emphasizes the complex influence of metacognition on different aspects of domain-specific and domain-general creativity across various artistic disciplines. Therefore, we surmise that the specific nature of dance training, coupled with the verbal and visual format of the ATTA assessment, may contribute to the absence of change in ATTA flexibility and other metrics in dancers.</p>
</sec>
<sec id="S4.SS2.SSS3">
<title>4.2.3 Neural strategies for creativity in dancers</title>
<p>The observed diverging trends in how creative originality and flexibility dynamically correlate with the strength of NCM-NCD FCs suggest complex cognitive processes and neural strategies in dancers&#x2019; creativity. Albeit the absence of flexibility enhancement, the presence of significant positive correlations between the strength of NCM-NCD FCs and the ATTA flexibility scores suggests that the consolidated NCM-NCD FCs as sculpted by domain-specific training may inform the general creative flexibility performance in dancers (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<p>The identified negative correlation between ATTA originality scores and the strength of NCM-NCD (the putamen and GP) FCs (<xref ref-type="fig" rid="F2">Figures 2A, B</xref>) in dancers suggests that the loosening of the NCM-NCD bond may serve as a trait neural predisposition to strike a balance between metacognitive monitoring (for appropriateness or fit) and mind-wandering (for originality) during the creative process (<xref ref-type="bibr" rid="B66">Preiss, 2022</xref>). The putamen is primarily involved in initiating and regulating learned movement sequences, more so than in untrained movements (<xref ref-type="bibr" rid="B64">Pinsard et al., 2019</xref>). Similarly, the GP is a major output nucleus of the basal ganglia, helping regulate learned movement sequences and inhibit competing ones (<xref ref-type="bibr" rid="B65">Poldrack et al., 2005</xref>; <xref ref-type="bibr" rid="B4">Ashby et al., 2010</xref>). Both two regions contribute to habit learning and automaticity, which could restrict originality in creative performance (<xref ref-type="bibr" rid="B4">Ashby et al., 2010</xref>). The proposition that over-monitoring impedes originality offers a plausible explanation for the observed dissociation in the NCM-NCD connection among dancers with higher originality. The pursuit of equilibrium between creative originality and metacognitive monitoring emerges as a critical consideration for expert dancers. Our findings align with the concept articulated by <xref ref-type="bibr" rid="B47">Koestler (1964)</xref>, viewing creativity as a process where originality triumphs over habitual behavior.</p>
</sec>
</sec>
<sec id="S4.SS3">
<title>4.3 Limitations and future directions</title>
<p>In this study, we substantiated the connections between NCM-NCD FCs and the general creativity performances in dancers, employing the ATTA. However, there are points for further consideration. Focusing on neuroplasticity in dancers and requiring group comparisons, we used a well-established psychometric creativity test more aligned with our goals, allowing us to examine creativity&#x2019;s cross-domain effects in dancers. Since specialized experience, as seen in choreography and movement creativity, plays a role in both general and domain-specific creativity (<xref ref-type="bibr" rid="B37">Hong and Milgram, 2010</xref>; <xref ref-type="bibr" rid="B67">Qian et al., 2019</xref>), more detailed behavioral studies are needed to fully understand how domain-specific skills in dance interact with general creative abilities (<xref ref-type="bibr" rid="B76">Teng et al., 2021</xref>). This deeper exploration could reveal important insights into the complexities of creativity, both in dance and across various fields. Although the cross-sectional design may not be ideal for determining the specific duration and intensity of training required to manifest functional connectivity benefits for stimulating creative thinking, the findings could provide insights into the neurological basis for the positive effects of neuroplastic reorganization through dance. This non-pharmacological intervention may enhance motor and cognitive abilities in individuals with neurological diseases (<xref ref-type="bibr" rid="B7">Bek et al., 2022</xref>; <xref ref-type="bibr" rid="B82">Wu et al., 2022</xref>; <xref ref-type="bibr" rid="B60">Meulenberg et al., 2023</xref>).</p>
</sec>
</sec>
<sec id="S5" sec-type="conclusion">
<title>5 Conclusion</title>
<p>Long-term dance training strengthens the synergy between metacognitive abilities and motor skills, as reflected in the enhanced FC between NCM and NCD, which is linked to higher levels of creative originality. Although such nuanced neural reorganization and neurodynamic plasticity can be observable without marked shifts in overall ATTA creativity performance, this adaptable FC between NCM and NCD may fine-tune a dancer&#x2019;s originality, providing a natural advantage in the seamless integration of creative cognitive activities, including mind-wandering and self-reflection. Our study suggests that the consolidation of the NCM-NCD FC as shaped by domain-specific training can inform general creativity.</p>
</sec>
<sec id="S6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="S7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The studies involving humans were approved by the Institutional Review Board of Taipei Veterans General Hospital. The studies were conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="S8" sec-type="author-contributions">
<title>Author contributions</title>
<p>C-JY: Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. H-YY: Funding acquisition, Resources, Writing &#x2013; review &#x0026; editing. T-YH: Investigation, Writing &#x2013; review &#x0026; editing. L-KC: Investigation, Writing &#x2013; review &#x0026; editing. W-CL: Investigation, Methodology, Writing &#x2013; review &#x0026; editing. T-CY: Funding acquisition, Methodology, Writing &#x2013; review &#x0026; editing. L-FC: Funding acquisition, Methodology, Writing &#x2013; review &#x0026; editing. J-CH: Conceptualization, Funding acquisition, Methodology, Project administration, Resources, Supervision, Writing &#x2013; review &#x0026; editing.</p>
</sec>
</body>
<back>
<sec id="S9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was financially supported by the National Science and Technology Council (NSC 102-2420-H-075-001-MY3, NSC 102-2420-H-075-001-MY3-2, NSC 102-2420-H-075-001-MY3-3, NSC 102-2420-H-010-005-MY3, NSC 102-2420-H-010-005-MY3-2, and NSC 102-2420-H-010-005-MY3-3), Taipei Veterans General Hospital (V99C1-155), &#x201C;Center for Intelligent Drug Systems and Smart Bio-devices (IDS<sup>2</sup>B)&#x201D; and Brain Research Center of National Yang Ming Chiao Tung University from the Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan, and the Aim for the Top University Plan of the MOE for National Yang Ming Chiao Tung University. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</sec>
<ack><p>We thank all participants in this study and extend particular appreciation to Chung-Heng Shih, Sheng-Fen Fan, Chuan-Tao Wang, Ting-Yu Liu, Cheng-Hao Tu, Yueh-Hua Chen, and Chou-Ming Cheng for their technical and experimental help. We would like to thank Dr. Chia-Shu Lin for the intellectual inputs. We appreciate that Taipei National University of the Arts supported the recruitment of experiment subjects.</p>
</ack>
<sec id="S10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="S11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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