Brain Region Score
Individual region dysfunction
3.59
Elevated
Normal Brain Function
Moderate Brain Dysfunction
Significant Brain Dysfunction
Functional NeuroCognitive Imaging (fNCI)
Your Doctor Said Nothing Was Wrong.
Your Brain Tells a Different Story.
Standard brain scans show anatomy. They cannot detect the functional disruptions caused by concussion and post-concussion syndrome. Our fNCI scan measures how 56+ brain regions actually perform during active cognitive tasks, comparing your results to thousands of healthy brains to locate dysfunction that other imaging completely misses.
94%+
Patient improve symptoms after scan guided treatment.
56+
Brain regions measured per scan
77%
Of patients improve after scan-guided treatment
★★★★★
"I couldn't read more than a paragraph. I couldn't work. I was told nothing was wrong with me for 5 years. After one week at Cognitive FX, the fog lifted. I got my life back."
Cognitive FX Patient — Treated for Post-Concussion Syndrome
See Your Brain. Understand Your Injury.
Our functional NeuroCognitive Imaging (fNCI) scan reveals exactly how your brain is functioning compared to healthy individuals, guiding a personalized treatment plan.
Severity Index Cumulative Score (SICS)
Your fNCI scan measures brain function using z-scores, which show how far your results deviate from healthy individuals. A z-score of 0 means average function. Scores between -1 and +1 are considered within normal range. Scores beyond ±2 indicate significant deviation that may be causing your symptoms.
Connectivity Score
Inter-region communication
2.17
Moderate
Normal Brain Function
Moderate Brain Dysfunction
Significant Brain Dysfunction
Why You Feel This Way
Your symptoms aren't "in your head." They're measurable, biological responses to specific brain regions working incorrectly. Here's the connection between what you experience and what your scan reveals.
What You Feel
Headaches
"I get pressure headaches that start behind my eyes and spread to my temples."
Linked to Scan
The Biological Cause
Left Fusiform Gyrus
+3.00 SD · Hyperactive
Your visual processing regions are working 3x harder than normal to interpret what you see. This metabolic overdrive can create inflammation and pressure, triggering headaches that radiate from behind the eyes.
What You Feel
Fatigue
"I can't focus on reading for more than 10 minutes without getting exhausted."
Linked to Scan
The Biological Cause
Left Superior Temporal Gyrus
+3.46 SD · Hyperactive
Your brain is flooding the language comprehension zone with excess blood flow. Simple tasks drain your cognitive battery because less efficient brain regions are doing the work of efficient ones.
What You Feel
Difficulty Concentrating
"My mind wanders constantly. I read the same paragraph five times and still don't absorb it."
Linked to Scan
The Biological Cause
Right Superior Frontal Gyrus
+2.96 SD · Hyperactive
The brain region responsible for reasoning, planning, and sustained attention is dysregulated. Your attention system can't filter all the other hyperactivity going on.
What You Feel
Sleep Trouble
"I'm exhausted but I can't fall asleep. My brain just won't shut off at night."
Linked to Scan
The Biological Cause
Right Thalamus
+2.91 SD · Hyperactive
Your thalamus is your brain's sensory gateway that should "dim the lights" at night. When it's hyperactive, sensory signals keep firing instead of quieting down.
What You Feel
Irritability
"I snap at my family over little things. I feel angry and I don't know why."
Linked to Scan
The Biological Cause
Right Lateral Orbitofrontal Gyrus
+3.60 SD · Hyperactive
This region controls your reward/punishment response and impulse regulation. When it's overworking, minor frustrations register as major threats. Your brain's emotional thermostat is miscalibrated.
Brain Region Analysis
Executive Function
9 regionsYour brain's ability to make decisions and adapt flexibly to the information it receives in the moment.
Left Lateral Orbitofrontal Gyrus
+1.95
Normal
Right Lateral Orbitofrontal Gyrus
+3.60
Hyperactive
Left Rostral Middle Frontal Gyrus
+1.87
Normal
Right Rostral Middle Frontal Gyrus
+1.64
Normal
Left Superior Frontal Gyrus
+2.34
Hyperactive
Right Superior Frontal Gyrus
+2.96
Hyperactive
Right Inferior Frontal Gyrus
+0.81
Normal
Left Paracentral Gyrus
+2.38
Hyperactive
Right Paracentral Gyrus
+2.45
Hyperactive
Attention
10 regionsYour ability to concentrate on a single task, shift focus between multiple tasks, and filter out unimportant distractions.
Left Rostral Anterior Cingulate Gyrus
+2.48
Hyperactive
Right Rostral Anterior Cingulate Gyrus
+2.60
Hyperactive
Left Caudal Anterior Cingulate Gyrus
+0.54
Normal
Right Caudal Anterior Cingulate Gyrus
+2.92
Hyperactive
Left Posterior Cingulate Gyrus
+1.12
Normal
Right Posterior Cingulate Gyrus
+0.95
Normal
Left Superior Parietal Lobule
+1.63
Normal
Right Superior Parietal Lobule
+1.63
Normal
Left Pars Orbitalis
+0.50
Normal
Right Pars Orbitalis
+0.55
Normal
Language
9 regionsThis encompasses everything from processing the language you hear and see to deciding what you want to say and expressing it.
Left Inferior Frontal Gyrus
+0.98
Normal
Left Inferior Temporal Gyrus
+3.26
Hyperactive
Left Superior Temporal Gyrus
+3.46
Hyperactive
Left Middle Temporal Gyrus
+3.40
Hyperactive
Left Supramarginal Gyrus
+2.01
Hyperactive
Right Inferior Temporal Gyrus
+1.95
Normal
Right Supramarginal Gyrus
+1.03
Normal
Right Middle Temporal Gyrus
+1.59
Normal
Right Superior Temporal Gyrus
+2.57
Hyperactive
Visual Processing
16 regionsThis involves processing what your eyes see, recognizing it, determining how your eyes should respond, and forming visual images in your mind.
Left Postcentral Gyrus
+2.37
Hyperactive
Right Postcentral Gyrus
+1.28
Normal
Left Fusiform Gyrus
+3.00
Hyperactive
Right Fusiform Gyrus
+2.13
Hyperactive
Left Cuneus
+2.08
Hyperactive
Right Cuneus
+2.33
Hyperactive
Left Lingual Gyrus
+2.32
Hyperactive
Right Lingual Gyrus
+1.08
Normal
Left Inferior Parietal Lobule
-1.34
Hypoactive
Right Inferior Parietal Lobule
+1.09
Normal
Left Precuneus
+1.63
Normal
Right Precuneus
+2.00
Hyperactive
Left Lateral Occipital Cortex
+1.03
Normal
Right Lateral Occipital Cortex
+0.62
Normal
Left Caudal Middle Frontal Gyrus
+2.29
Hyperactive
Right Caudal Middle Frontal Gyrus
+0.79
Normal
Subcortical
10 regionsThis is often regarded as the brain's processing centers, where sensations are filtered and directed to generate an appropriate response.
Left Insula
+0.93
Normal
Right Insula
+0.14
Normal
Left Basal Ganglia
+1.70
Normal
Right Basal Ganglia
+1.64
Normal
Left Hippocampus
+2.59
Hyperactive
Right Hippocampus
+2.35
Hyperactive
Left Precentral Gyrus
+3.46
Hyperactive
Right Precentral Gyrus
+0.89
Normal
Left Thalamus
+0.59
Normal
Right Thalamus
+2.91
Hyperactive
Memory
10 regionsThis refers to your brain's ability to create new memories and recall existing ones, including words, smells, and images.
Left Posterior Cingulate Gyrus
+1.12
Normal
Right Posterior Cingulate Gyrus
+0.95
Normal
Left Superior Parietal Lobule
+1.63
Normal
Right Superior Parietal Lobule
+1.63
Normal
Left Inferior Parietal Lobule
-1.34
Hypoactive
Right Inferior Parietal Lobule
+1.09
Normal
Left Hippocampus
+2.59
Hyperactive
Right Hippocampus
+2.35
Hyperactive
Left Rostral Anterior Cingulate Gyrus
+2.48
Hyperactive
Right Rostral Anterior Cingulate Gyrus
+2.60
Hyperactive
Your Personalized Treatment Plan
Based on the scan findings, our multi-disciplinary team creates a customized EPIC treatment protocol targeting your specific areas of dysfunction.
Physical Therapist
Movement, balance, and motor control rehabilitation
Proprioceptive Neuromuscular Facilitation (PNF) Stretching
Utilize PNF patterns (e.g., D1/D2 flexion/extension) for the upper and lower extremities to reduce spasticity and improve motor pathway efficiency.
Why This Works
Targets the hyperactive Left Precentral Gyrus. The combination of passive stretching and isometric contractions helps reset the neural drive to muscles, reducing the motor tension associated with hyperactivation.
Targets: Left Precentral Gyrus
Balance Training on Unstable Surfaces
Have the patient perform static and dynamic balance exercises (e.g., single-leg stance, tandem walking) on foam pads or balance boards.
Why This Works
Targets the hyperactive Precuneus and Postcentral Gyrus. This challenges the proprioceptive and visual systems, forcing more efficient processing and integration to maintain stability, thereby calming overactive networks.
Targets: Precuneus & Postcentral Gyrus
Gait Training with Rhythmic Auditory Stimulation (RAS)
Use a metronome or rhythmic music to cue walking pace, focusing on heel-toe pattern, stride length, and arm swing.
Why This Works
Targets the hyperactive Basal Ganglia and Left Precentral Gyrus. External rhythmic cueing offloads the over-activated internal timing mechanisms of the Basal Ganglia, promoting a smoother, more automatic motor pattern.
Targets: Basal Ganglia & Left Precentral Gyrus
Speech-Language Pathologist
Language processing and communication rehabilitation
Auditory Comprehension Desensitization
Present short, simple spoken sentences in a quiet environment, gradually increasing complexity and introducing minimal background noise.
Why This Works
Targets the hyperactive Left Temporal Lobe Language Cluster. This rebuilds comprehension skills from the ground up and helps the brain adapt to auditory input without becoming overwhelmed.
Targets: Left Temporal Lobe Language Cluster
Semantic Feature Analysis (SFA)
For word-finding difficulties, guide the patient to describe an object's features (category, function, appearance) to activate related semantic networks.
Why This Works
Targets the hyperactive Left Inferior and Middle Temporal Gyri. SFA provides a structured approach to access lexical information, bypassing the inefficient, over-activated pathways and building stronger, alternative neural routes.
Targets: Left Inferior & Middle Temporal Gyri
Paced Auditory Input
Use a text-to-speech program or therapist-led reading to present information at a slowed, deliberate pace, allowing for adequate processing time.
Why This Works
Targets the hyperactive Left Superior Temporal Gyrus. Slowing down the rate of auditory input prevents the hyperactive language processing centers from being overloaded, improving comprehension.
Targets: Left Superior Temporal Gyrus
Occupational Therapist
Daily function and cognitive task management
Energy Conservation and Work Simplification
Teach the patient to break down complex tasks (e.g., cooking, cleaning) into smaller, manageable steps with built-in rest periods.
Why This Works
Targets the hyperactive Right Superior Frontal Gyrus and Left Precentral Gyrus. This strategy reduces the cognitive load required for planning and mitigates the physical fatigue caused by inefficient motor control.
Targets: Right Superior Frontal & Left Precentral Gyrus
Sensory Diet Implementation
Create a daily schedule of sensory activities (e.g., using a weighted blanket, listening to calming music, tactile play) to help regulate arousal levels.
Why This Works
Targets the hyperactive Cingulate Gyrus and Postcentral Gyrus. A sensory diet provides structured input to help modulate the brain's alertness and attention systems, preventing sensory overload.
Targets: Cingulate & Postcentral Gyrus
Vision Therapist
Visual processing and eye movement rehabilitation
Saccadic Eye Movement Training
Have the patient practice rapidly shifting their gaze between two fixed targets (e.g., dots on a wall) horizontally, vertically, and diagonally.
Why This Works
Targets the hyperactive Frontal Eye Fields (within the Frontal Gyri) and Cuneus. This trains more efficient and controlled eye movements, reducing the neural effort required for visual scanning.
Targets: Frontal Eye Fields & Cuneus
Brock String Exercise
Use a string with colored beads to train convergence and divergence, having the patient focus on each bead to perceive a single bead with two strings forming an 'X'.
Why This Works
Targets the hyperactive Fusiform and Lingual Gyri. This provides powerful feedback on binocular vision, helping to stabilize visual input and reduce the processing strain on hyperactive visual association areas.
Targets: Fusiform & Lingual Gyri
Psychologist
Emotional regulation and cognitive behavioral support
Cognitive Behavioral Therapy (CBT) for Emotional Regulation
Help the patient identify triggers for emotional outbursts, recognize distorted thoughts, and develop coping strategies to manage impulsivity.
Why This Works
Targets the hyperactive Right Lateral Orbitofrontal Gyrus. CBT provides top-down cognitive control strategies to modulate the bottom-up emotional dysregulation driven by this region.
Targets: Right Lateral Orbitofrontal Gyrus
Mindfulness-Based Stress Reduction (MBSR)
Teach formal meditation practices (e.g., body scan, mindful breathing) to cultivate non-judgmental awareness of thoughts and emotions.
Why This Works
Targets the hyperactive Cingulate and Orbitofrontal Gyri. MBSR strengthens the brain's capacity for attentional control and reduces the reactivity of emotional circuits, calming these over-activated areas.
Targets: Cingulate & Orbitofrontal Gyri
Massage Therapist
Physical tension release and nervous system regulation
Myofascial Release for Neck and Shoulders
Apply slow, sustained pressure to the fascial tissues of the cervical spine, shoulders, and upper back to release chronic tension.
Why This Works
Targets the hyperactive Left Precentral Gyrus. Releasing physical tension in the upper body can reduce the afferent (sensory) signals contributing to the over-activation of the motor cortex.
Targets: Left Precentral Gyrus
Swedish Massage with Slow, Rhythmic Strokes
Employ long, gliding strokes (effleurage) and gentle kneading (petrissage) to promote systemic relaxation.
Why This Works
Targets the hyperactive Cingulate and Orbitofrontal Gyri. The predictable, rhythmic input helps down-regulate the sympathetic nervous system, calming the brain's over-active emotional and attentional centers.
Targets: Cingulate & Orbitofrontal Gyri
Ready to See What is Injured in Your Brain?
Take the first step toward understanding and treating your brain injury with our advanced fNCI technology.
Schedule Your ConsultationWhy You've Been Told "Nothing is Wrong"
Standard Imaging Cannot See What fNCI Sees
Concussion and post-concussion syndrome are functional injuries, not structural ones. The tools most doctors use are designed to find structural damage. That's why so many patients spend years being told their brain is "normal."
CT Scan
Computed Tomography
X-ray slices of brain structure
What it shows
Bone fractures, major bleeds, structural damage
What it misses
All functional disruption, neurovascular coupling, NVC dysfunction
Detects PCS?
No
Guides treatment?
No
Standard MRI
Structural MRI
High-resolution brain anatomy
What it shows
Brain anatomy, tumors, lesions, white matter
What it misses
How regions perform during active tasks; NVC disruption
Detects PCS?
No
Guides treatment?
No
SPECT Scan
Single-Photon CT
Resting blood flow map
What it shows
Blood flow at rest in broad regions; some general patterns
What it misses
Task-based activation, inter-region communication, NVC precision
Detects PCS?
Partially
Guides treatment?
Limited
fNCI at CFX
Functional NeuroCognitive Imaging
Brain function during active cognitive tasks
What it shows
Neurovascular coupling in 56+ regions, inter-region communication, activation vs. healthy norms
What it misses
Nothing PCS-relevant is left undetected
Detects PCS?
Yes — 98%+ accurate
Guides treatment?
Yes — Region-specific
How the Scan Works
Three Cognitive Tasks. 56 Brain Regions. One Clear Answer.
Unlike a standard MRI where you just lie still, fNCI puts your brain to work. That's the point. Dysfunction only shows up when the brain is asked to perform.
1
You Perform Cognitive Tasks Inside the Scanner
The 45-minute scan takes place inside an fMRI machine. While the scanner runs, you complete a series of standardized cognitive tasks covering visual processing, language, attention, and executive function.
Why tasks? Because a brain with NVC dysfunction may appear normal at rest. The dysfunction
only becomes visible when regions are called on to work.
2
We Measure Neurovascular Coupling Across 56+ Regions
The scanner measures blood oxygen levels in real time as your neurons fire. This reveals whether brain cells are signaling correctly for blood flow, and whether vessels are delivering it, in each region during each task.
Neurovascular coupling is the core mechanism disrupted by concussion. Most scans never
look at it. fNCI was built specifically to measure it.
3
Your Brain is Compared to Thousands of Healthy Controls
Your activation levels are scored against a normative database of healthy, uninjured brains using standard deviation (z-score) analysis. You receive a precise report showing exactly which regions are over-performing, under-performing, or disconnected.
This comparison is what makes fNCI objective, not just descriptive. Your symptoms now
have a biological address.
What to Expect
The Scan in Plain Terms
45 min
Scan duration
Including setup and calibration
$1,500–$2,500
Scan cost
Lower cost when bundled with treatment
No commitment
Scan-only option available
No obligation to proceed with treatment
14 specialists
Review your results
Multidisciplinary team interpretation
Common Questions
Answered Honestly
No. You can schedule the fNCI as a standalone diagnostic scan with no obligation to
proceed with treatment. Many patients use the scan results to share with their local
care team, to finally have an objective record of what they're dealing with, or to
make a fully informed decision about whether to pursue our EPIC treatment program.
We start with a free consultation to make sure you're a good candidate for the scan
before you commit to anything.
Yes, and this is precisely why so many patients come to us. A normal structural MRI
result is entirely consistent with post-concussion syndrome because PCS is a functional
injury, not a structural one. The neurons and blood vessels in your brain are still
physically intact. The problem is in how they communicate and how efficiently they
deliver resources during cognitive work. Standard MRI cannot see this. fNCI is
specifically designed to detect it. Our scan is over 98% accurate at diagnosing
post-concussion syndrome even when all prior imaging was negative.
A standalone fNCI scan costs between $1,500 and $2,500. The cost is lower when the
scan is part of our EPIC treatment package. Most insurance plans do not currently
cover fNCI as it is a proprietary clinical application of fMRI technology. We
recommend scheduling a free consultation first, at which point our team can walk
you through exact pricing for your situation and discuss any financing options.
It is not too late. Our average patient has had symptoms for more than two years
before arriving at Cognitive FX. The third-party validated research cohort had an
average symptom duration of four years. The brain retains neuroplasticity throughout
life, which means it can relearn more efficient patterns even years after an injury.
Earlier treatment is ideal, but we have seen strong results in patients who were
injured a decade or more ago.
Our patients come from 40+ countries because this level of brain imaging and
scan-guided treatment does not exist elsewhere in clinical practice. One week in
Provo, Utah has replaced years of local appointments for thousands of our patients.
We provide travel guidance and lodging recommendations to make the trip as easy
as possible. A free consultation will give you a clear sense of whether the
investment makes sense for your situation before you buy a single plane ticket.
Find Out What Your Brain Is Actually Doing
You deserve more than symptom-based guesswork. A free consultation takes 20 minutes and gives you a clear answer on whether an fNCI scan is right for you.
No commitment required · Free 30-minute consultation · Treating patients from 20+ countries