Schröter Manuel S, Spoormaker Victor I, Schorer Anna, Wohlschläger Afra, Czisch Michael, Kochs Eberhard F, Zimmer Claus, Hemmer Bernhard, Schneider Gerhard, Jordan Denis, Ilg Rüdiger
Max Planck Institute of Psychiatry, 80804 Munich, Germany.
J Neurosci. 2012 Sep 12;32(37):12832-40. doi: 10.1523/JNEUROSCI.6046-11.2012.
Applying graph theoretical analysis of spontaneous BOLD fluctuations in functional magnetic resonance imaging (fMRI), we investigated whole-brain functional connectivity of 11 healthy volunteers during wakefulness and propofol-induced loss of consciousness (PI-LOC). After extraction of regional fMRI time series from 110 cortical and subcortical regions, we applied a maximum overlap discrete wavelet transformation and investigated changes in the brain's intrinsic spatiotemporal organization. During PI-LOC, we observed a breakdown of subcortico-cortical and corticocortical connectivity. Decrease of connectivity was pronounced in thalamocortical connections, whereas no changes were found for connectivity within primary sensory cortices. Graph theoretical analyses revealed significant changes in the degree distribution and local organization metrics of brain functional networks during PI-LOC: compared with a random network, normalized clustering was significantly increased, as was small-worldness. Furthermore we observed a profound decline in long-range connections and a reduction in whole-brain spatiotemporal integration, supporting a topological reconfiguration during PI-LOC. Our findings shed light on the functional significance of intrinsic brain activity as measured by spontaneous BOLD signal fluctuations and help to understand propofol-induced loss of consciousness.
应用功能磁共振成像(fMRI)中自发血氧水平依赖(BOLD)波动的图论分析方法,我们研究了11名健康志愿者在清醒状态和丙泊酚诱导的意识丧失(PI-LOC)期间的全脑功能连接性。从110个皮质和皮质下区域提取区域fMRI时间序列后,我们应用了最大重叠离散小波变换,并研究了大脑内在时空组织的变化。在PI-LOC期间,我们观察到皮质下-皮质和皮质-皮质连接性的破坏。丘脑皮质连接中的连接性下降明显,而初级感觉皮质内的连接性未发现变化。图论分析显示,在PI-LOC期间大脑功能网络的度分布和局部组织指标有显著变化:与随机网络相比,标准化聚类显著增加,小世界特性也是如此。此外,我们观察到长程连接显著减少,全脑时空整合降低,这支持了PI-LOC期间的拓扑重构。我们的研究结果揭示了通过自发BOLD信号波动测量的大脑内在活动的功能意义,并有助于理解丙泊酚诱导的意识丧失。
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