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意识丧失时自发脑活动的时间变异性与信号同步性解耦:一项麻醉状态下的功能磁共振成像研究

Decoupled temporal variability and signal synchronization of spontaneous brain activity in loss of consciousness: An fMRI study in anesthesia.

作者信息

Huang Zirui, Zhang Jun, Wu Jinsong, Qin Pengmin, Wu Xuehai, Wang Zhiyao, Dai Rui, Li Yuan, Liang Weimin, Mao Ying, Yang Zhong, Zhang Jianfeng, Wolff Annemarie, Northoff Georg

机构信息

Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai 200040, PR China; Institute of Mental Health Research, University of Ottawa, Ottawa, ON K1Z 7K4, Canada.

Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai 200040, PR China.

出版信息

Neuroimage. 2016 Jan 1;124(Pt A):693-703. doi: 10.1016/j.neuroimage.2015.08.062. Epub 2015 Sep 4.

Abstract

Two aspects of the low frequency fluctuations of spontaneous brain activity have been proposed which reflect the complex and dynamic features of resting-state activity, namely temporal variability and signal synchronization. The relationship between them, especially its role in consciousness, nevertheless remains unclear. Our study examined the temporal variability and signal synchronization of spontaneous brain activity, as well as their relationship during loss of consciousness. We applied an intra-subject design of resting-state functional magnetic resonance imaging (rs-fMRI) in two conditions: during wakefulness, and under anesthesia with clinical unconsciousness. In addition, an independent group of patients with disorders of consciousness (DOC) was included in order to test the reliability of our findings. We observed a global reduction in the temporal variability, local and distant brain signal synchronization for subjects during anesthesia. Importantly, we found a link between temporal variability and both local and distant signal synchronizations during wakefulness: the higher the degree of temporal variability, the higher its intra-regional homogeneity and inter-regional functional connectivity. In contrast, this link was broken down under anesthesia, implying a decoupling between temporal variability and signal synchronization; this decoupling was reproduced in patients with DOC. Our results suggest that there exist some as yet unclear physiological mechanisms of consciousness which "couple" the two mathematically independent measures, temporal variability and signal synchronization of spontaneous brain activity. Our findings not only extend our current knowledge of the neural correlates of anesthetic-induced unconsciousness, but have implications for both computational neural modeling and clinical practice, such as in the diagnosis of loss of consciousness in patients with DOC.

摘要

自发性脑活动的低频波动已被提出有两个方面,它们反映了静息状态活动的复杂和动态特征,即时间变异性和信号同步性。然而,它们之间的关系,尤其是其在意识中的作用,仍不清楚。我们的研究考察了自发性脑活动的时间变异性和信号同步性,以及意识丧失期间它们之间的关系。我们采用了一种受试者内设计的静息态功能磁共振成像(rs-fMRI),分为两种情况:清醒时和临床无意识状态下的麻醉期间。此外,还纳入了一组独立的意识障碍(DOC)患者,以检验我们研究结果的可靠性。我们观察到麻醉期间受试者的时间变异性整体降低,局部和远距离脑信号同步性也降低。重要的是,我们发现清醒期间时间变异性与局部和远距离信号同步性之间存在联系:时间变异性程度越高,其区域内同质性和区域间功能连接性就越高。相比之下,这种联系在麻醉状态下被打破,这意味着时间变异性和信号同步性之间出现了解耦;这种解耦在DOC患者中也得到了重现。我们的结果表明,存在一些尚不清楚的意识生理机制,这些机制将自发性脑活动的时间变异性和信号同步性这两个数学上独立的测量指标“耦合”在一起。我们的发现不仅扩展了我们目前对麻醉诱导无意识的神经相关性的认识,而且对计算神经建模和临床实践都有启示,比如在DOC患者意识丧失的诊断中。

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