Bai Yang, He Jianghong, Xia Xiaoyu, Wang Yong, Yang Yi, Di Haibo, Li Xiaoli, Ziemann Ulf
International Vegetative State and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China; Department of Neurology and Stroke, University of Tübingen, Hoppe-Seyler-Str. 3, Tübingen 72076, Germany; Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Neuroimage. 2021 Oct 15;240:118407. doi: 10.1016/j.neuroimage.2021.118407. Epub 2021 Jul 17.
Spontaneous transient states were recently identified by functional magnetic resonance imaging and magnetoencephalography in healthy subjects. They organize and coordinate neural activity in brain networks. How spontaneous transient states are altered in abnormal brain conditions is unknown. Here, we conducted a transient state analysis on resting-state electroencephalography (EEG) source space and developed a state transfer analysis to patients with disorders of consciousness (DOC). They uncovered different neural coordination patterns, including spatial power patterns, temporal dynamics, spectral shifts, and connectivity construction varies at potentially very fast (millisecond) time scales, in groups with different consciousness levels: healthy subjects, patients in minimally conscious state (MCS), and patients with vegetative state/unresponsive wakefulness syndrome (VS/UWS). Machine learning based on transient state features reveal high classification accuracy between MCS and VS/UWS. This study developed methodology of transient states analysis on EEG source space and abnormal brain conditions. Findings correlate spontaneous transient states with human consciousness and suggest potential roles of transient states in brain disease assessment.
最近,通过功能磁共振成像和脑磁图在健康受试者中发现了自发瞬态。它们组织并协调大脑网络中的神经活动。目前尚不清楚在异常脑状态下自发瞬态是如何改变的。在此,我们对静息态脑电图(EEG)源空间进行了瞬态分析,并为意识障碍(DOC)患者开发了一种状态转移分析方法。研究发现,在具有不同意识水平的群体中,包括健康受试者、最低意识状态(MCS)患者和植物状态/无反应觉醒综合征(VS/UWS)患者,在潜在非常快(毫秒)的时间尺度上,存在不同的神经协调模式,包括空间功率模式、时间动态、频谱变化和连接结构。基于瞬态特征的机器学习显示MCS和VS/UWS之间具有较高的分类准确率。本研究开发了脑电图源空间和异常脑状态的瞬态分析方法。研究结果将自发瞬态与人类意识相关联,并提示瞬态在脑部疾病评估中的潜在作用。