短暂的脑活动动力学可区分麻醉期间的意识水平。
Transient brain activity dynamics discriminate levels of consciousness during anesthesia.
机构信息
Rehab and Neural Engineering Labs, University of Pittsburgh, Pittsburgh, PA, USA.
Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, PA, USA.
出版信息
Commun Biol. 2024 Jun 10;7(1):716. doi: 10.1038/s42003-024-06335-x.
The awake mammalian brain is functionally organized in terms of large-scale distributed networks that are constantly interacting. Loss of consciousness might disrupt this temporal organization leaving patients unresponsive. We hypothesize that characterizing brain activity in terms of transient events may provide a signature of consciousness. For this, we analyze temporal dynamics of spatiotemporally overlapping functional networks obtained from fMRI transient activity across different anesthetics and levels of anesthesia. We first show a striking homology in spatial organization of networks between monkeys and humans, indicating cross-species similarities in resting-state fMRI structure. We then track how network organization shifts under different anesthesia conditions in macaque monkeys. While the spatial aspect of the networks is preserved, their temporal dynamics are highly affected by anesthesia. Networks express for longer durations and co-activate in an anesthetic-specific configuration. Additionally, hierarchical brain organization is disrupted with a consciousness-level-signature role of the default mode network. In conclusion, large-scale brain network temporal dynamics capture differences in anesthetic-specific consciousness-level, paving the way towards a clinical translation of these cortical signature.
清醒的哺乳动物大脑在功能上是按照不断相互作用的大规模分布式网络组织的。意识丧失可能会破坏这种时间组织,使患者无法反应。我们假设,根据瞬态事件来描述大脑活动可能提供意识的特征。为此,我们分析了来自不同麻醉剂和麻醉水平的 fMRI 瞬变活动的时空重叠功能网络的瞬态事件的时间动态。我们首先展示了猴子和人类之间网络空间组织的惊人同形性,表明静息态 fMRI 结构存在跨物种的相似性。然后,我们在猕猴中追踪了不同麻醉条件下网络组织的变化。虽然网络的空间方面得到了保留,但它们的时间动态受到麻醉的强烈影响。网络表达的持续时间更长,并以麻醉特异性的方式共同激活。此外,大脑的分层组织被破坏,默认模式网络具有意识水平特征的作用。总之,大规模脑网络的时间动态捕捉到了麻醉特异性意识水平的差异,为这些皮质特征的临床转化铺平了道路。