Title
Fine-Grained Parcellation Of Brain Connectivity Improves Differentiation Of States Of Consciousness During Graded Propofol Sedation
Abstract
Conscious perception relies on interactions between spatially and functionally distinct modules of the brain at various spatiotemporal scales. These interactions are altered by anesthesia, an intervention that leads to fading consciousness. Relatively little is known about brain functional connectivity and its anesthetic modulation at a fine spatial scale. Here, we used functional imaging to examine propofol-induced changes in functional connectivity in brain networks defined at a fine-grained parcellation based on a combination of anatomical and functional features. Fifteen healthy volunteers underwent resting-state functional imaging in wakeful baseline, mild sedation, deep sedation, and recovery of consciousness. Compared with wakeful baseline, propofol produced widespread, dose-dependent functional connectivity changes that scaled with the extent to which consciousness was altered. The dominant changes in connectivity were associated with the frontal lobes. By examining node pairs that demonstrated a trend of functional connectivity change between wakefulness and deep sedation, quadratic discriminant analysis differentiated the states of consciousness in individual participants more accurately at a fine-grained parcellation (e.g., 2000 nodes) than at a coarse-grained parcellation (e.g., 116 anatomical nodes). Our study suggests that defining brain networks at a high granularity may provide a superior imaging-based distinction of the graded effect of anesthesia on consciousness.
Year
DOI
Venue
2017
10.1089/brain.2016.0477
BRAIN CONNECTIVITY
Keywords
Field
DocType
brain parcellation, loss of consciousness, propofol sedation, resting-state fMRI, state classification
Propofol,Neuroscience,Resting state fMRI,Psychology,Functional imaging,Consciousness,Anesthetic,Sedation
Journal
Volume
Issue
ISSN
7
6
2158-0014
Citations 
PageRank 
References 
3
0.41
14
Authors
13