Delirium is a major public health issue associated with considerable morbidity and mortality, par... more Delirium is a major public health issue associated with considerable morbidity and mortality, particularly after surgery. While the neurobiology of delirium remains incompletely understood, emerging evidence suggests that cognition requires close proximity to a system state called criticality, which reflects a point of dynamic instability that allows for flexible access to a wide range of brain states. Deviations from criticality are associated with neurocognitive disorders, though the relationship between criticality and delirium has not been formally tested. This study tested the primary hypothesis that delirium in the postanesthesia care unit would be associated with deviations from criticality, based on surrogate electroencephalographic measures. As a secondary objective, the impact of caffeine was also tested on delirium incidence and criticality. To address these aims, we conducted a secondary analysis of a randomized clinical trial that tested the effects of intraoperative ca...
Fibromyalgia (FM) is a chronic pain condition that is characterized by hypersensitivity to multi-... more Fibromyalgia (FM) is a chronic pain condition that is characterized by hypersensitivity to multi-modal sensory stimuli, widespread pain, and fatigue. We have previously proposed explosive synchronization (ES), a phenomenon wherein a small perturbation to a network can lead to an abrupt state transition, as a potential mechanism of the hypersensitive FM brain. Therefore, we hypothesized that converting a brain network from ES to general synchronization (GS) may reduce the hypersensitivity of FM brain. To find an effective brain network modulation to convert ES into GS, we constructed a large-scale brain network model near criticality (i.e., an optimally balanced state between order and disorders), which reflects brain dynamics in conscious wakefulness, and adjusted two parameters: local structural connectivity and signal randomness of target brain regions. The network sensitivity to global stimuli was compared between the brain networks before and after the modulation. We found that ...
Theoretical consideration predicts that the alteration of local and shared information in the bra... more Theoretical consideration predicts that the alteration of local and shared information in the brain is a key element in the mechanism of anesthetic-induced unconsciousness. Ordinal pattern analysis, such as permutation entropy (PE) and symbolic mutual information (SMI), have been successful in quantifying local and shared information in neurophysiological data; however, they have been rarely applied to altered states of consciousness, especially to data obtained with functional magnetic resonance imaging (fMRI). PE and SMI analysis, together with the superb spatial resolution of fMRI recording, enables us to explore the local information of specific brain areas, the shared information between the areas, and the relationship between the two. Given the spatially divergent action of anesthetics on regional brain activity, we hypothesized that anesthesia would differentially influence entropy (PE) and shared information (SMI) across various brain areas, which may represent fundamental, mechanistic indicators of loss of consciousness. FMRI data were collected from 15 healthy participants during four states: wakefulness (W), light (conscious) sedation (L), deep (unconscious) sedation (D), and recovery (R). Sedation was produced by the common, clinically used anesthetic, propofol. Firstly, we found that that global PE decreased from W to D, and increased from D to R. The PE was differentially affected across the brain areas; specifically, the PE in the subcortical network was reduced more than in the cortical networks. Secondly, SMI was also differentially affected in different areas, as revealed by the reconfiguration of its spatial pattern (topographic structure). The topographic structures of SMI in the conscious states W, L, and R were distinctively different from that of the unconscious state D. Thirdly, PE and SMI were positively correlated in W, L, and R, whereas this correlation was disrupted in D. And lastly, PE changes occurred preferentially in highly connected hub regions. These findings advance our understanding of brain dynamics and information exchange, emphasizing the importance of topographic structure and the relationship of local and shared information in anesthetic-induced unconsciousness.
Despite the use of shamanism as a healing practice for several millennia, few empirical studies o... more Despite the use of shamanism as a healing practice for several millennia, few empirical studies of the shamanic state of consciousness exist. We investigated the neural correlates of shamanic trance using high-density electroencephalography (EEG) in 24 shamanic practitioners and 24 healthy controls during rest, shamanic drumming, and classical music listening, followed by a validated assessment of altered states of consciousness. EEG data were used to assess changes in absolute power, connectivity, signal diversity, and criticality, which were correlated with assessment measures. We also compared assessment scores to those of individuals in a previous study under the influence of psychedelics. Shamanic practitioners were significantly different from controls in several domains of altered states of consciousness, with scores comparable to or exceeding that of healthy volunteers under the influence of psychedelics. Practitioners also displayed increased gamma power during drumming tha...
Continuous switching between internal and external modes in the brain is a key process of constru... more Continuous switching between internal and external modes in the brain is a key process of constructing inner models of the outside world. However, how the brain continuously switches between two modes remains elusive. Here, we propose that a large synchronization fluctuation of the brain network emerging only near criticality (i.e., a balanced state between order and disorder) spontaneously creates temporal windows with distinct preferences for integrating internal information of the network and external stimuli. Using a computational model and empirical data analysis during alterations of consciousness in human, we present that synchronized and incoherent networks respectively bias toward internal and external information with specific network configurations. The network preferences are the most prominent in conscious states; however, they disrupt in altered states of consciousness. We suggest that criticality produces a functional platform of the brain’s capability for continuous ...
The search for biomarkers to guide the treatment of chronic pain is an exciting area of research ... more The search for biomarkers to guide the treatment of chronic pain is an exciting area of research (see Tracey et al. [26] and Davis et al. [7] for recent perspectives). In pain conditions such as fibromyalgia, in which dysfunction of the central nervous system plays a predominant role, abnormal brain function and/or structure may represent biomarkers that can help predict treatment response in individual patients as well as causal mechanisms that can be therapeutically modified.[12; 13] A consensus is emerging that the perception of pain, like conscious experience itself, arises from coordinated activity within a distributed brain network rather than neural activity in isolated regions.[1; 17; 21; 29] As such, studying the brain as a complex network of interconnected regions might yield unique biomarkers for pain treatment. A network can be defined as a collection of nodes and edges. In the case of the brain, nodes represent neurons and/or brain regions and edges are the structural or functional connections between these nodes. One component of brain network organization is the presence of highly interconnected hub nodes that, when connected with other hubs, form what is referred to as a rich club.[27] Hubs are critical to information flow because they tend to connect spatially distinct regions, allowing for higher-order integration of specialized functions.
Integrated information theory (IIT) postulates that consciousness arises from the cause-effect st... more Integrated information theory (IIT) postulates that consciousness arises from the cause-effect structure of a system but the optimal network conditions for this structure have not been elucidated. In the study, we test the hypothesis that network criticality, a dynamically balanced state between a large variation of functional network configurations and a large constraint of structural network configurations, is a necessary condition for the emergence of a cause-effect structure that results in a large Φ, a surrogate of integrated information. We also hypothesized that if the brain deviates from criticality, the cause-effect structure is obscured and Φ diminishes. We tested these hypotheses with a large-scale brain network model and high-density electroencephalography (EEG) acquired during various levels of human consciousness during general anesthesia. In the modeling study, maximal criticality coincided with maximal Φ. The constraint of the structural network on the functional net...
As pointed out by William James, "the consciousness is a dynamic process, not a thing" ... more As pointed out by William James, "the consciousness is a dynamic process, not a thing" , during which short term integration is succeeded by another differentiated neural state through the continual interplay between the environment, the body, and the brain itself. Thus, the dynamic structure underlying successive states of the brain is important for understanding human consciousness as a process. In order to investigate the dynamic property of human consciousness, we developed a new method to reconstruct a state space from electroencephalogram(EEG), in which a trajectory, reflecting states of consciousness, is constructed based on the global information integration of the brain. EEGs were obtained from 14 subjects received an intravenous bolus of propopol. Here we show that the degree of human consciousness is directly associated with the information integration capacity of gamma wave, which is significantly higher in the conscious state than in the unconscious state. And...
A randomized trial comparing the Ambu (R) Aura-i with the air-Q intubating laryngeal airway as co... more A randomized trial comparing the Ambu (R) Aura-i with the air-Q intubating laryngeal airway as conduits for tracheal intubation in children.
Brain networks during unconscious states resulting from sleep, anesthesia, or traumatic injuries ... more Brain networks during unconscious states resulting from sleep, anesthesia, or traumatic injuries are associated with a limited capacity for complex responses to stimulation. Even during the conscious resting state, responsiveness to stimulus is highly dependent on spontaneous brain activities. Many empirical findings have been suggested that the brain responsiveness is determined mainly by the ongoing brain activity when a stimulus is given. However, there has been no systematic study exploring how such various brain activities with high or low synchronization, amplitude, and phase response to stimuli. In this model study, we simulated large-scale brain network dynamics in three brain states (below, near, and above the critical state) and investigated a relationship between ongoing oscillation properties and a stimulus decomposing the brain activity into fundamental oscillation properties (instantaneous global synchronization, amplitude, and phase). We identified specific stimulatio...
Recent modeling and empirical studies support the hypothesis that large-scale brain networks func... more Recent modeling and empirical studies support the hypothesis that large-scale brain networks function near a critical state. Similar functional connectivity patterns derived from resting state empirical data and brain network models at criticality provide further support. However, despite the strong implication of a relationship, there has been no principled explanation of how criticality shapes the characteristic functional connectivity in large-scale brain networks. Here, we hypothesized that the network science concept of partial phase locking is the underlying mechanism of optimal functional connectivity in the resting state. We further hypothesized that the characteristic connectivity of the critical state provides a theoretical boundary to quantify how far pharmacologically or pathologically perturbed brain connectivity deviates from its critical state, which could enable the differentiation of various states of consciousness with a theory-based metric. To test the hypothesis, we used a neuroanatomically informed brain network model with the resulting source signals projected to electroencephalogram (EEG)-like sensor signals with a forward model. Phase lag entropy (PLE), a measure of phase relation diversity, was estimated and the topography of PLE was analyzed. To measure the distance from criticality, the PLE topography at a critical state was compared with those of the EEG data from baseline consciousness, isoflurane anesthesia, ketamine anesthesia, vegetative state/unresponsive wakefulness syndrome, and minimally conscious state. We demonstrate that the partial phase locking at criticality shapes the functional connectivity and asymmetric anterior-posterior PLE topography, with low (high) PLE for high (low) degree nodes. The topographical similarity and the strength of PLE differentiates various pharmacologic and pathologic states of consciousness. Moreover, this model-based EEG network analysis provides a novel metric to quantify how far a pharmacologically or pathologically perturbed brain network is away from critical state, rather than merely determining whether it is in a critical or non-critical state.
The heterogeneity of molecular mechanisms, target neural circuits, and neurophysiologic effects o... more The heterogeneity of molecular mechanisms, target neural circuits, and neurophysiologic effects of general anesthetics makes it difficult to develop a reliable and drug-invariant index of general anesthesia. No single brain region or mechanism has been identified as the neural correlate of consciousness, suggesting that consciousness might emerge through complex interactions of spatially and temporally distributed brain functions. The goal of this review article is to introduce the basic concepts of networks and explain why the application of network science to general anesthesia could be a pathway to discover a fundamental mechanism of anesthetic-induced unconsciousness. This article reviews data suggesting that reduced network efficiency, constrained network repertoires, and changes in cortical dynamics create inhospitable conditions for information processing and transfer, which lead to unconsciousness. This review proposes that network science is not just a useful tool but a nec...
Fibromyalgia (FM) is a chronic widespread pain condition characterized by augmented multi-modal s... more Fibromyalgia (FM) is a chronic widespread pain condition characterized by augmented multi-modal sensory sensitivity. Although the mechanisms underlying this sensitivity are thought to involve an imbalance in excitatory and inhibitory activity throughout the brain, the underlying neural network properties associated with hypersensitivity to pain stimuli are largely unknown. In network science, explosive synchronization (ES) was introduced as a mechanism of hypersensitivity in diverse biological and physical systems that display explosive and global propagations with small perturbations. We hypothesized that ES may also be a mechanism of the hypersensitivity in FM brains. To test this hypothesis, we analyzed resting state electroencephalogram (EEG) of 10 FM patients. First, we examined theoretically well-known ES conditions within functional brain networks reconstructed from EEG, then tested whether a brain network model with ES conditions identified in the EEG data is sensitive to an...
Recently, multiple time scale characteristics of heart dynamics have received much attention for ... more Recently, multiple time scale characteristics of heart dynamics have received much attention for distinguishing healthy and pathologic cardiac systems. Despite structural peculiarities of the fetal cardiovascular system, the fetal heart rate(FHR) displays multiple time scale characteristics similar to the adult heart rate due to the autorhythmicity of its different oscillatory tissues and its interaction with other neural controllers. In this paper, we investigate the event and time scale characteristics of the normal and two pathologic fetal heart rate groups with the help of the new measure, called the Unit Time Block Entropy(UTBE), which approximates the entropy at each event and time scale based on symbolic dynamics. This method enables us to match the measurement time and the number of words between fetal heart rate data sets simultaneously. We find that in the small event scale and the large time scale, the normal fetus and the two pathologic fetus are completely distinguished...
Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the lev... more Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and anesthetic state transitions. This study tested the hypotheses that cortical complexity would (1) increase with developmental age and (2) decrease during general anesthesia. Methods This was a single-center, prospective, cross-sectional study of healthy (American Society of Anesthesiologists physical status I or II) children (n = 50) of age 8 to 16 undergoing surgery with general anesthesia at Michigan Medicine. This age range was chosen because it reflects a period of substantial brain network maturation. Whole scalp (16-channel), wireless electroencephalographic data were collected from the preoperative period through the recovery of consciousness. Cortical complexity was measured using the Lempel–Ziv algorithm and anal...
<p>(a) propofol and (b) sevoflurane. The similarity of the five states was measured with th... more <p>(a) propofol and (b) sevoflurane. The similarity of the five states was measured with the 60 network backbones that have the highest occupation probability for each state. Darker color indicates higher similarity. The two transition states (induction and recovery) are dissimilar from one another in both anesthetic groups. The red and blue boxes in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0070899#pone-0070899-g009" target="_blank">Figure 9a</a> denote the higher similarities among states in the propofol group, which are not found in the sevoflurane group. The illustrations below the matrices present the distinctive recovery pathways for two anesthetic groups: for propofol, the network backbone configuration was not recovered, whereas it was for sevoflurane.</p
Delirium is a major public health issue associated with considerable morbidity and mortality, par... more Delirium is a major public health issue associated with considerable morbidity and mortality, particularly after surgery. While the neurobiology of delirium remains incompletely understood, emerging evidence suggests that cognition requires close proximity to a system state called criticality, which reflects a point of dynamic instability that allows for flexible access to a wide range of brain states. Deviations from criticality are associated with neurocognitive disorders, though the relationship between criticality and delirium has not been formally tested. This study tested the primary hypothesis that delirium in the postanesthesia care unit would be associated with deviations from criticality, based on surrogate electroencephalographic measures. As a secondary objective, the impact of caffeine was also tested on delirium incidence and criticality. To address these aims, we conducted a secondary analysis of a randomized clinical trial that tested the effects of intraoperative ca...
Fibromyalgia (FM) is a chronic pain condition that is characterized by hypersensitivity to multi-... more Fibromyalgia (FM) is a chronic pain condition that is characterized by hypersensitivity to multi-modal sensory stimuli, widespread pain, and fatigue. We have previously proposed explosive synchronization (ES), a phenomenon wherein a small perturbation to a network can lead to an abrupt state transition, as a potential mechanism of the hypersensitive FM brain. Therefore, we hypothesized that converting a brain network from ES to general synchronization (GS) may reduce the hypersensitivity of FM brain. To find an effective brain network modulation to convert ES into GS, we constructed a large-scale brain network model near criticality (i.e., an optimally balanced state between order and disorders), which reflects brain dynamics in conscious wakefulness, and adjusted two parameters: local structural connectivity and signal randomness of target brain regions. The network sensitivity to global stimuli was compared between the brain networks before and after the modulation. We found that ...
Theoretical consideration predicts that the alteration of local and shared information in the bra... more Theoretical consideration predicts that the alteration of local and shared information in the brain is a key element in the mechanism of anesthetic-induced unconsciousness. Ordinal pattern analysis, such as permutation entropy (PE) and symbolic mutual information (SMI), have been successful in quantifying local and shared information in neurophysiological data; however, they have been rarely applied to altered states of consciousness, especially to data obtained with functional magnetic resonance imaging (fMRI). PE and SMI analysis, together with the superb spatial resolution of fMRI recording, enables us to explore the local information of specific brain areas, the shared information between the areas, and the relationship between the two. Given the spatially divergent action of anesthetics on regional brain activity, we hypothesized that anesthesia would differentially influence entropy (PE) and shared information (SMI) across various brain areas, which may represent fundamental, mechanistic indicators of loss of consciousness. FMRI data were collected from 15 healthy participants during four states: wakefulness (W), light (conscious) sedation (L), deep (unconscious) sedation (D), and recovery (R). Sedation was produced by the common, clinically used anesthetic, propofol. Firstly, we found that that global PE decreased from W to D, and increased from D to R. The PE was differentially affected across the brain areas; specifically, the PE in the subcortical network was reduced more than in the cortical networks. Secondly, SMI was also differentially affected in different areas, as revealed by the reconfiguration of its spatial pattern (topographic structure). The topographic structures of SMI in the conscious states W, L, and R were distinctively different from that of the unconscious state D. Thirdly, PE and SMI were positively correlated in W, L, and R, whereas this correlation was disrupted in D. And lastly, PE changes occurred preferentially in highly connected hub regions. These findings advance our understanding of brain dynamics and information exchange, emphasizing the importance of topographic structure and the relationship of local and shared information in anesthetic-induced unconsciousness.
Despite the use of shamanism as a healing practice for several millennia, few empirical studies o... more Despite the use of shamanism as a healing practice for several millennia, few empirical studies of the shamanic state of consciousness exist. We investigated the neural correlates of shamanic trance using high-density electroencephalography (EEG) in 24 shamanic practitioners and 24 healthy controls during rest, shamanic drumming, and classical music listening, followed by a validated assessment of altered states of consciousness. EEG data were used to assess changes in absolute power, connectivity, signal diversity, and criticality, which were correlated with assessment measures. We also compared assessment scores to those of individuals in a previous study under the influence of psychedelics. Shamanic practitioners were significantly different from controls in several domains of altered states of consciousness, with scores comparable to or exceeding that of healthy volunteers under the influence of psychedelics. Practitioners also displayed increased gamma power during drumming tha...
Continuous switching between internal and external modes in the brain is a key process of constru... more Continuous switching between internal and external modes in the brain is a key process of constructing inner models of the outside world. However, how the brain continuously switches between two modes remains elusive. Here, we propose that a large synchronization fluctuation of the brain network emerging only near criticality (i.e., a balanced state between order and disorder) spontaneously creates temporal windows with distinct preferences for integrating internal information of the network and external stimuli. Using a computational model and empirical data analysis during alterations of consciousness in human, we present that synchronized and incoherent networks respectively bias toward internal and external information with specific network configurations. The network preferences are the most prominent in conscious states; however, they disrupt in altered states of consciousness. We suggest that criticality produces a functional platform of the brain’s capability for continuous ...
The search for biomarkers to guide the treatment of chronic pain is an exciting area of research ... more The search for biomarkers to guide the treatment of chronic pain is an exciting area of research (see Tracey et al. [26] and Davis et al. [7] for recent perspectives). In pain conditions such as fibromyalgia, in which dysfunction of the central nervous system plays a predominant role, abnormal brain function and/or structure may represent biomarkers that can help predict treatment response in individual patients as well as causal mechanisms that can be therapeutically modified.[12; 13] A consensus is emerging that the perception of pain, like conscious experience itself, arises from coordinated activity within a distributed brain network rather than neural activity in isolated regions.[1; 17; 21; 29] As such, studying the brain as a complex network of interconnected regions might yield unique biomarkers for pain treatment. A network can be defined as a collection of nodes and edges. In the case of the brain, nodes represent neurons and/or brain regions and edges are the structural or functional connections between these nodes. One component of brain network organization is the presence of highly interconnected hub nodes that, when connected with other hubs, form what is referred to as a rich club.[27] Hubs are critical to information flow because they tend to connect spatially distinct regions, allowing for higher-order integration of specialized functions.
Integrated information theory (IIT) postulates that consciousness arises from the cause-effect st... more Integrated information theory (IIT) postulates that consciousness arises from the cause-effect structure of a system but the optimal network conditions for this structure have not been elucidated. In the study, we test the hypothesis that network criticality, a dynamically balanced state between a large variation of functional network configurations and a large constraint of structural network configurations, is a necessary condition for the emergence of a cause-effect structure that results in a large Φ, a surrogate of integrated information. We also hypothesized that if the brain deviates from criticality, the cause-effect structure is obscured and Φ diminishes. We tested these hypotheses with a large-scale brain network model and high-density electroencephalography (EEG) acquired during various levels of human consciousness during general anesthesia. In the modeling study, maximal criticality coincided with maximal Φ. The constraint of the structural network on the functional net...
As pointed out by William James, "the consciousness is a dynamic process, not a thing" ... more As pointed out by William James, "the consciousness is a dynamic process, not a thing" , during which short term integration is succeeded by another differentiated neural state through the continual interplay between the environment, the body, and the brain itself. Thus, the dynamic structure underlying successive states of the brain is important for understanding human consciousness as a process. In order to investigate the dynamic property of human consciousness, we developed a new method to reconstruct a state space from electroencephalogram(EEG), in which a trajectory, reflecting states of consciousness, is constructed based on the global information integration of the brain. EEGs were obtained from 14 subjects received an intravenous bolus of propopol. Here we show that the degree of human consciousness is directly associated with the information integration capacity of gamma wave, which is significantly higher in the conscious state than in the unconscious state. And...
A randomized trial comparing the Ambu (R) Aura-i with the air-Q intubating laryngeal airway as co... more A randomized trial comparing the Ambu (R) Aura-i with the air-Q intubating laryngeal airway as conduits for tracheal intubation in children.
Brain networks during unconscious states resulting from sleep, anesthesia, or traumatic injuries ... more Brain networks during unconscious states resulting from sleep, anesthesia, or traumatic injuries are associated with a limited capacity for complex responses to stimulation. Even during the conscious resting state, responsiveness to stimulus is highly dependent on spontaneous brain activities. Many empirical findings have been suggested that the brain responsiveness is determined mainly by the ongoing brain activity when a stimulus is given. However, there has been no systematic study exploring how such various brain activities with high or low synchronization, amplitude, and phase response to stimuli. In this model study, we simulated large-scale brain network dynamics in three brain states (below, near, and above the critical state) and investigated a relationship between ongoing oscillation properties and a stimulus decomposing the brain activity into fundamental oscillation properties (instantaneous global synchronization, amplitude, and phase). We identified specific stimulatio...
Recent modeling and empirical studies support the hypothesis that large-scale brain networks func... more Recent modeling and empirical studies support the hypothesis that large-scale brain networks function near a critical state. Similar functional connectivity patterns derived from resting state empirical data and brain network models at criticality provide further support. However, despite the strong implication of a relationship, there has been no principled explanation of how criticality shapes the characteristic functional connectivity in large-scale brain networks. Here, we hypothesized that the network science concept of partial phase locking is the underlying mechanism of optimal functional connectivity in the resting state. We further hypothesized that the characteristic connectivity of the critical state provides a theoretical boundary to quantify how far pharmacologically or pathologically perturbed brain connectivity deviates from its critical state, which could enable the differentiation of various states of consciousness with a theory-based metric. To test the hypothesis, we used a neuroanatomically informed brain network model with the resulting source signals projected to electroencephalogram (EEG)-like sensor signals with a forward model. Phase lag entropy (PLE), a measure of phase relation diversity, was estimated and the topography of PLE was analyzed. To measure the distance from criticality, the PLE topography at a critical state was compared with those of the EEG data from baseline consciousness, isoflurane anesthesia, ketamine anesthesia, vegetative state/unresponsive wakefulness syndrome, and minimally conscious state. We demonstrate that the partial phase locking at criticality shapes the functional connectivity and asymmetric anterior-posterior PLE topography, with low (high) PLE for high (low) degree nodes. The topographical similarity and the strength of PLE differentiates various pharmacologic and pathologic states of consciousness. Moreover, this model-based EEG network analysis provides a novel metric to quantify how far a pharmacologically or pathologically perturbed brain network is away from critical state, rather than merely determining whether it is in a critical or non-critical state.
The heterogeneity of molecular mechanisms, target neural circuits, and neurophysiologic effects o... more The heterogeneity of molecular mechanisms, target neural circuits, and neurophysiologic effects of general anesthetics makes it difficult to develop a reliable and drug-invariant index of general anesthesia. No single brain region or mechanism has been identified as the neural correlate of consciousness, suggesting that consciousness might emerge through complex interactions of spatially and temporally distributed brain functions. The goal of this review article is to introduce the basic concepts of networks and explain why the application of network science to general anesthesia could be a pathway to discover a fundamental mechanism of anesthetic-induced unconsciousness. This article reviews data suggesting that reduced network efficiency, constrained network repertoires, and changes in cortical dynamics create inhospitable conditions for information processing and transfer, which lead to unconsciousness. This review proposes that network science is not just a useful tool but a nec...
Fibromyalgia (FM) is a chronic widespread pain condition characterized by augmented multi-modal s... more Fibromyalgia (FM) is a chronic widespread pain condition characterized by augmented multi-modal sensory sensitivity. Although the mechanisms underlying this sensitivity are thought to involve an imbalance in excitatory and inhibitory activity throughout the brain, the underlying neural network properties associated with hypersensitivity to pain stimuli are largely unknown. In network science, explosive synchronization (ES) was introduced as a mechanism of hypersensitivity in diverse biological and physical systems that display explosive and global propagations with small perturbations. We hypothesized that ES may also be a mechanism of the hypersensitivity in FM brains. To test this hypothesis, we analyzed resting state electroencephalogram (EEG) of 10 FM patients. First, we examined theoretically well-known ES conditions within functional brain networks reconstructed from EEG, then tested whether a brain network model with ES conditions identified in the EEG data is sensitive to an...
Recently, multiple time scale characteristics of heart dynamics have received much attention for ... more Recently, multiple time scale characteristics of heart dynamics have received much attention for distinguishing healthy and pathologic cardiac systems. Despite structural peculiarities of the fetal cardiovascular system, the fetal heart rate(FHR) displays multiple time scale characteristics similar to the adult heart rate due to the autorhythmicity of its different oscillatory tissues and its interaction with other neural controllers. In this paper, we investigate the event and time scale characteristics of the normal and two pathologic fetal heart rate groups with the help of the new measure, called the Unit Time Block Entropy(UTBE), which approximates the entropy at each event and time scale based on symbolic dynamics. This method enables us to match the measurement time and the number of words between fetal heart rate data sets simultaneously. We find that in the small event scale and the large time scale, the normal fetus and the two pathologic fetus are completely distinguished...
Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the lev... more Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and anesthetic state transitions. This study tested the hypotheses that cortical complexity would (1) increase with developmental age and (2) decrease during general anesthesia. Methods This was a single-center, prospective, cross-sectional study of healthy (American Society of Anesthesiologists physical status I or II) children (n = 50) of age 8 to 16 undergoing surgery with general anesthesia at Michigan Medicine. This age range was chosen because it reflects a period of substantial brain network maturation. Whole scalp (16-channel), wireless electroencephalographic data were collected from the preoperative period through the recovery of consciousness. Cortical complexity was measured using the Lempel–Ziv algorithm and anal...
<p>(a) propofol and (b) sevoflurane. The similarity of the five states was measured with th... more <p>(a) propofol and (b) sevoflurane. The similarity of the five states was measured with the 60 network backbones that have the highest occupation probability for each state. Darker color indicates higher similarity. The two transition states (induction and recovery) are dissimilar from one another in both anesthetic groups. The red and blue boxes in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0070899#pone-0070899-g009" target="_blank">Figure 9a</a> denote the higher similarities among states in the propofol group, which are not found in the sevoflurane group. The illustrations below the matrices present the distinctive recovery pathways for two anesthetic groups: for propofol, the network backbone configuration was not recovered, whereas it was for sevoflurane.</p
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