Abstract:
BACKGROUND:The Perturbational Complexity Index (PCI) was recently introduced to assess the capacity of thalamocortical circuits to engage in complex patterns of causal interactions. While showing high accuracy in detecting consciousness in brain-injured patients, PCI depends on elaborate experimental setups and offline processing, and has restricted applicability to other types of brain signals beyond transcranial magnetic stimulation and high-density EEG (TMS/hd-EEG) recordings. OBJECTIVE:We aim to address these limitations by introducing PCIST, a fast method for estimating perturbational complexity of any given brain response signal. METHODS:PCIST is based on dimensionality reduction and state transitions (ST) quantification of evoked potentials. The index was validated on a large dataset of TMS/hd-EEG recordings obtained from 108 healthy subjects and 108 brain-injured patients, and tested on sparse intracranial recordings (SEEG) of 9 patients undergoing intracranial single-pulse electrical stimulation (SPES) during wakefulness and sleep. RESULTS:When calculated on TMS/hd-EEG potentials, PCIST performed with the same accuracy as the original PCI, while improving on the previous method by being computed in less than a second and requiring a simpler set-up. In SPES/SEEG signals, the index was able to quantify a systematic reduction of intracranial complexity during sleep, confirming the occurrence of state-dependent changes in the effective connectivity of thalamocortical circuits, as originally assessed through TMS/hd-EEG. CONCLUSIONS:PCIST represents a fundamental advancement towards the implementation of a reliable and fast clinical tool for the bedside assessment of consciousness as well as a general measure to explore the neuronal mechanisms of loss/recovery of brain complexity across scales and models.
journal_name
Brain Stimuljournal_title
Brain stimulationauthors
Comolatti R,Pigorini A,Casarotto S,Fecchio M,Faria G,Sarasso S,Rosanova M,Gosseries O,Boly M,Bodart O,Ledoux D,Brichant JF,Nobili L,Laureys S,Tononi G,Massimini M,Casali AGdoi
10.1016/j.brs.2019.05.013subject
Has Abstractpub_date
2019-01-01 00:00:00pages
1280-1289issue
5eissn
1935-861Xissn
1876-4754pii
S1935-861X(19)30220-7journal_volume
12pub_type
杂志文章abstract:BACKGROUND:Burning mouth syndrome (BMS) is a burning oral sensation without any corresponding abnormal findings. In some cases, BMS is refractory to pharmacologic treatments. Repetitive transcranial magnetic stimulation (rTMS) over left prefrontal cortex induces analgesic effect in both acute and chronic pain. However,...
journal_title:Brain stimulation
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abstract:BACKGROUND:The use of repetitive transcranial magnetic stimulation (rTMS) as both therapeutic and experimental tools has grown enormously over the past decade. However, variability in response to rTMS is one challenge that remains to be solved. Estrogen can impact neural plasticity and may also affect plastic changes f...
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journal_title:Brain stimulation
pub_type: 杂志文章
doi:10.1016/j.brs.2011.07.008
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journal_title:Brain stimulation
pub_type: 杂志文章,随机对照试验
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journal_title:Brain stimulation
pub_type: 临床试验,杂志文章
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journal_title:Brain stimulation
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doi:10.1016/j.brs.2011.04.005
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doi:10.1016/j.brs.2018.03.003
更新日期:2018-01-01 00:00:00
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doi:10.1016/j.brs.2020.04.017
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pub_type: 临床试验,杂志文章
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更新日期:2010-04-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-01-01 00:00:00
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doi:10.1016/j.brs.2014.09.009
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doi:10.1016/j.brs.2020.02.028
更新日期:2020-01-01 00:00:00
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journal_title:Brain stimulation
pub_type: 杂志文章
doi:10.1016/j.brs.2013.11.002
更新日期:2014-03-01 00:00:00
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doi:10.1016/j.brs.2018.01.034
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journal_title:Brain stimulation
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更新日期:2009-10-01 00:00:00
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journal_title:Brain stimulation
pub_type: 杂志文章
doi:10.1016/j.brs.2012.10.006
更新日期:2013-07-01 00:00:00
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journal_title:Brain stimulation
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更新日期:2018-01-01 00:00:00