Evidence map›Paper›PMID 30181567›Full record

ArticleScientific reports2018

Brain imaging reveals covert consciousness during behavioral unresponsiveness induced by propofol.

Zirui Huang, Phillip E Vlisides, Vijaykumar C Tarnal, Ellen L Janke, Kelley M Keefe, Margaret M Collins, Amy M McKinney, Paul Picton, Richard E Harris, George A Mashour and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06400901 (Electrophysiology Based Brain Network Study on Deep Brain Nuclei LFP and Cortical EEG During the Recovery From General Anesthesia), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06400901 recruitingnot on this mapstarted 2024, after this paper: background citation

Electrophysiology Based Brain Network Study on Deep Brain Nuclei LFP and Cortical EEG During the Recovery From General Anesthesia

TypeobservationalSponsorRuijin HospitalRan2024 to 2026Enrolled42ConditionsDeep Brain Stimulation Surgery, Electrophysiology, General Anesthesia, Consciousness, Loss ofArmsNo interventions
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 45 citations in OpenAlex.

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  6. Increased task-relevant fMRI responsiveness in comatose cardiac arrest patients is associated with improved neurologic outcomes.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
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  18. Foundations of Human Consciousness: Imaging the Twilight Zone.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Zirui HuangDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA. huangzu@med.umich.edu.
Phillip E VlisidesDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Vijaykumar C TarnalDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Ellen L JankeDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Kelley M KeefeDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Margaret M CollinsDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Amy M McKinneyDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Paul PictonDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Richard E HarrisDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
George A MashourDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Anthony G HudetzDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA. ahudetz@med.umich.edu.
University of Michigan–Ann Arbor · US

Funding

Neuroimaging of Anesthetic Modulation of Human ConsciousnessR01GM103894 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Zirui Huang, Anthony George Hudetz · 2013 to 2026
$4.0M
NIGMS NIH HHS R01 GM103894
6 · The paper itself

Abstract

Detecting covert consciousness in behaviorally unresponsive patients by brain imaging is of great interest, but a reproducible model and evidence from independent sources is still lacking. Here we demonstrate the possibility of using general anesthetics in a within-subjects study design to test methods or statistical paradigms of assessing covert consciousness. Using noninvasive neuroimaging in healthy volunteers, we identified a healthy study participant who was able to exhibit the specific fMRI signatures of volitional mental imagery while behaviorally unresponsive due to sedation with propofol. Our findings reveal a novel model that may accelerate the development of new approaches to reproducibly detect covert consciousness, which is difficult to achieve in patients with heterogeneous and sometimes clinically unstable neuropathology.

Indexed as

AdultAnesthetics, IntravenousBrainBrain MappingConsciousnessFemaleHumansHypnotics and SedativesMagnetic Resonance ImagingMaleNeuroimagingPropofolYoung AdultAnesthetics, IntravenousHypnotics and SedativesPropofol

Identifiers

PMID30181567
PMCPMC6123455
OpenAlexW2889268521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.