Evidence map›Paper›PMID 35217645›Full record

ArticleNature communications2022

Quantifying arousal and awareness in altered states of consciousness using interpretable deep learning.

Minji Lee, Leandro R D Sanz, Alice Barra, Audrey Wolff, Jaakko O Nieminen, Melanie Boly, Mario Rosanova, Silvia Casarotto, Olivier Bodart, Jitka Annen and 8 more

Abstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  10. Quantifying State-Dependent Control Properties of Brain Dynamics from Perturbation Responses.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  11. Reflections on Consciousness in Intensive Care.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
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  13. Article
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  15. Article
  16. Article
  17. Cortical signatures linked to behavior quantitatively track arousal levels.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Article
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  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

18 authors.

Minji LeeDepartment of Brain and Cognitive Engineering, Korea University, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-4261-875X
Leandro R D SanzComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.ORCID http://orcid.org/0000-0001-5054-2471
Alice BarraComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.
Audrey WolffComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.
Jaakko O NieminenWisconsin Institute for Sleep and Consciousness, Department of Psychiatry, University of Wisconsin, Madison, USA.ORCID http://orcid.org/0000-0002-7826-3519
Melanie BolyWisconsin Institute for Sleep and Consciousness, Department of Psychiatry, University of Wisconsin, Madison, USA.ORCID http://orcid.org/0000-0001-9584-0907
Mario RosanovaDepartment of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0001-7486-7617
Silvia CasarottoDepartment of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-7548-7664
Olivier BodartComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.
Jitka AnnenComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.ORCID http://orcid.org/0000-0002-7459-4345
Aurore ThibautComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.
Rajanikant PandaComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.ORCID http://orcid.org/0000-0002-0960-4340
Vincent BonhommeDepartment of Anesthesia and Intensive Care Medicine, University Hospital of Liège, Liège, Belgium.ORCID http://orcid.org/0000-0001-6356-547X
Marcello MassiminiDepartment of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.
Giulio TononiWisconsin Institute for Sleep and Consciousness, Department of Psychiatry, University of Wisconsin, Madison, USA.ORCID http://orcid.org/0000-0002-3892-4087
Steven LaureysComa Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium.
Olivia Gosseries *Coma Science Group, GIGA-Consciousness, GIGA Research Center, University of Liège, Liège, Belgium. ogosseries@uliege.be.ORCID http://orcid.org/0000-0001-9011-7496
Seong-Whan Lee *Department of Artificial Intelligence, Korea University, Seoul, Republic of Korea. sw.lee@korea.ac.kr.ORCID http://orcid.org/0000-0002-6249-4996

Funding

Investigating Cognitive &Neural Bases of Working MemoryR01MH064498 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI POSTLE, BRADLEY R · 2003 to 2020
$6.7M
NIMH NIH HHS R01 MH064498
6 · The paper itself

Abstract

Consciousness can be defined by two components: arousal (wakefulness) and awareness (subjective experience). However, neurophysiological consciousness metrics able to disentangle between these components have not been reported. Here, we propose an explainable consciousness indicator (ECI) using deep learning to disentangle the components of consciousness. We employ electroencephalographic (EEG) responses to transcranial magnetic stimulation under various conditions, including sleep (n = 6), general anesthesia (n = 16), and severe brain injury (n = 34). We also test our framework using resting-state EEG under general anesthesia (n = 15) and severe brain injury (n = 34). ECI simultaneously quantifies arousal and awareness under physiological, pharmacological, and pathological conditions. Particularly, ketamine-induced anesthesia and rapid eye movement sleep with low arousal and high awareness are clearly distinguished from other states. In addition, parietal regions appear most relevant for quantifying arousal and awareness. This indicator provides insights into the neural correlates of altered states of consciousness.

Indexed as

Brain InjuriesDeep LearningAnesthesia, GeneralArousalConsciousnessElectroencephalographyHumansWakefulness

Identifiers

PMID35217645
PMCPMC8881479

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.