Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States

Monitoring the consciousness states of patients and ensuring the appropriate depth of anesthesia (DOA) is critical for the safe implementation of surgery. In this study, a high-density electroencephalogram (EEG) combined with blood drug concentration and behavioral response indicators was used to mo...

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Main Authors: Zhian Liu, Lichengxi Si, Weiwei Xu, Kexu Zhang, Qiang Wang, Badong Chen, Gang Wang
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9795112/
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author Zhian Liu
Lichengxi Si
Weiwei Xu
Kexu Zhang
Qiang Wang
Badong Chen
Gang Wang
author_facet Zhian Liu
Lichengxi Si
Weiwei Xu
Kexu Zhang
Qiang Wang
Badong Chen
Gang Wang
author_sort Zhian Liu
collection DOAJ
description Monitoring the consciousness states of patients and ensuring the appropriate depth of anesthesia (DOA) is critical for the safe implementation of surgery. In this study, a high-density electroencephalogram (EEG) combined with blood drug concentration and behavioral response indicators was used to monitor propofol-induced sedation and evaluate the alterations in consciousness states. Microstate analysis, which can reflect the semi-stable state of the sub-second activation of the brain functional network, can be used to assess the brain’s consciousness states. In this research, the EEG microstate sequences were constructed to compare the characteristics of corresponding sequences. Compared with the baseline (BS) state, the microstate sequences in the moderate sedation (MD) state exhibited higher complexity indexes of the multiscale sample entropy. With respect to the transition probability (TP) of microstates, most microstates tended to be converted into microstate C in the BS state. In contrast, they tended to be converted into microstate F in the MD state. The significant difference between the expected TP and observed TP could lead to the conclusion that hidden layers were present when there were changes in the consciousness states. According to the hidden Markov model, the accuracy of distinguishing the BS and MD states was 80.16%. The characteristics of microstate sequence revealed the variations in the brain states caused by alterations in consciousness states during anesthesia from a new perspective and presented a new idea for monitoring the DOA.
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spelling doaj.art-2f9cb69eb23f4919af780e930c6166ca2023-06-13T20:06:44ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1558-02102022-01-01301631164110.1109/TNSRE.2022.31827059795112Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness StatesZhian Liu0Lichengxi Si1Weiwei Xu2Kexu Zhang3Qiang Wang4Badong Chen5Gang Wang6https://orcid.org/0000-0001-5859-3724Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Institute of Biomedical Engineering, Xi’an Jiaotong University, Xi’an, ChinaKey Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Institute of Biomedical Engineering, Xi’an Jiaotong University, Xi’an, ChinaKey Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Institute of Biomedical Engineering, Xi’an Jiaotong University, Xi’an, ChinaSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Anesthesiology, First Affiliated Hospital, Center for Brain Science, Xi’an Jiaotong University, Xi’an, ChinaInstitute of Artificial Intelligence and Robotics, Xi’an Jiaotong University, Xi’an, ChinaKey Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Institute of Biomedical Engineering, Xi’an Jiaotong University, Xi’an, ChinaMonitoring the consciousness states of patients and ensuring the appropriate depth of anesthesia (DOA) is critical for the safe implementation of surgery. In this study, a high-density electroencephalogram (EEG) combined with blood drug concentration and behavioral response indicators was used to monitor propofol-induced sedation and evaluate the alterations in consciousness states. Microstate analysis, which can reflect the semi-stable state of the sub-second activation of the brain functional network, can be used to assess the brain’s consciousness states. In this research, the EEG microstate sequences were constructed to compare the characteristics of corresponding sequences. Compared with the baseline (BS) state, the microstate sequences in the moderate sedation (MD) state exhibited higher complexity indexes of the multiscale sample entropy. With respect to the transition probability (TP) of microstates, most microstates tended to be converted into microstate C in the BS state. In contrast, they tended to be converted into microstate F in the MD state. The significant difference between the expected TP and observed TP could lead to the conclusion that hidden layers were present when there were changes in the consciousness states. According to the hidden Markov model, the accuracy of distinguishing the BS and MD states was 80.16%. The characteristics of microstate sequence revealed the variations in the brain states caused by alterations in consciousness states during anesthesia from a new perspective and presented a new idea for monitoring the DOA.https://ieeexplore.ieee.org/document/9795112/Microstate sequence analysisEEGpropofol-induced sedationmultiscale sample entropyhidden markov model
spellingShingle Zhian Liu
Lichengxi Si
Weiwei Xu
Kexu Zhang
Qiang Wang
Badong Chen
Gang Wang
Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Microstate sequence analysis
EEG
propofol-induced sedation
multiscale sample entropy
hidden markov model
title Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
title_full Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
title_fullStr Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
title_full_unstemmed Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
title_short Characteristics of EEG Microstate Sequences During Propofol-Induced Alterations of Brain Consciousness States
title_sort characteristics of eeg microstate sequences during propofol induced alterations of brain consciousness states
topic Microstate sequence analysis
EEG
propofol-induced sedation
multiscale sample entropy
hidden markov model
url https://ieeexplore.ieee.org/document/9795112/
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