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Disruption of cortical integration during midazolam-induced light sedation

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机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing 100053, China [3]Center for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou 311121, China [4]Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou 310015, China [5]Department of Radiology and BRIC, University of North Carolina at Chapel Hill, NC 27599, USA [6]Depart of Anesthesiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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关键词: resting-state functional MRI (rs-fMRI) independent component analysis (ICA) midazolam sedation

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This work examines the effect of midazolam-induced light sedation on intrinsic functional connectivity of human brain, using a randomized, double-blind, placebo-controlled, cross-over, within-subject design. Fourteen healthy young subjects were enrolled and midazolam (0.03 mg/kg of the participant's body mass, to a maximum of 2.5 mg) or saline were administrated with an interval of one week. Resting-state fMRI was conducted before and after administration for each subject. We focus on two types of networks: sensory related lower-level functional networks and higher-order functions related ones. Independent component analysis (ICA) was used to identify these resting-state functional networks. We hypothesize that the sensory (visual, auditory, and sensorimotor) related networks will be intact under midazolam-induced light sedation while the higher-order (default mode, executive control, salience networks, etc.) networks will be functionally disconnected. It was found that the functional integrity of the lower-level networks was maintained, while that of the higher-level networks was significantly disrupted by light sedation. The within-network connectivity of the two types of networks was differently affected in terms of direction and extent. These findings provide direct evidence that higher-order cognitive functions including memory, attention, executive function, and language were impaired prior to lower-level sensory responses during sedation. Our result also lends support to the information integration model of consciousness. Hum Brain Mapp 36:4247-4261, 2015. (c) 2015 The Authors Human Brain Mapping Published by Wiley Periodicals, Inc.

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出版当年[2014]版:
大类 | 1 区 医学
小类 | 1 区 神经成像 1 区 核医学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 神经成像 2 区 神经科学 2 区 核医学
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出版当年[2013]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q1 NEUROSCIENCES
最新[2023]版:
Q1 NEUROIMAGING Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing 100053, China
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通讯机构: [*1]Xuanwu Hospital, Capital Medical University, 45 Chang Chun Street, Xicheng District, Beijing 100053, China.
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