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Resting-state Functional Magnetic Resonance Imaging Correlates of Sevoflurane-induced Unconsciousness
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AbstractAbstract: Sevoflurane-induced unconsciousness leads to a widespread reduction in brain activity. Functional connectivity is selectively reduced within the default mode and ventral attention networks. Motion artifact, a prevalent confounding variable in functional magnetic resonance imaging studies involving anesthetic agents, leads to spurious results if not addressed. Supplemental Digital Content is available in the text. Background: Blood oxygen level–dependent (BOLD) functional magnetic resonance imaging (fMRI) has been used to study the effects of anesthetic agents on correlated intrinsic neural activity. Previous studies have focused primarily on intravenous agents. The authors studied the effects of sevoflurane, an inhaled anesthetic. Methods: Resting-state BOLD fMRI was acquired from 10 subjects before sedation and from 9 subjects rendered unresponsive by 1.2% sevoflurane. The fMRI data were analyzed taking particular care to minimize the impact of artifact generated by head motion. Results: BOLD correlations were specifically weaker within the default mode network and ventral attention network during sevoflurane-induced unconsciousness, especially between anterior and posterior midline regions. Reduced functional connectivity between these same networks and the thalamus was also spatially localized to the midline frontal regions. The amplitude of BOLD signal fluctuations was substantially reduced across all brain regions. The importance of censoring epochs contaminated by head motion was demonstrated by comparative analyses. Conclusions: Sevoflurane-induced unconsciousness is associated with both globally reduced BOLD signal amplitudes and selectively reduced functional connectivity within cortical networks associated with consciousness (default mode network) and orienting to salient external stimuli (ventral attention network). Scrupulous attention to minimizing the impact of head motion artifact is critical in fMRI studies using anesthetic agents.
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“Based on fMRI, functional disconnections of frontal-parietal networks have been shown during general anesthesia in humans induced by structurally and pharmacologically diverse agents, including the volatile anesthetic sevoflurane [131, 139–141]”
From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [131]
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“More recent studies have identified a specific disruption of functional connectivity between the thalamus and frontal cortex during sevoflurane anesthesia [131, 132].”
From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [131]
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Mashour, G. A., & Hudetz, A. G. (2018) · Trends in Neurosciences · doi:10.1016/j.tins.2018.01.003 · Cited by 189
Ranft, A., Golkowski, D., Kiel, T., Riedl, V., Kohl, P., Rohrer, G., Pientka, J., Berger, S., Thul, A., Maurer, M., et al. (2016) · Anesthesiology · doi:10.1097/aln.0000000000001322 · Cited by 142
The Biology of General Anesthesia from Paramecium to Primate
Kelz, M. B., & Mashour, G. A. (2019) · Current Biology · doi:10.1016/j.cub.2019.09.071 · Cited by 151
Metadata
- Authors
- Palanca, B. J. A., Mitra, A., Larson-Prior, L., Snyder, A. Z., Avidan, M. S., & Raichle, M. E.
- Affiliations
- Washington University in St. Louis (US)
- From the Department of Anesthesiology (B.J.A.P., M.S.A.), Department of Radiology (A.M., L.L.-P., A.Z.S., M.E.R.), Division of Cardiothoracic Surgery, Department of Surgery (M.S.A.), Department of Neurology (L.L.-P., A.Z.S., M.E.R.), and Department of Anatomy and Neurobiology (M.E.R.), Washington University School of Medicine, St. Louis, Missouri; and Department of Biomedical Engineering (M.E.R.), Washington University, St. Louis, Missouri.
- Corresponding author
- Palanca, Ben Julian A.
- Venue
- Anesthesiology
- Published
- 2015-08
- Volume
- 123
- Issue
- 2
- Pages
- 346-356
- ISSN
- 0003-3022 (ISSN-L)
- PMC
- PMC4509973
- OpenAlex
- W2106283125
- Cited by
- 112
- References
- 91
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 9 · 2023: 9 · 2022: 10 · 2021: 11 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 19 · 2016: 13 · 2015: 5
- FWCI
- 8.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Anesthesiology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (KL2TR000450, UL1TR000448)
- National Institute of Mental Health (R25MH071279, U25 MH071279-01, F30MH106253)
- National Institute of Neurological Disorders and Stroke (P30NS048056)
- National Center for Research Resources (UL1RR024992)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- sevoflurane, anesthetic-induced unconsciousness, resting-state functional connectivity, default mode network, ventral attention network, head motion artifacts, BOLD signal fluctuations, thalamus
- MeSH terms
- Sevoflurane, Adolescent, Adult, Brain, Female, Humans, Magnetic Resonance Imaging, Male, Methyl Ethers, Nerve Net, Rest, Unconsciousness, Anesthetics, Inhalation, Young Adult
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