Brain connectivity
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Propofol is one of the most commonly used anesthetics in the world, but much remains unknown about the mechanisms by which it induces loss of consciousness. In this resting-state functional magnetic resonance imaging study, we examined qualitative and quantitative changes of resting-state networks (RSNs), total brain connectivity, and mean oscillation frequencies of the regional blood oxygenation level-dependent (BOLD) signal, associated with propofol-induced mild sedation and loss of responsiveness in healthy subjects. We found that detectability of RSNs diminished significantly with loss of responsiveness, and total brain connectivity decreased strongly in the frontal cortex, which was associated with increased mean oscillation frequencies of the BOLD signal. Our results suggest a pivotal role of the frontal cortex in propofol-induced loss of responsiveness.
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Cognitively demanding goal-directed tasks in the human brain are thought to involve the dynamic interplay of several large-scale neural networks, including the default-mode network (DMN), salience network (SN), and central-executive network (CEN). Resting-state functional magnetic resonance imaging (rsfMRI) studies have consistently shown that the CEN and SN negatively regulate activity in the DMN, and this switching is argued to be controlled by the right anterior insula (rAI) of the SN. However, what remains to be investigated is the pattern of directed network interactions during difficult perceptual decision-making tasks. ⋯ We found that the rAI, a key node of the SN, played a causal control over the DMN and CEN for easier decision-making tasks. The combined effort of the rAI and dorsal anterior cingulate cortex of the SN had the causal control over the DMN and CEN for a harder task. These findings provide important insights into how a sensory signal organizes among the DMN, SN, and CEN during sensory information-guided, goal-directed tasks.