"Long before it's in the papers" August 14, 2013
Researchers measure consciousness through brain activity Aug. 14, 2013 Courtesy of Science Translational Medicine and World Science staff A new study seems to back up previous proposals that the level of complexity of your brain activity largely determines whether you’re conscious or not.
Scientists developed a test of consciousness based on the concept—a test that doesn’t require a patient to actually do anything, they said.
Consciousness is elusive, but we know it’s what vanishes when we fall into a deep sleep and reappears when we wake up. Doctors typically determine if a person is conscious by their ability to process and respond to external commands, such as “open your eyes” or “squeeze my hand.”
But these methods are superficial, as research has shown in the last decade that a brain totally disconnected from the outside world may still have some awareness. This may happen in brain-injured patients who emerge from a coma but can’t move or understand instructions, for example.
One theory is that in a conscious brain, different populations of neurons, or nerve cells, carry out their own computational roles, but can’t communicate with other neuron populations.
When the brain loses complexity, some scientists propose, neurons either start to behave more similarly altogether (resulting in a loss of information), or their ability to communicate is impaired (resulting in a loss of integration). For example, if you’re asleep and you hear a dog barking, your brain will respond with activity in the auditory cortex, the part of the brain that processes sound. But if you’re awake, the same sound might also induce thoughts of your own dog, or annoyance at the loudness of the bark—responses tied to activity in the brain’s memory and emotion centers.
These later brain processes contain more information. Neuroscientists have been trying to develop ways to measure consciousness based on this brain complexity.
In the study, Marcello Massmini of the University of Milan in Italy and colleagues devised a technique to measure this brain complexity, or how much integration and information flow is happening in the brain. Called the Perturbational Complexity Index or PCI, their technique involves mildly “shaking” the whole brain with a strong magnetic stimulation and recording the response of neurons. This data can then be used to calculate how much information the brain is able to produce as a whole.
The researchers tested the technique in patients with brain injuries, patients under anesthesia with different drugs, and in patients who were awake, in deep sleep or dreaming. The test reflected the participants’ level of consciousness under each of these conditions, they found.
The results suggest that different levels of consciousness are tightly linked to the complexity of the brain response, they added. For example, finding a “PCI value” above the sleep or anesthesia level in a patient who is otherwise unresponsive would suggest she or he is conscious to some extent. Although more research is needed, the analysis could potentially be a useful tool at the hospital bedside for measuring consciousness, they added.
The findings are published in the Aug. 14 issue of the journal Science Translational Medicine.
* * * Send us a comment on this story, or send it to a friend
|