Diagnosing awareness in disorders of consciousness with gamma-band auditory responses

2023
journal article
article
2
cris.lastimport.wos2024-04-09T22:45:56Z
dc.abstract.enThe prolonged disorders of consciousness (pDOC) describe a group of neurological conditions characterized by severe impairment of consciousness resulting from the injury of the central nervous system. As the behavioral diagnosis of pDOC remains challenging, the methods based on observing brain activity appear as promising alternatives. One of these methods is electroencephalography, which allows for noninvasive assessment of brain function. In this study, we evaluated evoked auditory responses to the chirp-modulated auditory stimulation as a potential biomarker of awareness in pDOC. Chirp-modulated stimulation is based on the repetitive presentation of auditory stimuli with a changing frequency over time. Two protocols were tested: amplitude-modulated narrow-band chirps (frequency range 25-55 Hz) and click-based wide-band chirps (30-100 Hz). The studied pDOC patient group included 62 patients (19 females and 43 males, mean age 40.72 years) diagnosed with Coma Recovery Scale-Revised. Envelope-following responses to stimulation were examined using the intertrial phase clustering coefficient. For both types of stimulation, the strength of the response in the low-gamma range (around 40 Hz) was related to the diagnosis of pDOC. Patients diagnosed with unresponsive wakefulness syndrome exhibited diminished responses, while more favorable diagnoses, suggesting awareness (minimally conscious state or emergence from the minimally conscious state), showed elevated responses. The variations in the integrity of the auditory pathway and the etiology of brain injury altered the observed response strength. Narrow-band stimulation yielded a more systematic relationship between low-gamma response and pDOC diagnosis. The results suggest the potential role of low gamma-band responses to chirp-modulated stimulation as the supportive diagnostic tool to detect awareness in the pDOC patient group.pl
dc.affiliationWydział Filozoficzny : Instytut Psychologiipl
dc.affiliationSzkoła Doktorska Nauk Społecznychpl
dc.contributor.authorBinder, Marek - 101031 pl
dc.contributor.authorPapiernik, Julia - 385328 pl
dc.contributor.authorGriskova-Bulanova, Ingapl
dc.contributor.authorFrycz, Sandra - 456304 pl
dc.contributor.authorChojnacki, Bartłomiejpl
dc.contributor.authorGórska, Urszulapl
dc.date.accession2023-12-11pl
dc.date.accessioned2023-12-11T08:27:57Z
dc.date.available2023-12-11T08:27:57Z
dc.date.issued2023pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.versionostateczna wersja wydawcy
dc.description.volume17pl
dc.identifier.articleid1243051pl
dc.identifier.doi10.3389/fnhum.2023.1243051pl
dc.identifier.eissn1662-5161pl
dc.identifier.issn1662-5161pl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/324243
dc.identifier.weblinkhttps://www.frontiersin.org/articles/10.3389/fnhum.2023.1243051pl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk społecznych : psychologiapl
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeotwarte czasopismo
dc.subject.endisorders of consciousnesspl
dc.subject.enconsciousnesspl
dc.subject.enEEGpl
dc.subject.enauditory stimulationpl
dc.subject.enauditory steady-state responsespl
dc.subject.enenvelope following responsepl
dc.subject.enComa Recovery Scale-Revisedpl
dc.subtypeArticlepl
dc.titleDiagnosing awareness in disorders of consciousness with gamma-band auditory responsespl
dc.title.journalFrontiers in Human Neurosciencepl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T22:45:56Z
dc.abstract.enpl
The prolonged disorders of consciousness (pDOC) describe a group of neurological conditions characterized by severe impairment of consciousness resulting from the injury of the central nervous system. As the behavioral diagnosis of pDOC remains challenging, the methods based on observing brain activity appear as promising alternatives. One of these methods is electroencephalography, which allows for noninvasive assessment of brain function. In this study, we evaluated evoked auditory responses to the chirp-modulated auditory stimulation as a potential biomarker of awareness in pDOC. Chirp-modulated stimulation is based on the repetitive presentation of auditory stimuli with a changing frequency over time. Two protocols were tested: amplitude-modulated narrow-band chirps (frequency range 25-55 Hz) and click-based wide-band chirps (30-100 Hz). The studied pDOC patient group included 62 patients (19 females and 43 males, mean age 40.72 years) diagnosed with Coma Recovery Scale-Revised. Envelope-following responses to stimulation were examined using the intertrial phase clustering coefficient. For both types of stimulation, the strength of the response in the low-gamma range (around 40 Hz) was related to the diagnosis of pDOC. Patients diagnosed with unresponsive wakefulness syndrome exhibited diminished responses, while more favorable diagnoses, suggesting awareness (minimally conscious state or emergence from the minimally conscious state), showed elevated responses. The variations in the integrity of the auditory pathway and the etiology of brain injury altered the observed response strength. Narrow-band stimulation yielded a more systematic relationship between low-gamma response and pDOC diagnosis. The results suggest the potential role of low gamma-band responses to chirp-modulated stimulation as the supportive diagnostic tool to detect awareness in the pDOC patient group.
dc.affiliationpl
Wydział Filozoficzny : Instytut Psychologii
dc.affiliationpl
Szkoła Doktorska Nauk Społecznych
dc.contributor.authorpl
Binder, Marek - 101031
dc.contributor.authorpl
Papiernik, Julia - 385328
dc.contributor.authorpl
Griskova-Bulanova, Inga
dc.contributor.authorpl
Frycz, Sandra - 456304
dc.contributor.authorpl
Chojnacki, Bartłomiej
dc.contributor.authorpl
Górska, Urszula
dc.date.accessionpl
2023-12-11
dc.date.accessioned
2023-12-11T08:27:57Z
dc.date.available
2023-12-11T08:27:57Z
dc.date.issuedpl
2023
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
17
dc.identifier.articleidpl
1243051
dc.identifier.doipl
10.3389/fnhum.2023.1243051
dc.identifier.eissnpl
1662-5161
dc.identifier.issnpl
1662-5161
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/324243
dc.identifier.weblinkpl
https://www.frontiersin.org/articles/10.3389/fnhum.2023.1243051
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliationpl
Dziedzina nauk społecznych : psychologia
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
disorders of consciousness
dc.subject.enpl
consciousness
dc.subject.enpl
EEG
dc.subject.enpl
auditory stimulation
dc.subject.enpl
auditory steady-state responses
dc.subject.enpl
envelope following response
dc.subject.enpl
Coma Recovery Scale-Revised
dc.subtypepl
Article
dc.titlepl
Diagnosing awareness in disorders of consciousness with gamma-band auditory responses
dc.title.journalpl
Frontiers in Human Neuroscience
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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