Accurate diagnosis of the level of consciousness in patients with prolonged disorders of consciousness (DOC) is critical for designing therapeutic plans, determining rehabilitative services, and predicting prognosis. The DOC1–4 mainly include coma (unwakefulness and reflex behavior only), unresponsive wakefulness syndrome (UWS), and minimally conscious state (MCS). Patients in UWS5 are clinically awake but unaware of themselves and the surrounding environment. Unlike UWS, patients in MCS6 present minimal, inconsistent, but reproducible purposeful evidence of awareness. The clinical evaluation of awareness and diagnosis of these two groups of patients is challenging. At present, subjective bedside behavioral assessments are still regarded as the clinical reference standard for evaluating the awareness of patients with DOC.7 However, it has been reported that the misdiagnosis rate was .3 In fact, accurate evaluation of brain function and detection of residual awareness in patients with DOC is complicated, time-consuming, and challenging due to the cognitive, motor, and sensory impairments of the patients, as well as to other factors, such as the examiner and environmental conditions.