Significance: General anesthesia is a drug-induced state of altered arousal associated with profound, stereotyped electrophysiological oscillations. Here we report evidence in rats that propofol, an anesthetic drug frequently used in clinical practice, disrupts activity in medial prefrontal cortex and thalamus by inducing highly synchronized oscillations between these structures. These oscillations closely parallel human electroencephalogram oscillations under propofol. Disruption of activity in medial prefrontal cortex by these oscillations implies an impairment of self-awareness and internal consciousness. During recovery of consciousness, these synchronized oscillations dissipate in a “boot-up” sequence most likely driven by ascending arousal centers. These studies advance our understanding of what it means to be unconscious under anesthesia and establish principled neurophysiological markers to monitor and manage this state.

Non-invasive brain-computer interfaces (BCIs) have been widely used for neural decoding, linking neural signals to control devices. Hybrid BCI systems using electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) have received significant attention for overcoming the limitations of EEG- and fNIRS-standalone BCI systems. However, most hybrid EEG-fNIRS BCI studies have focused on late fusion because of discrepancies in their temporal resolutions and recording locations. Despite the enhanced performance of hybrid BCIs, late fusion methods have difficulty in extracting correlated features in both EEG and fNIRS signals. Therefore, in this study, we proposed a deep learning-based early fusion structure, which combines two signals before the fully-connected layer, called the fNIRS-guided attention network (FGANet). First, 1D EEG and fNIRS signals were converted into 3D EEG and fNIRS tensors to spatially align EEG and fNIRS signals at the same time point. The proposed fNIRS-guided attention layer extracted a joint representation of EEG and fNIRS tensors based on neurovascular coupling, in which the spatially important regions were identified from fNIRS signals, and detailed neural patterns were extracted from EEG signals. Finally, the final prediction was obtained by weighting the sum of the prediction scores of the EEG and fNIRS-guided attention features to alleviate performance degradation owing to delayed fNIRS response. In the experimental results, the FGANet significantly outperformed the EEG-standalone network. Furthermore, the FGANet has 4.0% and 2.7% higher accuracy than the state-of-the-art algorithms in mental arithmetic and motor imagery tasks, respectively.

Significance: Rapid growth in sensor and recording technologies is spurring rapid growth in time series data. Nonstationary and oscillatory structure in time series is commonly analyzed using time-varying spectral methods. These widely used techniques lack a statistical inference framework applicable to the entire time series. We develop a state-space multitaper (SS-MT) framework for time-varying spectral analysis of nonstationary time series. We efficiently implement the SS-MT spectrogram estimation algorithm in the frequency domain as parallel 1D complex Kalman filters. In analyses of human EEGs recorded under general anesthesia, the SS-MT paradigm provides enhanced denoising (>10 dB) and spectral resolution relative to standard multitaper methods, a flexible time-domain decomposition of the time series, and a broadly applicable, empirical Bayes’ framework for statistical inference.

Background: Early detection of mild cognitive impairment (MCI), a transitional stage between normal aging and Alzheimer disease, is crucial for preventing the progression of dementia. Virtual reality (VR) biomarkers have proven to be effective in capturing behaviors associated with subtle deficits in instrumental activities of daily living, such as challenges in using a food-ordering kiosk, for early detection of MCI. On the other hand, magnetic resonance imaging (MRI) biomarkers have demonstrated their efficacy in quantifying observable structural brain changes that can aid in early MCI detection. Nevertheless, the relationship between VR-derived and MRI biomarkers remains an open question. In this context, we explored the integration of VR-derived and MRI biomarkers to enhance early MCI detection through a multimodal learning approach. Objective: We aimed to evaluate and compare the efficacy of VR-derived and MRI biomarkers in the classification of MCI while also examining the strengths and weaknesses of each approach. Furthermore, we focused on improving early MCI detection by leveraging multimodal learning to integrate VR-derived and MRI biomarkers. Methods: The study encompassed a total of 54 participants, comprising 22 (41%) healthy controls and 32 (59%) patients with MCI. Participants completed a virtual kiosk test to collect 4 VR-derived biomarkers (hand movement speed, scanpath length, time to completion, and the number of errors), and T1-weighted MRI scans were performed to collect 22 MRI biomarkers from both hemispheres. Analyses of covariance were used to compare these biomarkers between healthy controls and patients with MCI, with age considered as a covariate. Subsequently, the biomarkers that exhibited significant differences between the 2 groups were used to train and validate a multimodal learning model aimed at early screening for patients with MCI among healthy controls. Results: The support vector machine (SVM) using only VR-derived biomarkers achieved a sensitivity of 87.5% and specificity of 90%, whereas the MRI biomarkers showed a sensitivity of 90.9% and specificity of 71.4%. Moreover, a correlation analysis revealed a significant association between MRI-observed brain atrophy and impaired performance in instrumental activities of daily living in the VR environment. Notably, the integration of both VR-derived and MRI biomarkers into a multimodal SVM model yielded superior results compared to unimodal SVM models, achieving higher accuracy (94.4%), sensitivity (100%), specificity (90.9%), precision (87.5%), and F1-score (93.3%). Conclusions: The results indicate that VR-derived biomarkers, characterized by their high specificity, can be valuable as a robust, early screening tool for MCI in a broader older adult population. On the other hand, MRI biomarkers, known for their high sensitivity, excel at confirming the presence of MCI. Moreover, the multimodal learning approach introduced in our study provides valuable insights into the improvement of early MCI detection by integrating a diverse set of biomarkers.