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Reliable Acquisition of Electroencephalography Data during Simultaneous Electroencephalography and Functional MRI
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This study provides a practical roadmap for implementing functional MRI to detect covert consciousness in intensive care units. It addresses the need for operational guidance in using brain network biomarkers to potentially improve patient care.

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Critical Care Medicine

Background:

  • Research links disorders of consciousness to brain network biomarkers.
  • Limited data exists on the practical application of these biomarkers for patient care.
  • Professional societies advocate for using biomarkers to detect covert consciousness.

Purpose of the Study:

  • To provide a roadmap for implementing functional MRI (fMRI) in intensive care units (ICUs).
  • To address the lack of operational guidance for using brain network biomarkers.
  • To assist facilities in initiating services for detecting covert consciousness.

Main Methods:

  • A case-based approach reviewing current literature.
  • Implementation of fMRI in neonatal, pediatric, and adult ICUs within a local health system.
  • Focus on practical aspects and ethical considerations.

Main Results:

  • Demonstrates the feasibility of fMRI implementation in diverse ICU settings.
  • Highlights practical challenges and solutions for acquiring network biomarkers.
  • Provides a framework for integrating fMRI into clinical workflows.

Conclusions:

  • Functional MRI can be practically implemented in ICUs to assess brain network biomarkers.
  • This roadmap can guide other institutions in establishing similar services.
  • Detecting covert consciousness through network biomarkers holds potential for guiding patient care.