1 Disruption of Thalamic Functional Connectivity is a Neural Correlate of 2 Dexmedetomidine-Induced Unconsciousness 3 Oluwaseun Akeju1,†,*, Marco L. Loggia2,3,†, Ciprian Catana2, Kara J. Pavone1, Rafael Vazquez1, 4 James Rhee1, Violeta Contreras Ramirez1, Daniel B. Chonde2, David Izquierdo-Garcia2, Grae 5 Arabasz2, Shirley Hsu2, Kathleen Habeeb4, Jacob M. Hooker2, Vitaly Napadow2,3, Emery N. 6 Brown1,5,6, Patrick L. Purdon1,6, * 7 8 1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 9 Harvard Medical School, Boston, MA 10 2MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA 11 3Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s 12 Hospital, Harvard Medical School, Boston, MA 13 4Clinical Research Center, Massachusetts General Hospital, Boston, MA 14 5Department of Brain and Cognitive Science, and Institute for Medical Engineering and 15 Sciences, Massachusetts Institute of Technology, Cambridge, MA 16 6Harvard-Massachusetts Institute of Technology Division of Health Sciences and Technology, 17 Massachusetts Institute of Technology, Cambridge, MA 18 19 †These authors contributed equally 20 * To whom correspondence should be addressed: 21
[email protected] (O.A) 22
[email protected] (P.L.P.) 23 24 25 One Sentence Summary: Thalamo-cortical functional connectivity patterns are correlated with 26 unconsciousness and recovery. 2 27 Abstract 28 Understanding the neural basis of consciousness is fundamental to neuroscience 29 research. Disruptions in cortico-cortical connectivity have been suggested as a primary 30 mechanism of unconsciousness. By using a novel combination of positron emission tomography 31 and functional magnetic resonance imaging, we studied anesthesia-induced unconsciousness 32 and recovery using the α2-agonist dexmedetomidine.