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et al - Organization for Human Brain Mapping

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Using fMRI to d<strong>et</strong>ect conscious awareness<br />

Adrian M. Owen<br />

MRC Cognition and <strong>Brain</strong> Sciences Unit, Cambridge, UK<br />

http://web.me.com/adrian.owen


“The limits of consciousness are hard to define satisfactorily<br />

and we can only infer the self-awareness of others by their<br />

appearance and their acts”<br />

Plum and Posner, The Diagnosis of Stupor and Coma, 1966


Davis <strong>et</strong> <strong>al</strong>., PNAS, 2007<br />

Coleman <strong>et</strong> <strong>al</strong>., BRAIN, 2007


Speech-specific responses are common in disorders of consciousness<br />

Coleman <strong>et</strong> <strong>al</strong>., <strong>Brain</strong>, 2009


Speech-specific responses in VS and MCS<br />

Coleman <strong>et</strong> <strong>al</strong>., <strong>Brain</strong>, 2009


“….Imagine playing tennis”<br />

Boly <strong>et</strong> <strong>al</strong>., Neuroimage, 2007; Owen <strong>et</strong> <strong>al</strong>., Science, 2006


Instructions:<br />

“If you want to say „yes‟, imagine playing tennis”<br />

“Is your husband<br />

c<strong>al</strong>led Charlie?”<br />

“Is your husband<br />

c<strong>al</strong>led Terry?”<br />

“Is your dog<br />

c<strong>al</strong>led Terry?”<br />

“Is your dog<br />

c<strong>al</strong>led Charlie?”<br />

Owen & Coleman, Nature Reviews Neurosciences, 2008


Owen <strong>et</strong> <strong>al</strong>., Science, 313, 1402, 2006


Owen <strong>et</strong> <strong>al</strong>., Science, 313, 1402, 2006


Monti/Vanhaudenhuyse <strong>et</strong> <strong>al</strong>., NEJM, 2010


Monti/Vanhaudenhuyse <strong>et</strong> <strong>al</strong>., NEJM, 2010


Monti/Vanhaudenhuyse <strong>et</strong> <strong>al</strong>., NEJM, 2010


“The limits of consciousness are hard to define satisfactorily<br />

and we can only infer the self-awareness of others by their<br />

appearance and their acts”<br />

Plum and Posner, The Diagnosis of Stupor and Coma, 1966


Thanks…<br />

Wolfson <strong>Brain</strong> Imaging Centre, Cambridge<br />

Martin Coleman<br />

David Menon<br />

John Pickard<br />

Anthony Abs<strong>al</strong>om<br />

Ram Adapa<br />

University of Liege<br />

MRC Cognition and <strong>Brain</strong> Sciences Unit<br />

Tristan Bekinschtein<br />

Damian Cruse<br />

Rhodri Cusack<br />

Matt Davis<br />

Di<strong>et</strong>s Jolles<br />

Martin Monti<br />

B<strong>et</strong>h Parkin<br />

Audrey Vanhaudenhuyse<br />

Melanie Boly<br />

Steven Laureys

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