The response relevance of visual stimuli modulates the P3 component and the underlying sensorimotor network.

The functional meaning and neural basis of the P3b component of ERPs are still under debate. One of the main issues is whether P3b reflects only stimulus-related processes (stimulus evaluation hypothesis) or response-related processes as well (stimulus-response or S-R link activation hypothesis). Here, we conducted an EEG experiment examining whether P3b may indeed reflect an S-R link activation, followed by an fMRI experiment in which we explored the brain areas and functional connectivity possibly constituting the neural basis of these sensorimotor links. In both experiments, two successive visual stimuli, S1 and S2, were presented with a 1 sec interval, and responses were defined either by S1 or S2, while participants responded only after S2 onset. The obtained EEG results suggest that P3b may be interpreted in terms of the S-R link activation account, although further studies are needed to disentangle P3-related activity from overlapping anticipatory activity. The obtained fMRI results showed that processing of the relevant S1 involved activation of a distributed postero-anterior sensorimotor network, and increased strength of functional connectivity within this network. This network may underlie activation of the S-R links, thus possibly also the P3b component, forming a bridging step between sensory encoding and response execution.

The role of levels of processing in disentangling the ERP signatures of conscious visual processing.

We aimed to distinguish electrophysiological signatures of visual awareness from other task-related processes through manipulating the level of processing of visual stimuli. During an event-related EEG experiment, 36 subjects performed either color (low-level condition) or magnitude (high-level condition) evaluations of masked digits. Participants also assessed subjective visibility of each stimulus using the Perceptual Awareness Scale (PAS). Mean amplitude of the components of interest was analyzed (VAN - 140-240 ms; LP - 380-480 ms) with weighted regression mixed model. In the VAN component time window the mean amplitude correlated with PAS rating in both conditions. Mean amplitude in the LP time window correlated with PAS ratings in the high-level condition, but not in the low-level condition. Our results support the temporal unfolding of ERP makers of conscious processing, with an early component reflecting the initial perceptual experience and a late component being a correlate of the conscious experience of non-perceptual information.

A validation of the Polish version of the Coma Recovery Scale-Revised (CRSR).

PRIMARY OBJECTIVE: The aim of this study was to determine the validity of the Polish version of the Coma Recovery Scale-Revised (CRS-R). METHODS AND DESIGN: Two trained raters, A and B, administered CRS-R on a group of 20 patients with severe brain injury (median age ± SD, 38.0 ± 14.39 years). Both rater A and rater B completed their assessment on day 1, and rater A repeated their assessment on day 2. Inter-rater and test-retest reliability were evaluated with an intra-class correlation coefficient and Spearman rank correlation. Internal consistency was estimated with Cronbach's α. Agreement in diagnostic impression was determined using Cohen's κ. RESULTS: Inter-rater reliability for CRS-R total scores and test-retest reliability was excellent: (ρ = 0.76, p < 0.001) and (ρ = 0.92, p < 0.001), respectively. Inter-rater diagnostic agreement was good (κ = 0.72, p < 0.001). Inter-rater reliability for subscales was fair to excellent. Internal consistency was excellent (Cronbach's α = 0.85). CONCLUSION: The Polish version of CRS-R can be administered reliably by trained raters and can successfully differentiate between vegetative state (VS), minimally conscious (MCS), and patients emerging from a minimally conscious state (EMCS).

The levels of perceptual processing and the neural correlates of increasing subjective visibility.

According to the levels-of-processing hypothesis, transitions from unconscious to conscious perception may depend on stimulus processing level, with more gradual changes for low-level stimuli and more dichotomous changes for high-level stimuli. In an event-related fMRI study we explored this hypothesis using a visual backward masking procedure. Task requirements manipulated level of processing. Participants reported the magnitude of the target digit in the high-level task, its color in the low-level task, and rated subjective visibility of stimuli using the Perceptual Awareness Scale. Intermediate stimulus visibility was reported more frequently in the low-level task, confirming prior behavioral results. Visible targets recruited insulo-fronto-parietal regions in both tasks. Task effects were observed in visual areas, with higher activity in the low-level task across all visibility levels. Thus, the influence of level of processing on conscious perception may be mediated by attentional modulation of activity in regions representing features of consciously experienced stimuli.