Restoring signatures of consciousness by thalamic stimulation in a whole-brain model of an anesthetized nonhuman primate

Treatment options for Disorders of Consciousness (DoC) are limited due to insufficient understanding of the underlying neurobiological mechanisms. Two primary strategies for characterizing DoC and assessing treatment efficacy are in vivo experiments with animal models, and in silico computational models. We combined both approaches by creating a whole-brain model tailored to the experimental functional magnetic resonance imaging (fMRI) data of a single anesthetized macaque. It was previously reported in an in vivo experiment that anesthesia-induced loss of consciousness was partially reversed by specific electrical stimulation of the thalamic central nuclei. The in silico model reproduced the brain dynamics underlying the restoration of consciousness, providing a potential explanation for the transition between these brain states as continuous trajectories unfolding in a low-dimensional space. Our results demonstrate that whole-brain computational models reproduce the spatiotemporal properties of fMRI recordings during loss of consciousness and during its recovery induced by electrical stimulation, enabling computational exploration of perturbation-based interventions to potentially personalize treatment and aid recovery of consciousness in DoC patients.