Reliable electroencephalography (EEG) signatures of transitions between consciousness and unconsciousness under anaesthesia have not yet been identified. Herein we examined network changes using graph theoretical analysis of high-density EEG during patient-titrated propofol-induced sedation. Responsiveness was used as a surrogate for consciousness. We divided the data into five states: baseline, transition into unresponsiveness, unresponsiveness, transition into responsiveness, and recovery. Power spectral analysis showed that delta power increased from responsiveness to unresponsiveness. In unresponsiveness, delta waves propagated from frontal to parietal regions as a traveling wave. Local increases in delta connectivity were evident in parietal but not frontal regions. Graph theory analysis showed that increased local efficiency could differentiate the levels of responsiveness. Interestingly, during transitions of responsive states, increased beta connectivity was noted relative to consciousness and unconsciousness, again with increased local efficiency. Abrupt network changes are evident in the transitions in responsiveness, with increased beta band power/connectivity marking transitions between responsive states, while the delta power/connectivity changes were consistent with the fading of consciousness using its surrogate responsiveness. These results provide novel insights into the neural correlates of these behavioural transitions and EEG signatures for monitoring the levels of consciousness under sedation.

The game of curling can be considered a good test bed for studying the interaction between artificial intelligence systems and the real world. In curling, the environmental characteristics change at every moment, and every throw has an impact on the outcome of the match. Furthermore, there is no time for relearning during a curling match due to the timing rules of the game. Here, we report a curling robot that can achieve human-level performance in the game of curling using an adaptive deep reinforcement learning framework. Our proposed adaptation framework extends standard deep reinforcement learning using temporal features, which learn to compensate for the uncertainties and nonstationarities that are an unavoidable part of curling. Our curling robot, Curly, was able to win three of four official matches against expert human teams [top-ranked women’s curling teams and Korea national wheelchair curling team (reserve team)]. These results indicate that the gap between physics-based simulators and the real world can be narrowed.

On sedation motivated by the clinical needs for safety and reliability, recent studies have attempted to identify brain-specific signatures for tracking patient transition into and out of consciousness, but the differences in neurophysiological effects between 1) the sedative types and 2) the presence/absence of surgical stimulations still remain unclear. Here we used multimodal electroencephalography–functional near-infrared spectroscopy (EEG–fNIRS) measurements to observe electrical and hemodynamic responses during sedation simultaneously. Forty healthy volunteers were instructed to push the button to administer sedatives in response to auditory stimuli every 9–11 s. To generally illustrate brain activity at repetitive transition points at the loss of consciousness (LOC) and the recovery of consciousness (ROC), patient-controlled sedation was performed using two different sedatives (midazolam (MDZ) and propofol (PPF)) under two surgical conditions. Once consciousness was lost via sedatives, we observed gradually increasing EEG power at lower frequencies (<15 Hz) and decreasing power at higher frequencies (>15 Hz), as well as spatially increased EEG powers in the delta and lower alpha bands, and particularly also in the upper alpha rhythm, at the frontal and parieto-occipital areas over time. During ROC from unconsciousness, these spatio-temporal changes were reversed. Interestingly, the level of consciousness was switched on/off at significantly higher effect-site concentrations of sedatives in the brain according to the use of surgical stimuli, but the spatio-temporal EEG patterns were similar, regardless of the sedative used. We also observed sudden phase shifts in fronto-parietal connectivity at the LOC and the ROC as critical points. fNIRS measurement also revealed mild hemodynamic fluctuations. Compared with general anesthesia, our results provide insights into critical hallmarks of sedative-induced (un)consciousness, which have similar spatio-temporal EEG-fNIRS patterns regardless of the stage and the sedative used.

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Most artificial intelligence (AI) based learning systems act in virtual or laboratory environments. Here we demonstrate an AI-based curling robot system named 'Curly' that competes on a real-world curling ice sheet. Curly encompasses (1) an AI-based curling strategy and simulation engine under consideration of the high 'icy' uncertainty, (2) the thrower robot enabled by autonomous driving with traction control, and (3) the skip robot that allows to recognize the curling field and stone configuration based on vision technology. The Curly performed well both: in classical game situations and when interacting with human opponents, namely, the top-ranked Korean amateur high school curling team.