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Enhanced Graph Attention Network by Integrating Transformer for Epileptic EEG Identification. 集成变压器的增强图注意网络用于癫痫脑电识别。
Pub Date : 2025-08-01 Epub Date: 2025-05-09 DOI: 10.1142/S0129065725500376
Zhenhua Xie, Jian Lian, Dong Wang

Electroencephalography signal classification is essential for the diagnosis and monitoring of neurological disorders, with significant implications for patient treatment. Despite the progress made, existing methods face challenges such as capturing the complex dynamics of Electroencephalogram (EEG) signals and generalizing across diverse patient populations. In this study, the graph attention network and the transformer model are integrated for EEG signal classification, leveraging the enhanced capability to dynamically compute attention weights and adapt to the variable relevance of brain regions. The proposed approach is capable of modeling the intricate relationships within EEG activities by learning context-dependent attention scores. We conducted a comprehensive evaluation of the proposed approach comparing with the state-of-the-art algorithms. Experimental outcomes show that it surpasses the competing models. The superior performance is attributed to the proposed approach's dynamic attention mechanism, which better captures the nuanced patterns in EEG signals across different subjects and seizure types. In the experiments, the CHB-MIT dataset was exploited, which served as a benchmark for evaluating the performance of the proposed framework in distinguishing interictal, ictal, and normal EEG patterns. The results prove the usefulness of our work in advancing EEG signal classification. The findings suggest that the combination of graph attention and self-attention mechanisms is a promising approach for improving the accuracy and reliability of EEG-based diagnostics, potentially improving the management of neurological disorders.

脑电图信号分类对神经系统疾病的诊断和监测至关重要,对患者的治疗具有重要意义。尽管取得了进展,但现有方法仍面临挑战,例如捕获脑电图(EEG)信号的复杂动态以及在不同患者群体中推广。本研究将图注意网络与变压器模型相结合用于脑电信号分类,利用增强的动态计算注意权重的能力,适应大脑区域的可变相关性。该方法能够通过学习上下文依赖的注意分数来建模脑电活动中的复杂关系。我们对所提出的方法与最先进的算法进行了全面的评估。实验结果表明,该模型优于同类模型。该方法的动态注意机制能够更好地捕捉不同受试者和不同癫痫发作类型的脑电图信号。在实验中,利用CHB-MIT数据集作为基准,评估所提出的框架在区分间歇期、间歇期和正常脑电图模式方面的性能。结果证明了我们的工作在推进脑电信号分类方面的有效性。研究结果表明,图注意和自我注意机制的结合是一种很有前途的方法,可以提高基于脑电图的诊断的准确性和可靠性,有可能改善神经系统疾病的治疗。
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引用次数: 0
Efficient Seizure Detection by Complementary Integration of Convolutional Neural Network and Vision Transformer. 通过卷积神经网络和视觉变换器的互补整合实现高效癫痫发作检测
Pub Date : 2025-07-01 Epub Date: 2025-03-29 DOI: 10.1142/S0129065725500236
Jiaqi Wang, Haotian Li, Chuanyu Li, Weisen Lu, Haozhou Cui, Xiangwen Zhong, Shuhao Ren, Zhida Shang, Weidong Zhou

Epilepsy, as a prevalent neurological disorder, is characterized by its high incidence, sudden onset, and recurrent nature. The development of an accurate and real-time automatic seizure detection system is crucial for assisting clinicians in making precise diagnoses and providing timely treatment for epilepsy. However, conventional automatic seizure detection methods often face limitations in simultaneously capturing both local features and long-range correlations inherent in EEG signals, which constrains the accuracy of these existing detection systems. To address this challenge, we propose a novel end-to-end seizure detection framework, named CNN-ViT, which complementarily integrates a Convolutional Neural Network (CNN) for capturing local inductive bias of EEG and Vision Transformer (ViT) for further mining their long-range dependency. Initially, raw electroencephalogram (EEG) signals are filtered and segmented and then sent into the CNN-ViT model to learn their local and global feature representations and identify the seizure patterns. Meanwhile, we adopt a global max-pooling strategy to reduce the scale of the CNN-ViT model and make it focus on the most discriminative features. Given the occurrence of diverse artifacts in long-term EEG recordings, we further employ post-processing techniques to improve the seizure detection performance. The proposed CNN-ViT model, when evaluated using the publicly accessible CHB-MIT EEG dataset, reveals its outstanding performance with a sensitivity of 99.34% at a segment-based level and 99.70% at an event-based level. On the SH-SDU dataset we collected, our method yielded a segment-based sensitivity of 99.86%, specificity of 94.33%, and accuracy of 94.40%, along with an event-based sensitivity of 100%. The total processing time for 1[Formula: see text]h EEG data was only 3.07[Formula: see text]s. These exceptional results demonstrate the potential of our method as a reference for clinical real-time seizure detection applications.

癫痫是一种常见的神经系统疾病,其特点是发病率高、发作突然、反复发作。开发准确、实时的癫痫发作自动检测系统对于帮助临床医生准确诊断和及时治疗癫痫至关重要。然而,传统的癫痫自动检测方法往往面临着同时捕获EEG信号中固有的局部特征和远程相关性的局限性,这限制了现有检测系统的准确性。为了解决这一挑战,我们提出了一种新的端到端癫痫检测框架,名为CNN-ViT,它互补集成了卷积神经网络(CNN),用于捕获EEG和视觉变压器(ViT)的局部感应偏置,以进一步挖掘它们的远程依赖关系。首先,对原始脑电图(EEG)信号进行滤波和分割,然后送入CNN-ViT模型,学习其局部和全局特征表示,识别癫痫发作模式。同时,我们采用全局最大池化策略来减小CNN-ViT模型的规模,使其专注于最具判别性的特征。鉴于长期脑电图记录中出现各种伪影,我们进一步采用后处理技术来提高癫痫检测性能。当使用公开访问的CHB-MIT EEG数据集对所提出的CNN-ViT模型进行评估时,显示出其出色的性能,在基于片段的级别上灵敏度为99.34%,在基于事件的级别上灵敏度为99.70%。在我们收集的SH-SDU数据集上,我们的方法产生了基于片段的灵敏度为99.86%,特异性为94.33%,准确率为94.40%,以及基于事件的灵敏度为100%。1个[公式:见文]h个EEG数据的总处理时间仅为3.07[公式:见文]s。这些特殊的结果证明了我们的方法作为临床实时癫痫检测应用的参考的潜力。
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引用次数: 0
Evolution of the Motor Symptoms in Parkinson Disease under Auditory Stimulation. 听觉刺激下帕金森病运动症状的演变
Pub Date : 2025-07-01 Epub Date: 2025-04-08 DOI: 10.1142/S0129065725500303
David González, Luis Sigcha, Juan Manuel López, César Asensio, Ignacio Pavón, Nelson Costa, Susana Costa, Miguel Gago, Juan Carlos Martínez-Castrillo, Guillermo de Arcas

This paper describes a study that analyzes the effect of periodic binaural auditory stimulation in the beta band on two of the major motor symptoms of patients with Parkinson's disease (PD), resting tremor and bradykinesia. Participants included two groups of PD patients ([Formula: see text], age [Formula: see text], stage [Formula: see text] Hoehn & Yahr scale) that were exposed to an experimental (group A) or placebo (group B) auditory stimulation once a day, and a group of healthy controls ([Formula: see text], age [Formula: see text]) that was not exposed to any stimulation. The experimental stimulation consisted of 10[Formula: see text]min of binaural beats at 14[Formula: see text]Hz presented rhythmically and masked with pink noise, while the placebo stimulation consisted of pink noise only. All participants were monitored using wearable devices and mobile phones to assess the evolution of resting tremors and bradykinesia. Both indicators were obtained from accelerometer signals during the execution of specific motor tasks extracted from the MDS-UPDRS scale Part III once a week. The results show a significant difference between the group of healthy controls and PD patients for the resting tremor and bradykinesia indicators, suggesting the predictive validity of the monitoring system and the consistency of the indicators. Regarding the effect of auditory stimulation, a reduction in the level of resting tremor was observed in patients who received the experimental stimulation compared to those who received the placebo stimulation [Formula: see text] over the course of the 8 weeks of monitoring. However, no improvement in bradykinesia was observed. The generalization of results is compromised due to a set of limitations that have been identified, so guidance is provided that might contribute to improving future experimental designs in similar studies.

本文介绍了一项研究,分析了β带周期性双耳听觉刺激对帕金森病(PD)患者的两种主要运动症状,静息性震颤和运动迟缓的影响。参与者包括两组PD患者([公式:见文],年龄[公式:见文],阶段[公式:见文]Hoehn & Yahr量表),每天接受一次实验性(A组)或安慰剂(B组)听觉刺激,以及一组健康对照组([公式:见文],年龄[公式:见文]),不接受任何刺激。实验刺激由10[公式:见文]分钟的双耳节拍在14[公式:见文]Hz有节奏地呈现并被粉红噪声掩盖,而安慰剂刺激仅由粉红噪声组成。所有参与者都使用可穿戴设备和移动电话进行监测,以评估静息震颤和运动迟缓的演变。这两项指标都是从每周一次的MDS-UPDRS量表第三部分提取的特定运动任务执行过程中的加速度计信号中获得的。结果显示,健康对照组与PD患者在静息性震颤和运动迟缓指标上存在显著差异,提示监测系统的预测有效性和指标的一致性。关于听觉刺激的效果,在8周的监测过程中,接受实验刺激的患者与接受安慰剂刺激的患者相比,静息震颤水平有所降低。然而,运动迟缓未见改善。由于已经确定的一系列限制,结果的泛化受到损害,因此提供的指导可能有助于改进未来类似研究的实验设计。
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引用次数: 0
Understanding Robot Gesture Perception in Children with Autism Spectrum Disorder during Human-Robot Interaction. 了解自闭症谱系障碍儿童在人机交互中对机器人手势的感知。
Pub Date : 2025-07-01 Epub Date: 2025-04-16 DOI: 10.1142/S0129065725500261
Gema Benedicto-Rodríguez, Facundo Bosch, Carlos G Juan, Maria Paula Bonomini, Antonio Fernández-Caballero, Eduardo Fernandez-Jover, Jose Manuel Ferrández-Vicente

Social robots are increasingly being used in therapeutic contexts, especially as a complement in the therapy of children with Autism Spectrum Disorder (ASD). Because of this, the aim of this study is to understand how children with ASD perceive and interpret the gestures made by the robot Pepper versus human instructor, which can also be influenced by verbal communication. This study analyzes the impact of both conditions (verbal and nonverbal communication) and types of gestures (conversational and emotional) on gesture recognition through the study of the accuracy rate and examines the physiological responses of children with the Empatica E4 device. The results reveal that verbal communication is more accessible to children with ASD and neurotypicals (NT), with emotional gestures being more interpretable than conversational gestures. The Pepper robot was found to generate lower responses of emotional arousal compared to the human instructor in both ASD and neurotypical children. This study highlights the potential of robots like Pepper to support the communication skills of children with ASD, especially in structured and predictable nonverbal gestures. However, the findings also point to challenges, such as the need for more reliable robotic communication methods, and highlight the importance of changing interventions tailored to individual needs.

社交机器人越来越多地用于治疗环境,特别是作为自闭症谱系障碍(ASD)儿童治疗的补充。正因为如此,本研究的目的是了解自闭症儿童如何感知和解释机器人Pepper和人类讲师所做的手势,这也可能受到口头交流的影响。本研究通过对手势识别正确率的研究,分析了条件(言语和非言语交流)和手势类型(会话和情绪)对手势识别的影响,并考察了使用Empatica E4设备的儿童的生理反应。结果表明,ASD儿童和神经正常儿童(NT)更容易理解语言交流,情感手势比会话手势更容易理解。研究发现,在自闭症谱系障碍和神经正常儿童中,与人类教练相比,Pepper机器人产生的情绪唤醒反应更低。这项研究强调了像Pepper这样的机器人在支持自闭症儿童沟通技巧方面的潜力,尤其是在结构化和可预测的非语言手势方面。然而,研究结果也指出了挑战,例如需要更可靠的机器人通信方法,并强调了根据个人需求改变干预措施的重要性。
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引用次数: 0
Electroencephalography Decoding with Conditional Identification Generator. 利用条件识别发生器进行脑电图解码
Pub Date : 2025-07-01 Epub Date: 2025-03-27 DOI: 10.1142/S0129065725500248
Pengfei Sun, Jorg De Winne, Malu Zhang, Paul Devos, Dick Botteldooren

Decoding Electroencephalography (EEG) signals are extremely useful for advancing and understanding human-artificial intelligence (AI) interaction systems. Recent advancements in deep neural networks (DNNs) have demonstrated significant promise in this respect due to their ability to model complex nonlinear relationships. However, DNNs face persistent challenges in addressing the inter-person variability inherent in EEG signals, which limits their generalizability. To tackle this limitation, we propose a novel framework that integrates conditional identification information, leveraging the interaction between EEG signals and individual traits to enhance the model's internal representation and improve decoding accuracy. Building on this foundation, we further introduce a privacy-preserving conditional information generator - a generative model that derives embedding knowledge directly from raw EEG signals. This approach eliminates the need for personal identification via individual tests, ensuring both efficiency and privacy. Experimental evaluations conducted on WithMe dataset confirm that this framework outperforms baseline network architectures. Notably, our approach achieves substantial improvements in decoding accuracy for both familiar and unseen subjects, paving the way for efficient, robust, and privacy-conscious human-computer interface systems.

脑电图(EEG)信号解码对于推进和理解人类与人工智能(AI)交互系统非常有用。深度神经网络(dnn)的最新进展由于其模拟复杂非线性关系的能力,在这方面显示出了巨大的希望。然而,深度神经网络在处理脑电图信号中固有的人与人之间的可变性方面面临着持续的挑战,这限制了它们的泛化性。为了解决这一限制,我们提出了一个新的框架,该框架集成了条件识别信息,利用脑电信号和个体特征之间的相互作用来增强模型的内部表征,提高解码精度。在此基础上,我们进一步引入了一种保护隐私的条件信息生成器——一种直接从原始脑电图信号中提取嵌入知识的生成模型。这种方法消除了通过单独测试进行个人识别的需要,确保了效率和隐私。在WithMe数据集上进行的实验评估证实,该框架优于基线网络架构。值得注意的是,我们的方法在熟悉和不可见主题的解码精度方面取得了实质性的改进,为高效、健壮和具有隐私意识的人机界面系统铺平了道路。
{"title":"Electroencephalography Decoding with Conditional Identification Generator.","authors":"Pengfei Sun, Jorg De Winne, Malu Zhang, Paul Devos, Dick Botteldooren","doi":"10.1142/S0129065725500248","DOIUrl":"10.1142/S0129065725500248","url":null,"abstract":"<p><p>Decoding Electroencephalography (EEG) signals are extremely useful for advancing and understanding human-artificial intelligence (AI) interaction systems. Recent advancements in deep neural networks (DNNs) have demonstrated significant promise in this respect due to their ability to model complex nonlinear relationships. However, DNNs face persistent challenges in addressing the inter-person variability inherent in EEG signals, which limits their generalizability. To tackle this limitation, we propose a novel framework that integrates conditional identification information, leveraging the interaction between EEG signals and individual traits to enhance the model's internal representation and improve decoding accuracy. Building on this foundation, we further introduce a privacy-preserving conditional information generator - a generative model that derives embedding knowledge directly from raw EEG signals. This approach eliminates the need for personal identification via individual tests, ensuring both efficiency and privacy. Experimental evaluations conducted on WithMe dataset confirm that this framework outperforms baseline network architectures. Notably, our approach achieves substantial improvements in decoding accuracy for both familiar and unseen subjects, paving the way for efficient, robust, and privacy-conscious human-computer interface systems.</p>","PeriodicalId":94052,"journal":{"name":"International journal of neural systems","volume":" ","pages":"2550024"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tiny Convolutional Neural Network with Supervised Contrastive Learning for Epileptic Seizure Prediction. 基于监督对比学习的微型卷积神经网络用于癫痫发作预测。
Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1142/S0129065725500340
Yongfeng Zhang, Hailing Feng, Shuai Wang, Hongbin Lv, Tiantian Xiao, Ziwei Wang, Yanna Zhao

Automatic seizure prediction based on ElectroEncephaloGraphy (EEG) ensures the safety of patients with epilepsy and mitigates anxiety. In recent years, significant progress has been made in this field. However, the predictive performance of existing methods encounters a bottleneck that is difficult to overcome. Moreover, there are certain limitations such as significant differences in prediction efficacy among patients or intricate model structures. Given these considerations, Siamese Network (SiaNet) and Triplet Network (TriNet) are proposed based on tiny convolutional neural network and supervised contrastive learning. Short-Time Fourier Transform (STFT) is first applied to the pre-processed data. Then data tuples are constructed and fed into the networks for training. Both networks try to minimize the interval between samples of the same class while maximize the interval between samples of different classes. The two networks consist of multiple branches with shared weights, which can learn from each other via contrastive learning. Promising results are obtained on the CHB-MIT and Siena datasets, with a total of 35 patients. Meanwhile, both models have only 19.351K parameters.

基于脑电图(EEG)的癫痫发作自动预测保证了癫痫患者的安全,减轻了患者的焦虑。近年来,这一领域取得了重大进展。然而,现有方法的预测性能遇到了难以克服的瓶颈。此外,存在一定的局限性,如患者之间的预测效果差异显著或模型结构复杂。基于这些考虑,提出了基于微小卷积神经网络和监督对比学习的连体网络(SiaNet)和三重网络(TriNet)。首先将短时傅里叶变换(STFT)应用于预处理后的数据。然后构建数据元组并将其输入网络进行训练。两种网络都试图最小化同一类样本之间的间隔,而最大化不同类样本之间的间隔。两个网络由多个分支组成,这些分支具有共享的权值,可以通过对比学习相互学习。在CHB-MIT和Siena数据集上获得了令人鼓舞的结果,总共有35名患者。同时,两种型号的参数都只有19.351K。
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引用次数: 0
Introduction. 介绍。
Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI: 10.1142/S0129065725020022
José Manuel Ferrández
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引用次数: 0
Multimodal Integration of EEG and Near-Infrared Spectroscopy for Robust Cross-Frequency Coupling Estimation. 脑电与近红外光谱多模态集成的鲁棒交叉频率耦合估计。
Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1142/S0129065725500285
Nicolás J Gallego-Molina, Andrés Ortiz, Francisco J Martínez-Murcia, Wai Lok Woo

Neuroimaging techniques have had a major impact on medical science, allowing advances in the research of many neurological diseases and improving their diagnosis. In this context, multimodal neuroimaging approaches, based on the neurovascular coupling phenomenon, exploit their individual strengths to provide complementary information on the neural activity of the brain cortex. This work proposes a novel method for combining electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) to explore the functional activity of the brain processes related to low-level language processing of skilled and dyslexic seven-year-old readers. We have transformed EEG signals into image sequences considering the interaction between different frequency bands by means of cross-frequency coupling (CFC), and applied an activation mask sequence obtained from the local functional brain activity inferred from simultaneously recorded fNIRS signals. Thus, the resulting image sequences preserve spatial and temporal information of the communication and interaction between different neural processes and provide discriminative information that allows differentiation between controls and dyslexic subjects with an AUC of 77.1%. Finally, explainability is improved by introducing an easily comprehensible representation of the SHAP values obtained for the classification method in the brainSHAP maps.

神经成像技术对医学科学产生了重大影响,使许多神经系统疾病的研究取得了进展,并改善了它们的诊断。在这种情况下,基于神经血管耦合现象的多模态神经成像方法利用其各自的优势,提供关于大脑皮层神经活动的补充信息。本研究提出了一种结合脑电图(EEG)和功能近红外光谱(fNIRS)的新方法,以探索7岁熟练阅读和阅读困难儿童的低水平语言处理相关脑过程的功能活动。通过交叉频率耦合(cross-frequency coupling, CFC)将脑电信号转换为考虑不同频段相互作用的图像序列,并应用从同时记录的fNIRS信号中推断出的局部脑功能活动得到的激活掩模序列。因此,所得到的图像序列保留了不同神经过程之间交流和相互作用的时空信息,并提供了区分对照和阅读障碍受试者的判别信息,AUC为77.1%。最后,通过在大脑SHAP图中引入易于理解的SHAP值表示来提高可解释性。
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引用次数: 0
Continual Learning by Contrastive Learning of Regularized Classes in Multivariate Gaussian Distributions. 多元高斯分布中正则化类对比学习的持续学习。
Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1142/S012906572550025X
Hyung-Jun Moon, Sung-Bae Cho

Deep neural networks struggle with incremental updates due to catastrophic forgetting, where newly acquired knowledge interferes with the learned previously. Continual learning (CL) methods aim to overcome this limitation by effectively updating the model without losing previous knowledge, but they find it difficult to continuously maintain knowledge about previous tasks, resulting from overlapping stored information. In this paper, we propose a CL method that preserves previous knowledge as multivariate Gaussian distributions by independently storing the model's outputs per class and continually reproducing them for future tasks. We enhance the discriminability between classes and ensure the plasticity for future tasks by exploiting contrastive learning and representation regularization. The class-wise spatial means and covariances, distinguished in the latent space, are stored in memory, where the previous knowledge is effectively preserved and reproduced for incremental tasks. Extensive experiments on benchmark datasets such as CIFAR-10, CIFAR-100, and ImageNet-100 demonstrate that the proposed method achieves accuracies of 93.21%, 77.57%, and 78.15%, respectively, outperforming state-of-the-art CL methods by 2.34 %p, 2.1 %p, and 1.91 %p. Additionally, it achieves the lowest mean forgetting rates across all datasets.

由于灾难性遗忘,深度神经网络与增量更新作斗争,在这种情况下,新获得的知识会干扰之前学到的知识。持续学习(CL)方法旨在通过在不丢失先前知识的情况下有效地更新模型来克服这一限制,但是由于存储的信息重叠,它们发现很难持续维护关于先前任务的知识。在本文中,我们提出了一种CL方法,该方法通过独立存储每个类的模型输出并不断地为未来的任务再现它们,从而将先前的知识保存为多元高斯分布。我们通过利用对比学习和表征正则化来增强类之间的可辨别性,并确保对未来任务的可塑性。在潜在空间中区分的类空间均值和协方差存储在记忆中,其中先前的知识被有效地保留并复制用于增量任务。在CIFAR-10、CIFAR-100和ImageNet-100等基准数据集上进行的大量实验表明,所提出的方法分别达到了93.21%、77.57%和78.15%的准确率,比目前最先进的CL方法分别高出2.34%、2.1%和1.91%。此外,它在所有数据集中实现了最低的平均遗忘率。
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引用次数: 0
Predicting Intraoperative Burst Suppression Using Preoperative EEG and Patient Characteristics. 术前脑电图和患者特征预测术中爆发抑制。
Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1142/S0129065725500339
Jingyi He, Joël M H Karel, Marcus L F Janssen, Erik D Gommer, Catherine J Vossen, Enrique Hortal

Burst suppression (BS) is an electroencephalogram (EEG) pattern observed in patients undergoing general anesthesia. The occurrence of BS is associated with adverse outcomes such as postoperative delirium, extended recovery time, and increased postoperative mortality. The detection and prediction of BS can help expedite the evaluation of patient conditions, optimize anesthesia administration, and improve patient safety. This study explores the potential for automatic BS detection using intraoperative EEG and BS prediction using preoperative EEG signals and patient characteristics. A dataset comprising 287 patients who underwent carotid endarterectomy procedures at Maastricht University Medical Center+ was analyzed. An EEG toolbox developed by T. Zhan at the Massachusetts Institute of Technology was utilized for the automatic detection/annotation of BS, while five machine learning classifiers were employed to predict BS occurrence using preoperative data. Based on the 160 patients manually annotated by EEG experts (regarding the presence or absence of BS), the automatic detection tool demonstrated an accuracy of 0.75. For the BS prediction task, an initial subset of 120 patients was evaluated, showing modest performance, with the K-nearest neighbors ([Formula: see text]) classifier achieving the best results, with an accuracy of 0.72. Subsequent experiments indicated that increasing the number of patients (by using Zhan's Toolbox to annotate the unlabeled instances), applying SMOTE to balance the training set, and enriching the feature set was beneficial. The final experiment demonstrated a significant improvement, with Random Forest and Gradient Boosting outperforming other classifiers, achieving an accuracy of 0.86 and ROC-AUC of 0.94. Patient characteristics, including type of anesthetic agents, symptoms, age, mean absolute delta power, mean absolute theta power, and cognitive impairment, were identified by an xAI method as important features potentially indicating the predisposition to experience BS.

突发抑制(BS)是在全身麻醉患者中观察到的一种脑电图(EEG)模式。BS的发生与术后谵妄、恢复时间延长、术后死亡率增加等不良结局相关。BS的检测和预测有助于加快对患者病情的评估,优化麻醉给药,提高患者安全。本研究探讨了术中脑电图自动检测BS和术前脑电图信号和患者特征预测BS的潜力。对在马斯特里赫特大学医学中心接受颈动脉内膜切除术的287例患者的数据集进行了分析。使用麻省理工学院的T. Zhan开发的EEG工具箱对BS进行自动检测/标注,同时使用5个机器学习分类器根据术前数据预测BS的发生。基于脑电图专家手工注释的160例患者(关于是否存在BS),自动检测工具的准确率为0.75。对于BS预测任务,评估了120例患者的初始子集,表现一般,其中k -最近邻([公式:见文本])分类器获得了最佳结果,准确率为0.72。随后的实验表明,增加患者数量(通过使用詹工具箱注释未标记的实例),应用SMOTE来平衡训练集,丰富特征集是有益的。最后的实验证明了显著的改进,随机森林和梯度增强优于其他分类器,实现了0.86的准确率和0.94的ROC-AUC。患者特征,包括麻醉剂类型、症状、年龄、平均绝对θ波功率、平均绝对θ波功率和认知障碍,通过xAI方法确定为可能提示BS易感性的重要特征。
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引用次数: 0
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International journal of neural systems
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