Elting J W, van Weerden T W, van der Naalt J, De Keyser J H A, Maurits N M
Department of Neurology, University Hospital Groningen, The Netherlands.
J Clin Neurophysiol. 2003 Feb;20(1):26-34. doi: 10.1097/00004691-200302000-00003.
P300 latency variability in normal subjects is a complicating factor in clinical event-related potential studies because it limits diagnostic applicability. The current study was conducted to determine whether identification of P300 (P3A and P3B) components using source analysis techniques can reduce variability in P300 parameters. Data were recorded with a 128-channel EEG system in 18 healthy subjects. The authors used a standard, auditory two-tone oddball paradigm with targets of 2000 Hz and standards of 1000 Hz. Two simple source analysis models with one or two rotating dipoles were applied to grand average data and individual data. Dipole time courses were combined with mapping results to extract P3A and P3B component latencies. Latencies obtained with conventional P300 analysis were compared with source analysis results. The source analysis method identified both P3A and P3B components in a substantially larger percentage of subjects (88% vs. 33%) than the conventional method. The source analysis method yielded a later mean P3B latency (357 msec vs. 323 msec, P < 0,001) with a smaller standard deviation (9 msec vs. 23 msec, P = 0,003) than the conventional P300 method. The relative contribution of the temporally separate P3A and P3B components to the P300 complex amplitude is highly variable. This explains the larger latency standard deviation in conventional P300 analysis. The source analysis method was able to identify P300 components in a large percentage of the cases. The result is a considerable reduction of P300 latency variability in normal subjects. This could have important consequences for clinical event-related potential research, because diagnostic sensitivity and specificity of P300 latency may improve with this method.
正常受试者的P300潜伏期变异性是临床事件相关电位研究中的一个复杂因素,因为它限制了诊断适用性。本研究旨在确定使用源分析技术识别P300(P3A和P3B)成分是否可以降低P300参数的变异性。在18名健康受试者中使用128通道脑电图系统记录数据。作者采用标准的听觉双音oddball范式,目标频率为2000 Hz,标准频率为1000 Hz。将具有一个或两个旋转偶极子的两个简单源分析模型应用于总体平均数据和个体数据。将偶极子时间进程与映射结果相结合,以提取P3A和P3B成分的潜伏期。将传统P300分析获得的潜伏期与源分析结果进行比较。与传统方法相比,源分析方法在更大比例的受试者中识别出了P3A和P3B成分(88%对33%)。与传统P300方法相比,源分析方法产生的P3B平均潜伏期更晚(357毫秒对323毫秒,P<0.001),标准差更小(9毫秒对23毫秒,P = 0.003)。时间上分离的P3A和P3B成分对P300复合波振幅的相对贡献高度可变。这解释了传统P300分析中较大的潜伏期标准差。源分析方法能够在大部分病例中识别出P300成分。结果是正常受试者的P300潜伏期变异性显著降低。这可能对临床事件相关电位研究产生重要影响,因为使用这种方法可能会提高P300潜伏期的诊断敏感性和特异性。