Williams L M, Simms E, Clark C R, Paul R H, Rowe D, Gordon E
The Brain Dynamics Centre, Westmead Hospital, NSW, Australia.
Int J Neurosci. 2005 Dec;115(12):1605-30. doi: 10.1080/00207450590958475.
NeuroMarker combines EEG and ERP measures with neurocognitive tests in a fully computerized and standardized testing system. It is designed for use across the lifespan and has a large normative database of over 1,000 subjects. This study was a preliminary evaluation of "NeuroMarker" in subjects spanning four decades. Twenty-one healthy subjects (12-57 years) were tested at baseline and four weeks later. From the "Neuromarker" battery, the authors analyzed EEG data (eyes open and closed) and ERPs elicited during auditory oddball (N100, P200, N200, P300) and working memory (P150, P300) tasks. Concomitant neuropsychological data, acquired using a touch-screen system, comprised measures of sensori-motor, attention, verbal, executive, and memory function. Test-retest data were examined using analyses of variance and correlational procedures (corrected for multiple comparisons), with parallel analyses of age. EEG data did not differ across sessions, and showed high test-retest reliability (.71-.95), particularly for theta and delta (>.85). ERP components also showed sound reliability, particularly for sites where components are maximal: fronto-central N100 (.76-.77), centro-parietal P300 (.78-.81) to oddball targets, N100 and P200 (.74-.86) to oddball non-targets, and P150 amplitude and latency (.84-.93) to working memory stimuli. Neuropsychological tests showed a similarly sound level of consistency (on average, .70), with the most consistent tests tapping simple motor function, estimated intelligence, switching of attention (Part 2), verbal interference response time and memory intrusions (.71-.89). Age and sex did not have a differential impact on reliability for EEG, ERP, or neuropsychology measures. These findings provide preliminary evidence that the "NeuroMarker" battery is reliable for test-retest assessments. The results suggest that the standardized approach has utility for providing sensitive clinical and treatment evaluations across age groups.
NeuroMarker在一个完全计算机化且标准化的测试系统中,将脑电图(EEG)和事件相关电位(ERP)测量与神经认知测试相结合。它设计用于贯穿整个生命周期,拥有一个超过1000名受试者的大型常模数据库。本研究是对跨越四个十年的受试者进行的“NeuroMarker”初步评估。21名健康受试者(年龄在12至57岁之间)在基线期和四周后接受了测试。作者从“神经标记物”测试组合中,分析了脑电图数据(睁眼和闭眼)以及在听觉Oddball任务(N100、P200、N200、P300)和工作记忆任务(P150、P300)期间诱发的事件相关电位。使用触摸屏系统获取的伴随神经心理学数据,包括感觉运动、注意力、言语、执行和记忆功能的测量。使用方差分析和相关程序(针对多重比较进行校正)以及年龄的平行分析来检查重测数据。脑电图数据在各次测试之间没有差异,并且显示出较高的重测信度(0.71 - 0.95),特别是对于θ波和δ波(>0.85)。事件相关电位成分也显示出良好的信度,特别是对于成分最大的部位:额中央N100(0.76 - 0.77)、中央顶叶P300(0.78 - 0.81)对Oddball目标、N100和P200(0.74 - 0.86)对Oddball非目标以及P150波幅和潜伏期(0.84 - 0.93)对工作记忆刺激。神经心理学测试显示出类似的良好一致性水平(平均为0.70),一致性最高的测试涉及简单运动功能、估计智力、注意力转换(第2部分)、言语干扰反应时间和记忆侵入(0.71 - 0.89)。年龄和性别对脑电图、事件相关电位或神经心理学测量的信度没有差异影响。这些发现提供了初步证据,表明“神经标记物”测试组合对于重测评估是可靠的。结果表明,这种标准化方法对于跨年龄组提供敏感的临床和治疗评估具有实用价值。