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[阿尔茨海默病的定量脑电图分析:频谱、相干性和复杂性参数]

[Quantitative EEG analysis in Alzheimer's disease: spectral, coherence and complexity parameters].

作者信息

Czigler Balázs, Csikós Dóra, Gaál Anna Zsófia, Csibri Eva, Kiss Eva, Hidasi Zoltdán, Salacz Pál, Molnár Márk

机构信息

MTA Pszichológiai Kutatóintézet, Budapest, Hungary.

出版信息

Psychiatr Hung. 2006;21(4):300-12.

Abstract

In our study we examined the linear and non-linear characteristics of EEG signals derived from patients with Alzheimer's disease (AD) with the future aim of developing a widely available method for monitoring therapy and the progression of the disease or to be used even for the purposes of differential diagnosis. EEG was recorded with eyes closed and eyes open conditions ("resting") in a group of patients with early-stage AD and in healthy control subjects matched by age. In addition to the conventional methods of analysis (frequency spectrum, coherence), the so-called complexity measures developed in recent years (Omega-complexity, synchronised probability) have also been determined. By means of frequency spectrum analysis, we managed to detect the slowdown of EEG in the early stage of dementia, a feature that so far has been associated with the later stages of AD. Coherence was reduced in the majority of frequency bands in the patient group; however, this difference could be observed only in some of the leads. Thus, resting EEG coherence is less suitable for separating various stages than the other methods. Complexity features have shown the most robust changes in Alzheimer's disease in our investigation. Besides the reduction in synchronised probability, significantly higher values of Omega-complexity were obtained in the patient group. This may be associated with the impairment of cortical afferentation (cholinergic and monoaminergic) and with the reduction in the number of neurons and synapses. Our methods have proved to be very sensitive to quantify these changes.

摘要

在我们的研究中,我们检查了阿尔茨海默病(AD)患者的脑电图(EEG)信号的线性和非线性特征,其未来目标是开发一种广泛可用的方法来监测治疗和疾病进展,甚至用于鉴别诊断。在一组早期AD患者和年龄匹配的健康对照受试者中,在闭眼和睁眼条件下(“静息”)记录EEG。除了传统的分析方法(频谱、相干性)外,近年来开发的所谓复杂性测量方法(Ω复杂性、同步概率)也已被确定。通过频谱分析,我们成功地检测到痴呆早期EEG的减慢,这一特征迄今为止一直与AD的后期阶段相关。患者组中大多数频段的相干性降低;然而,这种差异仅在某些导联中观察到。因此,静息EEG相干性比其他方法更不适合区分不同阶段。在我们的研究中,复杂性特征在阿尔茨海默病中显示出最显著的变化。除了同步概率降低外,患者组的Ω复杂性值明显更高。这可能与皮质传入(胆碱能和单胺能)受损以及神经元和突触数量减少有关。我们的方法已被证明对量化这些变化非常敏感。

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