Meijer E J, Hermans K H M, Zwanenburg A, Jennekens W, Niemarkt H J, Cluitmans P J M, van Pul C, Wijn P F F, Andriessen P
Clinical Physics, Máxima Medical Center, Veldhoven, The Netherlands.
Clinical Physics, Máxima Medical Center, Veldhoven, The Netherlands; Applied Physics, Eindhoven University of Technology, Eindhoven, The Netherlands.
Eur J Paediatr Neurol. 2014 Nov;18(6):780-9. doi: 10.1016/j.ejpn.2014.08.003. Epub 2014 Aug 26.
To quantify the neuronal connectivity in preterm infants between homologous channels of both hemispheres.
EEG coherence analysis was performed on serial EEG recordings collected from preterm infants with normal neurological follow-up. The coherence spectrum was divided in frequency bands: δnewborn(0-2 Hz), θnewborn(2-6 Hz), αnewborn(6-13 Hz), βnewborn(13-30 Hz). Coherence values were evaluated as a function of gestational age (GA) and postnatal maturation.
All spectra show two clear peaks in the δnewborn and θnewborn-band, corresponding to the delta and theta EEG waves observed in preterm infants. In the δnewborn-band the peak magnitude coherence decreases with GA and postnatal maturation for all channels. In the θnewborn-band, the peak magnitude coherence decreases with GA for all channels, but increases with postnatal maturation for the frontal polar channels. In the βnewborn-band a modest magnitude coherence peak was observed in the occipital channels, which decreases with GA.
Interhemispherical connectivity develops analogously with electrocortical maturation: signal intensities at low frequencies decrease with GA and postnatal maturation, but increase at high frequencies with postnatal maturation. In addition, peak magnitude coherence is a clear trend indicator for brain maturation.
Coherence analysis can aid in the clinical assessment of the functional connectivity of the infant brain with maturation.
量化早产儿两半球同源通道之间的神经元连接性。
对神经系统随访正常的早产儿连续脑电图记录进行脑电图相干分析。相干谱按频段划分:新生儿δ波(0 - 2赫兹)、新生儿θ波(2 - 6赫兹)、新生儿α波(6 - 13赫兹)、新生儿β波(13 - 30赫兹)。相干值作为胎龄(GA)和出生后成熟度的函数进行评估。
所有频谱在新生儿δ波和新生儿θ波频段均显示出两个明显的峰值,对应于早产儿观察到的δ波和θ波脑电图波形。在新生儿δ波频段,所有通道的峰值幅度相干性随胎龄和出生后成熟度降低。在新生儿θ波频段,所有通道的峰值幅度相干性随胎龄降低,但额极通道的峰值幅度相干性随出生后成熟度增加。在新生儿β波频段,枕叶通道观察到适度的幅度相干性峰值,其随胎龄降低。
半球间连接性与电皮质成熟类似地发展:低频信号强度随胎龄和出生后成熟度降低,但高频信号强度随出生后成熟度增加。此外,峰值幅度相干性是脑成熟的明确趋势指标。
相干分析有助于对婴儿脑功能连接性随成熟度的临床评估。