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一种基于事件相关电位(ERP)的临床实用神经测量成套测试的评估:应用于脑功能的年龄相关变化。

Evaluation of a clinically practical, ERP-based neurometric battery: Application to age-related changes in brain function.

作者信息

Kieffaber Paul D, Okhravi Hamid R, Hershaw Jamie N, Cunningham Emily C

机构信息

Department of Psychology, College of William and Mary, P.O. Box 8795, Williamsburg, VA 23187-8795, USA.

Eastern Virginia Medical School Glennan Center for Geriatrics and Gerontology, 825 Fairfax Avenue, Norfolk, VA 23507, USA.

出版信息

Clin Neurophysiol. 2016 May;127(5):2192-9. doi: 10.1016/j.clinph.2016.01.023. Epub 2016 Feb 12.

Abstract

OBJECTIVE

Event-related potentials (ERPs) show promise as markers of neurocognitive dysfunction, but conventional recording procedures render measurement of many ERP-based neurometrics clinically impractical. The purpose of this work was (a) to develop a brief neurometric battery capable of eliciting a broad profile of ERPs in a single, clinically practical recording session, and (b) to evaluate the sensitivity of this neurometric profile to age-related changes in brain function.

METHODS

Nested auditory stimuli were interleaved with visual stimuli to create a 20-min battery designed to elicit at least eight ERP components representing multiple sensory, perceptual, and cognitive processes (Frequency & Gap MMN, P50, P3, vMMN, C1, N2pc, and ERN). Data were recorded from 21 younger and 21 high-functioning older adults.

RESULTS

Significant multivariate differences were observed between ERP profiles of younger and older adults. Metrics derived from ERP profiles could be used to classify individuals into age groups with a jackknifed classification accuracy of 78.6%.

CONCLUSIONS

Results support the utility of this design for neurometric profiling in clinical settings.

SIGNIFICANCE

This study demonstrates a method for measuring a broad profile of ERP-based neurometrics in a single, brief recording session. These markers may be used individually or in combination to characterize/classify patterns of sensory and/or perceptual brain function in clinical populations.

摘要

目的

事件相关电位(ERP)有望成为神经认知功能障碍的标志物,但传统的记录程序使得许多基于ERP的神经测量指标在临床上难以实际测量。本研究的目的是:(a)开发一套简短的神经测量指标组合,能够在一次临床实用的记录过程中引出广泛的ERP波形;(b)评估该神经测量指标组合对与年龄相关的脑功能变化的敏感性。

方法

将嵌套的听觉刺激与视觉刺激交错呈现,形成一个20分钟的指标组合,旨在引出至少八个代表多种感觉、知觉和认知过程的ERP成分(频率与间隔失匹配负波、P50、P3、视觉失匹配负波、C1、N2pc和错误相关负波)。记录了21名年轻成年人和21名高功能老年人的数据。

结果

观察到年轻成年人和老年人的ERP波形存在显著的多变量差异。从ERP波形得出的指标可用于将个体分为不同年龄组,留一法分类准确率为78.6%。

结论

结果支持了该设计在临床环境中进行神经测量分析的实用性。

意义

本研究展示了一种在单次简短记录过程中测量广泛的基于ERP的神经测量指标的方法。这些标志物可单独使用或联合使用,以表征/分类临床人群中的感觉和/或知觉脑功能模式。

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