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通过量化多通道脑电图中的主导信息流来测量麻醉深度的新方法。

Novel Methods for Measuring Depth of Anesthesia by Quantifying Dominant Information Flow in Multichannel EEGs.

作者信息

Cha Kab-Mun, Choi Byung-Moon, Noh Gyu-Jeong, Shin Hyun-Chool

机构信息

Department of Electronic Engineering, Soongsil University, Seoul, Republic of Korea.

Department of Clinical Pharmacology and Therapeutics, Asan Medical Center, Seoul, Republic of Korea.

出版信息

Comput Intell Neurosci. 2017;2017:3521261. doi: 10.1155/2017/3521261. Epub 2017 Mar 16.

DOI:10.1155/2017/3521261
PMID:28408923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5376473/
Abstract

In this paper, we propose novel methods for measuring depth of anesthesia (DOA) by quantifying dominant information flow in multichannel EEGs. Conventional methods mainly use few EEG channels independently and most of multichannel EEG based studies are limited to specific regions of the brain. Therefore the function of the cerebral cortex over wide brain regions is hardly reflected in DOA measurement. Here, DOA is measured by the quantification of dominant information flow obtained from principle bipartition. Three bipartitioning methods are used to detect the dominant information flow in entire EEG channels and the dominant information flow is quantified by calculating information entropy. High correlation between the proposed measures and the plasma concentration of propofol is confirmed from the experimental results of clinical data in 39 subjects. To illustrate the performance of the proposed methods more easily we present the results for multichannel EEG on a two-dimensional (2D) brain map.

摘要

在本文中,我们提出了通过量化多通道脑电图中的主要信息流来测量麻醉深度(DOA)的新方法。传统方法主要独立使用少数脑电图通道,并且大多数基于多通道脑电图的研究仅限于大脑的特定区域。因此,在麻醉深度测量中很难反映大脑广泛区域的大脑皮层功能。在此,通过对从主二分法获得的主要信息流进行量化来测量麻醉深度。使用三种二分法来检测整个脑电图通道中的主要信息流,并通过计算信息熵对主要信息流进行量化。从39名受试者的临床数据实验结果证实了所提出的测量方法与丙泊酚血浆浓度之间的高度相关性。为了更轻松地说明所提出方法的性能,我们在二维(2D)脑图上展示了多通道脑电图的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/9b68cef7afd4/CIN2017-3521261.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/c7762bd3d179/CIN2017-3521261.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/d1c0f3a49414/CIN2017-3521261.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/65fed8094efe/CIN2017-3521261.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/4f6c96a2254a/CIN2017-3521261.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/630778a20f48/CIN2017-3521261.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/6b6a0e393e15/CIN2017-3521261.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/9b68cef7afd4/CIN2017-3521261.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/c7762bd3d179/CIN2017-3521261.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/d1c0f3a49414/CIN2017-3521261.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/65fed8094efe/CIN2017-3521261.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/4f6c96a2254a/CIN2017-3521261.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/630778a20f48/CIN2017-3521261.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/6b6a0e393e15/CIN2017-3521261.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e12/5376473/9b68cef7afd4/CIN2017-3521261.007.jpg

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本文引用的文献

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A Pharmacokinetics-Neural Mass Model (PK-NMM) for the Simulation of EEG Activity during Propofol Anesthesia.一种用于模拟丙泊酚麻醉期间脑电图活动的药代动力学-神经团模型(PK-NMM)。
PLoS One. 2015 Dec 31;10(12):e0145959. doi: 10.1371/journal.pone.0145959. eCollection 2015.
2
Characterizing Awake and Anesthetized States Using a Dimensionality Reduction Method.使用降维方法对清醒和麻醉状态进行特征描述。
J Med Syst. 2016 Jan;40(1):13. doi: 10.1007/s10916-015-0382-4. Epub 2015 Oct 29.
3
Rationale and Design of the Balanced Anesthesia Study: A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery.
平衡麻醉研究的原理和设计:一项比较两种麻醉深度对大手术后患者结局影响的前瞻性随机临床试验。
Anesth Analg. 2015 Aug;121(2):357-65. doi: 10.1213/ANE.0000000000000797.
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Impact of aminophylline on the pharmacodynamics of propofol in beagle dogs.氨茶碱对比格犬丙泊酚药效学的影响。
J Pharmacokinet Pharmacodyn. 2014 Dec;41(6):599-612. doi: 10.1007/s10928-014-9377-x. Epub 2014 Aug 24.
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Directed information transfer in scalp electroencephalographic recordings: insights on disorders of consciousness.头皮脑电图记录中的定向信息传递:意识障碍的见解。
Clin EEG Neurosci. 2014 Jan;45(1):33-9. doi: 10.1177/1550059413510703. Epub 2014 Jan 8.
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Disruption of frontal-parietal communication by ketamine, propofol, and sevoflurane.氯胺酮、丙泊酚和七氟醚对额顶叶通讯的阻断作用。
Anesthesiology. 2013 Jun;118(6):1264-75. doi: 10.1097/ALN.0b013e31829103f5.
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