长程时间相关性反映婴儿痉挛症患者脑电图中的治疗反应。
Long-Range Temporal Correlations Reflect Treatment Response in the Electroencephalogram of Patients with Infantile Spasms.
作者信息
Smith Rachel J, Sugijoto Amanda, Rismanchi Neggy, Hussain Shaun A, Shrey Daniel W, Lopour Beth A
机构信息
Department of Biomedical Engineering, The Henry Samueli School of Engineering, University of California, Irvine, CA, USA.
Division of Neurology, Children's Hospital Orange County, Orange, CA, USA.
出版信息
Brain Topogr. 2017 Nov;30(6):810-821. doi: 10.1007/s10548-017-0588-5. Epub 2017 Sep 13.
Infantile spasms syndrome is an epileptic encephalopathy in which prompt diagnosis and treatment initiation are critical to therapeutic response. Diagnosis of the disease heavily depends on the identification of characteristic electroencephalographic (EEG) patterns, including hypsarrhythmia. However, visual assessment of the presence and characteristics of hypsarrhythmia is challenging because multiple variants of the pattern exist, leading to poor inter-rater reliability. We investigated whether a quantitative measurement of the control of neural synchrony in the EEGs of infantile spasms patients could be used to reliably distinguish the presence of hypsarrhythmia and indicate successful treatment outcomes. We used autocorrelation and Detrended Fluctuation Analysis (DFA) to measure the strength of long-range temporal correlations in 21 infantile spasms patients before and after treatment and 21 control subjects. The strength of long-range temporal correlations was significantly lower in patients with hypsarrhythmia than control patients, indicating decreased control of neural synchrony. There was no difference between patients without hypsarrhythmia and control patients. Further, the presence of hypsarrhythmia could be classified based on the DFA exponent and intercept with 92% accuracy using a support vector machine. Successful treatment was marked by a larger increase in the DFA exponent compared to those in which spasms persisted. These results suggest that the strength of long-range temporal correlations is a marker of pathological cortical activity that correlates with treatment response. Combined with current clinical measures, this quantitative tool has the potential to aid objective identification of hypsarrhythmia and assessment of treatment efficacy to inform clinical decision-making.
婴儿痉挛综合征是一种癫痫性脑病,及时诊断和开始治疗对治疗反应至关重要。该疾病的诊断很大程度上依赖于特征性脑电图(EEG)模式的识别,包括高峰失律。然而,由于存在多种高峰失律模式变体,通过视觉评估高峰失律的存在和特征具有挑战性,导致评分者间可靠性较差。我们研究了婴儿痉挛患者脑电图中神经同步控制的定量测量是否可用于可靠地区分高峰失律的存在并指示治疗成功结果。我们使用自相关和去趋势波动分析(DFA)来测量21例婴儿痉挛患者治疗前后以及21名对照受试者的长程时间相关性强度。有高峰失律的患者的长程时间相关性强度显著低于对照患者,表明神经同步控制降低。无高峰失律的患者与对照患者之间没有差异。此外,使用支持向量机,基于DFA指数和截距可对高峰失律的存在进行分类,准确率达92%。与痉挛持续的患者相比,成功治疗的标志是DFA指数有更大的增加。这些结果表明,长程时间相关性强度是与治疗反应相关的病理性皮质活动的一个标志物。结合当前的临床措施,这种定量工具有可能有助于客观识别高峰失律和评估治疗效果,为临床决策提供依据。
相似文献
Annu Int Conf IEEE Eng Med Biol Soc. 2018-7
Seizure. 2018-3-30
Epilepsy Res. 2015-3
Neuropediatrics. 2024-8
引用本文的文献
Front Comput Neurosci. 2024-8-30
Front Neurol. 2022-7-28
Eur Arch Psychiatry Clin Neurosci. 2022-12
Netw Neurosci. 2021-6-21
Entropy (Basel). 2019-2-28
Pharmacol Ther. 2020-8
本文引用的文献
Ann Neurol. 2014-11-13
Front Physiol. 2012-11-30
Front Physiol. 2012-5-7
Sci Rep. 2012-3-14
Eur J Paediatr Neurol. 2009-4-11