Höller Yvonne, Uhl Andreas, Bathke Arne, Thomschewski Aljoscha, Butz Kevin, Nardone Raffaele, Fell Jürgen, Trinka Eugen
Department of Neurology, Christian Doppler Medical Centre and Centre for Cognitive Neuroscience, Paracelsus Medical UniversitySalzburg, Austria.
Department of Computer Sciences, Paris Lodron UniversitySalzburg, Austria.
Front Hum Neurosci. 2017 Aug 30;11:441. doi: 10.3389/fnhum.2017.00441. eCollection 2017.
Measures of interaction () of the EEG are at the forefront of current neuroscientific research. Unfortunately, test-retest reliability can be very low, depending on the measure and its estimation, the EEG-frequency of interest, the length of the signal, and the population under investigation. In addition, artifacts can hamper the continuity of the EEG signal, and in some clinical situations it is impractical to exclude artifacts. We aimed to examine factors that moderate test-retest reliability of measures of interaction. The study involved 40 patients with a range of neurological diseases and memory impairments (age median: 60; range 21-76; 40% female; 22 mild cognitive impairment, 5 subjective cognitive complaints, 13 temporal lobe epilepsy), and 20 healthy controls (age median: 61.5; range 23-74; 70% female). We calculated 14 measures of interaction based on the multivariate autoregressive model from two EEG-recordings separated by 2 weeks. We characterized test-retest reliability by correlating the measures between the two EEG-recordings for variations of data length, data discontinuity, artifact exclusion, model order, and frequency over all combinations of channels and all frequencies, individually for each subject, yielding a correlation coefficient for each participant. Excluding artifacts had strong effects on reliability of some measures, such as classical, real valued coherence (~0.1 before, ~0.9 after artifact exclusion). Full frequency directed transfer function was highly reliable and robust against artifacts. Variation of data length decreased reliability in relation to poor adjustment of model order and signal length. Variation of discontinuity had no effect, but reliabilities were different between model orders, frequency ranges, and patient groups depending on the measure. Pathology did not interact with variation of signal length or discontinuity. Our results emphasize the importance of documenting reliability, which may vary considerably between measures of interaction. We recommend careful selection of measures of interaction in accordance with the properties of the data. When only short data segments are available and when the signal length varies strongly across subjects after exclusion of artifacts, reliability becomes an issue. Finally, measures which show high reliability irrespective of the presence of artifacts could be extremely useful in clinical situations when exclusion of artifacts is impractical.
脑电图(EEG)相互作用的测量方法处于当前神经科学研究的前沿。不幸的是,重测信度可能非常低,这取决于测量方法及其估计、感兴趣的EEG频率、信号长度以及所研究的人群。此外,伪迹会妨碍EEG信号的连续性,并且在某些临床情况下排除伪迹是不切实际的。我们旨在研究影响相互作用测量重测信度的因素。该研究纳入了40例患有一系列神经系统疾病和记忆障碍的患者(年龄中位数:60岁;范围21 - 76岁;40%为女性;22例轻度认知障碍,5例主观认知主诉,13例颞叶癫痫)以及20名健康对照者(年龄中位数:61.5岁;范围23 - 74岁;70%为女性)。我们基于多变量自回归模型,从间隔2周的两次EEG记录中计算了14种相互作用测量方法。我们通过将两次EEG记录之间的测量方法进行关联,针对数据长度变化、数据不连续性、伪迹排除、模型阶数和频率,在所有通道组合和所有频率上,对每个受试者单独进行分析,从而得出每个参与者的相关系数,以此来表征重测信度。排除伪迹对某些测量方法的信度有显著影响,例如经典的实值相干性(排除伪迹前约为0.1,排除后约为0.9)。全频率定向传递函数高度可靠且对伪迹具有鲁棒性。数据长度的变化因模型阶数和信号长度调整不佳而降低了信度。不连续性的变化没有影响,但根据测量方法的不同,模型阶数、频率范围和患者组之间的信度有所差异。疾病状态与信号长度或不连续性的变化没有相互作用。我们的结果强调了记录信度的重要性,不同的相互作用测量方法之间信度可能有很大差异。我们建议根据数据的特性谨慎选择相互作用测量方法。当只有短数据段可用,并且在排除伪迹后信号长度在不同受试者之间变化很大时,信度就会成为一个问题。最后,无论是否存在伪迹都显示出高信度的测量方法在排除伪迹不切实际的临床情况下可能会非常有用。