DIIES, University Mediterranea of Reggio Calabria, Reggio Calabria, Italy.
IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Med Biol Eng Comput. 2019 Sep;57(9):1961-1983. doi: 10.1007/s11517-019-02004-y. Epub 2019 Jul 12.
In this paper, we propose a network analysis-based approach to help experts in their analyses of subjects with mild cognitive impairment (hereafter, MCI) and Alzheimer's disease (hereafter, AD) and to investigate the evolution of these subjects over time. The inputs of our approach are the electroencephalograms (hereafter, EEGs) of the patients to analyze, performed at a certain time and, again, 3 months later. Given an EEG of a subject, our approach constructs a network with nodes that represent the electrodes and edges that denote connections between electrodes. Then, it applies several network-based techniques allowing the investigation of subjects with MCI and AD and the analysis of their evolution over time. (i) A connection coefficient, supporting experts to distinguish patients with MCI from patients with AD; (ii) A conversion coefficient, supporting experts to verify if a subject with MCI is converting to AD; (iii) Some network motifs, i.e., network patterns very frequent in one kind of patient and absent, or very rare, in the other. Patients with AD, just by the very nature of their condition, cannot be forced to stay motionless while undergoing examinations for a long time. EEG is a non-invasive examination that can be easily done on them. Since AD and MCI, if prodromal to AD, are associated with a loss of cortical connections, the adoption of network analysis appears suitable to investigate the effects of the progression of the disease on EEG. This paper confirms the suitability of this idea Graphical Abstract Ability of our proposed model to distinguish a control subject from a patient with MCI and a patient with AD. Blue edges represent strong connections among the corresponding brain areas; red edges denote middle connections, whereas green edges indicate weak connections. In the control subject (at the top), most connections are blue. In the patient with MCI (at the middle), most connections are red and green. In the patient with AD (at the bottom), most connections are either absent or green. .
在本文中,我们提出了一种基于网络分析的方法,帮助专家分析轻度认知障碍(以下简称 MCI)和阿尔茨海默病(以下简称 AD)患者,并研究这些患者随时间的演变。我们的方法的输入是要分析的患者的脑电图(以下简称 EEG),在特定时间进行,然后再过 3 个月再次进行。给定一个主体的 EEG,我们的方法构建一个具有节点表示电极和边表示电极之间连接的网络。然后,它应用了几种基于网络的技术,允许研究 MCI 和 AD 患者,并分析他们随时间的演变。(i)连接系数,支持专家区分 MCI 患者和 AD 患者;(ii)转换系数,支持专家验证是否 MCI 患者正在向 AD 转化;(iii)一些网络模式,即非常频繁出现在一种患者中的网络模式,而在另一种患者中不存在或非常罕见。患有 AD 的患者,仅仅因为他们的病情性质,不能在长时间的检查中保持不动。脑电图是一种可以很容易对他们进行的非侵入性检查。由于 AD 和 MCI,如果是 AD 的前驱期,与皮质连接的丧失有关,因此采用网络分析似乎适合研究疾病进展对 EEG 的影响。本文证实了这一想法的适宜性。