Sharma Gaurav, Karwal Om, Chowdhury Shubhajit Roy
Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:1461-1464. doi: 10.1109/EMBC.2019.8857892.
Non-invasive brain stimulation (NIBS) methods are progressively used as neuromodulator and showing optimistic potential for medical practice. In present study experimental NIRS-tDCS raw dataset of twenty-two sub-acute ischemic stroke patients has been used to explore the significant variation in measured NIRS signal namely cerebral oxygenation, oxy-hemoglobin and deoxy-hemoglobin before and after tDCS. Pearson correlation statistical method is used to determine the strength and relationship between hemodynamic responses. The negative correlation has been shown between oxy-hemoglobin and deoxy-hemoglobin before and after tDCS at 99% confidence interval (P<; 0.01). One sample t-test is used to determine the pre to post tDCS significant change in regional cerebral oxygenation, oxy-hemoglobin and deoxy-hemoglobin independently at 99% confidence interval (P<; 0.01). On the basis of significant change in the NIRS measurement parameters (HbO, Hb and rSO) the healthy and lesioned hemisphere of patients suffering from sub-acute ischemic stroke have been classified. A significant increase in pre to post rSO has been found in the healthy hemispheres of patients. For the lesioned hemisphere, the two cases were found. One is due to the decrease in rSO after tDCS and significant change from pre to post rSO. The second is negligible pre to post change in the rSO and insignificant variation in rSO.
非侵入性脑刺激(NIBS)方法正逐渐被用作神经调节手段,并在医学实践中展现出乐观的潜力。在本研究中,使用了22名亚急性缺血性中风患者的实验性近红外光谱-经颅直流电刺激(NIRS-tDCS)原始数据集,以探究经颅直流电刺激(tDCS)前后测量的近红外光谱信号(即脑氧合、氧合血红蛋白和脱氧血红蛋白)的显著变化。采用Pearson相关统计方法来确定血流动力学反应之间的强度和关系。在99%置信区间(P<0.01)下,tDCS前后氧合血红蛋白和脱氧血红蛋白之间呈现负相关。使用单样本t检验来确定在99%置信区间(P<0.01)下,tDCS前后局部脑氧合、氧合血红蛋白和脱氧血红蛋白的显著变化。基于近红外光谱测量参数(HbO、Hb和rSO)的显著变化,对亚急性缺血性中风患者的健康半球和病变半球进行了分类。在患者的健康半球中发现tDCS前后rSO有显著增加。对于病变半球,发现了两种情况。一种是tDCS后rSO降低且rSO前后有显著变化。另一种是rSO前后变化可忽略不计且rSO变化不显著。