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[精神分裂症患者在认知负荷下的脑电图特征研究]

[Research on electroencephalogram specifics in patients with schizophrenia under cognitive load].

作者信息

Du Xin, Li Jiahui, Xiong Dongsheng, Pan Zhilin, Wu Fengchun, Ning Yuping, Chen Jun, Wu Kai

机构信息

Department of Biomedical Engineering, School of Material Science and Engineering, South China University of Technology, Guangzhou 510006, P.R.China;Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou 510370, P.R.China.

Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou 510370, P.R.China;Guangzhou Huiai Hospital, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510370, P.R.China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Feb 25;37(1):45-53. doi: 10.7507/1001-5515.201810007.

Abstract

Cognitive impairment is one of the three primary symptoms of schizophrenic patients and shows important value in early detection and warning for high-risk individuals. To study the specifics of electroencephalogram (EEG) in patients with schizophrenia under the cognitive load, we collected EEG signals from 17 schizophrenic patients and 19 healthy controls, extracted signals of each band based on wavelet transform, calculated the characteristics of nonlinear dynamic and functional brain networks, and automatically classified the two groups of people by using a machine learning algorithm. Experimental results indicated that the correlation dimension and sample entropy showed significant differences in α, β, θ, and γ rhythm of the Fp1 and Fp2 electrodes between groups under the cognitive load. These results implied that the functional disruptions in the frontal lobe might be the important factors of cognitive impairments in schizophrenic patients. Further results of the automatic classification analysis indicated that the combination of nonlinear dynamics and functional brain network properties as the input characteristics of the classifier showed the best performance, with the accuracy of 76.77%, sensitivity of 72.09%, and specificity of 80.36%. The results of this study demonstrated that the combination of nonlinear dynamics and function brain network properties may be potential biomarkers for early screening and auxiliary diagnosis of schizophrenia.

摘要

认知障碍是精神分裂症患者的三大主要症状之一,在高危个体的早期检测和预警中具有重要价值。为研究认知负荷下精神分裂症患者的脑电图(EEG)特征,我们收集了17例精神分裂症患者和19名健康对照者的EEG信号,基于小波变换提取各频段信号,计算非线性动力学和功能性脑网络特征,并使用机器学习算法对两组人群进行自动分类。实验结果表明,在认知负荷下,两组间Fp1和Fp2电极α、β、θ和γ节律的关联维数和样本熵存在显著差异。这些结果提示额叶功能障碍可能是精神分裂症患者认知障碍的重要因素。自动分类分析的进一步结果表明,将非线性动力学和功能性脑网络属性作为分类器的输入特征表现最佳,准确率为76.77%,灵敏度为72.09%,特异度为80.36%。本研究结果表明,非线性动力学和功能性脑网络属性的结合可能是精神分裂症早期筛查和辅助诊断的潜在生物标志物。

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