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脑电信号中基于小波脊的癫痫诊断特征提取:脑外伤后长期监测与康复

Wavelet Ridges in EEG Diagnostic Features Extraction: Epilepsy Long-Time Monitoring and Rehabilitation after Traumatic Brain Injury.

机构信息

Kotelnikov Institute of Radio Engineering and Electronics of RAS, Mokhovaya St. 11-7, 125009 Moscow, Russia.

Department of Neurosurgery of the Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Bolshaya Sukharevskaya Square 3, 129090 Moscow, Russia.

出版信息

Sensors (Basel). 2021 Sep 7;21(18):5989. doi: 10.3390/s21185989.

Abstract

Interchannel EEG synchronization, as well as its violation, is an important diagnostic sign of a number of diseases. In particular, during an epileptic seizure, such synchronization occurs starting from some pairs of channels up to many pairs in a generalized seizure. Additionally, for example, after traumatic brain injury, the destruction of interneuronal connections occurs, which leads to a violation of interchannel synchronization when performing motor or cognitive tests. Within the framework of a unified approach to the analysis of interchannel EEG synchronization using the ridges of wavelet spectra, two problems were solved. First, the segmentation of the initial data of long-term monitoring of scalp EEG with various artifacts into fragments suspicious of epileptic seizures in order to reduce the total duration of the fragments analyzed by the doctor. Second, assessments of recovery after rehabilitation of cognitive functions in patients with moderate traumatic brain injury. In the first task, the initial EEG was segmented into fragments in which at least two channels were synchronized, and by the adaptive threshold method into fragments with a high value of the EEG power spectral density. Overlapping in time synchronized fragments with fragments of high spectral power density was determined. As a result, the total duration of the fragments for analysis by the doctor was reduced by more than 60 times. In the second task, the network of phase-related EEG channels was determined during the cognitive test before and after rehabilitation. Calculation-logical and spatial-pattern cognitive tests were used. The positive dynamics of rehabilitation was determined during the initialization of interhemispheric connections and connections in the frontal cortex of the brain.

摘要

脑电通道间的同步性及其破坏是许多疾病的重要诊断标志。特别是在癫痫发作期间,这种同步性会从一些通道对开始,在全身性发作中甚至会扩展到许多通道对。此外,例如,在脑外伤后,神经元间连接遭到破坏,这会导致在进行运动或认知测试时出现通道间同步性破坏。在使用子波谱脊线对脑电通道间同步性进行统一分析的框架内,解决了两个问题。首先,将头皮脑电长期监测中的存在各种伪迹的原始数据分段为疑似癫痫发作的片段,以减少医生需要分析的片段总时长。其次,对中度脑外伤患者认知功能康复后的情况进行评估。在第一个任务中,将初始脑电分段为至少两个通道同步的片段,并通过自适应阈值方法将片段分为脑电功率谱密度值高的片段。通过重叠时间同步的片段和高谱功率密度的片段来确定。结果,医生需要分析的片段总时长减少了 60 多倍。在第二个任务中,在康复前后的认知测试中确定了与相位相关的脑电通道网络。使用了计算逻辑和空间模式认知测试。在大脑半球间连接和额叶连接的初始化过程中,确定了康复的积极动态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fbd/8468146/9d44bb3ef967/sensors-21-05989-g001.jpg

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