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临床脑电图中健康状况的信号复杂度指标。

Signal complexity indicators of health status in clinical EEG.

机构信息

Rotman Research Institute, Baycrest Centre, 3560 Bathurst Street, Toronto, ON, M6A 2E1, Canada.

University of Toronto, Toronto, Canada.

出版信息

Sci Rep. 2021 Oct 12;11(1):20192. doi: 10.1038/s41598-021-99717-8.

Abstract

Brain signal variability changes across the lifespan in both health and disease, likely reflecting changes in information processing capacity related to development, aging and neurological disorders. While signal complexity, and multiscale entropy (MSE) in particular, has been proposed as a biomarker for neurological disorders, most observations of altered signal complexity have come from studies comparing patients with few to no comorbidities against healthy controls. In this study, we examined whether MSE of brain signals was distinguishable across patient groups in a large and heterogeneous set of clinical-EEG data. Using a multivariate analysis, we found unique timescale-dependent differences in MSE across various neurological disorders. We also found MSE to differentiate individuals with non-brain comorbidities, suggesting that MSE is sensitive to brain signal changes brought about by metabolic and other non-brain disorders. Such changes were not detectable in the spectral power density of brain signals. Our findings suggest that brain signal complexity may offer complementary information to spectral power about an individual's health status and is a promising avenue for clinical biomarker development.

摘要

大脑信号的变异性在健康和疾病中都随着生命周期而变化,可能反映了与发育、衰老和神经障碍相关的信息处理能力的变化。虽然信号复杂性,特别是多尺度熵(MSE)已被提议作为神经障碍的生物标志物,但大多数关于信号复杂性改变的观察结果都来自于将患有少数或没有合并症的患者与健康对照进行比较的研究。在这项研究中,我们检查了 MSE 在大量和异质的临床-EEG 数据中的患者组之间是否具有可区分性。使用多元分析,我们发现 MSE 在各种神经障碍中存在独特的依赖于时间尺度的差异。我们还发现 MSE 可以区分患有非脑部合并症的个体,这表明 MSE 对代谢和其他非脑部疾病引起的大脑信号变化敏感。在脑信号的频谱功率密度中无法检测到这种变化。我们的研究结果表明,大脑信号复杂性可能为个体的健康状况提供与频谱功率互补的信息,并且是临床生物标志物开发的有前途的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517f/8511087/3fb4fb823ff2/41598_2021_99717_Fig1_HTML.jpg

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