Department of System Design Engineering, School of Integrated Design Engineering, Faculty of Science and Technology, Keio University, Yokohama, Kanagawa, Japan.
Keio Global Institute(KGRI), Keio University, Tokyo, Japan.
BMC Psychiatry. 2022 Apr 22;22(1):289. doi: 10.1186/s12888-022-03932-0.
Previous studies using EEG (electroencephalography) as biomarker for dementia have attempted to research, but results have been inconsistent. Most of the studies have extremely small number of samples (average N = 15) and studies with large number of data do not have control group. We identified EEG features that may be biomarkers for dementia with 120 subjects (dementia 10, MCI 33, against control 77).
We recorded EEG from 120 patients with dementia as they stayed in relaxed state using a single-channel EEG device while conducting real-time noise reduction and compared them to healthy subjects. Differences in EEG between patients and controls, as well as differences in patients' severity, were examined using the ratio of power spectrum at each frequency.
In comparing healthy controls and dementia patients, significant power spectrum differences were observed at 3 Hz, 4 Hz, and 10 Hz and higher frequencies. In patient group, differences in the power spectrum were observed between asymptomatic patients and healthy individuals, and between patients of each respective severity level and healthy individuals.
A study with a larger sample size should be conducted to gauge reproducibility, but the results implied the effectiveness of EEG in clinical practice as a biomarker of MCI (mild cognitive impairment) and/or dementia.
先前使用 EEG(脑电图)作为痴呆症生物标志物的研究都曾试图进行研究,但结果并不一致。大多数研究的样本数量极少(平均 N=15),而数据量较大的研究没有对照组。我们从 120 名患者(痴呆症 10 名,MCI 33 名,对照组 77 名)中识别出可能是痴呆症生物标志物的 EEG 特征。
我们使用单通道 EEG 设备记录了 120 名痴呆症患者在放松状态下的 EEG,同时进行实时降噪,并将其与健康受试者进行比较。使用每个频率的频谱功率比来检查患者和对照组之间的 EEG 差异,以及患者严重程度之间的差异。
在比较健康对照组和痴呆症患者时,在 3 Hz、4 Hz 和 10 Hz 以及更高频率下观察到明显的频谱功率差异。在患者组中,无症状患者与健康个体之间以及每个严重程度级别的患者与健康个体之间观察到频谱功率的差异。
应该进行更大样本量的研究来衡量可重复性,但结果表明 EEG 在临床实践中作为 MCI(轻度认知障碍)和/或痴呆症的生物标志物是有效的。