Geng Duyan, Wang Chao, Fu Zhigang, Zhang Yi, Yang Kai, An Hongxia
State Key Laboratory of Reliability and Intelligence of Electrical Equipment, Hebei University of Technology, Tianjin, China.
Key Laboratory of Electromagnetic Field and Electrical Apparatus Reliability of Hebei Province, Hebei University of Technology, Tianjin, China.
Front Aging Neurosci. 2022 Apr 13;14:865558. doi: 10.3389/fnagi.2022.865558. eCollection 2022.
Mild Cognitive Impairment (MCI) is an early stage of dementia, which may lead to Alzheimer's disease (AD) in older adults. Therefore, early detection of MCI and implementation of treatment and intervention can effectively slow down or even inhibit the progression of the disease, thus minimizing the risk of AD. Currently, we know that published work relies on an analysis of awake EEG recordings. However, recent studies have suggested that changes in the structure of sleep may lead to cognitive decline. In this work, we propose a sleep EEG-based method for MCI detection, extracting specific features of sleep to characterize neuroregulatory deficit emergent with MCI. This study analyzed the EEGs of 40 subjects (20 MCI, 20 HC) with the developed algorithm. We extracted sleep slow waves and spindles features, combined with spectral and complexity features from sleep EEG, and used the SVM classifier and GRU network to identify MCI. In addition, the classification results of different feature sets (including with sleep features from sleep EEG and without sleep features from awake EEG) and different classification methods were evaluated. Finally, the MCI classification accuracy of the GRU network based on features extracted from sleep EEG was the highest, reaching 93.46%. Experimental results show that compared with the awake EEG, sleep EEG can provide more useful information to distinguish between MCI and HC. This method can not only improve the classification performance but also facilitate the early intervention of AD.
轻度认知障碍(MCI)是痴呆症的早期阶段,在老年人中可能会发展为阿尔茨海默病(AD)。因此,早期检测MCI并实施治疗和干预可以有效减缓甚至抑制疾病的进展,从而将患AD的风险降至最低。目前,我们知道已发表的研究工作依赖于对清醒脑电图记录的分析。然而,最近的研究表明,睡眠结构的变化可能导致认知能力下降。在这项工作中,我们提出了一种基于睡眠脑电图的MCI检测方法,提取睡眠的特定特征以表征MCI出现时的神经调节缺陷。本研究使用所开发的算法分析了40名受试者(20名MCI患者,20名健康对照)的脑电图。我们提取了睡眠慢波和纺锤波特征,并结合睡眠脑电图的频谱和复杂度特征,使用支持向量机(SVM)分类器和门控循环单元(GRU)网络来识别MCI。此外,还评估了不同特征集(包括有睡眠脑电图的睡眠特征和无清醒脑电图的睡眠特征)和不同分类方法的分类结果。最后,基于从睡眠脑电图提取的特征的GRU网络的MCI分类准确率最高,达到93.46%。实验结果表明,与清醒脑电图相比,睡眠脑电图可以提供更多有用信息来区分MCI和健康对照。该方法不仅可以提高分类性能,还便于AD的早期干预。