Qiu Lina, Li Jianping, Pan Jiahui
School of Software, South China Normal University, Guangzhou, China.
Front Neurosci. 2022 Jul 27;16:957181. doi: 10.3389/fnins.2022.957181. eCollection 2022.
Parkinson's disease (PD) is a complex neurodegenerative disease. At present, the early diagnosis of PD is still extremely challenging, and there is still a lack of consensus on the brain characterization of PD, and a more efficient and robust PD detection method is urgently needed. In order to further explore the features of PD based on brain activity and achieve effective detection of PD patients (including OFF and ON medications), in this study, a multi-pattern analysis based on brain activation and brain functional connectivity was performed on the brain functional activity of PD patients, and a novel PD detection model based on multi-scale convolutional neural network (MCNN) was proposed. Based on the analysis of power spectral density (PSD) and phase-locked value (PLV) features of multiple frequency bands of two independent resting-state electroencephalography (EEG) datasets, we found that there were significant differences in PSD and PLV between HCs and PD patients (including OFF and ON medications), especially in the β and γ bands, which were very effective for PD detection. Moreover, the combined use of brain activation represented by PSD and functional connectivity patterns represented by PLV can effectively improve the performance of PD detection. Furthermore, our proposed MCNN model shows great potential for automatic PD detection, with cross-validation accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve all above 99%. Our study may help to further understand the characteristics of PD and provide new ideas for future PD diagnosis based on spontaneous EEG activity.
帕金森病(PD)是一种复杂的神经退行性疾病。目前,PD的早期诊断仍然极具挑战性,对于PD的脑特征仍缺乏共识,迫切需要一种更高效、更稳健的PD检测方法。为了进一步探索基于脑活动的PD特征并实现对PD患者(包括未服药和服药状态)的有效检测,本研究对PD患者的脑功能活动进行了基于脑激活和脑功能连接的多模式分析,并提出了一种基于多尺度卷积神经网络(MCNN)的新型PD检测模型。基于对两个独立静息态脑电图(EEG)数据集多个频段的功率谱密度(PSD)和锁相值(PLV)特征的分析,我们发现健康对照(HCs)与PD患者(包括未服药和服药状态)之间的PSD和PLV存在显著差异,尤其是在β和γ频段,这些频段对PD检测非常有效。此外,将以PSD表示的脑激活与以PLV表示的功能连接模式结合使用可以有效提高PD检测的性能。此外,我们提出的MCNN模型在自动PD检测方面显示出巨大潜力,交叉验证准确率、灵敏度、特异性以及受试者工作特征曲线下面积均高于99%。我们的研究可能有助于进一步了解PD的特征,并为未来基于自发EEG活动的PD诊断提供新思路。