The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.
Department of Psychiatry, Zhejiang Provincial People's Hospital, Hangzhou, China.
Int J Psychophysiol. 2022 Dec;182:182-189. doi: 10.1016/j.ijpsycho.2022.10.010. Epub 2022 Oct 27.
Alzheimer's disease (AD), a neurodegenerative disorder characterized by progressive cognitive decline, is generally prevalent in elderly people with significant disability and mortality. There is no effective treatment for AD currently, but the early diagnosis might be beneficial for delaying the disease progression. Apart from invasive laboratory tests and expensive neuroimaging examination, the electroencephalography (EEG) and event related potentials (ERPs) have emerged as promising approaches for the early detection of AD as well as mild cognitive impairment (MCI), due to its affordability, noninvasively, and superior temporal resolution. In addition, the recent advent of deep learning architectures further improves the accuracy of AD and MCI diagnosis. This article reviewed the application of EEG signal for the early diagnosis of AD and MCI, especially focusing on ERPs and deep learning. Furthermore, recommendation for further research to recruit the combination of ERP components and deep leaning models in diagnosing AD and MCI was proposed and highlighted.
阿尔茨海默病(AD)是一种神经退行性疾病,其特征是进行性认知能力下降,通常在有明显残疾和死亡率的老年人中普遍存在。目前尚无有效的 AD 治疗方法,但早期诊断可能有助于延缓疾病进展。除了侵入性实验室测试和昂贵的神经影像学检查外,由于其价格合理、非侵入性和较高的时间分辨率,脑电图(EEG)和事件相关电位(ERPs)已成为 AD 以及轻度认知障碍(MCI)早期检测的有前途的方法。此外,深度学习架构的最新出现进一步提高了 AD 和 MCI 诊断的准确性。本文综述了 EEG 信号在 AD 和 MCI 早期诊断中的应用,特别是针对 ERPs 和深度学习。此外,还提出并强调了进一步研究的建议,以招募 ERP 成分和深度学习模型的组合来诊断 AD 和 MCI。