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基于脑电图深度学习的痴呆病例多种病因的精确鉴别

Precise Discrimination for Multiple Etiologies of Dementia Cases Based on Deep Learning with Electroencephalography.

作者信息

Hata Masahiro, Watanabe Yusuke, Tanaka Takumi, Awata Kimihisa, Miyazaki Yuki, Fukuma Ryohei, Taomoto Daiki, Satake Yuto, Suehiro Takashi, Kanemoto Hideki, Yoshiyama Kenji, Iwase Masao, Ikeda Shunichiro, Nishida Keiichiro, Takekita Yoshiteru, Yoshimura Masafumi, Ishii Ryouhei, Kazui Hiroaki, Harada Tatsuya, Kishima Haruhiko, Ikeda Manabu, Yanagisawa Takufumi

机构信息

Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan.

Institute for Advanced Co-creation studies, Osaka University, Osaka, Japan.

出版信息

Neuropsychobiology. 2023;82(2):81-90. doi: 10.1159/000528439. Epub 2023 Jan 19.

Abstract

INTRODUCTION

It is critical to develop accurate and universally available biomarkers for dementia diseases to appropriately deal with the dementia problems under world-wide rapid increasing of patients with dementia. In this sense, electroencephalography (EEG) has been utilized as a promising examination to screen and assist in diagnosing dementia, with advantages of sensitiveness to neural functions, inexpensiveness, and high availability. Moreover, the algorithm-based deep learning can expand EEG applicability, yielding accurate and automatic classification easily applied even in general hospitals without any research specialist.

METHODS

We utilized a novel deep neural network, with which high accuracy of discrimination was archived in neurological disorders in the previous study. Based on this network, we analyzed EEG data of healthy volunteers (HVs, N = 55), patients with Alzheimer's disease (AD, N = 101), dementia with Lewy bodies (DLB, N = 75), and idiopathic normal pressure hydrocephalus (iNPH, N = 60) to evaluate the discriminative accuracy of these diseases.

RESULTS

High discriminative accuracies were archived between HV and patients with dementia, yielding 81.7% (vs. AD), 93.9% (vs. DLB), 93.1% (vs. iNPH), and 87.7% (vs. AD, DLB, and iNPH).

CONCLUSION

This study revealed that the EEG data of patients with dementia were successfully discriminated from HVs based on a novel deep learning algorithm, which could be useful for automatic screening and assisting diagnosis of dementia diseases.

摘要

引言

随着全球痴呆症患者数量的迅速增加,开发准确且普遍可用的痴呆症生物标志物对于妥善应对痴呆症问题至关重要。从这个意义上讲,脑电图(EEG)已被用作一种有前景的检查方法来筛查和辅助诊断痴呆症,其具有对神经功能敏感、成本低廉且易于获取的优点。此外,基于算法的深度学习可以扩展脑电图的适用性,实现准确且自动的分类,甚至在没有任何研究专家的普通医院也能轻松应用。

方法

我们使用了一种新型深度神经网络,在先前的研究中,该网络在神经系统疾病的判别中实现了高精度。基于此网络,我们分析了健康志愿者(HV,N = 55)、阿尔茨海默病患者(AD,N = 101)、路易体痴呆患者(DLB,N = 75)和特发性正常压力脑积水患者(iNPH,N = 60)的脑电图数据,以评估这些疾病的判别准确性。

结果

在HV与痴呆症患者之间实现了高判别准确率,与AD相比为81.7%,与DLB相比为93.9%,与iNPH相比为93.1%,与AD、DLB和iNPH相比为87.7%。

结论

本研究表明,基于一种新型深度学习算法,痴呆症患者的脑电图数据能够成功地与HV区分开来,这对于痴呆症疾病的自动筛查和辅助诊断可能是有用的。

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