Yi Li, Xie Guojun, Li Zhihao, Li Xiaoling, Zhang Yizheng, Wu Kai, Shao Guangjian, Lv Biliang, Jing Huan, Zhang Chunguo, Liang Wenting, Sun Jinyan, Hao Zhifeng, Liang Jiaquan
School of Mechatronic Engineering and Automation, Foshan University, Foshan, China.
Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, China.
Front Neurosci. 2023 Aug 24;17:1205931. doi: 10.3389/fnins.2023.1205931. eCollection 2023.
Depression is a common mental disorder that seriously affects patients' social function and daily life. Its accurate diagnosis remains a big challenge in depression treatment. In this study, we used electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) and measured the whole brain EEG signals and forehead hemodynamic signals from 25 depression patients and 30 healthy subjects during the resting state. On one hand, we explored the EEG brain functional network properties, and found that the clustering coefficient and local efficiency of the delta and theta bands in patients were significantly higher than those in normal subjects. On the other hand, we extracted brain network properties, asymmetry, and brain oxygen entropy as alternative features, used a data-driven automated method to select features, and established a support vector machine model for automatic depression classification. The results showed the classification accuracy was 81.8% when using EEG features alone and increased to 92.7% when using hybrid EEG and fNIRS features. The brain network local efficiency in the delta band, hemispheric asymmetry in the theta band and brain oxygen sample entropy features differed significantly between the two groups ( < 0.05) and showed high depression distinguishing ability indicating that they may be effective biological markers for identifying depression. EEG, fNIRS and machine learning constitute an effective method for classifying depression at the individual level.
抑郁症是一种常见的精神障碍,严重影响患者的社交功能和日常生活。其准确诊断仍是抑郁症治疗中的一大挑战。在本研究中,我们使用脑电图(EEG)和功能近红外光谱(fNIRS),测量了25名抑郁症患者和30名健康受试者在静息状态下的全脑EEG信号和前额血流动力学信号。一方面,我们探究了EEG脑功能网络特性,发现患者中δ波和θ波频段的聚类系数和局部效率显著高于正常受试者。另一方面,我们提取脑网络特性、不对称性和脑氧熵作为替代特征,采用数据驱动的自动化方法进行特征选择,并建立了用于抑郁症自动分类的支持向量机模型。结果表明,仅使用EEG特征时分类准确率为81.8%,使用EEG和fNIRS混合特征时提高到92.7%。两组之间δ波频段的脑网络局部效率、θ波频段的半球不对称性和脑氧样本熵特征存在显著差异(<0.05),且显示出较高的抑郁症区分能力,表明它们可能是识别抑郁症的有效生物学标志物。EEG、fNIRS和机器学习构成了一种在个体水平上对抑郁症进行分类的有效方法。