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定量脑电图频谱和连接分析在遗忘型轻度认知障碍认知衰退中的应用。

Quantitative EEG Spectral and Connectivity Analysis for Cognitive Decline in Amnestic Mild Cognitive Impairment.

机构信息

Department of Neurology, Prof. Kornel Gibiński University Clinical Center, Medical University of Silesia, Katowice, Poland.

Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland.

出版信息

J Alzheimers Dis. 2024;97(3):1235-1247. doi: 10.3233/JAD-230485.

Abstract

BACKGROUND

Mild cognitive impairment (MCI) is considered to be the borderline of cognitive changes associated with aging and very early dementia. Cognitive functions in MCI can improve, remain stable or progress to clinically probable AD. Quantitative electroencephalography (qEEG) can become a useful tool for using the analytical techniques to quantify EEG patterns indicating cognitive impairment.

OBJECTIVE

The aim of our study was to assess spectral and connectivity analysis of the EEG resting state activity in amnestic MCI (aMCI) patients in comparison with healthy control group (CogN).

METHODS

30 aMCI patients and 23 CogN group, matched by age and education, underwent equal neuropsychological assessment and EEG recording, according to the same protocol.

RESULTS

qEEG spectral analysis revealed decrease of global relative beta band power and increase of global relative theta and delta power in aMCI patients. Whereas, decreased coherence in centroparietal right area considered to be an early qEEG biomarker of functional disconnection of the brain network in aMCI patients. In conclusion, the demonstrated changes in qEEG, especially, the coherence patterns are specific biomarkers of cognitive impairment in aMCI.

CONCLUSIONS

Therefore, qEEG measurements appears to be a useful tool that complements neuropsychological diagnostics, assessing the risk of progression and provides a basis for possible interventions designed to improve cognitive functions or even inhibit the progression of the disease.

摘要

背景

轻度认知障碍 (MCI) 被认为是与衰老和非常早期痴呆相关的认知变化的边缘。MCI 中的认知功能可以改善、保持稳定或进展为临床可能的 AD。定量脑电图 (qEEG) 可以成为一种有用的工具,使用分析技术来量化表明认知障碍的 EEG 模式。

目的

我们研究的目的是评估遗忘型轻度认知障碍 (aMCI) 患者与健康对照组 (CogN) 之间静息状态 EEG 活动的频谱和连通性分析。

方法

30 名 aMCI 患者和 23 名年龄和教育程度相匹配的 CogN 组按照相同的方案接受了相同的神经心理学评估和 EEG 记录。

结果

qEEG 频谱分析显示 aMCI 患者的全局相对β波段功率降低,全局相对θ和δ波段功率增加。而中顶叶右区的相干性降低被认为是 aMCI 患者大脑网络功能连接中断的早期 qEEG 生物标志物。总之,qEEG 显示的变化,尤其是相干模式,是 aMCI 认知障碍的特异性生物标志物。

结论

因此,qEEG 测量似乎是一种有用的工具,可补充神经心理学诊断,评估进展风险,并为可能旨在改善认知功能甚至抑制疾病进展的干预措施提供基础。

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