Noda Yoshihiro, Sakaue Kento, Wada Masataka, Takano Mayuko, Nakajima Shinichiro
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo 160-8582, Japan.
Division of DX Promotion, Teijin Limited, Tokyo 100-8585, Japan.
J Pers Med. 2024 Jan 17;14(1):101. doi: 10.3390/jpm14010101.
Depression is the disorder with the greatest socioeconomic burdens. Its diagnosis is still based on an operational diagnosis derived from symptoms, and no objective diagnostic indicators exist. Thus, the present study aimed to develop an artificial intelligence (AI) model to aid in the diagnosis of depression from electroencephalography (EEG) data by applying machine learning to resting-state EEG and transcranial magnetic stimulation (TMS)-evoked EEG acquired from patients with depression and healthy controls. Resting-state EEG and single-pulse TMS-EEG were acquired from 60 patients and 60 healthy controls. Power spectrum analysis, phase synchronization analysis, and phase-amplitude coupling analysis were conducted on EEG data to extract feature candidates to apply different types of machine learning algorithms. Furthermore, to address the limitation of the sample size, dimensionality reduction was performed in a manner to increase the quality of information by featuring robust neurophysiological metrics that showed significant differences between the two groups. Then, nine different machine learning models were applied to the data. For the EEG data, we created models combining four modalities, including (1) resting-state EEG, (2) pre-stimulus TMS-EEG, (3) post-stimulus TMS-EEG, and (4) differences between pre- and post-stimulus TMS-EEG, and evaluated their performance. We found that the best estimation performance (a mean area under the curve of 0.922) was obtained using receiver operating characteristic curve analysis when linear discriminant analysis (LDA) was applied to the combination of the four feature sets. This study showed that by using TMS-EEG neurophysiological indices as features, it is possible to develop a depression decision-support AI algorithm that exhibits high discrimination accuracy.
抑郁症是社会经济负担最重的疾病。其诊断仍基于从症状得出的操作性诊断,且不存在客观诊断指标。因此,本研究旨在通过对抑郁症患者和健康对照者采集的静息态脑电图(EEG)以及经颅磁刺激(TMS)诱发的EEG应用机器学习,开发一种人工智能(AI)模型,以辅助从EEG数据中诊断抑郁症。从60例患者和60名健康对照者采集了静息态EEG和单脉冲TMS-EEG。对EEG数据进行了功率谱分析、相位同步分析和相位-幅度耦合分析,以提取特征候选物,应用不同类型的机器学习算法。此外,为解决样本量的限制,通过采用在两组之间显示出显著差异的稳健神经生理指标来提高信息质量的方式进行了降维。然后,将九种不同的机器学习模型应用于数据。对于EEG数据,我们创建了结合四种模式的模型,包括(1)静息态EEG、(2)刺激前TMS-EEG、(3)刺激后TMS-EEG以及(4)刺激前后TMS-EEG的差异,并评估了它们的性能。我们发现,当将线性判别分析(LDA)应用于四个特征集的组合时,使用受试者工作特征曲线分析获得了最佳估计性能(曲线下平均面积为0.922)。这项研究表明,通过使用TMS-EEG神经生理指标作为特征,有可能开发出一种具有高辨别准确率的抑郁症决策支持AI算法。