Okumura Eiichi, Hoshi Hideyuki, Morise Hirofumi, Okumura Naohiro, Fukasawa Keisuke, Ichikawa Sayuri, Asakawa Takashi, Shigihara Yoshihito
Medical Imaging Business Center, Ricoh Company, Ltd., Kanazawa, JPN.
Precision Medicine Centre, Hokuto Hospital, Obihiro, JPN.
Cureus. 2024 Jan 20;16(1):e52637. doi: 10.7759/cureus.52637. eCollection 2024 Jan.
Background Cognition is a vital sign and its deterioration is a major concern in clinical medicine. It is usually evaluated using neuropsychological assessments, which have innate limitations such as the practice effect. To compensate for these assessments, the oscillatory power of resting-state brain activity has recently become available. The power is obtained noninvasively using magnetoencephalography and is summarized by spectral parameters such as the median frequency (MF), individual alpha frequency (IAF), spectral edge frequency 95 (SEF95), and Shannon's spectral entropy (SSE). As these parameters are less sensitive to practice effects, they are suitable for longitudinal studies. However, their reliability remains unestablished, hindering their proactive use in clinical practice. Therefore, we aimed to quantify the within-participant reliability of these parameters using repeated measurements of healthy participants to facilitate their clinical use and to evaluate the observed changes/differences in these parameters reported in previous studies. Methodology Resting-state brain activity with eyes closed was recorded using magnetoencephalography for five minutes from 15 healthy individuals (29.3 ± 4.6 years old: ranging from 23 to 28 years old). The following four spectral parameters were calculated: MF, IAF, SEF95, and SSE. To quantify reliability, the minimal detectable change (MDC) and intraclass correlation coefficient (ICC) were computed for each parameter. In addition, we used MDCs to evaluate the changes and differences in the spectral parameters reported in previous longitudinal and cross-sectional studies. Results The MDC at 95% confidence interval (MDC95) of MF, IAF, SEF95, and SSE were 0.61 Hz, 0.44 Hz, 2.91 Hz, and 0.028, respectively. The ICCs of these parameters were 0.96, 0.92, 0.94, and 0.83, respectively. The MDC95 of these parameters was smaller than the mean difference in the parameters between cognitively healthy individuals and patients with dementia, as reported in previous studies. Conclusions The spectral parameter changes/differences observed in prior studies were not attributed to measurement errors but rather reflected genuine effects. Furthermore, all spectral parameters exhibited high ICCs (>0.8), underscoring their robust within-participant reliability. Our results support the clinical use of these parameters, especially in the longitudinal monitoring and evaluation of the outcomes of interventions.
认知是一项生命体征,其衰退是临床医学中的一个主要关注点。通常使用神经心理学评估来对其进行评估,而这些评估存在诸如练习效应等固有局限性。为了弥补这些评估的不足,静息态脑活动的振荡功率最近已可供使用。该功率通过脑磁图无创获取,并由诸如中位数频率(MF)、个体阿尔法频率(IAF)、频谱边缘频率95(SEF95)和香农频谱熵(SSE)等频谱参数进行汇总。由于这些参数对练习效应不太敏感,它们适用于纵向研究。然而,它们的可靠性尚未确立,这阻碍了它们在临床实践中的积极应用。因此,我们旨在通过对健康参与者进行重复测量来量化这些参数在个体内的可靠性,以促进它们的临床应用,并评估先前研究中报告的这些参数的观察到的变化/差异。
使用脑磁图对15名健康个体(29.3±4.6岁:年龄范围为23至28岁)闭眼状态下的静息态脑活动进行5分钟记录。计算以下四个频谱参数:MF、IAF、SEF95和SSE。为了量化可靠性,计算每个参数的最小可检测变化(MDC)和组内相关系数(ICC)。此外,我们使用MDC来评估先前纵向和横断面研究中报告的频谱参数的变化和差异。
MF、IAF、SEF95和SSE在95%置信区间的MDC(MDC95)分别为0.61Hz、0.44Hz、2.91Hz和0.028。这些参数的ICC分别为0.96、0.92、0.94和0.83。如先前研究报告,这些参数的MDC95小于认知健康个体与痴呆患者之间参数的平均差异。
先前研究中观察到的频谱参数变化/差异并非归因于测量误差,而是反映了真实效应。此外,所有频谱参数均表现出较高的ICC(>0.8),强调了它们在个体内的稳健可靠性。我们的结果支持这些参数的临床应用,特别是在干预结果的纵向监测和评估中。