You Yimeng, Li Yahui, Yu Baobao, Ying Ankai, Zhou Huilin, Zuo Guokun, Xu Jialin
Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, Zhejiang, China.
Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, Zhejiang, China.
Front Neurosci. 2024 Mar 12;18:1341986. doi: 10.3389/fnins.2024.1341986. eCollection 2024.
In studies on consciousness detection for patients with disorders of consciousness, difference comparison of EEG responses based on active and passive task modes is difficult to sensitively detect patients' consciousness, while a single potential analysis of EEG responses cannot comprehensively and accurately determine patients' consciousness status. Therefore, in this paper, we designed a new consciousness detection paradigm based on a multi-stage cognitive task that could induce a series of event-related potentials and ERD/ERS phenomena reflecting different consciousness contents. A simple and direct task of paying attention to breathing was designed, and a comprehensive evaluation of consciousness level was conducted using multi-feature joint analysis.
We recorded the EEG responses of 20 healthy subjects in three modes and reported the consciousness-related mean event-related potential amplitude, ERD/ERS phenomena, and the classification accuracy, sensitivity, and specificity of the EEG responses under different conditions.
The results showed that the EEG responses of the subjects under different conditions were significantly different in the time domain and time-frequency domain. Compared with the passive mode, the amplitudes of the event-related potentials in the breathing mode were further reduced, and the theta-ERS and alpha-ERD phenomena in the frontal region were further weakened. The breathing mode showed greater distinguishability from the active mode in machine learning-based classification.
By analyzing multiple features of EEG responses in different modes and stimuli, it is expected to achieve more sensitive and accurate consciousness detection. This study can provide a new idea for the design of consciousness detection methods.
在意识障碍患者的意识检测研究中,基于主动和被动任务模式的脑电图(EEG)反应差异比较难以灵敏地检测患者的意识,而对EEG反应进行单一电位分析又无法全面、准确地判定患者的意识状态。因此,本文设计了一种基于多阶段认知任务的新型意识检测范式,该范式能够诱发一系列反映不同意识内容的事件相关电位和事件相关去同步化/事件相关同步化(ERD/ERS)现象。设计了一个简单直接的关注呼吸任务,并采用多特征联合分析对意识水平进行综合评估。
我们记录了20名健康受试者在三种模式下的EEG反应,并报告了与意识相关的平均事件相关电位幅度、ERD/ERS现象以及不同条件下EEG反应的分类准确率、敏感性和特异性。
结果表明,受试者在不同条件下的EEG反应在时域和时频域均存在显著差异。与被动模式相比,呼吸模式下事件相关电位的幅度进一步降低,额叶区域的θ-ERS和α-ERD现象进一步减弱。在基于机器学习的分类中,呼吸模式与主动模式表现出更大的可区分性。
通过分析不同模式和刺激下EEG反应的多个特征,有望实现更灵敏、准确的意识检测。本研究可为意识检测方法的设计提供新思路。