Department of Neurosurgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, P. R. China.
Medical Science and Technology Innovation Center, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, P. R. China.
CNS Neurosci Ther. 2024 Apr;30(4):e14708. doi: 10.1111/cns.14708.
Sleep disturbance is a prevalent nonmotor symptom of Parkinson's disease (PD), however, assessing sleep conditions is always time-consuming and labor-intensive. In this study, we performed an automatic sleep-wake state classification and early diagnosis of PD by analyzing the electrocorticography (ECoG) and electromyogram (EMG) signals of both normal and PD rats.
The study utilized ECoG power, EMG amplitude, and corticomuscular coherence values extracted from normal and PD rats to construct sleep-wake scoring models based on the support vector machine algorithm. Subsequently, we incorporated feature values that could act as diagnostic markers for PD and then retrained the models, which could encompass the identification of vigilance states and the diagnosis of PD.
Features extracted from occipital ECoG signals were more suitable for constructing sleep-wake scoring models than those from frontal ECoG (average Cohen's kappa: 0.73 vs. 0.71). Additionally, after retraining, the new models demonstrated increased sensitivity to PD and accurately determined the sleep-wake states of rats (average Cohen's kappa: 0.79).
This study accomplished the precise detection of substantia nigra lesions and the monitoring of sleep-wake states. The integration of circadian rhythm monitoring and disease state assessment has the potential to improve the efficacy of therapeutic strategies considerably.
睡眠障碍是帕金森病(PD)常见的非运动症状,但评估睡眠状况总是既耗时又费力。在这项研究中,我们通过分析正常和 PD 大鼠的脑电(ECoG)和肌电(EMG)信号,实现了自动睡眠-觉醒状态分类和 PD 的早期诊断。
该研究利用从正常和 PD 大鼠中提取的 ECoG 功率、EMG 幅度和皮质肌相干值,基于支持向量机算法构建睡眠-觉醒评分模型。然后,我们纳入了可作为 PD 诊断标志物的特征值,并重新训练模型,从而实现了对警觉状态的识别和 PD 的诊断。
与额部 ECoG 相比,枕部 ECoG 信号提取的特征更适合构建睡眠-觉醒评分模型(平均 Cohen's kappa:0.73 对 0.71)。此外,经过重新训练,新模型对 PD 的敏感性增加,能够准确判断大鼠的睡眠-觉醒状态(平均 Cohen's kappa:0.79)。
本研究实现了对黑质损伤的精确检测和睡眠-觉醒状态的监测。将昼夜节律监测与疾病状态评估相结合,有可能极大地提高治疗策略的效果。