Said Afrah, Göker Hanife
Department of Electrical Electronics Engineering, Faculty of Simav Technology, Dumlupınar University, 43500 Kütahya, Turkey.
Health Services Vocational College, Gazi University, 06830 Ankara, Turkey.
Cogn Neurodyn. 2024 Apr;18(2):597-614. doi: 10.1007/s11571-023-10010-y. Epub 2023 Oct 3.
Mild cognitive impairment (MCI) is a neuropsychological syndrome that is characterized by cognitive impairments. It typically affects adults 60 years of age and older. It is a noticeable decline in the cognitive function of the patient, and if left untreated it gets converted to Alzheimer's disease (AD). For that reason, early diagnosis of MCI is important as it slows down the conversion of the disease to AD. Early and accurate diagnosis of MCI requires recognition of the clinical characteristics of the disease, extensive testing, and long-term observations. These observations and tests can be subjective, expensive, incomplete, or inaccurate. Electroencephalography (EEG) is a powerful choice for the diagnosis of diseases with its advantages such as being non-invasive, based on findings, less costly, and getting results in a short time. In this study, a new EEG-based model is developed which can effectively detect MCI patients with higher accuracy. For this purpose, a dataset consisting of EEG signals recorded from a total of 34 subjects, 18 of whom were MCI and 16 control groups was used, and their ages ranged from 40 to 77. To conduct the experiment, the EEG signals were denoised using Multiscale Principal Component Analysis (MSPCA), and to increase the size of the dataset Data Augmentation (DA) method was performed. The tenfold cross-validation method was used to validate the model, moreover, the power spectral density (PSD) of the EEG signals was extracted from the EEG signals using three spectral analysis methods, the periodogram, welch, and multitaper. The PSD graphs of the EEG signals showed signal differences between the subjects of control and the MCI group, indicating that the signal power of MCI patients is lower compared to control groups. To classify the subjects, one of the best classifiers of deep learning algorithms called the Bi-directional long-short-term-memory (Bi-LSTM) was used, and several machine learning algorithms, such as decision tree (DT), support vector machine (SVM), and k-nearest neighbor (KNN). These algorithms were trained and tested using the extracted feature vectors from the control and the MCI groups. Additionally, the values of the coefficient matrix of those algorithms were compared and evaluated with the performance evaluation matrix to determine which one performed the best overall. According to the experimental results, the proposed deep learning model of multitaper spectral analysis approach with Bi-LSTM deep learning algorithm attained the highest number of correctly classified samples for diagnosing MCI patients and achieved a remarkable accuracy compared to the other proposed models. The achieved classification results of the deep learning model are reported to be 98.97% accuracy, 98.34% sensitivity, 99.67% specificity, 99.70% precision, 99.02% f1 score, and 97.94% Matthews correlation coefficient (MCC).
轻度认知障碍(MCI)是一种以认知障碍为特征的神经心理学综合征。它通常影响60岁及以上的成年人。这是患者认知功能的明显下降,如果不治疗,它会转变为阿尔茨海默病(AD)。因此,MCI的早期诊断很重要,因为它减缓了疾病向AD的转变。MCI的早期准确诊断需要识别疾病的临床特征、进行广泛测试和长期观察。这些观察和测试可能是主观的、昂贵的、不完整的或不准确的。脑电图(EEG)因其具有非侵入性、基于发现、成本较低且能在短时间内获得结果等优点,是疾病诊断的有力选择。在本研究中,开发了一种新的基于EEG的模型,该模型可以有效地以更高的准确率检测MCI患者。为此,使用了一个数据集,该数据集由总共34名受试者记录的EEG信号组成,其中18名是MCI患者,16名是对照组,他们的年龄在40至77岁之间。为了进行实验,使用多尺度主成分分析(MSPCA)对EEG信号进行去噪,并使用数据增强(DA)方法增加数据集的大小。使用十折交叉验证方法来验证模型,此外,使用三种频谱分析方法,即周期图、韦尔奇法和多 taper 法,从EEG信号中提取EEG信号的功率谱密度(PSD)。EEG信号的PSD图显示了对照组和MCI组受试者之间的信号差异,表明MCI患者的信号功率低于对照组。为了对受试者进行分类,使用了深度学习算法中最好的分类器之一,即双向长短期记忆(Bi-LSTM),以及几种机器学习算法,如决策树(DT)、支持向量机(SVM)和k近邻(KNN)。这些算法使用从对照组和MCI组提取的特征向量进行训练和测试。此外,将这些算法的系数矩阵值与性能评估矩阵进行比较和评估,以确定哪一个总体表现最佳。根据实验结果,所提出的采用Bi-LSTM深度学习算法的多 taper 频谱分析方法的深度学习模型在诊断MCI患者时获得了最高数量的正确分类样本,并且与其他提出的模型相比达到了显著的准确率。据报道,深度学习模型实现的分类结果为准确率98.97%、灵敏度98.34%、特异性99.67%、精度99.7%、F1分数99.02%和马修斯相关系数(MCC)97.94%。