基于 EEG 复杂性对神经退行性疾病进行区分。

Differentiating neurodegenerative diseases based on EEG complexity.

机构信息

Department "G.F. Ingrassia", Section of Neurosciences, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.

Oasi Research Institute - IRCCS, Troina, Italy.

出版信息

Sci Rep. 2024 Oct 17;14(1):24365. doi: 10.1038/s41598-024-74035-x.

Abstract

Neurodegenerative diseases are common causes of impaired mobility and cognition in the elderly. Among them, tauopathies and α-synucleinopathies were considered. The neurodegenerative processes and relative differential diagnosis were addressed through a qEEG non-linear analytic method. Study aims were to test accuracy of the power law exponent β applied to EEG in differentiating neurodegenerative diseases and to explore differences in neuronal connectivity among different neurodegenerative processes based on β. N = 230 patients with a diagnosis of tauopathy or α-synucleinopathy and at least one artifact-free EEG recording were selected. Periodogram was applied to EEG signal epochs from continuous recordings. Power law exponent β was determined by the slope of the signal power spectrum versus frequency in logarithmic scale. A data-driven clustering based on β values was performed to identify independent subgroups. Data-driven clustering based on β differentiated tauopathies (overall lower β values) from α-synucleinopathies (higher β values) with high sensitivity and specificity. Tauopathies also presented lower values in the correlation coefficients matrix among frontal sites of recording. In conclusion, significant differences in β values were found between tauopathies and α-synucleinopathies. Hence, β is proposed as a possible biomarker of differential diagnosis and neuronal connectivity.

摘要

神经退行性疾病是老年人运动和认知障碍的常见原因。其中,考虑到 tau 病和 α-突触核蛋白病。通过 qEEG 非线性分析方法解决了神经退行性过程和相对鉴别诊断的问题。研究目的是测试应用于 EEG 区分神经退行性疾病的幂律指数 β 的准确性,并基于 β 探索不同神经退行性过程中神经元连接的差异。选择了诊断为 tau 病或 α-突触核蛋白病且至少有一个无伪迹 EEG 记录的 230 名患者。对连续记录的 EEG 信号时段应用周期图。通过对数标度信号功率谱与频率的斜率确定幂律指数 β。基于 β 值进行数据驱动聚类以识别独立亚组。基于 β 的数据驱动聚类能够以高灵敏度和特异性区分 tau 病(整体较低的 β 值)和 α-突触核蛋白病(较高的 β 值)。tau 病在记录额叶部位之间的相关系数矩阵中也表现出较低的值。总之,在 tau 病和 α-突触核蛋白病之间发现了 β 值的显著差异。因此,β 被提议作为鉴别诊断和神经元连接的可能生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b7/11487174/d7b35e757a99/41598_2024_74035_Fig1_HTML.jpg

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