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利用脑电图(EEG)和机器学习检测抑郁症在临床实践中的机遇与挑战

Opportunities and Challenges for Clinical Practice in Detecting Depression Using EEG and Machine Learning.

作者信息

Mulc Damir, Vukojevic Jaksa, Kalafatic Eda, Cifrek Mario, Vidovic Domagoj, Jovic Alan

机构信息

University Psychiatric Hospital Vrapče, Bolnička Cesta 32, 10000 Zagreb, Croatia.

University of Zagreb Faculty of Electrical Engineering and Computing, Unska 3, 10000 Zagreb, Croatia.

出版信息

Sensors (Basel). 2025 Jan 12;25(2):409. doi: 10.3390/s25020409.

Abstract

Major depressive disorder (MDD) is associated with substantial morbidity and mortality, yet its diagnosis and treatment rates remain low due to its diverse and often overlapping clinical manifestations. In this context, electroencephalography (EEG) has gained attention as a potential objective tool for diagnosing depression. This study aimed to evaluate the effectiveness of EEG in identifying MDD by analyzing 140 EEG recordings from patients diagnosed with depression and healthy volunteers. Using various machine learning (ML) classification models, we achieved up to 80% accuracy in distinguishing individuals with MDD from healthy controls. Despite its promise, this approach has limitations. The variability in the clinical and biological presentations of depression, as well as patient-specific confounding factors, must be carefully considered when integrating ML technologies into clinical practice. Nevertheless, our findings suggest that an EEG-based ML model holds potential as a diagnostic aid for MDD, paving the way for further refinement and clinical application.

摘要

重度抑郁症(MDD)与较高的发病率和死亡率相关,但由于其临床表现多样且常常重叠,其诊断率和治疗率仍然较低。在此背景下,脑电图(EEG)作为一种潜在的抑郁症诊断客观工具受到了关注。本研究旨在通过分析140例抑郁症患者和健康志愿者的脑电图记录,评估脑电图在识别重度抑郁症方面的有效性。使用各种机器学习(ML)分类模型,我们在区分重度抑郁症患者和健康对照方面取得了高达80%的准确率。尽管有前景,但这种方法存在局限性。在将机器学习技术整合到临床实践中时,必须仔细考虑抑郁症临床和生物学表现的变异性以及患者特定的混杂因素。然而,我们的研究结果表明,基于脑电图的机器学习模型有潜力作为重度抑郁症的诊断辅助工具,为进一步完善和临床应用铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e869/11769153/613182b1f7f6/sensors-25-00409-g001.jpg

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