Ishiyama Y
Department of Physiology, Toranomon Hospital, Tokyo.
Rinsho Byori. 1997 May;45(5):430-7.
Neurophysiological examinations include EEG, EMG, Evoked Potential (EP) and ENG. In this paper, EEG and EP data processing, and the diagnostic support system using these findings were discussed. The FFT and AR model for analysis of frequency, and the pattern recognition for spike or spindle detection are the technical methods for application to EEG data processing of the first order. Amplitude or phase mapping techniques, as a second order data processing, were not only applied to the diagnosis of neurological disorders, but also used for detection of electrical equivalent dipole source localization which was inversely reconstructed in the cerebral cortex from the distribution of EEG potentials on the scalp. The averaging technique was used for detection of small evoked potentials (EP) such as SEP or ABR. The following items were included in the diagnostic support system applied to data processing. 1) Topographic analysis in the brain mapping of SEP to median nerve stimulation was applied to the identification of the central sulcus during a neurosurgical procedure to maintain the QOL of patient. 2) The usefulness of EEG automatic reporting system with Japanese sentences and brain topographic mapping was described. 3) Digital EEG in a data filing system using magneto optical disks was used for data analysis and diagnostic support system after EEG examination.
神经生理学检查包括脑电图(EEG)、肌电图(EMG)、诱发电位(EP)和眼震电图(ENG)。本文讨论了脑电图和诱发电位的数据处理,以及利用这些检查结果的诊断支持系统。用于频率分析的快速傅里叶变换(FFT)和自回归(AR)模型,以及用于检测棘波或纺锤波的模式识别,是应用于脑电图一级数据处理的技术方法。作为二级数据处理的幅度或相位映射技术,不仅应用于神经系统疾病的诊断,还用于检测从头皮脑电图电位分布反向重建于大脑皮层的电等效偶极子源定位。平均技术用于检测诸如体感诱发电位(SEP)或听觉脑干反应(ABR)等小的诱发电位。应用于数据处理的诊断支持系统包括以下内容。1)将正中神经刺激时体感诱发电位脑图谱的地形分析应用于神经外科手术过程中中央沟的识别,以维持患者的生活质量。2)描述了具有日语句子和脑地形图的脑电图自动报告系统的实用性。3)脑电图检查后,使用磁光盘数据归档系统中的数字脑电图进行数据分析和诊断支持系统。