Assessing Electroencephalography as a Stress Indicator: A VR High-Altitude Scenario Monitored through EEG and ECG

Over the last decade, virtual reality (VR) has become an increasingly accessible commodity. Head-mounted display (HMD) immersive technologies allow researchers to simulate experimental scenarios that would be unfeasible or risky in real life. An example is extreme heights exposure simulations, which can be utilized in research on stress system mobilization. Until recently, electroencephalography (EEG)-related research was focused on mental stress prompted by social or mathematical challenges, with only a few studies employing HMD VR techniques to induce stress. In this study, we combine a state-of-the-art EEG wearable device and an electrocardiography (ECG) sensor with a VR headset to provoke stress in a high-altitude scenarios while monitoring EEG and ECG biomarkers in real time. A robust pipeline for signal clearing is implemented to preprocess the noise-infiltrated (due to movement) EEG data. Statistical and correlation analysis is employed to explore the relationship between these biomarkers with stress. The participant pool is divided into two groups based on their heart rate increase, where statistically important EEG biomarker differences emerged between them. Finally, the occipital-region band power changes and occipital asymmetry alterations were found to be associated with height-related stress and brain activation in beta and gamma bands, which correlates with the results of the self-reported Perceived Stress Scale questionnaire.

Alzheimer's Disease and Frontotemporal Dementia: A Robust Classification Method of EEG Signals and a Comparison of Validation Methods

Dementia is the clinical syndrome characterized by progressive loss of cognitive and emotional abilities to a degree severe enough to interfere with daily functioning. Alzheimer's disease (AD) is the most common neurogenerative disorder, making up 50-70% of total dementia cases. Another dementia type is frontotemporal dementia (FTD), which is associated with circumscribed degeneration of the prefrontal and anterior temporal cortex and mainly affects personality and social skills. With the rapid advancement in electroencephalogram (EEG) sensors, the EEG has become a suitable, accurate, and highly sensitive biomarker for the identification of neuronal and cognitive dynamics in most cases of dementia, such as AD and FTD, through EEG signal analysis and processing techniques. In this study, six supervised machine-learning techniques were compared on categorizing processed EEG signals of AD and FTD cases, to provide an insight for future methods on early dementia diagnosis. K-fold cross validation and leave-one-patient-out cross validation were also compared as validation methods to evaluate their performance for this classification problem. The proposed methodology accuracy scores were 78.5% for AD detection with decision trees and 86.3% for FTD detection with random forests.

Modelling Hydrocortisone Pharmacokinetics on a Subcutaneous Pulsatile Infusion Replacement Strategy in Patients with Adrenocortical Insufficiency

In the context of glucocorticoid (GC) therapeutics, recent studies have utilised a subcutaneous hydrocortisone (HC) infusion pump programmed to deliver multiple HC pulses throughout the day, with the purpose of restoring normal circadian and ultradian GC rhythmicity. A key challenge for the advancement of novel HC replacement therapies is the calibration of infusion pumps against cortisol levels measured in blood. However, repeated blood sampling sessions are enormously labour-intensive for both examiners and examinees. These sessions also have a cost, are time consuming and are occasionally unfeasible. To address this, we developed a pharmacokinetic model approximating the values of plasma cortisol levels at any point of the day from a limited number of plasma cortisol measurements. The model was validated using the plasma cortisol profiles of 9 subjects with disrupted endogenous GC synthetic capacity. The model accurately predicted plasma cortisol levels (mean absolute percentage error of 14%) when only four plasma cortisol measurements were provided. Although our model did not predict GC dynamics when HC was administered in a way other than subcutaneously or in individuals whose endogenous capacity to produce GCs is intact, it was found to successfully be used to support clinical trials (or practice) involving subcutaneous HC delivery in patients with reduced endogenous capacity to synthesize GCs.

EEG-Based Eye Movement Recognition Using Brain-Computer Interface and Random Forests

Discrimination of eye movements and visual states is a flourishing field of research and there is an urgent need for non-manual EEG-based wheelchair control and navigation systems. This paper presents a novel system that utilizes a brain–computer interface (BCI) to capture electroencephalographic (EEG) signals from human subjects while eye movement and subsequently classify them into six categories by applying a random forests (RF) classification algorithm. RF is an ensemble learning method that constructs a series of decision trees where each tree gives a class prediction, and the class with the highest number of class predictions becomes the model’s prediction. The categories of the proposed random forests brain–computer interface (RF-BCI) are defined according to the position of the subject’s eyes: open, closed, left, right, up, and down. The purpose of RF-BCI is to be utilized as an EEG-based control system for driving an electromechanical wheelchair (rehabilitation device). The proposed approach has been tested using a dataset containing 219 records taken from 10 different patients. The BCI implemented the EPOC Flex head cap system, which includes 32 saline felt sensors for capturing the subjects’ EEG signals. Each sensor caught four different brain waves (delta, theta, alpha, and beta) per second. Then, these signals were split in 4-second windows resulting in 512 samples per record and the band energy was extracted for each EEG rhythm. The proposed system was compared with naïve Bayes, Bayes Network, k-nearest neighbors (K-NN), multilayer perceptron (MLP), support vector machine (SVM), J48-C4.5 decision tree, and Bagging classification algorithms. The experimental results showed that the RF algorithm outperformed compared to the other approaches and high levels of accuracy (85.39%) for a 6-class classification are obtained. This method exploits high spatial information acquired from the Emotiv EPOC Flex wearable EEG recording device and examines successfully the potential of this device to be used for BCI wheelchair technology.

Machine Learning Algorithms and Statistical Approaches for Alzheimer's Disease Analysis Based on Resting-State EEG Recordings: A Systematic Review

Alzheimer's Disease (AD) is a neurodegenerative disorder and the most common type of dementia with a great prevalence in western countries. The diagnosis of AD and its progression is performed through a variety of clinical procedures including neuropsychological and physical examination, Electroencephalographic (EEG) recording, brain imaging and blood analysis. During the last decades, analysis of the electrophysiological dynamics in AD patients has gained great research interest, as an alternative and cost-effective approach. This paper summarizes recent publications focusing on (a) AD detection and (b) the correlation of quantitative EEG features with AD progression, as it is estimated by Mini Mental State Examination (MMSE) score. A total of 49 experimental studies published from 2009 until 2020, which apply machine learning algorithms on resting state EEG recordings from AD patients, are reviewed. Results of each experimental study are presented and compared. The majority of the studies focus on AD detection incorporating Support Vector Machines, while deep learning techniques have not yet been applied on large EEG datasets. Promising conclusions for future studies are presented.

Improving the Accuracy of Low-Cost Sensor Measurements for Freezer Automation

In this work, a regression method is implemented on a low-cost digital temperature sensor to improve the sensor’s accuracy; thus, following the EN12830 European standard. This standard defines that the maximum acceptable error regarding temperature monitoring devices should not exceed 1 °C for the refrigeration and freezer areas. The purpose of the proposed method is to improve the accuracy of a low-cost digital temperature sensor by correcting its nonlinear response using simple linear regression (SLR). In the experimental part of this study, the proposed method’s outcome (in a custom created dataset containing values taken from a refrigerator) is compared against the values taken from a sensor complying with the EN12830 standard. The experimental results confirmed that the proposed method reduced the mean absolute error (MAE) by 82% for the refrigeration area and 69% for the freezer area—resulting in the accuracy improvement of the low-cost digital temperature sensor. Moreover, it managed to achieve a lower generalization error on the test set when compared to three other machine learning algorithms (SVM, B-ELM, and OS-ELM).

A methodology for automated CPA extraction using liver biopsy image analysis and machine learning techniques

BACKGROUND AND OBJECTIVE

Collagen proportional area (CPA) extraction in liver biopsy images provides the degree of fibrosis expansion in liver tissue, which is the most characteristic histological alteration in hepatitis C virus (HCV). Assessment of the fibrotic tissue is currently based on semiquantitative staging scores such as Ishak and Metavir. Since its introduction as a fibrotic tissue assessment technique, CPA calculation based on image analysis techniques has proven to be more accurate than semiquantitative scores. However, CPA has yet to reach everyday clinical practice, since the lack of standardized and robust methods for computerized image analysis for CPA assessment have proven to be a major limitation.

METHODS

The current work introduces a three-stage fully automated methodology for CPA extraction based on machine learning techniques. Specifically, clustering algorithms have been employed for background-tissue separation, as well as for fibrosis detection in liver tissue regions, in the first and the third stage of the methodology, respectively. Due to the existence of several types of tissue regions in the image (such as blood clots, muscle tissue, structural collagen, etc.), classification algorithms have been employed to identify liver tissue regions and exclude all other non-liver tissue regions from CPA computation.

RESULTS

For the evaluation of the methodology, 79 liver biopsy images have been employed, obtaining 1.31% mean absolute CPA error, with 0.923 concordance correlation coefficient.

CONCLUSIONS

The proposed methodology is designed to (i) avoid manual threshold-based and region selection processes, widely used in similar approaches presented in the literature, and (ii) minimize CPA calculation time.