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Askovic M, Soh N, Elhindi J, Harris AW. Neurofeedback for post-traumatic stress disorder: systematic review and meta-analysis of clinical and neurophysiological outcomes. Eur J Psychotraumatol 2023; 14:2257435. [PMID: 37732560 PMCID: PMC10515677 DOI: 10.1080/20008066.2023.2257435] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 07/22/2023] [Indexed: 09/22/2023] Open
Abstract
Background: Posttraumatic stress disorder (PTSD) is a debilitating condition affecting millions of people worldwide. Existing treatments often fail to address the complexity of its symptoms and functional impairments resulting from severe and prolonged trauma. Electroencephalographic Neurofeedback (NFB) has emerged as a promising treatment that aims to reduce the symptoms of PTSD by modulating brain activity.Objective: We conducted a systematic review and meta-analysis of ten clinical trials to answer the question: how effective is NFB in addressing PTSD and other associated symptoms across different trauma populations, and are these improvements related to neurophysiological changes?Method: The review followed the Preferred Reporting Items for Systematic Reviews and Meta analyses guidelines. We considered all published and unpublished randomised controlled trials (RCTs) and non-randomised studies of interventions (NRSIs) involving adults with PTSD as a primary diagnosis without exclusion by type of trauma, co-morbid diagnosis, locality, or sex. Ten controlled studies were included; seven RCTs and three NRSIs with a total number of participants n = 293 (128 male). Only RCTs were included in the meta-analysis (215 participants; 88 male).Results: All included studies showed an advantage of NFB over control conditions in reducing symptoms of PTSD, with indications of improvement in symptoms of anxiety and depression and related neurophysiological changes. Meta-analysis of the pooled data shows a significant reduction in PTSD symptoms post-treatment SMD of -1.76 (95% CI -2.69, -0.83), and the mean remission rate was higher in the NFB group (79.3%) compared to the control group (24.4%). However, the studies reviewed were mostly small, with heterogeneous populations and varied quality.Conclusions: The effect of NFB on the symptoms of PTSD was moderate and mechanistic evidence suggested that NFB leads to therapeutic changes in brain functioning. Future research should focus on more rigorous methodological designs, expanded sample size and longer follow-up.
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Affiliation(s)
- Mirjana Askovic
- New South Wales Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS), Sydney, NSW, Australia
- Specialty of Psychiatry, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
- Brain Dynamics Centre, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia
| | - Nerissa Soh
- Specialty of Psychiatry, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - James Elhindi
- Research and Education Network, Western Sydney Local Health District, Sydney, NSW, Australia
| | - Anthony W.F. Harris
- Specialty of Psychiatry, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
- Brain Dynamics Centre, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia
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Yap HY, Choo YH, Mohd Yusoh ZI, Khoh WH. An evaluation of transfer learning models in EEG-based authentication. Brain Inform 2023; 10:19. [PMID: 37535168 PMCID: PMC10400490 DOI: 10.1186/s40708-023-00198-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 07/01/2023] [Indexed: 08/04/2023] Open
Abstract
Electroencephalogram(EEG)-based authentication has received increasing attention from researchers as they believe it could serve as an alternative to more conventional personal authentication methods. Unfortunately, EEG signals are non-stationary and could be easily contaminated by noise and artifacts. Therefore, further processing of data analysis is needed to retrieve useful information. Various machine learning approaches have been proposed and implemented in the EEG-based domain, with deep learning being the most current trend. However, retaining the performance of a deep learning model requires substantial computational effort and a vast amount of data, especially when the models go deeper to generate consistent results. Deep learning models trained with small data sets from scratch may experience an overfitting issue. Transfer learning becomes an alternative solution. It is a technique to recognize and apply the knowledge and skills learned from the previous tasks to a new domain with limited training data. This study attempts to explore the applicability of transferring various pre-trained models' knowledge to the EEG-based authentication domain. A self-collected database that consists of 30 subjects was utilized in the analysis. The database enrolment is divided into two sessions, with each session producing two sets of EEG recording data. The frequency spectrums of the preprocessed EEG signals are extracted and fed into the pre-trained models as the input data. Three experimental tests are carried out and the best performance is reported with accuracy in the range of 99.1-99.9%. The acquired results demonstrate the efficiency of transfer learning in authenticating an individual in this domain.
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Affiliation(s)
- Hui Yen Yap
- Faculty of Information Science and Technology, Multimedia University (MMU), Melaka, Malaysia.
- Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka (UTeM), Melaka, Malaysia.
| | - Yun-Huoy Choo
- Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka (UTeM), Melaka, Malaysia
| | - Zeratul Izzah Mohd Yusoh
- Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka (UTeM), Melaka, Malaysia
| | - Wee How Khoh
- Faculty of Information Science and Technology, Multimedia University (MMU), Melaka, Malaysia
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M 3CV: A multi-subject, multi-session, and multi-task database for EEG-based biometrics challenge. Neuroimage 2022; 264:119666. [PMID: 36206939 DOI: 10.1016/j.neuroimage.2022.119666] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 09/10/2022] [Accepted: 10/03/2022] [Indexed: 11/09/2022] Open
Abstract
EEG signals exhibit commonality and variability across subjects, sessions, and tasks. But most existing EEG studies focus on mean group effects (commonality) by averaging signals over trials and subjects. The substantial intra- and inter-subject variability of EEG have often been overlooked. The recently significant technological advances in machine learning, especially deep learning, have brought technological innovations to EEG signal application in many aspects, but there are still great challenges in cross-session, cross-task, and cross-subject EEG decoding. In this work, an EEG-based biometric competition based on a large-scale M3CV (A Multi-subject, Multi-session, and Multi-task Database for investigation of EEG Commonality and Variability) database was launched to better characterize and harness the intra- and inter-subject variability and promote the development of machine learning algorithm in this field. In the M3CV database, EEG signals were recorded from 106 subjects, of which 95 subjects repeated two sessions of the experiments on different days. The whole experiment consisted of 6 paradigms, including resting-state, transient-state sensory, steady-state sensory, cognitive oddball, motor execution, and steady-state sensory with selective attention with 14 types of EEG signals, 120000 epochs. Two learning tasks (identification and verification), performance metrics, and baseline methods were introduced in the competition. In general, the proposed M3CV dataset and the EEG-based biometric competition aim to provide the opportunity to develop advanced machine learning algorithms for achieving an in-depth understanding of the commonality and variability of EEG signals across subjects, sessions, and tasks.
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Kralikova I, Babusiak B, Smondrk M. EEG-Based Person Identification during Escalating Cognitive Load. SENSORS (BASEL, SWITZERLAND) 2022; 22:7154. [PMID: 36236268 PMCID: PMC9572021 DOI: 10.3390/s22197154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/16/2022] [Accepted: 09/17/2022] [Indexed: 06/16/2023]
Abstract
With the development of human society, there is an increasing importance for reliable person identification and authentication to protect a person's material and intellectual property. Person identification based on brain signals has captured substantial attention in recent years. These signals are characterized by original patterns for a specific person and are capable of providing security and privacy of an individual in biometric identification. This study presents a biometric identification method based on a novel paradigm with accrual cognitive brain load from relaxing with eyes closed to the end of a serious game, which includes three levels with increasing difficulty. The used database contains EEG data from 21 different subjects. Specific patterns of EEG signals are recognized in the time domain and classified using a 1D Convolutional Neural Network proposed in the MATLAB environment. The ability of person identification based on individual tasks corresponding to a given degree of load and their fusion are examined by 5-fold cross-validation. Final accuracies of more than 99% and 98% were achieved for individual tasks and task fusion, respectively. The reduction of EEG channels is also investigated. The results imply that this approach is suitable to real applications.
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Review on EEG-Based Authentication Technology. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2021:5229576. [PMID: 34976039 PMCID: PMC8720016 DOI: 10.1155/2021/5229576] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 08/25/2021] [Accepted: 12/11/2021] [Indexed: 11/24/2022]
Abstract
With the rapid development of brain-computer interface technology, as a new biometric feature, EEG signal has been widely concerned in recent years. The safety of brain-computer interface and the long-term insecurity of biometric authentication have a new solution. This review analyzes the biometrics of EEG signals, and the latest research is involved in the authentication process. This review mainly introduced the method of EEG-based authentication and systematically introduced EEG-based biometric cryptosystems for authentication for the first time. In cryptography, the key is the core basis of authentication in the cryptographic system, and cryptographic technology can effectively improve the security of biometric authentication and protect biometrics. The revocability of EEG-based biometric cryptosystems is an advantage that traditional biometric authentication does not have. Finally, the existing problems and future development directions of identity authentication technology based on EEG signals are proposed, providing a reference for the related studies.
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Yap HY, Choo YH, Mohd Yusoh ZI, Khoh WH. Person authentication based on eye-closed and visual stimulation using EEG signals. Brain Inform 2021; 8:21. [PMID: 34633582 PMCID: PMC8505588 DOI: 10.1186/s40708-021-00142-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 09/06/2021] [Indexed: 11/18/2022] Open
Abstract
The study of Electroencephalogram (EEG)-based biometric has gained the attention of researchers due to the neurons’ unique electrical activity representation of an individual. However, the practical application of EEG-based biometrics is not currently widespread and there are some challenges to its implementation. Nowadays, the evaluation of a biometric system is user driven. Usability is one of the concerning issues that determine the success of the system. The basic elements of the usability of a biometric system are effectiveness, efficiency and user satisfaction. Apart from the mandatory consideration of the biometric system’s performance, users also need an easy-to-use and easy-to-learn authentication system. Thus, to satisfy these user requirements, this paper proposes a reasonable acquisition period and employs a consumer-grade EEG device to authenticate an individual to identify the performances of two acquisition protocols: eyes-closed (EC) and visual stimulation. A self-collected database of eight subjects was utilized in the analysis. The recording process was divided into two sessions, which were the morning and afternoon sessions. In each session, the subject was requested to perform two different tasks: EC and visual stimulation. The pairwise correlation of the preprocessed EEG signals of each electrode channel was determined and a feature vector was formed. Support vector machine (SVM) was then used for classification purposes. In the performance analysis, promising results were obtained, where EC protocol achieved an accuracy performance of 83.70–96.42% while visual stimulation protocol attained an accuracy performance of 87.64–99.06%. These results have demonstrated the feasibility and reliability of our acquisition protocols with consumer-grade EEG devices.
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Affiliation(s)
- Hui Yen Yap
- Faculty of Information, Science & Technology, Multimedia University (MMU), Melaka, Malaysia.
| | - Yun-Huoy Choo
- Faculty of Information & Communication Technology, Universiti Teknikal Malaysia Melaka (UTeM), Melaka, Malaysia
| | - Zeratul Izzah Mohd Yusoh
- Faculty of Information & Communication Technology, Universiti Teknikal Malaysia Melaka (UTeM), Melaka, Malaysia
| | - Wee How Khoh
- Faculty of Information, Science & Technology, Multimedia University (MMU), Melaka, Malaysia
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Rathi N, Singla R, Tiwari S. A novel approach for designing authentication system using a picture based P300 speller. Cogn Neurodyn 2021; 15:805-824. [PMID: 34603543 PMCID: PMC8448816 DOI: 10.1007/s11571-021-09664-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 09/30/2020] [Accepted: 01/08/2021] [Indexed: 10/22/2022] Open
Abstract
Due to great advances in the field of information technology, the need for a more reliable authentication system has been growing rapidly for protecting the individual or organizational assets from online frauds. In the past, many authentication techniques have been proposed like password and tokens but these techniques suffer from many shortcomings such as offline attacks (guessing) and theft. To overcome these shortcomings, in this paper brain signal based authentication system is proposed. A Brain-Computer Interface (BCI) is a tool that provides direct human-computer interaction by analyzing brain signals. In this study, a person authentication approach that can effectively recognize users by generating unique brain signal features in response to pictures of different objects is presented. This study focuses on a P300 BCI for authentication system design. Also, three classifiers were tested: Quadratic Discriminant Analysis (QDA), K-Nearest Neighbor, and Quadratic Support Vector Machine. The results showed that the proposed visual stimuli with pictures as selection attributes obtained significantly higher classification accuracies (97%) and information transfer rates (37.14 bits/min) as compared to the conventional paradigm. The best performance was observed with the QDA as compare to other classifiers. This method is advantageous for developing brain signal based authentication application as it cannot be forged (like Shoulder surfing) and can still be used for disabled users with a brain in good running condition. The results show that reduced matrix size and modified visual stimulus typically affects the accuracy and communication speed of P300 BCI performance.
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Affiliation(s)
- Nikhil Rathi
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar, GT Road Bye-Pass, Jalandhar, Punjab 144011 India
| | - Rajesh Singla
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar, GT Road Bye-Pass, Jalandhar, Punjab 144011 India
| | - Sheela Tiwari
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar, GT Road Bye-Pass, Jalandhar, Punjab 144011 India
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Rathi N, Singla R, Tiwari S. Authentication framework for security application developed using a pictorial P300 speller. BRAIN-COMPUTER INTERFACES 2020. [DOI: 10.1080/2326263x.2020.1860520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Nikhil Rathi
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar , Jalandhar, Punjab, India
| | - Rajesh Singla
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar , Jalandhar, Punjab, India
| | - Sheela Tiwari
- ICE Department, Dr. B. R. Ambedkar NIT Jalandhar , Jalandhar, Punjab, India
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Häfner SJ. The many (sur)faces of B cells. Biomed J 2019; 42:201-206. [PMID: 31627861 PMCID: PMC6818141 DOI: 10.1016/j.bj.2019.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Accepted: 09/02/2019] [Indexed: 11/20/2022] Open
Abstract
This issue of the Biomedical Journal is dedicated to the latest findings concerning the complex development and functions of B lymphocytes, including their origins during embryogenesis, their meticulous control by the CD22 receptor and different types of T cells, as well as the immunosuppressive abilities of certain B cell subsets. Furthermore, we learn about the complicated genetic background of a rare cardiac disease, the surgical outcomes of pure conus medullaris syndrome and occurrences of tuberculous spondylitis after percutaneous vertebroplasty. Finally, we discover that brain waves could very well be used for biometric authentication and that diffusion imaging displays good reproducibility through a spectrum of spatial resolutions.
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Affiliation(s)
- Sophia Julia Häfner
- University of Copenhagen, BRIC Biotech Research & Innovation Centre, Anders Lund Group, Ole Maaløes Vej 5, 2200 Copenhagen Denmark.
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