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Salazar de Pablo G, Iniesta R, Bellato A, Caye A, Dobrosavljevic M, Parlatini V, Garcia-Argibay M, Li L, Cabras A, Haider Ali M, Archer L, Meehan AJ, Suleiman H, Solmi M, Fusar-Poli P, Chang Z, Faraone SV, Larsson H, Cortese S. Individualized prediction models in ADHD: a systematic review and meta-regression. Mol Psychiatry 2024; 29:3865-3873. [PMID: 38783054 PMCID: PMC11609101 DOI: 10.1038/s41380-024-02606-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 04/30/2024] [Accepted: 05/09/2024] [Indexed: 05/25/2024]
Abstract
There have been increasing efforts to develop prediction models supporting personalised detection, prediction, or treatment of ADHD. We overviewed the current status of prediction science in ADHD by: (1) systematically reviewing and appraising available prediction models; (2) quantitatively assessing factors impacting the performance of published models. We did a PRISMA/CHARMS/TRIPOD-compliant systematic review (PROSPERO: CRD42023387502), searching, until 20/12/2023, studies reporting internally and/or externally validated diagnostic/prognostic/treatment-response prediction models in ADHD. Using meta-regressions, we explored the impact of factors affecting the area under the curve (AUC) of the models. We assessed the study risk of bias with the Prediction Model Risk of Bias Assessment Tool (PROBAST). From 7764 identified records, 100 prediction models were included (88% diagnostic, 5% prognostic, and 7% treatment-response). Of these, 96% and 7% were internally and externally validated, respectively. None was implemented in clinical practice. Only 8% of the models were deemed at low risk of bias; 67% were considered at high risk of bias. Clinical, neuroimaging, and cognitive predictors were used in 35%, 31%, and 27% of the studies, respectively. The performance of ADHD prediction models was increased in those models including, compared to those models not including, clinical predictors (β = 6.54, p = 0.007). Type of validation, age range, type of model, number of predictors, study quality, and other type of predictors did not alter the AUC. Several prediction models have been developed to support the diagnosis of ADHD. However, efforts to predict outcomes or treatment response have been limited, and none of the available models is ready for implementation into clinical practice. The use of clinical predictors, which may be combined with other type of predictors, seems to improve the performance of the models. A new generation of research should address these gaps by conducting high quality, replicable, and externally validated models, followed by implementation research.
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Affiliation(s)
- Gonzalo Salazar de Pablo
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Child and Adolescent Mental Health Services, South London and Maudsley NHS Foundation Trust, London, UK
- Institute of Psychiatry and Mental Health. Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), CIBERSAM, Madrid, Spain
| | - Raquel Iniesta
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neurosciences, King's College London, London, UK
- King's Institute for Artificial Intelligence, King's College London, London, UK
| | - Alessio Bellato
- School of Psychology, University of Nottingham, Nottingham, Malaysia
- Centre for Innovation in Mental Health-Developmental Lab, School of Psychology, University of Southampton, Southampton, UK
- School of Psychology, University of Southampton, Southampton, UK
| | - Arthur Caye
- Post-Graduate Program of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- National Center for Research and Innovation (CISM), University of São Paulo, São Paulo, Brazil
- ADHD Outpatient Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Maja Dobrosavljevic
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Valeria Parlatini
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Centre for Innovation in Mental Health-Developmental Lab, School of Psychology, University of Southampton, Southampton, UK
- School of Psychology, University of Southampton, Southampton, UK
- Solent NHS Trust, Southampton, UK
| | - Miguel Garcia-Argibay
- Centre for Innovation in Mental Health-Developmental Lab, School of Psychology, University of Southampton, Southampton, UK
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Lin Li
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Anna Cabras
- Department of Neurology and Psychiatry, University of Rome La Sapienza, Rome, Italy
| | - Mian Haider Ali
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neurosciences, King's College London, London, UK
| | - Lucinda Archer
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
- National Institute for Health and Care Research (NIHR), Birmingham Biomedical Research Centre, Birmingham, UK
| | - Alan J Meehan
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Halima Suleiman
- Departments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, Syracuse, NY, USA
| | - Marco Solmi
- Centre for Innovation in Mental Health-Developmental Lab, School of Psychology, University of Southampton, Southampton, UK
- Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada
- Department of Mental Health, The Ottawa Hospital, Ottawa, ON, Canada
- Hospital Research Institute (OHRI) Clinical Epidemiology Program University of Ottawa, Ontario, ON, Canada
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
- Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany
| | - Paolo Fusar-Poli
- Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- Outreach and Support in South-London (OASIS) service, South London and Maudsley NHS Foundation Trust, London, UK
- Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University (LMU), Munich, Germany
| | - Zheng Chang
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Stephen V Faraone
- Departments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, Syracuse, NY, USA
| | - Henrik Larsson
- School of Psychology, University of Southampton, Southampton, UK
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Samuele Cortese
- Centre for Innovation in Mental Health-Developmental Lab, School of Psychology, University of Southampton, Southampton, UK.
- Solent NHS Trust, Southampton, UK.
- Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, University of Southampton, Southampton, UK.
- Hassenfeld Children's Hospital at NYU Langone, New York University Child Study Center, New York City, NY, USA.
- DiMePRe-J-Department of Precision and Rigenerative Medicine-Jonic Area, University of Bari "Aldo Moro", Bari, Italy.
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Liu L, Zheng R, Wu D, Yuan Y, Lin Y, Wang D, Jiang T, Cao J, Xu Y. Global and multi-partition local network analysis of scalp EEG in West syndrome before and after treatment. Neural Netw 2024; 179:106540. [PMID: 39079377 DOI: 10.1016/j.neunet.2024.106540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 04/12/2024] [Accepted: 07/12/2024] [Indexed: 09/18/2024]
Abstract
West syndrome is an epileptic disease that seriously affects the normal growth and development of infants in early childhood. Based on the methods of brain topological network and graph theory, this article focuses on three clinical states of patients before and after treatment. In addition to discussing bidirectional and unidirectional global networks from the perspective of computational principles, a more in-depth analysis of local intra-network and inter-network characteristics of multi-partitioned networks is also performed. The spatial feature distribution based on feature path length is introduced for the first time. The results show that the bidirectional network has better significant differentiation. The rhythmic feature change trend and spatial characteristic distribution of this network can be used as a measure of the impact on global information processing in the brain after treatment. And localized brain regions variability in features and differences in the ability to interact with information between brain regions have potential as biomarkers for medication assessment in WEST syndrome. The above shows specific conclusions on the interaction relationship and consistency of macro-network and micro-network, which may have a positive effect on patients' treatment and prognosis management.
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Affiliation(s)
- Lishan Liu
- School of Communication Engineering, Hangzhou Dianzi University, Hangzhou, 310052, China.
| | - Runze Zheng
- Machine Learning and I-health International Cooperation Base of Zhejiang Province, Hangzhou, 310018, China; Artificial Intelligence Institute, Hangzhou Dianzi University, Hangzhou, 310018, China.
| | - Duanpo Wu
- School of Communication Engineering, Hangzhou Dianzi University, Hangzhou, 310052, China; Machine Learning and I-health International Cooperation Base of Zhejiang Province, Hangzhou, 310018, China.
| | - Yixuan Yuan
- Department of Electronic Engineering, The Chinese University of Hong Kong, 999077, Hong Kong, China.
| | - Yi Lin
- School of Communication Engineering, Hangzhou Dianzi University, Hangzhou, 310052, China.
| | - Danping Wang
- Plateforme d'Etude de la Sensorimotricité (PES), BioMedTech Facilities, Université Paris Cité, Paris, 75270, France.
| | - Tiejia Jiang
- Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310018, China.
| | - Jiuwen Cao
- Machine Learning and I-health International Cooperation Base of Zhejiang Province, Hangzhou, 310018, China; Artificial Intelligence Institute, Hangzhou Dianzi University, Hangzhou, 310018, China; Research Center for Intelligent Sensing, Zhejiang Lab, Hangzhou, 311100, China.
| | - Yuansheng Xu
- Department of Emergency, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.
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Loh HW, Ooi CP, Oh SL, Barua PD, Tan YR, Acharya UR, Fung DSS. ADHD/CD-NET: automated EEG-based characterization of ADHD and CD using explainable deep neural network technique. Cogn Neurodyn 2024; 18:1609-1625. [PMID: 39104684 PMCID: PMC11297883 DOI: 10.1007/s11571-023-10028-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 10/04/2023] [Accepted: 10/23/2023] [Indexed: 08/07/2024] Open
Abstract
In this study, attention deficit hyperactivity disorder (ADHD), a childhood neurodevelopmental disorder, is being studied alongside its comorbidity, conduct disorder (CD), a behavioral disorder. Because ADHD and CD share commonalities, distinguishing them is difficult, thus increasing the risk of misdiagnosis. It is crucial that these two conditions are not mistakenly identified as the same because the treatment plan varies depending on whether the patient has CD or ADHD. Hence, this study proposes an electroencephalogram (EEG)-based deep learning system known as ADHD/CD-NET that is capable of objectively distinguishing ADHD, ADHD + CD, and CD. The 12-channel EEG signals were first segmented and converted into channel-wise continuous wavelet transform (CWT) correlation matrices. The resulting matrices were then used to train the convolutional neural network (CNN) model, and the model's performance was evaluated using 10-fold cross-validation. Gradient-weighted class activation mapping (Grad-CAM) was also used to provide explanations for the prediction result made by the 'black box' CNN model. Internal private dataset (45 ADHD, 62 ADHD + CD and 16 CD) and external public dataset (61 ADHD and 60 healthy controls) were used to evaluate ADHD/CD-NET. As a result, ADHD/CD-NET achieved classification accuracy, sensitivity, specificity, and precision of 93.70%, 90.83%, 95.35% and 91.85% for the internal evaluation, and 98.19%, 98.36%, 98.03% and 98.06% for the external evaluation. Grad-CAM also identified significant channels that contributed to the diagnosis outcome. Therefore, ADHD/CD-NET can perform temporal localization and choose significant EEG channels for diagnosis, thus providing objective analysis for mental health professionals and clinicians to consider when making a diagnosis. Supplementary Information The online version contains supplementary material available at 10.1007/s11571-023-10028-2.
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Affiliation(s)
- Hui Wen Loh
- School of Science and Technology, Singapore University of Social Sciences, Singapore, Singapore
| | - Chui Ping Ooi
- School of Science and Technology, Singapore University of Social Sciences, Singapore, Singapore
| | - Shu Lih Oh
- Cogninet Australia, Sydney, NSW 2010 Australia
| | - Prabal Datta Barua
- Cogninet Australia, Sydney, NSW 2010 Australia
- Faculty of Engineering and Information Technology, University of Technology Sydney, Sydney, NSW 2007 Australia
- School of Business (Information System), University of Southern Queensland, Darling Heights, Australia
- Australian International Institute of Higher Education, Sydney, NSW 2000 Australia
- School of Science & Technology, University of New England, Armidale, Australia
- School of Biosciences, Taylor’s University, Selangor, Malaysia
- School of Computing, SRM Institute of Science and Technology, Kattankulathur, India
- School of Science and Technology, Kumamoto University, Kumamoto, Japan
- Sydney School of Education and Social work, University of Sydney, Camperdown, Australia
| | - Yi Ren Tan
- Developmental Psychiatry, Institute of Mental Health, Singapore, Singapore
| | - U. Rajendra Acharya
- School of Business (Information Systems), Faculty of Business, Education, Law & Arts, University of Southern Queensland, Darling Heights, Australia
- School of Mathematics, Physics and Computing, University of Southern Queensland, Springfield, Australia
- Centre for Health Research, University of Southern Queensland, Springfield, Australia
| | - Daniel Shuen Sheng Fung
- Developmental Psychiatry, Institute of Mental Health, Singapore, Singapore
- Lee Kong Chian School of Medicine, DUKE NUS Medical School, Yong Loo Lin School of Medicine, Nanyang Technological University, National University of Singapore, Singapore, Singapore
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Avdimiotis S, Konstantinidis I, Stalidis G, Stamovlasis D. Coping with Examination Stress: An Emotion Analysis. SENSORS (BASEL, SWITZERLAND) 2024; 24:4297. [PMID: 39001079 PMCID: PMC11243834 DOI: 10.3390/s24134297] [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: 05/15/2024] [Revised: 06/26/2024] [Accepted: 06/28/2024] [Indexed: 07/16/2024]
Abstract
Stress is an important factor affecting human behavior, with recent works in the literature distinguishing it as either productive or destructive. The present study investigated how the primary emotion of stress is correlated with engagement, focus, interest, excitement, and relaxation during university students' examination processes. Given that examinations are highly stressful processes, twenty-six postgraduate students participated in a four-phase experiment (rest, written examination, oral examination, and rest) conducted at the International Hellenic University (IHU) using a modified Trier protocol. Network analysis with a focus on centralities was employed for data processing. The results highlight the important role of stress in the examination process; correlate stress with other emotions, such as interest, engagement, enthusiasm, relaxation, and concentration; and, finally, suggest ways to control and creatively utilize stress.
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Affiliation(s)
- Spyros Avdimiotis
- Department of Organizations Management and Tourism, Faculty of Economy and Management, International Hellenic University, 57001 Thessaloniki, Greece; (S.A.); (G.S.)
| | - Ioannis Konstantinidis
- Department of Organizations Management and Tourism, Faculty of Economy and Management, International Hellenic University, 57001 Thessaloniki, Greece; (S.A.); (G.S.)
| | - George Stalidis
- Department of Organizations Management and Tourism, Faculty of Economy and Management, International Hellenic University, 57001 Thessaloniki, Greece; (S.A.); (G.S.)
| | - Dimitrios Stamovlasis
- Department of Philosophy and Education, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
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Shen M, Yang F, Wen P, Song B, Li Y. A real-time epilepsy seizure detection approach based on EEG using short-time Fourier transform and Google-Net convolutional neural network. Heliyon 2024; 10:e31827. [PMID: 38845915 PMCID: PMC11153222 DOI: 10.1016/j.heliyon.2024.e31827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 05/19/2024] [Accepted: 05/22/2024] [Indexed: 06/09/2024] Open
Abstract
Epilepsy is one of the most common brain disorders, and seizures of epilepsy have severe adverse effects on patients. Real-time epilepsy seizure detection using electroencephalography (EEG) signals is an important research area aimed at improving the diagnosis and treatment of epilepsy. This paper proposed a real-time approach based on EEG signal for detecting epilepsy seizures using the STFT and Google-net convolutional neural network (CNN). The CHB-MIT database was used to evaluate the performance, and received the results of 97.74 % in accuracy, 98.90 % in sensitivity, 1.94 % in false positive rate. Additionally, the proposed method was implemented in a real-time manner using the sliding window technique. The processing time of the proposed method just 0.02 s for every 2-s EEG episode and achieved average 9.85- second delay in each seizure onset.
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Affiliation(s)
- Mingkan Shen
- School of Engineering, University of Southern Queensland, Toowoomba, Australia
| | - Fuwen Yang
- School of Engineering and Built Environment, Griffith University, Gold Coast, Australia
| | - Peng Wen
- School of Engineering, University of Southern Queensland, Toowoomba, Australia
| | - Bo Song
- School of Engineering, University of Southern Queensland, Toowoomba, Australia
| | - Yan Li
- School of Mathematics, Physics and Computing, University of Southern Queensland, Toowoomba, Australia
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Nagy P, Tóth B, Winkler I, Boncz Á. The effects of spatial leakage correction on the reliability of EEG-based functional connectivity networks. Hum Brain Mapp 2024; 45:e26747. [PMID: 38825981 PMCID: PMC11144954 DOI: 10.1002/hbm.26747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 03/28/2024] [Accepted: 05/16/2024] [Indexed: 06/04/2024] Open
Abstract
Electroencephalography (EEG) functional connectivity (FC) estimates are confounded by the volume conduction problem. This effect can be greatly reduced by applying FC measures insensitive to instantaneous, zero-lag dependencies (corrected measures). However, numerous studies showed that FC measures sensitive to volume conduction (uncorrected measures) exhibit higher reliability and higher subject-level identifiability. We tested how source reconstruction contributed to the reliability difference of EEG FC measures on a large (n = 201) resting-state data set testing eight FC measures (including corrected and uncorrected measures). We showed that the high reliability of uncorrected FC measures in resting state partly stems from source reconstruction: idiosyncratic noise patterns define a baseline resting-state functional network that explains a significant portion of the reliability of uncorrected FC measures. This effect remained valid for template head model-based, as well as individual head model-based source reconstruction. Based on our findings we made suggestions how to best use spatial leakage corrected and uncorrected FC measures depending on the main goals of the study.
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Affiliation(s)
- Péter Nagy
- HUN‐REN Research Centre for Natural SciencesBudapestHungary
- Faculty of Electrical Engineering and Informatics, Department of Measurement and Information SystemsBudapest University of Technology and EconomicsBudapestHungary
| | - Brigitta Tóth
- HUN‐REN Research Centre for Natural SciencesBudapestHungary
| | - István Winkler
- HUN‐REN Research Centre for Natural SciencesBudapestHungary
| | - Ádám Boncz
- HUN‐REN Research Centre for Natural SciencesBudapestHungary
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Lin PJ, Li W, Zhai X, Sun J, Pan Y, Ji L, Li C. AM-EEGNet: An advanced multi-input deep learning framework for classifying stroke patient EEG task states. Neurocomputing 2024; 585:127622. [DOI: 10.1016/j.neucom.2024.127622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/24/2024]
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Hamzah HA, Abdalla KK. EEG-based emotion recognition systems; comprehensive study. Heliyon 2024; 10:e31485. [PMID: 38818173 PMCID: PMC11137547 DOI: 10.1016/j.heliyon.2024.e31485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2024] [Accepted: 05/16/2024] [Indexed: 06/01/2024] Open
Abstract
Emotion recognition technology through EEG signal analysis is currently a fundamental concept in artificial intelligence. This recognition has major practical implications in emotional health care, human-computer interaction, and so on. This paper provides a comprehensive study of different methods for extracting electroencephalography (EEG) features for emotion recognition from four different perspectives, including time domain features, frequency domain features, time-frequency features, and nonlinear features. We summarize the current pattern recognition methods adopted in most related works, and with the rapid development of deep learning (DL) attracting the attention of researchers in this field, we pay more attention to deep learning-based studies and analyse the characteristics, advantages, disadvantages, and applicable scenarios. Finally, the current challenges and future development directions in this field were summarized. This paper can help novice researchers in this field gain a systematic understanding of the current status of emotion recognition research based on EEG signals and provide ideas for subsequent related research.
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Affiliation(s)
- Hussein Ali Hamzah
- Electrical Engineering Department, College of Engineering, University of Babylon, Iraq
| | - Kasim K. Abdalla
- Electrical Engineering Department, College of Engineering, University of Babylon, Iraq
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Brookshire G, Kasper J, Blauch NM, Wu YC, Glatt R, Merrill DA, Gerrol S, Yoder KJ, Quirk C, Lucero C. Data leakage in deep learning studies of translational EEG. Front Neurosci 2024; 18:1373515. [PMID: 38765672 PMCID: PMC11099244 DOI: 10.3389/fnins.2024.1373515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 04/04/2024] [Indexed: 05/22/2024] Open
Abstract
A growing number of studies apply deep neural networks (DNNs) to recordings of human electroencephalography (EEG) to identify a range of disorders. In many studies, EEG recordings are split into segments, and each segment is randomly assigned to the training or test set. As a consequence, data from individual subjects appears in both the training and the test set. Could high test-set accuracy reflect data leakage from subject-specific patterns in the data, rather than patterns that identify a disease? We address this question by testing the performance of DNN classifiers using segment-based holdout (in which segments from one subject can appear in both the training and test set), and comparing this to their performance using subject-based holdout (where all segments from one subject appear exclusively in either the training set or the test set). In two datasets (one classifying Alzheimer's disease, and the other classifying epileptic seizures), we find that performance on previously-unseen subjects is strongly overestimated when models are trained using segment-based holdout. Finally, we survey the literature and find that the majority of translational DNN-EEG studies use segment-based holdout. Most published DNN-EEG studies may dramatically overestimate their classification performance on new subjects.
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Affiliation(s)
| | - Jake Kasper
- SPARK Neuro Inc., New York, NY, United States
| | - Nicholas M. Blauch
- SPARK Neuro Inc., New York, NY, United States
- Neuroscience Institute, Carnegie Mellon University, Pittsburgh, PA, United States
| | | | - Ryan Glatt
- Pacific Brain Health Center, Pacific Neuroscience Institute and Foundation, Santa Monica, CA, United States
| | - David A. Merrill
- Pacific Brain Health Center, Pacific Neuroscience Institute and Foundation, Santa Monica, CA, United States
- Saint John's Cancer Institute at Providence Saint John's Health Center, Santa Monica, CA, United States
- Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, United States
| | | | | | - Colin Quirk
- SPARK Neuro Inc., New York, NY, United States
| | - Ché Lucero
- SPARK Neuro Inc., New York, NY, United States
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Lin JW, Fan ZC, Tzou SC, Wang LJ, Ko LW. Temporal Alpha Dissimilarity of ADHD Brain Network in Comparison With CPT and CATA. IEEE Trans Neural Syst Rehabil Eng 2024; 32:1333-1343. [PMID: 38289841 DOI: 10.1109/tnsre.2024.3360137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
Attention deficit hyperactivity disorder (ADHD) is a chronic neurological and psychiatric disorder that affects children during their development. To find neural patterns for ADHD and provide subjective features as decision references to assist specialists and physicians. Many studies have been devoted to investigating the neural dynamics of the brain through resting-state or continuous performance tests (CPT) with EEG or functional magnetic resonance imaging (fMRI). The present study used coherence, which is one of the functional connectivity (FC) methods, to analyze the neural patterns of children and adolescents (8-16 years old) under CPT and continuous auditory test of attention (CATA) task. In the meantime, electroencephalography (EEG) oscillations were recorded by a wireless brain-computer interface (BCI). 72 children were enrolled, of which 53 participants were diagnosed with ADHD and 19 presented to be typical developing (TD). The experimental results exhibited a higher difference in alpha and theta bands between the TD group and the ADHD group. While the differences between the TD group and the ADHD group in all four frequency domains were greater than under CPT conditions. Statistically significant differences ( [Formula: see text]) were observed between the ADHD and TD groups in the alpha rhythm during the CATA task in the short-range of coherence. For the temporal lobe FC during the CATA task, the TD group exhibited statistically significantly FC ( [Formula: see text]) in the alpha rhythm compared to the ADHD group. These findings offering new possibilities for more techniques and diagnostic methods in finding more ADHD features. The differences in alpha and beta frequencies were more pronounced in the ADHD group during the CPT task compared to the CATA task. Additionally, the disparities in brain activity were more evident across delta, theta, alpha and beta frequency domains when the task given was a CATA as opposed to a CPT. The findings presented the underlying mechanisms of the FC differences between children and adolescents with ADHD. Moreover, these findings should extend to use machine learning approaches to assist the ADHD classification and diagnosis.
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Attallah O. ADHD-AID: Aiding Tool for Detecting Children's Attention Deficit Hyperactivity Disorder via EEG-Based Multi-Resolution Analysis and Feature Selection. Biomimetics (Basel) 2024; 9:188. [PMID: 38534873 DOI: 10.3390/biomimetics9030188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 03/12/2024] [Accepted: 03/13/2024] [Indexed: 03/28/2024] Open
Abstract
The severe effects of attention deficit hyperactivity disorder (ADHD) among adolescents can be prevented by timely identification and prompt therapeutic intervention. Traditional diagnostic techniques are complicated and time-consuming because they are subjective-based assessments. Machine learning (ML) techniques can automate this process and prevent the limitations of manual evaluation. However, most of the ML-based models extract few features from a single domain. Furthermore, most ML-based studies have not examined the most effective electrode placement on the skull, which affects the identification process, while others have not employed feature selection approaches to reduce the feature space dimension and consequently the complexity of the training models. This study presents an ML-based tool for automatically identifying ADHD entitled "ADHD-AID". The present study uses several multi-resolution analysis techniques including variational mode decomposition, discrete wavelet transform, and empirical wavelet decomposition. ADHD-AID extracts thirty features from the time and time-frequency domains to identify ADHD, including nonlinear features, band-power features, entropy-based features, and statistical features. The present study also looks at the best EEG electrode placement for detecting ADHD. Additionally, it looks into the location combinations that have the most significant impact on identification accuracy. Additionally, it uses a variety of feature selection methods to choose those features that have the greatest influence on the diagnosis of ADHD, reducing the classification's complexity and training time. The results show that ADHD-AID has provided scores for accuracy, sensitivity, specificity, F1-score, and Mathew correlation coefficients of 0.991, 0.989, 0.992, 0.989, and 0.982, respectively, in identifying ADHD with 10-fold cross-validation. Also, the area under the curve has reached 0.9958. ADHD-AID's results are significantly higher than those of all earlier studies for the detection of ADHD in adolescents. These notable and trustworthy findings support the use of such an automated tool as a means of assistance for doctors in the prompt identification of ADHD in youngsters.
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Affiliation(s)
- Omneya Attallah
- Department of Electronics and Communications Engineering, College of Engineering and Technology, Arab Academy for Science, Technology and Maritime Transport, Alexandria 21937, Egypt
- Wearables, Biosensing and Biosignal Processing Laboratory, Arab Academy for Science, Technology and Maritime Transport, Alexandria 21937, Egypt
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12
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Sanchis J, García-Ponsoda S, Teruel MA, Trujillo J, Song IY. A novel approach to identify the brain regions that best classify ADHD by means of EEG and deep learning. Heliyon 2024; 10:e26028. [PMID: 38379973 PMCID: PMC10877365 DOI: 10.1016/j.heliyon.2024.e26028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 01/10/2024] [Accepted: 02/06/2024] [Indexed: 02/22/2024] Open
Abstract
Objective Attention-Deficit Hyperactivity Disorder (ADHD) is one of the most widespread neurodevelopmental disorders diagnosed in childhood. ADHD is diagnosed by following the guidelines of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). According to DSM-5, ADHD has not yet identified a specific cause, and thus researchers continue to investigate this field. Therefore, the primary objective of this work is to present a study to find the subset of channels or brain regions that best classify ADHD vs Typically Developing children by means of Electroencephalograms (EEG). Methods To achieve this goal, we present a novel approach to identify the brain regions that best classify ADHD using EEG and Deep Learning (DL). First, we perform a filtering and artefact removal process on the EEG signal. Then we generate different subsets of EEG channels depending on their location on the scalp (hemispheres, lobes, sets of lobes and single channels) and using backward and forward stepwise feature selection methods. Finally, we feed the DL neural network with each set, and compute the f 1 -score. Results and conclusions Based on the obtained results, the Frontal Lobe (FL) (0.8081 f 1 -score) and the Left Hemisphere (LH) (0.8056 f 1 -score) provide more significant information detecting individuals with ADHD, than using the entire set of EEG Channels (0.8067 f 1 -score). However, when combining the Temporal, Parietal and Occipital Lobes (TL, PL, OL), better results (0.8097 f 1 -score) were obtained compared with using only the FL and LH subsets. The best performance was obtained using Feature Selection Methods. In the case of the Backward Stepwise Feature Selection method, a combination of 14 EEG channels yielded a 0.8281 f 1 -score. Similarly, using the Forward Stepwise Feature Selection method, a combination of 11 EEG channels yielded a 0.8271 f 1 -score. These findings hold significant value for physicians in the quest to better understand the underlying causes of ADHD.
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Affiliation(s)
- Javier Sanchis
- Lucentia Research Group - Department of Software and Computing Systems, University of Alicante, Carretera de San Vicente del Raspeig, s/n, San Vicente del Raspeig, 03690, Spain
| | - Sandra García-Ponsoda
- Lucentia Research Group - Department of Software and Computing Systems, University of Alicante, Carretera de San Vicente del Raspeig, s/n, San Vicente del Raspeig, 03690, Spain
- ValgrAI - Valencian Graduate School and Research Network of Artificial Intelligence, Camí de Vera s/n, 46022, Valencia, Spain
| | - Miguel A. Teruel
- Lucentia Research Group - Department of Software and Computing Systems, University of Alicante, Carretera de San Vicente del Raspeig, s/n, San Vicente del Raspeig, 03690, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
| | - Juan Trujillo
- Lucentia Research Group - Department of Software and Computing Systems, University of Alicante, Carretera de San Vicente del Raspeig, s/n, San Vicente del Raspeig, 03690, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
| | - Il-Yeol Song
- College of Information Science and Technology, Drexel University, 3141 Chestnut Street, Philadelphia, USA
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13
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Amer NS, Belhaouari SB. Exploring new horizons in neuroscience disease detection through innovative visual signal analysis. Sci Rep 2024; 14:4217. [PMID: 38378760 PMCID: PMC10879091 DOI: 10.1038/s41598-024-54416-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 02/13/2024] [Indexed: 02/22/2024] Open
Abstract
Brain disorders pose a substantial global health challenge, persisting as a leading cause of mortality worldwide. Electroencephalogram (EEG) analysis is crucial for diagnosing brain disorders, but it can be challenging for medical practitioners to interpret complex EEG signals and make accurate diagnoses. To address this, our study focuses on visualizing complex EEG signals in a format easily understandable by medical professionals and deep learning algorithms. We propose a novel time-frequency (TF) transform called the Forward-Backward Fourier transform (FBFT) and utilize convolutional neural networks (CNNs) to extract meaningful features from TF images and classify brain disorders. We introduce the concept of eye-naked classification, which integrates domain-specific knowledge and clinical expertise into the classification process. Our study demonstrates the effectiveness of the FBFT method, achieving impressive accuracies across multiple brain disorders using CNN-based classification. Specifically, we achieve accuracies of 99.82% for epilepsy, 95.91% for Alzheimer's disease (AD), 85.1% for murmur, and 100% for mental stress using CNN-based classification. Furthermore, in the context of naked-eye classification, we achieve accuracies of 78.6%, 71.9%, 82.7%, and 91.0% for epilepsy, AD, murmur, and mental stress, respectively. Additionally, we incorporate a mean correlation coefficient (mCC) based channel selection method to enhance the accuracy of our classification further. By combining these innovative approaches, our study enhances the visualization of EEG signals, providing medical professionals with a deeper understanding of TF medical images. This research has the potential to bridge the gap between image classification and visual medical interpretation, leading to better disease detection and improved patient care in the field of neuroscience.
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Affiliation(s)
- Nisreen Said Amer
- Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, 34110, Doha, Qatar.
| | - Samir Brahim Belhaouari
- Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, 34110, Doha, Qatar
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14
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Chugh N, Aggarwal S, Balyan A. The Hybrid Deep Learning Model for Identification of Attention-Deficit/Hyperactivity Disorder Using EEG. Clin EEG Neurosci 2024; 55:22-33. [PMID: 37682533 DOI: 10.1177/15500594231193511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/09/2023]
Abstract
Common misbehavior among children that prevents them from paying attention to tasks and interacting with their surroundings appropriately is attention-deficit/hyperactivity disorder (ADHD). Studies of children's behavior presently face a significant problem in the early and timely diagnosis of this disease. To diagnose this disease, doctors often use the patient's description and questionnaires, psychological tests, and the patient's behavior in which reliability is questionable. Convolutional neural network (CNN) is one deep learning technique that has been used for the diagnosis of ADHD. CNN, however, does not account for how signals change over time, which leads to low classification performances and ambiguous findings. In this study, the authors designed a hybrid deep learning model that combines long-short-term memory (LSTM) and CNN to simultaneously extract and learn the spatial features and long-term dependencies of the electroencephalography (EEG) data. The effectiveness of the proposed hybrid deep learning model was assessed using 2 publicly available EEG datasets. The suggested model achieves a classification accuracy of 98.86% on the ADHD dataset and 98.28% on the FOCUS dataset, respectively. The experimental findings show that the proposed hybrid CNN-LSTM model outperforms the state-of-the-art methods to diagnose ADHD using EEG. Hence, the proposed hybrid CNN-LSTM model could therefore be utilized to help with the clinical diagnosis of ADHD patients.
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Affiliation(s)
- Nupur Chugh
- Netaji Subhas Institute of Technology, New Delhi, India
| | - Swati Aggarwal
- Netaji Subhas University of Technology, New Delhi, India
| | - Arnav Balyan
- Netaji Subhas Institute of Technology, New Delhi, India
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15
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Dong H, Chen D, Chen Y, Tang Y, Yin D, Li X. A multi-task learning model with reinforcement optimization for ASD comorbidity discrimination. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2024; 243:107865. [PMID: 37883824 DOI: 10.1016/j.cmpb.2023.107865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 10/11/2023] [Accepted: 10/11/2023] [Indexed: 10/28/2023]
Abstract
How to discriminate the comorbidities in autism spectrum disorder (ASD) population has long been an intriguing and challenging issue in neuroscience and neurology practices. Taking attention deficit hyperactivity disorder (ADHD) for example, electroencephalogram (EEG) analysis has alleviated the problem caused by the task of evaluation of similar behaviors of subjects with ASD, ADHD and ASD+ADHD, which requires a very high expertise to reach any concrete conclusions. However, the performance of ASD comorbidity discrimination is still limited by two major difficulties 1) crucial EEG features regarding ASD and ASD+ADHD largely overlap, and 2) reliable data for model training are routinely insufficient. This study proposes a multi-task learning method with "reinforcement optimization" (namely RO-MLT) working in a two-fold manner: 1)Modeling for Discrimination: a multi-task CNN model maintains the target discrimination task (ASD vs. ASD+ADHD) with the aid of the auxiliary task (ASD vs. Typically Developed (TD)), which is designed to mitigate the aforementioned difficulties on model training; and 2) Reinforcement Optimization: a reinforcement learning algorithm enhances the model's feature extraction and fusion capabilities by optimizing its shared structure. Experimental results based on resting-state EEG that collected from 150 ASD, ASD+ADHD or TD children with the RO-MLT method against the state-of-the-art counterparts indicate that RO-MLT is far superior in terms of all performance indicators (e.g., accuracy). Ablation experiments also show that introduction of multi-task learning and reinforcement optimization can achieve a performance boost-up by 11.07%, a gain even higher than the sums of introduction of two individual techniques to the model design.
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Affiliation(s)
- Heyou Dong
- School of Computer Science, Wuhan University, Wuhan, 430072, China
| | - Dan Chen
- School of Computer Science, Wuhan University, Wuhan, 430072, China.
| | - Yukang Chen
- School of Computer Science, Wuhan University, Wuhan, 430072, China
| | - Yunbo Tang
- School of Computer Science, Wuhan University, Wuhan, 430072, China
| | - Dingze Yin
- School of Computer Science, Wuhan University, Wuhan, 430072, China
| | - Xiaoli Li
- National Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100875, China
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16
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Zhang H, Zhou QQ, Chen H, Hu XQ, Li WG, Bai Y, Han JX, Wang Y, Liang ZH, Chen D, Cong FY, Yan JQ, Li XL. The applied principles of EEG analysis methods in neuroscience and clinical neurology. Mil Med Res 2023; 10:67. [PMID: 38115158 PMCID: PMC10729551 DOI: 10.1186/s40779-023-00502-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/23/2023] [Indexed: 12/21/2023] Open
Abstract
Electroencephalography (EEG) is a non-invasive measurement method for brain activity. Due to its safety, high resolution, and hypersensitivity to dynamic changes in brain neural signals, EEG has aroused much interest in scientific research and medical fields. This article reviews the types of EEG signals, multiple EEG signal analysis methods, and the application of relevant methods in the neuroscience field and for diagnosing neurological diseases. First, three types of EEG signals, including time-invariant EEG, accurate event-related EEG, and random event-related EEG, are introduced. Second, five main directions for the methods of EEG analysis, including power spectrum analysis, time-frequency analysis, connectivity analysis, source localization methods, and machine learning methods, are described in the main section, along with different sub-methods and effect evaluations for solving the same problem. Finally, the application scenarios of different EEG analysis methods are emphasized, and the advantages and disadvantages of similar methods are distinguished. This article is expected to assist researchers in selecting suitable EEG analysis methods based on their research objectives, provide references for subsequent research, and summarize current issues and prospects for the future.
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Affiliation(s)
- Hao Zhang
- School of Systems Science, Beijing Normal University, Beijing, 100875, China
| | - Qing-Qi Zhou
- College of Electrical and Control Engineering, North China University of Technology, Beijing, 100041, China
| | - He Chen
- School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510641, China
| | - Xiao-Qing Hu
- Department of Psychology, the State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, 999077, China
- HKU-Shenzhen Institute of Research and Innovation, Shenzhen, 518057, Guangdong, China
| | - Wei-Guang Li
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, 999077, China
| | - Yang Bai
- Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanchang University, Nanchang, 330006, China
- Rehabilitation Medicine Clinical Research Center of Jiangxi Province, Nanchang, 330006, China
| | - Jun-Xia Han
- Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, 100048, China
| | - Yao Wang
- School of Communication Science, Beijing Language and Culture University, Beijing, 100083, China
| | - Zhen-Hu Liang
- Institute of Electrical Engineering, Yanshan University, Qinhuangdao, 066004, Hebei, China.
| | - Dan Chen
- School of Computer Science, Wuhan University, Wuhan, 430072, China.
| | - Feng-Yu Cong
- School of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian, 116081, Liaoning, China.
| | - Jia-Qing Yan
- College of Electrical and Control Engineering, North China University of Technology, Beijing, 100041, China.
| | - Xiao-Li Li
- School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510641, China.
- Guangdong Artificial Intelligence and Digital Economy Laboratory (Guangzhou), Guangzhou, 510335, China.
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17
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Abedinzadeh Torghabeh F, Hosseini SA, Modaresnia Y. Potential biomarker for early detection of ADHD using phase-based brain connectivity and graph theory. Phys Eng Sci Med 2023; 46:1447-1465. [PMID: 37668834 DOI: 10.1007/s13246-023-01310-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 07/24/2023] [Indexed: 09/06/2023]
Abstract
This research investigates an efficient strategy for early detection and intervention of attention-deficit hyperactivity disorder (ADHD) in children. ADHD is a neurodevelopmental condition characterized by inattention and hyperactivity/impulsivity symptoms, which can significantly impact a child's daily life. This study employed two distinct brain functional connectivity measurements to assess our approach across various local graph features. Six common classifiers are employed to distinguish between children with ADHD and healthy control. Based on the phase-based analysis, the study proposes two biomarkers that differentiate children with ADHD from healthy control, with a remarkable accuracy of 99.174%. Our findings suggest that subgraph centrality of phase-lag index brain connectivity within the beta and delta frequency bands could be a promising biomarker for ADHD diagnosis. Additionally, we identify node betweenness centrality of inter-site phase clustering connectivity within the delta and theta bands as another potential biomarker that warrants further exploration. These biomarkers were validated using a t-statistical test and yielded a p-value of under 0.05, which approved their significant difference in these two groups. Suggested biomarkers have the potential to improve the accuracy of ADHD diagnosis and could help identify effective intervention strategies for children with the condition.
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Affiliation(s)
| | - Seyyed Abed Hosseini
- Department of Electrical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
| | - Yeganeh Modaresnia
- Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
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18
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Li S, Yang B, Dou Y, Wang Y, Ma J, Huang C, Zhang Y, Cao P. Aided diagnosis of cervical spondylotic myelopathy using deep learning methods based on electroencephalography. Med Eng Phys 2023; 121:104069. [PMID: 37985026 DOI: 10.1016/j.medengphy.2023.104069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 10/11/2023] [Accepted: 11/05/2023] [Indexed: 11/22/2023]
Abstract
Cervical spondylotic myelopathy (CSM) is the most severe type of cervical spondylosis. It is challenging to achieve early diagnosis with current clinical diagnostic tools. In this paper, we propose an end-to-end deep learning approach for early diagnosis of CSM. Electroencephalography (EEG) experiments were conducted with patients having spinal cord cervical spondylosis and age-matched normal subjects. A Convolutional Neural Network with Long Short-Term Memory Networks (CNN-LSTM) model was employed for the classification of patients versus normal individuals. In contrast, a Convolutional Neural Network with Bidirectional Long Short-Term Memory Networks and attention mechanism (CNN-BiLSTM-attention) model was used to classify regular, mild, and severe patients. The models were trained using focal Loss instead of traditional cross-entropy Loss, and cross-validation was performed. Our method achieved a classification accuracy of 92.5 % for the two-class classification among 40 subjects and 72.2 % for the three-class classification among 36 subjects. Furthermore, we observed that the proposed model outperformed traditional EEG decoding models. This paper presents an effective computer-aided diagnosis method that eliminates the need for manual extraction of EEG features and holds potential for future auxiliary diagnosis of spinal cord-type cervical spondylosis.
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Affiliation(s)
- Shen Li
- School of Medicine, Shanghai University, Shanghai, 200444, China
| | - Banghua Yang
- School of Medicine, Shanghai University, Shanghai, 200444, China; School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, 200444, China.
| | - Yibo Dou
- Department of Cervical Surgery, The Second Affiliated Hospital of the Naval Medical University, Shanghai, 200003, China
| | - Yongli Wang
- Department of Cervical Surgery, The Second Affiliated Hospital of the Naval Medical University, Shanghai, 200003, China
| | - Jun Ma
- School of Medicine, Shanghai University, Shanghai, 200444, China
| | - Chi Huang
- Department of Cervical Surgery, The Second Affiliated Hospital of the Naval Medical University, Shanghai, 200003, China
| | - Yonghuai Zhang
- Shanghai Shaonao Sensing Company Ltd., Shanghai, 200444, China
| | - Peng Cao
- Department of Cervical Surgery, The Second Affiliated Hospital of the Naval Medical University, Shanghai, 200003, China.
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19
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Parsa M, Rad HY, Vaezi H, Hossein-Zadeh GA, Setarehdan SK, Rostami R, Rostami H, Vahabie AH. EEG-based classification of individuals with neuropsychiatric disorders using deep neural networks: A systematic review of current status and future directions. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2023; 240:107683. [PMID: 37406421 DOI: 10.1016/j.cmpb.2023.107683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Revised: 05/23/2023] [Accepted: 06/18/2023] [Indexed: 07/07/2023]
Abstract
The use of deep neural networks for electroencephalogram (EEG) classification has rapidly progressed and gained popularity in recent years, but automatic feature extraction from EEG signals remains a challenging task. The classification of neuropsychiatric disorders demands the extraction of neuro-markers for use in automated EEG classification. Numerous advanced deep learning algorithms can be used for this purpose. In this article, we present a comprehensive review of the main factors and parameters that affect the performance of deep neural networks in classifying different neuropsychiatric disorders using EEG signals. We also analyze the EEG features used for improving classification performance. Our analysis includes 82 scientific journal papers that applied deep neural networks for subject-wise classification based on EEG signals. We extracted information on the EEG dataset and types of disorders, deep neural network structures, performance, and hyperparameters. The results show that most studies have focused on clinical classification, achieving an average accuracy of 91.83 ± 7.34, with convolutional neural networks (CNNs) being the most frequently used network architecture and resting-state EEG signals being the most commonly used data type. Additionally, the review reveals that depression (N = 18), Alzheimer's (N = 11), and schizophrenia (N = 11) were studied more frequently than other types of neuropsychiatric disorders. Our review provides insight into the performance of deep neural networks in EEG classification and highlights the importance of EEG feature extraction in improving classification accuracy. By identifying the main factors and parameters that affect deep neural network performance in EEG classification, our review can guide future research in this area. We hope that our findings will encourage further exploration of deep learning methods for EEG classification and contribute to the development of more accurate and effective methods for diagnosing and monitoring neuropsychiatric disorders using EEG signals.
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Affiliation(s)
- Mohsen Parsa
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, North Kargar St., P.O. Box 14395/515, Tehran, Iran; School of Cognitive Sciences, Institute for Research in Fundamental Sciences, Artesh Highway, P.O. Box 19568-36484, Tehran, Iran
| | - Habib Yousefi Rad
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, North Kargar St., P.O. Box 14395/515, Tehran, Iran; School of Cognitive Sciences, Institute for Research in Fundamental Sciences, Artesh Highway, P.O. Box 19568-36484, Tehran, Iran
| | - Hadi Vaezi
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, North Kargar St., P.O. Box 14395/515, Tehran, Iran; School of Cognitive Sciences, Institute for Research in Fundamental Sciences, Artesh Highway, P.O. Box 19568-36484, Tehran, Iran
| | - Gholam-Ali Hossein-Zadeh
- Control and Intelligent Processing Center of Excellence, Faculty of Electrical and Computer Engineering, University of Tehran, North Kargar St., P.O. Box 14395/515, Tehran, Iran
| | - Seyed Kamaledin Setarehdan
- Control and Intelligent Processing Center of Excellence, Faculty of Electrical and Computer Engineering, University of Tehran, North Kargar St., P.O. Box 14395/515, Tehran, Iran
| | - Reza Rostami
- Faculty of Psychology and Education, University of Tehran, Jalal-Al-e-Ahmed, P.O. Box 14155-6456, Tehran, Iran
| | - Hana Rostami
- ACNC, Atieh Clinical Neuroscience Center, Valiasr St., P.O. Box 19697-13663, Tehran, Iran
| | - Abdol-Hossein Vahabie
- Faculty of Psychology and Education, University of Tehran, Jalal-Al-e-Ahmed, P.O. Box 14155-6456, Tehran, Iran; Cognitive Systems Laboratory, Control and Intelligent Processing Center of Excellence (CIPCE), School of Electrical and Computer Engineering, College of Engineering, University of Tehran, P.O. Box 14395/515, Tehran, Iran; Pasargad Institute for Advanced Innovative Solutions (PIAIS), Tehran, Iran.
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20
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Raeisi K, Khazaei M, Tamburro G, Croce P, Comani S, Zappasodi F. A Class-Imbalance Aware and Explainable Spatio-Temporal Graph Attention Network for Neonatal Seizure Detection. Int J Neural Syst 2023; 33:2350046. [PMID: 37497802 DOI: 10.1142/s0129065723500466] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
Seizures are the most prevalent clinical indication of neurological disorders in neonates. In this study, a class-imbalance aware and explainable deep learning approach based on Convolutional Neural Networks (CNNs) and Graph Attention Networks (GATs) is proposed for the accurate automated detection of neonatal seizures. The proposed model integrates the temporal information of EEG signals with the spatial information on the EEG channels through the graph representation of the multi-channel EEG segments. One-dimensional CNNs are used to automatically develop a feature set that accurately represents the differences between seizure and nonseizure epochs in the time domain. By employing GAT, the attention mechanism is utilized to emphasize the critical channel pairs and information flow among brain regions. GAT coefficients were then used to empirically visualize the important regions during the seizure and nonseizure epochs, which can provide valuable insight into the location of seizures in the neonatal brain. Additionally, to tackle the severe class imbalance in the neonatal seizure dataset using under-sampling and focal loss techniques are used. Overall, the final Spatio-Temporal Graph Attention Network (ST-GAT) outperformed previous benchmarked methods with a mean AUC of 96.6% and Kappa of 0.88, demonstrating its high accuracy and potential for clinical applications.
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Affiliation(s)
- Khadijeh Raeisi
- Department of Neuroscience, Imaging and Clinical Sciences, Universita Gabriele d'Annunzio, Chieti 66100, Italy
| | - Mohammad Khazaei
- Department of Neuroscience, Imaging and Clinical Sciences, Universita Gabriele d'Annunzio, Chieti 66100, Italy
| | - Gabriella Tamburro
- Department of Neuroscience, Imaging and Clinical Sciences-Behavioral Imaging and Neural Dynamics Center, Universita Gabriele d'Annunzio, Chieti 66100, Italy
| | - Pierpaolo Croce
- Department of Neuroscience, Imaging and Clinical Sciences-Behavioral Imaging and Neural Dynamics Center, Universita Gabriele d'Annunzio, Chieti 66100, Italy
| | - Silvia Comani
- Department of Neuroscience, Imaging and Clinical Sciences-Behavioral Imaging and Neural Dynamics Center, Universita Gabriele d'Annunzio, Chieti 66100, Italy
| | - Filippo Zappasodi
- Department of Neuroscience, Imaging and Clinical Sciences-Behavioral, Imaging and Neural Dynamics Center-Institute for, Advanced Biomedical Technologies, Universita Gabriele d'Annunzio, Chieti 66100, Italy
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21
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Kasim Ö. Identification of attention deficit hyperactivity disorder with deep learning model. Phys Eng Sci Med 2023; 46:1081-1090. [PMID: 37191853 DOI: 10.1007/s13246-023-01275-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 05/05/2023] [Indexed: 05/17/2023]
Abstract
This article explores the detection of Attention Deficit Hyperactivity Disorder, a neurobehavioral disorder, from electroencephalography signals. Due to the unstable behavior of electroencephalography signals caused by complex neuronal activity in the brain, frequency analysis methods are required to extract the hidden patterns. In this study, the feature extraction was performed with the Multitaper and Multivariate Variational Mode Decomposition methods. Then, these features were analyzed with the neighborhood component analysis and the features that contribute effectively to the classification were selected. The deep learning model including the convolution, pooling, and bidirectional long short term cell and fully connected layer was trained with the selected features. The trained model could effectively classify the subjects with Attention Deficit Hyperactivity Disorder with a deep learning model, support vector machines and linear discriminant analysis. The experiments were validated with an Attention Deficit Hyperactivity Disorder open access dataset ( https://doi.org/10.21227/rzfh-zn36 ). In validation, the deep learning model was able to classify 1210 test samples (600 subjects in the control group as Normal and 610 subjects in the ADHD group as ADHD) in 0.1 s with an accuracy of 95.54%. This accuracy rate is quite high compared to the Linear Discriminant Analysis (76.38%) and Support Vector Machines (81.69%). Experimental results showed that the proposed approach can innovatively classify Attention Deficit Hyperactivity Disorder subjects from the Control group effectively.
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Affiliation(s)
- Ömer Kasim
- Department of Electrical and Electronics Engineering, Simav Technology Faculty, Kutahya Dumlupinar University, 43500, Kutahya, Turkey.
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Amado-Caballero P, Casaseca-de-la-Higuera P, Alberola-López S, Andrés-de-Llano JM, López-Villalobos JA, Alberola-López C. Insight into ADHD diagnosis with deep learning on Actimetry: Quantitative interpretation of occlusion maps in age and gender subgroups. Artif Intell Med 2023; 143:102630. [PMID: 37673587 DOI: 10.1016/j.artmed.2023.102630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 07/19/2023] [Accepted: 07/20/2023] [Indexed: 09/08/2023]
Abstract
Attention Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder in childhood that often persists into adulthood. Objectively diagnosing ADHD can be challenging due to the reliance on subjective questionnaires in clinical assessment. Fortunately, recent advancements in artificial intelligence (AI) have shown promise in providing objective diagnoses through the analysis of medical images or activity recordings. These AI-based techniques have demonstrated accurate ADHD diagnosis; however, the growing complexity of deep learning models has introduced a lack of interpretability. These models often function as black boxes, unable to offer meaningful insights into the data patterns that characterize ADHD. OBJECTIVE This paper proposes a methodology to interpret the output of an AI-based diagnosis system for combined ADHD in age and gender-stratified populations. METHODS Our system is based on the analysis of 24 hour-long activity records using Convolutional Neural Networks (CNNs) to classify spectrograms of activity windows. These windows are interpreted using occlusion maps to highlight the time-frequency patterns explaining ADHD activity. RESULTS Significant differences in the frequency patterns between ADHD and controls both in diurnal and nocturnal activity were found for all the populations. Temporal dispersion also presented differences in the male population. CONCLUSION The proposed interpretation techniques for CNNs highlighted gender- and age-related differences between ADHD patients and controls. Leveraging these differences could potentially lead to improved diagnostic accuracy, especially if a larger and more balanced dataset is utilized. SIGNIFICANCE Our findings pave the way for the development of an AI-based diagnosis system for ADHD that offers interpretability, thereby providing valuable insights into the underlying etiology of the disease.
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Affiliation(s)
| | | | | | | | | | - Carlos Alberola-López
- Laboratorio de Procesado de Imagen (LPI), Universidad de Valladolid, Valladolid, Spain.
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Wang R, He Q, Han C, Wang H, Shi L, Che Y. A deep learning framework for identifying Alzheimer's disease using fMRI-based brain network. Front Neurosci 2023; 17:1177424. [PMID: 37614342 PMCID: PMC10442560 DOI: 10.3389/fnins.2023.1177424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 07/24/2023] [Indexed: 08/25/2023] Open
Abstract
Background The convolutional neural network (CNN) is a mainstream deep learning (DL) algorithm, and it has gained great fame in solving problems from clinical examination and diagnosis, such as Alzheimer's disease (AD). AD is a degenerative disease difficult to clinical diagnosis due to its unclear underlying pathological mechanism. Previous studies have primarily focused on investigating structural abnormalities in the brain's functional networks related to the AD or proposing different deep learning approaches for AD classification. Objective The aim of this study is to leverage the advantages of combining brain topological features extracted from functional network exploration and deep features extracted by the CNN. We establish a novel fMRI-based classification framework that utilizes Resting-state functional magnetic resonance imaging (rs-fMRI) with the phase synchronization index (PSI) and 2D-CNN to detect abnormal brain functional connectivity in AD. Methods First, PSI was applied to construct the brain network by region of interest (ROI) signals obtained from data preprocessing stage, and eight topological features were extracted. Subsequently, the 2D-CNN was applied to the PSI matrix to explore the local and global patterns of the network connectivity by extracting eight deep features from the 2D-CNN convolutional layer. Results Finally, classification analysis was carried out on the combined PSI and 2D-CNN methods to recognize AD by using support vector machine (SVM) with 5-fold cross-validation strategy. It was found that the classification accuracy of combined method achieved 98.869%. Conclusion These findings show that our framework can adaptively combine the best brain network features to explore network synchronization, functional connections, and characterize brain functional abnormalities, which could effectively detect AD anomalies by the extracted features that may provide new insights into exploring the underlying pathogenesis of AD.
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Affiliation(s)
- Ruofan Wang
- School of Information Technology Engineering, Tianjin University of Technology and Education, Tianjin, China
| | - Qiguang He
- School of Information Technology Engineering, Tianjin University of Technology and Education, Tianjin, China
| | - Chunxiao Han
- Tianjin Key Laboratory of Information Sensing and Intelligent Control, School of Automation and Electrical Engineering, Tianjin University of Technology and Education, Tianjin, China
| | - Haodong Wang
- School of Information Technology Engineering, Tianjin University of Technology and Education, Tianjin, China
| | - Lianshuan Shi
- School of Information Technology Engineering, Tianjin University of Technology and Education, Tianjin, China
| | - Yanqiu Che
- Tianjin Key Laboratory of Information Sensing and Intelligent Control, School of Automation and Electrical Engineering, Tianjin University of Technology and Education, Tianjin, China
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Atila O, Deniz E, Ari A, Sengur A, Chakraborty S, Barua PD, Acharya UR. LSGP-USFNet: Automated Attention Deficit Hyperactivity Disorder Detection Using Locations of Sophie Germain's Primes on Ulam's Spiral-Based Features with Electroencephalogram Signals. SENSORS (BASEL, SWITZERLAND) 2023; 23:7032. [PMID: 37631569 PMCID: PMC10459515 DOI: 10.3390/s23167032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 07/27/2023] [Accepted: 08/05/2023] [Indexed: 08/27/2023]
Abstract
Anxiety, learning disabilities, and depression are the symptoms of attention deficit hyperactivity disorder (ADHD), an isogenous pattern of hyperactivity, impulsivity, and inattention. For the early diagnosis of ADHD, electroencephalogram (EEG) signals are widely used. However, the direct analysis of an EEG is highly challenging as it is time-consuming, nonlinear, and nonstationary in nature. Thus, in this paper, a novel approach (LSGP-USFNet) is developed based on the patterns obtained from Ulam's spiral and Sophia Germain's prime numbers. The EEG signals are initially filtered to remove the noise and segmented with a non-overlapping sliding window of a length of 512 samples. Then, a time-frequency analysis approach, namely continuous wavelet transform, is applied to each channel of the segmented EEG signal to interpret it in the time and frequency domain. The obtained time-frequency representation is saved as a time-frequency image, and a non-overlapping n × n sliding window is applied to this image for patch extraction. An n × n Ulam's spiral is localized on each patch, and the gray levels are acquired from this patch as features where Sophie Germain's primes are located in Ulam's spiral. All gray tones from all patches are concatenated to construct the features for ADHD and normal classes. A gray tone selection algorithm, namely ReliefF, is employed on the representative features to acquire the final most important gray tones. The support vector machine classifier is used with a 10-fold cross-validation criteria. Our proposed approach, LSGP-USFNet, was developed using a publicly available dataset and obtained an accuracy of 97.46% in detecting ADHD automatically. Our generated model is ready to be validated using a bigger database and it can also be used to detect other children's neurological disorders.
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Affiliation(s)
- Orhan Atila
- Electrical-Electronics Engineering Department, Technology Faculty, Firat University, 23119 Elazig, Turkey; (O.A.); (E.D.); (A.S.)
| | - Erkan Deniz
- Electrical-Electronics Engineering Department, Technology Faculty, Firat University, 23119 Elazig, Turkey; (O.A.); (E.D.); (A.S.)
| | - Ali Ari
- Computer Engineering Department, Engineering Faculty, Inonu University, 44280 Malatya, Turkey;
| | - Abdulkadir Sengur
- Electrical-Electronics Engineering Department, Technology Faculty, Firat University, 23119 Elazig, Turkey; (O.A.); (E.D.); (A.S.)
| | - Subrata Chakraborty
- Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, NSW 2351, Australia
- Faculty of Engineering and Information Technology, University of Technology Sydney, Ultimo, NSW 2007, Australia
| | - Prabal Datta Barua
- Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, NSW 2351, Australia
- Faculty of Engineering and Information Technology, University of Technology Sydney, Ultimo, NSW 2007, Australia
- School of Information Systems, University of Southern Queensland, Springfield, QLD 4300, Australia
| | - U. Rajendra Acharya
- School of Mathematics, Physics and Computing, University of Southern Queensland, Springfield, QLD 4300, Australia;
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25
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Shen M, Wen P, Song B, Li Y. Automatic identification of schizophrenia based on EEG signals using dynamic functional connectivity analysis and 3D convolutional neural network. Comput Biol Med 2023; 160:107022. [PMID: 37187135 DOI: 10.1016/j.compbiomed.2023.107022] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/21/2023] [Accepted: 05/09/2023] [Indexed: 05/17/2023]
Abstract
Schizophrenia (ScZ) is a devastating mental disorder of the human brain that causes a serious impact of emotional inclinations, quality of personal and social life and healthcare systems. In recent years, deep learning methods with connectivity analysis only very recently focused into fMRI data. To explore this kind of research into electroencephalogram (EEG) signal, this paper investigates the identification of ScZ EEG signals using dynamic functional connectivity analysis and deep learning methods. A time-frequency domain functional connectivity analysis through cross mutual information algorithm is proposed to extract the features in alpha band (8-12 Hz) of each subject. A 3D convolutional neural network technique was applied to classify the ScZ subjects and health control (HC) subjects. The LMSU public ScZ EEG dataset is employed to evaluate the proposed method, and a 97.74 ± 1.15% accuracy, 96.91 ± 2.76% sensitivity and 98.53 ± 1.97% specificity results were achieved in this study. In addition, we also found not only the default mode network region but also the connectivity between temporal lobe and posterior temporal lobe in both right and left side have significant difference between the ScZ and HC subjects.
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Affiliation(s)
- Mingkan Shen
- School of Engineering, University of Southern Queensland, Toowoomba, Australia.
| | - Peng Wen
- School of Engineering, University of Southern Queensland, Toowoomba, Australia
| | - Bo Song
- School of Engineering, University of Southern Queensland, Toowoomba, Australia
| | - Yan Li
- School of Mathematics, Physics and Computing, University of Southern Queensland, Toowoomba, Australia
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26
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Liu Z, Alavi A, Li M, Zhang X. Self-Supervised Contrastive Learning for Medical Time Series: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:4221. [PMID: 37177423 PMCID: PMC10181273 DOI: 10.3390/s23094221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/20/2023] [Accepted: 04/21/2023] [Indexed: 05/15/2023]
Abstract
Medical time series are sequential data collected over time that measures health-related signals, such as electroencephalography (EEG), electrocardiography (ECG), and intensive care unit (ICU) readings. Analyzing medical time series and identifying the latent patterns and trends that lead to uncovering highly valuable insights for enhancing diagnosis, treatment, risk assessment, and disease progression. However, data mining in medical time series is heavily limited by the sample annotation which is time-consuming and labor-intensive, and expert-depending. To mitigate this challenge, the emerging self-supervised contrastive learning, which has shown great success since 2020, is a promising solution. Contrastive learning aims to learn representative embeddings by contrasting positive and negative samples without the requirement for explicit labels. Here, we conducted a systematic review of how contrastive learning alleviates the label scarcity in medical time series based on PRISMA standards. We searched the studies in five scientific databases (IEEE, ACM, Scopus, Google Scholar, and PubMed) and retrieved 1908 papers based on the inclusion criteria. After applying excluding criteria, and screening at title, abstract, and full text levels, we carefully reviewed 43 papers in this area. Specifically, this paper outlines the pipeline of contrastive learning, including pre-training, fine-tuning, and testing. We provide a comprehensive summary of the various augmentations applied to medical time series data, the architectures of pre-training encoders, the types of fine-tuning classifiers and clusters, and the popular contrastive loss functions. Moreover, we present an overview of the different data types used in medical time series, highlight the medical applications of interest, and provide a comprehensive table of 51 public datasets that have been utilized in this field. In addition, this paper will provide a discussion on the promising future scopes such as providing guidance for effective augmentation design, developing a unified framework for analyzing hierarchical time series, and investigating methods for processing multimodal data. Despite being in its early stages, self-supervised contrastive learning has shown great potential in overcoming the need for expert-created annotations in the research of medical time series.
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Affiliation(s)
- Ziyu Liu
- School of Computing Technologies, RMIT, Melbourne, VIC 3000, Australia;
| | - Azadeh Alavi
- School of Computing Technologies, RMIT, Melbourne, VIC 3000, Australia;
| | - Minyi Li
- Coles, Melbourne, VIC 3123, Australia;
| | - Xiang Zhang
- Department of Computer Science, University of North Carolina, Charlotte, NC 28223, USA
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27
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Real-time epilepsy seizure detection based on EEG using tunable-Q wavelet transform and convolutional neural network. Biomed Signal Process Control 2023. [DOI: 10.1016/j.bspc.2022.104566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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28
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Xia W, Zhang R, Zhang X, Usman M. A novel method for diagnosing Alzheimer's disease using deep pyramid CNN based on EEG signals. Heliyon 2023; 9:e14858. [PMID: 37025794 PMCID: PMC10070085 DOI: 10.1016/j.heliyon.2023.e14858] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 03/07/2023] [Accepted: 03/20/2023] [Indexed: 03/28/2023] Open
Abstract
Background The diagnosis of Alzheimer's disease (AD) using electroencephalography (EEG) has garnered more attention recently. New methods In this paper, we present a novel approach for the diagnosis of AD, in terms of classifying the resting-state EEG of AD, mild cognitive impairment (MCI), and healthy control (HC). To overcome the hurdles of limited data available and the over-fitting problem of the deep learning models, we studied overlapping sliding windows to augment the one-dimensional EEG data of 100 subjects (including 49 AD subjects, 37 MCI subjects and 14 HC subjects). After constructing the appropriate dataset, the modified DPCNN was used to classify the augmented EEG. Furthermore, the model performance was evaluated by 5 times of 5-fold cross-validation and the confusion matrix has been obtained. Results The average accuracy rate of the model for classifying AD, MCI, and HC is 97.10%, and the F1 score of the three-class classification model is 97.11%, which further proves the model's excellent performance. Conclusions Therefore, the DPCNN proposed in this paper can accurately classify the one-dimensional EEG of AD and is worthy of reference for the diagnosis of the disease.
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29
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Shen M, Wen P, Song B, Li Y. Detection of alcoholic EEG signals based on whole brain connectivity and convolution neural networks. Biomed Signal Process Control 2023. [DOI: 10.1016/j.bspc.2022.104242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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30
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Maniruzzaman M, Hasan MAM, Asai N, Shin J. Optimal Channels and Features Selection Based ADHD Detection From EEG Signal Using Statistical and Machine Learning Techniques. IEEE ACCESS 2023; 11:33570-33583. [DOI: 10.1109/access.2023.3264266] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2025]
Affiliation(s)
- Md. Maniruzzaman
- School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan
| | - Md. Al Mehedi Hasan
- Department of Computer Science and Engineering, Rajshahi University of Engineering and Technology, Rajshahi, Bangladesh
| | - Nobuyoshi Asai
- School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan
| | - Jungpil Shin
- School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan
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Mafi M, Radfar S. High Dimensional Convolutional Neural Network for EEG Connectivity-Based Diagnosis of ADHD. J Biomed Phys Eng 2022; 12:645-654. [PMID: 36569562 PMCID: PMC9759645 DOI: 10.31661/jbpe.v0i0.2108-1380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 02/20/2022] [Indexed: 12/02/2022]
Abstract
Background Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children and adults and its early detection is effective in the successful treatment of children. Electroencephalography (EEG) has been widely used for classifying ADHD and normal children. In recent years, deep learning leads to more accurate classification. Objective This study aims to adapt convolutional neural networks (CNNs) for classifying ADHD and normal children based on the connectivity measure of their EEG signals. Material and Methods In this experimental study, the dataset consisted of 61 ADHD and 60 normal children from which 13021 epochs were extracted as input for model training and evaluation. Synchronization likelihood (SL) and wavelet coherence (WC) were considered connectivity measures. The neighborhood between EEG channels was arranged in a two-dimensional matrix for better representation. Four-dimensional (4D) and six-dimensional (6D) connectivity tensors were composed as model inputs. Two architectures were developed, one 4D and 6D CNN for SL and WC-based diagnosis of ADHD, respectively. Results A 5-fold cross-validation was utilized to assess developed models. The average accuracy of 98.56% for 4D CNN and 98.85% for 6D CNN in epoch-based classification were obtained. In the case of subject-based classification, the accuracy was 99.17% for both models. Conclusion Based on the evaluation metrics of the proposed models, ADHD children can be diagnosed and ADHD and normal children can be successfully distinguished.
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Affiliation(s)
- Majid Mafi
- PhD, Biomedical Engineering Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Shokoufeh Radfar
- PhD, Department of Psychiatry, Behavioural Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
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TMP19: A Novel Ternary Motif Pattern-Based ADHD Detection Model Using EEG Signals. Diagnostics (Basel) 2022; 12:diagnostics12102544. [PMID: 36292233 PMCID: PMC9600696 DOI: 10.3390/diagnostics12102544] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 11/18/2022] Open
Abstract
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition worldwide. In this research, we used an ADHD electroencephalography (EEG) dataset containing more than 4000 EEG signals. Moreover, these EEGs are noisy signals. A new hand-modeled EEG classification model has been proposed to separate healthy versus ADHD individuals using the EEG signals. In this model, a new ternary motif pattern (TMP) has been incorporated. We have mimicked deep learning networks to create this hand-modeled classification method. The Tunable Q Wavelet Transform (TQWT) has been utilized to generate wavelet subbands. We applied the proposed TMP and statistics to construct informative features from both raw EEG signals and wavelet bands by generating TQWT. Herein, features have been generated by 18 subbands and the original EEG signal. Thus, this model is named TMP19. The most informative features have been chosen by deploying neighborhood component analysis (NCA), and the selected features have been classified using the k-nearest neighbor (kNN) classifier. The used ADHD EEG dataset has 14 channels. Thus, these three phases—(i) feature extraction with TQWT, TMP, and statistics; (ii) feature selection by deploying NCA; and (iii) classification with kNN—have been applied to each channel. Iterative hard majority voting (IHMV) has been applied to obtain a higher and more general classification response. Our model attained 95.57% and 77.93% classification accuracies by deploying 10-fold and leave one subject out (LOSO) cross-validations, respectively.
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Ekhlasi A, Nasrabadi AM, Mohammadi M. Analysis of EEG brain connectivity of children with ADHD using graph theory and directional information transfer. BIOMED ENG-BIOMED TE 2022; 68:133-146. [PMID: 36197950 DOI: 10.1515/bmt-2022-0100] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 09/13/2022] [Indexed: 11/15/2022]
Abstract
Research shows that Attention Deficit Hyperactivity Disorder (ADHD) is related to a disorder in brain networks. The purpose of this study is to use an effective connectivity measure and graph theory to examine the impairments of brain connectivity in ADHD. Weighted directed graphs based on electroencephalography (EEG) signals of 61 children with ADHD and 60 healthy children were constructed. The edges between two nodes (electrodes) were calculated by Phase Transfer Entropy (PTE). PTE is calculated for five frequency bands: delta, theta, alpha, beta, and gamma. The graph theory measures were divided into two categories: global and local. Statistical analysis with global measures indicates that in children with ADHD, the segregation of brain connectivity increases while the integration of the brain connectivity decreases compared to healthy children. These brain network differences were identified in the delta and theta frequency bands. The classification accuracy of 89.4% is obtained for both in-degree and strength measures in the theta band. Our result indicated local graph measures classified ADHD and healthy subjects with accuracy of 91.2 and 90% in theta and delta bands, respectively. Our analysis may provide a new understanding of the differences in the EEG brain network of children with ADHD and healthy children.
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Affiliation(s)
- Ali Ekhlasi
- Department of Biomedical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Ali Motie Nasrabadi
- Department of Biomedical Engineering, Faculty of Engineering, Shahed University, Tehran, Iran
| | - Mohammadreza Mohammadi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Wang Z, Wong CM, Nan W, Tang Q, Rosa AC, Xu P, Wan F. Learning Curve of a Short-Time Neurofeedback Training: Reflection of Brain Network Dynamics Based on Phase-Locking Value. IEEE Trans Cogn Dev Syst 2022. [DOI: 10.1109/tcds.2021.3125948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Ze Wang
- Department of Electrical and Computer Engineering, Faculty of Science and Technology, Centre for Cognitive and Brain Sciences, and the Centre for Artificial Intelligence and Robotics, Institute of Collaborative Innovation, University of Macau, Macau, China
| | - Chi Man Wong
- Department of Electrical and Computer Engineering, Faculty of Science and Technology, Centre for Cognitive and Brain Sciences, and the Centre for Artificial Intelligence and Robotics, Institute of Collaborative Innovation, University of Macau, Macau, China
| | - Wenya Nan
- Department of Psychology, Shanghai Normal University, Shanghai, China
| | - Qi Tang
- Department of Electrical and Computer Engineering, Faculty of Science and Technology, Centre for Cognitive and Brain Sciences, and the Centre for Artificial Intelligence and Robotics, Institute of Collaborative Innovation, University of Macau, Macau, China
| | - Agostinho C. Rosa
- Department of Bioengineering, LaSEEBSystem and Robotics Institute, Instituto Superior Tecnico, University of Lisbon, Lisbon, Portugal
| | - Peng Xu
- Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, and the School of Life Science and Technology, Center for Information in Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Feng Wan
- Department of Electrical and Computer Engineering, Faculty of Science and Technology, Centre for Cognitive and Brain Sciences, and the Centre for Artificial Intelligence and Robotics, Institute of Collaborative Innovation, University of Macau, Macau, China
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35
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Talebi N, Motie Nasrabadi A. Investigating the discrimination of linear and nonlinear effective connectivity patterns of EEG signals in children with Attention-Deficit/Hyperactivity Disorder and Typically Developing children. Comput Biol Med 2022; 148:105791. [PMID: 35863245 DOI: 10.1016/j.compbiomed.2022.105791] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/06/2022] [Accepted: 06/26/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Analysis of effective connectivity among brain regions is an important key to decipher the mechanisms underlying neural disorders such as Attention Deficit Hyperactivity Disorder (ADHD). We previously introduced a new method, called nCREANN (nonlinear Causal Relationship Estimation by Artificial Neural Network), for estimating linear and nonlinear components of effective connectivity, and provided novel findings about effective connectivity of EEG signals of children with autism. Using the nCREANN method in the present study, we assessed effective connectivity patterns of ADHD children based on their EEG signals recorded during a visual attention task, and compared them with the aged-matched Typically Developing (TD) subjects. METHOD In addition to the nCREANN method for estimating linear and nonlinear aspects of effective connectivity, the direct Directed Transfer Function (dDTF) was utilized to extract the spectral information of connectivity patterns. RESULTS The dDTF results did not suggest a specific frequency band for distinguishing between the two groups, and different patterns of effective connectivity were observed in all bands. Both nCREANN and dDTF methods showed decreased connectivity between temporal/frontal and temporal/occipital regions, and increased connection between frontal/parietal regions in ADHDs than TDs. Furthermore, the nCREANN results showed more left-lateralized connections in ADHDs compared to the symmetric bilateral inter-hemispheric interactions in TDs. In addition, by fusion of linear and nonlinear connectivity measures of nCREANN method, we achieved an accuracy of 99% in classification of the two groups. CONCLUSION These findings emphasize the capability of nCREANN method to investigate the brain functioning of neural disorders and its strength in preciously distinguish between healthy and disordered subjects.
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Affiliation(s)
- Nasibeh Talebi
- Department of Biomedical Engineering, Faculty of Engineering, Shahed University, Tehran, Iran.
| | - Ali Motie Nasrabadi
- Department of Biomedical Engineering, Faculty of Engineering, Shahed University, Tehran, Iran.
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36
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Wang C, Wang X, Jing X, Yokoi H, Huang W, Zhu M, Chen S, Li G. Towards high-accuracy classifying attention-deficit/hyperactivity disorders using CNN-LSTM model. J Neural Eng 2022; 19. [PMID: 35797967 DOI: 10.1088/1741-2552/ac7f5d] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 07/07/2022] [Indexed: 11/12/2022]
Abstract
OBJECTIVE The neurocognitive attention functions involve the cooperation of multiple brain regions, and the defects in the cooperation will lead to attention-deficit/hyperactivity disorder (ADHD), which is one of the most common neuropsychiatric disorders for children. The current ADHD diagnosis is mainly based on a subjective evaluation that is easily biased by the experience of the clinicians and lacks the support of objective indicators. The purpose of this study is to propose a method that can effectively identify children with ADHD. APPROACH In this study, we proposed a CNN-LSTM model to solve the three-class problems of classifying ADHD, attention deficit disorder (ADD) and healthy children, based on a public EEG dataset that includes event-related potential (ERP) EEG signals of 144 children. The convolution visualization and saliency map methods were used to observe the features automatically extracted by the proposed model, which could intuitively explain how the model distinguished different groups. MAIN RESULTS The results showed that our CNN-LSTM model could achieve an accuracy as high as 98.23% in a 5-fold cross-validation method, which was significantly better than the current state-of-the-art CNN models. The features extracted by the proposed model were mainly located in the frontal and central areas, with significant differences in the time period mappings among the three different groups. The P300 and contingent negative variation (CNV) in the frontal lobe had the largest decrease in the healthy control (HC) group, and the ADD group had the smallest decrease. In the central area, only the HC group had a significant negative oscillation of CNV waves. SIGNIFICANCE The results of this study suggest that the CNN-LSTM model can effectively identify children with ADHD and its subtypes. The visualized features automatically extracted by this model could better explain the differences in the ERP response among different groups, which is more convincing than previous studies, and it could be used as more reliable neural biomarkers to help with more accurate diagnosis in the clinics.
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Affiliation(s)
- Cheng Wang
- Shenzhen Institutes of Advanced Technology Chinese Academy of Sciences, Shenzhen University Town, Xueyuan Avenue 1068, Shenzhen, Shenzhen, Guangdong, 518055, CHINA
| | - Xin Wang
- Shenzhen Institutes of Advanced Technology Chinese Academy of Sciences, Shenzhen University Town, Xueyuan Avenue 1068, Shenzhen, Shenzhen, 518055, CHINA
| | - Xiaobei Jing
- Chinese Academy of Sciences, Shenzhen University Town, Xueyuan Avenue 1068, Shenzhen, 518055, CHINA
| | - Hiroshi Yokoi
- Department of Mechanical and Intelligent Systems Engineering, The University of Electro-Communications, 1-5-1 Chofugaoka, Chofu, 182-8585, JAPAN
| | - Weimin Huang
- Department of Neonatology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Shenzhen, Guangdong, 518038, CHINA
| | - Mingxing Zhu
- Harbin Institute of Technology, Shenzhen University Town, Harbin Institute of Technology campus, Shenzhen, 518055, CHINA
| | - Shixiong Chen
- Shenzhen Institutes of Advanced Technology Chinese Academy of Sciences, Shenzhen University Town, Xueyuan Avenue 1068, Shenzhen, Guangdong, 518055, CHINA
| | - Guanglin Li
- Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology Chinese Academy of Sciences, Xueyuan avenue 1068, Shenzhen University Town, Shenzhen 518055, Shenzhen, Guangdong, 518055, CHINA
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37
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Comparison of domain specific connectivity metrics for estimation brain network indices in boys with ADHD-C. Biomed Signal Process Control 2022. [DOI: 10.1016/j.bspc.2022.103626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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38
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Alvi AM, Siuly S, Wang H, Wang K, Whittaker F. A deep learning based framework for diagnosis of mild cognitive impairment. Knowl Based Syst 2022. [DOI: 10.1016/j.knosys.2022.108815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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39
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Loh HW, Ooi CP, Barua PD, Palmer EE, Molinari F, Acharya UR. Automated detection of ADHD: Current trends and future perspective. Comput Biol Med 2022; 146:105525. [DOI: 10.1016/j.compbiomed.2022.105525] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/31/2022] [Accepted: 04/04/2022] [Indexed: 12/25/2022]
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40
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Cao J, Zhao Y, Shan X, Wei H, Guo Y, Chen L, Erkoyuncu JA, Sarrigiannis PG. Brain functional and effective connectivity based on electroencephalography recordings: A review. Hum Brain Mapp 2022; 43:860-879. [PMID: 34668603 PMCID: PMC8720201 DOI: 10.1002/hbm.25683] [Citation(s) in RCA: 57] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 09/10/2021] [Accepted: 09/27/2021] [Indexed: 12/02/2022] Open
Abstract
Functional connectivity and effective connectivity of the human brain, representing statistical dependence and directed information flow between cortical regions, significantly contribute to the study of the intrinsic brain network and its functional mechanism. Many recent studies on electroencephalography (EEG) have been focusing on modeling and estimating brain connectivity due to increasing evidence that it can help better understand various brain neurological conditions. However, there is a lack of a comprehensive updated review on studies of EEG-based brain connectivity, particularly on visualization options and associated machine learning applications, aiming to translate those techniques into useful clinical tools. This article reviews EEG-based functional and effective connectivity studies undertaken over the last few years, in terms of estimation, visualization, and applications associated with machine learning classifiers. Methods are explored and discussed from various dimensions, such as either linear or nonlinear, parametric or nonparametric, time-based, and frequency-based or time-frequency-based. Then it is followed by a novel review of brain connectivity visualization methods, grouped by Heat Map, data statistics, and Head Map, aiming to explore the variation of connectivity across different brain regions. Finally, the current challenges of related research and a roadmap for future related research are presented.
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Affiliation(s)
- Jun Cao
- School of Aerospace, Transport and ManufacturingCranfield UniversityCranfield
| | - Yifan Zhao
- School of Aerospace, Transport and ManufacturingCranfield UniversityCranfield
| | - Xiaocai Shan
- School of Aerospace, Transport and ManufacturingCranfield UniversityCranfield
- Institute of Geology and Geophysics, Chinese Academy of SciencesBeijingChina
| | - Hua‐liang Wei
- Department of Automatic Control and Systems EngineeringUniversity of SheffieldSheffieldUK
| | - Yuzhu Guo
- School of Automation Science and Electrical EngineeringBeihang UniversityBeijingChina
| | - Liangyu Chen
- Department of NeurosurgeryShengjing Hospital of China Medical UniversityShenyangChina
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41
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Chang Y, Stevenson C, Chen IC, Lin DS, Ko LW. Neurological state changes indicative of ADHD in children learned via EEG-based LSTM networks. J Neural Eng 2022; 19. [PMID: 35081524 DOI: 10.1088/1741-2552/ac4f07] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 01/26/2022] [Indexed: 11/12/2022]
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that pervasively interferes with the lives of individuals starting in childhood. OBJECTIVE To address the subjectivity of current diagnostic approaches, many studies have been dedicated to efforts to identify the differences between ADHD and neurotypical (NT) individuals using EEG and continuous performance tests (CPT). APPROACH In this study, we proposed EEG-based long short-term memory (LSTM) networks that utilize deep learning techniques with learning the cognitive state transition to discriminate between ADHD and NT children via EEG signal processing. A total of thirty neurotypical children and thirty ADHD children participated in CPT tests while being monitored with EEG. Several architectures of deep and machine learning were applied to three EEG data segments including resting state, cognitive execution, and a period containing a fusion of those. MAIN RESULTS The experimental results indicated that EEG-based LSTM networks produced the best performance with an average accuracy of 90.50 ± 0.81 % in comparison with the deep neural networks, the convolutional neural networks, and the support vector machines with learning the cognitive state transition of EEG data. Novel observations of individual neural markers showed that the beta power activity of the O1 and O2 sites contributed the most to the classifications, subjects exhibited decreased beta power in the ADHD group, and had larger decreases during cognitive execution. SIGNIFICANCE These findings showed that the proposed EEG-based LSTM networks are capable of extracting the varied temporal characteristics of high-resolution electrophysiological signals to differentiate between ADHD and NT children, and brought a new insight to facilitate the diagnosis of ADHD. The registration numbers of the institutional review boards are 16MMHIS021 and EC1070401-F.
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Affiliation(s)
- Yang Chang
- Institute of Bioinformatics and Systems Biology, National Yang Ming Chiao Tung University, Rm. 742, Bio-ICT Building, No. 75, Bo'ai St., East Dist., Hsinchu City 300 , Taiwan (R.O.C.), Hsinchu, 300, TAIWAN
| | - Cory Stevenson
- Institute of Bioinformatics and Systems Biology, National Yang Ming Chiao Tung University, Rm. 742, Bio-ICT Building, No. 75, Bo'ai St., East Dist., Hsinchu City 300 , Taiwan (R.O.C.), Hsinchu, 300, TAIWAN
| | - I-Chun Chen
- Department of Physical Medicine and Rehabilitation, Ton-Yen General Hospital, No. 69, Xianzheng 2nd Rd., Zhubei City, Hsinchu County 302, Taiwan (R.O.C.), Hsinchu, 302, TAIWAN
| | - Dar-Shong Lin
- Department of Pediatrics, Mackay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist., Taipei City 104, Taiwan (R.O.C.), Taipei, 104, TAIWAN
| | - Li-Wei Ko
- Institute of Bioinformatics and Systems Biology, National Chiao Tung University, Rm. 742, Bio-ICT Building, No. 75, Bo'ai St., East Dist., Hsinchu City 300 , Taiwan (R.O.C.), Hsinchu, 300, TAIWAN
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42
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ADHD classification using auto-encoding neural network and binary hypothesis testing. Artif Intell Med 2022; 123:102209. [PMID: 34998510 DOI: 10.1016/j.artmed.2021.102209] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 10/11/2021] [Accepted: 11/03/2021] [Indexed: 11/21/2022]
Abstract
Attention Deficit Hyperactivity Disorder (ADHD) is a highly prevalent neurodevelopmental disease of school-age children. Early diagnosis is crucial for ADHD treatment, wherein its neurobiological diagnosis (or classification) is helpful and provides the objective evidence to clinicians. The existing ADHD classification methods suffer two problems, i.e., insufficient data and feature noise disturbance from other associated disorders. As an attempt to overcome these difficulties, a novel deep-learning classification architecture based on a binary hypothesis testing framework and a modified auto-encoding (AE) network is proposed in this paper. The binary hypothesis testing framework is introduced to cope with insufficient data of ADHD database. Brain functional connectivities (FCs) of test data (without seeing their labels) are incorporated during feature selection along with those of training data and affect the sequential deep learning procedure under binary hypotheses. On the other hand, the modified AE network is developed to capture more effective features from training data, such that the difference of inter- and intra-class variability scores between binary hypotheses can be enlarged and effectively alleviate the disturbance of feature noise. On the test of ADHD-200 database, our method significantly outperforms the existing classification methods. The average accuracy reaches 99.6% with the leave-one-out cross validation. Our method is also more robust and practically convenient for ADHD classification due to its uniform parameter setting across various datasets.
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43
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Holker R, Susan S. Computer-Aided Diagnosis Framework for ADHD Detection Using Quantitative EEG. Brain Inform 2022. [DOI: 10.1007/978-3-031-15037-1_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
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44
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Shoeibi A, Sadeghi D, Moridian P, Ghassemi N, Heras J, Alizadehsani R, Khadem A, Kong Y, Nahavandi S, Zhang YD, Gorriz JM. Automatic Diagnosis of Schizophrenia in EEG Signals Using CNN-LSTM Models. Front Neuroinform 2021; 15:777977. [PMID: 34899226 PMCID: PMC8657145 DOI: 10.3389/fninf.2021.777977] [Citation(s) in RCA: 50] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 10/22/2021] [Indexed: 11/13/2022] Open
Abstract
Schizophrenia (SZ) is a mental disorder whereby due to the secretion of specific chemicals in the brain, the function of some brain regions is out of balance, leading to the lack of coordination between thoughts, actions, and emotions. This study provides various intelligent deep learning (DL)-based methods for automated SZ diagnosis via electroencephalography (EEG) signals. The obtained results are compared with those of conventional intelligent methods. To implement the proposed methods, the dataset of the Institute of Psychiatry and Neurology in Warsaw, Poland, has been used. First, EEG signals were divided into 25 s time frames and then were normalized by z-score or norm L2. In the classification step, two different approaches were considered for SZ diagnosis via EEG signals. In this step, the classification of EEG signals was first carried out by conventional machine learning methods, e.g., support vector machine, k-nearest neighbors, decision tree, naïve Bayes, random forest, extremely randomized trees, and bagging. Various proposed DL models, namely, long short-term memories (LSTMs), one-dimensional convolutional networks (1D-CNNs), and 1D-CNN-LSTMs, were used in the following. In this step, the DL models were implemented and compared with different activation functions. Among the proposed DL models, the CNN-LSTM architecture has had the best performance. In this architecture, the ReLU activation function with the z-score and L2-combined normalization was used. The proposed CNN-LSTM model has achieved an accuracy percentage of 99.25%, better than the results of most former studies in this field. It is worth mentioning that to perform all simulations, the k-fold cross-validation method with k = 5 has been used.
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Affiliation(s)
- Afshin Shoeibi
- Faculty of Electrical Engineering, K. N. Toosi University of Technology, Tehran, Iran
| | - Delaram Sadeghi
- Department of Medical Engineering, Islamic Azad University of Mashhad, Mashhad, Iran
| | - Parisa Moridian
- Faculty of Engineering, Islamic Azad University of Science and Research, Tehran, Iran
| | - Navid Ghassemi
- Faculty of Electrical Engineering, K. N. Toosi University of Technology, Tehran, Iran
| | - Jónathan Heras
- Department of Mathematics and Computer Science, University of La Rioja, Logroño, Spain
| | - Roohallah Alizadehsani
- Institute for Intelligent Systems Research and Innovation (IISRI), Deakin University, Geelong, VIC, Australia
| | - Ali Khadem
- Faculty of Electrical Engineering, K. N. Toosi University of Technology, Tehran, Iran
| | - Yinan Kong
- School of Engineering, Macquarie University, Sydney, NSW, Australia
| | - Saeid Nahavandi
- Institute for Intelligent Systems Research and Innovation (IISRI), Deakin University, Geelong, VIC, Australia
| | - Yu-Dong Zhang
- Department of Informatics, University of Leicester, Leicester, United Kingdom
| | - Juan Manuel Gorriz
- Department of Signal Theory, Telematics and Communications, ETS of Computer and Telecommunications Engineering, University of Granada, Granada, Spain
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45
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Macpherson T, Churchland A, Sejnowski T, DiCarlo J, Kamitani Y, Takahashi H, Hikida T. Natural and Artificial Intelligence: A brief introduction to the interplay between AI and neuroscience research. Neural Netw 2021; 144:603-613. [PMID: 34649035 DOI: 10.1016/j.neunet.2021.09.018] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 09/15/2021] [Accepted: 09/21/2021] [Indexed: 10/20/2022]
Abstract
Neuroscience and artificial intelligence (AI) share a long history of collaboration. Advances in neuroscience, alongside huge leaps in computer processing power over the last few decades, have given rise to a new generation of in silico neural networks inspired by the architecture of the brain. These AI systems are now capable of many of the advanced perceptual and cognitive abilities of biological systems, including object recognition and decision making. Moreover, AI is now increasingly being employed as a tool for neuroscience research and is transforming our understanding of brain functions. In particular, deep learning has been used to model how convolutional layers and recurrent connections in the brain's cerebral cortex control important functions, including visual processing, memory, and motor control. Excitingly, the use of neuroscience-inspired AI also holds great promise for understanding how changes in brain networks result in psychopathologies, and could even be utilized in treatment regimes. Here we discuss recent advancements in four areas in which the relationship between neuroscience and AI has led to major advancements in the field; (1) AI models of working memory, (2) AI visual processing, (3) AI analysis of big neuroscience datasets, and (4) computational psychiatry.
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Affiliation(s)
- Tom Macpherson
- Laboratory for Advanced Brain Functions, Institute for Protein Research, Osaka University, Osaka, Japan
| | - Anne Churchland
- Cold Spring Harbor Laboratory, Neuroscience, Cold Spring Harbor, NY, USA
| | - Terry Sejnowski
- Computational Neurobiology Laboratory, Salk Institute for Biological Studies, CA, USA; Division of Biological Sciences, University of California San Diego, CA, USA
| | - James DiCarlo
- Brain and Cognitive Sciences, Massachusetts Institute of Technology, MA, USA
| | - Yukiyasu Kamitani
- Department of Neuroinformatics, ATR Computational Neuroscience Laboratories, Kyoto, Japan; Graduate School of Informatics, Kyoto University, Kyoto, Japan
| | - Hidehiko Takahashi
- Department of Psychiatry and Behavioral Sciences, Tokyo Medical and Dental University Graduate School, Tokyo, Japan
| | - Takatoshi Hikida
- Laboratory for Advanced Brain Functions, Institute for Protein Research, Osaka University, Osaka, Japan.
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46
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Liang Z, Zhou R, Zhang L, Li L, Huang G, Zhang Z, Ishii S. EEGFuseNet: Hybrid Unsupervised Deep Feature Characterization and Fusion for High-Dimensional EEG With an Application to Emotion Recognition. IEEE Trans Neural Syst Rehabil Eng 2021; 29:1913-1925. [PMID: 34506287 DOI: 10.1109/tnsre.2021.3111689] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
How to effectively and efficiently extract valid and reliable features from high-dimensional electroencephalography (EEG), particularly how to fuse the spatial and temporal dynamic brain information into a better feature representation, is a critical issue in brain data analysis. Most current EEG studies work in a task driven manner and explore the valid EEG features with a supervised model, which would be limited by the given labels to a great extent. In this paper, we propose a practical hybrid unsupervised deep convolutional recurrent generative adversarial network based EEG feature characterization and fusion model, which is termed as EEGFuseNet. EEGFuseNet is trained in an unsupervised manner, and deep EEG features covering both spatial and temporal dynamics are automatically characterized. Comparing to the existing features, the characterized deep EEG features could be considered to be more generic and independent of any specific EEG task. The performance of the extracted deep and low-dimensional features by EEGFuseNet is carefully evaluated in an unsupervised emotion recognition application based on three public emotion databases. The results demonstrate the proposed EEGFuseNet is a robust and reliable model, which is easy to train and performs efficiently in the representation and fusion of dynamic EEG features. In particular, EEGFuseNet is established as an optimal unsupervised fusion model with promising cross-subject emotion recognition performance. It proves EEGFuseNet is capable of characterizing and fusing deep features that imply comparative cortical dynamic significance corresponding to the changing of different emotion states, and also demonstrates the possibility of realizing EEG based cross-subject emotion recognition in a pure unsupervised manner.
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47
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Dong H, Chen D, Zhang L, Ke H, Li X. Subject sensitive EEG discrimination with fast reconstructable CNN driven by reinforcement learning: A case study of ASD evaluation. Neurocomputing 2021. [DOI: 10.1016/j.neucom.2021.04.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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48
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A Novel Knowledge Distillation-Based Feature Selection for the Classification of ADHD. Biomolecules 2021; 11:biom11081093. [PMID: 34439759 PMCID: PMC8393979 DOI: 10.3390/biom11081093] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/21/2021] [Accepted: 07/21/2021] [Indexed: 01/17/2023] Open
Abstract
Attention Deficit Hyperactivity Disorder (ADHD) is a brain disorder with characteristics such as lack of concentration, excessive fidgeting, outbursts of emotions, lack of patience, difficulty in organizing tasks, increased forgetfulness, and interrupting conversation, and it is affecting millions of people worldwide. There is, until now, not a gold standard test using which an ADHD expert can differentiate between an individual with ADHD and a healthy subject, making accurate diagnosis of ADHD a challenging task. We are proposing a Knowledge Distillation-based approach to search for discriminating features between the ADHD and healthy subjects. Learned embeddings from a large neural network, trained on the functional connectivity features, were fed to one hidden layer Autoencoder for reproduction of the embeddings using the same connectivity features. Finally, a forward feature selection algorithm was used to select a combination of most discriminating features between the ADHD and the Healthy Controls. We achieved promising classification results for each of the five individual sites. A combined accuracy of 81% in KKI, 60% Peking, 56% in NYU, 64% NI, and 56% OHSU and individual site wise accuracy of 72% in KKI, 60% Peking, 73% in NYU, 70% NI, and 71% OHSU were obtained using our extracted features. Our results also outperformed state-of-the-art methods in literature which validates the efficacy of our proposed approach.
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49
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Javan AAK, Jafari M, Shoeibi A, Zare A, Khodatars M, Ghassemi N, Alizadehsani R, Gorriz JM. Medical Images Encryption Based on Adaptive-Robust Multi-Mode Synchronization of Chen Hyper-Chaotic Systems. SENSORS (BASEL, SWITZERLAND) 2021; 21:3925. [PMID: 34200287 PMCID: PMC8200970 DOI: 10.3390/s21113925] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 06/01/2021] [Accepted: 06/02/2021] [Indexed: 01/03/2023]
Abstract
In this paper, a novel medical image encryption method based on multi-mode synchronization of hyper-chaotic systems is presented. The synchronization of hyper-chaotic systems is of great significance in secure communication tasks such as encryption of images. Multi-mode synchronization is a novel and highly complex issue, especially if there is uncertainty and disturbance. In this work, an adaptive-robust controller is designed for multimode synchronized chaotic systems with variable and unknown parameters, despite the bounded disturbance and uncertainty with a known function in two modes. In the first case, it is a main system with some response systems, and in the second case, it is a circular synchronization. Using theorems it is proved that the two synchronization methods are equivalent. Our results show that, we are able to obtain the convergence of synchronization error and parameter estimation error to zero using Lyapunov's method. The new laws to update time-varying parameters, estimating disturbance and uncertainty bounds are proposed such that stability of system is guaranteed. To assess the performance of the proposed synchronization method, various statistical analyzes were carried out on the encrypted medical images and standard benchmark images. The results show effective performance of the proposed synchronization technique in the medical images encryption for telemedicine application.
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Affiliation(s)
- Ali Akbar Kekha Javan
- Faculty of Electrical Engineering, Zabol Branch, Islamic Azad University, Zabol 1939598616, Iran;
| | - Mahboobeh Jafari
- Electrical and Computer Engineering Faculty, Semnan University, Semnan 3513119111, Iran;
| | - Afshin Shoeibi
- Faculty of Electrical Engineering, Biomedical Data Acquisition Lab (BDAL), K. N. Toosi University of Technology, Tehran 1631714191, Iran;
| | - Assef Zare
- Faculty of Electrical Engineering, Gonabad Branch, Islamic Azad University, Gonabad 6518115743, Iran
| | - Marjane Khodatars
- Faculty of Engineering, Mashhad Branch, Islamic Azad University, Mashhad 91735413, Iran;
| | - Navid Ghassemi
- Computer Engineering Department, Ferdowsi University of Mashhad, Mashhad 9177948974, Iran;
| | - Roohallah Alizadehsani
- Institute for Intelligent Systems Research and Innovation (IISRI), Deakin University, Waurn Ponds, VIC 3217, Australia;
| | - Juan Manuel Gorriz
- Department of Signal Theory, Networking and Communications, Universidad de Granada, 52005 Granada, Spain;
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50
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Gao Z, Dang W, Wang X, Hong X, Hou L, Ma K, Perc M. Complex networks and deep learning for EEG signal analysis. Cogn Neurodyn 2021; 15:369-388. [PMID: 34040666 PMCID: PMC8131466 DOI: 10.1007/s11571-020-09626-1] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 07/20/2020] [Accepted: 08/16/2020] [Indexed: 12/13/2022] Open
Abstract
Electroencephalogram (EEG) signals acquired from brain can provide an effective representation of the human's physiological and pathological states. Up to now, much work has been conducted to study and analyze the EEG signals, aiming at spying the current states or the evolution characteristics of the complex brain system. Considering the complex interactions between different structural and functional brain regions, brain network has received a lot of attention and has made great progress in brain mechanism research. In addition, characterized by autonomous, multi-layer and diversified feature extraction, deep learning has provided an effective and feasible solution for solving complex classification problems in many fields, including brain state research. Both of them show strong ability in EEG signal analysis, but the combination of these two theories to solve the difficult classification problems based on EEG signals is still in its infancy. We here review the application of these two theories in EEG signal research, mainly involving brain-computer interface, neurological disorders and cognitive analysis. Furthermore, we also develop a framework combining recurrence plots and convolutional neural network to achieve fatigue driving recognition. The results demonstrate that complex networks and deep learning can effectively implement functional complementarity for better feature extraction and classification, especially in EEG signal analysis.
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Affiliation(s)
- Zhongke Gao
- School of Electrical and Information Engineering, Tianjin University, Tianjin, 300072 China
| | - Weidong Dang
- School of Electrical and Information Engineering, Tianjin University, Tianjin, 300072 China
| | - Xinmin Wang
- School of Electrical and Information Engineering, Tianjin University, Tianjin, 300072 China
| | - Xiaolin Hong
- School of Electrical and Information Engineering, Tianjin University, Tianjin, 300072 China
| | - Linhua Hou
- School of Electrical and Information Engineering, Tianjin University, Tianjin, 300072 China
| | - Kai Ma
- Tencent Youtu Lab, Malata Building, 9998 Shennan Avenue, Shenzhen, 518057 Guangdong Province China
| | - Matjaž Perc
- Faculty of Natural Sciences and Mathematics, University of Maribor, Koroška cesta 160, 2000 Maribor, Slovenia
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