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Yu P, Dong R, Wang X, Tang Y, Liu Y, Wang C, Zhao L. Neuroimaging of motor recovery after ischemic stroke - functional reorganization of motor network. Neuroimage Clin 2024; 43:103636. [PMID: 38950504 PMCID: PMC11267109 DOI: 10.1016/j.nicl.2024.103636] [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: 03/10/2024] [Revised: 06/01/2024] [Accepted: 06/27/2024] [Indexed: 07/03/2024]
Abstract
The long-term motor outcome of acute stroke patients may be correlated to the reorganization of brain motor network. Abundant neuroimaging studies contribute to understand the pathological changes and recovery of motor networks after stroke. In this review, we summarized how current neuroimaging studies have increased understanding of reorganization and plasticity in post stroke motor recovery. Firstly, we discussed the changes in the motor network over time during the motor-activation and resting states, as well as the overall functional integration trend of the motor network. These studies indicate that the motor network undergoes dynamic bilateral hemispheric functional reorganization, as well as a trend towards network randomization. In the second part, we summarized the current study progress in the application of neuroimaging technology to early predict the post-stroke motor outcome. In the third part, we discuss the neuroimaging techniques commonly used in the post-stroke recovery. These methods provide direct or indirect visualization patterns to understand the neural mechanisms of post-stroke motor recovery, opening up new avenues for studying spontaneous and treatment-induced recovery and plasticity after stroke.
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Affiliation(s)
- Pei Yu
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Ruoyu Dong
- Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China
| | - Xiao Wang
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yuqi Tang
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yaning Liu
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Can Wang
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Ling Zhao
- School of Acupuncture and Massage, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
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Mark JA, Curtin A, Kraft AE, Ziegler MD, Ayaz H. Mental workload assessment by monitoring brain, heart, and eye with six biomedical modalities during six cognitive tasks. FRONTIERS IN NEUROERGONOMICS 2024; 5:1345507. [PMID: 38533517 PMCID: PMC10963413 DOI: 10.3389/fnrgo.2024.1345507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 02/15/2024] [Indexed: 03/28/2024]
Abstract
Introduction The efficiency and safety of complex high precision human-machine systems such as in aerospace and robotic surgery are closely related to the cognitive readiness, ability to manage workload, and situational awareness of their operators. Accurate assessment of mental workload could help in preventing operator error and allow for pertinent intervention by predicting performance declines that can arise from either work overload or under stimulation. Neuroergonomic approaches based on measures of human body and brain activity collectively can provide sensitive and reliable assessment of human mental workload in complex training and work environments. Methods In this study, we developed a new six-cognitive-domain task protocol, coupling it with six biomedical monitoring modalities to concurrently capture performance and cognitive workload correlates across a longitudinal multi-day investigation. Utilizing two distinct modalities for each aspect of cardiac activity (ECG and PPG), ocular activity (EOG and eye-tracking), and brain activity (EEG and fNIRS), 23 participants engaged in four sessions over 4 weeks, performing tasks associated with working memory, vigilance, risk assessment, shifting attention, situation awareness, and inhibitory control. Results The results revealed varying levels of sensitivity to workload within each modality. While certain measures exhibited consistency across tasks, neuroimaging modalities, in particular, unveiled meaningful differences between task conditions and cognitive domains. Discussion This is the first comprehensive comparison of these six brain-body measures across multiple days and cognitive domains. The findings underscore the potential of wearable brain and body sensing methods for evaluating mental workload. Such comprehensive neuroergonomic assessment can inform development of next generation neuroadaptive interfaces and training approaches for more efficient human-machine interaction and operator skill acquisition.
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Affiliation(s)
- Jesse A. Mark
- School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, PA, United States
| | - Adrian Curtin
- School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, PA, United States
| | - Amanda E. Kraft
- Advanced Technology Laboratories, Lockheed Martin, Arlington, VA, United States
| | - Matthias D. Ziegler
- Advanced Technology Laboratories, Lockheed Martin, Arlington, VA, United States
| | - Hasan Ayaz
- School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, PA, United States
- Department of Psychological and Brain Sciences, College of Arts and Sciences, Drexel University, Philadelphia, PA, United States
- Drexel Solutions Institute, Drexel University, Philadelphia, PA, United States
- A. J. Drexel Autism Institute, Drexel University, Philadelphia, PA, United States
- Department of Family and Community Health, University of Pennsylvania, Philadelphia, PA, United States
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, United States
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Kleeva D, Ninenko I, Lebedev MA. Resting-state EEG recorded with gel-based vs. consumer dry electrodes: spectral characteristics and across-device correlations. Front Neurosci 2024; 18:1326139. [PMID: 38370431 PMCID: PMC10873917 DOI: 10.3389/fnins.2024.1326139] [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: 10/22/2023] [Accepted: 01/05/2024] [Indexed: 02/20/2024] Open
Abstract
Introduction Recordings of electroencephalographic (EEG) rhythms and their analyses have been instrumental in basic neuroscience, clinical diagnostics, and the field of brain-computer interfaces (BCIs). While in the past such measurements have been conducted mostly in laboratory settings, recent advancements in dry electrode technology pave way to a broader range of consumer and medical application because of their greater convenience compared to gel-based electrodes. Methods Here we conducted resting-state EEG recordings in two groups of healthy participants using three dry-electrode devices, the PSBD Headband, the PSBD Headphones and the Muse Headband, and one standard gel electrode-based system, the NVX. We examined signal quality for various spatial and spectral ranges which are essential for cognitive monitoring and consumer applications. Results Distinctive characteristics of signal quality were found, with the PSBD Headband showing sensitivity in low-frequency ranges and replicating the modulations of delta, theta and alpha power corresponding to the eyes-open and eyes-closed conditions, and the NVX system performing well in capturing high-frequency oscillations. The PSBD Headphones were more prone to low-frequency artifacts compared to the PSBD Headband, yet recorded modulations in the alpha power and had a strong alignment with the NVX at the higher EEG frequencies. The Muse Headband had several limitations in signal quality. Discussion We suggest that while dry-electrode technology appears to be appropriate for the EEG rhythm-based applications, the potential benefits of these technologies in terms of ease of use and accessibility should be carefully weighed against the capacity of each given system.
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Affiliation(s)
- Daria Kleeva
- Vladimir Zelman Center for Neurobiology and Brain Rehabilitation, Skolkovo Institute of Science and Technology, Moscow, Russia
- Institute for Cognitive Neuroscience, HSE University, Moscow, Russia
- MSU Institute for Artificial Intelligence, Lomonosov Moscow State University, Moscow, Russia
| | - Ivan Ninenko
- Institute for Cognitive Neuroscience, HSE University, Moscow, Russia
| | - Mikhail A. Lebedev
- Faculty of Mechanics and Mathematics, Lomonosov Moscow State University, Moscow, Russia
- I. M. Sechenov Institute of Evolutionary Physiology and Biochemistry, Saint Petersburg, Russia
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Lin S, Jiang J, Huang K, Li L, He X, Du P, Wu Y, Liu J, Li X, Huang Z, Zhou Z, Yu Y, Gao J, Lei M, Wu H. Advanced Electrode Technologies for Noninvasive Brain-Computer Interfaces. ACS NANO 2023; 17:24487-24513. [PMID: 38064282 DOI: 10.1021/acsnano.3c06781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2023]
Abstract
Brain-computer interfaces (BCIs) have garnered significant attention in recent years due to their potential applications in medical, assistive, and communication technologies. Building on this, noninvasive BCIs stand out as they provide a safe and user-friendly method for interacting with the human brain. In this work, we provide a comprehensive overview of the latest developments and advancements in material, design, and application of noninvasive BCIs electrode technology. We also explore the challenges and limitations currently faced by noninvasive BCI electrode technology and sketch out the technological roadmap from three dimensions: Materials and Design; Performances; Mode and Function. We aim to unite research efforts within the field of noninvasive BCI electrode technology, focusing on the consolidation of shared goals and fostering integrated development strategies among a diverse array of multidisciplinary researchers.
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Affiliation(s)
- Sen Lin
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Jingjing Jiang
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Kai Huang
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
- State Key Laboratory of Information Photonics and Optical Communications and School of Science, Beijing University of Posts and Telecommunications, Beijing 100876, China
| | - Lei Li
- National Engineering Research Center of Electric Vehicles, Beijing Institute of Technology, Beijing 100081, China
| | - Xian He
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - Peng Du
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - Yufeng Wu
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - Junchen Liu
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
- State Key Laboratory of Information Photonics and Optical Communications and School of Science, Beijing University of Posts and Telecommunications, Beijing 100876, China
| | - Xilin Li
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
- Advanced Institute for Brain and Intelligence, Guangxi University, Nanning 530004, China
| | - Zhibao Huang
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Zenan Zhou
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Yuanhang Yu
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Jiaxin Gao
- School of Physical Science and Technology, Guangxi University, Nanning 530004, China
| | - Ming Lei
- State Key Laboratory of Information Photonics and Optical Communications and School of Science, Beijing University of Posts and Telecommunications, Beijing 100876, China
| | - Hui Wu
- State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
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Fiedler P, Graichen U, Zimmer E, Haueisen J. Simultaneous Dry and Gel-Based High-Density Electroencephalography Recordings. SENSORS (BASEL, SWITZERLAND) 2023; 23:9745. [PMID: 38139591 PMCID: PMC10747542 DOI: 10.3390/s23249745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/06/2023] [Accepted: 12/08/2023] [Indexed: 12/24/2023]
Abstract
Evaluations of new dry, high-density EEG caps have only been performed so far with serial measurements and not with simultaneous (parallel) measurements. For a first comparison of gel-based and dry electrode performance in simultaneous high-density EEG measurements, we developed a new EEG cap comprising 64 gel-based and 64 dry electrodes and performed simultaneous measurements on ten volunteers. We analyzed electrode-skin impedances, resting state EEG, triggered eye blinks, and visual evoked potentials (VEPs). To overcome the issue of different electrode positions in the comparison of simultaneous measurements, we performed spatial frequency analysis of the simultaneously measured EEGs using spatial harmonic analysis (SPHARA). The impedances were 516 ± 429 kOhm (mean ± std) for the dry electrodes and 14 ± 8 kOhm for the gel-based electrodes. For the dry EEG electrodes, we obtained a channel reliability of 77%. We observed no differences between dry and gel-based recordings for the alpha peak frequency and the alpha power amplitude, as well as for the VEP peak amplitudes and latencies. For the VEP, the RMSD and the correlation coefficient between the gel-based and dry recordings were 1.7 ± 0.7 μV and 0.97 ± 0.03, respectively. We observed no differences in the cumulative power distributions of the spatial frequency components for the N75 and P100 VEP peaks. The differences for the N145 VEP peak were attributed to the different noise characteristics of gel-based and dry recordings. In conclusion, we provide evidence for the equivalence of simultaneous dry and gel-based high-density EEG measurements.
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Affiliation(s)
- Patrique Fiedler
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, 98693 Ilmenau, Germany
| | - Uwe Graichen
- Department of Biostatistics and Data Science, Karl Landsteiner University of Health Sciences, 3500 Krems an der Donau, Austria
| | - Ellen Zimmer
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, 98693 Ilmenau, Germany
| | - Jens Haueisen
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, 98693 Ilmenau, Germany
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Marzoratti A, Liu ME, Krol KM, Sjobeck GR, Lipscomb DJ, Hofkens TL, Boker SM, Pelphrey KA, Connelly JJ, Evans TM. Epigenetic modification of the oxytocin receptor gene is associated with child-parent neural synchrony during competition. Dev Cogn Neurosci 2023; 63:101302. [PMID: 37734257 PMCID: PMC10518595 DOI: 10.1016/j.dcn.2023.101302] [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: 03/30/2023] [Revised: 09/09/2023] [Accepted: 09/14/2023] [Indexed: 09/23/2023] Open
Abstract
Interpersonal neural synchrony (INS) occurs when neural electrical activity temporally aligns between individuals during social interactions. It has been used as a metric for interpersonal closeness, often during naturalistic child-parent interactions. This study evaluated whether other biological correlates of social processing predicted the prevalence of INS during child-parent interactions, and whether their observed cooperativity modulated this association. Child-parent dyads (n = 27) performed a visuospatial tower-building task in cooperative and competitive conditions. Neural activity was recorded using mobile electroencephalogram (EEG) headsets, and experimenters coded video-recordings post-hoc for behavioral attunement. DNA methylation of the oxytocin receptor gene (OXTRm) was measured, an epigenetic modification associated with reduced oxytocin activity and socioemotional functioning. Greater INS during competition was associated with lower child OXTRm, while greater behavioral attunement during competition and cooperation was associated with higher parent OXTRm. These differential relationships suggest that interpersonal dynamics as measured by INS may be similarly reflected by other biological markers of social functioning, irrespective of observed behavior. Children's self-perceived communication skill also showed opposite associations with parent and child OXTRm, suggesting complex relationships between children's and their parents' social functioning. Our findings have implications for ongoing developmental research, supporting the utility of biological metrics in characterizing interpersonal relationships.
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Affiliation(s)
- Analia Marzoratti
- School of Education and Human Development, University of Virginia, Charlottesville, VA, USA
| | - Megan E Liu
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Kathleen M Krol
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Gus R Sjobeck
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Daniel J Lipscomb
- School of Education and Human Development, University of Virginia, Charlottesville, VA, USA
| | - Tara L Hofkens
- School of Education and Human Development, University of Virginia, Charlottesville, VA, USA
| | - Steven M Boker
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Kevin A Pelphrey
- School of Education and Human Development, University of Virginia, Charlottesville, VA, USA; Department of Psychology, University of Virginia, Charlottesville, VA, USA; Department of Neurology, University of Virginia, Charlottesville, VA, USA
| | - Jessica J Connelly
- Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Tanya M Evans
- School of Education and Human Development, University of Virginia, Charlottesville, VA, USA; Department of Psychology, University of Virginia, Charlottesville, VA, USA; Department of Neurology, University of Virginia, Charlottesville, VA, USA.
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Yadav H, Maini S. Electroencephalogram based brain-computer interface: Applications, challenges, and opportunities. MULTIMEDIA TOOLS AND APPLICATIONS 2023:1-45. [PMID: 37362726 PMCID: PMC10157593 DOI: 10.1007/s11042-023-15653-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 07/17/2022] [Accepted: 04/22/2023] [Indexed: 06/28/2023]
Abstract
Brain-Computer Interfaces (BCI) is an exciting and emerging research area for researchers and scientists. It is a suitable combination of software and hardware to operate any device mentally. This review emphasizes the significant stages in the BCI domain, current problems, and state-of-the-art findings. This article also covers how current results can contribute to new knowledge about BCI, an overview of BCI from its early developments to recent advancements, BCI applications, challenges, and future directions. The authors pointed to unresolved issues and expressed how BCI is valuable for analyzing the human brain. Humans' dependence on machines has led humankind into a new future where BCI can play an essential role in improving this modern world.
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Affiliation(s)
- Hitesh Yadav
- Department of Electrical and Instrumentation Engineering, Sant Longowal Institute of Engineering & Technology, Longowal, Punjab India
| | - Surita Maini
- Department of Electrical and Instrumentation Engineering, Sant Longowal Institute of Engineering & Technology, Longowal, Punjab India
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Chen J, Qian P, Gao X, Li B, Zhang Y, Zhang D. Inter-brain coupling reflects disciplinary differences in real-world classroom learning. NPJ SCIENCE OF LEARNING 2023; 8:11. [PMID: 37130852 PMCID: PMC10154329 DOI: 10.1038/s41539-023-00162-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 04/06/2023] [Indexed: 05/04/2023]
Abstract
The classroom is the primary site for learning. A vital feature of classroom learning is the division of educational content into various disciplines. While disciplinary differences could substantially influence the learning process toward success, little is known about the neural mechanism underlying successful disciplinary learning. In the present study, wearable EEG devices were used to record a group of high school students during their classes of a soft (Chinese) and a hard (Math) discipline throughout one semester. Inter-brain coupling analysis was conducted to characterize students' classroom learning process. The students with higher scores in the Math final exam were found to have stronger inter-brain couplings to the class (i.e., all the other classmates), whereas the students with higher scores in Chinese were found to have stronger inter-brain couplings to the top students in the class. These differences in inter-brain couplings were also reflected in distinct dominant frequencies for the two disciplines. Our results illustrate disciplinary differences in the classroom learning from an inter-brain perspective, suggesting that an individual's inter-brain coupling to the class and to the top students could serve as potential neural correlates for successful learning in hard and soft disciplines correspondingly.
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Affiliation(s)
- Jingjing Chen
- Department of Psychology, School of Social Sciences, Tsinghua University, Beijing, China
- Tsinghua Laboratory of Brain and Intelligence, Tsinghua University, Beijing, China
| | - Penghao Qian
- College of Information and Electrical Engineering, China Agricultural University, Beijing, China
| | | | - Baosong Li
- Beijing No. 19 High School, Beijing, China
- College of Education, Zhejiang Normal University, Jinhua, China
| | - Yu Zhang
- Institution of Education, Tsinghua University, Beijing, China.
| | - Dan Zhang
- Department of Psychology, School of Social Sciences, Tsinghua University, Beijing, China.
- Tsinghua Laboratory of Brain and Intelligence, Tsinghua University, Beijing, China.
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Zhao L, Zhang Y, Yu X, Wu H, Wang L, Li F, Duan M, Lai Y, Liu T, Dong L, Yao D. Quantitative signal quality assessment for large-scale continuous scalp electroencephalography from a big data perspective. Physiol Meas 2023; 44. [PMID: 35952665 DOI: 10.1088/1361-6579/ac890d] [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: 09/24/2021] [Accepted: 08/11/2022] [Indexed: 11/12/2022]
Abstract
Objective. Despite electroencephalography (EEG) being a widely used neuroimaging technique with an excellent temporal resolution, in practice, the signals are heavily contaminated by artifacts masking responses of interest in an experiment. It is thus essential to guarantee a prompt and effective detection of artifacts that provides quantitative quality assessment (QA) on raw EEG data. This type of pipeline is crucial for large-scale EEG studies. However, current EEG QA studies are still limited.Approach. In this study, combined from a big data perspective, we therefore describe a quantitative signal quality assessment pipeline, a stable and general threshold-based QA pipeline that automatically integrates artifact detection and new QA measures to assess continuous resting-state raw EEG data. One simulation dataset and two resting-state EEG datasets from 42 healthy subjects and 983 clinical patients were utilized to calibrate the QA pipeline.Main Results. The results demonstrate that (1) the QA indices selected are sensitive: they almost strictly and linearly decrease as the noise level increases; (2) stable, replicable QA thresholds are valid for other experimental and clinical EEG datasets; and (3) use of the QA pipeline on these datasets reveals that high-frequency noises are the most common noises in EEG practice. The QA pipeline is also deployed in the WeBrain cloud platform (https://webrain.uestc.edu.cn/, the Chinese EEG Brain Consortium portal).Significance. These findings suggest that the proposed QA pipeline may be a stable and promising approach for quantitative EEG signal quality assessment in large-scale EEG studies.
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Affiliation(s)
- Lingling Zhao
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China
| | - Yufan Zhang
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China
| | - Xue Yu
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China
| | - Hanxi Wu
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China
| | - Lei Wang
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China
| | - Fali Li
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, 2019RU035, Chengdu, People's Republic of China
| | - Mingjun Duan
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Sichuan Institute for Brain Science and Brain-Inspired Intelligence, Chengdu 611731, People's Republic of China
| | - Yongxiu Lai
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, 2019RU035, Chengdu, People's Republic of China
| | - Tiejun Liu
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, 2019RU035, Chengdu, People's Republic of China.,Sichuan Institute for Brain Science and Brain-Inspired Intelligence, Chengdu 611731, People's Republic of China
| | - Li Dong
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, 2019RU035, Chengdu, People's Republic of China.,Sichuan Institute for Brain Science and Brain-Inspired Intelligence, Chengdu 611731, People's Republic of China
| | - Dezhong Yao
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.,Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, 2019RU035, Chengdu, People's Republic of China.,Sichuan Institute for Brain Science and Brain-Inspired Intelligence, Chengdu 611731, People's Republic of China
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Vanderschelden B, Erani F, Wu J, de Havenon A, Srinivasan R, Cramer SC. A Measure of Neural Function Provides Unique Insights into Behavioral Deficits in Acute Stroke. Stroke 2023; 54:e25-e29. [PMID: 36689596 PMCID: PMC9881885 DOI: 10.1161/strokeaha.122.040841] [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: 08/02/2022] [Accepted: 12/12/2022] [Indexed: 01/24/2023]
Abstract
BACKGROUND Clinical and neuroimaging measures incompletely explain behavioral deficits in the acute stroke setting. We hypothesized that electroencephalography (EEG)-based measures of neural function would significantly improve prediction of acute stroke deficits. METHODS Patients with acute stroke (n=50) seen in the emergency department of a university hospital from 2017 to 2018 underwent standard evaluation followed by a 3-minute recording of EEG at rest using a wireless, 17-electrode, dry-lead system. Artifacts in EEG recordings were removed offline and then spectral power was calculated for each lead pair. A primary EEG metric was DTABR, which is calculated as a ratio of spectral power: [(Delta*Theta)/(Alpha*Beta)]. Bivariate analyses and least absolute shrinkage and selection operator (LASSO) regression identified clinical and neuroimaging measures that best predicted initial National Institutes of Health Stroke Scale (NIHSS) score. Multivariable linear regression was then performed before versus after adding EEG findings to these measures, using initial NIHSS score as the dependent measure. RESULTS Age, diabetes status, and infarct volume were the best predictors of initial NIHSS score in bivariate analyses, confirmed using LASSO regression. Combined in a multivariate model, these 3 explained initial NIHSS score (adjusted r2=0.47). Adding any of several different EEG measures to this clinical model significantly improved prediction; the greatest amount of additional variance was explained by adding contralesional DTABR (adjusted r2=0.60, P<0.001). CONCLUSIONS EEG measures of neural function significantly add to clinical and neuroimaging for explaining initial NIHSS score in the acute stroke emergency department setting. A dry-lead EEG system can be rapidly and easily implemented. EEG contains information that may be useful early after stroke.
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Affiliation(s)
| | | | - Jennifer Wu
- Dept. Pediatric Rehabilitation Medicine, Spaulding Rehabilitation Hospital and Harvard Medical School; Boston, MA
| | | | | | - Steven C. Cramer
- Dept. Neurology, University of California, Irvine
- Dept. Neurology, UCLA; California Rehabilitation Institute, Los Angeles
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11
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Fox EL, Ugolini M, Houpt JW. Predictions of task using neural modeling. FRONTIERS IN NEUROERGONOMICS 2022; 3:1007673. [PMID: 38235464 PMCID: PMC10790939 DOI: 10.3389/fnrgo.2022.1007673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 10/31/2022] [Indexed: 01/19/2024]
Abstract
Introduction A well-designed brain-computer interface (BCI) can make accurate and reliable predictions of a user's state through the passive assessment of their brain activity; in turn, BCI can inform an adaptive system (such as artificial intelligence, or AI) to intelligently and optimally aid the user to maximize the human-machine team (HMT) performance. Various groupings of spectro-temporal neural features have shown to predict the same underlying cognitive state (e.g., workload) but vary in their accuracy to generalize across contexts, experimental manipulations, and beyond a single session. In our work we address an outstanding challenge in neuroergonomic research: we quantify if (how) identified neural features and a chosen modeling approach will generalize to various manipulations defined by the same underlying psychological construct, (multi)task cognitive workload. Methods To do this, we train and test 20 different support vector machine (SVM) models, each given a subset of neural features as recommended from previous research or matching the capabilities of commercial devices. We compute each model's accuracy to predict which (monitoring, communications, tracking) and how many (one, two, or three) task(s) were completed simultaneously. Additionally, we investigate machine learning model accuracy to predict task(s) within- vs. between-sessions, all at the individual-level. Results Our results indicate gamma activity across all recording locations consistently outperformed all other subsets from the full model. Our work demonstrates that modelers must consider multiple types of manipulations which may each influence a common underlying psychological construct. Discussion We offer a novel and practical modeling solution for system designers to predict task through brain activity and suggest next steps in expanding our framework to further contribute to research and development in the neuroergonomics community. Further, we quantified the cost in model accuracy should one choose to deploy our BCI approach using a mobile EEG-systems with fewer electrodes-a practical recommendation from our work.
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Affiliation(s)
- Elizabeth L. Fox
- Air Force Research Laboratory, Wright-Patterson AFB, Dayton, OH, United States
| | | | - Joseph W. Houpt
- Department of Psychology, The University of Texas at San Antonio, San Antonio, TX, United States
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12
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Batuhan Dirik H, Darendeli A, Ertan H. The New Wireless EEG Device Mentalab Explore is a Valid and Reliable System for the Measurement of Resting state EEG Spectral Features. Brain Res 2022; 1798:148164. [DOI: 10.1016/j.brainres.2022.148164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 11/04/2022] [Accepted: 11/08/2022] [Indexed: 11/18/2022]
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13
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Baum U, Kühn F, Lichters M, Baum AK, Deike R, Hinrichs H, Neumann T. Neurological Outpatients Prefer EEG Home-Monitoring over Inpatient Monitoring-An Analysis Based on the UTAUT Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13202. [PMID: 36293783 PMCID: PMC9603390 DOI: 10.3390/ijerph192013202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/07/2022] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
Home monitoring examinations offer diagnostic and economic advantages compared to inpatient monitoring. In addition, these technical solutions support the preservation of health care in rural areas in the absence of local care providers. The acceptance of patients is crucial for the implementation of home monitoring concepts. The present research assesses the preference for a health service that is to be introduced, namely an EEG home-monitoring of neurological outpatients-using a mobile, dry-electrode EEG (electroencephalography) system-in comparison to the traditional long-time EEG examination in a hospital. Results of a representative study for Germany (n = 421) reveal a preference for home monitoring. Importantly, this preference is partially driven by a video explaining the home monitoring system. We subsequently analyzed factors that influence the behavioral intention (BI) to use the new EEG system, drawing on an extended Unified Theory of Acceptance and Use of Technology (UTAUT) model. The strongest positive predictor of BI is the belief that EEG home-monitoring will improve health quality, while computer anxiety and effort expectancy represent the strongest barriers. Furthermore, we find the UTAUT model's behavioral intention construct to predict the patients' decision for or against home monitoring more strongly than any other patient's characteristic such as gender, health condition, or age, underlying the model's usefulness.
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Affiliation(s)
- Ulrike Baum
- Department of Neurology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Frauke Kühn
- Institute for Sensory and Innovation Research (ISI GmbH), Ascherberg 2, 37124 Rosdorf, Germany
| | - Marcel Lichters
- Chair of Marketing and Retailing, Faculty of Economics and Business Administration, Chemnitz University of Technology, Reichenhainer Straße 39, 09126 Chemnitz, Germany
| | - Anne-Katrin Baum
- Department of Neurology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Renate Deike
- Department of Neurology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Hermann Hinrichs
- Department of Neurology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany
- Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany
- Center for Behavioral Brain Sciences (CBBS), Universitätsplatz 2, 39106 Magdeburg, Germany
| | - Thomas Neumann
- Department of Neurology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany
- Chair in Health Services Research, School of Life Sciences, University of Siegen, Am Eichenhang 50, 57076 Siegen, Germany
- Chair in Empirical Economics, Otto-von-Guericke-University Magdeburg, Universitätsplatz 2, 39106 Magdeburg, Germany
- Research Campus STIMULATE, Otto-von-Guericke-University Magdeburg, Sandtorstraße 23, 39106 Magdeburg, Germany
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14
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Zheng L, Feng W, Ma Y, Lian P, Xiao Y, Yi Z, Wu X. Ensemble learning method based on temporal, spatial features with multi-scale filter banks for motor imagery EEG classification. Biomed Signal Process Control 2022. [DOI: 10.1016/j.bspc.2022.103634] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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15
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Israsena P, Pan-Ngum S. A CNN-Based Deep Learning Approach for SSVEP Detection Targeting Binaural Ear-EEG. Front Comput Neurosci 2022; 16:868642. [PMID: 35664916 PMCID: PMC9160186 DOI: 10.3389/fncom.2022.868642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Abstract
This paper discusses a machine learning approach for detecting SSVEP at both ears with minimal channels. SSVEP is a robust EEG signal suitable for many BCI applications. It is strong at the visual cortex around the occipital area, but the SNR gets worse when detected from other areas of the head. To make use of SSVEP measured around the ears following the ear-EEG concept, especially for practical binaural implementation, we propose a CNN structure coupled with regressed softmax outputs to improve accuracy. Evaluating on a public dataset, we studied classification performance for both subject-dependent and subject-independent trainings. It was found that with the proposed structure using a group training approach, a 69.21% accuracy was achievable. An ITR of 6.42 bit/min given 63.49 % accuracy was recorded while only monitoring data from T7 and T8. This represents a 12.47% improvement from a single ear implementation and illustrates potential of the approach to enhance performance for practical implementation of wearable EEG.
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Affiliation(s)
- Pasin Israsena
- National Electronics and Computer Technology Center (NECTEC), National Science and Technology Development Agency (NSTDA), Pathumthani, Thailand
- *Correspondence: Pasin Israsena
| | - Setha Pan-Ngum
- Department of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
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16
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Chikhi S, Matton N, Blanchet S. EEG
power spectral measures of cognitive workload: A meta‐analysis. Psychophysiology 2022; 59:e14009. [DOI: 10.1111/psyp.14009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 12/13/2021] [Accepted: 01/10/2022] [Indexed: 12/22/2022]
Affiliation(s)
- Samy Chikhi
- Laboratoire Mémoire, Cerveau et Cognition (MC2Lab, URP 7536), Institute of Psychology University of Paris Boulogne‐Billancourt France
| | - Nadine Matton
- CLLE‐LTC University of Toulouse, CNRS (UMR5263) Toulouse France
- ENAC Research Lab École Nationale d’Aviation Civile Toulouse France
| | - Sophie Blanchet
- Laboratoire Mémoire, Cerveau et Cognition (MC2Lab, URP 7536), Institute of Psychology University of Paris Boulogne‐Billancourt France
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17
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Giannadou A, Jones M, Freeth M, Samson AC, Milne E. Investigating neural dynamics in autism spectrum conditions outside of the laboratory using mobile electroencephalography. Psychophysiology 2022; 59:e13995. [PMID: 34982474 DOI: 10.1111/psyp.13995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 10/24/2021] [Accepted: 12/16/2021] [Indexed: 01/05/2023]
Abstract
There is currently a paucity of neuroscientific data recorded from more severely affected individuals with autism spectrum conditions (ASC). Enabling data collection to take place in a more familiar environment, that is, at home, may increase access to research participation in this group. Here, we present a new accessible method of studying brain activity of autistic individuals outside the laboratory in their home environment, using mobile electroencephalography (EEG) technology. The primary aim of the present study was to test the feasibility of acquiring good quality EEG data from autistic children at home, assessed via a set of objective data quality metrics, and to develop a list of practical guidelines on how to successfully conduct an EEG experiment in such a naturalistic setting based directly upon participants' views. To demonstrate the utility of this method, we evaluated the EEG signal quality recorded from 69 children with ASC at home using a gel-based Eego Sports mobile EEG system. Five key indicators of data quality were assessed. Our results demonstrate that it is possible to record high quality EEG signal from children with ASC at home, generating data that could address a number of research questions. A user experience survey identified areas of good practice, which researchers should take into consideration when designing mobile EEG studies aiming to acquire data from children with ASC at a home environment.
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Affiliation(s)
| | - Myles Jones
- Sheffield Autism Research Lab, University of Sheffield, Sheffield, UK
| | - Megan Freeth
- Sheffield Autism Research Lab, University of Sheffield, Sheffield, UK
| | - Andrea C Samson
- Institute of Special Education, University of Fribourg, Fribourg, Switzerland.,Faculty of Psychology, Unidistance, Suisse, Switzerland
| | - Elizabeth Milne
- Sheffield Autism Research Lab, University of Sheffield, Sheffield, UK
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18
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Fiedler P, Fonseca C, Supriyanto E, Zanow F, Haueisen J. A high-density 256-channel cap for dry electroencephalography. Hum Brain Mapp 2021; 43:1295-1308. [PMID: 34796574 PMCID: PMC8837591 DOI: 10.1002/hbm.25721] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 10/29/2021] [Accepted: 11/08/2021] [Indexed: 11/09/2022] Open
Abstract
High‐density electroencephalography (HD‐EEG) is currently limited to laboratory environments since state‐of‐the‐art electrode caps require skilled staff and extensive preparation. We propose and evaluate a 256‐channel cap with dry multipin electrodes for HD‐EEG. We describe the designs of the dry electrodes made from polyurethane and coated with Ag/AgCl. We compare in a study with 30 volunteers the novel dry HD‐EEG cap to a conventional gel‐based cap for electrode‐skin impedances, resting state EEG, and visual evoked potentials (VEP). We perform wearing tests with eight electrodes mimicking cap applications on real human and artificial skin. Average impedances below 900 kΩ for 252 out of 256 dry electrodes enables recording with state‐of‐the‐art EEG amplifiers. For the dry EEG cap, we obtained a channel reliability of 84% and a reduction of the preparation time of 69%. After exclusion of an average of 16% (dry) and 3% (gel‐based) bad channels, resting state EEG, alpha activity, and pattern reversal VEP can be recorded with less than 5% significant differences in all compared signal characteristics metrics. Volunteers reported wearing comfort of 3.6 ± 1.5 and 4.0 ± 1.8 for the dry and 2.5 ± 1.0 and 3.0 ± 1.1 for the gel‐based cap prior and after the EEG recordings, respectively (scale 1–10). Wearing tests indicated that up to 3,200 applications are possible for the dry electrodes. The 256‐channel HD‐EEG dry electrode cap overcomes the principal limitations of HD‐EEG regarding preparation complexity and allows rapid application by not medically trained persons, enabling new use cases for HD‐EEG.
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Affiliation(s)
- Patrique Fiedler
- Institute of Biomedical Engineering and Informatics, Technische Universität IlmenauIlmenauGermany
| | - Carlos Fonseca
- Faculdade de Engenharia, Departamento de Engenharia Metalúrgica e de MateriaisUniversidade do PortoPortoPortugal
- LAETA/INEGI, Institute of Science and Innovation in Mechanical and Industrial EngineeringPortoPortugal
| | - Eko Supriyanto
- IJN‐UTM Cardiovascular Engineering Centre, Universiti Teknologi MalaysiaJohor BahruMalaysia
| | - Frank Zanow
- eemagine Medical Imaging Solutions GmbHBerlinGermany
| | - Jens Haueisen
- Institute of Biomedical Engineering and Informatics, Technische Universität IlmenauIlmenauGermany
- Department of NeurologyBiomagnetic Center, University Hospital JenaJenaGermany
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19
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Vasconcelos B, Fiedler P, Machts R, Haueisen J, Fonseca C. The Arch Electrode: A Novel Dry Electrode Concept for Improved Wearing Comfort. Front Neurosci 2021; 15:748100. [PMID: 34733134 PMCID: PMC8558300 DOI: 10.3389/fnins.2021.748100] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 09/27/2021] [Indexed: 11/27/2022] Open
Abstract
Electroencephalography (EEG) is increasingly used for repetitive and prolonged applications like neurofeedback, brain computer interfacing, and long-term intermittent monitoring. Dry-contact electrodes enable rapid self-application. A common drawback of existing dry electrodes is the limited wearing comfort during prolonged application. We propose a novel dry Arch electrode. Five semi-circular arches are arranged parallelly on a common baseplate. The electrode substrate material is a flexible thermoplastic polyurethane (TPU) produced by additive manufacturing. A chemical coating of Silver/Silver-Chloride (Ag/AgCl) is applied by electroless plating using a novel surface functionalization method. Arch electrodes were manufactured and validated in terms of mechanical durability, electrochemical stability, in vivo applicability, and signal characteristics. We compare the results of the dry arch electrodes with dry pin-shaped and conventional gel-based electrodes. 21-channel EEG recordings were acquired on 10 male and 5 female volunteers. The tests included resting state EEG, alpha activity, and a visual evoked potential. Wearing comfort was rated by the subjects directly after application, as well as at 30 min and 60 min of wearing. Our results show that the novel plating technique provides a well-adhering electrically conductive and electrochemically stable coating, withstanding repetitive strain and bending tests. The signal quality of the Arch electrodes is comparable to pin-shaped dry electrodes. The average channel reliability of the Arch electrode setup was 91.9 ± 9.5%. No considerable differences in signal characteristics have been observed for the gel-based, dry pin-shaped, and arch-shaped electrodes after the identification and exclusion of bad channels. The comfort was improved in comparison to pin-shaped electrodes and enabled applications of over 60 min duration. Arch electrodes required individual adaptation of the electrodes to the orientation and hairstyle of the volunteers. This initial preparation time of the 21-channel cap increased from an average of 5 min for pin-like electrodes to 15 min for Arch electrodes and 22 min for gel-based electrodes. However, when re-applying the arch electrode cap on the same volunteer, preparation times of pin-shaped and arch-shaped electrodes were comparable. In summary, our results indicate the applicability of the novel Arch electrode and coating for EEG acquisition. The novel electrode enables increased comfort for prolonged dry-contact measurement.
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Affiliation(s)
- Beatriz Vasconcelos
- Departamento de Engenharia Metalúrgica e de Materiais, Faculdade de Engenharia, Universidade do Porto, Porto, Portugal.,CEMUC - Department of Mechanical Engineering, University of Coimbra, Coimbra, Portugal
| | - Patrique Fiedler
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, Ilmenau, Germany
| | - René Machts
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, Ilmenau, Germany
| | - Jens Haueisen
- Institute of Biomedical Engineering and Informatics, Technische Universität Ilmenau, Ilmenau, Germany.,Department of Neurology, Biomagnetic Center, Jena University Hospital, Jena, Germany
| | - Carlos Fonseca
- Departamento de Engenharia Metalúrgica e de Materiais, Faculdade de Engenharia, Universidade do Porto, Porto, Portugal.,LAETA/INEGI, Institute of Science and Innovation in Mechanical and Industrial Engineering, Porto, Portugal
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20
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Large Vessel Occlusion Stroke Detection in the Prehospital Environment. CURRENT EMERGENCY AND HOSPITAL MEDICINE REPORTS 2021; 9:64-72. [PMID: 36204242 PMCID: PMC9534324 DOI: 10.1007/s40138-021-00234-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Purpose of Review Endovascular therapy for acute ischemic stroke secondary to large vessel occlusion (LVO) is time-dependent. Prehospital patients with suspected LVO stroke should be triaged directly to specialized stroke centers for endovascular therapy. This review describes advances in LVO detection among prehospital suspected stroke patients. Recent Findings Clinical prehospital stroke severity tools have been validated in the prehospital setting. Devices including EEG, SSEPs, TCD, cranial accelerometry, and volumetric impedance phase-shift-spectroscopy have recently published data regarding LVO detection in hospital settings. Mobile stroke units bring thrombolysis and vessel imaging to patients. Summary The use of a prehospital stroke severity tool for LVO triage is now widely supported. Ease of use should be prioritized as there are no meaningful differences in diagnostic performance amongst tools. LVO diagnostic devices are promising, but none have been validated in the prehospital setting. Mobile stroke units improve patient outcomes and cost-effectiveness analyses are underway.
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21
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Pallavicini C, Cavanna F, Zamberlan F, de la Fuente LA, Ilksoy Y, Perl YS, Arias M, Romero C, Carhart-Harris R, Timmermann C, Tagliazucchi E. Neural and subjective effects of inhaled N,N-dimethyltryptamine in natural settings. J Psychopharmacol 2021; 35:406-420. [PMID: 33567945 DOI: 10.1177/0269881120981384] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
BACKGROUND N,N-dimethyltryptamine is a short-acting psychedelic tryptamine found naturally in many plants and animals. Few studies to date have addressed the neural and psychological effects of N,N-dimethyltryptamine alone, either administered intravenously or inhaled in freebase form, and none have been conducted in natural settings. AIMS Our primary aim was to study the acute effects of inhaled N,N-dimethyltryptamine in natural settings, focusing on questions tuned to the advantages of conducting field research, including the effects of contextual factors (i.e. "set" and "setting"), the possibility of studying a comparatively large number of subjects, and the relaxed mental state of participants consuming N,N-dimethyltryptamine in familiar and comfortable settings. METHODS We combined state-of-the-art wireless electroencephalography with psychometric questionnaires to study the neural and subjective effects of naturalistic N,N-dimethyltryptamine use in 35 healthy and experienced participants. RESULTS We observed that N,N-dimethyltryptamine significantly decreased the power of alpha (8-12 Hz) oscillations throughout all scalp locations, while simultaneously increasing power of delta (1-4 Hz) and gamma (30-40 Hz) oscillations. Gamma power increases correlated with subjective reports indicative of some features of mystical-type experiences. N,N-dimethyltryptamine also increased global synchrony and metastability in the gamma band while decreasing those measures in the alpha band. CONCLUSIONS Our results are consistent with previous studies of psychedelic action in the human brain, while at the same time the results suggest potential electroencephalography markers of mystical-type experiences in natural settings, thus highlighting the importance of investigating these compounds in the contexts where they are naturally consumed.
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Affiliation(s)
- Carla Pallavicini
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina.,Fundación para la lucha contra las enfermedades neurológicas de la infancia (FLENI), Buenos Aires, Argentina
| | - Federico Cavanna
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina.,Fundación para la lucha contra las enfermedades neurológicas de la infancia (FLENI), Buenos Aires, Argentina
| | - Federico Zamberlan
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina
| | - Laura A de la Fuente
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina
| | - Yayla Ilksoy
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina
| | - Yonatan S Perl
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina
| | - Mauricio Arias
- Hospital General de Agudos Donación Francisco Santojanni, Buenos Aires, Argentina
| | - Celeste Romero
- Centro de Estudios de la Cultura Cannábica (CECCa), Buenos Aires, Argentina
| | | | | | - Enzo Tagliazucchi
- Departamento de Física, Universidad de Buenos Aires and Instituto de Física de Buenos Aires (IFIBA - CONICET), Buenos Aires, Argentina
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22
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Edwards DJ, Trujillo LT. An Analysis of the External Validity of EEG Spectral Power in an Uncontrolled Outdoor Environment during Default and Complex Neurocognitive States. Brain Sci 2021; 11:330. [PMID: 33808022 PMCID: PMC7998369 DOI: 10.3390/brainsci11030330] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 02/26/2021] [Accepted: 03/03/2021] [Indexed: 12/20/2022] Open
Abstract
Traditionally, quantitative electroencephalography (QEEG) studies collect data within controlled laboratory environments that limit the external validity of scientific conclusions. To probe these validity limits, we used a mobile EEG system to record electrophysiological signals from human participants while they were located within a controlled laboratory environment and an uncontrolled outdoor environment exhibiting several moderate background influences. Participants performed two tasks during these recordings, one engaging brain activity related to several complex cognitive functions (number sense, attention, memory, executive function) and the other engaging two default brain states. We computed EEG spectral power over three frequency bands (theta: 4-7 Hz, alpha: 8-13 Hz, low beta: 14-20 Hz) where EEG oscillatory activity is known to correlate with the neurocognitive states engaged by these tasks. Null hypothesis significance testing yielded significant EEG power effects typical of the neurocognitive states engaged by each task, but only a beta-band power difference between the two background recording environments during the default brain state. Bayesian analysis showed that the remaining environment null effects were unlikely to reflect measurement insensitivities. This overall pattern of results supports the external validity of laboratory EEG power findings for complex and default neurocognitive states engaged within moderately uncontrolled environments.
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Affiliation(s)
- Dalton J. Edwards
- Department of Neuroscience, School of Behavioral and Brain Sciences, The University of Texas at Dallas, Dallas, TX 75080-3021, USA;
- Department of Psychology, Texas State University, San Marcos, TX 78666, USA
| | - Logan T. Trujillo
- Department of Psychology, Texas State University, San Marcos, TX 78666, USA
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Saha S, Mamun KA, Ahmed K, Mostafa R, Naik GR, Darvishi S, Khandoker AH, Baumert M. Progress in Brain Computer Interface: Challenges and Opportunities. Front Syst Neurosci 2021; 15:578875. [PMID: 33716680 PMCID: PMC7947348 DOI: 10.3389/fnsys.2021.578875] [Citation(s) in RCA: 91] [Impact Index Per Article: 30.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 01/06/2021] [Indexed: 12/13/2022] Open
Abstract
Brain computer interfaces (BCI) provide a direct communication link between the brain and a computer or other external devices. They offer an extended degree of freedom either by strengthening or by substituting human peripheral working capacity and have potential applications in various fields such as rehabilitation, affective computing, robotics, gaming, and neuroscience. Significant research efforts on a global scale have delivered common platforms for technology standardization and help tackle highly complex and non-linear brain dynamics and related feature extraction and classification challenges. Time-variant psycho-neurophysiological fluctuations and their impact on brain signals impose another challenge for BCI researchers to transform the technology from laboratory experiments to plug-and-play daily life. This review summarizes state-of-the-art progress in the BCI field over the last decades and highlights critical challenges.
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Affiliation(s)
- Simanto Saha
- School of Electrical and Electronic Engineering, The University of Adelaide, Adelaide, SA, Australia
- Department of Electrical and Electronic Engineering, United International University, Dhaka, Bangladesh
| | - Khondaker A. Mamun
- Advanced Intelligent Multidisciplinary Systems (AIMS) Lab, Department of Computer Science and Engineering, United International University, Dhaka, Bangladesh
| | - Khawza Ahmed
- Department of Electrical and Electronic Engineering, United International University, Dhaka, Bangladesh
| | - Raqibul Mostafa
- Department of Electrical and Electronic Engineering, United International University, Dhaka, Bangladesh
| | - Ganesh R. Naik
- Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
| | - Sam Darvishi
- School of Electrical and Electronic Engineering, The University of Adelaide, Adelaide, SA, Australia
| | - Ahsan H. Khandoker
- Healthcare Engineering Innovation Center, Department of Biomedical Engineering, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Mathias Baumert
- School of Electrical and Electronic Engineering, The University of Adelaide, Adelaide, SA, Australia
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Barry RJ, De Blasio FM. Characterizing pink and white noise in the human electroencephalogram. J Neural Eng 2021; 18. [PMID: 33545698 DOI: 10.1088/1741-2552/abe399] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 02/05/2021] [Indexed: 11/12/2022]
Abstract
OBJECTIVE The power spectrum of the human electroencephalogram (EEG) as a function of frequency is a mix of brain oscillations (e.g. alpha activity around 10 Hz) and non-oscillations or noise of uncertain origin. "White noise" is uniformly distributed over frequency, while "pink noise" has an inverse power-frequency relation (power ∝ 1/f). Interest in EEG pink noise has been growing, but previous human estimates appear methodologically flawed. We propose a new approach to extract separate valid estimates of pink and white noise from an EEG power spectrum. APPROACH We use simulated data to demonstrate its effectiveness compared with established procedures, and provide an illustrative example from a new resting eyes-open (EO) and eyes-closed (EC) dataset. The topographic characteristics of the obtained pink and white noise estimates are examined, as is the alpha power in this sample. MAIN RESULTS Valid pink and white noise estimates were successfully obtained for each of our 5400 individual spectra (60 participants × 30 electrodes × 3 conditions/blocks [EO1, EC, EO2]). The 1/f noise had a distinct central scalp topography, and white noise was occipital in distribution, both differing from the parietal topography of the alpha oscillation. These differences point to their separate neural origins. EC pink and white noise powers were globally greater than in EO. SIGNIFICANCE This valid estimation of pink and white noise in the human EEG holds promise for more accurate assessment of oscillatory neural activity in both typical and clinical groups, such as those with attention deficits. Further, outside the human EEG, the new methodology can be generalized to remove noise from spectra in many fields of science and technology.
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Affiliation(s)
- Robert J Barry
- School of Psychology, University of Wollongong, Northfields Ave, Wollongong, Wollongong, New South Wales, 2522, AUSTRALIA
| | - Frances M De Blasio
- School of Psychology, University of Wollongong, Northfields Ave, Wollongong, New South Wales, 2522, AUSTRALIA
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Zhang R, Li F, Zhang T, Yao D, Xu P. Subject inefficiency phenomenon of motor imagery brain-computer interface: Influence factors and potential solutions. BRAIN SCIENCE ADVANCES 2021. [DOI: 10.26599/bsa.2020.9050021] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Motor imagery brain–computer interfaces (MI‐BCIs) have great potential value in prosthetics control, neurorehabilitation, and gaming; however, currently, most such systems only operate in controlled laboratory environments. One of the most important obstacles is the MI‐BCI inefficiency phenomenon. The accuracy of MI‐BCI control varies significantly (from chance level to 100% accuracy) across subjects due to the not easily induced and unstable MI‐related EEG features. An MI‐BCI inefficient subject is defined as a subject who cannot achieve greater than 70% accuracy after sufficient training time, and multiple survey results indicate that inefficient subjects account for 10%–50% of the experimental population. The widespread use of MI‐BCI has been seriously limited due to these large percentages of inefficient subjects. In this review, we summarize recent findings of the cause of MI‐BCI inefficiency from resting‐state brain function, task‐related brain activity, brain structure, and psychological perspectives. These factors help understand the reasons for inter‐subject MI‐BCI control performance variability, and it can be concluded that the lower resting‐state sensorimotor rhythm (SMR) is the key factor in MI‐BCI inefficiency, which has been confirmed by multiple independent laboratories. We then propose to divide MI‐BCI inefficient subjects into three categories according to the resting‐state SMR and offline/online accuracy to apply more accurate approaches to solve the inefficiency problem. The potential solutions include developing transfer learning algorithms, new experimental paradigms, mindfulness meditation practice, novel training strategies, and identifying new motor imagery‐related EEG features. To date, few studies have focused on improving the control accuracy of MI‐BCI inefficient subjects; thus, we appeal to the BCI community to focus more on this research area. Only by reducing the percentage of inefficient subjects can we create the opportunity to expand the value and influence of MI‐BCI.
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Affiliation(s)
- Rui Zhang
- Henan Key Laboratory of Brain Science and Brain‐Computer Interface Technology, School of Electrical Engineering, Zhengzhou University, Zhengzhou 450001, Henan, China
| | - Fali Li
- MOE Key Lab for NeuroInformation, University of Electronic Science and Technology of China, Chengdu 611731, Sichuan, China
| | - Tao Zhang
- Science of School, Xihua University, Chengdu 610039, Sichuan, China
| | - Dezhong Yao
- Henan Key Laboratory of Brain Science and Brain‐Computer Interface Technology, School of Electrical Engineering, Zhengzhou University, Zhengzhou 450001, Henan, China
- MOE Key Lab for NeuroInformation, University of Electronic Science and Technology of China, Chengdu 611731, Sichuan, China
| | - Peng Xu
- MOE Key Lab for NeuroInformation, University of Electronic Science and Technology of China, Chengdu 611731, Sichuan, China
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Suwazono S, Arao H. A newly developed free software tool set for averaging electroencephalogram implemented in the Perl programming language. Heliyon 2020; 6:e05580. [PMID: 33294707 PMCID: PMC7701343 DOI: 10.1016/j.heliyon.2020.e05580] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 08/05/2020] [Accepted: 11/19/2020] [Indexed: 11/24/2022] Open
Abstract
Background Considering the need for daily activity analysis of older adults, development of easy-to-use, free electroencephalogram (EEG) analysis tools are desired in order to decrease barriers to accessing this technology and increase the entry of a wide range of new researchers. New method We describe a newly developed tool set for EEG analysis, enabling import, average, waveform display and iso-potential scalp topographies, utilizing the programming language Perl. Results The basic processing, including average, display waveforms, and isopotential scalp topography was implemented in the current system. The validation was examined by making difference waveforms between the results using the current analysis system and a commercial software. Comparison with Existing Method(s): The current software tool set consists of free software. The scripts are easily editable by any user and there are no black boxes. Conclusions The currently reported procedures provide an easy-to-begin, flexible, readable, easy-to-modify basic tool set for EEG analysis and is expected to recruit new EEG researchers.
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Affiliation(s)
- Shugo Suwazono
- Center for Clinical Neuroscience, National Hospital Organization Okinawa National Hospital, Japan
| | - Hiroshi Arao
- Department of Human Sciences, Taisho University, Japan
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Scanlon JEM, Jacobsen NSJ, Maack MC, Debener S. Does the electrode amplification style matter? A comparison of active and passive EEG system configurations during standing and walking. Eur J Neurosci 2020; 54:8381-8395. [PMID: 33185920 DOI: 10.1111/ejn.15037] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 09/17/2020] [Accepted: 10/26/2020] [Indexed: 11/30/2022]
Abstract
It has been stated that active-transmission electrodes should improve signal quality in mobile EEG recordings. However, few studies have directly compared active- and passive-transmission electrodes during a mobile task. In this repeated measurement study, we investigated the performance of active and passive signal transmission electrodes with the same amplifier system in their respective typical configurations, during a mobile auditory task. The task was an auditory discrimination (1,000 vs. 800 Hz; counterbalanced) oddball task using approximately 560 trials (15% targets) for each condition. Eighteen participants performed the auditory oddball task both while standing and walking in an outdoor environment. While walking, there was a significant decrease in P3 amplitude, post-trial rejection trial numbers, and signal-to-noise ratio (SNR). No significant differences were found in signal quality between the two electrode configurations. SNR and P3 amplitude were test-retest reliable between recordings. We conclude that adequate use of a passive EEG electrode system achieves signal quality equivalent to that of an active system during a mobile task.
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Affiliation(s)
- Joanna E M Scanlon
- Neuropsychology Lab, Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | | | - Marike C Maack
- Neuropsychology Lab, Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | - Stefan Debener
- Neuropsychology Lab, Department of Psychology, University of Oldenburg, Oldenburg, Germany.,Cluster of Excellence Hearing4all, University of Oldenburg, Oldenburg, Germany.,Center for Neurosensory Science and Systems, University of Oldenburg, Oldenburg, Germany
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Abstract
Developing reliable and user-friendly electroencephalography (EEG) electrodes remains a challenge for emerging real-world EEG applications. Classic wet electrodes are the gold standard for recording EEG; however, they are difficult to implement and make users uncomfortable, thus severely restricting their widespread application in real-life scenarios. An alternative is dry electrodes, which do not require conductive gels or skin preparation. Despite their quick setup and improved user-friendliness, dry electrodes still have some inherent problems (invasive, relatively poor signal quality, or sensitivity to motion artifacts), which limit their practical utilization. In recent years, semi-dry electrodes, which require only a small amount of electrolyte fluid, have been successfully developed, combining the advantages of both wet and dry electrodes while addressing their respective drawbacks. Semi-dry electrodes can collect reliable EEG signals comparable to wet electrodes. Moreover, their setup is as fast and convenient similar to that of dry electrodes. Hence, semi-dry electrodes have shown tremendous application prospects for real-world EEG acquisition. Herein, we systematically summarize the development, evaluation methods, and practical design considerations of semi-dry electrodes. Some feasible suggestions and new ideas for the development of semi-dry electrodes have been presented. This review provides valuable technical support for the development of semi-dry electrodes toward emerging practical applications.
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Affiliation(s)
- Guang-Li Li
- Hunan Key Laboratory of Biomedical Nanomaterials and Devices, College of Life Sciences and Chemistry, Hunan University of Technology, Zhuzhou 412007, People's Republic of China
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Erani F, Zolotova N, Vanderschelden B, Khoshab N, Sarian H, Nazarzai L, Wu J, Chakravarthy B, Hoonpongsimanont W, Yu W, Shahbaba B, Srinivasan R, Cramer SC. Electroencephalography Might Improve Diagnosis of Acute Stroke and Large Vessel Occlusion. Stroke 2020; 51:3361-3365. [PMID: 32942967 DOI: 10.1161/strokeaha.120.030150] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE Clinical methods have incomplete diagnostic value for early diagnosis of acute stroke and large vessel occlusion (LVO). Electroencephalography is rapidly sensitive to brain ischemia. This study examined the diagnostic utility of electroencephalography for acute stroke/transient ischemic attack (TIA) and for LVO. METHODS Patients (n=100) with suspected acute stroke in an emergency department underwent clinical exam then electroencephalography using a dry-electrode system. Four models classified patients, first as acute stroke/TIA or not, then as acute stroke with LVO or not: (1) clinical data, (2) electroencephalography data, (3) clinical+electroencephalography data using logistic regression, and (4) clinical+electroencephalography data using a deep learning neural network. Each model used a training set of 60 randomly selected patients, then was validated in an independent cohort of 40 new patients. RESULTS Of 100 patients, 63 had a stroke (43 ischemic/7 hemorrhagic) or TIA (13). For classifying patients as stroke/TIA or not, the clinical data model had area under the curve=62.3, whereas clinical+electroencephalography using deep learning neural network model had area under the curve=87.8. Results were comparable for classifying patients as stroke with LVO or not. CONCLUSIONS Adding electroencephalography data to clinical measures improves diagnosis of acute stroke/TIA and of acute stroke with LVO. Rapid acquisition of dry-lead electroencephalography is feasible in the emergency department and merits prehospital evaluation.
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Affiliation(s)
- Fareshte Erani
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Nadezhda Zolotova
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Benjamin Vanderschelden
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Nima Khoshab
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Hagop Sarian
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Laila Nazarzai
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | - Jennifer Wu
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | | | | | - Wengui Yu
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
| | | | - Ramesh Srinivasan
- Department of Cognitive Science (R.S.), UC Irvine, CA.,Department of Biomedical Engineering (R.S.), UC Irvine, CA
| | - Steven C Cramer
- Department of Neurology (F.E., N.Z., B.V., N.K., H.S., L.N., J.W., W.Y., S.C.C.), UC Irvine, CA
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De Sanctis P, Malcolm BR, Mabie PC, Francisco AA, Mowrey WB, Joshi S, Molholm S, Foxe JJ. Mobile Brain/Body Imaging of cognitive-motor impairment in multiple sclerosis: Deriving EEG-based neuro-markers during a dual-task walking study. Clin Neurophysiol 2020; 131:1119-1128. [PMID: 32200093 DOI: 10.1016/j.clinph.2020.01.024] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 01/23/2020] [Accepted: 01/29/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Individuals with a diagnosis of multiple sclerosis (MS) often present with cognitive and motor deficits, and thus the ability to perform tasks that rely on both domains may be particularly impaired. Yet, dual-task walking studies yield mixed results. Individual variance in the ability to cope with brain insult and mobilize additional brain resources may contribute to mixed findings. METHODS To test this hypothesis, we acquired event-related potentials (ERP) in individuals with MS and healthy controls (HCs) performing a Go/NoGo task while sitting (i.e., single task) or walking (i.e., dual-task) and looked at the relationship between task related modulation of the brain response and performance. RESULTS On the Go/NoGo task the MS group showed dual-task costs when walking, whereas HCs showed a dual-task benefit. Further, whereas the HC group showed modulation of the brain response as a function of task load, this was not the case in the MS group. Analysis for the pooled sample revealed a positive correlation between load-related ERP effects and dual-task performance. CONCLUSIONS These data suggest a neurophysiological marker of cognitive-motor dysfunction in MS. SIGNIFICANCE Understanding neural processes underlying dual-task walking will help identify objective brain measurements of real-world issues and may improve assessment of MS.
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Affiliation(s)
- Pierfilippo De Sanctis
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA; The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
| | - Brenda R Malcolm
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA
| | - Peter C Mabie
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, USA
| | - Ana A Francisco
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA
| | - Wenzhu B Mowrey
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Sonja Joshi
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA
| | - Sophie Molholm
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA; The Dominick P. Purpura Department of Neuroscience, Rose F. Kennedy Intellectual and Developmental Disabilities Research Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; The Cognitive Neurophysiology Laboratory, The Ernest J. Del Monte Institute for Neuroscience, Department of Neuroscience, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA
| | - John J Foxe
- The Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1225 Morris Park Avenue, Bronx, NY 10461, USA; The Dominick P. Purpura Department of Neuroscience, Rose F. Kennedy Intellectual and Developmental Disabilities Research Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA; The Cognitive Neurophysiology Laboratory, The Ernest J. Del Monte Institute for Neuroscience, Department of Neuroscience, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA
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