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Jin MX, Qin PP, Xia AWL, Kan RLD, Zhang BBB, Tang AHP, Li ASM, Lin TTZ, Giron CG, Pei JJ, Kranz GS. Neurophysiological and neuroimaging markers of repetitive transcranial magnetic stimulation treatment response in major depressive disorder: A systematic review and meta-analysis of predictive modeling studies. Neurosci Biobehav Rev 2024; 162:105695. [PMID: 38710424 DOI: 10.1016/j.neubiorev.2024.105695] [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: 10/26/2023] [Revised: 04/10/2024] [Accepted: 04/26/2024] [Indexed: 05/08/2024]
Abstract
Predicting repetitive transcranial magnetic stimulation (rTMS) treatment outcomes in major depressive disorder (MDD) could reduce the financial and psychological risks of treatment failure. We systematically reviewed and meta-analyzed studies that leveraged neurophysiological and neuroimaging markers to predict rTMS response in MDD. Five databases were searched from inception to May 25, 2023. The primary meta-analytic outcome was predictive accuracy pooled from classification models. Regression models were summarized qualitatively. A promising marker was identified if it showed a sensitivity and specificity of 80% or higher in at least two independent studies. Searching yielded 36 studies. Twenty-two classification modeling studies produced an estimated area under the summary receiver operating characteristic curve of 0.87 (95% CI = 0.83-0.92), with 86.8% sensitivity (95% CI = 80.6-91.2%) and 81.9% specificity (95% CI = 76.1-86.4%). Frontal theta cordance measured by electroencephalography is closest to proof of concept. Predicting rTMS response using neurophysiological and neuroimaging markers is promising for clinical decision-making. However, replications by different research groups are needed to establish rigorous markers.
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Affiliation(s)
- Min Xia Jin
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China; Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
| | - Penny Ping Qin
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Adam Wei Li Xia
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Rebecca Lai Di Kan
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Bella Bing Bing Zhang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Alvin Hong Pui Tang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Ami Sin Man Li
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Tim Tian Ze Lin
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Cristian G Giron
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China
| | - Jun Jie Pei
- Department of Rehabilitation Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, China
| | - Georg S Kranz
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China; Mental Health Research Center, The Hong Kong Polytechnic University, Hong Kong, Special Administrative Region of China; Department of Psychiatry and Psychotherapy, Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University of Vienna, Austria.
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Ebrahimzadeh E, Dehghani A, Asgarinejad M, Soltanian-Zadeh H. Non-linear processing and reinforcement learning to predict rTMS treatment response in depression. Psychiatry Res Neuroimaging 2024; 337:111764. [PMID: 38043370 DOI: 10.1016/j.pscychresns.2023.111764] [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: 01/07/2023] [Revised: 11/05/2023] [Accepted: 11/09/2023] [Indexed: 12/05/2023]
Abstract
BACKGROUND Forecasting the efficacy of repetitive transcranial magnetic stimulation (rTMS) therapy can lead to substantial time and cost savings by preventing futile treatments. To achieve this objective, we've formulated a machine learning approach aimed at categorizing patients with major depressive disorder (MDD) into two groups: individuals who respond (R) positively to rTMS treatment and those who do not respond (NR). METHODS Preceding the commencement of treatment, we obtained resting-state EEG data from 106 patients diagnosed with MDD, employing 32 electrodes for data collection. These patients then underwent a 7-week course of rTMS therapy, and 54 of them exhibited positive responses to the treatment. Employing Independent Component Analysis (ICA) on the EEG data, we successfully pinpointed relevant brain sources that could potentially serve as markers of neural activity within the dorsolateral prefrontal cortex (DLPFC). These identified sources were further scrutinized to estimate the sources of activity within the sensor domain. Then, we integrated supplementary physiological data and implemented specific criteria to yield more realistic estimations when compared to conventional EEG analysis. In the end, we selected components corresponding to the DLPFC region within the sensor domain. Features were derived from the time-series data of these relevant independent components. To identify the most significant features, we used Reinforcement Learning (RL). In categorizing patients into two groups - R and NR to rTMS treatment - we utilized three distinct classification algorithms including K-Nearest Neighbor (KNN), Support Vector Machine (SVM), and Multilayer Perceptron (MLP). We assessed the performance of these classifiers through a ten-fold cross-validation method. Additionally, we conducted a statistical test to evaluate the discriminative capacity of these features between responders and non-responders, opening the door for further exploration in this field. RESULTS We identified EEG features that can anticipate the response to rTMS treatment. The most robust discriminators included EEG beta power, the sum of bispectrum diagonal elements in the delta and beta frequency bands. When these features were combined into a single vector, the classification of responders and non-responders achieved impressive performance, with an accuracy of 95.28 %, specificity at 94.23 %, sensitivity reaching 96.29 %, and precision standing at 94.54 %, all achieved using SVM. CONCLUSIONS The results of this study suggest that the proposed approach, utilizing power, non-linear, and bispectral features extracted from relevant independent component time-series, has the capability to forecast the treatment outcome of rTMS for MDD patients based solely on a single pre-treatment EEG recording session. The achieved findings demonstrate the superior performance of our method compared to previous techniques.
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Affiliation(s)
- Elias Ebrahimzadeh
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran; School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran.
| | - Amin Dehghani
- Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA
| | | | - Hamid Soltanian-Zadeh
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran; School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran
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Li L, Wang P, Li S, Zhao Q, Yin Z, Guan W, Chen S, Wang X, Liao J. Construction of a resting EEG-based depression recognition model for college students and possible mechanisms of action of different types of exercise. BMC Psychiatry 2023; 23:849. [PMID: 37974123 PMCID: PMC10655461 DOI: 10.1186/s12888-023-05352-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 11/06/2023] [Indexed: 11/19/2023] Open
Abstract
OBJECTIVES To investigate the method of resting EEG assessment of depressive symptoms in college students and to clarify the relationship between physical activity level and depressive symptoms in college students. METHODS Using a cross-sectional study design, 140 current full-time college students were recruited to complete the Self-Rating Depression Scale and the International Physical Activity Questionnaire, and 10-min resting EEGs were obtained. RESULTS 1) The power values of δ and α2 in the central (C3, C4) and parietal (P3, P4) regions of depressed college students were significantly higher than those of normal college students. And the degree of lateralization of δ, θ, α1, and α2 in the prefrontal regions (F3, F4) of depressed college students was significantly higher than that of normal college students (all P < 0. 008). 2) The recall rate of the depression recognition model for college students based on resting EEG was 66.67%, the precision was 65.05%, and the AUCs of the training group and validation group were 0.791 and 0.786, respectively, with better detection effects. 3) The two indicators, δ (C3 + C4) and α1 (F4-F3), are significantly correlated with IPAQ scores, and among college students who engage in ball games most commonly, those with a higher level of physical activity have lower δ (C3 + C4) and higher α1 (F4-F3), while among those who engage in resistance training most commonly, higher levels of physical activity are associated with lower δ (C3 + C4). CONCLUSION The resting EEG of depressed college students has a certain specificity that can objectively assess the risk of developing depressive symptoms in college students. Physical activity is associated with abnormal EEG signals of depressive symptoms. Different types of physical activity may modulate the relationship between physical activity levels and EEG indicators.
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Affiliation(s)
- Lili Li
- Department of Physical Education, Shanghai University of Engineering Science, Shanghai, China
| | - Peng Wang
- Shanghai University of Sport, Shanghai, China
| | - Shufan Li
- Shanghai University of Sport, Shanghai, China
| | - Qun Zhao
- Department of Physical Education, Donghua University, Shanghai, China
| | | | - Wei Guan
- Shanghai University of Sport, Shanghai, China
| | | | - Xing Wang
- Shanghai University of Sport, Shanghai, China
| | - Jinlin Liao
- College of Physical Education and Health, Longyan University, Longyan, China.
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Common Mental Disorders in Smart City Settings and Use of Multimodal Medical Sensor Fusion to Detect Them. Diagnostics (Basel) 2023; 13:diagnostics13061082. [PMID: 36980390 PMCID: PMC10047202 DOI: 10.3390/diagnostics13061082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 03/04/2023] [Accepted: 03/09/2023] [Indexed: 03/17/2023] Open
Abstract
Cities have undergone numerous permanent transformations at times of severe disruption. The Lisbon earthquake of 1755, for example, sparked the development of seismic construction rules. In 1848, when cholera spread through London, the first health law in the United Kingdom was passed. The Chicago fire of 1871 led to stricter building rules, which led to taller skyscrapers that were less likely to catch fire. Along similar lines, the COVID-19 epidemic may have a lasting effect, having pushed the global shift towards greener, more digital, and more inclusive cities. The pandemic highlighted the significance of smart/remote healthcare. Specifically, the elderly delayed seeking medical help for fear of contracting the infection. As a result, remote medical services were seen as a key way to keep healthcare services running smoothly. When it comes to both human and environmental health, cities play a critical role. By concentrating people and resources in a single location, the urban environment generates both health risks and opportunities to improve health. In this manuscript, we have identified the most common mental disorders and their prevalence rates in cities. We have also identified the factors that contribute to the development of mental health issues in urban spaces. Through careful analysis, we have found that multimodal feature fusion is the best method for measuring and analysing multiple signal types in real time. However, when utilizing multimodal signals, the most important issue is how we might combine them; this is an area of burgeoning research interest. To this end, we have highlighted ways to combine multimodal features for detecting and predicting mental issues such as anxiety, mood state recognition, suicidal tendencies, and substance abuse.
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Ebrahimzadeh E, Fayaz F, Rajabion L, Seraji M, Aflaki F, Hammoud A, Taghizadeh Z, Asgarinejad M, Soltanian-Zadeh H. Machine learning approaches and non-linear processing of extracted components in frontal region to predict rTMS treatment response in major depressive disorder. Front Syst Neurosci 2023; 17:919977. [PMID: 36968455 PMCID: PMC10034109 DOI: 10.3389/fnsys.2023.919977] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 02/13/2023] [Indexed: 03/12/2023] Open
Abstract
Predicting the therapeutic result of repetitive transcranial magnetic stimulation (rTMS) treatment could save time and costs as ineffective treatment can be avoided. To this end, we presented a machine-learning-based strategy for classifying patients with major depression disorder (MDD) into responders (R) and nonresponders (NR) to rTMS treatment. Resting state EEG data were recorded using 32 electrodes from 88 MDD patients before treatment. Then, patients underwent 7 weeks of rTMS, and 46 of them responded to treatment. By applying Independent Component Analysis (ICA) on EEG, we identified the relevant brain sources as possible indicators of neural activity in the dorsolateral prefrontal cortex (DLPFC). This was served through estimating the generators of activity in the sensor domain. Subsequently, we added physiological information and placed certain terms and conditions to offer a far more realistic estimation than the classic EEG. Ultimately, those components mapped in accordance with the region of the DLPFC in the sensor domain were chosen. Features extracted from the relevant ICs time series included permutation entropy (PE), fractal dimension (FD), Lempel-Ziv Complexity (LZC), power spectral density, correlation dimension (CD), features based on bispectrum, frontal and prefrontal cordance, and a combination of them. The most relevant features were selected by a Genetic Algorithm (GA). For classifying two groups of R and NR, K-Nearest Neighbor (KNN), Support Vector Machine (SVM), and Multilayer Perceptron (MLP) were applied to predict rTMS treatment response. To evaluate the performance of classifiers, a 10-fold cross-validation method was employed. A statistical test was used to assess the capability of features in differentiating R and NR for further research. EEG characteristics that can predict rTMS treatment response were discovered. The strongest discriminative indicators were EEG beta power, the sum of bispectrum diagonal elements in delta and beta bands, and CD. The Combined feature vector classified R and NR with a high performance of 94.31% accuracy, 92.85% specificity, 95.65% sensitivity, and 92.85% precision using SVM. This result indicates that our proposed method with power and nonlinear and bispectral features from relevant ICs time-series can predict the treatment outcome of rTMS for MDD patients only by one session pretreatment EEG recording. The obtained results show that the proposed method outperforms previous methods.
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Affiliation(s)
- Elias Ebrahimzadeh
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran
- School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran
- *Correspondence: Elias Ebrahimzadeh
| | - Farahnaz Fayaz
- Biomedical Engineering Department, School of Electrical Engineering, Payame Noor University of North Tehran, Tehran, Iran
| | - Lila Rajabion
- School of Graduate Studies, SUNY Empire State College, Manhattan, NY, United States
| | - Masoud Seraji
- Department of Psychology, University of Texas at Austin, Austin, TX, United States
| | - Fatemeh Aflaki
- Department of Biomedical Engineering, Islamic Azad University Central Tehran Branch, Tehran, Iran
| | - Ahmad Hammoud
- Department of Medical and Technical Information Technology, Bauman Moscow State Technical University, Moscow, Russia
| | - Zahra Taghizadeh
- Department of Bioengineering, George Mason University, Fairfax, VA, United States
| | - Mostafa Asgarinejad
- Department of Cognitive Neuroscience, Institute for Cognitive Sciences Studies, Tehran, Iran
| | - Hamid Soltanian-Zadeh
- School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran
- School of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran
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Scala JJ, Ganz AB, Snyder MP. Precision Medicine Approaches to Mental Health Care. Physiology (Bethesda) 2023; 38:0. [PMID: 36099270 PMCID: PMC9870582 DOI: 10.1152/physiol.00013.2022] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 08/08/2022] [Accepted: 09/12/2022] [Indexed: 02/04/2023] Open
Abstract
Developing a more comprehensive understanding of the physiological underpinnings of mental illness, precision medicine has the potential to revolutionize psychiatric care. With recent breakthroughs in next-generation multi-omics technologies and data analytics, it is becoming more feasible to leverage multimodal biomarkers, from genetic variants to neuroimaging biomarkers, to objectify diagnostics and treatment decisions in psychiatry and improve patient outcomes. Ongoing work in precision psychiatry will parallel progress in precision oncology and cardiology to develop an expanded suite of blood- and neuroimaging-based diagnostic tests, empower monitoring of treatment efficacy over time, and reduce patient exposure to ineffective treatments. The emerging model of precision psychiatry has the potential to mitigate some of psychiatry's most pressing issues, including improving disease classification, lengthy treatment duration, and suboptimal treatment outcomes. This narrative-style review summarizes some of the emerging breakthroughs and recurring challenges in the application of precision medicine approaches to mental health care.
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Affiliation(s)
- Jack J Scala
- Department of Genetics, Stanford University, Stanford, California
| | - Ariel B Ganz
- Department of Genetics, Stanford University, Stanford, California
| | - Michael P Snyder
- Department of Genetics, Stanford University, Stanford, California
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Yang B, Huang Y, Li Z, Hu X. Management of Post-stroke Depression (PSD) by Electroencephalography for Effective Rehabilitation. ENGINEERED REGENERATION 2022. [DOI: 10.1016/j.engreg.2022.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Watts D, Pulice RF, Reilly J, Brunoni AR, Kapczinski F, Passos IC. Predicting treatment response using EEG in major depressive disorder: A machine-learning meta-analysis. Transl Psychiatry 2022; 12:332. [PMID: 35961967 PMCID: PMC9374666 DOI: 10.1038/s41398-022-02064-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 06/27/2022] [Accepted: 07/06/2022] [Indexed: 11/09/2022] Open
Abstract
Selecting a course of treatment in psychiatry remains a trial-and-error process, and this long-standing clinical challenge has prompted an increased focus on predictive models of treatment response using machine learning techniques. Electroencephalography (EEG) represents a cost-effective and scalable potential measure to predict treatment response to major depressive disorder. We performed separate meta-analyses to determine the ability of models to distinguish between responders and non-responders using EEG across treatments, as well as a performed subgroup analysis of response to transcranial magnetic stimulation (rTMS), and antidepressants (Registration Number: CRD42021257477) in Major Depressive Disorder by searching PubMed, Scopus, and Web of Science for articles published between January 1960 and February 2022. We included 15 studies that predicted treatment responses among patients with major depressive disorder using machine-learning techniques. Within a random-effects model with a restricted maximum likelihood estimator comprising 758 patients, the pooled accuracy across studies was 83.93% (95% CI: 78.90-89.29), with an Area-Under-the-Curve (AUC) of 0.850 (95% CI: 0.747-0.890), and partial AUC of 0.779. The average sensitivity and specificity across models were 77.96% (95% CI: 60.05-88.70), and 84.60% (95% CI: 67.89-92.39), respectively. In a subgroup analysis, greater performance was observed in predicting response to rTMS (Pooled accuracy: 85.70% (95% CI: 77.45-94.83), Area-Under-the-Curve (AUC): 0.928, partial AUC: 0.844), relative to antidepressants (Pooled accuracy: 81.41% (95% CI: 77.45-94.83, AUC: 0.895, pAUC: 0.821). Furthermore, across all meta-analyses, the specificity (true negatives) of EEG models was greater than the sensitivity (true positives), suggesting that EEG models thus far better identify non-responders than responders to treatment in MDD. Studies varied widely in important features across models, although relevant features included absolute and relative power in frontal and temporal electrodes, measures of connectivity, and asymmetry across hemispheres. Predictive models of treatment response using EEG hold promise in major depressive disorder, although there is a need for prospective model validation in independent datasets, and a greater emphasis on replicating physiological markers. Crucially, standardization in cut-off values and clinical scales for defining clinical response and non-response will aid in the reproducibility of findings and the clinical utility of predictive models. Furthermore, several models thus far have used data from open-label trials with small sample sizes and evaluated performance in the absence of training and testing sets, which increases the risk of statistical overfitting. Large consortium studies are required to establish predictive signatures of treatment response using EEG, and better elucidate the replicability of specific markers. Additionally, it is speculated that greater performance was observed in rTMS models, since EEG is assessing neural networks more likely to be directly targeted by rTMS, comprising electrical activity primarily near the surface of the cortex. Prospectively, there is a need for models that examine the comparative effectiveness of multiple treatments across the same patients. However, this will require a thoughtful consideration towards cumulative treatment effects, and whether washout periods between treatments should be utilised. Regardless, longitudinal cross-over trials comparing multiple treatments across the same group of patients will be an important prerequisite step to both facilitate precision psychiatry and identify generalizable physiological predictors of response between and across treatment options.
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Affiliation(s)
- Devon Watts
- grid.25073.330000 0004 1936 8227Neuroscience Graduate Program, McMaster University, Hamilton, Canada
| | - Rafaela Fernandes Pulice
- grid.8532.c0000 0001 2200 7498School of Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, RS Brasil ,grid.414449.80000 0001 0125 3761Laboratório de Molecular Psychiatry, Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS Brasil
| | - Jim Reilly
- grid.25073.330000 0004 1936 8227Department of Electrical & Computer Engineering, McMaster University, Hamilton, ON Canada
| | - Andre R. Brunoni
- grid.11899.380000 0004 1937 0722Service of Interdisciplinary Neuromodulation, Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, University of São Paulo, São Paulo, Brasil ,grid.11899.380000 0004 1937 0722Departamento de Clínica Médica, Faculdade de Medicina da USP, São Paulo, Brasil
| | - Flávio Kapczinski
- grid.25073.330000 0004 1936 8227Neuroscience Graduate Program, McMaster University, Hamilton, Canada ,grid.414449.80000 0001 0125 3761Laboratório de Molecular Psychiatry, Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS Brasil ,Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), Porto Alegre, RS Brasil ,grid.25073.330000 0004 1936 8227Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON Canada
| | - Ives Cavalcante Passos
- School of Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, RS, Brasil. .,Laboratório de Molecular Psychiatry, Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil.
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Li Y, Shen Y, Fan X, Huang X, Yu H, Zhao G, Ma W. A novel EEG-based major depressive disorder detection framework with two-stage feature selection. BMC Med Inform Decis Mak 2022; 22:209. [PMID: 35933348 PMCID: PMC9357341 DOI: 10.1186/s12911-022-01956-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Accepted: 07/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background Major depressive disorder (MDD) is a common mental illness, characterized by persistent depression, sadness, despair, etc., troubling people’s daily life and work seriously. Methods In this work, we present a novel automatic MDD detection framework based on EEG signals. First of all, we derive highly MDD-correlated features, calculating the ratio of extracted features from EEG signals at frequency bands between \documentclass[12pt]{minimal}
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\begin{document}$$\alpha$$\end{document}α. Then, a two-stage feature selection method named PAR is presented with the sequential combination of Pearson correlation coefficient (PCC) and recursive feature elimination (RFE), where the advantages lie in minimizing the feature searching space. Finally, we employ widely used machine learning methods of support vector machine (SVM), logistic regression (LR), and linear regression (LNR) for MDD detection with the merit of feature interpretability. Results Experiment results show that our proposed MDD detection framework achieves competitive results. The accuracy and \documentclass[12pt]{minimal}
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\begin{document}$$F_{1}$$\end{document}F1 score are up to 0.9895 and 0.9846, respectively. Meanwhile, the regression determination coefficient \documentclass[12pt]{minimal}
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\begin{document}$$R^2$$\end{document}R2 for MDD severity assessment is up to 0.9479. Compared with existing MDD detection methods with the best accuracy of 0.9840 and \documentclass[12pt]{minimal}
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\begin{document}$$F_1$$\end{document}F1 score of 0.97, our proposed framework achieves the state-of-the-art MDD detection performance. Conclusions Development of this MDD detection framework can be potentially deployed into a medical system to aid physicians to screen out MDD patients.
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Affiliation(s)
- Yujie Li
- School of Computer Science, South China Normal University, Guangzhou, China
| | - Yingshan Shen
- School of Computer Science, South China Normal University, Guangzhou, China
| | - Xiaomao Fan
- College of Big Data and Internet, Shenzhen Technology University, Shenzhen, China.
| | - Xingxian Huang
- Department of Acupuncture and Moxibustion, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China
| | - Haibo Yu
- Department of Acupuncture and Moxibustion, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China
| | - Gansen Zhao
- School of Computer Science, South China Normal University, Guangzhou, China
| | - Wenjun Ma
- School of Computer Science, South China Normal University, Guangzhou, China
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A Depression Diagnosis Method Based on the Hybrid Neural Network and Attention Mechanism. Brain Sci 2022; 12:brainsci12070834. [PMID: 35884641 PMCID: PMC9313113 DOI: 10.3390/brainsci12070834] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/23/2022] [Accepted: 06/24/2022] [Indexed: 02/01/2023] Open
Abstract
Depression is a common but easily misdiagnosed disease when using a self-assessment scale. Electroencephalograms (EEGs) provide an important reference and objective basis for the identification and diagnosis of depression. In order to improve the accuracy of the diagnosis of depression by using mainstream algorithms, a high-performance hybrid neural network depression detection method is proposed in this paper combined with deep learning technology. Firstly, a concatenating one-dimensional convolutional neural network (1D-CNN) and gated recurrent unit (GRU) are employed to extract the local features and to determine the global features of the EEG signal. Secondly, the attention mechanism is introduced to form the hybrid neural network. The attention mechanism assigns different weights to the multi-dimensional features extracted by the network, so as to screen out more representative features, which can reduce the computational complexity of the network and save the training time of the model while ensuring high precision. Moreover, dropout is applied to accelerate network training and address the over-fitting problem. Experiments reveal that the 1D-CNN-GRU-ATTN model has more effectiveness and a better generalization ability compared with traditional algorithms. The accuracy of the proposed method in this paper reaches 99.33% in a public dataset and 97.98% in a private dataset, respectively.
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Abdulwahab HM, Ajitha S, Saif MAN. Feature selection techniques in the context of big data: taxonomy and analysis. APPL INTELL 2022. [DOI: 10.1007/s10489-021-03118-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Ghiasi S, Dell'Acqua C, Benvenuti SM, Scilingo EP, Gentili C, Valenza G, Greco A. Classifying subclinical depression using EEG spectral and connectivity measures. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:2050-2053. [PMID: 34891691 DOI: 10.1109/embc46164.2021.9630044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Detecting depression on its early stages helps preventing the onset of severe depressive episodes. In this study, we propose an automatic classification pipeline to detect subclinical depression (i.e., dysphoria) through the electroencephalography (EEG) signal. To this aim, we recorded the EEG signals in resting condition from 26 female participants with dysphoria and 38 female controls. The EEG signals were processed to extract several spectral and functional connectivity features to feed a nonlinear Support Vector Machine (SVM) classifier embedded with a Recursive Feature Elimination (RFE) algorithm. Our recognition pipeline obtained a maximum classification accuracy of 83.91% in recognizing dysphoria patients with a combination of connectivity and spectral measures. Moreover, an accuracy of 76.11% was achieved with only the 4 most informative functional connections, suggesting a central role of cortical connectivity in the theta band for early depression recognition. The present study can facilitate the diagnosis of subclinical conditions of depression and may provide reliable indicators of depression for the clinical community.
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Jiang C, Li Y, Tang Y, Guan C. Enhancing EEG-Based Classification of Depression Patients Using Spatial Information. IEEE Trans Neural Syst Rehabil Eng 2021; 29:566-575. [PMID: 33587703 DOI: 10.1109/tnsre.2021.3059429] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Depression has become a leading mental disorder worldwide. Evidence has shown that subjects with depression exhibit different spatial responses in neurophysiological signals from the healthy controls when they are exposed to positive and negative stimuli. METHODS We proposed an effective electroencephalogram-based detection method for depression classification using spatial information. A face-in-the-crowd task, including positive and negative emotional facial expressions, was presented to 30 participants, including 16 depression patients and 14 healthy controls. Differential entropy and the genetic algorithm were used for feature extraction and selection, and a support vector machine was used for classification. A task-related common spatial pattern (TCSP) was proposed to enhance the spatial differences before the feature extraction. RESULTS AND DISCUSSION We achieved a leave-one-subject-out cross-validation classification result of 84% and 85.7% for positive and negative stimuli, respectively, using TCSP, which is statistically significantly higher than 81.7% and 83.2%, respectively, acquired without the TCSP (p < 0.05). We also evaluated the classification performance using individual frequency bands and found that the contribution of the gamma band was predominant. In addition, we evaluated different classifiers, including k-nearest neighbor and logistic regression, which showed similar trends in the improvement of classification by employing TCSP. CONCLUSION The results show that our proposed method, employing spatial information, significantly improves the accuracy of classifying depression patients.
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Performance Evaluation of a Proposed Machine Learning Model for Chronic Disease Datasets Using an Integrated Attribute Evaluator and an Improved Decision Tree Classifier. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10228137] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There is a consistent rise in chronic diseases worldwide. These diseases decrease immunity and the quality of daily life. The treatment of these disorders is a challenging task for medical professionals. Dimensionality reduction techniques make it possible to handle big data samples, providing decision support in relation to chronic diseases. These datasets contain a series of symptoms that are used in disease prediction. The presence of redundant and irrelevant symptoms in the datasets should be identified and removed using feature selection techniques to improve classification accuracy. Therefore, the main contribution of this paper is a comparative analysis of the impact of wrapper and filter selection methods on classification performance. The filter methods that have been considered include the Correlation Feature Selection (CFS) method, the Information Gain (IG) method and the Chi-Square (CS) method. The wrapper methods that have been considered include the Best First Search (BFS) method, the Linear Forward Selection (LFS) method and the Greedy Step Wise Search (GSS) method. A Decision Tree algorithm has been used as a classifier for this analysis and is implemented through the WEKA tool. An attribute significance analysis has been performed on the diabetes, breast cancer and heart disease datasets used in the study. It was observed that the CFS method outperformed other filter methods concerning the accuracy rate and execution time. The accuracy rate using the CFS method on the datasets for heart disease, diabetes, breast cancer was 93.8%, 89.5% and 96.8% respectively. Moreover, latency delays of 1.08 s, 1.02 s and 1.01 s were noted using the same method for the respective datasets. Among wrapper methods, BFS’ performance was impressive in comparison to other methods. Maximum accuracy of 94.7%, 95.8% and 96.8% were achieved on the datasets for heart disease, diabetes and breast cancer respectively. Latency delays of 1.42 s, 1.44 s and 132 s were recorded using the same method for the respective datasets. On the basis of the obtained result, a new hybrid Attribute Evaluator method has been proposed which effectively integrates enhanced K-Means clustering with the CFS filter method and the BFS wrapper method. Furthermore, the hybrid method was evaluated with an improved decision tree classifier. The improved decision tree classifier combined clustering with classification. It was validated on 14 different chronic disease datasets and its performance was recorded. A very optimal and consistent classification performance was observed. The mean values for accuracy, specificity, sensitivity and f-score metrics were 96.7%, 96.5%, 95.6% and 96.2% respectively.
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Čukić M, López V, Pavón J. Classification of Depression Through Resting-State Electroencephalogram as a Novel Practice in Psychiatry: Review. J Med Internet Res 2020; 22:e19548. [PMID: 33141088 PMCID: PMC7671839 DOI: 10.2196/19548] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 07/19/2020] [Accepted: 09/04/2020] [Indexed: 12/28/2022] Open
Abstract
Background Machine learning applications in health care have increased considerably in the recent past, and this review focuses on an important application in psychiatry related to the detection of depression. Since the advent of computational psychiatry, research based on functional magnetic resonance imaging has yielded remarkable results, but these tools tend to be too expensive for everyday clinical use. Objective This review focuses on an affordable data-driven approach based on electroencephalographic recordings. Web-based applications via public or private cloud-based platforms would be a logical next step. We aim to compare several different approaches to the detection of depression from electroencephalographic recordings using various features and machine learning models. Methods To detect depression, we reviewed published detection studies based on resting-state electroencephalogram with final machine learning, and to predict therapy outcomes, we reviewed a set of interventional studies using some form of stimulation in their methodology. Results We reviewed 14 detection studies and 12 interventional studies published between 2008 and 2019. As direct comparison was not possible due to the large diversity of theoretical approaches and methods used, we compared them based on the steps in analysis and accuracies yielded. In addition, we compared possible drawbacks in terms of sample size, feature extraction, feature selection, classification, internal and external validation, and possible unwarranted optimism and reproducibility. In addition, we suggested desirable practices to avoid misinterpretation of results and optimism. Conclusions This review shows the need for larger data sets and more systematic procedures to improve the use of the solution for clinical diagnostics. Therefore, regulation of the pipeline and standard requirements for methodology used should become mandatory to increase the reliability and accuracy of the complete methodology for it to be translated to modern psychiatry.
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Affiliation(s)
- Milena Čukić
- HealthInc 3EGA, Amsterdam Health and Technology Institute, Amsterdam, Netherlands
| | - Victoria López
- Instituto de Tecnología del Conocimiento, Institute of Knowledge Technology, Universidad Complutense Madrid, Ciudad Universitaria s/n, 28040, Madrid, Spain
| | - Juan Pavón
- Instituto de Tecnología del Conocimiento, Institute of Knowledge Technology, Universidad Complutense Madrid, Ciudad Universitaria s/n, 28040, Madrid, Spain
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Thoduparambil PP, Dominic A, Varghese SM. EEG-based deep learning model for the automatic detection of clinical depression. Phys Eng Sci Med 2020; 43:1349-1360. [PMID: 33090373 DOI: 10.1007/s13246-020-00938-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 10/10/2020] [Indexed: 11/28/2022]
Abstract
Clinical depression is a neurological disorder that can be identified by analyzing the Electroencephalography (EEG) signals. However, the major drawback in using EEG to accurately identify depression is the complexity and variation that exist in the EEG of a depressed individual. There are several strategies for automated depression diagnosis, but they all have flaws, which make the diagnostic task inaccurate. In this paper, a deep model is designed in which an integration of Convolution Neural Network (CNN) and Long Short Term Memory (LSTM) is implemented for the detection of depression. CNN and LSTM are used to learn the local characteristics and the EEG signal sequence, respectively. In the deep learning model, filters in the convolution layer are convolved with the input signal to generate feature maps. All the extracted features are given to the LSTM for it to learn the different patterns in the signal, after which the classification is performed using fully connected layers. LSTM has memory cells to remember the essential features for a long time. It also has different functions to update the weights during training. Testing of the model was done by random splitting technique and obtained 99.07% and 98.84% accuracies for the right and left hemispheres EEG signals, respectively.
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Affiliation(s)
- Pristy Paul Thoduparambil
- Department of Computer Science and Engineering, Mar Athanasius College of Engineering, Kothamangalam, Kerala, India.
| | - Anna Dominic
- Department of Computer Science and Engineering, Mar Athanasius College of Engineering, Kothamangalam, Kerala, India
| | - Surekha Mariam Varghese
- Department of Computer Science and Engineering, Mar Athanasius College of Engineering, Kothamangalam, Kerala, India
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Zhang L, Wang T, Liu Y, Duan Q. A semi-structured information semantic annotation method for Web pages. Neural Comput Appl 2020. [DOI: 10.1007/s00521-018-03999-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Epileptic seizures identification with autoregressive model and firefly optimization based classification. EVOLVING SYSTEMS 2019. [DOI: 10.1007/s12530-019-09319-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Khan S, Zafar N, Khan SS, Setua S, Behrman SW, Stiles ZE, Yallapu MM, Sahay P, Ghimire H, Ise T, Nagata S, Wang L, Wan JY, Pradhan P, Jaggi M, Chauhan SC. Clinical significance of MUC13 in pancreatic ductal adenocarcinoma. HPB (Oxford) 2018; 20:563-572. [PMID: 29352660 PMCID: PMC5995635 DOI: 10.1016/j.hpb.2017.12.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Revised: 11/22/2017] [Accepted: 12/19/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND Poor prognosis of pancreatic cancer (PanCa) is associated with lack of an effective early diagnostic biomarker. This study elucidates significance of MUC13, as a diagnostic/prognostic marker of PanCa. METHODS MUC13 was assessed in tissues using our in-house generated anti-MUC13 mouse monoclonal antibody and analyzed for clinical correlation by immunohistochemistry, immunoblotting, RT-PCR, computational and submicron scale mass-density fluctuation analyses, ROC and Kaplan Meir curve analyses. RESULTS MUC13 expression was detected in 100% pancreatic intraepithelial neoplasia (PanIN) lesions (Mean composite score: MCS = 5.8; AUC >0.8, P < 0.0001), 94.6% of pancreatic ductal adenocarcinoma (PDAC) samples (MCS = 9.7, P < 0.0001) as compared to low expression in tumor adjacent tissues (MCS = 4, P < 0.001) along with faint or no expression in normal pancreatic tissues (MCS = 0.8; AUC >0.8; P < 0.0001). Nuclear MUC13 expression positively correlated with nodal metastasis (P < 0.05), invasion of cancer to peripheral tissues (P < 0.5) and poor patient survival (P < 0.05; prognostic AUC = 0.9). Submicron scale mass density and artificial intelligence based algorithm analyses also elucidated association of MUC13 with greater morphological disorder (P < 0.001) and nuclear MUC13 as strong predictor for cancer aggressiveness and poor patient survival. CONCLUSION This study provides significant information regarding MUC13 expression/subcellular localization in PanCa samples and supporting the use anti-MUC13 MAb for the development of PanCa diagnostic/prognostic test.
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Affiliation(s)
- Sheema Khan
- Department of Pharmaceutical Sciences and Center for Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Nadeem Zafar
- Department of Pathology, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Shabia S. Khan
- Department of Computer Science, University of Kashmir, Srinagar, India
| | - Saini Setua
- Department of Pharmaceutical Sciences and Center for Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Stephen W. Behrman
- Department of Surgery, Baptist Memorial Hospital and the University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Zachary E Stiles
- Department of Surgery, Baptist Memorial Hospital and the University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Murali M. Yallapu
- Department of Pharmaceutical Sciences and Center for Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Peeyush Sahay
- Department of Physics, University of Memphis, Memphis, Tennessee, USA
| | - Hemendra Ghimire
- Department of Physics, University of Memphis, Memphis, Tennessee, USA
| | - Tomoko Ise
- Center for Drug Design Research, National Institutes of Biomedical Innovation, Health and Nutrition, Ibaraki-City, Osaka, Japan
| | - Satoshi Nagata
- Center for Drug Design Research, National Institutes of Biomedical Innovation, Health and Nutrition, Ibaraki-City, Osaka, Japan
| | - Lei Wang
- Department of Biostatistics & Epidemiology, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Jim Y. Wan
- Department of Biostatistics & Epidemiology, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Prabhakar Pradhan
- Department of Physics, University of Memphis, Memphis, Tennessee, USA
| | - Meena Jaggi
- Department of Pharmaceutical Sciences and Center for Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| | - Subhash C. Chauhan
- Department of Pharmaceutical Sciences and Center for Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, USA,Corresponding Authors: Subhash C. Chauhan, Ph.D., Professor, Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, 19 South Manassas, Cancer Research Building, Memphis, TN, 38163. Phone: (901) 448-2175. Fax: (901) 448-1051.
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Automated Extraction of Human Functional Brain Network Properties Associated with Working Memory Load through a Machine Learning-Based Feature Selection Algorithm. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2018; 2018:4835676. [PMID: 29849548 PMCID: PMC5914150 DOI: 10.1155/2018/4835676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 02/23/2018] [Accepted: 03/01/2018] [Indexed: 01/21/2023]
Abstract
Working memory (WM) load-dependent changes of functional connectivity networks have previously been investigated by graph theoretical analysis. However, the extraordinary number of nodes represented within the complex network of the human brain has hindered the identification of functional regions and their network properties. In this paper, we propose a novel method for automatically extracting characteristic brain regions and their graph theoretical properties that reflect load-dependent changes in functional connectivity using a support vector machine classification and genetic algorithm optimization. The proposed method classified brain states during 2- and 3-back test conditions based upon each of the three regional graph theoretical metrics (degree, clustering coefficient, and betweenness centrality) and automatically identified those brain regions that were used for classification. The experimental results demonstrated that our method achieved a >90% of classification accuracy using each of the three graph metrics, whereas the accuracy of the conventional manual approach of assigning brain regions was only 80.4%. It has been revealed that the proposed framework can extract meaningful features of a functional brain network that is associated with WM load from a large number of nodal graph theoretical metrics without prior knowledge of the neural basis of WM.
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Quantitative EEG features selection in the classification of attention and response control in the children and adolescents with attention deficit hyperactivity disorder. Future Sci OA 2018; 4:FSO292. [PMID: 29868241 PMCID: PMC5961406 DOI: 10.4155/fsoa-2017-0138] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 01/15/2018] [Indexed: 11/17/2022] Open
Abstract
Aim: Quantitative EEG gives valuable information in the clinical evaluation of psychological disorders. The purpose of the present study is to identify the most prominent features of quantitative electroencephalography (QEEG) that affect attention and response control parameters in children with attention deficit hyperactivity disorder. Methods: The QEEG features and the Integrated Visual and Auditory-Continuous Performance Test ( IVA-CPT) of 95 attention deficit hyperactivity disorder subjects were preprocessed by Independent Evaluation Criterion for Binary Classification. Then, the importance of selected features in the classification of desired outputs was evaluated using the artificial neural network. Results: Findings uncovered the highest rank of QEEG features in each IVA-CPT parameters related to attention and response control. Conclusion: Using the designed model could help therapists to determine the existence or absence of defects in attention and response control relying on QEEG. A model has been developed to identify the most prominent features of QEEG, and electrophysiological monitoring method, that affect attention and response control parameters in the IVA-CPT test, a software that helps clinicians evaluate attention deficit hyperactivity disorder. The designed model can help therapists to determine the existence or absence of defects in attention and response control.
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Mumtaz W, Ali SSA, Yasin MAM, Malik AS. A machine learning framework involving EEG-based functional connectivity to diagnose major depressive disorder (MDD). Med Biol Eng Comput 2017; 56:233-246. [DOI: 10.1007/s11517-017-1685-z] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 07/03/2017] [Indexed: 12/20/2022]
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Mumtaz W, Xia L, Ali SSA, Yasin MAM, Hussain M, Malik AS. Electroencephalogram (EEG)-based computer-aided technique to diagnose major depressive disorder (MDD). Biomed Signal Process Control 2017. [DOI: 10.1016/j.bspc.2016.07.006] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Li X, Hu B, Sun S, Cai H. EEG-based mild depressive detection using feature selection methods and classifiers. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2016; 136:151-61. [PMID: 27686712 DOI: 10.1016/j.cmpb.2016.08.010] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Revised: 08/08/2016] [Accepted: 08/16/2016] [Indexed: 05/21/2023]
Abstract
BACKGROUND AND OBJECTIVE Depression has become a major health burden worldwide, and effectively detection of such disorder is a great challenge which requires latest technological tool, such as Electroencephalography (EEG). This EEG-based research seeks to find prominent frequency band and brain regions that are most related to mild depression, as well as an optimal combination of classification algorithms and feature selection methods which can be used in future mild depression detection. METHODS An experiment based on facial expression viewing task (Emo_block and Neu_block) was conducted, and EEG data of 37 university students were collected using a 128 channel HydroCel Geodesic Sensor Net (HCGSN). For discriminating mild depressive patients and normal controls, BayesNet (BN), Support Vector Machine (SVM), Logistic Regression (LR), k-nearest neighbor (KNN) and RandomForest (RF) classifiers were used. And BestFirst (BF), GreedyStepwise (GSW), GeneticSearch (GS), LinearForwordSelection (LFS) and RankSearch (RS) based on Correlation Features Selection (CFS) were applied for linear and non-linear EEG features selection. Independent Samples T-test with Bonferroni correction was used to find the significantly discriminant electrodes and features. RESULTS Data mining results indicate that optimal performance is achieved using a combination of feature selection method GSW based on CFS and classifier KNN for beta frequency band. Accuracies achieved 92.00% and 98.00%, and AUC achieved 0.957 and 0.997, for Emo_block and Neu_block beta band data respectively. T-test results validate the effectiveness of selected features by search method GSW. Simplified EEG system with only FP1, FP2, F3, O2, T3 electrodes was also explored with linear features, which yielded accuracies of 91.70% and 96.00%, AUC of 0.952 and 0.972, for Emo_block and Neu_block respectively. CONCLUSIONS Classification results obtained by GSW + KNN are encouraging and better than previously published results. In the spatial distribution of features, we find that left parietotemporal lobe in beta EEG frequency band has greater effect on mild depression detection. And fewer EEG channels (FP1, FP2, F3, O2 and T3) combined with linear features may be good candidates for usage in portable systems for mild depression detection.
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Affiliation(s)
- Xiaowei Li
- School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Bin Hu
- School of Information Science and Engineering, Lanzhou University, Lanzhou, China.
| | - Shuting Sun
- School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Hanshu Cai
- School of Information Science and Engineering, Lanzhou University, Lanzhou, China
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Discriminating schizophrenia and schizo-obsessive disorder: a structural MRI study combining VBM and machine learning methods. Neural Comput Appl 2016. [DOI: 10.1007/s00521-016-2451-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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