A novel spectral entropy-based index for assessing the depth of anaesthesia

Integrating neuroscience and artificial intelligence: EEG analysis using ensemble learning for diagnosis Alzheimer's disease and frontotemporal dementia

BACKGROUND

Alzheimer's disease (AD) and frontotemporal dementia (FTD) are both progressive neurological disorders that affect the elderly. Distinguishing between individuals suffering from these two diseases in the early stages can be quite challenging, and due to their different treatments, it has become an important problem. Machine learning (ML) algorithms can be helpful in this matter due to their high ability to manage large data and deliver high-quality diagnostic results.

NEW METHOD

In this research, we integrate multiple ML algorithms into 10 ensemble learning techniques, utilizing 7 distinct features: 3 from the time domain and 4 from the frequency domain.

RESULTS

They are used to achieve a higher diagnostic accuracy level in binary and multiclass classification of samples from electroencephalography (EEG) signals of elderly patients with AD, FTD, and healthy age-matching controls (CN), during the eye resting state.

COMPARISON WITH EXISTING METHODS

The best results in carrying out binary AD/CN, FTD/CN, and AD/FTD classifications with significant accuracy>95% have been obtained with the help of the light gradient boosting machine (LGBM) method applying the wavelet transform feature.

CONCLUSION

This combination (LGBM&wavelet) also displays the best performance in the AD/FTD/CN multiclass classification process with accuracy>93%.

Applications of Entropy in Data Analysis and Machine Learning: A Review

Since its origin in the thermodynamics of the 19th century, the concept of entropy has also permeated other fields of physics and mathematics, such as Classical and Quantum Statistical Mechanics, Information Theory, Probability Theory, Ergodic Theory and the Theory of Dynamical Systems. Specifically, we are referring to the classical entropies: the Boltzmann-Gibbs, von Neumann, Shannon, Kolmogorov-Sinai and topological entropies. In addition to their common name, which is historically justified (as we briefly describe in this review), another commonality of the classical entropies is the important role that they have played and are still playing in the theory and applications of their respective fields and beyond. Therefore, it is not surprising that, in the course of time, many other instances of the overarching concept of entropy have been proposed, most of them tailored to specific purposes. Following the current usage, we will refer to all of them, whether classical or new, simply as entropies. In particular, the subject of this review is their applications in data analysis and machine learning. The reason for these particular applications is that entropies are very well suited to characterize probability mass distributions, typically generated by finite-state processes or symbolized signals. Therefore, we will focus on entropies defined as positive functionals on probability mass distributions and provide an axiomatic characterization that goes back to Shannon and Khinchin. Given the plethora of entropies in the literature, we have selected a representative group, including the classical ones. The applications summarized in this review nicely illustrate the power and versatility of entropy in data analysis and machine learning.

Harnessing machine learning for EEG signal analysis: Innovations in depth of anaesthesia assessment

Anaesthesia, crucial to surgical practice, is undergoing renewed scrutiny due to the integration of artificial intelligence in its medical use. The precise control over the temporary loss of consciousness is vital to ensure safe, pain-free procedures. Traditional methods of depth of anaesthesia (DoA) assessment, reliant on physical characteristics, have proven inconsistent due to individual variations. In response, electroencephalography (EEG) techniques have emerged, with indices such as the Bispectral Index offering quantifiable assessments. This literature review explores the current scope and frontier of DoA research, emphasising methods utilising EEG signals for effective clinical monitoring. This review offers a critical synthesis of recent advances, specifically focusing on electroencephalography (EEG) techniques and their role in enhancing clinical monitoring. By examining 117 high-impact papers, the review delves into the nuances of feature extraction, model building, and algorithm design in EEG-based DoA analysis. Comparative assessments of these studies highlight their methodological approaches and performance, including clinical correlations with established indices like the Bispectral Index. The review identifies knowledge gaps, particularly the need for improved collaboration for data access, which is essential for developing superior machine learning models and real-time predictive algorithms for patient management. It also calls for refined model evaluation processes to ensure robustness across diverse patient demographics and anaesthetic agents. The review underscores the potential of technological advancements to enhance precision, safety, and patient outcomes in anaesthesia, paving the way for a new standard in anaesthetic care. The findings of this review contribute to the ongoing discourse on the application of EEG in anaesthesia, providing insights into the potential for technological advancement in this critical area of medical practice.

Support-vector classification of low-dose nitrous oxide administration with multi-channel EEG power spectra

Support-vector machines (SVMs) can potentially improve patient monitoring during nitrous oxide anaesthesia. By elucidating the effects of low-dose nitrous oxide on the power spectra of multi-channel EEG recordings, we quantified the degree to which these effects generalise across participants. In this single-blind, cross-over study, 32-channel EEG was recorded from 12 healthy participants exposed to 0, 20, 30 and 40% end-tidal nitrous oxide. Features of the delta-, theta-, alpha- and beta-band power were used within a 12-fold, participant-wise cross-validation framework to train and test two SVMs: (1) binary SVM classifying EEG during 0 or 40% exposure (chance = 50%); (2) multi-class SVM classifying EEG during 0, 20, 30 or 40% exposure (chance = 25%). Both the binary (accuracy 92%) and the multi-class (accuracy 52%) SVMs classified EEG recordings at rates significantly better than chance (p < 0.001 and p = 0.01, respectively). To determine the relative importance of frequency band features for classification accuracy, we systematically removed features before re-training and re-testing the SVMs. This showed the relative importance of decreased delta power and the frontal region. SVM classification identified that the most important effects of nitrous oxide were found in the delta band in the frontal electrodes that was consistent between participants. Furthermore, support-vector classification of nitrous oxide dosage is a promising method that might be used to improve patient monitoring during nitrous oxide anaesthesia.

Multi Modal Feature Extraction for Classification of Vascular Dementia in Post-Stroke Patients Based on EEG Signal

Dementia is a term that represents a set of symptoms that affect the ability of the brain's cognitive functions related to memory, thinking, behavior, and language. At worst, dementia is often called a major neurocognitive disorder or senile disease. One of the most common types of dementia after Alzheimer's is vascular dementia. Vascular dementia is closely related to cerebrovascular disease, one of which is stroke. Post-stroke patients with recurrent onset have the potential to develop dementia. An accurate diagnosis is needed for proper therapy management to ensure the patient's quality of life and prevent it from worsening. The gold standard diagnostic of vascular dementia is complex, includes psychological tests, complete memory tests, and is evidenced by medical imaging of brain lesions. However, brain imaging methods such as CT-Scan, PET-Scan, and MRI have high costs and cannot be routinely used in a short period. For more than two decades, electroencephalogram signal analysis has been an alternative in assisting the diagnosis of brain diseases associated with cognitive decline. Traditional EEG analysis performs visual observations of signals, including rhythm, power, and spikes. Of course, it requires a clinician expert, time consumption, and high costs. Therefore, a quantitative EEG method for identifying vascular dementia in post-stroke patients is discussed in this study. This study used 19 EEG channels recorded from normal elderly, post-stroke with mild cognitive impairment, and post-stroke with dementia. The QEEG method used for feature extraction includes relative power, coherence, and signal complexity; the evaluation performance of normal-mild cognitive impairment-dementia classification was conducted using Support Vector Machine and K-Nearest Neighbor. The results of the classification simulation showed the highest accuracy of 96% by Gaussian SVM with a sensitivity and specificity of 95.6% and 97.9%, respectively. This study is expected to be an additional criterion in the diagnosis of dementia, especially in post-stroke patients.

Boosting framework via clinical monitoring data to predict the depth of anesthesia

BACKGROUND:

Prediction of the depth of anesthesia is a difficult job in the biomedical field.

OBJECTIVE:

This study aimed to build a boosting-based prediction model to predict the depth of anesthesia based on four clinical monitoring data.

METHODS:

Boosting is a framework algorithm that is used to train a series of weak learners into strong learners by assigning different weights according to their classification accuracy. The input of the boosting-based prediction model included four types of clinical monitoring data: electromyography, end-tidal carbon dioxide partial pressure, remifentanil dosage, and flow rate. The output was the depth of anesthesia.

RESULTS:

The boosting framework model built in this study achieved higher prediction accuracy and a lower discrete degree in predicting the depth of anesthesia compared with the DT-, KNN-, and SVM-based models.

CONCLUSIONS:

The boosting framework was used to set up a prediction model to predict the depth of anesthesia based on four clinical monitoring data. In the experiments, the boosting framework model of this study achieved higher prediction accuracy and a lower discrete degree. This model will be useful in predicting the depth of anesthesia.

A Novel Permutation Entropy-Based EEG Channel Selection for Improving Epileptic Seizure Prediction

The key research aspects of detecting and predicting epileptic seizures using electroencephalography (EEG) signals are feature extraction and classification. This paper aims to develop a highly effective and accurate algorithm for seizure prediction. Efficient channel selection could be one of the solutions as it can decrease the computational loading significantly. In this research, we present a patient-specific optimization method for EEG channel selection based on permutation entropy (PE) values, employing K nearest neighbors (KNNs) combined with a genetic algorithm (GA) for epileptic seizure prediction. The classifier is the well-known support vector machine (SVM), and the CHB-MIT Scalp EEG Database is used in this research. The classification results from 22 patients using the channels selected to the patient show a high prediction rate (average 92.42%) compared to the SVM testing results with all channels (71.13%). On average, the accuracy, sensitivity, and specificity with selected channels are improved by 10.58%, 23.57%, and 5.56%, respectively. In addition, four patient cases validate over 90% accuracy, sensitivity, and specificity rates with just a few selected channels. The corresponding standard deviations are also smaller than those used by all channels, demonstrating that tailored channels are a robust way to optimize the seizure prediction.