Magnitude and Temporal Variability of Inter-stimulus EEG Modulate the Linear Relationship Between Laser-Evoked Potentials and Fast-Pain Perception

Photobiomodulation transiently increases the spontaneous firing in the superficial layer of the rat spinal dorsal horn

The therapeutic benefits of photobiomodulation (PBM) in pain management, although well documented, are accompanied by concerns about potential risks, including pain, particularly at higher laser intensities. This study investigated the effects of laser intensity on pain perception using behavioral and electrophysiological evaluations in rats. Our results show that direct laser irradiation of 1000 mW/cm2 to the sciatic nerve transiently increases the frequency of spontaneous firing in the superficial layer without affecting the deep layer of the spinal dorsal horn, and this effect reverses to pre-irradiation levels after irradiation. Interestingly, laser irradiation at 1000 mW/cm2, which led to an increase in spontaneous firing, did not prompt escape behavior. Furthermore, a significant reduction in the time to initiate escape behavior was observed only at 9500 mW/cm2 compared to 15, 510, 1000, and 4300 mW/cm2. This suggests that 1000 mW/cm2, the laser intensity at which an increase in spontaneous firing was observed, corresponds to a stimulus that did not cause pain. It is expected that a detailed understanding of the risks and mechanisms of PBM from a neurophysiological perspective will lead to safer and more effective use of PBM.

An approach to the detection of pain from autonomic and cortical correlates

OBJECTIVE

To assess the value of combining brain and autonomic measures to discriminate the subjective perception of pain from other sensory-cognitive activations.

METHODS

20 healthy individuals received 2 types of tonic painful stimulation delivered to the hand: electrical stimuli and immersion in 10 Celsius degree (°C) water, which were contrasted with non-painful immersion in 15 °C water, and stressful cognitive testing. High-density electroencephalography (EEG) and autonomic measures (pupillary, electrodermal and cardiovascular) were continuously recorded, and the accuracy of pain detection based on combinations of electrophysiological features was assessed using machine learning procedures.

RESULTS

Painful stimuli induced a significant decrease in contralateral EEG alpha power. Cardiac, electrodermal and pupillary reactivities occurred in both painful and stressful conditions. Classification models, trained on leave-one-out cross-validation folds, showed low accuracy (61-73%) of cortical and autonomic features taken independently, while their combination significantly improved accuracy to 93% in individual reports.

CONCLUSIONS

Changes in cortical oscillations reflecting somatosensory salience and autonomic changes reflecting arousal can be triggered by many activating signals other than pain; conversely, the simultaneous occurrence of somatosensory activation plus strong autonomic arousal has great probability of reflecting pain uniquely.

SIGNIFICANCE

Combining changes in cortical and autonomic reactivities appears critical to derive accurate indexes of acute pain perception.

Bi-mode electrolyte-gated synaptic transistor via additional ion doping and its application to artificial nociceptors

Multiple types of synaptic transistors that are capable of processing electrical signals similar to the biological neural system hold enormous potential for application in parallel computing, logic circuits and peripheral detection. However, most of these presented synaptic transistors are confined to a single mode of synaptic plasticity under an electrical stimulus, which tremendously limits efficient memory formation and the multifunctional integration of synaptic transistors. Here, we proposed a bi-mode electrolyte-gated synaptic transistor (BEST) with two dynamic processes, the formation of an electrical double layer (EDL) and electrochemical doping (ECD) by tuning the applied voltages, thereby allowing volatile and non-volatile behavior, which is associated with additional ion doping and nanoscale ionic transport. Benefiting from two controllable dynamic processes, we surprisingly found a third state in the transfer curves besides the "off" and "on" states. Moreover, utilizing this unique property, an artificial nociceptor with multilevel modulation of sensitivity was realized based on our bi-mode device. Finally, a haptic sensory system was constructed to exhibit robotic motion that revealed a unique threshold switching behavior, indicating the applicability to peripheral sensing circuits. Hence, the presented bi-mode synaptic transistor provides promising prospects in achieving multiple-mode integrated devices and simplifying neural circuits, which shows great potential in the development of artificial intelligence.

Systematic Review of the Effectiveness of Machine Learning Algorithms for Classifying Pain Intensity, Phenotype or Treatment Outcomes Using Electroencephalogram Data

Recent attempts to utilize machine learning (ML) to predict pain-related outcomes from Electroencephalogram (EEG) data demonstrate promising results. The primary aim of this review was to evaluate the effectiveness of ML algorithms for predicting pain intensity, phenotypes or treatment response from EEG. Electronic databases MEDLINE, EMBASE, Web of Science, PsycINFO and The Cochrane Library were searched. A total of 44 eligible studies were identified, with 22 presenting attempts to predict pain intensity, 15 investigating the prediction of pain phenotypes and seven assessing the prediction of treatment response. A meta-analysis was not considered appropriate for this review due to heterogenos methods and reporting. Consequently, data were narratively synthesized. The results demonstrate that the best performing model of the individual studies allows for the prediction of pain intensity, phenotypes and treatment response with accuracies ranging between 62 to 100%, 57 to 99% and 65 to 95.24%, respectively. The results suggest that ML has the potential to effectively predict pain outcomes, which may eventually be used to assist clinical care. However, inadequate reporting and potential bias reduce confidence in the results. Future research should improve reporting standards and externally validate models to decrease bias, which would increase the feasibility of clinical translation. PERSPECTIVE: This systematic review explores the state-of-the-art machine learning methods for predicting pain intensity, phenotype or treatmentresponse from EEG data. Results suggest that machine learning may demonstrate clinical utility, pending further research and development. Areas for improvement, including standardized processing, reporting and the need for better methodological assessment tools, are discussed.

Designing individual-specific and trial-specific models to accurately predict the intensity of nociceptive pain from single-trial fMRI responses

Using machine learning to predict the intensity of pain from fMRI has attracted rapidly increasing interests. However, due to remarkable inter- and intra-individual variabilities in pain responses, the performance of existing fMRI-based pain prediction models is far from satisfactory. The present study proposed a new approach which can design a prediction model specific to each individual or each experimental trial so that the specific model can achieve more accurate prediction of the intensity of nociceptive pain from single-trial fMRI responses. More precisely, the new approach uses a supervised k-means method on nociceptive-evoked fMRI responses to cluster individuals or trials into a set of subgroups, each of which has similar and consistent fMRI activation patterns. Then, for a new test individual/trial, the proposed approach chooses one subgroup of individuals/trials, which has the closest fMRI patterns to the test individual/trial, as training samples to train an individual-specific or a trial-specific pain prediction model. The new approach was tested on a nociceptive-evoked fMRI dataset and achieved significantly higher prediction accuracy than conventional non-specific models, which used all available training samples to train a model. The generalizability of the proposed approach is further validated by training specific models on one dataset and testing these models on an independent new dataset. This proposed individual-specific and trial-specific pain prediction approach has the potential to be used for the development of individualized and precise pain assessment tools in clinical practice.

Subject-Independent Brain-Computer Interfaces Based on Deep Convolutional Neural Networks

For a brain-computer interface (BCI) system, a calibration procedure is required for each individual user before he/she can use the BCI. This procedure requires approximately 20-30 min to collect enough data to build a reliable decoder. It is, therefore, an interesting topic to build a calibration-free, or subject-independent, BCI. In this article, we construct a large motor imagery (MI)-based electroencephalography (EEG) database and propose a subject-independent framework based on deep convolutional neural networks (CNNs). The database is composed of 54 subjects performing the left- and right-hand MI on two different days, resulting in 21 600 trials for the MI task. In our framework, we formulated the discriminative feature representation as a combination of the spectral-spatial input embedding the diversity of the EEG signals, as well as a feature representation learned from the CNN through a fusion technique that integrates a variety of discriminative brain signal patterns. To generate spectral-spatial inputs, we first consider the discriminative frequency bands in an information-theoretic observation model that measures the power of the features in two classes. From discriminative frequency bands, spectral-spatial inputs that include the unique characteristics of brain signal patterns are generated and then transformed into a covariance matrix as the input to the CNN. In the process of feature representations, spectral-spatial inputs are individually trained through the CNN and then combined by a concatenation fusion technique. In this article, we demonstrate that the classification accuracy of our subject-independent (or calibration-free) model outperforms that of subject-dependent models using various methods [common spatial pattern (CSP), common spatiospectral pattern (CSSP), filter bank CSP (FBCSP), and Bayesian spatio-spectral filter optimization (BSSFO)].

An Autoencoder-based Approach to Predict Subjective Pain Perception from High-density Evoked EEG Potentials

Pain is a subjective experience and clinicians need to treat patients with accurate pain levels. EEG has emerged as a useful tool for objective pain assessment, but due to the low signal-to-noise ratio of pain-related EEG signals, the prediction accuracy of EEG-based pain prediction models is still unsatisfactory. In this paper, we proposed an autoencoder model based on convolutional neural networks for feature extraction of pain-related EEG signals. More precisely, we used EEGNet to build an autoencoder model to extract a small set of features from high-density pain-evoked EEG potentials and then establish a machine learning models to predict pain levels (high pain vs. low pain) from extracted features. Experimental results show that the new autoencoder-based approach can effectively identify pain-related features and can achieve better classification results than conventional methods.

Neuroimaging-based biomarkers for pain: state of the field and current directions

Chronic pain is an endemic problem involving both peripheral and brain pathophysiology. Although biomarkers have revolutionized many areas of medicine, biomarkers for pain have remained controversial and relatively underdeveloped. With the realization that biomarkers can reveal pain-causing mechanisms of disease in brain circuits and in the periphery, this situation is poised to change. In particular, brain pathophysiology may be diagnosable with human brain imaging, particularly when imaging is combined with machine learning techniques designed to identify predictive measures embedded in complex data sets. In this review, we explicate the need for brain-based biomarkers for pain, some of their potential uses, and some of the most popular machine learning approaches that have been brought to bear. Then, we evaluate the current state of pain biomarkers developed with several commonly used methods, including structural magnetic resonance imaging, functional magnetic resonance imaging and electroencephalography. The field is in the early stages of biomarker development, but these complementary methodologies have already produced some encouraging predictive models that must be tested more extensively across laboratories and clinical populations.