Assessment of Cognitive Aging Using an SSVEP-Based Brain–Computer Interface System

White matter microstructural integrity as a key to effective propagation of gamma entrainment in humans

Gamma entrainment through sensory stimulation has the potential to reduce the pathology of Alzheimer's disease in mouse models. However, clinical trials in Alzheimer's disease (AD) patients have yielded inconsistent results, necessitating further investigation. This single-center pre-post intervention study aims to explore the influence of white matter microstructural integrity on gamma rhythm propagation from the visual cortex to AD-affected regions in 31 cognitively normal volunteers aged ≥ 65. Gamma rhythm propagation induced by optimal FLS was measured. Diffusion tensor imaging was employed to assess the integrity of white matter tracts of interest. After excluding 5 participants with a deficit in steady-state visually evoked potentials, 26 participants were included in the final analysis. In the linear regression analyses, gamma entrainment was identified as a significant predictor of gamma propagation (p < 0.001). Furthermore, the study identified white matter microstructural integrity as a significant predictor of gamma propagation by flickering light stimulation (p < 0.05), which was specific to tracts that connect occipital and temporal or frontal regions. These findings indicate that, despite robust entrainment of gamma rhythms in the visual cortex, their propagation to other regions may be impaired if the microstructural integrity of the white matter tracts connecting the visual cortex to other areas is compromised. Consequently, our findings have expanded our understanding of the prerequisites for effective gamma entrainment and suggest that future clinical trials utilizing visual stimulation for gamma entrainment should consider white matter tract microstructural integrity for candidate selection and outcome analysis.

eldBETA: A Large Eldercare-oriented Benchmark Database of SSVEP-BCI for the Aging Population

Global population aging poses an unprecedented challenge and calls for a rising effort in eldercare and healthcare. Steady-state visual evoked potential based brain-computer interface (SSVEP-BCI) boasts its high transfer rate and shows great promise in real-world applications to support aging. Public database is critically important for designing the SSVEP-BCI systems. However, the SSVEP-BCI database tailored for the elder is scarce in existing studies. Therefore, in this study, we present a large eldercare-oriented BEnchmark database of SSVEP-BCI for The Aging population (eldBETA). The eldBETA database consisted of the 64-channel electroencephalogram (EEG) from 100 elder participants, each of whom performed seven blocks of 9-target SSVEP-BCI task. The quality and characteristics of the eldBETA database were validated by a series of analyses followed by a classification analysis of thirteen frequency recognition methods. We expect that the eldBETA database would provide a substrate for the design and optimization of the BCI systems intended for the elders. The eldBETA database is open-access for research and can be downloaded from the website 10.6084/m9.figshare.18032669.

Measurement(s)	Steady-state visual evoked potential (SSVEP)
Technology Type(s)	Electroencephalography (EEG)
Factor Type(s)	Elder population
Sample Characteristic - Organism	Homo sapiens
Sample Characteristic - Environment	Electromagnetic shielding room

SSVEP phase synchronies and propagation during repetitive visual stimulation at high frequencies

Steady-state visual evoked potentials (SSVEPs), the brain response to visual flicker stimulation, have proven beneficial in both research and clinical applications. Despite the practical advantages of stimulation at high frequencies in terms of visual comfort and safety, high frequency-SSVEPs have not received enough attention and little is known about the mechanisms behind their generation and propagation in time and space. In this study, we investigated the origin and propagation of SSVEPs in the gamma frequency band (40-60 Hz) by studying the dynamic properties of EEG in 32 subjects. Using low-resolution brain electromagnetic tomography (sLORETA) we identified the cortical sources involved in SSVEP generation in that frequency range to be in the primary visual cortex, Brodmann areas 17, 18 and 19 with minor contribution from sources in central and frontal sites. We investigated the SSVEP propagation as measured on the scalp in the framework of the existing theories regarding the neurophysiological mechanism through which the SSVEP spreads through the cortex. We found a progressive phase shift from posterior parieto-occipital sites over the cortex with a phase velocity of approx. 8-14 m/s and wavelength of about 21 and 24 cm. The SSVEP spatial properties appear sensitive to input frequency with higher stimulation frequencies showing a faster propagation speed.

Evaluating the Effect of Stimuli Color and Frequency on SSVEP

Brain-computer interfaces (BCI) can extract information about the subject's intentions by registering and processing electroencephalographic (EEG) signals to generate actions on physical systems. Steady-state visual-evoked potentials (SSVEP) are produced when the subject stares at flashing visual stimuli. By means of spectral analysis and by measuring the signal-to-noise ratio (SNR) of its harmonic contents, the observed stimulus can be identified. Stimulus color matters, and some authors have proposed red because of its ability to capture attention, while others refuse it because it might induce epileptic seizures. Green has also been proposed and it is claimed that white may generate the best signals. Regarding frequency, middle frequencies are claimed to produce the best SNR, although high frequencies have not been thoroughly studied, and might be advantageous due to the lower spontaneous cerebral activity in this frequency band. Here, we show white, red, and green stimuli, at three frequencies: 5 (low), 12 (middle), and 30 (high) Hz to 42 subjects, and compare them in order to find which one can produce the best SNR. We aim to know if the response to white is as strong as the one to red, and also if the response to high frequency is as strong as the one triggered by lower frequencies. Attention has been measured with the Conner's Continuous Performance Task version 2 (CPT-II) task, in order to search for a potential relationship between attentional capacity and the SNR previously obtained. An analysis of variance (ANOVA) shows the best SNR with the middle frequency, followed by the low, and finally the high one. White gives as good an SNR as red at 12 Hz and so does green at 5 Hz, with no differences at 30 Hz. These results suggest that middle frequencies are preferable and that using the red color can be avoided. Correlation analysis also show a correlation between attention and the SNR at low frequency, so suggesting that for the low frequencies, more attentional capacity leads to better results.

EEG and Deep Learning Based Brain Cognitive Function Classification

Electroencephalogram signals are used to assess neurodegenerative diseases and develop sophisticated brain machine interfaces for rehabilitation and gaming. Most of the applications use only motor imagery or evoked potentials. Here, a deep learning network based on a sensory motor paradigm (auditory, olfactory, movement, and motor-imagery) that employs a subject-agnostic Bidirectional Long Short-Term Memory (BLSTM) Network is developed to assess cognitive functions and identify its relationship with brain signal features, which is hypothesized to consistently indicate cognitive decline. Testing occurred with healthy subjects of age 20–40, 40–60, and >60, and mildly cognitive impaired subjects. Auditory and olfactory stimuli were presented to the subjects and the subjects imagined and conducted movement of each arm during which Electroencephalogram (EEG)/Electromyogram (EMG) signals were recorded. A deep BLSTM Neural Network is trained with Principal Component features from evoked signals and assesses their corresponding pathways. Wavelet analysis is used to decompose evoked signals and calculate the band power of component frequency bands. This deep learning system performs better than conventional deep neural networks in detecting MCI. Most features studied peaked at the age range 40–60 and were lower for the MCI group than for any other group tested. Detection accuracy of left-hand motor imagery signals best indicated cognitive aging (p = 0.0012); here, the mean classification accuracy per age group declined from 91.93% to 81.64%, and is 69.53% for MCI subjects. Motor-imagery-evoked band power, particularly in gamma bands, best indicated (p = 0.007) cognitive aging. Although the classification accuracy of the potentials effectively distinguished cognitive aging from MCI (p < 0.05), followed by gamma-band power.