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Penalba-Sánchez L, Silva G, Crook-Rumsey M, Sumich A, Rodrigues PM, Oliveira-Silva P, Cifre I. Classification of Sleep Quality and Aging as a Function of Brain Complexity: A Multiband Non-Linear EEG Analysis. SENSORS (BASEL, SWITZERLAND) 2024; 24:2811. [PMID: 38732917 PMCID: PMC11086092 DOI: 10.3390/s24092811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/20/2024] [Accepted: 04/24/2024] [Indexed: 05/13/2024]
Abstract
Understanding and classifying brain states as a function of sleep quality and age has important implications for developing lifestyle-based interventions involving sleep hygiene. Current studies use an algorithm that captures non-linear features of brain complexity to differentiate awake electroencephalography (EEG) states, as a function of age and sleep quality. Fifty-eight participants were assessed using the Pittsburgh Sleep Quality Inventory (PSQI) and awake resting state EEG. Groups were formed based on age and sleep quality (younger adults n = 24, mean age = 24.7 years, SD = 3.43, good sleepers n = 11; older adults n = 34, mean age = 72.87; SD = 4.18, good sleepers n = 9). Ten non-linear features were extracted from multiband EEG analysis to feed several classifiers followed by a leave-one-out cross-validation. Brain state complexity accurately predicted (i) age in good sleepers, with 75% mean accuracy (across all channels) for lower frequencies (alpha, theta, and delta) and 95% accuracy at specific channels (temporal, parietal); and (ii) sleep quality in older groups with moderate accuracy (70 and 72%) across sub-bands with some regions showing greater differences. It also differentiated younger good sleepers from older poor sleepers with 85% mean accuracy across all sub-bands, and 92% at specific channels. Lower accuracy levels (<50%) were achieved in predicting sleep quality in younger adults. The algorithm discriminated older vs. younger groups excellently and could be used to explore intragroup differences in older adults to predict sleep intervention efficiency depending on their brain complexity.
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Affiliation(s)
- Lucía Penalba-Sánchez
- Facultat de Psicología, Ciències de l’Educació i de l’Esport (FPCEE), Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain; (L.P.-S.)
- Human Neurobehavioral Laboratory (HNL), Research Centre for Human Development (CEDH), Faculty of Education and Psychology, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
- Department of Psychology, Nottingham Trent University (NTU), Nottingham NG1 4FQ, UK
- Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke-University Magdeburg (OVGU), 39120 Magdeburg, Germany
| | - Gabriel Silva
- Centro de Biotecnologia e Química Fina (CBQF)—Laboratório Associado, Escola Superior de Biotecnologia, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
| | - Mark Crook-Rumsey
- UK Dementia Research Institute (UK DRI), Centre for Care Research and Technology, Imperial College London, London W1T 7NF, UK
- UK Dementia Research Institute (UK DRI), Department of Basic and Clinical Neuroscience, Maurice Wohl Clinical Neuroscience Institute, London SE5 9RX, UK
| | - Alexander Sumich
- Department of Psychology, Nottingham Trent University (NTU), Nottingham NG1 4FQ, UK
| | - Pedro Miguel Rodrigues
- Centro de Biotecnologia e Química Fina (CBQF)—Laboratório Associado, Escola Superior de Biotecnologia, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
| | - Patrícia Oliveira-Silva
- Human Neurobehavioral Laboratory (HNL), Research Centre for Human Development (CEDH), Faculty of Education and Psychology, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
| | - Ignacio Cifre
- Facultat de Psicología, Ciències de l’Educació i de l’Esport (FPCEE), Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain; (L.P.-S.)
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5
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Nami M, Thatcher R, Kashou N, Lopes D, Lobo M, Bolanos JF, Morris K, Sadri M, Bustos T, Sanchez GE, Mohd-Yusof A, Fiallos J, Dye J, Guo X, Peatfield N, Asiryan M, Mayuku-Dore A, Krakauskaite S, Soler EP, Cramer SC, Besio WG, Berenyi A, Tripathi M, Hagedorn D, Ingemanson M, Gombosev M, Liker M, Salimpour Y, Mortazavi M, Braverman E, Prichep LS, Chopra D, Eliashiv DS, Hariri R, Tiwari A, Green K, Cormier J, Hussain N, Tarhan N, Sipple D, Roy M, Yu JS, Filler A, Chen M, Wheeler C, Ashford JW, Blum K, Zelinsky D, Yamamoto V, Kateb B. A Proposed Brain-, Spine-, and Mental- Health Screening Methodology (NEUROSCREEN) for Healthcare Systems: Position of the Society for Brain Mapping and Therapeutics. J Alzheimers Dis 2022; 86:21-42. [PMID: 35034899 DOI: 10.3233/jad-215240] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The COVID-19 pandemic has accelerated neurological, mental health disorders, and neurocognitive issues. However, there is a lack of inexpensive and efficient brain evaluation and screening systems. As a result, a considerable fraction of patients with neurocognitive or psychobehavioral predicaments either do not get timely diagnosed or fail to receive personalized treatment plans. This is especially true in the elderly populations, wherein only 16% of seniors say they receive regular cognitive evaluations. Therefore, there is a great need for development of an optimized clinical brain screening workflow methodology like what is already in existence for prostate and breast exams. Such a methodology should be designed to facilitate objective early detection and cost-effective treatment of such disorders. In this paper we have reviewed the existing clinical protocols, recent technological advances and suggested reliable clinical workflows for brain screening. Such protocols range from questionnaires and smartphone apps to multi-modality brain mapping and advanced imaging where applicable. To that end, the Society for Brain Mapping and Therapeutics (SBMT) proposes the Brain, Spine and Mental Health Screening (NEUROSCREEN) as a multi-faceted approach. Beside other assessment tools, NEUROSCREEN employs smartphone guided cognitive assessments and quantitative electroencephalography (qEEG) as well as potential genetic testing for cognitive decline risk as inexpensive and effective screening tools to facilitate objective diagnosis, monitor disease progression, and guide personalized treatment interventions. Operationalizing NEUROSCREEN is expected to result in reduced healthcare costs and improving quality of life at national and later, global scales.
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Affiliation(s)
- Mohammad Nami
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Neuroscience Center, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT AIP), City of Knowledge, Panama.,Department of Neuroscience, School of Advanced Medical Sciences and Technologies, and Dana Brain Health Institute, Shiraz University of Medical Sciences, Shiraz, Iran.,Inclusive Brain Health and BrainLabs International, Swiss Alternative Medicine, Geneva, Switzerland
| | - Robert Thatcher
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Applied Neuroscience, Inc., St Petersburg, FL, USA
| | - Nasser Kashou
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Dahabada Lopes
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Maria Lobo
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Joe F Bolanos
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Kevin Morris
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Melody Sadri
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Teshia Bustos
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Gilberto E Sanchez
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Alena Mohd-Yusof
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - John Fiallos
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Justin Dye
- Department of Neurosurgery, Loma Linda University, Loma Linda, CA, USA
| | - Xiaofan Guo
- Department of Neurology, Loma Linda University, CA, USA
| | | | - Milena Asiryan
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Alero Mayuku-Dore
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Solventa Krakauskaite
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Ernesto Palmero Soler
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Steven C Cramer
- Department of Neurology, UCLA, and California Rehabilitation Institute, Los Angeles, CA, USA
| | - Walter G Besio
- Electrical Computer and Biomedical Engineering Department and Interdisciplinary Neuroscience Program, University of Rhode Island, RI, USA
| | - Antal Berenyi
- The Neuroscience Institute, New York University, New York, NY, USA
| | - Manjari Tripathi
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | | | | | | | - Mark Liker
- Department of Neurosurgery, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - Yousef Salimpour
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | | | | | | | - Dawn S Eliashiv
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,UCLA David Geffen, School of Medicine, Department of Neurology, Los Angeles, CA, USA
| | - Robert Hariri
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Celularity Corporation, Warren, NJ, USA.,Weill Cornell School of Medicine, Department of Neurosurgery, New York, NY, USA.,Brain Technology and Innovation Park, Los Angeles, CA, USA
| | - Ambooj Tiwari
- Departments of Neurology, Radiology & Neurosurgery - NYU Grossman School of Medicine, New York, NY, USA
| | - Ken Green
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | - Jason Cormier
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Lafayette Surgical Specialty Hospital, Lafayette, LA, USA
| | - Namath Hussain
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Department of Psychiatry, Faculty of Medicine, Uskudar University, Turkey
| | - Nevzat Tarhan
- Department of Psychiatry, Faculty of Medicine, Uskudar University, Turkey
| | - Daniel Sipple
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Midwest Spine and Brain Institute, Roseville, MN, USA
| | - Michael Roy
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Uniformed Services University Health Science (USUHS), Baltimore, MD, USA
| | - John S Yu
- Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Aaron Filler
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Institute for Nerve Medicine, Santa Monica, CA, USA.,Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Mike Chen
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Department of Neurosurgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA
| | - Chris Wheeler
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA
| | | | - Kenneth Blum
- Division of Addiction Research, Center for Psychiatry, Medicine, and Primary Care, Western Health Sciences, Pomona, CA, USA
| | | | - Vicky Yamamoto
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,USC Keck School of Medicine, The USC Caruso Department of Otolaryngology-Head and Neck Surgery, Los Angeles, CA, USA.,USC-Norris Comprehensive Cancer Center, Los Angeles, CA, USA
| | - Babak Kateb
- Society for Brain Mapping and Therapeutics (SBMT), Los Angeles, CA, USA.,Brain Mapping Foundation (BMF), Los Angeles, CA, USA.,Loma Linda University, Department of Neurosurgery, Loma Linda, CA, USA.,National Center for NanoBioElectronic (NCNBE), Los Angeles, CA, USA.,Brain Technology and Innovation Park, Los Angeles, CA, USA
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6
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Babiloni C, Noce G, Ferri R, Lizio R, Lopez S, Lorenzo I, Tucci F, Soricelli A, Zurrón M, Díaz F, Nobili F, Arnaldi D, Famà F, Buttinelli C, Giubilei F, Cipollini V, Marizzoni M, Güntekin B, Yıldırım E, Hanoğlu L, Yener G, Gündüz DH, Onorati P, Stocchi F, Vacca L, Maestú F, Frisoni GB, Del Percio C. Resting State Alpha Electroencephalographic Rhythms Are Affected by Sex in Cognitively Unimpaired Seniors and Patients with Alzheimer's Disease and Amnesic Mild Cognitive Impairment: A Retrospective and Exploratory Study. Cereb Cortex 2021; 32:2197-2215. [PMID: 34613369 DOI: 10.1093/cercor/bhab348] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 07/07/2021] [Accepted: 08/21/2021] [Indexed: 11/14/2022] Open
Abstract
In the present retrospective and exploratory study, we tested the hypothesis that sex may affect cortical sources of resting state eyes-closed electroencephalographic (rsEEG) rhythms recorded in normal elderly (Nold) seniors and patients with Alzheimer's disease and mild cognitive impairment (ADMCI). Datasets in 69 ADMCI and 57 Nold individuals were taken from an international archive. The rsEEG rhythms were investigated at individual delta, theta, and alpha frequency bands and fixed beta (14-30 Hz) and gamma (30-40 Hz) bands. Each group was stratified into matched females and males. The sex factor affected the magnitude of rsEEG source activities in the Nold seniors. Compared with the males, the females were characterized by greater alpha source activities in all cortical regions. Similarly, the parietal, temporal, and occipital alpha source activities were greater in the ADMCI-females than the males. Notably, the present sex effects did not depend on core genetic (APOE4), neuropathological (Aβ42/phospho-tau ratio in the cerebrospinal fluid), structural neurodegenerative and cerebrovascular (MRI) variables characterizing sporadic AD-related processes in ADMCI seniors. These results suggest the sex factor may significantly affect neurophysiological brain neural oscillatory synchronization mechanisms underpinning the generation of dominant rsEEG alpha rhythms to regulate cortical arousal during quiet vigilance.
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Affiliation(s)
- Claudio Babiloni
- Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, Rome, Italy
- San Raffaele of Cassino, Cassino (FR), Italy
| | | | | | | | - Susanna Lopez
- Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, Rome, Italy
| | | | - Federico Tucci
- Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, Rome, Italy
| | - Andrea Soricelli
- IRCCS SDN, Napoli, Italy
- Department of Motor Sciences and Healthiness, University of Naples Parthenope, Naples, Italy
| | - Montserrat Zurrón
- Departamento de Psicología Experimental, Facultad de Psicología, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Fernando Díaz
- Departamento de Psicología Experimental, Facultad de Psicología, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Flavio Nobili
- Clinica neurologica, IRCCS Ospedale Policlinico San Martino, Genova, Italy
- Dipartimento di Neuroscienze, Oftalmologia, Genetica, Riabilitazione e Scienze Materno-infantili (DiNOGMI), Università di Genova, Italy
| | - Dario Arnaldi
- Clinica neurologica, IRCCS Ospedale Policlinico San Martino, Genova, Italy
- Dipartimento di Neuroscienze, Oftalmologia, Genetica, Riabilitazione e Scienze Materno-infantili (DiNOGMI), Università di Genova, Italy
| | - Francesco Famà
- Clinica neurologica, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - Carla Buttinelli
- Department of Neuroscience, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Franco Giubilei
- Department of Neuroscience, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Virginia Cipollini
- Department of Neuroscience, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Moira Marizzoni
- Laboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Bahar Güntekin
- Department of Biophysics, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
- REMER, Clinical Electrophysiology, Neuroimaging and Neuromodulation Lab., Istanbul Medipol University, Istanbul, Turkey
| | - Ebru Yıldırım
- Istanbul Medipol University, Vocational School, Program of Electroneurophysiology, Istanbul, Turkey
| | - Lutfu Hanoğlu
- Department of Neurology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Görsev Yener
- Izmir School of Economics, Faculty of Medicine, Izmir, Turkey
| | - Duygu Hünerli Gündüz
- Health Sciences Institute, Department of Neurosciences, Dokuz Eylül University, Izmir, Turkey
| | - Paolo Onorati
- Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, Rome, Italy
| | | | | | - Fernando Maestú
- Departamento de Psicología Experimental, Facultad de Psicología, Universidad Complutense de Madrid, Madrid, Spain
| | - Giovanni B Frisoni
- Laboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
- Memory Clinic and LANVIE - Laboratory of Neuroimaging of Aging, University Hospitals and University of Geneva, Geneva, Switzerland
| | - Claudio Del Percio
- Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, Rome, Italy
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