Effectiveness assessment of repetitive transcranial alternating current stimulation with concurrent EEG and fNIRS measurement

Transcranial alternating current stimulation (tACS) exhibits the capability to interact with endogenous brain oscillations using an external low-intensity sinusoidal current and influences cerebral function. Despite its potential benefits, the physiological mechanisms and effectiveness of tACS are currently a subject of debate and disagreement. The aims of our study are to (i) evaluate the neurological and behavioral impact of tACS by conducting repetitive sham-controlled experiments and (ii) propose criteria to evaluate effectiveness, which can serve as a benchmark to determine optimal individual-based tACS protocols. In this study, 15 healthy adults participated in the experiment over two visiting: sham and tACS (i.e., 5 Hz, 1 mA). During each visit, we used multimodal recordings of the participants' brain, including simultaneous electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS), along with a working memory (WM) score to quantify neurological effects and cognitive changes immediately after each repetitive sham/tACS session. Our results indicate increased WM scores, hemodynamic response strength, and EEG power in theta and delta bands both during and after the tACS period. Additionally, the observed effects do not increase with prolonged stimulation time, as the effects plateau towards the end of the experiment. In conclusion, our proposed closed-loop scheme offers a promising advance for evaluating the effectiveness of tACS during the stimulation session. Specifically, the assessment criteria use participant-specific brain-based signals along with a behavioral output. Moreover, we propose a feedback efficacy score that can aid in determining the optimal stimulation duration based on a participant-specific brain state, thereby preventing the risk of overstimulation.

Adaptive filtering of physiological noises in fNIRS data

The study presents a recursive least-squares estimation method with an exponential forgetting factor for noise removal in functional near-infrared spectroscopy data and extraction of hemodynamic responses (HRs) from the measured data. The HR is modeled as a linear regression form in which the expected HR, the first and second derivatives of the expected HR, a short-separation measurement data, three physiological noises, and the baseline drift are included as components in the regression vector. The proposed method is applied to left-motor-cortex experiments on the right thumb and little finger movements in five healthy male participants. The algorithm is evaluated with respect to its performance improvement in terms of contrast-to-noise ratio in comparison with Kalman filter, low-pass filtering, and independent component method. The experimental results show that the proposed model achieves reductions of 77% and 99% in terms of the number of channels exhibiting higher contrast-to-noise ratios in oxy-hemoglobin and deoxy-hemoglobin, respectively. The approach is robust in obtaining consistent HR data. The proposed method is applied for both offline and online noise removal.