关键词: Bagging ensemble MEP Machine learning SVM TMS

Mesh : Transcranial Magnetic Stimulation / methods Humans Machine Learning Evoked Potentials, Motor / physiology Motor Cortex / physiology Male Adult Female Young Adult Electromyography / methods

来  源:   DOI:10.1016/j.jneumeth.2024.110242

Abstract:
BACKGROUND: Transcranial magnetic stimulation (TMS) is a valuable technique for assessing the function of the motor cortex and cortico-muscular pathways. TMS activates the motoneurons in the cortex, which after transmission along cortico-muscular pathways can be measured as motor-evoked potentials (MEPs). The position and orientation of the TMS coil and the intensity used to deliver a TMS pulse are considered central TMS setup parameters influencing the presence/absence of MEPs.
METHODS: We sought to predict the presence of MEPs from TMS setup parameters using machine learning. We trained different machine learners using either within-subject or between-subject designs.
RESULTS: We obtained prediction accuracies of on average 77 % and 65 % with maxima up to up to 90 % and 72 % within and between subjects, respectively. Across the board, a bagging ensemble appeared to be the most suitable approach to predict the presence of MEPs.
CONCLUSIONS: Although within a subject the prediction of MEPs via TMS setup parameter-based machine learning might be feasible, the limited accuracy between subjects suggests that the transfer of this approach to experimental or clinical research comes with significant challenges.
摘要:
背景:经颅磁刺激(TMS)是一种评估运动皮质和皮质-肌肉通路功能的有价值的技术。TMS激活皮层中的运动神经元,在沿着皮质-肌肉途径传播后,可以测量为运动诱发电位(MEP)。TMS线圈的位置和取向以及用于递送TMS脉冲的强度被认为是影响MEP的存在/不存在的中心TMS设置参数。
方法:我们试图使用机器学习从TMS设置参数预测MEP的存在。我们使用学科内或学科间的设计来训练不同的机器学习者。
结果:我们获得了平均77%和65%的预测精度,在受试者内部和受试者之间的最大值高达90%和72%,分别。全盘,套袋集合似乎是预测MEP存在的最合适方法。
结论:尽管在受试者中,通过基于TMS设置参数的机器学习来预测MEP可能是可行的,受试者之间的准确性有限,这表明将这种方法转移到实验或临床研究中带来了巨大的挑战。
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