High-density EEG

高密度脑电图
  • 文章类型: Journal Article
    脑电图(EEG)的精度显着影响脑机接口(BCI)的性能。目前,BCI技术的大部分研究优先考虑轻量化设计和减少的电极数量,使其更适合在可穿戴环境中的应用。本文介绍了一种基于深度学习的时间序列双向(BiLSTM)网络,该网络旨在捕获从相邻电极获得的EEG通道的固有特征。它旨在预测EEG数据时间序列,并促进从低密度EEG信号到高密度EEG信号的转换过程。BiLSTM更关注时间序列数据中的依赖关系,而不是数学映射,均方根误差可以有效地限制在0.4μV以下,不到传统方法误差的一半。在将BCICompetitionIII3a数据集从18个通道扩展到60个通道后,我们对四种运动想象任务进行了分类实验。与原始低密度脑电信号(18通道)相比,分类准确率约为82%,增加约20%。当与真实的高密度信号并列时,错误率的增量保持在5%以下。与原始低密度信号相比,EEG通道的扩展显示出实质性和显着的改善。
    The precision of electroencephalograms (EEGs) significantly impacts the performance of brain-computer interfaces (BCI). Currently, the majority of research into BCI technology gives priority to lightweight design and a reduced electrode count to make it more suitable for application in wearable environments. This paper introduces a deep learning-based time series bidirectional (BiLSTM) network that is designed to capture the inherent characteristics of EEG channels obtained from neighboring electrodes. It aims to predict the EEG data time series and facilitate the conversion process from low-density EEG signals to high-density EEG signals. BiLSTM pays more attention to the dependencies in time series data rather than mathematical maps, and the root mean square error can be effectively restricted to below 0.4μV, which is less than half the error in traditional methods. After expanding the BCI Competition III 3a dataset from 18 channels to 60 channels, we conducted classification experiments on four types of motor imagery tasks. Compared to the original low-density EEG signals (18 channels), the classification accuracy was around 82%, an increase of about 20%. When juxtaposed with real high-density signals, the increment in the error rate remained below 5%. The expansion of the EEG channels showed a substantial and notable improvement compared with the original low-density signals.
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  • 文章类型: Journal Article
    在过去的十年里,相位目标听觉刺激(PTAS),一种神经调节方法,它呈现锁定在睡眠过程中慢波的持续阶段的听觉刺激,已显示出增强睡眠功能特定方面的潜力。然而,PTAS反应的复杂性使特定脑电图事件与观察到的获益之间因果关系的建立变得复杂.这里,我们在睡眠期间使用了down-PTAS来特别唤起早期,PTAS后的K-复合物(KC)样反应,而不会导致整个刺激窗口中慢波活动的持续增加。在两个晚上的过程中,一个带有下行PTAS的,另一个没有,记录了14名年轻健康成年人的高密度脑电图(hd-EEG)。早期反应与诱发的KCs表现出惊人的相似性,并且与通过刺激诱发的纺锤体事件嵌套在中部区域正在进行的1Hz波的上升阶段而改善的言语记忆巩固有关。这些发现表明,早期,类似KC的反应足以提高记忆力,可能通过协调海马-新皮层对话的各个方面。
    Over the past decade, phase-targeted auditory stimulation (PTAS), a neuromodulation approach which presents auditory stimuli locked to the ongoing phase of slow waves during sleep, has shown potential to enhance specific aspects of sleep functions. However, the complexity of PTAS responses complicates the establishment of causality between specific electroencephalographic events and observed benefits. Here, we used down-PTAS during sleep to specifically evoke the early, K-complex (KC)-like response following PTAS without leading to a sustained increase in slow-wave activity throughout the stimulation window. Over the course of two nights, one with down-PTAS, the other without, high-density electroencephalography (hd-EEG) was recorded from 14 young healthy adults. The early response exhibited striking similarities to evoked KCs and was associated with improved verbal memory consolidation via stimulus-evoked spindle events nested into the up-phase of ongoing 1 Hz waves in a central region. These findings suggest that the early, KC-like response is sufficient to boost memory, potentially by orchestrating aspects of the hippocampal-neocortical dialogue.
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  • 文章类型: Journal Article
    近年来,关于基于视觉诱发电位(VEP)的脑机接口(BCI),已经有相当多的研究。然而,检测由小的视觉刺激引起的VEP仍然是一个巨大的挑战。为了应对这一挑战,这项研究采用了256电极高密度脑电图(EEG)帽,顶叶和枕叶中有66个电极来记录EEG信号。设计并实现了基于代码调制VEP(C-VEP)的在线BCI系统,该系统由30个时移二进制伪随机序列调制目标。采用任务判别分量分析(TDCA)算法进行特征提取和分类。离线和在线实验旨在评估EEG响应和分类性能,以便在0.5°的视角下比较四种不同的刺激大小。1°,2°,和3°。通过优化在线实验中每个受试者的数据长度,信息传输速率(ITR)为126.48±14.14比特/分钟,221.73±15.69位/分,258.39±9.28位/分,0.5°时达到266.40±6.52位/分钟,1°,2°,3°,分别。本研究进一步比较了来自256电极EEG帽的66电极布局的EEG特征和分类性能,128电极脑电图帽的32电极布局,以及64电极脑电图帽的21电极布局,阐明了更高的电极密度在使用小刺激增强C-VEPBCI系统性能方面的关键作用。
    In recent years, there has been a considerable amount of research on visual evoked potential (VEP)-based brain-computer interfaces (BCIs). However, it remains a big challenge to detect VEPs elicited by small visual stimuli. To address this challenge, this study employed a 256-electrode high-density electroencephalogram (EEG) cap with 66 electrodes in the parietal and occipital lobes to record EEG signals. An online BCI system based on code-modulated VEP (C-VEP) was designed and implemented with thirty targets modulated by a time-shifted binary pseudo-random sequence. A task-discriminant component analysis (TDCA) algorithm was employed for feature extraction and classification. The offline and online experiments were designed to assess EEG responses and classification performance for comparison across four different stimulus sizes at visual angles of 0.5°, 1°, 2°, and 3°. By optimizing the data length for each subject in the online experiment, information transfer rates (ITRs) of 126.48 ± 14.14 bits/min, 221.73 ± 15.69 bits/min, 258.39 ± 9.28 bits/min, and 266.40 ± 6.52 bits/min were achieved for 0.5°, 1°, 2°, and 3°, respectively. This study further compared the EEG features and classification performance of the 66-electrode layout from the 256-electrode EEG cap, the 32-electrode layout from the 128-electrode EEG cap, and the 21-electrode layout from the 64-electrode EEG cap, elucidating the pivotal importance of a higher electrode density in enhancing the performance of C-VEP BCI systems using small stimuli.
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  • 文章类型: Journal Article
    随着传统的手写逐渐被数字设备所取代,研究对人类大脑的影响是至关重要的。在36名大学生中记录了脑电活动,因为他们使用数字笔手写视觉呈现的单词并在键盘上打字。对使用256通道传感器阵列记录的EEG数据进行连通性分析。手写时,大脑连接模式远比在键盘上打字时复杂得多,如在顶叶和中央大脑区域的网络集线器和节点之间广泛的theta/alpha连接相干模式所示。现有文献表明,这些大脑区域和频率的连接模式对于记忆形成和编码新信息至关重要,因此,有利于学习。我们的发现表明,使用笔时通过精确控制的手部运动获得的视觉和本体感受信息的时空模式,广泛有助于促进学习的大脑连接模式。我们敦促孩子们,从很小的时候开始,必须在学校进行手写活动,以建立神经元连接模式,为大脑提供最佳的学习条件。尽管在学校保持手写练习至关重要,跟上不断发展的技术进步也很重要。因此,教师和学生都应该意识到在什么样的背景下,哪种练习有最好的学习效果,例如,在做课堂笔记或写论文时。
    As traditional handwriting is progressively being replaced by digital devices, it is essential to investigate the implications for the human brain. Brain electrical activity was recorded in 36 university students as they were handwriting visually presented words using a digital pen and typewriting the words on a keyboard. Connectivity analyses were performed on EEG data recorded with a 256-channel sensor array. When writing by hand, brain connectivity patterns were far more elaborate than when typewriting on a keyboard, as shown by widespread theta/alpha connectivity coherence patterns between network hubs and nodes in parietal and central brain regions. Existing literature indicates that connectivity patterns in these brain areas and at such frequencies are crucial for memory formation and for encoding new information and, therefore, are beneficial for learning. Our findings suggest that the spatiotemporal pattern from visual and proprioceptive information obtained through the precisely controlled hand movements when using a pen, contribute extensively to the brain\'s connectivity patterns that promote learning. We urge that children, from an early age, must be exposed to handwriting activities in school to establish the neuronal connectivity patterns that provide the brain with optimal conditions for learning. Although it is vital to maintain handwriting practice at school, it is also important to keep up with continuously developing technological advances. Therefore, both teachers and students should be aware of which practice has the best learning effect in what context, for example when taking lecture notes or when writing an essay.
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  • 文章类型: Journal Article
    背景:眼部伪影长期以来一直被视为基础和应用研究中解释脑电图(EEG)信号的障碍。今天,使用盲源分离(BSS)方法,包括独立成分分析(ICA)和二阶盲识别(SOBI),被认为是改善神经信号质量的重要步骤。最近,我们介绍了一种由SOBI和基于判别和相似度(DANS)的识别方法组成的方法,能够识别和提取与眼睛运动相关的成分。这些回收的组件可以以高拟合优度(>95%)定位在眼部结构内。这提高了这种EEG导出的SOBI分量可以用于构建用于跟踪注视位置的预测模型的可能性。
    方法:作为这个新概念的证明,我们设计了一种基于EEG的虚拟眼睛跟踪器(EEG-VET),用于仅从EEG跟踪眼球运动。EEG-VET由SOBI算法组成,用于将EEG信号分离为不同的分量,用于自动识别眼部组件的DANS算法,和一个线性模型,将眼部成分转移到凝视位置。
    结果:EEG-VET的原型在最佳参与者中实现了0.920°的精度和1.510°的视角精度,而所有参与者的平均精确度为1.008°±0.357°,视角精确度为2.348°±0.580°(N=18)。
    结论:这项工作提供了一种新颖的方法,可以轻松地从单个EEG记录中记录眼球运动和神经信号。从而增加了在自由眼动的背景下研究自然认知的神经机制的便利性。
    Ocular artifact has long been viewed as an impediment to the interpretation of electroencephalogram (EEG) signals in basic and applied research. Today, the use of blind source separation (BSS) methods, including independent component analysis (ICA) and second-order blind identification (SOBI), is considered an essential step in improving the quality of neural signals. Recently, we introduced a method consisting of SOBI and a discriminant and similarity (DANS)-based identification method, capable of identifying and extracting eye movement-related components. These recovered components can be localized within ocular structures with a high goodness of fit (>95%). This raised the possibility that such EEG-derived SOBI components may be used to build predictive models for tracking gaze position.
    As proof of this new concept, we designed an EEG-based virtual eye-tracker (EEG-VET) for tracking eye movement from EEG alone. The EEG-VET is composed of a SOBI algorithm for separating EEG signals into different components, a DANS algorithm for automatically identifying ocular components, and a linear model to transfer ocular components into gaze positions.
    The prototype of EEG-VET achieved an accuracy of 0.920° and precision of 1.510° of a visual angle in the best participant, whereas an average accuracy of 1.008° ± 0.357° and a precision of 2.348° ± 0.580° of a visual angle across all participants (N = 18).
    This work offers a novel approach that readily co-registers eye movement and neural signals from a single-EEG recording, thus increasing the ease of studying neural mechanisms underlying natural cognition in the context of free eye movement.
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  • 文章类型: Journal Article
    睡眠脑电图反映了神经元的连通性,特别是在发育过程中,大脑经历了大量的重新布线。随着孩子的成长,慢波活动(SWA;0.75-4.25Hz)在其睡眠脑电图中的空间分布沿后前梯度变化。地形SWA标记与关键的神经行为功能有关,比如运动技能,在学龄儿童。然而,婴儿期地形标记与后期行为结局之间的关系尚不清楚.这项研究旨在通过分析婴儿的睡眠脑电图模式来探索婴儿神经发育的可靠指标。31名6个月大的婴儿(15名女性)在夜间睡眠期间进行了高密度EEG记录。我们根据SWA和theta活性的地形分布定义了标记,包括中央/枕骨和额叶/枕骨比率以及从局部脑电图功率变异性得出的指数。线性模型用于测试标记是否与并发相关,稍后,或回顾性行为评分,父母报告的年龄和阶段问卷在3、6、12和24个月时进行评估。结果表明,婴儿睡眠脑电图能力的地形标记与任何年龄的行为发育都没有显着联系。进一步研究,例如新生儿的纵向睡眠脑电图,需要更好地了解这些标记与行为发展之间的关系,并评估它们对个体差异的预测价值。
    The sleep EEG mirrors neuronal connectivity, especially during development when the brain undergoes substantial rewiring. As children grow, the slow-wave activity (SWA; 0.75-4.25 Hz) spatial distribution in their sleep EEG changes along a posterior-to-anterior gradient. Topographical SWA markers have been linked to critical neurobehavioral functions, such as motor skills, in school-aged children. However, the relationship between topographical markers in infancy and later behavioral outcomes is still unclear. This study aims to explore reliable indicators of neurodevelopment in infants by analyzing their sleep EEG patterns. Thirty-one 6-month-old infants (15 female) underwent high-density EEG recordings during nighttime sleep. We defined markers based on the topographical distribution of SWA and theta activity, including central/occipital and frontal/occipital ratios and an index derived from local EEG power variability. Linear models were applied to test whether markers relate to concurrent, later, or retrospective behavioral scores, assessed by the parent-reported Ages & Stages Questionnaire at ages 3, 6, 12, and 24 months. Results indicate that the topographical markers of the sleep EEG power in infants were not significantly linked to behavioral development at any age. Further research, such as longitudinal sleep EEG in newborns, is needed to better understand the relationship between these markers and behavioral development and assess their predictive value for individual differences.
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  • 文章类型: Journal Article
    目的:发作间癫痫放电(IED)的术前高密度电源成像(hdESI)仅在少数癫痫中心使用。一个障碍是用于记录以及视觉审查的耗时的工作流程。因此,我们分析了a)自动IED检测和b)IED数量对hdESI准确性和时间有效性的影响。
    方法:在接受癫痫手术(EngelI)的22例药物耐药性局灶性癫痫患者中,我们使用EEG分析软件Persyst在256通道EEG中进行了视觉和半自动检测IED。简易爆炸装置的数量,HDESI最大值与切除区之间的欧氏距离,和操作时间进行了比较。此外,我们评估了在仅包含减少数量的IED时,IED数量对所有IED的hdESI最大值与hdESI最大值之间距离的个体内影响.
    结果:视觉标记的IED与半自动标记的IED之间的IED数量没有显着差异(74±56IED/患者对116±115IED/患者)。IED的检测方法对切除区和hdESI最大值之间的平均距离没有显着影响(视觉:26.07±31.12mm与半自动:33.6±34.75mm)。然而,半自动查看完整数据集所需的平均时间缩短了275±46分钟(305±72分钟对30±26分钟,p<0.001)。当分析至少33个IED的平均值时,同一患者的全部与减少量的IED的hdESI之间的距离小于1cm。与仅分析10个IED相比,当分析30个IED时,切除区与hdESI最大值之间的个体内距离显著更短(p<0.001)。
    结论:半自动处理和限制分析的IED的数量(每个集群约30-40IED)似乎是节省时间的临床工具,可以提高hdESI在术前工作中的实用性。
    Presurgical high-density electric source imaging (hdESI) of interictal epileptic discharges (IEDs) is only used by few epilepsy centers. One obstacle is the time-consuming workflow both for recording as well as for visual review. Therefore, we analyzed the effect of (a) an automated IED detection and (b) the number of IEDs on the accuracy of hdESI and time-effectiveness.
    In 22 patients with pharmacoresistant focal epilepsy receiving epilepsy surgery (Engel 1) we retrospectively detected IEDs both visually and semi-automatically using the EEG analysis software Persyst in 256-channel EEGs. The amount of IEDs, the Euclidean distance between hdESI maximum and resection zone, and the operator time were compared. Additionally, we evaluated the intra-individual effect of IED quantity on the distance between hdESI maximum of all IEDs and hdESI maximum when only a reduced amount of IEDs were included.
    There was no significant difference in the number of IEDs between visually versus semi-automatically marked IEDs (74 ± 56 IEDs/patient vs 116 ± 115 IEDs/patient). The detection method of the IEDs had no significant effect on the mean distances between resection zone and hdESI maximum (visual: 26.07 ± 31.12 mm vs semi-automated: 33.6 ± 34.75 mm). However, the mean time needed to review the full datasets semi-automatically was shorter by 275 ± 46 min (305 ± 72 min vs 30 ± 26 min, P < 0.001). The distance between hdESI of the full versus reduced amount of IEDs of the same patient was smaller than 1 cm when at least a mean of 33 IEDs were analyzed. There was a significantly shorter intraindividual distance between resection zone and hdESI maximum when 30 IEDs were analyzed as compared to the analysis of only 10 IEDs (P < 0.001).
    Semi-automatized processing and limiting the amount of IEDs analyzed (~30-40 IEDs per cluster) appear to be time-saving clinical tools to increase the practicability of hdESI in the presurgical work-up.
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  • 文章类型: Journal Article
    多发性硬化症具有高度可变的病程和致残症状,即使没有相关的影像学数据。这种临床放射学悖论激发了功能研究,特别关注功能MRI的静息状态网络。EEG微观状态分析可能为研究大脑活动的自发波动提供优势。此分析研究了在80-120ms内保持稳定的电压图的配置,被称为微观国家。我们研究的目的是调查多发性硬化症患者微状态的时间动态。没有报告的认知困难,以及它们与临床和神经心理学参数的可能相关性。我们招募了50名复发缓解型多发性硬化症患者和24名健康受试者,年龄和性别相匹配。收集人口统计学和临床数据。所有参与者都在静息状态下接受了高密度EEG,并分析了15分钟的游离伪影片段。微状态分析包括两个过程:分割,为了识别特定的模板,和回装,量化它们的时间动态。通过多发性硬化症的简短国际认知评估进行了神经心理学评估。运行重复测量双向ANOVA以比较患者与对照的微观状态参数。为了评估临床,神经心理学和微观状态数据,我们进行了Pearsons相关和逐步多元线性回归来估计可能的预测。alpha值设置为0.05。我们发现在所有受试者中计算的六个模板。在大多数参数中发现了显著差异(全局解释方差,时间覆盖,发生)对于微状态A类(P<0.001),B(P<0.001),D(P<0.001),E(P<0.001)和F(P<0.001)。特别是,A类的时间动态的增加,观察到B和E以及D类和F类的减少。发现疾病持续时间与A类平均持续时间呈显着正相关。8%的多发性硬化症患者被发现有认知障碍,多元线性回归分析显示通过A类的全局解释方差对符号数字模态测试评分有很强的预测能力。没有明显的认知障碍,显示感官相关微状态(A类和B类)的时间动态增加,认知相关微状态(D类和F类)的存在减少,以及与默认模式网络关联的微状态(E类)的更高激活。这些发现可能代表了多发性硬化症中脑重组的电生理特征。此外,符号数字模式测试与A类之间的关联可能提示明显的认知功能障碍的标记。
    Multiple sclerosis has a highly variable course and disabling symptoms even in absence of associated imaging data. This clinical-radiological paradox has motivated functional studies with particular attention to the resting-state networks by functional MRI. The EEG microstates analysis might offer advantages to study the spontaneous fluctuations of brain activity. This analysis investigates configurations of voltage maps that remain stable for 80-120 ms, termed microstates. The aim of our study was to investigate the temporal dynamic of microstates in patients with multiple sclerosis, without reported cognitive difficulties, and their possible correlations with clinical and neuropsychological parameters. We enrolled fifty relapsing-remitting multiple sclerosis patients and 24 healthy subjects, matched for age and sex. Demographic and clinical data were collected. All participants underwent to high-density EEG in resting-state and analyzed 15 min free artefact segments. Microstates analysis consisted in two processes: segmentation, to identify specific templates, and back-fitting, to quantify their temporal dynamic. A neuropsychological assessment was performed by the Brief International Cognitive Assessment for Multiple Sclerosis. Repeated measures two-way ANOVA was run to compare microstates parameters of patients versus controls. To evaluate association between clinical, neuropsychological and microstates data, we performed Pearsons\' correlation and stepwise multiple linear regression to estimate possible predictions. The alpha value was set to 0.05. We found six templates computed across all subjects. Significant differences were found in most of the parameters (global explained variance, time coverage, occurrence) for the microstate Class A (P < 0.001), B (P < 0.001), D (P < 0.001), E (P < 0.001) and F (P < 0.001). In particular, an increase of temporal dynamic of Class A, B and E and a decrease of Class D and F were observed. A significant positive association of disease duration with the mean duration of Class A was found. Eight percent of patients with multiple sclerosis were found cognitive impaired, and the multiple linear regression analysis showed a strong prediction of Symbol Digit Modalities Test score by global explained variance of Class A. The EEG microstate analysis in patients with multiple sclerosis, without overt cognitive impairment, showed an increased temporal dynamic of the sensory-related microstates (Class A and B), a reduced presence of the cognitive-related microstates (Class D and F), and a higher activation of a microstate (Class E) associated to the default mode network. These findings might represent an electrophysiological signature of brain reorganization in multiple sclerosis. Moreover, the association between Symbol Digit Modalities Test and Class A may suggest a possible marker of overt cognitive dysfunctions.
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  • 文章类型: Journal Article
    脑机接口(BCI)技术使用户能够操作外部设备而无需物理移动。基于脑电图(EEG)的BCI系统由于其高时间分辨率而受到积极研究,使用方便,和便携性。然而,已经进行了较少的研究来研究高空间分辨率的EEG对解码精确的身体运动的影响,比如手指的动作,这是日常生活活动中必不可少的。低空间传感器分辨率,正如在常见的脑电图系统中发现的那样,可以通过省略EEG电极分布的常规标准(国际10-20系统)和普通安装结构(例如,柔性帽)。在这项研究中,我们使用了新提出的直接附着在头皮上的柔性电极网格,提供超高密度脑电图(uHDEEG)。我们通过使用分布在对侧感觉运动皮层上的总共256个通道解码单个手指运动来探索新颖系统的性能。密集分布和小尺寸电极导致电极间距离为8.6mm(uHDEEG),而传统脑电图平均为60至65毫米。5名健康受试者参加了实验,根据视觉提示进行单指延伸,并收到化身反馈。本研究利用mu(8-12Hz)和beta(13-25Hz)波段功率特征进行分类和地形图。使用MNI-152模板头生成每个频带的3DERD/S激活图。线性支持向量机(SVM)用于成对手指分类。地形图显示规则和局灶性提示后激活,特别是在具有最佳信号质量的受试者中。受试者的平均分类准确率为64.8(6.3)%,中指与无名指导致70.6(9.4)%的最高平均精度。需要使用具有实时反馈和运动图像任务的uHDEEG系统进行进一步的研究,以增强分类性能并为BCI手指运动控制外部设备奠定基础。
    Brain-Computer Interface (BCI) technology enables users to operate external devices without physical movement. Electroencephalography (EEG) based BCI systems are being actively studied due to their high temporal resolution, convenient usage, and portability. However, fewer studies have been conducted to investigate the impact of high spatial resolution of EEG on decoding precise body motions, such as finger movements, which are essential in activities of daily living. Low spatial sensor resolution, as found in common EEG systems, can be improved by omitting the conventional standard of EEG electrode distribution (the international 10-20 system) and ordinary mounting structures (e.g., flexible caps). In this study, we used newly proposed flexible electrode grids attached directly to the scalp, which provided ultra-high-density EEG (uHD EEG). We explored the performance of the novel system by decoding individual finger movements using a total of 256 channels distributed over the contralateral sensorimotor cortex. Dense distribution and small-sized electrodes result in an inter-electrode distance of 8.6 mm (uHD EEG), while that of conventional EEG is 60 to 65 mm on average. Five healthy subjects participated in the experiment, performed single finger extensions according to a visual cue, and received avatar feedback. This study exploits mu (8-12 Hz) and beta (13-25 Hz) band power features for classification and topography plots. 3D ERD/S activation plots for each frequency band were generated using the MNI-152 template head. A linear support vector machine (SVM) was used for pairwise finger classification. The topography plots showed regular and focal post-cue activation, especially in subjects with optimal signal quality. The average classification accuracy over subjects was 64.8 (6.3)%, with the middle versus ring finger resulting in the highest average accuracy of 70.6 (9.4)%. Further studies are required using the uHD EEG system with real-time feedback and motor imagery tasks to enhance classification performance and establish the basis for BCI finger movement control of external devices.
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  • 文章类型: Journal Article
    目的:尽管有大量证据表明癫痫活动对非快速眼动(NREM)睡眠宏观和微观结构的影响,关于癫痫对快速眼动(REM)睡眠的影响的数据仍然很少。使用高密度脑电图(HD-EEG),我们将锯齿波(STW)的整体和局灶性干扰作为局灶性癫痫患者REM睡眠的皮质产生的睡眠振荡进行了评估.
    方法:22例耐药局灶性癫痫患者(13例女性;平均年龄,32.6±10.7岁;12名颞叶癫痫)和12名健康对照(3名女性;24.0±3.2岁)进行了夜间HD-EEG和多导睡眠图的联合检查。STW率,持续时间,频率,电源,空间范围,分析了IED率和睡眠稳态特性。
    结果:与健康对照组相比,局灶性癫痫患者的STW发生率和持续时间降低(速率:0.64/min±0.46vs.1.12/min±0.41,p=.005,d=-0.98;持续时间:3.60s±0.76vs.4.57±1.00,p=.003,d=-1.01)。毫不奇怪,考虑到STW的正面-中央最大值,减少是由颞叶外癫痫患者驱动的(速率:0.45/min±0.31vs.1.12/min±0.41,p=.0004,d=-1.35;持续时间:3.49s±0.92vs.4.57±1.00,p=.017,d=-0.99),并且在第一个与最后一个睡眠周期(第一周期患者与对照:0.60/min±0.49vs.1.10/min±0.55,p=.016,d=-0.90,上一周期患者与对照:0.67/min±0.51vs.0.99/min±0.49,p=.11,d=-0.62;第一周期患者与对照:3.60s±0.76vs.4.57±1.00,p=.003,d=-1.01,最后一个周期持续时间患者与对照:3.66s±0.84vs.4.51±1.26,p=.039,d=-0.80)。癫痫灶与癫痫灶区域的STW没有区域减少对侧(所有p>0.05)。
    结论:局灶性癫痫,特别是颞叶外癫痫患者在REM睡眠中表现出整体STW活性降低。这可能表明,即使在癫痫活动较低的REM睡眠中,癫痫也会影响皮质产生的睡眠振荡。
    Whereas there is plenty of evidence on the influence of epileptic activity on non-rapid eye movement (NREM) sleep macro- and micro-structure, data on the impact of epilepsy on rapid eye movement (REM) sleep remains sparse. Using high-density electroencephalography (HD-EEG), we assessed global and focal disturbances of sawtooth waves (STW) as cortically generated sleep oscillations of REM sleep in patients with focal epilepsy.
    Twenty-two patients with drug-resistant focal epilepsy (13 females; mean age, 32.6 ± 10.7 years; 12 temporal lobe epilepsy) and 12 healthy controls (3 females; 24.0 ± 3.2 years) underwent combined overnight HD-EEG and polysomnography. STW rate, duration, frequency, power, spatial extent, IED rates and sleep homeostatic properties were analyzed.
    STW rate and duration were reduced in patients with focal epilepsy compared to healthy controls (rate: 0.64/min ± 0.46 vs. 1.12/min ± 0.41, p = .005, d = -0.98; duration: 3.60 s ± 0.76 vs. 4.57 ± 1.00, p = .003, d = -1.01). Not surprisingly given the fronto-central maximum of STW, the reductions were driven by extratemporal lobe epilepsy patients (rate: 0.45/min ± 0.31 vs. 1.12/min ± 0.41, p = .0004, d = -1.35; duration: 3.49 s ± 0.92 vs. 4.57 ± 1.00, p = .017, d = -0.99) and were more pronounced in the first vs. the last sleep cycle (rate first cycle patients vs. controls: 0.60/min ± 0.49 vs. 1.10/min ± 0.55, p = .016, d = -0.90, rate last cycle patients vs. controls: 0.67/min ± 0.51 vs. 0.99/min ± 0.49, p = .11, d = -0.62; duration first cycle patients vs. controls: 3.60s ± 0.76 vs. 4.57 ± 1.00, p = .003, d = -1.01, duration last cycle patients vs. controls: 3.66s ± 0.84 vs. 4.51 ± 1.26, p = .039, d = -0.80). There was no regional decrease of STWs in the region with the epileptic focus vs. the contralateral side (all p > .05).
    Patients with focal epilepsy and in particular extratemporal lobe epilepsy show a global reduction of STW activity in REM sleep. This may suggest that epilepsy impacts cortically generated sleep oscillations even in REM sleep when epileptic activity is low.
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