BACKGROUND Post-stroke epilepsy is a common and easily overlooked complication of acute cerebrovascular disease.Long-term seizures can seriously affect the prognosis and quality of life of patients.Electroencephalogra...BACKGROUND Post-stroke epilepsy is a common and easily overlooked complication of acute cerebrovascular disease.Long-term seizures can seriously affect the prognosis and quality of life of patients.Electroencephalogram(EEG)is the simplest way to diagnose epilepsy,and plays an important role in predicting seizures and guiding medication.AIM To explore the EEG characteristics of patients with post-stroke epilepsy and improve the detection rate of inter-seizure epileptiform discharges.METHODS From January 2017 to June 2020,10 patients with post-stroke epilepsy in our hospital were included.The clinical,imaging,and EEG characteristics were collected.The stroke location,seizure type,and ictal and interictal EEG manifestations of the patients with post-stroke epilepsy were then retrospectively analyzed.RESULTS In all 10 patients,epileptiform waves occurred in the side opposite to the stroke lesion during the interictal stage;these manifested as sharp wave,sharp-wave complex,or spike discharges in the anterior head lead of the side opposite to the lesion.CONCLUSION In EEG,epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.展开更多
Classification of electroencephalogram(EEG)signals for humans can be achieved via artificial intelligence(AI)techniques.Especially,the EEG signals associated with seizure epilepsy can be detected to distinguish betwee...Classification of electroencephalogram(EEG)signals for humans can be achieved via artificial intelligence(AI)techniques.Especially,the EEG signals associated with seizure epilepsy can be detected to distinguish between epileptic and non-epileptic regions.From this perspective,an automated AI technique with a digital processing method can be used to improve these signals.This paper proposes two classifiers:long short-term memory(LSTM)and support vector machine(SVM)for the classification of seizure and non-seizure EEG signals.These classifiers are applied to a public dataset,namely the University of Bonn,which consists of 2 classes–seizure and non-seizure.In addition,a fast Walsh-Hadamard Transform(FWHT)technique is implemented to analyze the EEG signals within the recurrence space of the brain.Thus,Hadamard coefficients of the EEG signals are obtained via the FWHT.Moreover,the FWHT is contributed to generate an efficient derivation of seizure EEG recordings from non-seizure EEG recordings.Also,a k-fold cross-validation technique is applied to validate the performance of the proposed classifiers.The LSTM classifier provides the best performance,with a testing accuracy of 99.00%.The training and testing loss rates for the LSTM are 0.0029 and 0.0602,respectively,while the weighted average precision,recall,and F1-score for the LSTM are 99.00%.The results of the SVM classifier in terms of accuracy,sensitivity,and specificity reached 91%,93.52%,and 91.3%,respectively.The computational time consumed for the training of the LSTM and SVM is 2000 and 2500 s,respectively.The results show that the LSTM classifier provides better performance than SVM in the classification of EEG signals.Eventually,the proposed classifiers provide high classification accuracy compared to previously published classifiers.展开更多
Depression is a psychological disorder that affects the general public worldwide.It is particularly important to make an objective and accurate diagnosis of depression,and the measurement methods of brain activity hav...Depression is a psychological disorder that affects the general public worldwide.It is particularly important to make an objective and accurate diagnosis of depression,and the measurement methods of brain activity have gradually received increasing attention.Resting electroencephalogram(EEG)alpha asymmetry in patients with depression shows changes in activation of the alpha frequency band of the left and right frontal cortices.In this paper,we review the findings of the relationship between frontal EEG alpha asymmetry in the resting state and depression.Based on worldwide studies,we found the following:(1)Compared with individuals without depression,those with depression showed greater right frontal EEG alpha asymmetry in the resting state.However,the pattern of frontal EEG alpha asymmetry in the resting state in depressive individuals seemed to disappear with age;(2)Compared with individuals without maternal depression,those with maternal depression showed greater right frontal EEG alpha asymmetry in the resting state,which indicated that genetic or experience-based influences have an impact on frontal EEG alpha asymmetry at rest;and(3)Frontal EEG alpha asymmetry in the resting state was stable,and little or no change occurred after antidepressant treatment.Finally,we concluded that the contrasting results may be due to differences in methodology,clinical characteristics,and participant characteristics.展开更多
BACKGROUND Cognitive dysfunction in epileptic patients is a high-incidence complication.Its mechanism is related to nervous system damage during seizures,but there is no effective diagnostic biomarker.Neuronal pentrax...BACKGROUND Cognitive dysfunction in epileptic patients is a high-incidence complication.Its mechanism is related to nervous system damage during seizures,but there is no effective diagnostic biomarker.Neuronal pentraxin 2(NPTX2)is thought to play a vital role in neurotransmission and the maintenance of synaptic plasticity.This study explored how serum NPTX2 and electroencephalogram(EEG)slow wave/fast wave frequency ratio relate to cognitive dysfunction in patients with epilepsy.AIM To determine if serum NPTX2 could serve as a potential biomarker for diagnosing cognitive impairment in epilepsy patients.METHODS The participants of this study,conducted from January 2020 to December 2021,comprised 74 epilepsy patients with normal cognitive function(normal group),37 epilepsy patients with cognitive dysfunction[epilepsy patients with cognitive dysfunction(ECD)group]and 30 healthy people(control group).The minimental state examination(MMSE)scale was used to evaluate cognitive function.We determined serum NPTX2 levels using an enzyme-linked immunosorbent kit and calculated the signal value of EEG regions according to the EEG recording.Pearson correlation coefficient was used to analyze the correlation between serum NPTX2 and the MMSE score.RESULTS The serum NPTX2 level in the control group,normal group and ECD group were 240.00±35.06 pg/mL,235.80±38.01 pg/mL and 193.80±42.72 pg/mL,respectively.The MMSE score was lowest in the ECD group among the three,while no significant difference was observed between the control and normal groups.In epilepsy patients with cognitive dysfunction,NPTX2 level had a positive correlation with the MMSE score(r=0.367,P=0.0253)and a negative correlation with epilepsy duration(r=−0.443,P=0.0061)and the EEG slow wave/fast wave frequency ratio value in the temporal region(r=−0.339,P=0.039).CONCLUSION Serum NPTX2 was found to be related to cognitive dysfunction and the EEG slow wave/fast wave frequency ratio in patients with epilepsy.It is thus a potential biomarker for the diagnosis of cognitive impairment in patients with epilepsy.展开更多
目前的脑电(EEG)情感识别模型忽略了不同时段情感状态的差异性,未能强化关键的情感信息。针对上述问题,提出一种多上下文向量优化的卷积递归神经网络(CR-MCV)。首先构造脑电信号的特征矩阵序列,通过卷积神经网络(CNN)学习多通道脑电的...目前的脑电(EEG)情感识别模型忽略了不同时段情感状态的差异性,未能强化关键的情感信息。针对上述问题,提出一种多上下文向量优化的卷积递归神经网络(CR-MCV)。首先构造脑电信号的特征矩阵序列,通过卷积神经网络(CNN)学习多通道脑电的空间特征;然后利用基于多头注意力的递归神经网络生成多上下文向量进行高层抽象特征提取;最后利用全连接层进行情感分类。在DEAP(Database for Emotion Analysis using Physiological signals)数据集上进行实验,CR-MCV在唤醒和效价维度上分类准确率分别为88.09%和89.30%。实验结果表明,CR-MCV在利用电极空间位置信息和不同时段情感状态显著性特征基础上,能够自适应地分配特征的注意力并强化情感状态显著性信息。展开更多
基金Research Fund for Lin He’s Academician Workstation of New Medicine and Clinical Translation in Jining Medical University,No.JYHL2019FMS25and The Key Research and Development Program of Jining,No.2022YXNS028.
文摘BACKGROUND Post-stroke epilepsy is a common and easily overlooked complication of acute cerebrovascular disease.Long-term seizures can seriously affect the prognosis and quality of life of patients.Electroencephalogram(EEG)is the simplest way to diagnose epilepsy,and plays an important role in predicting seizures and guiding medication.AIM To explore the EEG characteristics of patients with post-stroke epilepsy and improve the detection rate of inter-seizure epileptiform discharges.METHODS From January 2017 to June 2020,10 patients with post-stroke epilepsy in our hospital were included.The clinical,imaging,and EEG characteristics were collected.The stroke location,seizure type,and ictal and interictal EEG manifestations of the patients with post-stroke epilepsy were then retrospectively analyzed.RESULTS In all 10 patients,epileptiform waves occurred in the side opposite to the stroke lesion during the interictal stage;these manifested as sharp wave,sharp-wave complex,or spike discharges in the anterior head lead of the side opposite to the lesion.CONCLUSION In EEG,epileptiform waves can occur in the side opposite to the stroke lesion in patients with post-stroke epilepsy.
基金The authors would like to thank the support of the Taif University Researchers Supporting Project TURSP 2020/34,Taif University,Taif Saudi Arabia for supporting this work.
文摘Classification of electroencephalogram(EEG)signals for humans can be achieved via artificial intelligence(AI)techniques.Especially,the EEG signals associated with seizure epilepsy can be detected to distinguish between epileptic and non-epileptic regions.From this perspective,an automated AI technique with a digital processing method can be used to improve these signals.This paper proposes two classifiers:long short-term memory(LSTM)and support vector machine(SVM)for the classification of seizure and non-seizure EEG signals.These classifiers are applied to a public dataset,namely the University of Bonn,which consists of 2 classes–seizure and non-seizure.In addition,a fast Walsh-Hadamard Transform(FWHT)technique is implemented to analyze the EEG signals within the recurrence space of the brain.Thus,Hadamard coefficients of the EEG signals are obtained via the FWHT.Moreover,the FWHT is contributed to generate an efficient derivation of seizure EEG recordings from non-seizure EEG recordings.Also,a k-fold cross-validation technique is applied to validate the performance of the proposed classifiers.The LSTM classifier provides the best performance,with a testing accuracy of 99.00%.The training and testing loss rates for the LSTM are 0.0029 and 0.0602,respectively,while the weighted average precision,recall,and F1-score for the LSTM are 99.00%.The results of the SVM classifier in terms of accuracy,sensitivity,and specificity reached 91%,93.52%,and 91.3%,respectively.The computational time consumed for the training of the LSTM and SVM is 2000 and 2500 s,respectively.The results show that the LSTM classifier provides better performance than SVM in the classification of EEG signals.Eventually,the proposed classifiers provide high classification accuracy compared to previously published classifiers.
文摘Depression is a psychological disorder that affects the general public worldwide.It is particularly important to make an objective and accurate diagnosis of depression,and the measurement methods of brain activity have gradually received increasing attention.Resting electroencephalogram(EEG)alpha asymmetry in patients with depression shows changes in activation of the alpha frequency band of the left and right frontal cortices.In this paper,we review the findings of the relationship between frontal EEG alpha asymmetry in the resting state and depression.Based on worldwide studies,we found the following:(1)Compared with individuals without depression,those with depression showed greater right frontal EEG alpha asymmetry in the resting state.However,the pattern of frontal EEG alpha asymmetry in the resting state in depressive individuals seemed to disappear with age;(2)Compared with individuals without maternal depression,those with maternal depression showed greater right frontal EEG alpha asymmetry in the resting state,which indicated that genetic or experience-based influences have an impact on frontal EEG alpha asymmetry at rest;and(3)Frontal EEG alpha asymmetry in the resting state was stable,and little or no change occurred after antidepressant treatment.Finally,we concluded that the contrasting results may be due to differences in methodology,clinical characteristics,and participant characteristics.
基金Supported by 2022 Educational Research Program for Young and Middle-aged Teachers in Fujian Province(Science and Technology),No.JAT220107.
文摘BACKGROUND Cognitive dysfunction in epileptic patients is a high-incidence complication.Its mechanism is related to nervous system damage during seizures,but there is no effective diagnostic biomarker.Neuronal pentraxin 2(NPTX2)is thought to play a vital role in neurotransmission and the maintenance of synaptic plasticity.This study explored how serum NPTX2 and electroencephalogram(EEG)slow wave/fast wave frequency ratio relate to cognitive dysfunction in patients with epilepsy.AIM To determine if serum NPTX2 could serve as a potential biomarker for diagnosing cognitive impairment in epilepsy patients.METHODS The participants of this study,conducted from January 2020 to December 2021,comprised 74 epilepsy patients with normal cognitive function(normal group),37 epilepsy patients with cognitive dysfunction[epilepsy patients with cognitive dysfunction(ECD)group]and 30 healthy people(control group).The minimental state examination(MMSE)scale was used to evaluate cognitive function.We determined serum NPTX2 levels using an enzyme-linked immunosorbent kit and calculated the signal value of EEG regions according to the EEG recording.Pearson correlation coefficient was used to analyze the correlation between serum NPTX2 and the MMSE score.RESULTS The serum NPTX2 level in the control group,normal group and ECD group were 240.00±35.06 pg/mL,235.80±38.01 pg/mL and 193.80±42.72 pg/mL,respectively.The MMSE score was lowest in the ECD group among the three,while no significant difference was observed between the control and normal groups.In epilepsy patients with cognitive dysfunction,NPTX2 level had a positive correlation with the MMSE score(r=0.367,P=0.0253)and a negative correlation with epilepsy duration(r=−0.443,P=0.0061)and the EEG slow wave/fast wave frequency ratio value in the temporal region(r=−0.339,P=0.039).CONCLUSION Serum NPTX2 was found to be related to cognitive dysfunction and the EEG slow wave/fast wave frequency ratio in patients with epilepsy.It is thus a potential biomarker for the diagnosis of cognitive impairment in patients with epilepsy.
文摘目前的脑电(EEG)情感识别模型忽略了不同时段情感状态的差异性,未能强化关键的情感信息。针对上述问题,提出一种多上下文向量优化的卷积递归神经网络(CR-MCV)。首先构造脑电信号的特征矩阵序列,通过卷积神经网络(CNN)学习多通道脑电的空间特征;然后利用基于多头注意力的递归神经网络生成多上下文向量进行高层抽象特征提取;最后利用全连接层进行情感分类。在DEAP(Database for Emotion Analysis using Physiological signals)数据集上进行实验,CR-MCV在唤醒和效价维度上分类准确率分别为88.09%和89.30%。实验结果表明,CR-MCV在利用电极空间位置信息和不同时段情感状态显著性特征基础上,能够自适应地分配特征的注意力并强化情感状态显著性信息。