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Development and Validation of a Machine Learning-based Differential Diagnosis Model for Patients with Mild Cognitive Impairment using Resting-State Quantitative EEG

안정 상태에서의 정량 뇌파를 이용한 기계학습 기반의 경도인지장애 환자의 감별 진단 모델 개발 및 검증

  • Received : 2022.03.28
  • Accepted : 2022.07.11
  • Published : 2022.08.31

Abstract

Early detection of mild cognitive impairment can help prevent the progression of dementia. The purpose of this study was to design and validate a machine learning model that automatically differential diagnosed patients with mild cognitive impairment and identified cognitive decline characteristics compared to a control group with normal cognition using resting-state quantitative electroencephalogram (qEEG) with eyes closed. In the first step, a rectified signal was obtained through a preprocessing process that receives a quantitative EEG signal as an input and removes noise through a filter and independent component analysis (ICA). Frequency analysis and non-linear features were extracted from the rectified signal, and the 3067 extracted features were used as input of a linear support vector machine (SVM), a representative algorithm among machine learning algorithms, and classified into mild cognitive impairment patients and normal cognitive adults. As a result of classification analysis of 58 normal cognitive group and 80 patients in mild cognitive impairment, the accuracy of SVM was 86.2%. In patients with mild cognitive impairment, alpha band power was decreased in the frontal lobe, and high beta band power was increased in the frontal lobe compared to the normal cognitive group. Also, the gamma band power of the occipital-parietal lobe was decreased in mild cognitive impairment. These results represented that quantitative EEG can be used as a meaningful biomarker to discriminate cognitive decline.

Keywords

Acknowledgement

본 연구는 보건복지부 및 과학기술정보통신부의 재원으로 치매극복연구개발 사업단선정, 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(과제번호: HU20C0487).

References

  1. Petersen RC, Doody R, Kurz A, Mohs RC, Morris JC, et al., Current concepts in mild cognitive impairment. Archives of neurology, 2001;58(12):1985-1992. https://doi.org/10.1001/archneur.58.12.1985
  2. Smith GE, Petersen RC, Parisi JE, Ivnik RJ, Kokmen E, et al., Definition, course, and outcome of mild cognitive impairment. Aging, Neuropsychology, and Cognition, 1996;3(2):141-147. https://doi.org/10.1080/13825589608256619
  3. Lee JB, Kang HW, Kim J, Kim G, Kim N-K, A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care. Journal of Oriental Neuropsychiatry, 2019;30(1):31-38. https://doi.org/10.7231/JON.2019.30.1.031
  4. Petersen RC, Roberts RO, Knopman DS, Boeve BF, Geda YE, et al., Mild cognitive impairment: ten years later. Archives of neurology, 2009;66(12):1447-1455. https://doi.org/10.1001/archneurol.2009.266
  5. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, et al., Mild cognitive impairment: clinical characterization and outcome. Archives of neurology, 1999;56(3): 303-308. https://doi.org/10.1001/archneur.56.3.303
  6. Morris JC, Price JL, Pathologic correlates of nondemented aging, mild cognitive impairment, and early-stage Alzheimer's disease. Journal of Molecular Neuroscience, 2001;17(2):101-118. https://doi.org/10.1385/JMN:17:2:101
  7. Allan CL, Behrman S, Ebmeier KP, Valkanova V, Diagnosing early cognitive decline-when, how and for whom? Maturitas, 2017;96:103-108. https://doi.org/10.1016/j.maturitas.2016.11.018
  8. Drago V, Babiloni C, Bartres-Faz D, Caroli A, Bosch B, et al., Disease tracking markers for Alzheimer's disease at the prodromal (MCI) stage. Journal of Alzheimer's disease, 2011;26(s3):159-199. https://doi.org/10.3233/JAD-2011-0043
  9. Arevalo-Rodriguez I, Smailagic N, i Figuls MR, Ciapponi A, Sanchez-Perez E, et al., Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database of Systematic Reviews, 2015(3).
  10. Blennow K, CSF biomarkers for mild cognitive impairment. Journal of internal medicine, 2004;256(3):224-234. https://doi.org/10.1111/j.1365-2796.2004.01368.x
  11. Schrag M, Mueller C, Zabel M, Crofton A, Kirsch W, et al., Oxidative stress in blood in Alzheimer's disease and mild cognitive impairment: a meta-analysis. Neurobiology of disease, 2013;59:100-110. https://doi.org/10.1016/j.nbd.2013.07.005
  12. Smailagic N, Vacante M, Hyde C, Martin S, Ukoumunne O, et al., 18 F-FDG PET for the early diagnosis of Alzheimer's disease dementia and other dementias in people with mild cognitive impairment (MCI). Cochrane Database of Systematic Reviews, 2015(1).
  13. Meghdadi AH, Stevanovic Karic M, McConnell M, Rupp G, Richard C, et al., Resting state EEG biomarkers of cognitive decline associated with Alzheimer's disease and mild cognitive impairment. PloS one, 2021;16(2):e0244180.
  14. Baker M, Akrofi K, Schiffer R, O'Boyle MW, EEG patterns in mild cognitive impairment (MCI) patients. The open neuroimaging journal, 2008;2:52.
  15. Cassani R, Estarellas M, San-Martin R, Fraga FJ, Falk TH, Systematic review on resting-state EEG for Alzheimer's disease diagnosis and progression assessment. Disease markers, 2018;2018.
  16. Poil S-S, De Haan W, van der Flier WM, Mansvelder HD, Scheltens P, et al., Integrative EEG biomarkers predict progression to Alzheimer's disease at the MCI stage. Frontiers in aging neuroscience, 2013;5:58.
  17. Chang C-Y, Hsu S-H, Pion-Tonachini L, Jung T-P, Evaluation of artifact subspace reconstruction for automatic EEG artifact removal. in 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2018. IEEE.
  18. Winkler I, Haufe S, Tangermann M, Automatic classification of artifactual ICA-components for artifact removal in EEG signals. Behavioral and brain functions, 2011;7(1):1-15. https://doi.org/10.1186/1744-9081-7-1
  19. Grieder M, Koenig T, Kinoshita T, Utsunomiya K, Wahlund L-O, et al., Discovering EEG resting state alterations of semantic dementia. Clinical neurophysiology, 2016;127(5):2175-2181. https://doi.org/10.1016/j.clinph.2016.01.025
  20. Welch P, The use of fast Fourier transform for the estimation of power spectra: a method based on time averaging over short, modified periodograms. IEEE Transactions on audio and electroacoustics, 1967;15(2):70-73. https://doi.org/10.1109/TAU.1967.1161901
  21. Soininen H, Partanen J, Paakkonen A, Koivisto E, Riekkinen P, Changes in absolute power values of EEG spectra in the follow-up of Alzheimer's disease. Acta neurologica scandinavica, 1991;83(2):133-136. https://doi.org/10.1111/j.1600-0404.1991.tb04662.x
  22. Jeong J, Gore JC, Peterson BS, Mutual information analysis of the EEG in patients with Alzheimer's disease. Clinical neurophysiology, 2001;112(5):827-835. https://doi.org/10.1016/S1388-2457(01)00513-2
  23. Park J-H, Kim S, Kim C-H, Cichocki A, Kim K, Multiscale entropy analysis of EEG from patients under different pathological conditions. Fractals, 2007;15(04):399-404. https://doi.org/10.1142/S0218348X07003691
  24. Richman JS, Moorman JR, Physiological time-series analysis using approximate entropy and sample entropy. American Journal of Physiology-Heart and Circulatory Physiology, 2000;278(6):H2039-H2049. https://doi.org/10.1152/ajpheart.2000.278.6.h2039
  25. Lee J-M, Kim D-J, Kim I-Y, Park K-S, Kim SI, Detrended fluctuation analysis of EEG in sleep apnea using MIT/BIH polysomnography data. Computers in biology and medicine, 2002;32(1):37-47. https://doi.org/10.1016/S0010-4825(01)00031-2
  26. Lempel A, Ziv J, On the complexity of finite sequences. IEEE Transactions on information theory, 1976;22(1):75-81. https://doi.org/10.1109/TIT.1976.1055501
  27. Drummond J, Brann C, Perkins D, Wolfe D, A comparison of median frequency, spectral edge frequency, a frequency band power ratio, total power, and dominance shift in the determination of depth of anesthesia. Acta Anaesthesiologica Scandinavica, 1991;35(8):693-699. https://doi.org/10.1111/j.1399-6576.1991.tb03374.x
  28. Shriram R, Sundhararajan M, Daimiwal N, EEG based cognitive workload assessment for maximum efficiency. Int. Organ. Sci. Res. IOSR, 2013;7:34-38.
  29. Knott V, Mahoney C, Kennedy S, Evans K, EEG power, frequency, asymmetry and coherence in male depression. Psychiatry Research: Neuroimaging, 2001;106(2):123-140. https://doi.org/10.1016/S0925-4927(00)00080-9
  30. Babiloni C, Visser PJ, Frisoni G, De Deyn PP, Bresciani L, et al., Cortical sources of resting EEG rhythms in mild cognitive impairment and subjective memory complaint. Neurobiology of Aging, 2010;31(10):1787-1798. https://doi.org/10.1016/j.neurobiolaging.2008.09.020
  31. Huang C, Wahlund L-O, Dierks T, Julin P, Winblad B, et al., Discrimination of Alzheimer's disease and mild cognitive impairment by equivalent EEG sources: a cross-sectional and longitudinal study. Clinical Neurophysiology, 2000; 111(11):1961-1967. https://doi.org/10.1016/S1388-2457(00)00454-5
  32. Konig T, Prichep L, Dierks T, Hubl D, Wahlund L, et al., Decreased EEG synchronization in Alzheimer's disease and mild cognitive impairment. Neurobiology of aging, 2005;26(2):165-171. https://doi.org/10.1016/j.neurobiolaging.2004.03.008