Anesthesia assessment based on ICA permutation entropy analysis of two-channel EEG signals

Inaccurate assessment may lead to inaccurate levels of dosage given to the patients that may lead to intraoperative awareness that is caused by under dosage during surgery or prolonged recovery in patients that is caused by over dosage after the surgery is done. Previous research and evidence show that assessing anesthetic levels with the help of electroencephalography (EEG) signals gives an overall better aspect of the patient’s anesthetic state. This paper presents a new method to assess the depth of anesthesia (DoA) using Independent Component Analysis (ICA) and permutation entropy analysis. ICA is performed on two-channel EEG to reduce the noise then Wavelet and permutation entropy are applied on these channels to extract the features. A linear regression model was used to build the new DoA index using the selected features. The new index designed by proposed methods performs well under low signal quality and it was overall consistent in most of the cases where Bispectral index (BIS) may fail to provide any valid value

Instantaneous 3D EEG Signal Analysis Based on Empirical Mode Decomposition and the Hilbert–Huang Transform Applied to Depth of Anaesthesia

Depth of anaesthesia (DoA) is an important measure for assessing the degree to which the central nervous system of a patient is depressed by a general anaesthetic agent, depending on the potency and concentration with which anaesthesia is administered during surgery. We can monitor the DoA by observing the patient’s electroencephalography (EEG) signals during the surgical procedure. Typically high frequency EEG signals indicates the patient is conscious, while low frequency signals mean the patient is in a general anaesthetic state. If the anaesthetist is able to observe the instantaneous frequency changes of the patient’s EEG signals during surgery this can help to better regulate and monitor DoA, reducing surgical and post-operative risks. This paper describes an approach towards the development of a 3D real-time visualization application which can show the instantaneous frequency and instantaneous amplitude of EEG simultaneously by using empirical mode decomposition (EMD) and the Hilbert–Huang transform (HHT). HHT uses the EMD method to decompose a signal into so-called intrinsic mode functions (IMFs). The Hilbert spectral analysis method is then used to obtain instantaneous frequency data. The HHT provides a new method of analyzing non-stationary and nonlinear time series data. We investigate this approach by analyzing EEG data collected from patients undergoing surgical procedures. The results show that the EEG differences between three distinct surgical stages computed by using sample entropy (SampEn) are consistent with the expected differences between these stages based on the bispectral index (BIS), which has been shown to be quantifiable measure of the effect of anaesthetics on the central nervous system. Also, the proposed filtering approach is more effective compared to the standard filtering method in filtering out signal noise resulting in more consistent results than those provided by the BIS. The proposed approach is therefore able to distinguish between key operational stages related to DoA, which is consistent with the clinical observations. SampEn can also be viewed as a useful index for evaluating and monitoring the DoA of a patient when used in combination with this approach

A Comparison of Different Algorithms for EEG Signal Analysis for the Purpose of Monitoring Depth of Anesthesia

All rights reserved. Electroencephalography (EEG) signals have been commonly used for assessing the level of anesthesia during surgery. However, the collected EEG signals are usually corrupted with artifacts which can seriously reduce the accuracy of the depth of anesthesia (DOA) monitors. In this paper, the main purpose is to compare five different EEG based anesthesia indices, namely median frequency (MF), 95% spectral edge frequency (SEF), approximate entropy (ApEn), sample entropy (SampEn) and permutation entropy (PeEn), for their artifacts rejection ability in order to measure the DOA accurately. The current analysis is based on synthesized EEG corrupted with four different types of artificial artifacts and real data collected from patients undergoing general anesthesia during surgery. The experimental results demonstrate that all indices could discriminate awake from anesthesia state (p < 0.05), however PeEn is superior to other indices. Furthermore, a combined index is obtained by applying these five indices as inputs to train, validate and test a feed-forward back-propagation artificial neural network (ANN) model with bispectral index (BIS) as target. The combined index via ANN offers more advantages with higher correlation of 0.80 ± 0.01 for real time DOA monitoring in comparison with single indices.Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan which is sponsored by Ministry of Science and Technology (Grant Number: MOST103-2911-I-008-001). National Natural Science Foundation of China (Grant Number: 51475342)

A Comparison of Different Algorithms for EEG Signal Analysis for the Purpose of Monitoring Depth of Anesthesia

All rights reserved. Electroencephalography (EEG) signals have been commonly used for assessing the level of anesthesia during surgery. However, the collected EEG signals are usually corrupted with artifacts which can seriously reduce the accuracy of the depth of anesthesia (DOA) monitors. In this paper, the main purpose is to compare five different EEG based anesthesia indices, namely median frequency (MF), 95% spectral edge frequency (SEF), approximate entropy (ApEn), sample entropy (SampEn) and permutation entropy (PeEn), for their artifacts rejection ability in order to measure the DOA accurately. The current analysis is based on synthesized EEG corrupted with four different types of artificial artifacts and real data collected from patients undergoing general anesthesia during surgery. The experimental results demonstrate that all indices could discriminate awake from anesthesia state (p < 0.05), however PeEn is superior to other indices. Furthermore, a combined index is obtained by applying these five indices as inputs to train, validate and test a feed-forward back-propagation artificial neural network (ANN) model with bispectral index (BIS) as target. The combined index via ANN offers more advantages with higher correlation of 0.80 ± 0.01 for real time DOA monitoring in comparison with single indices.Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan which is sponsored by Ministry of Science and Technology (Grant Number: MOST103-2911-I-008-001). National Natural Science Foundation of China (Grant Number: 51475342)

Localization of Active Brain Sources From EEG Signals Using Empirical Mode Decomposition: A Comparative Study

The localization of active brain sources from Electroencephalogram (EEG) is a useful method in clinical applications, such as the study of localized epilepsy, evoked-related-potentials, and attention deficit/hyperactivity disorder. The distributed-source model is a common method to estimate neural activity in the brain. The location and amplitude of each active source are estimated by solving the inverse problem by regularization or using Bayesian methods with spatio-temporal constraints. Frequency and spatio-temporal constraints improve the quality of the reconstructed neural activity. However, separation into frequency bands is beneficial when the relevant information is in specific sub-bands. We improved frequency-band identification and preserved good temporal resolution using EEG pre-processing techniques with good frequency band separation and temporal resolution properties. The identified frequency bands were included as constraints in the solution of the inverse problem by decomposing the EEG signals into frequency bands through various methods that offer good frequency and temporal resolution, such as empirical mode decomposition (EMD) and wavelet transform (WT). We present a comparative analysis of the accuracy of brain-source reconstruction using these techniques. The accuracy of the spatial reconstruction was assessed using the Wasserstein metric for real and simulated signals. We approached the mode-mixing problem, inherent to EMD, by exploring three variants of EMD: masking EMD, Ensemble-EMD (EEMD), and multivariate EMD (MEMD). The results of the spatio-temporal brain source reconstruction using these techniques show that masking EMD and MEMD can largely mitigate the mode-mixing problem and achieve a good spatio-temporal reconstruction of the active sources. Masking EMD and EEMD achieved better reconstruction than standard EMD, Multiple Sparse Priors, or wavelet packet decomposition when EMD was used as a pre-processing tool for the spatial reconstruction (averaged over time) of the brain sources. The spatial resolution obtained using all three EMD variants was substantially better than the use of EMD alone, as the mode-mixing problem was mitigated, particularly with masking EMD and EEMD. These findings encourage further exploration into the use of EMD-based pre-processing, the mode-mixing problem, and its impact on the accuracy of brain source activity reconstruction

EEG artifacts reduction by multivariate empirical mode decomposition and multiscale entropy for monitoring depth of anaesthesia during surgery

Electroencephalography (EEG) has been widely utilized to measure the depth of anaesthesia (DOA) during operation. However, the EEG signals are usually contaminated by artifacts which have a consequence on the measured DOA accuracy. In this study, an effective and useful filtering algorithm based on multivariate empirical mode decomposition and multiscale entropy (MSE) is proposed to measure DOA. Mean entropy of MSE is used as an index to find artifacts-free intrinsic mode functions. The effect of different levels of artifacts on the performances of the proposed filtering is analysed using simulated data. Furthermore, 21 patients' EEG signals are collected and analysed using sample entropy to calculate the complexity for monitoring DOA. The correlation coefficients of entropy and bispectral index (BIS) results show 0.14 ± 0.30 and 0.63 ± 0.09 before and after filtering, respectively. Artificial neural network (ANN) model is used for range mapping in order to correlate the measurements with BIS. The ANN method results show strong correlation coefficient (0.75 ± 0.08). The results in this paper verify that entropy values and BIS have a strong correlation for the purpose of DOA monitoring and the proposed filtering method can effectively filter artifacts from EEG signals. The proposed method performs better than the commonly used wavelet denoising method. This study provides a fully adaptive and automated filter for EEG to measure DOA more accuracy and thus reduce risk related to maintenance of anaesthetic agents.This research was financially supported by the Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan, which is sponsored by Ministry of Science and Technology (Grant Number: NSC102-2911-I-008-001). Also, it was supported by Chung-Shan Institute of Science and Technology in Taiwan (Grant Numbers: CSIST-095-V301 and CSIST-095-V302) and National Natural Science Foundation of China (Grant Number: 51475342)

Analysis of EEG via Multivariate Empirical Mode Decomposition for Depth of Anesthesia Based on Sample Entropy

entrop

Real time depth of anaesthesia monitoring through electroencephalogram (EEG) signal analysis based on Bayesian method and analytical technique

The electroencephalogram (EEG) signal from the brain is used for analysing brain abnormality, diseases, and monitoring patient conditions during surgery. One of the applications of the EEG signals analysis is real-time anaesthesia monitoring, as the anaesthetic drugs normally targeted the central nervous system. Depth of anaesthesia has been clinically assessed through breathing pattern, heart rate, arterial blood pressure, pupil dilation, sweating and the presence of movement. Those assessments are useful but are an indirect-measurement of anaesthetic drug effects. A direct method of assessment is through EEG signals because most anaesthetic drugs affect neuronal activity and cause a changed pattern in EEG signals. The aim of this research is to improve real-time anaesthesia assessment through EEG signal analysis which includes the filtering process, EEG features extraction and signal analysis for depth of anaesthesia assessment. The first phase of the research is EEG signal acquisition. When EEG signal is recorded, noises are also recorded along with the brain waves. Therefore, the filtering is necessary for EEG signal analysis. The filtering method introduced in this dissertation is Bayesian adaptive least mean square (LMS) filter which applies the Bayesian based method to find the best filter weight step for filter adaptation. The results show that the filtering technique is able to remove the unwanted signals from the EEG signals. This dissertation proposed three methods for EEG signal features extraction and analysing. The first is the strong analytical signal analysis which is based on the Hilbert transform for EEG signal features' extraction and analysis. The second is to extract EEG signal features using the Bayesian spike accumulation technique. The third is to apply the robust Bayesian Student-t distribution for real-time anaesthesia assessment. Computational results from the three methods are analysed and compared with the recorded BIS index which is the most popular and widely accepted depth of anaesthesia monitor. The outcomes show that computation times from the three methods are leading the BIS index approximately 18-120 seconds. Furthermore, the responses to anaesthetic drugs are verified with the anaesthetist's documentation and then compared with the BIS index to evaluate the performance. The results indicate that the three methods are able to extract EEG signal features efficiently, improve computation time, and respond faster to anaesthetic drugs compared to the existing BIS index

Depth of anaesthesia assessment based on time and frequency features of simplified electroencephalogram (EEG)

Anaesthesiology is a medical subject focusing on the use of drugs and other methods to deprive patients’ sensation for discomfort in painful medical diagnosis or treatment. It is important to assess the depth of anaesthesia (DoA) accurately since a precise as- sessment is helpful for avoiding various adverse reactions such as intraoperative awareness with recall (underdosage), prolonged recovery and an increased risk of post- operative complications for a patient (overdosage). Evidence shows that the depth of anaesthesia monitoring using electroencephalograph (EEG) improves patient treat- ment outcomes by reducing the incidences of intra-operative awareness, minimizing anaesthetic drug consumption and resulting in faster wake-up and recovery. For an accurate DoA assessment, intensive research has been conducted in finding 'an ulti- mate index', and various monitors and DoA algorithms were developed. Generally, the limitations of the existing DoA monitors or latest DoA algorithms include unsatis- factory data filtering techniques, time delay and inflexible. The focus of this dissertation is to develop reliable DoA algorithms for accurate DoA assessment. Some novel time-frequency domain signal processing techniques, which are better suited for non-stationary EEG signals than currently established methods, have been proposed and applied to monitor the DoA based on simplified EEG signals based on plenty of programming work (including C and other programming language). The fast Fourier transform (FFT) and the discrete wavelet transforms are applied to pre-process EEG data in the frequency domain. The nonlocal mean, mobility, permu- tation entropy, Lempel-Ziv complexity, second order difference plot and interval feature extraction methods are modified and applied to investigate the scaling behaviour of the EEG in the time domain. We proposed and developed three new indexes for identifying, classifying and monitoring the DoA. The new indexes are evaluated by comparing with the most popular BIS index. Simulation results demonstrate that our new methods monitor the DoA in all anaesthesia states accurately. The results also demonstrate the advantages of proposed indexes in the cases of poor signal quality and the consistency with the anaesthetists’ records. These new indexes show a 3.1-59.7 seconds earlier time response than BIS during the change from awake to light anaesthesia and a 33-264 seconds earlier time response than BIS during the change from deep anaesthesia to moderate anaesthesia