Neuropsychiatric performance and treatment of hepatitis C with direct-acting antivirals: a prospective study

Background: Since direct-acting antivirals (DAAs) have been approved for the treatment of hepatitis C virus (HCV) infection, a small series of patients with new-onset neuropsychiatric alterations have been referred to us. We therefore set out to study neuropsychiatric function in relation to DAAs prospectively. Methods: Ten patients with cirrhosis and 12 post-liver transplant (post-LT) patients were enrolled. All underwent wake electroencephalography (EEG) and a neuropsychological evaluation (paper and pencil battery, simple/choice reaction times, working memory task) at baseline, at the end of treatment with DAAs and after 6 months. At the same time points, full blood count, liver/kidney function tests, quantitative HCV RNA, ammonia and immunosuppressant drug levels were obtained, as appropriate. Results: Patients with cirrhosis were significantly older than post-LT patients (65\ub112 vs 55\ub17 years; P<0.05). Neuropsychological performance and wake EEG were comparable in the two groups at baseline. At the end of a course of treatment with DAAs, a significant slowing in choice reaction times and in the EEG (increased relative delta power) was observed in patients with cirrhosis, which resolved after 6 months. In contrast, no significant changes over time were observed in the neuropsychiatric performance of post-LT patients. No significant associations were observed between neuropsychiatric performance and stand-alone/combined laboratory variables. Conclusion: Some degree of neuropsychiatric impairment was observed in relation to treatment with DAAs in patients with cirrhosis, but not in post-LT patients, suggesting that the former may be sensitive to mild DAA neurotoxicity

Assessing the Zone of Comfort in Stereoscopic Displays using EEG

The conflict between vergence (eye movement) and accommodation (crystalline lens deformation) occurs in every stereoscopic display. It could cause important stress outside the "zone of comfort", when stereoscopic effect is too strong. This conflict has already been studied using questionnaires, during viewing sessions of several minutes. The present pilot study describes an experimental protocol which compares two different comfort conditions using electroencephalography (EEG) over short viewing sequences. Analyses showed significant differences both in event-related potentials (ERP) and in frequency bands power. An uncomfortable stereoscopy correlates with a weaker negative component and a delayed positive component in ERP. It also induces a power decrease in the alpha band and increases in theta and beta bands. With fast responses to stimuli, EEG is likely to enable the conception of adaptive systems, which could tune the stereoscopic experience according to each viewer

Guidelines for the recording and evaluation of pharmaco-EEG data in man: the International Pharmaco-EEG Society (IPEG)

The International Pharmaco-EEG Society (IPEG) presents updated guidelines summarising the requirements for the recording and computerised evaluation of pharmaco-EEG data in man. Since the publication of the first pharmaco-EEG guidelines in 1982, technical and data processing methods have advanced steadily, thus enhancing data quality and expanding the palette of tools available to investigate the action of drugs on the central nervous system (CNS), determine the pharmacokinetic and pharmacodynamic properties of novel therapeutics and evaluate the CNS penetration or toxicity of compounds. However, a review of the literature reveals inconsistent operating procedures from one study to another. While this fact does not invalidate results per se, the lack of standardisation constitutes a regrettable shortcoming, especially in the context of drug development programmes. Moreover, this shortcoming hampers reliable comparisons between outcomes of studies from different laboratories and hence also prevents pooling of data which is a requirement for sufficiently powering the validation of novel analytical algorithms and EEG-based biomarkers. The present updated guidelines reflect the consensus of a global panel of EEG experts and are intended to assist investigators using pharmaco-EEG in clinical research, by providing clear and concise recommendations and thereby enabling standardisation of methodology and facilitating comparability of data across laboratories

Brain-Switches for Asynchronous Brain−Computer Interfaces: A Systematic Review

A brain–computer interface (BCI) has been extensively studied to develop a novel communication system for disabled people using their brain activities. An asynchronous BCI system is more realistic and practical than a synchronous BCI system, in that, BCI commands can be generated whenever the user wants. However, the relatively low performance of an asynchronous BCI system is problematic because redundant BCI commands are required to correct false-positive operations. To significantly reduce the number of false-positive operations of an asynchronous BCI system, a two-step approach has been proposed using a brain-switch that first determines whether the user wants to use an asynchronous BCI system before the operation of the asynchronous BCI system. This study presents a systematic review of the state-of-the-art brain-switch techniques and future research directions. To this end, we reviewed brain-switch research articles published from 2000 to 2019 in terms of their (a) neuroimaging modality, (b) paradigm, (c) operation algorithm, and (d) performance

Influence of Task Combination on EEG Spectrum Modulation for Driver Workload Estimation

Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.Objective: This study investigates the feasibility of using a method based on electroencephalography (EEG) for deriving a driver’s mental workload index. Background: The psychophysiological signals provide sensitive information for human functional states assessment in both laboratory and real-world settings and for building a new communication channel between driver and vehicle that allows for driver workload monitoring. Methods: An experiment combining a lane-change task and n-back task was conducted. The task load levels were manipulated in two dimensions, driving task load and working memory load, with each containing three task load conditions. Results: The frontal theta activity showed significant increases in the working memory load dimension, but differences were not found with the driving task load dimension. However, significant decreases in parietal alpha activity were found when the task load was increased in both dimensions. Task-related differences were also found. The driving task load contributed more to the changes in alpha power, whereas the working memory load contributed more to the changes in theta power. Additionally, these two task load dimensions caused significant interactive effects on both theta and alpha power. Conclusion: These results indicate that EEG technology can provide sensitive information for driver workload detection even if the sensitivities of different EEG parameters tend to be task dependent. Application: One potential future application of this study is to establish a general driver workload estimator that uses EEG signals

Complex networks in brain electrical activity

We analyze the complex networks associated with brain electrical activity. Multichannel EEG measurements are first processed to obtain 3D voxel activations using the tomographic algorithm LORETA. Then, the correlation of the current intensity activation between voxel pairs is computed to produce a voxel cross-correlation coefficient matrix. Using several correlation thresholds, the cross-correlation matrix is then transformed into a network connectivity matrix and analyzed. To study a specific example, we selected data from an earlier experiment focusing on the MMN brain wave. The resulting analysis highlights significant differences between the spatial activations associated with Standard and Deviant tones, with interesting physiological implications. When compared to random data networks, physiological networks are more connected, with longer links and shorter path lengths. Furthermore, as compared to the Deviant case, Standard data networks are more connected, with longer links and shorter path lengths--i.e., with a stronger ``small worlds'' character. The comparison between both networks shows that areas known to be activated in the MMN wave are connected. In particular, the analysis supports the idea that supra-temporal and inferior frontal data work together in the processing of the differences between sounds by highlighting an increased connectivity in the response to a novel sound.Comment: 22 pages, 5 figures. Starlab preprint. This version is an attempt to include better figures (no content change