4,085 research outputs found

    Quantification of depth of anesthesia by nonlinear time series analysis of brain electrical activity

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    We investigate several quantifiers of the electroencephalogram (EEG) signal with respect to their ability to indicate depth of anesthesia. For 17 patients anesthetized with Sevoflurane, three established measures (two spectral and one based on the bispectrum), as well as a phase space based nonlinear correlation index were computed from consecutive EEG epochs. In absence of an independent way to determine anesthesia depth, the standard was derived from measured blood plasma concentrations of the anesthetic via a pharmacokinetic/pharmacodynamic model for the estimated effective brain concentration of Sevoflurane. In most patients, the highest correlation is observed for the nonlinear correlation index D*. In contrast to spectral measures, D* is found to decrease monotonically with increasing (estimated) depth of anesthesia, even when a "burst-suppression" pattern occurs in the EEG. The findings show the potential for applications of concepts derived from the theory of nonlinear dynamics, even if little can be assumed about the process under investigation.Comment: 7 pages, 5 figure

    Reference-free removal of EEG-fMRI ballistocardiogram artifacts with harmonic regression

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    Combining electroencephalogram (EEG) recording and functional magnetic resonance imaging (fMRI) offers the potential for imaging brain activity with high spatial and temporal resolution. This potential remains limited by the significant ballistocardiogram (BCG) artifacts induced in the EEG by cardiac pulsation-related head movement within the magnetic field. We model the BCG artifact using a harmonic basis, pose the artifact removal problem as a local harmonic regression analysis, and develop an efficient maximum likelihood algorithm to estimate and remove BCG artifacts. Our analysis paradigm accounts for time-frequency overlap between the BCG artifacts and neurophysiologic EEG signals, and tracks the spatiotemporal variations in both the artifact and the signal. We evaluate performance on: simulated oscillatory and evoked responses constructed with realistic artifacts; actual anesthesia-induced oscillatory recordings; and actual visual evoked potential recordings. In each case, the local harmonic regression analysis effectively removes the BCG artifacts, and recovers the neurophysiologic EEG signals. We further show that our algorithm outperforms commonly used reference-based and component analysis techniques, particularly in low SNR conditions, the presence of significant time-frequency overlap between the artifact and the signal, and/or large spatiotemporal variations in the BCG. Because our algorithm does not require reference signals and has low computational complexity, it offers a practical tool for removing BCG artifacts from EEG data recorded in combination with fMRI.National Institutes of Health (U.S.) (Award DP1-OD003646)National Institutes of Health (U.S.) (Award TR01-GM104948)National Institutes of Health (U.S.) (Grant R44NS071988)National Institute of Neurological Diseases and Stroke (U.S.) (Grant Grant R44NS071988

    Understanding the Role of Dynamics in Brain Networks: Methods, Theory and Application

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    The brain is inherently a dynamical system whose networks interact at multiple spatial and temporal scales. Understanding the functional role of these dynamic interactions is a fundamental question in neuroscience. In this research, we approach this question through the development of new methods for characterizing brain dynamics from real data and new theories for linking dynamics to function. We perform our study at two scales: macro (at the level of brain regions) and micro (at the level of individual neurons). In the first part of this dissertation, we develop methods to identify the underlying dynamics at macro-scale that govern brain networks during states of health and disease in humans. First, we establish an optimization framework to actively probe connections in brain networks when the underlying network dynamics are changing over time. Then, we extend this framework to develop a data-driven approach for analyzing neurophysiological recordings without active stimulation, to describe the spatiotemporal structure of neural activity at different timescales. The overall goal is to detect how the dynamics of brain networks may change within and between particular cognitive states. We present the efficacy of this approach in characterizing spatiotemporal motifs of correlated neural activity during the transition from wakefulness to general anesthesia in functional magnetic resonance imaging (fMRI) data. Moreover, we demonstrate how such an approach can be utilized to construct an automatic classifier for detecting different levels of coma in electroencephalogram (EEG) data. In the second part, we study how ongoing function can constraint dynamics at micro-scale in recurrent neural networks, with particular application to sensory systems. Specifically, we develop theoretical conditions in a linear recurrent network in the presence of both disturbance and noise for exact and stable recovery of dynamic sparse stimuli applied to the network. We show how network dynamics can affect the decoding performance in such systems. Moreover, we formulate the problem of efficient encoding of an afferent input and its history in a nonlinear recurrent network. We show that a linear neural network architecture with a thresholding activation function is emergent if we assume that neurons optimize their activity based on a particular cost function. Such an architecture can enable the production of lightweight, history-sensitive encoding schemes

    Study and prediction of time of recovery of consciousness after general anaesthesia

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    Treballs Finals de Grau d'Enginyeria Biomèdica. Facultat de Medicina i Ciències de la Salut. Universitat de Barcelona. Curs: 2022-2023. Tutor/Director: Gambús Cerrillo, Pedro LuisSeveral studies address the process of loss of consciousness during the induction of general anaesthesia, but few of them discuss or study the process of recovery of consciousness once the of general anaesthesia has been administered successfully. The main objective of this project is to study and develop a predictive model of the duration of this process of consciousness recovery based on Machine Learning (ML) and the analysis of electroencephalographic (EEG) signals. A dataset comprising 143 patients from the 4th operating room of the Hospital Clínic of Barcelona was analysed. The project involved data pre-processing, including the segmentation of EEG signals during the recovery process, feature extraction, and correlation analysis. Five ML regression algorithms, namely Linear, Lasso, and Ridge Regression, Support Vector Regression (SVR), and Random Forest (RF), were evaluated using a Cross-Validation pipeline. Model performance, feature selection, and hyperparameter optimization were assessed using the R-squared score criterion. The best performing algorithm was the regularized linear regression model, Lasso, achieving an R-squared score of 0.74 ± 0.032 (mean and standard deviation). Through the correlation analysis and the feature selection performed by the algorithm, high predictive capabilities of consciousness recovery time were obtained for alpha and beta relative averaged band power in the first minute before stopping general anaesthesia administration. The findings demonstrate that EEG signals contain valuable information regarding the process of consciousness recovery, enabling the construction of ML predictive models. However, further studies are required to enhance our understanding of the consciousness recovery process and to validate the predictive model in a clinical setting. Future investigations should focus on increasing data variability, addressing biases in validation techniques, exploring additional EEG channels to capture global brain activity, and considering regulatory considerations for Artificial Intelligence algorithms

    Anesthetic action on the transmission delay between cortex and thalamus explains the beta-buzz observed under propofol anesthesia

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    In recent years, more and more surgeries under general anesthesia have been performed with the assistance of electroencephalogram (EEG) monitors. An increase in anesthetic concentration leads to characteristic changes in the power spectra of the EEG. Although tracking the anesthetic-induced changes in EEG rhythms can be employed to estimate the depth of anesthesia, their precise underlying mechanisms are still unknown. A prominent feature in the EEG of some patients is the emergence of a strong power peak in the β–frequency band, which moves to the α–frequency band while increasing the anesthetic concentration. This feature is called the beta-buzz. In the present study, we use a thalamo-cortical neural population feedback model to reproduce observed characteristic features in frontal EEG power obtained experimentally during propofol general anesthesia, such as this beta-buzz. First, we find that the spectral power peak in the α– and δ–frequency ranges depend on the decay rate constant of excitatory and inhibitory synapses, but the anesthetic action on synapses does not explain the beta-buzz. Moreover, considering the action of propofol on the transmission delay between cortex and thalamus, the model reveals that the beta-buzz may result from a prolongation of the transmission delay by increasing propofol concentration. A corresponding relationship between transmission delay and anesthetic blood concentration is derived. Finally, an analytical stability study demonstrates that increasing propofol concentration moves the systems resting state towards its stability threshold

    Exploring the pharmacodynamics of multidrug combinations and using the advances in technology to individualise anaesthetic drug titration

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    In current practice, pharmacokinetic-dynamic (PK/PD) models are frequently used to describe the combined relationship between the time course of drug plasma concentrations (PK) and the time independent relationship between the drug concentration at the receptor site and the clinical effect (PD). This thesis contributes to the knowledge in anaesthetic pharmacology and explores the dose-response relationships of propofol and sevoflurane (with and without the coadministration of remifentanil) in greater detail using PK/PD models. Our studies show that PK/PD models are useful in clinical practice. The concept of neural inertia could have an influence on these models, but is still controversial in humans and it does not break down the essence and applicability of these PK/PD models. Subsequently, we used these models to compare the pharmacodynamics of propofol and sevoflurane (with and without remifentanil) at both a population level as well as at an individual level. This comparison let us describe potency ratios between both hypnotics which is very helpful for anaesthetist when switching between these drugs for any reason during a case. We applied the same PK/PD models and similar potency ratios in clinical practice using the SmartPilot® View, a drug advisory system, to guide anaesthetic drug titration, and we assessed its clinical utility. Finally, we evaluated a novel method to analyse the cerebral drug effect on the EEG using Artificial Intelligence in order to explore the feasibility of whether a single index can quantify the hypnotic effect in a drug-independent way

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

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    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

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

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    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

    Signal validation in electroencephalography research

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