丘脑下核局部场电位检测帕金森病震颤的特征

E. Bakštein, K. Warwick, Jonathan G. Burgess, Oyvind Stavdahl, T. Aziz
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引用次数: 7

摘要

深部脑刺激(DBS)是一种常规治疗方法,用于缓解帕金森病(PD)的症状。在这种治疗中,电脉冲通过植入患者基底神经节的电极施加。由于大多数患者的症状不是永久性的,因此需要开发一种按需刺激器,仅在检测到症状发作时施加脉冲。本研究评估了为检测震颤而创建的特征集-帕金森病的主要症状。设计的特征集以标准信号特征为基础,研究基底节区丘脑底核(STN)电信号的时间、谱、统计、自相关和分形特性。使用统计测试和反向算法选择最具特征的震颤相关特征,然后用于对未见的患者信号进行分类。频谱特征在检测震颤方面是最有效的,特别是3.5-5.5 Hz和0-1 Hz的频谱波段被证明是非常显著的。诊断震颤的分类结果灵敏度为94%,特异度为1。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features for detection of Parkinson's disease tremor from local field potentials of the subthalamic nucleus
Deep Brain Stimulation (DBS) is a treatment routinely used to alleviate the symptoms of Parkinson's disease (PD). In this type of treatment, electrical pulses are applied through electrodes implanted into the basal ganglia of the patient. As the symptoms are not permanent in most patients, it is desirable to develop an on-demand stimulator, applying pulses only when onset of the symptoms is detected. This study evaluates a feature set created for the detection of tremor — a cardinal symptom of PD. The designed feature set was based on standard signal features and researched properties of the electrical signals recorded from subthalamic nucleus (STN) within the basal ganglia, which together included temporal, spectral, statistical, autocorrelation and fractal properties. The most characterized tremor related features were selected using statistical testing and backward algorithms then used for classification on unseen patient signals. The spectral features were among the most efficient at detecting tremor, notably spectral bands 3.5–5.5 Hz and 0–1 Hz proved to be highly significant. The classification results for determination of tremor achieved 94% sensitivity with specificity equaling one.
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