• 제목/요약/키워드: awake EEG

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AUTOMATIC INTERPRETATION OF AWAKE EEG;ARTIFICIAL REALIZATION OF HUMAN SKILL

  • Nakamura, Masatoshi;Shibasaki, Hiroshi
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1996년도 Proceedings of the Korea Automatic Control Conference, 11th (KACC); Pohang, Korea; 24-26 Oct. 1996
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    • pp.19-23
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    • 1996
  • A full automatic interpretation of awake electroencephalogram (EEG) had been developed by the authors and presented at the past KACCs in series. The automatic EEG interpretation consists of four main parts: quantitative EEG interpretation, EEG report making, preprocessing of EEG data and adaptable EEG interpretation. The automatic EEG interpretation reveals essentially the same findings as the electroencephalographer's (EEG's), and then would be applicable in clinical use as an assistant tool for EEGer. The method had been developed through collaboration works between the engineering field (Saga University) and the medical field (Kyoto University). This work can be understood as an artificial realization of human expert skill. The procedure for the artificial realization was summarized in a methodology for artificial realization of human skill which will be applicable in other fields of systems control.

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소아청소년 간질 환자에서 수면 뇌파와 각성 뇌파의 간질파 발현율의 비교 (Comparison of occurrence rate of the epileptiform discharge between awake EEG and sleep EEG in childhood epilepsy)

  • 정유진;권경아;남상욱
    • Clinical and Experimental Pediatrics
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    • 제51권8호
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    • pp.861-867
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    • 2008
  • 목 적 : 소아청소년 간질 환자에서 뇌파 검사를 시행 할 때 수면-각성주기가 각성 뇌파에 비해 간질파의 발현에 미치는 영향과 이에 관련된 인자들을 알아보고자 본 연구를 시행하였다. 방 법 : 2005년 7월 1일부터 2006년 7월 31일까지 부산대학교병원에서 치료 중인 소아청소년 간질 환자에서 수면 뇌파(S)와 각성 뇌파(W)를 동시에 찍은 환아 178명을 대상으로 하였다. 전체 환자들에서 수면 뇌파와 각성 뇌파에서 간질파의 발현율(S1, W1)을 구하여 서로 비교 분석하였다. 또한 전체 환자들을 성별, 경련의 유형 및 원인, 첫 경련 시 나이, 뇌파 검사 당시 항경련제 복용 유무, 뇌파 검사 시 나이, 그리고 배경파의 이상 여부와 같은 인자들에 따라 환자군을 나누었고, 각 환자군에서의 수면 뇌파와 각성 뇌파에서 간질파의 발현율을 비교분석하였다. 결 과 : 전체 환자의 수면 뇌파에서 간질파의 발현율(45.5%)이 각성 뇌파에서 간질파의 발현율(28.7%)보다 의미 있게 높았다(P<0.001). 남아 군에서 S1 (45.7%), W1 (28.3%)로 수면 뇌파에서 간질파의 발현율이 높았으며(P<0.01), 여아 군에서도 S1 (45.3%), W1 (29.1%)로 수면 뇌파에서 간질파의 발현율이 각성 뇌파에서보다 의미 있게 높았다(P<0.05). 부분성 발작군에서는 S1 (67.9%)이 W1 (35.8%)보다 의미 있게 높았지만(P<0.001), 전신성 발작군에서는 S1 (25.6%), W1 (22.2%)로 나타났으나 통계학적인 의의는 없었다. 4) 특발성 발작군에서 S1 (41.8%)이 W1 (27.0%)보다 의미 있게 높았고(P<0.01) 증후성 발작군에서도 S1 (59.5%)이 W1 (35.1%)보다 의미 있게 높았다(P<0.05). 경련시 나이가 5세 이하 환자군에서 S1 (46.7%), W1 (30.4%)로 수면 뇌파 검사에서 간질파의 발현율이 더 높게 나타났으나 통계학적인 의의는 없었으며 5세 초과의 환자군에서는 S1 (44.2%), W1 (26.7%)로 수면 뇌파에서 간질파의 발현율이 각성 뇌파에서 간질파의 발현율보다 의미 있게 높았다(P<0.01). 뇌파 검사 당시 항경련제 복용 중인 환자군에서는 S1 (54.0%)이 W1 (31.0%)보다 의미 있게 높았지만(P<0.001) 항경련제를 복용하지 않고 있는 환자군에서는 S1 (30.8%), W1 (24.6%)로 통계학적인 의의는 없었다. 뇌파 검사 시 나이가 10세 이하인 군에서 S1 (44.3%), W1 (26.8%)로 수면 뇌파 검사에서 간질파의 발현율이 더 높게 나타났으나 통계학적인 의의는 없었으며 10세 초과인 환자군에서는 S1 (46.9%), W1 (30.9%)로 수면 뇌파에서의 간질파 발현율이 각성 뇌파에서보다 높게 나타났다(P<0.05). 정상 배경파를 보인 군에서 S1 (44.1%), W1 (27.0%)로 S1이 W1보다 유의하게 높았으나(P<0.001) 비정상 배경파를 보이는 군에서는 S1 (53.8%), W1 (38.5%)로 의미 있는 차이를 보이지 않았다. 결 론 : 소아청소년 간질 환자의 뇌파 검사 상 대부분의 환자군에서 수면 뇌파의 간질파 발현율이 각성 뇌파에서보다 유의하게 높았다. 이러한 결과를 고려할 때 간질이 의심되는 소아에서 간질의 진단을 위해서 뇌파 검사를 시행할 때에 반드시 수면 뇌파를 시행하는 것이 권장된다. 전신성 발작군, 첫 경련 시 나이가 5세 이하군, 뇌파 검사 당시 항경련제 비복용군, 뇌파 검사 시 나이가 10세 이하인 군, 그리고 배경파의 비정상소견이 보이는 뇌기능 저하 소견을 보이는 환자군에서는 각성 뇌파에서도 간질파의 발현이 비교적 높게 나타났다.

흰쥐 대뇌피질의 뇌파에 대한 diazepam 및 flumazenil의 약력학적 상호작용 (Pharmacodynamic Interactions of Diazepam and Flumazenil on Cortical Eeg in Rats)

  • 이만기
    • Biomolecules & Therapeutics
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    • 제7권3호
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    • pp.242-248
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    • 1999
  • Diazepam, a benzodiazepine (BDZ) agonist, produces sedation and flumazenil, a BDZ antagonist, blocks these actions. The aim of this study was to examine the effects of BDZs on cortical electroencephalogram (EEG) in rats. The recording electrodes were implanted over the frontal and parietal cortices bilaterally, and the reference and ground electrodes over cerebellum under ketamine anesthesia. To assess the effects of diazepam and flumazenil, rats were injected with diazepam (1 mgHg, i.p.) and/or flumazenil ( 1 mg/kg, i.p.), and the EEG was recorded before and after drugs. Normal awake had theta peak in the spectrum and low amplitude waves, while normal sleep showed large amplitude of slow waves. The powers of delta, theta and alpha bands were increased during sleep compared with during awake. Diazepam reduced the mobility of the rat and induced sleep with intermittent fast spindles and large amplitude of slow activity, and it produced broad peak over betaL band and increased the power of gamma band, which were different from EEG patterns in normal sleep. Saline injection awakened rats and abolished fast spindles for a short period about 2-5 min from EEG pattern during diazepam-induced sleep. Flumazenil blocked both diazepam-induced sleep and decreased the slow activities of delta, theta, alpha and betaL, but not of gamma activity for about 10 min or more. This study may indicate that decrease in power of betaL and betaH bands can be used as the measure of central action of benzodiazepines, and that the EEG parameters of benzodiazepines have to be measured without control over the behavioral state by experimenter.

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Real time automatic EEG report making based on quantitative interpretation of awake EEG

  • Nakamura, Masatoshi;Shibasaki, Hiroshi;Imajoh, Koaru;Ikeda, Akio;Mitsuyasu, Isao
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1992년도 한국자동제어학술회의논문집(국제학술편); KOEX, Seoul; 19-21 Oct. 1992
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    • pp.503-508
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    • 1992
  • A new method for making automatic electroencephalogram(EEG) report based on the automatic quantitative interpretation of awake EEG was developed. We first analysed a. relationship between EEG reports and quantitative EEG interpretation done by a qualified electroencephalographer(EEGer) for 22 subjects. Based on the analysed relationship and usual process of report making by the EEGer, we defined all terminology necessary for EEG report and established rules for EEG report making. By the combined use of the proposed EEG report making and the method for automatic quantitative EEG interpretation presented at '90 KACC, we were able to make the automatic EEG reports which were equivalent to the EEG reports written by the EEGer. As all the procedures were programmed in a personal computer equipped with an AD (analogue-to-digital) converter, the automatic EEG reports were obtained in almost real time in usual actual EEG recording situation with only a few seconds time lag for the analysis in the computer. The proposed report making method and the quantitative EEG interpretation method will be effectively applicable to the clinical use as an assistant tool for physicians.

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Multi-Valued Decision Making for Transitional Stochastic Event: Determination of Sleep Stages through EEG Record

  • Nakamura, Masatoshi;Sugi, Takenaop;Morota, Yukinao;Tachibana, Naoko;Shibasaki, Hiroshi
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.493-493
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    • 2000
  • Multi-valued decision making for transitional stochastic events was newly derived based on conditional probability of database. The two values (on-off) decision making method without transition had been proposed by one of the author in a previous work for a purpose of realizing human on-off decision making. The current method is an extension of the previous on-off decision making. By combining the conditional probability and the transitional probability, the closed form of the algorithm for the multi-valued transitional decision making was derived. The proposed multi-valued decision making was successfully applied to the determination of the five levels of the vigilance of a subject during the EEG recording; awake stage, drowsy stage and sleeping stages (stage 1, stage 2/3, REM (rapid eye movement)). The method for determining the vigilance level can be directly usable for the two purposes; selection of awake EEG segments for automatic EEG interpretation, and determination of sleep stages through sleep EEG. The proposed multi-valued decision making with a mathematical background of the probability can be applicable widely, in industries and in medical fields for purposes of the multi-valued decision making.

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Automatic interpretation of awaked EEG by using constructive neural networks with forgetting factor

  • Nakamura, Masatoshi;Chen, Yvette;Sugi, Takenao;Ikeda Akio;Shibasaki Hiroshi
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1995년도 Proceedings of the Korea Automation Control Conference, 10th (KACC); Seoul, Korea; 23-25 Oct. 1995
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    • pp.505-508
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    • 1995
  • The automatic interpretation of awake background electroencephalogram (EEG), consisting of quantitative EEG interpretation and EEG report making, has been developed by the authors based on EEG data visually inspected by an electroencephalographer (EEGer). The present study was focused on the adaptability of the automatic EEG interpretation which was accomplished by the constructive neural network with forgetting factor. The artificial neural network (ANN) was constructed so as to give the integrative decision of the EEG by using the input signals of the intermediate judgment of 13 items of the EEG. The feature of the ANN was that it adapted to any EEGer who gave visual inspection for the training data. The developed method was evaluated based on the EEG data of 57 patients. The re-trained ANN adapted to another EEGer appropriately.

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Bispectrum 분석을 이용한 마취 심도 평가 지표 개발 (Development for the Evaluation Index of an Anesthesia Depth using the Bispectrum Analysis)

  • 박준모;예수영;남기곤;전계록
    • 대한의용생체공학회:의공학회지
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    • 제28권6호
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    • pp.750-755
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    • 2007
  • The linear SEF (Spectral Edge Frequency) parameter and spectrum analysis method can not reflect the non-linear of EEG. This method can not contribute to acquire real time analysis and obtain a high confidence in the clinic due to low discrimination. To solve the problems, the development of a new index is carried out using the bispectrum analyzing the EEG including the non-linear characteristic. At the bispectrum analysis of the 2 dimension, the most significant's power spectrum density peaks appeared much at the specific area in awake and anesthesia state. Because many peaks are showed at the specific area in the frequency coordinate, these points are used to create the new index. Range of the index is 0-100. At the anesthesia, the index is 20-50 and at the awake, the index is 90-60. New index can discriminate the awake and anesthesia state.

Quantitative representation for EEG interpretation and its automatic scoring

  • Nakamura, Masatoshi;Shibasaki, Hiroshi;Imajoh, Kaoru;Nishida, Shigeto;Neshige, Ryuji
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1990년도 한국자동제어학술회의논문집(국제학술편); KOEX, Seoul; 26-27 Oct. 1990
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    • pp.1190-1195
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    • 1990
  • A new system for automatic interpretation of the awake electroencephalogram(EEG) was developed in this work. We first clarified all the necessary items for EEG interpretation in accordance with an analysis of visual inspection of the rhythms by a qualified electroencephalographer (EEGer), and then defined each item quantitatively. Concerning the automatic interpretation, we made an effort to find out specific EEG parameters which faithfully represent the procedure of visual interpretation by the qualified EEGer. Those specific EEG parameters were calculated from periodograms of the EEG time series. By using EEG data of 14 subjects, the automatic EEG interpretation system was constructed and compared with the visual interpretation done by the EEGer. The automatic EEG interpretation thus established was proved to be in agreement with the visual interpretation by the EEGer.

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바이코히어런스 분석 기법을 이용한 마취 단계별 뇌파의 특성 분석 (EEG Signal Characteristic Analysis for Monitoring of Anesthesia Depth Using Bicoherence Analysis Method)

  • 박준모;박종덕;전계록;허영
    • 대한전기학회논문지:시스템및제어부문D
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    • 제55권1호
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    • pp.35-41
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    • 2006
  • Although reachers have studied for a long time, they don't make criteria for anesthesia depth. anesthetists can't make a prediction about patient's reaction. Therefor, patients have potential risk such as poisonous side effect late-awake, early-awake and strain reaction. EEG are received from twenty-five patients who agreed to investigate themselves during operation with Enflurane-anesthesis in progress of anesthesia. EEG are divided pre-anesthesia, before incision of skin, operation 1, operation 2, awaking, post-anesthesia by anesthesia progress step. EEG is applied pre-processing, base line correct, linear detrend to get more reliable data. EEG data are handled by electronic processing and the EEG data are calculated by bicoherence. During pre-anesthesia and post anesthesia, appearance rate of bicoherence value is observed strong appearance rate in high frequency range($15\~30Hz$). During the anesthesia of patient, a strong appearance rate is revealed the low frequency area(0~10Hz). After bicoherence is calculated by percentage of a appearance rate, that is, Bicpara$\#$1, Bicpara$\#$2, Bicpara$\#$3 and Bicpara$\#$4 parameter are extracted. In result of bicoherence analysis, Bicpara$\#$2 and Bicpara#4 are considered that the best parameter showed progress of anesthesia effectively. And each separated bicoherence are calculated by average bicoherence's numerical value, divide by 2 area, appear by each BicHz$\#$1, BicHz$\#$2, and observed BicHz$\#$1/BicHz$\#$2's change. In result of bicoherence analysis, BicHz$\#$1, BicHz$\#$2 and BicHz$\#$1/BicHz$\#$2 are considered that the best parameter showed progress of anesthesia effectively. In conclusion, I confirmed the anesthesia progress phase, concluded to usefulness of parameter on bispectrum and bicoherence analysis and evaluated the depth of anesthesia. In the future, it is going to use for doctor's diagnosis and apply to protect an medical accident owing to anesthesia.