用脑电图动态模式提前7天预测抑郁症治疗反应
Motif Discovery Framework for Psychiatric EEG Data Classification
- 通过发现脑电图中的模式片段提取特征
- 在多个精神疾病数据集上实现高精度分类
- 为临床早期决策提供可解释的生理依据
目前抑郁症治疗中,患者需等待4至6周才能评估药物疗效,延迟严重影响心理与经济负担。本文将治疗反应预测视为分类问题,利用治疗第7天的脑电图(EEG)动态特性进行分析。提出一种新颖的模式发现框架,从EEG数据中提取区分治疗响应者与非响应者的有意义特征。该框架还应用于精神分裂症、难治性癫痫儿童患者以及阿尔茨海默病和痴呆患者的脑电图分类任务,均取得高精度结果。研究表明,脑电图的动态特性可支持临床在诊断及治疗响应预测方面做出更早决策,最早可在治疗第7天实现。据我们所知,这是首个将模式发现用于抑郁症诊断的系统性工作。
原文摘要 · Abstract (English)
In current medical practice, patients undergoing depression treatment must wait four to six weeks before a clinician can assess medication response due to the delayed noticeable effects of antidepressants. Identification of a treatment response at any earlier stage is of great importance, since it can reduce the emotional and economic burden connected with the treatment. We approach the prediction of a patient response to a treatment as a classification problem, by utilizing the dynamic properties of EEG recordings on the 7th day of the treatment. We present a novel framework that applies motif discovery to extract meaningful features from EEG data distinguishing between depression treatment responders and non-responders. We applied our framework also to classification tasks in other psychiatric EEG datasets, namely to patients with symptoms of schizophrenia, pediatric patients with intractable seizures, and Alzheimer disease and dementia. We achieved high classification precision in all data sets. The results demonstrate that the dynamic properties of the EEGs may support clinicians in decision making both in diagnosis and in the prediction depression treatment response as early as on the 7th day of the treatment. To our best knowledge, our work is the first one using motifs in the depression diagnostics in general.
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