提出跨人群评估框架,提升帕金森病脑电生物标志物的泛化与临床可靠性
Robust and Clinically Reliable EEG Biomarkers: A Cross Population Framework for Generalizable Parkinson's Disease Detection

- 构建人口感知评估框架,通过75种跨队列训练测试配置验证模型鲁棒性
- 多人群训练使准确率最高达94.1%,且生物标志物稳定性随多样性提升
- 适合多中心医疗应用,为脑电生物标志物开发提供可复现的评估范式
开发鲁棒且临床可靠的脑电图(EEG)生物标志物需在多中心场景下明确应对跨人群泛化问题。在独立同分布假设下训练的模型常捕捉特定人群特征而非疾病相关神经结构,导致跨队列泛化能力差。由于脑电信号信噪比低且采集条件异质,该挑战尤为突出。本文提出一种人群感知的评估框架,用于评估脑电生物标志物在分布偏移下的稳健性与临床可靠性。采用n-gram扩展策略,在五个独立队列间生成75种方向性训练测试配置。结合嵌套交叉验证与通道选择机制,实现无人群泄露的前瞻性生物标志物识别。结果显示跨队列迁移具有不对称性,且准确率与生物标志物稳定性均随训练人群多样性增加而提升,最高达94.1%。基于混合风险优化与假设空间压缩的理论分析揭示,多人群训练促进群体鲁棒表征学习。本研究建立了一个为多中心生物医学应用设计的、可信赖的脑电生物标志物学习框架。
原文摘要 · Abstract (English)
Developing robust and clinically reliable EEG biomarkers requires evaluation frameworks that explicitly address cross population generalization in multi site settings such as Parkinsons disease (PD) detection. Models trained under i.i.d. assumptions often capture population specific artifacts rather than disease relevant neural structure, leading to poor generalization across clinical cohorts. EEG further amplifies this challenge due to low signal to noise ratio and heterogeneous acquisition conditions. We propose a population aware evaluation framework to assess the robustness and clinical reliability of EEG biomarkers under distribution shift. Using an n gram expansion strategy, we enumerate all cross population train test configurations across five independent cohorts, resulting in 75 directional evaluations. A nested cross validation design with integrated channel selection ensures prospective biomarker identification without population leakage. Results show that cross population transfer is asymmetric and that both accuracy and biomarker stability improve with increasing training population diversity, achieving up to 94.1% accuracy on held out cohorts. A theoretical analysis based on mixture risk optimization and hypothesis space contraction explains these trends, showing that multi population training promotes population robust representations. This work establishes a principled framework for learning robust, generalizable, and clinically reliable EEG biomarkers for multi site biomedical applications.
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