arXiv:2605.16326q-bio.QMcs.AI2026-05

用脑电图预测慢性颈痛治疗效果,助力个性化诊疗。

A Machine Learning Framework for EEG-Based Prediction of Treatment Efficacy in Chronic Neck Pain

  • 基于脑电信号预处理与机器学习建模,识别治疗响应特征。
  • 结合16项患者研究和47项健康对照研究,优化预测策略。
  • 适合神经科学、疼痛管理及临床人工智能研究者参考。

慢性颈痛是全球致残的主要原因,当前治疗选择仍依赖试错。本文提出一种基于脑电图(EEG)的机器学习框架,旨在预测慢性颈痛患者的治疗疗效,以支持个体化治疗并减轻医疗系统负担。该框架包含针对不同EEG记录类型的严格预处理流程:静息态EEG包括基线信号去除、坏通道剔除、重参考、带通与陷波滤波、独立成分分析及功率谱密度分析;运动执行与运动想象数据则在初始处理后对齐触发事件,量化事件相关去同步(ERD)与事件相关同步(ERS)。同步记录的肌电图数据经带通滤波与移动平均平滑后,与对应脑电通道相关联,刻画运动尝试期间的脑电-肌电关系。同时,我们系统回顾了763篇临床脑电图机器学习研究(最终保留16项患者研究和47项健康对照研究),为后处理策略提供依据。通过整合预处理与文献分析,目标是构建稳健的预测模型,支持慢性疼痛管理中的个性化医疗策略。

原文摘要 · Abstract (English)

Chronic neck pain is a leading cause of disability worldwide, and current treatment selection remains largely trial and error. We present a machine learning framework that uses electroencephalography to predict treatment efficacy in patients with chronic neck pain, with the goal of supporting individualized therapy and reducing the burden on healthcare systems. The framework centers on a rigorous data preprocessing stage tailored to the characteristics of each EEG recording type. For resting-state EEG, the preprocessing pipeline comprises baseline signal removal, bad channel identification and exclusion, re-referencing, bandpass and notch filtering, Independent Component Analysis, and power spectral density analysis. For motor execution and motor imagery recordings, the same initial steps are applied, after which signals are aligned to trigger events so that event-related desynchronization (ERD) and event-related synchronization (ERS) can be quantified. Synchronously recorded electromyography data are bandpass filtered and smoothed with a moving average, then correlated with the corresponding EEG channels to characterize the EEG EMG relationship during attempted movement. In parallel, we performed an extensive literature review of machine learning models applied to clinical EEG (763 records initially screened, 16 patient and 47 healthy-control studies retained), to inform the post-processing strategy. Through this combined preprocessing and review effort, we aim to develop a robust predictive model that can support personalized healthcare strategies in chronic pain management.

脑电图慢性疼痛机器学习个性化治疗

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