Assessment of rTMS treatment effects for methamphetamine use disorder based on EEG microstates.

Microstates have been proposed as topographical maps representing large-scale resting-state networks and have recently been suggested as markers for methamphetamine use disorder (MUD). However, it is unknown whether and how they change after repetitive transcranial magnetic stimulation (rTMS) intervention. This study included a comprehensive subject population to investigate the effect of rTMS on MUD microstates. 34 patients with MUD underwent a 4-week randomized, double-blind rTMS intervention (active=17, sham=17). Two resting-state EEG recordings and VAS evaluations were conducted before and after the intervention period. Additionally, 17 healthy individuals were included as baseline controls. The modified k-means clustering method was used to calculate four microstates (MS-A∼MS-D) of EEG, and the FC network was also analyzed. The differences in microstate indicators between groups and within groups were compared. The durations of MS-A and MS-B microstates in patients with MUD were significantly lower than that in HC but showed significant improvements after rTMS intervention. Changes in microstate indicators were found to be significantly correlated with changes in craving level. Furthermore, selective modulation of the resting-state network by rTMS was observed in the FC network. The findings indicate that changes in microstates in patients with MUD are associated with craving level improvement following rTMS, suggesting they may serve as valuable evaluation markers.

The Paradigm Design of a Novel 2-class Unilateral Upper Limb Motor Imagery Tasks and its EEG Signal Classification.

Multitasking motor imagery (MI) of the unilateral upper limb is potentially more valuable in stroke rehabilitation than the current conventional MI in both hands. In this paper, a novel experimental paradigm was designed to imagine two motions of unilateral upper limb, which is hand gripping and releasing, and elbow reciprocating left and right. During this experiment, the electroencephalogram (EEG) signals were collected from 10 subjects. The time and frequency domains of the EEG signals were analyzed and visualized, indicating the presence of different Event-Related Desynchronization (ERD) or Event-Related Synchronization (ERS) for the two tasks. Then the two tasks were classified through three different EEG decoding methods, in which the optimized convolutional neural network (CNN) based on FBCNet achieved an average accuracy of 67.8%, obtaining a good recognition result. This work not only can advance the studies of MI decoding of unilateral upper limb, but also can provide a basis for better upper limb stroke rehabilitation in MI-BCI.