Weakened Effective Connectivity Related to Electroacupuncture in Stroke Patients with Prolonged Flaccid Paralysis: An EEG Pilot Study.

Flaccid paralysis in the upper extremity is a severe motor impairment after stroke, which exists for weeks, months, or even years. Electroacupuncture treatment is one of the most widely used TCM therapeutic interventions for poststroke flaccid paralysis. However, the response to electroacupuncture in different durations of flaccid stage poststroke as well as in the topological configuration of the cortical network remains unclear. The objectives of this study are to explore the disruption of the cortical network in patients in different durations of flaccid stage and observe dynamic network reorganization during and after electroacupuncture. Resting-state networks were constructed from 18 subjects with flaccid upper extremity by partial directed coherence (PDC) analysis of multichannel EEG. They were allocated to three groups according to time after flaccid paralysis: the short-duration group (those with flaccidity for less than two months), the medium-duration group (those with flaccidity between two months and six months), and the long-duration group (those with flaccidity over six months). Compared with short-duration flaccid subjects, weakened effective connectivity was presented in medium-duration and long-duration groups before electroacupuncture. The long-duration group has no response in the cortical network during electroacupuncture. The global network measures of EEG data (sPDC, mPDC, and N) indicated that there was no significant difference among the three groups. These results suggested that the network connectivity reduced and weakly responded to electroacupuncture in patients with flaccid paralysis for over six months. These findings may help us to modulate the formulation of electroacupuncture treatment according to different durations of the flaccid upper extremity.

Decoding motor imagery tasks using ESI and hybrid feature CNN.

Objective.Brain-computer interface (BCI) based on motor imaging electroencephalogram (MI-EEG) can be useful in a natural interaction system. In this paper, a new framework is proposed to solve the MI-EEG binary classification problem.Approach.Electrophysiological source imaging (ESI) technology is used to solve the influence of volume conduction effect and improve spatial resolution. Continuous wavelet transform and best time of interest (TOI) are combined to extract the optimal discriminant spatial-frequency features. Finally, a convolutional neural network with seven convolution layers is used to classify the features. In addition, we also validated several new data augment methods to solve the problem of small data sets and reduce network over-fitting.Main results.The model achieved an average classification accuracy of 93.2% and 95.4% on the BCI Competition III IVa and high-gamma data sets, which is better than most of the published advanced algorithms. By selecting the best TOI for each subject, the classification accuracy rate increased by about 2%. The effects of four data augment methods on the classification results were also verified. Among them, the noise addition and overlap methods are better than the other two, and the classification accuracy is improved by at least 4%. On the contrary, the rotation and flip data augment methods reduced the classification accuracy.Significance.Decoding MI tasks can benefit from combing the ESI technology and the data augment technology, which is used to solve the problem of low spatial resolution and small samples of EEG signals, respectively. Based on the results, the model proposed has higher accuracy and application potential in the task of MI-EEG binary classification.

EEG-Based Brain Network Analysis of Chronic Stroke Patients After BCI Rehabilitation Training.

Traditional rehabilitation strategies become difficult in the chronic phase stage of stroke prognosis. Brain-computer interface (BCI) combined with external devices may improve motor function in chronic stroke patients, but it lacks comprehensive assessments of neurological changes regarding functional rehabilitation. This study aimed to comprehensively and quantitatively investigate the changes in brain activity induced by BCI-FES training in patients with chronic stroke. We analyzed the EEG of two groups of patients with chronic stroke, one group received functional electrical stimulation (FES) rehabilitation training (FES group) and the other group received BCI combined with FES training (BCI-FES group). We constructed functional networks in both groups of patients based on direct directed transfer function (dDTF) and assessed the changes in brain activity using graph theory analysis. The results of this study can be summarized as follows: (i) after rehabilitation training, the Fugl-Meyer assessment scale (FMA) score was significantly improved in the BCI-FES group (p < 0.05), and there was no significant difference in the FES group. (ii) Both the global and local graph theory measures of the brain network of patients with chronic stroke in the BCI-FES group were improved after rehabilitation training. (iii) The node strength in the contralesional hemisphere and central region of patients in the BCI-FES group was significantly higher than that in the FES group after the intervention (p < 0.05), and a significant increase in the node strength of C4 in the contralesional sensorimotor cortex region could be observed in the BCI-FES group (p < 0.05). These results suggest that BCI-FES rehabilitation training can induce clinically significant improvements in motor function of patients with chronic stroke. It can improve the functional integration and functional separation of brain networks and boost compensatory activity in the contralesional hemisphere to a certain extent. The findings of our study may provide new insights into understanding the plastic changes of brain activity in patients with chronic stroke induced by BCI-FES rehabilitation training.

Noninvasive neuroimaging and spatial filter transform enable ultra low delay motor imagery EEG decoding.

Objective.The brain-computer interface (BCI) system based on sensorimotor rhythm can convert the human spirit into instructions for machine control, and it is a new human-computer interaction system with broad applications. However, the spatial resolution of scalp electroencephalogram (EEG) is limited due to the presence of volume conduction effects. Therefore, it is very meaningful to explore intracranial activities in a noninvasive way and improve the spatial resolution of EEG. Meanwhile, low-delay decoding is an essential factor for the development of a real-time BCI system.Approach.In this paper, EEG conduction is modeled by using public head anatomical templates, and cortical EEG is obtained using dynamic parameter statistical mapping. To solve the problem of a large amount of computation caused by the increase in the number of channels, the filter bank common spatial pattern method is used to obtain a spatial filter kernel, which reduces the computational cost of feature extraction to a linear level. And the feature classification and selection of important features are completed using a neural network containing band-spatial-time domain self-attention mechanisms.Main results.The results show that the method proposed in this paper achieves high accuracy for the four types of motor imagery EEG classification tasks, with fairly low latency and high physiological interpretability.Significance.The proposed decoding framework facilitates the realization of low-latency human-computer interaction systems.

Electroacupuncture Alters BCI-Based Brain Network in Stroke Patients.

Goal. Stroke patients are usually accompanied by motor dysfunction, which greatly affects daily life. Electroacupuncture is a kind of nondrug therapy that can effectively improve motor function. However, the effect of electroacupuncture is hard to be measured immediately in clinic. This paper is aimed to reveal the instant changes in brain activity of three groups of stroke patients before, during, and after the electroacupuncture treatment by the EEG analysis in the alpha band and beta band. Methods. Seven different functional connectivity indicators including Pearson correlation coefficient, spectral coherence, mutual information, phase locking value, phase lag index, partial directed coherence, and directed transfer function were used to build the BCI-based brain network in stroke patients. Results and Conclusion. The results showed that the brain activity based on the alpha band of EEG decreased after the electroacupuncture treatment, while in the beta band of EEG, the brain activity decreased only in the first two groups. Significance. This method could be used to evaluate the effect of electroacupuncture instantly and quantitatively. The study will hopefully provide some neurophysiological evidence of the relationship between changes in brain activity and the effects of electroacupuncture. The study of BCI-based brain network changes in the alpha and beta bands before, during, and after electroacupuncture in stroke patients of different periods is helpful in adjusting and selecting the electroacupuncture regimens for different patients. The trial was registered on the Chinese clinical trial registry (ChiCTR2000036959).

N170 component analysis of single-trial EEG based on electrophysiological source imaging.

Event-related potentials (ERP) are brain-evoked potentials that reflect the neural activity of the brain. However, it is difficult to isolate the ERP components of our interest because single-trial EEG is disturbed by other signals, and the average ERP analysis in turn loses single-trial information. In this paper, we used electrophysiological source imaging (ESI) to analyze the N170 component of single-trial EEG triggered by face stimulation. The results show that ESI is feasible for the analysis of N170 and that there are left-right differences in the area of the fusiform gyrus associated with face stimulation in the brain. Clinical Relevance- Analysis of the N170 of single-trial EEG by ESI may help in the diagnosis of patients with prosopagnosia and may also help physicians clinically in determining whether the fusiform gyrus region is damaged.

Comparison of MI-EEG Decoding in Source to Sensor Domain.

Brain-computer interface (BCI) system based on sensorimotor rhythm (SMR) is a more natural brain-computer interaction system. In this paper, we propose a new multi-task motor imagery EEG (MI-EEG) classification framework. Unlike traditional EEG decoding algorithms, we perform the decoding task in the source domain rather than the sensor domain. In the proposed algorithm, we first build a conduction model of the signal using the public ICBM152 head model and the boundary element method (BEM). The sensor domain EEG was then mapped to the selected cortex region using standardized low-resolution electromagnetic tomography (sLORETA) technology, which benefit to address volume conduction effects problem. Finally, the source domain features are extracted and classified by combining FBCSP and simple LDA. The results show that the classification-decoding algorithm performed in the source domain can well solve the classification task of MI-EEG. In addition, we found that the source imaging method can significantly increase the number of available EEG channels, which can be expanded at least double. The preliminary results of this study encourage the implementation of EEG decoding algorithms in the source domain. Clinical Relevance- This confirms that better results can be obtained by performing MI-EEG decoding in the source domain than in the sensor domain.

Removing EOG Artifacts from the EEG signal of Methamphetamine Addicts.

EEG can be used to characterize the electrical activity of the cerebral cortex, but it is also susceptible to interference. Compared with the other artifacts, Electrooculogram (EOG) artifacts have a greater impact on EEG processing and are more difficult to remove. Here, we mainly compared the regression and ICA algorithms both based on the EOG channels for the effect of removing EOG artifacts in the Stroop experiment of methamphetamine addicts. From the perspective of time domain and power spectral density, the ICA algorithm based on the EOG channels is more effective. However, the regression algorithm based on the EOG channels is less complex, more time-saving, and more suitable for real-time tasks.Clinical Relevance- For clinical purposes, this research has a certain reference value for selecting appropriate methods of removing EOG artifacts when processing the EEG of methamphetamine addicts.