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January 1, 2025IEEE AccessOpen Access

The best classification performance was achieved during the eyes-open condition for the multiscale dispersion entropy (MDE) measure, with an accuracy of 95%, specificity of 93.33%, and sensitivity of 96.66%.

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Why the study?

Accurate and timely diagnosis of bipolar disorder remains challenging, and EEG entropy measures offer a complementary nonlinear approach that is less explored than power spectral density changes.

Do EEG entropy measures combined with machine learning accurately distinguish individuals with bipolar disorder from healthy controls?

Population

60 individuals: 30 patients with bipolar disorder and 30 healthy control participants

Comparison

Patients with bipolar disorder vs healthy controls

Design

Case-control machine learning evaluation

Authors

HBHamed BagheriSMSeied Rabi MahdaviNENazila Eyvazzadeh

Discussion

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Overview

May support EEG-based bipolar disorder classification tools; hypothesis-generating from Level 4 case-control data and needs prospective validation.

Key Points

  • To assess the diagnostic utility of various basic and multiscale EEG entropy measures coupled with machine learning to distinguish individuals with bipolar disorder from healthy controls.
  • Recorded resting-state EEG under eyes-closed and eyes-open conditions in 60 participants (30 patients with bipolar disorder, mean age 37.33; 30 healthy controls, mean age 35.73).
  • Calculated five basic entropy measures and four multiscale entropy measures across five cortical brain regions.
  • Applied statistical analyses and machine learning algorithms to evaluate regional entropy differences and diagnostic classification performance.
  • Patients with bipolar disorder showed significantly higher signal irregularity across frontal and central brain regions, with dispersion entropy and fuzzy entropy exhibiting the most pronounced group differences.
  • Multiscale dispersion entropy in anterior brain regions at beta frequency scales achieved peak diagnostic performance during the eyes-open condition, yielding 95.0% accuracy, 96.66% sensitivity, and 93.33% specificity.

Structured PICO

Do EEG entropy measures combined with machine learning accurately distinguish individuals with bipolar disorder from healthy controls?

P
Population
60 individuals: 30 patients with Bipolar Disorder (15 females, mean age = 37.33, SD = 8.83) and 30 healthy control participants (13 females, mean age = 35.73, SD = 9.01)
I
Intervention
EEG entropy measures (approximate, sample, permutation, fuzzy, dispersion, and multiscale entropies) combined with machine learning
C
Comparator
Healthy controls
O
Outcome
Classification performance (accuracy, specificity, sensitivity) in distinguishing individuals with BD from healthy controlssurrogate

Multiscale dispersion entropy from resting-state EEG, particularly in the frontal brain region, shows high accuracy (95%) in distinguishing bipolar disorder patients from healthy controls.

Cite This Study

Bagheri et al. (2025) studied this question.

synapsesocial.com/papers/6a1be66a4ebd09f3dfa92f50https://doi.org/10.1109/access.2025.3539323
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Machine learning-based differentiation of major depressive disorder and bipolar disorder using entropy-derived EEG biomarkers in drug-naïve patients2026
  2. 2Mitochondrial dysfunction in EEG: high-beta specific metabolic/oxidative coupling with lactate in mania-predominant polarity2026
  3. 3EEG complexity analysis using enhanced entropy features for depression detection and severity classification2026
  4. 4Endogenous phenotype of diagnostic transition from major depressive disorder to bipolar disorder: a prospective cohort study2024
  5. 5Is EEG Entropy a Useful Measure for Alzheimer's Disease?2024 · 15 citations