Key result
A novel ultra-high-resolution time-frequency analysis of EEG using revised Hilbert-Huang transformation achieved 89% accuracy in distinguishing Alzheimer's disease patients from healthy controls.
Why the study?
The study aimed to explore the potential of high-resolution EEG-based brain functional connectivity as a biomarker and diagnostic method for Alzheimer disease.
Does the revised Hilbert-Huang transformation (RHHT) cross-spectrum method improve diagnostic accuracy for Alzheimer's disease compared to other functional connectivity measures?
Case-Control (n=39)
No
Does the revised Hilbert-Huang transformation (RHHT) cross-spectrum method improve diagnostic accuracy for Alzheimer's disease compared to other functional connectivity measures?
The RHHT cross-spectrum method combined with machine learning provides a promising, high-accuracy diagnostic biomarker for Alzheimer's disease using EEG.
May support EEG-based Alzheimer's screening; leaves open prospective validation before clinical adoption.
Objective. This study aims to explore the potential of high-resolution brain functional connectivity based on electroencephalogram, a non-invasive low-cost technique, to be translated into a long-overdue biomarker and a diagnostic method for Alzheimer’s disease (AD). Approach. The paper proposes a novel ultra-high-resolution time-frequency nonlinear cross-spectrum method to construct a promising biomarker of AD pathophysiology. Specifically, using the peak frequency estimated from a revised Hilbert–Huang transformation (RHHT) cross-spectrum as a biomarker, the support vector machine classifier is used to distinguish AD from healthy controls (HCs). Main results. With the combinations of the proposed biomarker and machine learning, we achieved a promising accuracy of 89%. The proposed method performs better than the wavelet cross-spectrum and other functional connectivity measures in the temporal or frequency domain, particularly in the Full, Delta and Alpha bands. Besides, a novel visualisation approach developed from topography is introduced to represent the brain functional connectivity, with which the difference between AD and HCs can be clearly displayed. The interconnections between posterior and other brain regions are obviously affected in AD. Significance. Those findings imply that the proposed RHHT approach could better track dynamic and nonlinear functional connectivity information, paving the way for the development of a novel diagnostic approach.
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Cao et al. (2022) conducted a case-control in Alzheimer's disease (n=39). Revised Hilbert-Huang transformation (RHHT) of EEG vs. Healthy controls was evaluated on Classification accuracy of Alzheimer's disease versus healthy controls. A novel ultra-high-resolution time-frequency analysis of EEG using revised Hilbert-Huang transformation achieved 89% accuracy in distinguishing Alzheimer's disease patients from healthy controls.
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