Key result
Combined MEG frequency and entropy model detects Alzheimer's disease with ~81% accuracy.
Why the study?
The study aimed to analyze MEG background activity in Alzheimer's disease patients and elderly controls to improve AD detection using spectral and nonlinear parameters.
Does spectral and nonlinear analysis of MEG background activity improve the diagnosis of Alzheimer's disease compared to controls?
Case-Control (n=41)
Does spectral and nonlinear analysis of MEG background activity improve the diagnosis of Alzheimer's disease compared to controls?
Combining spectral and nonlinear analyses of spontaneous MEG activity can provide complementary information to improve the detection of Alzheimer's disease.
MEG spectral features may aid AD detection; leaves open prospective validation before clinical use.
The aim of the present study is to analyze the magnetoencephalogram (MEG) background activity from patients with Alzheimer's disease (AD) and elderly control subjects. MEG recordings from 20 AD patients and 21 controls were analyzed by means of two spectral [median frequency (MF) and spectral entropy (SpecEn)] and two nonlinear parameters [approximate entropy (ApEn) and Lempel-Ziv complexity (LZC)]. In the AD diagnosis, the highest accuracy of 75.6% (80% sensitivity, 71.4% specificity) was obtained with the MF according to a linear discriminant analysis (LDA) with a leave-one-out cross-validation procedure. Moreover, we wanted to assess whether these spectral and nonlinear analyses could provide complementary information to improve the AD diagnosis. After a forward stepwise LDA with a leave-one-out cross-validation procedure, one spectral (MF) and one nonlinear parameter (ApEn) were automatically selected. In this model, an accuracy of 80.5% (80.0% sensitivity, 81.0% specificity) was achieved. We conclude that spectral and nonlinear analyses from spontaneous MEG activity could be complementary methods to help in AD detection.
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Hornero et al. (2008) conducted a case-control in Alzheimer's disease (n=41). Spectral and nonlinear analyses of MEG background activity vs. Elderly control subjects was evaluated on Accuracy of AD diagnosis using a combined model of median frequency and approximate entropy. A combined model using median frequency and approximate entropy from MEG background activity achieved an 80.5% accuracy (80.0% sensitivity, 81.0% specificity) in detecting Alzheimer's disease.
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