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一项简单且经济有效的q-EEG评估显示早期阿尔茨海默病患者和对照组之间存在显著差异

A simple and cost-effective q EEG evaluation shows marked differences between early Alzheimer’s disease patients and controls
课程网址: http://videolectures.net/snc2015_piks_marked_differences/  
主讲教师: Bruna Pikš
开课单位: 卢布尔雅那大学
开课时间: 2015-10-01
课程语种: 英语
中文简介:
由于人口老龄化,阿尔茨海默病的患病率预计将上升,因此早期诊断至关重要。目前,AD的诊断主要依赖于临床表现和排除痴呆症的其他原因。为了提高诊断的准确性,鼓励使用影像学和脑脊液生物标记物,但是它们的敏感性和特异性有限,评估它们的程序要么是侵入性的,要么是昂贵的。EEG是一种非侵入性、廉价的方法,可以提供具有类似性能的时间敏感生物标记物。方法对14例AD患者和37例正常人进行长20min的64通道静息脑电图(EO)和闭眼(EC)记录。分别对EO和EC的记录进行分段、FFT变换和平均。峰值阿尔法频率(PAF),即阿尔法频带(7-13 Hz)显示最大功率的频率,为每个通道确定,并在各组之间进行比较。所有分析均采用平均参考值。结果EO组PAF低于对照组,差异最显著(p<0.001);特别是在额叶中部和颞叶区域。在额叶和中央顶叶区域PAF较低的患者中,EC的差异不太明显,但仍然显著(p<0.01)。患者在所有头皮区域始终表现出较低的PAF。讨论本研究的主要目的是评估AD患者和对照组之间PAF的差异。我们的结果表明,定量脑电图是一种很有前途的方法,可以帮助评估AD。它的低成本和无创性使其在临床实践中具有广泛的应用前景。
课程简介: Due to population ageing prevalence of Alzheimer’s disease is expected to rise, therefore early diagnosis is paramount. Currently, AD diagnosis relies largely on clinical presentation and exclusion of other causes of dementia. To increase the diagnostic accuracy the use of imaging and CSF biomarkers is encouraged, however their sensitivity and specificity is limited and procedures for their assessment are either invasive or expensive. EEG is a non-invasive, cheap method that might offer time-sensitive biomarkers with comparable performance. METHODS A 20 min long 64-channel resting EEG with eyes open (EO) and closed (EC) was recorded on 14 AD patients and 37 controls. Recordings were segmented, FFT transformed and averaged for EO and EC separately. Peak alpha frequency (PAF), the frequency at which the alpha band (7-13 Hz) exhibits largest power, was determined for each channel and compared between groups. The average reference was used for all analyses. RESULTS Differences were most evident in EO (p<0.001) with patients having lower PAF than controls; specifically at fronto-central and temporal regions. Differences in EC were somewhat less pronounced but still significant (p<0.01) with patients having lower PAF at frontal and centro-parietal regions. Patients consistently exhibited lower PAF across all scalp regions. DISCUSSION The main objective of this study was to assess the difference in PAF between AD patients and controls. Our results indicate that quantitative EEG is a promising method that could aid in AD evaluation. Its low cost and noninvasiveness make it particularly appealing for wide scale application in clinical practice.
关 键 词: 阿尔茨海默病; 峰值阿尔法频率; 定量脑电图
课程来源: 视频讲座网
数据采集: 2021-12-11:nkq
最后编审: 2021-12-11:nkq
阅读次数: 56