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Automatic Sleep Stage Classification Based on Subthalamic Local Field Potentials

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机构: [1]National Engineering Laboratory for Neuromodulation, School of Aerospace Engineering, Tsinghua University, Beijing 100084, China. [2]Department of Neurosurgery, Peking Union Medical College Hospital, Beijing 100032, China. [3]Department of Neurosurgery, Qilu Hospital of Shandong University, Shandong 250012, China. [4]Department of Otolaryngology, Head and Neck Surgery, Beijing Tsinghua Changgung Hospital, Beijing 102218, China [5]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China [6]Athinoula A. Martinos Center for Biomedical Imaging, Harvard Medical School, MA 02129, USA [7]Computer Science Department, Stanford University, Stanford, CA 94305 USA [8]Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing 100069, China [9]School of Aerospace Engineering, Man-Machine- Environment Engineering Institute, Tsinghua University, Beijing 100084, China, [10]Precision Medicine & Healthcare Research Center, Tsinghua–Berkeley Shenzhen Institute, Shenzhen 518071, China, and also with the Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing 100069, China
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关键词: Deep brain stimulation (DBS) local field potential (LFP) sleep classification Parkinson's disease

摘要:
Deep brain stimulation (DBS) is an established treatment for patients with Parkinson's disease (PD). Sleep disorders are common complications of PD and affected by subthalamic DBS treatment. To achieve more precise neuromodulation, chronic sleep monitoring and closed-loop DBS toward sleep-wake cycles could potentially be utilized. Local field potential (LFP) signals that are sensed by the DBS electrode could be processed as primary feedback signals. This is the first study to systematically investigate the sleep-stage classification based on LFPs in subthalamic nucleus (STN). With our newly developed recording and transmission system, STN-LFPs were collected from 12 PD patients during wakefulness and nocturnal polysomnography sleep monitoring at one month after DBS implantation. Automatic sleep-stage classification models were built with robust and interpretable machine learning methods (support vector machine and decision tree). The accuracy, sensitivity, selectivity, and specificity of the classification reached high values (above 90% at most measures) at group and individual levels. Features extracted in alpha (8-13 Hz), beta (13-35 Hz), and gamma (35-50 Hz) bands were found to contribute the most to the classification. These results will directly guide the engineering development of implantable sleep monitoring and closed-loop DBS and pave the way for a better understanding of the STN-LFP sleep patterns.

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出版当年[2018]版:
大类 | 2 区 工程技术
小类 | 1 区 康复医学 2 区 工程:生物医学
最新[2023]版:
大类 | 2 区 医学
小类 | 1 区 康复医学 2 区 工程:生物医学
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出版当年[2017]版:
Q1 REHABILITATION Q1 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q1 REHABILITATION Q2 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]National Engineering Laboratory for Neuromodulation, School of Aerospace Engineering, Tsinghua University, Beijing 100084, China.
通讯作者:
通讯机构: [1]National Engineering Laboratory for Neuromodulation, School of Aerospace Engineering, Tsinghua University, Beijing 100084, China. [7]Computer Science Department, Stanford University, Stanford, CA 94305 USA [8]Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing 100069, China [9]School of Aerospace Engineering, Man-Machine- Environment Engineering Institute, Tsinghua University, Beijing 100084, China, [10]Precision Medicine & Healthcare Research Center, Tsinghua–Berkeley Shenzhen Institute, Shenzhen 518071, China, and also with the Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing 100069, China
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