Abstract

Characterizing dementia is a global challenge in supporting personalized health care. The electroencephalogram (EEG) is a promising tool to support the diagnosis and evaluation of abnormalities in the human brain. The EEG sensors record the brain activity directly with excellent time resolution. In this study, EEG sensor with 19 electrodes were used to test the background activities of the brains of five vascular dementia (VaD), 15 stroke-related patients with mild cognitive impairment (MCI), and 15 healthy subjects during a working memory (WM) task. The objective of this study is twofold. First, it aims to enhance the recorded EEG signals using a novel technique that combines automatic independent component analysis (AICA) and wavelet transform (WT), that is, the AICA–WT technique; second, it aims to extract and investigate the spectral features that characterize the post-stroke dementia patients compared to the control subjects. The proposed AICA–WT technique is a four-stage approach. In the first stage, the independent components (ICs) were estimated. In the second stage, three-step artifact identification metrics were applied to detect the artifactual components. The components identified as artifacts were marked as critical and denoised through DWT in the third stage. In the fourth stage, the corrected ICs were reconstructed to obtain artifact-free EEG signals. The performance of the proposed AICA–WT technique was compared with those of two other techniques based on AICA and WT denoising methods using cross-correlation and peak signal to noise ratio (ANOVA, ˂ 0.05). The AICA–WT technique exhibited the best artifact removal performance. The assumption that there would be a deceleration of EEG dominant frequencies in VaD and MCI patients compared with control subjects was assessed with AICA–WT (ANOVA, ˂ 0.05). Therefore, this study may provide information on post-stroke dementia particularly VaD and stroke-related MCI patients through spectral analysis of EEG background activities that can help to provide useful diagnostic indexes by using EEG signal processing.

Highlights

  • EEG sensors provide a non-invasive method to measure the electrical activity of the brain by placing electrodes over the scalp

  • It aims to enhance the recorded EEG signals using a novel automatic independent component analysis (AICA)–wavelet transform (WT) technique; second, to investigate the spectral features that characterize the dementia patients compared to the control subjects using

  • Our results showed that cardiac artifacts (CAs) and ocular artifacts (OAs) were marked by Kurt, Skw, and sample entropy (SampEn) because of their amplitude distributions

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Summary

Introduction

EEG sensors provide a non-invasive method to measure the electrical activity of the brain by placing electrodes over the scalp. This sensing technology is non-invasive and the EEG can achieve high temporal resolution to reflect the dynamics of brain activity directly. The amplitude and frequency range of clinical EEG waveforms are 10–70 μv and 1–100 Hz, respectively. Important data are provided by EEG waveforms, which are separated into five frequency bands, namely, delta (δ), theta (θ), alpha (α), beta (β), and gamma (γ) [3,4]. In the context of physiology, the power distribution of various frequency bands may be determined based on EEG signal characterization. The determination of important data regarding cognitive function and memory performance may depend crucially on EEG relative powers [5]

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