Abstract

BackgroundQuantitative electroencephalogram (EEG) is one neuroimaging technique that has been shown to differentiate patients with major depressive disorder (MDD) and non-depressed healthy volunteers (HV) at the group-level, but its diagnostic potential for detecting differences at the individual level has yet to be realized. Quantitative EEGs produce complex data sets derived from digitally analyzed electrical activity at different frequency bands, at multiple electrode locations, and under different vigilance (eyes open vs. closed) states, resulting in potential feature patterns which may be diagnostically useful, but detectable only with advanced mathematical models.MethodsThis paper uses a data mining methodology for classifying EEGs of 53 MDD patients and 43 HVs. This included: (a) pre-processing the data, including cleaning and normalization, applying Linear Discriminant Analysis (LDA) to map the features into a new feature space; and applying Genetic Algorithm (GA) to identify the most significant features; (b) building predictive models using the Decision Tree (DT) algorithm to discover rules and hidden patterns based on the reduced and mapped features; and (c) evaluating the models based on the accuracy and false positive values on the EEG data of MDD and HV participants. Two categories of experiments were performed. The first experiment analyzed each frequency band individually, while the second experiment analyzed the bands together.ResultsApplication of LDA and GA markedly reduced the total number of utilized features by ≥ 50 % and, with all frequency bands analyzed together, the model showed average classification accuracy (MDD vs. HV) of 80 %. The best results from model testing with additional test EEG recordings from 9 MDD patients and 35 HV individuals demonstrated an accuracy of 80 % and showed an average sensitivity of 70 %, a specificity of 76 %, and a positive (PPV) and negative predictive value (NPV) of 74 and 75 %, respectively.ConclusionsThese initial findings suggest that the proposed automated EEG analytical approach could be a useful adjunctive diagnostic approach in clinical practice.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-015-0227-6) contains supplementary material, which is available to authorized users.

Highlights

  • Quantitative electroencephalogram (EEG) is one neuroimaging technique that has been shown to differentiate patients with major depressive disorder (MDD) and non-depressed healthy volunteers (HV) at the group-level, but its diagnostic potential for detecting differences at the individual level has yet to be realized

  • Defined as objective biological measures indicating the state of a normal biologic process, pathogenic process, or pharmacological response to a therapeutic intervention [7], biomarker use for diagnostics has become standard in day-to-day practice in medicine but there are no accepted biomarkers for MDD or other psychiatric disorders

  • The results were evaluated based on the Sensitivity, Specificity, Positive and Negative Likelihood Rates (LR+ and LR-), Positive and Negative Predictive Values (PPV and negative predictive value (NPV)), accuracy, and Error rate for depressed and healthy individuals, see sections Mastoid reference—bands analyzed individually, Cz reference—bands analyzed individually, Mastoid reference—bands analyzed together, and Cz reference— bands analyzed together for more details of the analysis

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Summary

Introduction

Quantitative electroencephalogram (EEG) is one neuroimaging technique that has been shown to differentiate patients with major depressive disorder (MDD) and non-depressed healthy volunteers (HV) at the group-level, but its diagnostic potential for detecting differences at the individual level has yet to be realized. Neuroimaging, which allows for in vivo access to these brain circuits, has increased our understanding of the pathophysiology of these disorders [9, 10] and is a leading candidate for the development of clinical biomarkers with potential use for diagnosis, prognosis and treatment of depression [11,12,13,14,15,16]

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