Abstract

One of the important tasks in the operating room is monitoring the depth of anesthesia (DoA) during surgery, and noninvasive techniques are very popular. Hence, we propose a new scheme for DoA monitoring considering the time-frequency analysis of electroencephalography (EEG) signals and GLCM features extracted from them. To this end, at first, the time-frequency map (TFM) of each channel of each EEG is computed by smoothed pseudo-Wigner–Ville distribution (SPWVD), where the EEG signal used in this paper is recorded in 15 channels. After that, we consider the gray-level co-occurrence matrix (GLCM) to obtain the content of TFM, and after that, four features such as homogeneity, correlation, energy, and contrast are obtained for each GLCM. Finally, after the selection of efficient features using the minimum redundancy maximum relevance (MRMR) method, the K-nearest neighbor (KNN) classifier is utilized to determine the DoA. Here, we consider the three states, namely, deep hypnotic, surgical anesthesia, and sedation and awake states according to bispectral index (BIS), and each EEG epoch is classified to these states. We also employ data augmentation to enhance the training phase and increase accuracy. We obtain the accuracy and confusion matrix of the proposed method. We also analyze the effects of a number of gray levels of GLCM, distance measure in KNN classifier, and parameters of data augmentation on the performance of the proposed method. Results indicate the efficiency of the proposed method to determine the DoA during surgery.

Highlights

  • General anesthesia (GA) is a necessary state for many surgical procedures

  • Since EEG signals present nonlinear characteristics in anesthesia conditions [23], we present a method for depth of anesthesia (DoA)

  • Signals (ii) Employing gray-level co-occurrence matrix (GLCM) features in order to describe the time-frequency content (iii) Feature selection by minimum redundancy maximum relevance (MRMR) algorithm to reduce the complexity of classification (iv) Employing data augmentation to increase the generality of K-nearest neighbor (KNN) classifier (v) Obtaining the accuracy and confusion matrix of the proposed scheme (vi) Analyzing the accuracy for different distance measures as well as different number of gray levels and augmentation parameters

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Summary

Introduction

General anesthesia (GA) is a necessary state for many surgical procedures. There are several essential features of anesthesia which are displayed by patients. (i) Employing SPWVD for obtaining the TFM of EEG signals (ii) Employing GLCM features in order to describe the time-frequency content (iii) Feature selection by MRMR algorithm to reduce the complexity of classification (iv) Employing data augmentation to increase the generality of KNN classifier (v) Obtaining the accuracy and confusion matrix of the proposed scheme (vi) Analyzing the accuracy for different distance measures as well as different number of gray levels and augmentation parameters.

Proposed DoA Monitoring
Results
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