scholarly journals Identification of an early-stage Parkinson’s disease neuromarker using event-related potentials, brain network analytics and machine-learning

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261947
Author(s):  
Sharon Hassin-Baer ◽  
Oren S. Cohen ◽  
Simon Israeli-Korn ◽  
Gilad Yahalom ◽  
Sandra Benizri ◽  
...  

Objective The purpose of this study is to explore the possibility of developing a biomarker that can discriminate early-stage Parkinson’s disease from healthy brain function using electroencephalography (EEG) event-related potentials (ERPs) in combination with Brain Network Analytics (BNA) technology and machine learning (ML) algorithms. Background Currently, diagnosis of PD depends mainly on motor signs and symptoms. However, there is need for biomarkers that detect PD at an earlier stage to allow intervention and monitoring of potential disease-modifying therapies. Cognitive impairment may appear before motor symptoms, and it tends to worsen with disease progression. While ERPs obtained during cognitive tasks performance represent processing stages of cognitive brain functions, they have not yet been established as sensitive or specific markers for early-stage PD. Methods Nineteen PD patients (disease duration of ≤2 years) and 30 healthy controls (HC) underwent EEG recording while performing visual Go/No-Go and auditory Oddball cognitive tasks. ERPs were analyzed by the BNA technology, and a ML algorithm identified a combination of features that distinguish early PD from HC. We used a logistic regression classifier with a 10-fold cross-validation. Results The ML algorithm identified a neuromarker comprising 15 BNA features that discriminated early PD patients from HC. The area-under-the-curve of the receiver-operating characteristic curve was 0.79. Sensitivity and specificity were 0.74 and 0.73, respectively. The five most important features could be classified into three cognitive functions: early sensory processing (P50 amplitude, N100 latency), filtering of information (P200 amplitude and topographic similarity), and response-locked activity (P-200 topographic similarity preceding the motor response in the visual Go/No-Go task). Conclusions This pilot study found that BNA can identify patients with early PD using an advanced analysis of ERPs. These results need to be validated in a larger PD patient sample and assessed for people with premotor phase of PD.

2021 ◽  
Author(s):  
Robin Vlieger ◽  
Elena Daskalaki ◽  
Deborah Apthorp ◽  
Christian J Lueck ◽  
Hanna Suominen

Current tests of disease status in Parkinson’s disease suffer from high variability, limiting their ability to determine disease severity and prognosis. Event-related potentials, in conjunction with machine learning, may provide a more objective assessment. In this study, we will use event-related potentials to develop machine learning models, aiming to provide an objective way to assess disease status and predict disease progression in Parkinson’s disease.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Gulsum Akdeniz ◽  
Gonul Vural ◽  
Sadiye Gumusyayla ◽  
Hesna Bektas ◽  
Orhan Deniz

Background. Parkinson’s disease is associated with impaired ability to recognize emotional facial expressions. In addition to a visual processing disorder, a visual recognition disorder may be involved in these patients. Pareidolia is a type of complex visual illusion that permits the interpretation of a vague stimulus as something known to the observer. Parkinson’s patients experience pareidolic illusions. N170 and N250 waveforms are two event-related potentials (ERPs) involved in emotional facial expression recognition. Objective. In this study, we investigated how Parkinson’s patients process face and face-pareidolia stimuli at the neural level using N170, vertex positive potential (VPP), and N250 components of event-related potentials. Methods. To examine the response of face and face-pareidolia processing in Parkinson’s patients, we measured the N170, VPP, and N250 components of the event-related brain potentials in a group of 21 participants with Parkinson’s disease and 26 control participants. Results. We found that the latencies of N170 and VPP responses to both face and face-pareidolia stimuli were increased along with their amplitudes, and the amplitude of N250 responses decreased in Parkinson’s patients compared to the control group. In both control and Parkinson’s patients, face stimuli generated greater ERP amplitude and shorter latency in responses than did face-pareidolia stimuli. Conclusion. The results of our study showed that ERPs associated with face and also face-pareidolia stimuli processing are changed in early-stage neurophysiological activity in the temporoparietal cortex of Parkinson’s patients.


2000 ◽  
Vol 68 (5) ◽  
pp. 741-747 ◽  
Author(s):  
Chunhui Jiang ◽  
Yumiko Kaseda ◽  
Rumi Kumagai ◽  
Yoko Nakano ◽  
Shigenobu Nakamura

2016 ◽  
Vol 23 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Anthony J. Angwin ◽  
Nadeeka N.W. Dissanayaka ◽  
Alison Moorcroft ◽  
Katie L. McMahon ◽  
Peter A. Silburn ◽  
...  

AbstractObjectives: Cognitive-linguistic impairments in Parkinson’s disease (PD) have been well documented; however, few studies have explored the neurophysiological underpinnings of semantic deficits in PD. This study investigated semantic function in PD using event-related potentials. Methods: Eighteen people with PD and 18 healthy controls performed a semantic judgement task on written word pairs that were either congruent or incongruent. Results: The mean amplitude of the N400 for new incongruent word pairs was similar for both groups, however the onset latency was delayed in the PD group. Further analysis of the data revealed that both groups demonstrated attenuation of the N400 for repeated incongruent trials, as well as attenuation of the P600 component for repeated congruent trials. Conclusions: The presence of N400 congruity and N400 repetition effects in the PD group suggests that semantic processing is generally intact, but with a slower time course as evidenced by the delayed N400. Additional research will be required to determine whether N400 and P600 repetition effects are sensitive to further cognitive decline in PD. (JINS, 2017, 23, 78–89)


2000 ◽  
Vol 12 (3) ◽  
pp. 143-148 ◽  
Author(s):  
Mutsumi Iijima ◽  
Mikio Osawa ◽  
Makoto Iwata ◽  
Akiko Miyazaki ◽  
Hideaki Tei

The purpose of this study was to evaluate the relationship between P300 that is one of the event-related potentials and frontal cognitive functions in Parkinson’s disease (PD) without clinically apparent dementia.Subjects were 20 PD cases 48 to 79 years of age, all of whom were within normal limits on the Mini-Mental State examination, and 55 age-matched healthy adults.P300 was elicited with an auditory oddball paradigm and recorded at 15 sites on the scalp. Cognitive functioning of the frontal lobe was evaluated using the New Modified Wisconsin Card Sorting Test (WCST) and the Letter Pick-Out Test (LPOT) which reflects selective attention and semantic categorization.P300 latency was delayed in 30.0% of P300 demonstrated abnormal distribution in 20.0%. the WCST and the LPOT were abnormal in 15.0%, P300 latency significantly correlated with number of subcategories achieved on the WCST. P300 amplitude correlated with scores on the LPOT. These results suggest that cognitive dysfunction which linked partly to the frontal lobe might begin in PD even without clinically apparent dementia.


1999 ◽  
Vol 8 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Hisao Tachibana ◽  
Yasushi Miyata ◽  
Masanaka Takeda ◽  
Minoru Sugita ◽  
Tsunetaka Okita

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