scholarly journals Detecting Residual Awareness in Patients With Prolonged Disorders of Consciousness: An fNIRS Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Meng Li ◽  
Yi Yang ◽  
Yujin Zhang ◽  
Yuhang Gao ◽  
Rixing Jing ◽  
...  

Recent advances in neuroimaging technologies have provided insights into detecting residual consciousness and assessing cognitive abilities in patients with disorders of consciousness (DOC). Functional near-infrared spectroscopy (fNIRS) is non-invasive and portable and can be used for longitudinal bedside monitoring, making it uniquely suited for evaluating brain function in patients with DOC at appropriate spatiotemporal resolutions. In this pilot study, an active command-driven motor imagery (MI) paradigm based on fNIRS was used to detect residual consciousness in patients with prolonged DOC. A support vector machine (SVM) classifier was used to classify yes-or-no responses. The results showed that relatively reliable responses were detected from three out of five patients in a minimally consciousness state (MCS). One of the patients answered all the questions accurately when assessed according to this method. This study confirmed the feasibility of using portable fNIRS technology to detect residual cognitive ability in patients with prolonged DOC by active command-driven motor imagery. We hope to detect the exact level of consciousness in DOC patients who may have a higher level of consciousness.

Biosensors ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 389
Author(s):  
Kogulan Paulmurugan ◽  
Vimalan Vijayaragavan ◽  
Sayantan Ghosh ◽  
Parasuraman Padmanabhan ◽  
Balázs Gulyás

Functional Near-Infrared Spectroscopy (fNIRS) is a wearable optical spectroscopy system originally developed for continuous and non-invasive monitoring of brain function by measuring blood oxygen concentration. Recent advancements in brain–computer interfacing allow us to control the neuron function of the brain by combining it with fNIRS to regulate cognitive function. In this review manuscript, we provide information regarding current advancement in fNIRS and how it provides advantages in developing brain–computer interfacing to enable neuron function. We also briefly discuss about how we can use this technology for further applications.


2021 ◽  
Vol 15 ◽  
Author(s):  
Androu Abdalmalak ◽  
Daniel Milej ◽  
Loretta Norton ◽  
Derek B. Debicki ◽  
Adrian M. Owen ◽  
...  

Over the last few decades, neuroimaging techniques have transformed our understanding of the brain and the effect of neurological conditions on brain function. More recently, light-based modalities such as functional near-infrared spectroscopy have gained popularity as tools to study brain function at the bedside. A recent application is to assess residual awareness in patients with disorders of consciousness, as some patients retain awareness albeit lacking all behavioural response to commands. Functional near-infrared spectroscopy can play a vital role in identifying these patients by assessing command-driven brain activity. The goal of this review is to summarise the studies reported on this topic, to discuss the technical and ethical challenges of working with patients with disorders of consciousness, and to outline promising future directions in this field.


2021 ◽  
Vol 11 (6) ◽  
pp. 701
Author(s):  
Cheng-Hsuan Chen ◽  
Kuo-Kai Shyu ◽  
Cheng-Kai Lu ◽  
Chi-Wen Jao ◽  
Po-Lei Lee

The sense of smell is one of the most important organs in humans, and olfactory imaging can detect signals in the anterior orbital frontal lobe. This study assessed olfactory stimuli using support vector machines (SVMs) with signals from functional near-infrared spectroscopy (fNIRS) data obtained from the prefrontal cortex. These data included odor stimuli and air state, which triggered the hemodynamic response function (HRF), determined from variations in oxyhemoglobin (oxyHb) and deoxyhemoglobin (deoxyHb) levels; photoplethysmography (PPG) of two wavelengths (raw optical red and near-infrared data); and the ratios of data from two optical datasets. We adopted three SVM kernel functions (i.e., linear, quadratic, and cubic) to analyze signals and compare their performance with the HRF and PPG signals. The results revealed that oxyHb yielded the most efficient single-signal data with a quadratic kernel function, and a combination of HRF and PPG signals yielded the most efficient multi-signal data with the cubic function. Our results revealed superior SVM analysis of HRFs for classifying odor and air status using fNIRS data during olfaction in humans. Furthermore, the olfactory stimulation can be accurately classified by using quadratic and cubic kernel functions in SVM, even for an individual participant data set.


Author(s):  
Chenguang Li ◽  
Hongjun Yang ◽  
Long Cheng

AbstractAs a relatively new physiological signal of brain, functional near-infrared spectroscopy (fNIRS) is being used more and more in brain–computer interface field, especially in the task of motor imagery. However, the classification accuracy based on this signal is relatively low. To improve the accuracy of classification, this paper proposes a new experimental paradigm and only uses fNIRS signals to complete the classification task of six subjects. Notably, the experiment is carried out in a non-laboratory environment, and movements of motion imagination are properly designed. And when the subjects are imagining the motions, they are also subvocalizing the movements to prevent distraction. Therefore, according to the motor area theory of the cerebral cortex, the positions of the fNIRS probes have been slightly adjusted compared with other methods. Next, the signals are classified by nine classification methods, and the different features and classification methods are compared. The results show that under this new experimental paradigm, the classification accuracy of 89.12% and 88.47% can be achieved using the support vector machine method and the random forest method, respectively, which shows that the paradigm is effective. Finally, by selecting five channels with the largest variance after empirical mode decomposition of the original signal, similar classification results can be achieved.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Hedian Jin ◽  
Chunguang Li ◽  
Jiacheng Xu

Rehabilitation training is essential for motor dysfunction patients, and the training through their subjective motion intention, comparing to passive training, is more conducive to rehabilitation. This study proposes a method to identify motion intention of different walking states under the normal environment, by using the functional near-infrared spectroscopy (fNIRS) technology. Twenty-two healthy subjects were recruited to walk with three different gaits (including small-step with low-speed, small-step with midspeed, midstep with low-speed). The wavelet packet decomposition was used to find out the main characteristic channels in different motion states, and these channels with links in frequency and space were combined to define as feature vectors. According to different permutations and combinations of all feature vectors, a library for support vector machines (libSVM) was used to achieve the best recognition model. Finally, the accuracy rate of these three walking states was 78.79%. This study implemented the classification of different states’ motion intention by using the fNIRS technology. It laid a foundation to apply the classified motion intention of different states timely, to help severe motor dysfunction patients control a walking-assistive device for rehabilitation training, so as to help them restore independent walking abilities and reduce the economic burdens on society.


2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Noman Naseer ◽  
Nauman Khalid Qureshi ◽  
Farzan Majeed Noori ◽  
Keum-Shik Hong

We analyse and compare the classification accuracies of six different classifiers for a two-class mental task (mental arithmetic and rest) using functional near-infrared spectroscopy (fNIRS) signals. The signals of the mental arithmetic and rest tasks from the prefrontal cortex region of the brain for seven healthy subjects were acquired using a multichannel continuous-wave imaging system. After removal of the physiological noises, six features were extracted from the oxygenated hemoglobin (HbO) signals. Two- and three-dimensional combinations of those features were used for classification of mental tasks. In the classification, six different modalities, linear discriminant analysis (LDA), quadratic discriminant analysis (QDA),k-nearest neighbour (kNN), the Naïve Bayes approach, support vector machine (SVM), and artificial neural networks (ANN), were utilized. With these classifiers, the average classification accuracies among the seven subjects for the 2- and 3-dimensional combinations of features were 71.6, 90.0, 69.7, 89.8, 89.5, and 91.4% and 79.6, 95.2, 64.5, 94.8, 95.2, and 96.3%, respectively. ANN showed the maximum classification accuracies: 91.4 and 96.3%. In order to validate the results, a statistical significance test was performed, which confirmed that thepvalues were statistically significant relative to all of the other classifiers (p< 0.005) using HbO signals.


2018 ◽  
Vol 30 (02) ◽  
pp. 1850008 ◽  
Author(s):  
Mehrdad Dadgostar ◽  
Seyed Kamaledin Setarehdan ◽  
Sohrab Shahzadi ◽  
Ata Akin

In the present study, a classification of functional near-infrared spectroscopy (fNIRS) based on support vector machine (SVM) is presented. It is a non-invasive method monitoring human brain function by evaluating the concentration variation of oxy-hemoglobin and deoxy-hemoglobin. fNIRS is a functional optical imaging technology that measures the neural activities and hemodynamic responses in brain. The data were gathered from 11 healthy volunteers and 16 schizophrenia of the same average age by a 16-channel fNIRS (NIROXCOPE 301 system developed at the Neuro-Optical Imaging Laboratory, continuous-wave dual wavelength). Schizophrenia is a mental disorder that is characterized by mental processing collapse and weak emotional responses. This mental disorder is usually accompanied by a serious disturbance in social and occupational activities. The signals were initially preprocessed by DWT to remove any systemic physiological impediment. A preliminary examination by the genetic algorithm (GA) suggested that some channels of the recreated fNIRS signals required further investigation. The energy of these recreated channel signals was computed and utilized for signal arrangement. We used SVM-based classifier to determine the cases of schizophrenia. The result of six channels is higher than 16 channels. The results demonstrated a classification precision of about 87% in the discovery of schizophrenia in the healthy subjects.


Electronics ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. 1486
Author(s):  
SuJin Bak ◽  
Jinwoo Park ◽  
Jaeyoung Shin ◽  
Jichai Jeong

Numerous open-access electroencephalography (EEG) datasets have been released and widely employed by EEG researchers. However, not many functional near-infrared spectroscopy (fNIRS) datasets are publicly available. More fNIRS datasets need to be freely accessible in order to facilitate fNIRS studies. Toward this end, we introduce an open-access fNIRS dataset for three-class classification. The concentration changes of oxygenated and reduced hemoglobin were measured, while 30 volunteers repeated each of the three types of overt movements (i.e., left- and right-hand unilateral complex finger-tapping, foot-tapping) for 25 times. The ternary support vector machine (SVM) classification accuracy obtained using leave-one-out cross-validation was estimated at 70.4% ± 18.4% on average. A total of 21 out of 30 volunteers scored a superior binary SVM classification accuracy (left-hand vs. right-hand finger-tapping) of over 80.0%. We believe that the introduced fNIRS dataset can facilitate future fNIRS studies.


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