Using Back Propagation Feedback Neural Networks and Recurrence Quantification Analysis of EEGs Predict Responses to Incision During Anesthesia
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Abstract
This paper presents a new approach to detect depth of anaesthesia by using recurrence quantification analysis of electroencephalogram (EEG) and artificial neural network(ANN) . From 98 consenting patient experiments, 98 distinct EEG recordings were collected prior to incision during isoflurane anaesthesia of different levels. The seven measures of recurrence plot were extracted from each of four-channel EEG time series. Prediction was made by means of ANN. Training and testing the ANN used the ‘leave-one-out’ method. The prediction was tested by monitoring the responses to incision. The system was able to correctly classify purposeful responses in average accuracy of 92.86% of the cases. This method is also computationally fast and acceptable real-time clinical performance was obtained.
Keywords
Recurrence Plot Recurrence Quantification Analysis Bispectral Analysis Spectral Edge Frequency Sponse StateReferences
- 1.Moerman, N., Bonke, B., Oosting, J.: Awareness and recall during general anesthesia: facts and feelings. Anesthesiology 79, 454–464 (1993)CrossRefGoogle Scholar
- 2.Ghoneim, M.M., Block, R.L.: Learning and consciousness during general anaesthesia. Anesthesiology 76, 279–305 (1992)CrossRefGoogle Scholar
- 3.Rubin, M.A., Freeman, H.: Brain potential changes in man during cyclopropane anesthesia. J. Neurophysiol. 3, 33–42 (1940)Google Scholar
- 4.Thomsen, C.E., Christensen, K.N., Rosenflack, A.: Computerized monitoring of depth of anaesthesia with isoflurane. Br. J. Anaesthesia. 63, 36–43 (1989)CrossRefGoogle Scholar
- 5.Sharma, A., Roy, R.J.: Design of a recognition system to predict movement during anesthesia. IEEE Trans. on Biomed. Eng. 44, 505–511 (1997)CrossRefGoogle Scholar
- 6.Kearse, L.A., Manberg, P., DeBros, F. (eds.): Bispectral analysis of the electroencephalogram during induction of anesthesia predict hemodynamic responses to laryngoscopy and intubation. Electroencephalography and clinical Neurophysiology 90, 194–200 (1994)Google Scholar
- 7.Vernon, J.M., Lang, E., Sebel, P.S. (eds.): Prediction of movement using bispectral electroencephalographic analysis during propofol/alfentanil or isoflurane/alfentanil anesthesia. Anesth. Analg. 80, 780–785 (1995)Google Scholar
- 8.Nayak, A., Roy, R.J., Sharma, A.: Time-frequency spectral representation of the EEG as an aid in the detection of depth of anaesthesia. Ann. Biomed. Eng. 22, 501–513 (1994)CrossRefGoogle Scholar
- 9.Pradhan, N., Adasivan, P.K.: Validity of dimensional complexity measures of EEG signals. Int. J. Bifurcation Chaos Appl. Sci. Eng. 7, 173–286 (1997)zbMATHCrossRefGoogle Scholar
- 10.Ogo, K., Nakagawa, W.: Chaos and fractal properties in EEG data. Electron. Commun. Jpn. 78, 27–36 (1995)Google Scholar
- 11.Yaylali, I., Kocak, H., Jayakar, P.: Detection of seizures from small samples using nonlinear dynamic system theory. IEEE Trans. on Biomed. Eng. 43, 743–751 (1996)CrossRefGoogle Scholar
- 12.Jackson, M.E., Cauller, L.J.: Non-linear dynamics of neocortical spontaneous field potentials during anesthetized and awake states in chronically implanted rats. Soc. Neurosci. Abst. 21, 57.10 (1995)Google Scholar
- 13.Theiler, J.: Testing for nonlinearity in time series: the method of surrogate data. Physica D. 58, 77–94 (1992)CrossRefzbMATHGoogle Scholar
- 14.Pritchard, W.S.: Dimensional analysis of resting human EEG II: Surrogate data testingindicates nonlinearity but not low-dimensional chaos. Psychophysiology 32, 486–491 (1995)CrossRefGoogle Scholar
- 15.Wolf, A., Swift, J.B., Swinney, H.L. (eds.): Determining Lyapunov exponents from atime series. Physica D. 16, 217–285 (1985)Google Scholar
- 16.Buhrer, M.: Thiopental pharmacodynamics. Anesthesiology 77, 226–236 (1992)CrossRefGoogle Scholar
- 17.Zbinden, A.M., Maggiorini, M., Petersen-Felix, S. (eds.): Anesthetic depth defined using multiple noxious stimuli during isoflurane/oxygen anesthesia. Anesthesiology 80, 253–260 (1994)Google Scholar
- 18.Steward, A., Allott, P.R., Mapleson, W.W.: The solubility of halothane in canine blood and tissues. Br. J. Anaesthesia 47, 423–433 (1975)CrossRefGoogle Scholar
- 19.Mapleson, W.W.: Circulation-time models of the uptake of inhaled anaesthetics and data for quantifying them. Br. J. Anaesthesia 45, 319–333 (1973)CrossRefGoogle Scholar
- 20.Takens, F.: Determining strange attractors in turbulence. Lecture notes in math., vol. 898, pp. 361–381 (1981)Google Scholar
- 21.Cao, L.: Practical method for determining the minimum embedding dimension of a scalar time series. Physica D. 110, 43–50 (1997)zbMATHCrossRefGoogle Scholar
- 22.Kennel, M.B.: Determining embedding dimension for phase-space reconstruction using a geometrical construction. Physical Review A. 65, 3403–3411 (1992)CrossRefGoogle Scholar
- 23.Fraser, A.M., Swinney, H.L.: Independent coordinates for strange attractors from mutual information. Phys. Rev. A. 33, 1134–1140 (1986)CrossRefMathSciNetzbMATHGoogle Scholar
- 24.Eckmann, J.P., Kamphorst, S.O., Ruelle, D.: Recurrence plots of dynamical systems. Europhys. Lett. 4, 973–977 (1987)CrossRefGoogle Scholar
- 25.Webber Jr., C.L., Zbilut, J.P.: Dynamical assessment of physiological systems and states using recurrence plot strategies. J. Appl. Physiol. 76, 965–973 (1994)Google Scholar
- 26.Zbilut, J.P., Webber Jr., C.L.: Embeddings and delays as derived from quantification of recurrence plots. Phys. Lett. A. 171, 199–203 (1992)CrossRefGoogle Scholar
- 27.Trulla, L.L., Giuliani, A., Zbilut, J.P., Webber Jr., C.L.: Recurrence quantification analysis of the logistic equation with transients. Phys. Lett. A. 223, 255–260 (1996)zbMATHCrossRefMathSciNetGoogle Scholar
- 28.Marwan, N., Wessel, N., Meyerfeldt, U. (eds.): Recurrence-plot-based measures of complexity and their application to heart-rate-variability data. Phys. Reviw. E. 66, 026702 (2002)Google Scholar
- 29.Lippmann, R.P.: An Introduction to Computing with Neural nets. IEEE ASSP Magazine, 4–22 (April 1987)Google Scholar
- 30.Mirchandami, G., Cao, W.: On hidden nodes for neural nets. IEEE Trans. on Circuits and System 36, 661–664 (1989)CrossRefGoogle Scholar
- 31.Vogel, M.A., Wong, A.K.C.: PFS clustering method. IEEE Trans. on Pattern Anal. Mach. Intell. 1, 237–245 (1979)zbMATHCrossRefGoogle Scholar
- 32.Fukunaga, K.: Introduction to Statistical Pattern Recognition, 2nd edn. Academic, San Diego (1990)zbMATHGoogle Scholar
- 33.Drummond, J.C., Brann, C.A., Perkins, D.E. (eds.): A comparison of median frequency, spectral edge frequency, a frequency band power ratio, total power, and dominance shift in determination of depth of anaesthesia. Acta Anaesthesiologica Scand. 35, 693–699 (1991)Google Scholar
- 34.Rampil, I.J., Matteo, R.S.: Changes in EEG spectral edge frequency correlate with the hemodynamic response to laryngoscopy and intubation. Anesthesiology 67, 139–142 (1987)CrossRefGoogle Scholar
- 35.Sebel, P.S., Bowles, S.M., Saini, V. (eds.): EEG bispectrum predicts movement during thiopental/isoflurane anaesthesia. J. Clin. Monit. 11, 83–91 (1995)Google Scholar
- 36.Linkens, D.A.: Adaptive and intelligent control in anesthesia. IEEE Contr. Syst. Technol., 6–11 (December 1992)Google Scholar
- 37.Argyris, J.H., Faust, G., Haase, M.: An Exploration of Chaos. North-Holland, Amsterdam (1994)zbMATHGoogle Scholar
- 38.Ott, E.: Chaos in Dynamical Systems. Cambridge University Press, Cambridge (1993)zbMATHGoogle Scholar
- 39.Quasha, A.L., Eger, E.I., Tinker, H.H.: Determination and applications of MAC. Anesthesiol. 53, 315–334 (1980)CrossRefGoogle Scholar