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Islam MS, Rahman W, Abdelkader A, Lee S, Yang PT, Purks JL, Adams JL, Schneider RB, Dorsey ER, Hoque E. Using AI to measure Parkinson's disease severity at home. NPJ Digit Med 2023; 6:156. [PMID: 37608206 PMCID: PMC10444879 DOI: 10.1038/s41746-023-00905-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 08/10/2023] [Indexed: 08/24/2023] Open
Abstract
We present an artificial intelligence (AI) system to remotely assess the motor performance of individuals with Parkinson's disease (PD). In our study, 250 global participants performed a standardized motor task involving finger-tapping in front of a webcam. To establish the severity of Parkinsonian symptoms based on the finger-tapping task, three expert neurologists independently rated the recorded videos on a scale of 0-4, following the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The inter-rater reliability was excellent, with an intra-class correlation coefficient (ICC) of 0.88. We developed computer algorithms to obtain objective measurements that align with the MDS-UPDRS guideline and are strongly correlated with the neurologists' ratings. Our machine learning model trained on these measures outperformed two MDS-UPDRS certified raters, with a mean absolute error (MAE) of 0.58 points compared to the raters' average MAE of 0.83 points. However, the model performed slightly worse than the expert neurologists (0.53 MAE). The methodology can be replicated for similar motor tasks, providing the possibility of evaluating individuals with PD and other movement disorders remotely, objectively, and in areas with limited access to neurological care.
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Affiliation(s)
- Md Saiful Islam
- Department of Computer Science, University of Rochester, 250 Hutchinson Road, Rochester, NY, 14620, USA.
- Department of Computer Science and Engineering, Bangladesh University of Engineering & Technology, West Palashi, Dhaka, 1000, Bangladesh.
| | - Wasifur Rahman
- Department of Computer Science, University of Rochester, 250 Hutchinson Road, Rochester, NY, 14620, USA
| | - Abdelrahman Abdelkader
- Department of Computer Science, University of Rochester, 250 Hutchinson Road, Rochester, NY, 14620, USA
| | - Sangwu Lee
- Department of Computer Science, University of Rochester, 250 Hutchinson Road, Rochester, NY, 14620, USA
| | - Phillip T Yang
- Department of Neurology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA
| | - Jennifer Lynn Purks
- Department of Neurology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA
| | - Jamie Lynn Adams
- Department of Neurology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA
| | - Ruth B Schneider
- Department of Neurology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA
| | - Earl Ray Dorsey
- Department of Neurology, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY, 14642, USA
| | - Ehsan Hoque
- Department of Computer Science, University of Rochester, 250 Hutchinson Road, Rochester, NY, 14620, USA
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Assi AA, Abdelnabi S, Attaai A, Abd-Ellatief RB. Effect of ivabradine on cognitive functions of rats with scopolamine-induced dementia. Sci Rep 2022; 12:16970. [PMID: 36216854 PMCID: PMC9551060 DOI: 10.1038/s41598-022-20963-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 09/21/2022] [Indexed: 12/29/2022] Open
Abstract
Alzheimer's disease is among the challenging diseases to social and healthcare systems because no treatment has been achieved yet. Although the ambiguous pathological mechanism underlying this disorder, ion channel dysfunction is one of the recently accepted possible mechanism. Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels play important roles in cellular excitability and synaptic transmission. Ivabradine (Iva), an HCN blocker, is acting on HCN channels, and is clinically used for angina and arrhythmia. The current study aimed to investigate the therapeutic effects of Iva against scopolamine (Sco) induced dementia. To test our hypothesis, Sco and Iva injected rats were tested for behavioural changes, followed by ELISA and histopathological analysis of the hippocampus. Induced dementia was confirmed by behavioural tests, inflammatory cytokines and oxidative stress tests and histopathological signs of neurodegeneration, multifocal deposition of congo red stained amyloid beta plaques and the decreased optical density of HCN1 immunoreactivity. Iva ameliorated the scopolamine-induced dysfunction, the hippocampus restored its normal healthy neurons, the amyloid plaques disappeared and the optical density of HCN1 immunoreactivity increased in hippocampal cells. The results suggested that blockage of HCN1 channels might underly the Iva therapeutic effect. Therefore, Iva might have beneficial effects on neurological disorders linked to HCN channelopathies.
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Affiliation(s)
- Abdel-Azim Assi
- Department of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt
| | - Sara Abdelnabi
- Department of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt
| | - Abdelraheim Attaai
- Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526, Egypt.
| | - Rasha B Abd-Ellatief
- Department of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt
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Liu ZB, Liu YS, Zhao L, Li MY, Liu CH, Zhang CX, Li HL. Short-term efficacy of music therapy combined with α binaural beat therapy in disorders of consciousness. Front Psychol 2022; 13:947861. [PMID: 36148124 PMCID: PMC9486000 DOI: 10.3389/fpsyg.2022.947861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 07/29/2022] [Indexed: 11/17/2022] Open
Abstract
Objective To investigate the short-term effect of music therapy combined with binaural frequency difference therapy on patients with consciousness disorder. Materials and methods Ninety patients with definite diagnosis of disorders of consciousness (DOC) were selected. These patients were randomly divided into control group, experiment 1 group and experiment 2 group, with 30 patients in each group. The control group was treated with routine clinical treatment and rehabilitation. In experiment 1 group, music therapy was added to the control group. In experimental group 2, music therapy combined with binaural α frequency difference therapy was added to the control group. All patients were assessed before and after 30 treatments. The assessment items included Glasgow Coma Scale (GCS), Coma Recovery Scale revised (CRS-R), electroencephalogram (EEG), upper somatosensory evoked potential (USEP), and brainstem auditory evoked potential (BAEP). Results Before treatment, there were no significant differences in GCS score, CRS-R score, USEP, BAEP, and EEG scores among the three groups (P > 0.05). After 30 times of treatment, GCS score, CRS-R score, USEP, BAEP, and EEG scores in 3 groups were significantly higher than those before treatment (P < 0.05), and experimental group 2 >experimental group 1 >control group (P < 0.05). And the consciousness rate of experimental group 2 was better than experimental group 1, experimental group 1 was better than the control group and the difference was statistically significant (P < 0.05). Conclusion Music therapy combined with binaural α frequency difference therapy is more effective in stimulating DOC patients.
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Affiliation(s)
- Zi-Bo Liu
- Department of Endocrinology, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Yan-Song Liu
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Long Zhao
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Man-Yu Li
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Chun-Hui Liu
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Chun-Xia Zhang
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Hong-Ling Li
- The Second Department of Rehabilitation, Second Hospital of Hebei Medical University, Shijiazhuang, China
- *Correspondence: Hong-Ling Li,
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Burgraff NJ, Phillips RS, Severs LJ, Bush NE, Baertsch NA, Ramirez JM. Inspiratory rhythm generation is stabilized by Ih. J Neurophysiol 2022; 128:181-196. [PMID: 35675444 PMCID: PMC9291429 DOI: 10.1152/jn.00150.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Cellular and network properties must be capable of generating rhythmic activity that is both flexible and stable. This is particularly important for breathing, a rhythmic behavior that dynamically adapts to environmental, behavioral, and metabolic changes from the first to the last breath. The pre-Bötzinger complex (preBötC), located within the ventral medulla, is responsible for producing rhythmic inspiration. Its cellular properties must be tunable, flexible as well as stabilizing. Here, we explore the role of the hyperpolarization-activated, nonselective cation current (Ih) for stabilizing PreBötC activity during opioid exposure and reduced excitatory synaptic transmission. Introducing Ih into an in silico preBötC network predicts that loss of this depolarizing current should significantly slow the inspiratory rhythm. By contrast, in vitro and in vivo experiments revealed that the loss of Ih minimally affected breathing frequency, but destabilized rhythmogenesis through the generation of incompletely synchronized bursts (burstlets). Associated with the loss of Ih was an increased susceptibility of breathing to opioid-induced respiratory depression or weakened excitatory synaptic interactions, a paradoxical depolarization at the cellular level, and the suppression of tonic spiking. Tonic spiking activity is generated by nonrhythmic excitatory and inhibitory preBötC neurons, of which a large percentage express Ih. Together, our results suggest that Ih is important for maintaining tonic spiking, stabilizing inspiratory rhythmogenesis, and protecting breathing against perturbations or changes in network state.NEW & NOTEWORTHY The Ih current plays multiple roles within the preBötC. This current is important for promoting intrinsic tonic spiking activity in excitatory and inhibitory neurons and for preserving rhythmic function during conditions that dampen network excitability, such as in the context of opioid-induced respiratory depression. We therefore propose that the Ih current expands the dynamic range of rhythmogenesis, buffers the preBötC against network perturbations, and stabilizes rhythmogenesis by preventing the generation of unsynchronized bursts.
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Affiliation(s)
- Nicholas J. Burgraff
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington
| | - Ryan S. Phillips
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington
| | - Liza J. Severs
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington
| | - Nicholas E. Bush
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington
| | - Nathan A. Baertsch
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington,2Department of Pediatrics, University of Washington, Seattle, Washington
| | - Jan-Marino Ramirez
- 1Center for Integrative Brain Research, Seattle Children’s Research Institute, Seattle, Washington,2Department of Pediatrics, University of Washington, Seattle, Washington,3Department of Neurological Surgery, University of Washington, Seattle, Washington
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López-Madrona VJ, Medina Villalon S, Badier JM, Trébuchon A, Jayabal V, Bartolomei F, Carron R, Barborica A, Vulliémoz S, Alario FX, Bénar CG. Magnetoencephalography can reveal deep brain network activities linked to memory processes. Hum Brain Mapp 2022; 43:4733-4749. [PMID: 35766240 PMCID: PMC9491290 DOI: 10.1002/hbm.25987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 05/04/2022] [Accepted: 05/18/2022] [Indexed: 11/14/2022] Open
Abstract
Recording from deep neural structures such as hippocampus noninvasively and yet with high temporal resolution remains a major challenge for human neuroscience. Although it has been proposed that deep neuronal activity might be recordable during cognitive tasks using magnetoencephalography (MEG), this remains to be demonstrated as the contribution of deep structures to MEG recordings may be too small to be detected or might be eclipsed by the activity of large‐scale neocortical networks. In the present study, we disentangled mesial activity and large‐scale networks from the MEG signals thanks to blind source separation (BSS). We then validated the MEG BSS components using intracerebral EEG signals recorded simultaneously in patients during their presurgical evaluation of epilepsy. In the MEG signals obtained during a memory task involving the recognition of old and new images, we identified with BSS a putative mesial component, which was present in all patients and all control subjects. The time course of the component selectively correlated with stereo‐electroencephalography signals recorded from hippocampus and rhinal cortex, thus confirming its mesial origin. This finding complements previous studies with epileptic activity and opens new possibilities for using MEG to study deep brain structures in cognition and in brain disorders.
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Affiliation(s)
| | - Samuel Medina Villalon
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.,APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France
| | | | - Agnès Trébuchon
- APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France.,APHM, Timone Hospital, Functional and Stereotactic Neurosurgery, Marseille, France
| | | | - Fabrice Bartolomei
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.,APHM, Timone Hospital, Epileptology and Cerebral Rhythmology, Marseille, France
| | - Romain Carron
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France.,APHM, Timone Hospital, Functional and Stereotactic Neurosurgery, Marseille, France
| | | | - Serge Vulliémoz
- EEG and Epilepsy Unit, University Hospitals and Faculty of Medicine Geneva, Geneva, Switzerland
| | | | - Christian G Bénar
- Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France
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Biophysical mechanism underlying compensatory preservation of neural synchrony over the adult lifespan. Commun Biol 2022; 5:567. [PMID: 35681107 PMCID: PMC9184644 DOI: 10.1038/s42003-022-03489-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 05/12/2022] [Indexed: 11/17/2022] Open
Abstract
We propose that the preservation of functional integration, estimated from measures of neural synchrony, is a key objective of neurocompensatory mechanisms associated with healthy human ageing. To support this proposal, we demonstrate how phase-locking at the peak alpha frequency in Magnetoencephalography recordings remains invariant over the lifespan in a large cohort of human participants, aged 18-88 years. Using empirically derived connection topologies from diffusion tensor imaging data, we create an in-silico model of whole-brain alpha dynamics. We show that enhancing inter-areal coupling can cancel the effect of increased axonal transmission delays associated with age-related degeneration of white matter tracts, albeit at slower network frequencies. By deriving analytical solutions for simplified connection topologies, we further establish the theoretical principles underlying compensatory network re-organization. Our findings suggest that frequency slowing with age- frequently observed in the alpha band in diverse populations- may be viewed as an epiphenomenon of the underlying compensatory mechanism. Analysis of MEG data from healthy participants and whole-brain network modeling suggests that the brain compensates for age-related disruptions in connectivity by slowing down the frequency of neural synchronization.
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Houshmand Chatroudi A, Rostami R, Nasrabadi AM, Yotsumoto Y. Effect of inhibition indexed by auditory P300 on transmission of visual sensory information. PLoS One 2021; 16:e0247416. [PMID: 33617549 PMCID: PMC7899349 DOI: 10.1371/journal.pone.0247416] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 02/07/2021] [Indexed: 11/18/2022] Open
Abstract
Early electroencephalographic studies that focused on finding brain correlates of psychic events led to the discovery of the P300. Since then, the P300 has become the focus of many basic and clinical neuroscience studies. However, despite its wide applications, the underlying function of the P300 is not yet clearly understood. One line of research among the many studies that have attempted to elucidate the underlying subroutine of the P300 in the brain has suggested that the physiological function of the P300 is related to inhibition. While some intracranial, behavioral, and event-related potential studies have provided support for this theory, little is known about the inhibitory mechanism. In this study, using alpha event-related desynchronization (ERD) and effective connectivity, based on the causal (one-way directed) relationship between alpha ERD and P300 sources, we demonstrated that P300's associated inhibition is implemented at a higher information processing stage in a localized brain region. We discuss how inhibition as the primary function of the P300 is not inconsistent with 'resource allocation' and 'working memory updating' theories about its cognitive function. In light of our findings regarding the scope and information processing stage of inhibition of the P300, we reconcile the inhibitory account of the P300 with working memory updating theory. Finally, based on the compensatory behavior of alpha ERD at the time of suppression of the P300, we propose two distinct yet complementary working memory mechanisms (inhibition and desynchronizing excitation) that render target perception possible.
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Affiliation(s)
- Amirmahmoud Houshmand Chatroudi
- Department of Life Sciences, The University of Tokyo, Tokyo, Tokyo, Japan
- Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Tehran, Iran
| | - Reza Rostami
- Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Tehran, Iran
- * E-mail:
| | - Ali Motie Nasrabadi
- Department of Biomedical Engineering, Shahed University, Tehran, Tehran, Iran
| | - Yuko Yotsumoto
- Department of Life Sciences, The University of Tokyo, Tokyo, Tokyo, Japan
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