Predicting the effects of repetitive transcranial magnetic stimulation on cognitive functions in patients with alzheimer's disease by automated EEG analysis

dc.authorid0000-0002-2306-5937
dc.authorid0000-0003-4292-5717
dc.contributor.authorKayasandık, Cihan Bilge
dc.contributor.authorVelioğlu, Halil Aziz
dc.contributor.authorHanoğlu, Lütfü
dc.date.accessioned2022-06-16T08:23:20Z
dc.date.available2022-06-16T08:23:20Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Bilgisayar Mühendisliği Bölümü
dc.departmentİstanbul Medipol Üniversitesi, Rektörlük, Sağlık Bilim ve Teknolojileri Araştırma Enstitüsü
dc.departmentİstanbul Medipol Üniversitesi, Rektörlük, Rejeneratif ve Restoratif Tıp Araştırmaları Merkezi (REMER)
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractAlzheimer's disease (AD) is a progressive, neurodegenerative brain disorder that generally affects the elderly. Today, after the limited benefit of the pharmacological treatment strategies, numerous noninvasive brain stimulation techniques have been developed. Transcranial magnetic stimulation (TMS), based on electromagnetic stimulation, is one of the most widely used methods. The main problem in the use of TMS is the existence of large individual variability in the results. This causes a waste of money, time, and more importantly, a burden for delicate patients. Hence, it is a necessity to form an efficient and personalized TMS application protocol. In this paper, we performed a machine-learning analysis to see whether it is possible to predict the responses of patients with AD to TMS by analyzing their electroencephalography (EEG) signals. For that purpose, we analyzed both the EEG signals collected before and after the TMS application (EEG1 and EEG2, respectively). Through correlating EEG1 and repetitive transcranial magnetic stimulation (rTMS) outcomes, we tried to see whether it is possible to predict patients' responses before the treatment application. On the other hand, by EEG2 analysis, we investigated TMS impacts on EEG, more importantly if this impact is correlated with patients' response to the treatment. We used the support vector machine (SVM) classifier due to its multiple advantages for the current task with feature selection processes by stepwise linear discriminant analysis (SWLDA) and SVM. However, to justify our numerical analysis framework, we examined and compared the performances of different feature selection and classification techniques. Since we have a limited sample number, we used the leave-one-out method for the validation with the Monte Carlo technique to eliminate bias by a small sample size. In the conclusion, we observed that the correlation between rTMS outcomes and EEG2 is stronger than EEG1, since we observed, respectively, 93 and 79% of accuracies during our data analysis. Besides the informative features of EEG2 are focused on theta band, it indicates that TMS is characterizing the theta band signals in patients with AD in direct relation to patients' response to rTMS. This shows that it is more possible to determine patients' benefit from the TMS at the early stages of the treatment, which would increase the efficiency of rTMS applications in patients with Alzheimer's disease.
dc.identifier.citationKayasandık, C. B., Velioğlu, H. A. ve Hanoğlu, L. (2022). Predicting the effects of repetitive transcranial magnetic stimulation on cognitive functions in patients with alzheimer's disease by automated EEG analysis. Frontiers in Cellular Neuroscience, 16. https://doi.org/10.3389/fncel.2022.845832
dc.identifier.doi10.3389/fncel.2022.845832
dc.identifier.issn1662-5102
dc.identifier.pmid35663423
dc.identifier.scopus2-s2.0-85131674562
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3389/fncel.2022.845832
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9524
dc.identifier.volume16
dc.identifier.wos000805486900001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKayasandık, Cihan Bilge
dc.institutionauthorVelioğlu, Halil Aziz
dc.institutionauthorHanoğlu, Lütfü
dc.language.isoen
dc.publisherFrontiers Media SA
dc.relation.ispartofFrontiers in Cellular Neuroscienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectAlzheimer’s Disease
dc.subjectMachine Learning
dc.subjectSupport Vector Machine
dc.subjectRepetitive Transcranial Magnetic Stimulation (rTMS)
dc.subjectPersonalized Treatment
dc.subjectArtificial Neural Network
dc.titlePredicting the effects of repetitive transcranial magnetic stimulation on cognitive functions in patients with alzheimer's disease by automated EEG analysis
dc.typeArticle

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