Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features

Abstract Accurate monitoring of the depth of anesthesia (DoA) is essential for ensuring patient safety and effective anesthesia management. Existing methods, such as the Bispectral Index (BIS), are limited in real-time accuracy and robustness. Current methods have problems in generalizability across...

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Main Authors: Tianning Li, Yi Huang, Peng Wen, Yan Li
Format: Article
Language:English
Published: SpringerOpen 2024-11-01
Series:Brain Informatics
Subjects:
Online Access:https://doi.org/10.1186/s40708-024-00241-y
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author Tianning Li
Yi Huang
Peng Wen
Yan Li
author_facet Tianning Li
Yi Huang
Peng Wen
Yan Li
author_sort Tianning Li
collection DOAJ
description Abstract Accurate monitoring of the depth of anesthesia (DoA) is essential for ensuring patient safety and effective anesthesia management. Existing methods, such as the Bispectral Index (BIS), are limited in real-time accuracy and robustness. Current methods have problems in generalizability across diverse patient datasets and are sensitive to artifacts, making it difficult to provide reliable DoA assessments in real time. This study proposes a novel method for DoA monitoring using EEG signals, focusing on accuracy, robustness, and real-time application. EEG signals were pre-processed using wavelet denoising and discrete wavelet transform (DWT). Features such as Permutation Lempel–Ziv Complexity (PLZC) and Power Spectral Density (PSD) were extracted. A random forest regression model was employed to estimate anesthetic states, and an unsupervised learning method using the Hurst exponent algorithm and hierarchical clustering was introduced to detect transitions between anesthesia states. The method was tested on two independent datasets (UniSQ and VitalDB), achieving an average Pearson correlation coefficient of 0.86 and 0.82, respectively. For the combined dataset, the model demonstrated an R-squared value of 0.70, a RMSE of 6.31, a MAE of 8.38, and a Pearson correlation of 0.84, showcasing its robustness and generalizability. This approach offers a more accurate and reliable real-time DoA monitoring tool that could significantly improve patient safety and anesthesia management, especially in diverse clinical environments.
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spelling doaj-art-45a6e8a57f5342f4b8d7fe78da70e5e52024-11-24T12:48:32ZengSpringerOpenBrain Informatics2198-40182198-40262024-11-0111112010.1186/s40708-024-00241-yAccurate depth of anesthesia monitoring based on EEG signal complexity and frequency featuresTianning Li0Yi Huang1Peng Wen2Yan Li3School of Mathematics, Physics and Computing, University of Southern QueenslandSchool of Mathematics, Physics and Computing, University of Southern QueenslandSchool of Engineering, University of Southern QueenslandSchool of Mathematics, Physics and Computing, University of Southern QueenslandAbstract Accurate monitoring of the depth of anesthesia (DoA) is essential for ensuring patient safety and effective anesthesia management. Existing methods, such as the Bispectral Index (BIS), are limited in real-time accuracy and robustness. Current methods have problems in generalizability across diverse patient datasets and are sensitive to artifacts, making it difficult to provide reliable DoA assessments in real time. This study proposes a novel method for DoA monitoring using EEG signals, focusing on accuracy, robustness, and real-time application. EEG signals were pre-processed using wavelet denoising and discrete wavelet transform (DWT). Features such as Permutation Lempel–Ziv Complexity (PLZC) and Power Spectral Density (PSD) were extracted. A random forest regression model was employed to estimate anesthetic states, and an unsupervised learning method using the Hurst exponent algorithm and hierarchical clustering was introduced to detect transitions between anesthesia states. The method was tested on two independent datasets (UniSQ and VitalDB), achieving an average Pearson correlation coefficient of 0.86 and 0.82, respectively. For the combined dataset, the model demonstrated an R-squared value of 0.70, a RMSE of 6.31, a MAE of 8.38, and a Pearson correlation of 0.84, showcasing its robustness and generalizability. This approach offers a more accurate and reliable real-time DoA monitoring tool that could significantly improve patient safety and anesthesia management, especially in diverse clinical environments.https://doi.org/10.1186/s40708-024-00241-yDepth of anesthesia (DoA)Electroencephalogram (EEG)Permutation Lempel–Ziv Complexity (PLZC)Power spectral density (PSD)Hurst exponent algorithmHierarchical clustering
spellingShingle Tianning Li
Yi Huang
Peng Wen
Yan Li
Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
Brain Informatics
Depth of anesthesia (DoA)
Electroencephalogram (EEG)
Permutation Lempel–Ziv Complexity (PLZC)
Power spectral density (PSD)
Hurst exponent algorithm
Hierarchical clustering
title Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
title_full Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
title_fullStr Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
title_full_unstemmed Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
title_short Accurate depth of anesthesia monitoring based on EEG signal complexity and frequency features
title_sort accurate depth of anesthesia monitoring based on eeg signal complexity and frequency features
topic Depth of anesthesia (DoA)
Electroencephalogram (EEG)
Permutation Lempel–Ziv Complexity (PLZC)
Power spectral density (PSD)
Hurst exponent algorithm
Hierarchical clustering
url https://doi.org/10.1186/s40708-024-00241-y
work_keys_str_mv AT tianningli accuratedepthofanesthesiamonitoringbasedoneegsignalcomplexityandfrequencyfeatures
AT yihuang accuratedepthofanesthesiamonitoringbasedoneegsignalcomplexityandfrequencyfeatures
AT pengwen accuratedepthofanesthesiamonitoringbasedoneegsignalcomplexityandfrequencyfeatures
AT yanli accuratedepthofanesthesiamonitoringbasedoneegsignalcomplexityandfrequencyfeatures