Zehong Cao — Page 3

arXiv2018

Identifying Ketamine Responses in Treatment-Resistant Depression Using a Wearable Forehead EEG

This study explores the responses to ketamine in patients with treatment-resistant depression (TRD) using a wearable forehead electroencephalography (EEG) device. We recruited fifty-five outpatients with TRD who were randomised into three approximately equal-sized groups (A: 0.5 mg/kg ketamine; B: 0.2 mg/kg ketamine; and C: normal saline) under double-blind conditions. The ketamine responses were measured by EEG signals and Hamilton Depression Rating Scale (HDRS) scores. At baseline, responders showed a significantly weaker EEG theta power than did non- responders (p < 0.05). Responders exhibited a higher EEG alpha power but lower EEG alpha asymmetry and theta cordance at post-treatment than at baseline (p < 0.05). Furthermore, our baseline EEG predictor classified responders and non-responders with 81.3 +- 9.5% accuracy, 82.1 +- 8.6% sensitivity and 91.9 +- 7.4% specificity. In conclusion, the rapid antidepressant effects of mixed doses of ketamine are associated with prefrontal EEG power, asymmetry and cordance at baseline and early post-treatment changes. The prefrontal EEG patterns at baseline may account for recognising ketamine effects in advance. Our randomised, double- blind, placebo-controlled study provides information regarding clinical impacts on the potential targets underlying baseline identification and early changes from the effects of ketamine in patients with TRD.

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arXiv2018

Reconfiguration of Brain Network between Resting-state and Oddball Paradigm

The oddball paradigm is widely applied to the investigation of multiple cognitive functions. Prior studies have explored the cortical oscillation and power spectral differing from the resting-state conduction to oddball paradigm, but whether brain networks existing the significant difference is still unclear. Our study addressed how the brain reconfigures its architecture from a resting-state condition (i.e., baseline) to P300 stimulus task in the visual oddball paradigm. In this study, electroencephalogram (EEG) datasets were collected from 24 postgraduate students, who were required to only mentally count the number of target stimulus; afterwards the functional EEG networks constructed in different frequency bands were compared between baseline and oddball task conditions to evaluate the reconfiguration of functional network in the brain. Compared to the baseline, our results showed the significantly (p < 0.05) enhanced delta/theta EEG connectivity and decreased alpha default mode network in the progress of brain reconfiguration to the P300 task. Furthermore, the reconfigured coupling strengths were demonstrated to relate to P300 amplitudes, which were then regarded as input features to train a classifier to differentiate the high and low P300 amplitudes groups with an accuracy of 77.78%. The findings of our study help us to understand the changes of functional brain connectivity from resting-state to oddball stimulus task, and the reconfigured network pattern has the potential for the selection of good subjects for P300-based brain- computer interface.

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