Aberrant Static and Dynamic Functional Brain Network in Depression Based on EEG Source Localization.

OBJECTIVE: Depression is accompanied by abnormalities in large-scale functional brain networks. This paper combined static and dynamic methods to analyze the abnormal topology and changes of functional connectivity network (FCN) of depression. METHODS: We collected resting-state EEG recordings from 27 depressed subjects and 28 normal subjects, then obtained 68 regions of interests (ROIs) by source localization. We took ROIs as the nodes and correlations as the edges to build FCNs and analyzed static network based on graph theory. We used a sliding window method followed by k-means clustering, states analyses and trend analysis of network metrics over time to study dynamic connectivity. RESULTS: The clustering coefficient (CC) and local efficiency in depression were increased, the characteristic path length and global efficiency were decreased, and local metrics had different manifestations in different resting state networks (RSNs); Depression had reduced connectivity in most RSNs, but increased connectivity in the default mode network, and there was a decoupling phenomenon between different RSNs; Depressed patients spent more time in sparsely connected states, their FCN's flexibility was less than normal subjects; The trend of CC over time was opposite between two groups. Most metrics in normal showed a relatively stronger correlation with time. SIGNIFICANCE: Our research may provide a deeper understanding of neurophysiological mechanisms of depression and new biomarkers for clinical diagnosis of depression.

Clustering-Fusion Feature Selection Method in Identifying Major Depressive Disorder Based on Resting State EEG Signals.

Depression is a heterogeneous syndrome with certain individual differences among subjects. Exploring a feature selection method that can effectively mine the commonness intra-groups and the differences inter-groups in depression recognition is therefore of great significance. This study proposed a new clustering-fusion feature selection method. Hierarchical clustering (HC) algorithm was used to capture the heterogeneity distribution of subjects. Average and similarity network fusion (SNF) algorithms were adopted to characterize the brain network atlas of different populations. Differences analysis was also utilized to obtain the features with discriminant performance. Experiments showed that compared with traditional feature selection methods, HCSNF method yielded the optimal classification results of depression recognition in both sensor and source layers of electroencephalography (EEG) data. Especially in the beta band of EEG data at sensor layer, the classification performance was improved by more than 6%. Moreover, the long-distance connections between parietal-occipital lobe and other brain regions not only have high discriminative power, but also significantly correlate with depressive symptoms, indicating the important role of these features in depression recognition. Therefore, this study may provide methodological guidance for the discovery of reproducible electrophysiological biomarkers and new insights into common neuropathological mechanisms of heterogeneous depression diseases.

Brain function changes reveal rapid antidepressant effects of nitrous oxide for treatment-resistant depression:Evidence from task-state EEG.

Nitrous oxide has rapid antidepressant effects in patients with treatment-resistant depression (TRD), but its underlying mechanisms of therapeutic actions are not well understood. Moreover, most of the current studies lack objective biological indicators to evaluate the changes of nitrous oxide-induced brain function for TRD. Therefore, this study assessed the effect of nitrous oxide on brain function for TRD based on event-related potential (ERP) components and functional connectivity networks (FCNs) methods. In this randomized, longitudinal, placebo-controlled trial, all TRD participants were divided into two groups to receive either a 1-hour inhalation of nitrous oxide or a placebo treatment, and they took part in the same task-state electroencephalogram (EEG) experiment before and after treatment. The experimental results showed that nitrous oxide improved depressive symptoms better than placebo in terms of 17-Hamilton Depression Rating Scale score (HAMD-17). Statistical analysis based on ERP components showed that nitrous oxide-induced significant differences in amplitude and latency of N1, P1, N2, P2. In addition, increased brain functional connectivity was found after nitrous oxide treatment. And the change of network metrics has a significant correlation with decreased depressive symptoms. These findings may suggest that nitrous oxide improves depression symptoms for TRD by modifying brain function.

Analysis of functional connectivity in depression based on a weighted hyper-network method.

Objective. Brain connectivity network is a vital tool to reveal the interaction between different brain regions. Currently, most functional connectivity methods can only capture pairs of information to construct brain networks which ignored the high-order correlations between brain regions.Approach. Therefore, this study proposed a weighted connectivity hyper-network based on resting-state EEG data, and then applied to depression identification and analysis. The hyper-network model was build based on least absolute shrinkage and selection operator sparse regression method to effectively represent the higher-order relationships of brain regions. On this basis, by integrating the correlation-based weighted hyper-edge information, the weighted hyper-network is constructed, and the topological features of the network are extracted for classification.Main results. The experimental results obtained an optimal accuracy compared to the traditional coupling methods. The statistical results on network metrics proved that there were significant differences between depressive patients and normal controls. In addition, some brain regions and electrodes were found and discussed to highly correlate with depression by analyzing of the critical nodes and hyper-edges.Significance. These may help discover disease-related biomarkers important for depression diagnosis.

Electroconvulsive Therapy-Induced Changes in Functional Brain Network of Major Depressive Disorder Patients: A Longitudinal Resting-State Electroencephalography Study.

Objectives: Several studies have shown abnormal network topology in patients with major depressive disorder (MDD). However, changes in functional brain networks associated with electroconvulsive therapy (ECT) remission based on electroencephalography (EEG) signals have yet to be investigated. Methods: Nineteen-channel resting-state eyes-closed EEG signals were collected from 24 MDD patients pre- and post-ECT treatment. Functional brain networks were constructed by using various coupling methods and binarization techniques. Changes in functional connectivity and network metrics after ECT treatment and relationships between network metrics and clinical symptoms were explored. Results: ECT significantly increased global efficiency, edge betweenness centrality, local efficiency, and mean degree of alpha band after ECT treatment, and an increase in these network metrics had significant correlations with decreased depressive symptoms in repeated measures correlation. In addition, ECT regulated the distribution of hubs in frontal and occipital lobes. Conclusion: ECT modulated the brain's global and local information-processing patterns. In addition, an ECT-induced increase in network metrics was associated with clinical remission. Significance: These findings might present the evidence for us to understand how ECT regulated the topology organization in functional brain networks of clinically remitted depressive patients.

Abnormal Brain Topological Structure of Mild Depression During Visual Search Processing Based on EEG Signals.

Studies have shown that attention bias can affect behavioral indicators in patients with depression, but it is still unclear how this bias affects the brain network topology of patients with mild depression (MD). Therefore, a novel functional brain network analysis and hierarchical clustering methods were used to explore the abnormal brain topology of MD patients based on EEG signals during the visual search paradigm. The behavior results showed that the reaction time of MD group was significantly higher than that of normal group. The results of functional brain network indicated significant differences in functional connections between the two groups, the amount of inter-hemispheric long-distance connections are much larger than intra-hemispheric short-distance connections. Patients with MD showed significantly lower local efficiency and clustering coefficient, destroyed community structure of frontal lobe and parietal-occipital lobe, frontal asymmetry, especially in beta band. In addition, the average value of long-distance connections between left frontal and right parietal-occipital lobes presented significant correlation with depressive symptoms. Our results suggested that MD patients achieved long-distance connections between the frontal and parietal-occipital regions by sacrificing the connections within the regions, which might provide new insights into the abnormal cognitive processing mechanism of depression.

Shared increased entropy of brain signals across patients with different mental illnesses: A coordinate-based activation likelihood estimation meta-analysis.

Entropy is a measurement of brain signal complexity. Studies have found increased/decreased entropy of brain signals in psychiatric patients. There is no consistent conclusion regarding the relationship between the entropy of brain signals and mental illness. Therefore, this meta-analysis aimed to identify consistent abnormalities in the brain signal entropy in patients with different mental illnesses. We conducted a systematic search to collect resting-state functional magnetic resonance imaging (rs-fMRI) studies in patients with psychiatric disorders. This work identified 9 eligible rs-fMRI studies, which included a total of 14 experiments, 67 activation foci, and 1383 subjects. We tested the convergence across their findings by using the activation likelihood estimation method. P-value maps were corrected by using cluster-level family-wise error p < 0.05 and permuting 2000 times. Results showed that patients with different psychiatric disorders shared commonly increased entropy of brain signals in the left inferior and middle frontal gyri, and the right fusiform gyrus, cuneus, precuneus. No shared alterations were found in the subcortical regions and cerebellum in the patient group. Our findings suggested that the increased entropy of brain signals in the cortex, not subcortical regions and cerebellum, might have associations with the pathophysiology across mental illnesses. This meta-analysis study provided the first comprehensive understanding of the abnormality in brain signal complexity across patients with different psychiatric disorders.

Analysis of Functional Brain Network in MDD Based on Improved Empirical Mode Decomposition With Resting State EEG Data.

At present, most brain functional studies are based on traditional frequency bands to explore the abnormal functional connections and topological organization of patients with depression. However, they ignore the characteristic relationship of electroencephalogram (EEG) signals in the time domain. Therefore, this paper proposes a network decomposition model based on Improved Empirical Mode Decomposition (EMD), it is suitable for time-frequency analysis of brain functional network. On the one hand, it solves the problem of mode mixing on original EMD method, especially on high-density EEG data. On the other hand, by building brain function networks on different intrinsic mode function (IMF), we can perform time-frequency analysis of brain function connections. It provides a new insight for brain function connectivity analysis of major depressive disorder (MDD). Experimental results found that the IMFs waveform decomposed by Improved EMD was more stable and the difference between IMFs was obvious, it indicated that the mode mixing can be effectively solved. Besides, the analysis of the brain network, we found that the changes in MDD functional connectivity on different IMFs, it may be related to the pathological changes for MDD. More statistical results on three network metrics proved that there were significant differences between MDD and normal controls (NC) group. In addition, the aberrant brain network structure of MDDs was also confirmed in the hubs characteristic. These findings may provide potential biomarkers for the clinical diagnosis of MDD patients.

Aberrant Temporal Variability in Brain Regions during Risk Decision Making in Patients with Bipolar I Disorder: A Dynamic Effective Connectivity Study.

Bipolar I disorder (BD-I) is associated with high-risk behaviors, such as suicide attempts and addictive substance abuse. Understanding brain activity exposure to risk decision making provides evidence for the treatment of BD-I patients. This study aimed to investigate the temporal dynamics of brain connectivity underlying risk decision making in patients with BD-I. A total of 101 subjects (48 BD-I patients and 53 age- and gender-matched healthy controls (HCs)) were included in this research. We analyzed the fMRI data acquired during Balloon Analog Risk Task (BART) performance. Voxel-wise dynamic effective connectivity (dEC) was employed to measure the activities in 264 brain regions. The coefficient of variation (CV) was calculated as temporal dynamics of brain connectivity. Finally, we used structural equation modeling (SEM) to determine the relationships of dEC in brain regions with clinical symptoms, behavior performances in patients. Results showed that BD-I patients exhibited increased dynamics in four lobes and exhibited decreased in three frontal regions. Besides, SEM results showed that the impulsive symptoms of patients were affected by the dEC during both resting and task states. Moreover, the dEC of left supramarginal gyrus (SMG) influenced those of left orbital frontal and right cuneus (CUN), as well as the affective symptoms and BART behaviors in patients with BD-I. Our results suggested that the altered temporal dynamics of brain connectivity might contribute to the impulsivity of BD-I during resting and task states. More importantly, the left SMG might be a therapeutic target to reduce the risk behavior in BD-I patients.