Estimation of coherence between blood flow and spontaneous EEG activity in neonates

Blood flow to the brain responds to changes in neuronal activity and, thus, metabolic demand. In earlier work, we observed correlation between cerebral blood flow and spontaneous electroencephalogram (EEG) activity in neonates. Using coherence, we now found that during Trace/spl acute/ Alternant EEG activity in quiet sleep of normal term neonates, this correlation is strongest at frequencies around 0.1 Hz, reaching statistical significance (p<0.05) in six of the nine subjects studied (p<0.07 in eight subjects). Due to noise, artifact, and spontaneous changes in the subjects' EEG patterns, the signals investigated included epochs of missing samples. We, therefore, developed a novel algorithm for the estimation of coherence in such data and applied a Monte Carlo (surrogate data) method for its statistical analysis. This process provides a test for the statistical significance of the maximum coherence within a selected frequency band. In addition to permitting further insight into the mechanisms of cerebral blood flow control, these algorithms are potentially of great benefit in a wide range of biomedical applications, where interrupted (gapped) recordings are often a problem.

[1]  Steven Kay,et al.  Modern Spectral Estimation: Theory and Application , 1988 .

[2]  Mohammad Maqusi,et al.  Applied Time Series Analysis, Vol. 1 , 1981, IEEE Transactions on Systems, Man, and Cybernetics.

[3]  Ronney B. Panerai,et al.  A Parametric Approach to Measuring Cerebral Blood Flow Autoregulation from Spontaneous Variations in Blood Pressure , 2004, Annals of Biomedical Engineering.

[4]  Aaas News,et al.  Book Reviews , 1893, Buffalo Medical and Surgical Journal.

[5]  G. Jorch,et al.  Failure of autoregulation of cerebral blood flow in neonates studied by pulsed Doppler ultrasound of the internal carotid artery , 1987, European Journal of Pediatrics.

[6]  Luca Faes,et al.  Surrogate data analysis for assessing the significance of the coherence function , 2004, IEEE Transactions on Biomedical Engineering.

[7]  E. Mackenzie,et al.  The concept of coupling blood flow to brain function: Revision required? , 1987, Annals of neurology.

[8]  R. Panerai Assessment of cerebral pressure autoregulation in humans - a review of measurement methods , 1998, Physiological measurement.

[9]  G. Jorch,et al.  Dependency of Doppler parameters in the anterior cerebral artery on behavioural states in preterm and term neonates. , 1990, Biology of the neonate.

[10]  G. Carter,et al.  Estimation of the magnitude-squared coherence function via overlapped fast Fourier transform processing , 1973 .

[11]  H. Saunders,et al.  Book Reviews : APPLIED TIME SERIES ANALYSIS VOLUME 1. BASIC TECHNIQUES R.K. Otnes and L. Enochson John Wiley & Sons, New York, NY 1978, $33.50 , 1981 .

[12]  P. Sándor,et al.  Nervous control of the cerebrovascular system: doubts and facts , 1999, Neurochemistry International.

[13]  Rik Pintelon,et al.  Frequency domain system identification with missing data , 1998, Proceedings of the 37th IEEE Conference on Decision and Control (Cat. No.98CH36171).

[14]  R. Panerai,et al.  Grading of cerebral autoregulation in preterm and term neonates. , 2000, Pediatric neurology.

[15]  E. Rüther,et al.  Relationship between cerebral blood flow velocities and cerebral electrical activity in sleep. , 1994, Sleep.

[16]  Alf Isaksson,et al.  Identification of ARX-models subject to missing data , 1993, IEEE Trans. Autom. Control..

[17]  B. Manly Randomization, Bootstrap and Monte Carlo Methods in Biology , 2018 .

[18]  J. Volpe,et al.  Seizures in the preterm infant: effects on cerebral blood flow velocity, intracranial pressure, and arterial blood pressure. , 1983, The Journal of pediatrics.

[19]  Thomas Ruf,et al.  The Lomb-Scargle Periodogram in Biological Rhythm Research: Analysis of Incomplete and Unequally Spaced Time-Series , 1999 .

[20]  N. Lassen,et al.  Impaired autoregulation of cerebral blood flow in the distressed newborn infant. , 1979, The Journal of pediatrics.

[21]  R. Aaslid,et al.  Visually evoked dynamic blood flow response of the human cerebral circulation. , 1987, Stroke.

[22]  V. Benignus Estimation of the coherence spectrum and its confidence interval using the fast Fourier transform , 1969 .

[23]  A. Infantosi,et al.  Estimation and significance testing of cross-correlation between cerebral blood flow velocity and background electro-encephalograph activity in signals with missing samples , 2001, Medical and Biological Engineering and Computing.

[24]  S. Rabe-Hesketh,et al.  Cerebral blood flow velocity during neonatal seizures , 1999, Archives of disease in childhood. Fetal and neonatal edition.

[25]  P. Welch The use of fast Fourier transform for the estimation of power spectra: A method based on time averaging over short, modified periodograms , 1967 .

[26]  B. Porat,et al.  Digital Spectral Analysis with Applications. , 1988 .

[27]  R. Panerai,et al.  Estimating normal and pathological dynamic responses in cerebral blood flow velocity to step changes in end-tidal pCO2 , 2000, Medical and Biological Engineering and Computing.

[28]  D. Evans,et al.  The Relationship between Cerebral Blood Flow Velocity Fluctuations and Sleep State in Normal Newborns , 1994, Pediatric Research.

[29]  M. Ursino,et al.  Cerebral Hemodynamic Response to CO2 Tests in Patients with Internal Carotid Artery Occlusion: Modeling Study and in vivo Validation , 2000, Journal of Vascular Research.

[30]  D. Milligan FAILURE OF AUTOREGULATION AND INTRAVENTRICULAR HÆMORRHAGE IN PRETERM INFANTS , 1980, The Lancet.