Calculation of compact amplitude-integrated EEG tracing and upper and lower margins using raw EEG data

Amplitude-integrated EEG (aEEG) is a popular method for monitoring cerebral function. Although various commercial aEEG recorders have been produced, a detailed aEEG algorithm currently is not available. The upper and lower margins in the aEEG tracing are the discriminating features for data inspection and tracing classification. However, most aEEG devices require that these margins be measured semi-subjectively. This paper proposes a step-by-step signal-processing method to calculate a compact aEEG tracing and the upper/lower margin using raw EEG data. The high accuracy of the algorithm was verified by comparison with a recognized commercial aEEG device based on a representative testing dataset composed of 72 aEEG data. The introduced digital algorithm achieved compact aEEG tracing with a small data size. Moreover, the algorithm precisely represented the upper and lower margins in the tracing for objective data interpretation. The described method should facilitate aEEG signal processing and further establish the clinical and experimental application of aEEG methods.

[1]  Yuejia Luo,et al.  Reference Values for Amplitude-Integrated EEGs in Infants From Preterm to 3.5 Months of Age , 2011, Pediatrics.

[2]  J. Bowen,et al.  Decreased aEEG Continuity and Baseline Variability in the First 48 Hours of Life Associated With Poor Short-Term Outcome in Neonates Born Before 29 Weeks Gestation , 2010, Pediatric Research.

[3]  S. Bambang Oetomo,et al.  Quantitative Analysis of Amplitude-Integrated Electroencephalogram Patterns in Stable Preterm Infants, with Normal Neurological Development at One Year , 2009, Neonatology.

[4]  M. Toet,et al.  Brain monitoring in neonates. , 2009, Early human development.

[5]  J. Kuint,et al.  Characteristics of Amplitude-Integrated Electroencephalogram in Premature Infants , 2007, Journal of child neurology.

[6]  A. Edwards,et al.  Lack of influence of mild hypothermia on amplitude integrated-electroencephalography in neonates receiving extracorporeal membrane oxygenation. , 2007, Early human development.

[7]  M. Friger,et al.  Predictive value of amplitude-integrated electroencephalography pattern and voltage in asphyxiated term infants. , 2006, Pediatric neurology.

[8]  L. Brion,et al.  Amplitude-Integrated EEG in Preterm Infants: Maturation of Background Pattern and Amplitude Voltage with Postmenstrual Age and Gestational Age , 2005, Journal of Perinatology.

[9]  J. McClellan,et al.  A personal history of the Parks-McClellan algorithm , 2005, IEEE Signal Processing Magazine.

[10]  J. Voipio,et al.  Full-band EEG (FbEEG): an emerging standard in electroencephalography , 2005, Clinical Neurophysiology.

[11]  A. Spitzer,et al.  Cerebral function monitoring: a new scoring system for the evaluation of brain maturation in neonates. , 2003, Pediatrics.

[12]  J. Perlman,et al.  Amplitude-integrated electroencephalography coupled with an early neurologic examination enhances prediction of term infants at risk for persistent encephalopathy. , 2003, Pediatrics.

[13]  Ingmar Rosén,et al.  An Atlas of Amplitude-Integrated EEGs in the Newborn , 2002 .

[14]  L. D. de Vries,et al.  Amplitude integrated EEG 3 and 6 hours after birth in full term neonates with hypoxic–ischaemic encephalopathy , 1999, Archives of disease in childhood. Fetal and neonatal edition.

[15]  A. David Edwards,et al.  Assessment of Neonatal Encephalopathy by Amplitude-integrated Electroencephalography , 1999, Pediatrics.

[16]  P. Richards Monitoring of cerebral function. , 1992, British journal of hospital medicine.

[17]  E. Thornberg,et al.  Normal Pattern of the Cerebral Function Monitor Trace in Term and Preterm Neonates , 1990, Acta paediatrica Scandinavica.

[18]  D. Maynard,et al.  Changes in cerebral electrical activity measured by the Cerebral Function Analysing Monitor following bolus injections of thiopentone. , 1984, British journal of anaesthesia.

[19]  N. Tejani,et al.  CEREBRAL FUNCTION MONITOR IN THE NEONATE, I: NORMAL PATTERNS , 1984, Developmental medicine and child neurology.

[20]  P. Sebel,et al.  The cerebral function analysing monitor (CFAM). A new microprocessor-based device for the on-line analysis of the EEG and evoked potentials. , 1983, British journal of anaesthesia.

[21]  D. Maynard,et al.  The cerebral function analysing monitor Initial clinical experience, application and further development , 1983, Anaesthesia.

[22]  D. Maynard,et al.  Device for continuous monitoring of cerebral activity in resuscitated patients. , 1969, British medical journal.

[23]  G. Greisen,et al.  Amplitude-integrated EEG Classification and Interpretation in Preterm and Term Infants , 2006 .

[24]  S. Kuhle,et al.  Reference values for amplitude-integrated electroencephalographic activity in preterm infants younger than 30 weeks' gestational age. , 2004, Pediatrics.

[25]  N. Ty Smithd,et al.  Monitoring Cerebral Function , 1980 .

[26]  M. De A note on the nature of the non-rhythmic components of the electroencephalogram. , 1969 .

[27]  D. Maynard A note on the nature of the non-rhythmic components of the electroencephalogram. , 1969, Activitas nervosa superior.