Application of linear and nonlinear methods for processing HRV and EEG signals

Biomedical signal processing is crucial for an objective interpretation of physiological systems because it allows unveiling and quantifying the information hidden in the signals that are generated by the system under study. In order to analyze biomedical signals, a large panel of algorithms conceived in different research areas has been applied. In the last few decades, concepts and techniques from nonlinear dynamics and, in particular, from chaos theory integrated the more classical linear approach, mainly based on spectral analysis. The aim of this thesis is to assess results originated by the application of linear and nonlinear analysis methods to specific clinical studies concerning the heart rate variability (HRV) and the electroencephalographic (EEG) signal. In fact, the behavior of these signals can be ascribed to systems whose nature may be linear or not, depending on the conditions they are investigated. First, the two signals (HRV and EEG) and the processing techniques used in this thesis are presented. Chapter 1 describes the physiological meaning, the data acquisition and the pre-processing requirements of both signals. Chapter 2 introduces methods and algorithms used for the characterization of the different experimental conditions in which HRV and EEG were investigated, with particular notice to nonlinear techniques. Then (chapters 3-7), the five applications of HRV and EEG analysis studied during the PhD course are described. To be more specific, the first three applications concern HRV, while the remaining two are about EEG. With respect to HRV, the first investigation assesses age-related spectral and fractal variations of the heart rhythm in healthy subjects; the second one focuses on the usefulness of the nonlinear approach in the HRV analysis of polysomnographic recordings of patients with severe Obstructive Sleep Apnea Syndrome; the third one presents the differences

[1]  H. Soininen,et al.  Slowing of EEG in Parkinson's disease. , 1991, Electroencephalography and clinical neurophysiology.

[2]  G. Billman The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance , 2013, Front. Physio..

[3]  Y. Kwak,et al.  Quantitative EEG Findings in Different Stages of Alzheimer’s Disease , 2006, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[4]  U. Rajendra Acharya,et al.  Non-linear analysis of EEG signals at various sleep stages , 2005, Comput. Methods Programs Biomed..

[5]  P. Barone,et al.  Freezing of gait and executive functions in patients with Parkinson's disease , 2008, Movement disorders : official journal of the Movement Disorder Society.

[6]  Tomás Ward,et al.  Artifact Removal in Physiological Signals—Practices and Possibilities , 2012, IEEE Transactions on Information Technology in Biomedicine.

[7]  A. Porta,et al.  Nonlinear Indices of Heart Rate Variability in Chronic Heart Failure Patients: Redundancy and Comparative Clinical Value , 2007, Journal of cardiovascular electrophysiology.

[8]  J. Brouwer,et al.  Effects of automatic ectopy exclusion on the analysis of heart rate variability using a percentile exclusion rule , 1995, Computers in Cardiology 1995.

[9]  J. Richman,et al.  Physiological time-series analysis using approximate entropy and sample entropy. , 2000, American journal of physiology. Heart and circulatory physiology.

[10]  A. Taube,et al.  Prevalence of sleep apnea syndrome among Swedish men--an epidemiological study. , 1988, Journal of clinical epidemiology.

[11]  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 .

[12]  T. Robbins,et al.  Heterogeneity of Parkinson’s disease in the early clinical stages using a data driven approach , 2005, Journal of Neurology, Neurosurgery & Psychiatry.

[13]  Massimo Buscema,et al.  Is it possible to automatically distinguish resting EEG data of normal elderly vs. mild cognitive impairment subjects with high degree of accuracy? , 2008, Clinical Neurophysiology.

[14]  Ong Wai Sing,et al.  Heart rate analysis in normal subjects of various age groups , 2004, Biomedical engineering online.

[15]  P. Agostino Accardo,et al.  Linear and non-linear parameterization of EEG during monitoring of carotid endarterectomy , 2009, Comput. Biol. Medicine.

[16]  EEG alpha peak frequency analysis during memorizing of figures in patients with mild cognitive impairment. , 2009, Arquivos de neuro-psiquiatria.

[17]  G. Pfurtscheller,et al.  Brain-Computer Interfaces for Communication and Control. , 2011, Communications of the ACM.

[18]  M. Hallett,et al.  Involvement of primary motor cortex in motor imagery and mental practice , 1994, Behavioral and Brain Sciences.

[19]  G. Corbi,et al.  Relationship between fractal dimension and power-law exponent of heart rate variability in normal and heart failure subjects , 2010, 2010 Computing in Cardiology.

[20]  Fabrizio De Vico Fallani,et al.  Resting state cortical EEG rhythms in Alzheimer's disease: toward EEG markers for clinical applications: a review. , 2013, Supplements to Clinical neurophysiology.

[21]  M. Ajčević,et al.  Characterization of the mechanical behavior of intrapulmonary percussive ventilation , 2013, Physiological measurement.

[22]  G. Berntson,et al.  ECG artifacts and heart period variability: don't miss a beat! , 1998, Psychophysiology.

[23]  F. Rengo,et al.  Quantitative Poincare plots analysis contains relevant information related to heart rate variability dynamics of normal and pathological subjects , 2004, Computers in Cardiology, 2004.

[24]  Jeffrey M. Hausdorff,et al.  Fractal dynamics in physiology: Alterations with disease and aging , 2002, Proceedings of the National Academy of Sciences of the United States of America.

[25]  R. Maestri,et al.  Short-Term Heart Rate Variability Strongly Predicts Sudden Cardiac Death in Chronic Heart Failure Patients , 2003, Circulation.

[26]  David J. Kriegman,et al.  Eigenfaces vs. Fisherfaces: Recognition Using Class Specific Linear Projection , 1996, ECCV.

[27]  Thomas Schreiber,et al.  Detecting and Analyzing Nonstationarity in a Time Series Using Nonlinear Cross Predictions , 1997, chao-dyn/9909044.

[28]  N Lippman,et al.  Comparison of methods for removal of ectopy in measurement of heart rate variability. , 1994, The American journal of physiology.

[29]  A L Goldberger,et al.  Fractal correlation properties of R-R interval dynamics and mortality in patients with depressed left ventricular function after an acute myocardial infarction. , 2000, Circulation.

[30]  Abdulhamit Subasi,et al.  EEG signal classification using PCA, ICA, LDA and support vector machines , 2010, Expert Syst. Appl..

[31]  Giuseppe Zappalà,et al.  The mini‐mental state examination: Normative study of an Italian random sample , 1993 .

[32]  R. Cohen,et al.  An Efficient Algorithm for Spectral Analysis of Heart Rate Variability , 1986, IEEE Transactions on Biomedical Engineering.

[33]  F. Rengo,et al.  Reproducibility of short- and long-term Poincare plot parameters compared with frequency-domain HRV indexes in congestive heart failure , 1998, Computers in Cardiology 1998. Vol. 25 (Cat. No.98CH36292).

[34]  A. Cichocki,et al.  Diagnosis of Alzheimer's disease from EEG signals: where are we standing? , 2010, Current Alzheimer research.

[35]  Agostino Accardo,et al.  Analysis of sleep-stage characteristics in full-term newborns by means of spectral and fractal parameters. , 2004, Sleep.

[36]  R. Daroff,et al.  The International Classification of Sleep Disorders , 1991, Neurology.

[37]  G. D’Addio,et al.  Relationships between linear and nonlinear indexes of heart rate variability in obstructive sleep apnea syndrome , 2014, 2014 8th Conference of the European Study Group on Cardiovascular Oscillations (ESGCO).

[38]  B. Kedem,et al.  Spectral analysis and discrimination by zero-crossings , 1986, Proceedings of the IEEE.

[39]  A L Goldberger,et al.  On a mechanism of cardiac electrical stability. The fractal hypothesis. , 1985, Biophysical journal.

[40]  Claudio Del Percio,et al.  Sources of cortical rhythms change as a function of cognitive impairment in pathological aging: a multicenter study , 2006, Clinical Neurophysiology.

[41]  W. Klimesch EEG alpha and theta oscillations reflect cognitive and memory performance: a review and analysis , 1999, Brain Research Reviews.

[42]  Brian Litt,et al.  A comparison of waveform fractal dimension algorithms , 2001 .

[43]  Masahiro Nakagawa,et al.  A classification method of different motor imagery tasks based on fractal features for brain-machine interface. , 2009, Journal of integrative neuroscience.

[44]  Pere Caminal,et al.  Short-term vs. long-term heart rate variability in ischemic cardiomyopathy risk stratification , 2013, Frontiers in Physiology.

[45]  Tapio Seppänen,et al.  Effects and Significance of Premature Beats on Fractal Correlation Properties of R‐R Interval Dynamics , 2004, Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc.

[46]  B. Reisberg,et al.  Current evidence for subjective cognitive impairment (SCI) as the pre-mild cognitive impairment (MCI) stage of subsequently manifest Alzheimer's disease , 2008, International Psychogeriatrics.

[47]  Natalia M. Arzeno,et al.  Chaotic Signatures of Heart Rate Variability and Its Power Spectrum in Health, Aging and Heart Failure , 2009, PloS one.

[48]  T. Higuchi Approach to an irregular time series on the basis of the fractal theory , 1988 .

[49]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[50]  R. Cohen,et al.  Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. , 1981, Science.

[51]  Soo-Yong Kim,et al.  Nonlinear Dynamic Analysis of the EEG in Patients with Alzheimer’s Disease and Vascular Dementia , 2001, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[52]  Nick C Fox,et al.  The Diagnosis of Mild Cognitive Impairment due to Alzheimer’s Disease: Recommendations from the National Institute on Aging-Alzheimer’s Association Workgroups on Diagnostic Guidelines for Alzheimer’s Disease , 2011 .

[53]  Yoram Singer,et al.  Reducing Multiclass to Binary: A Unifying Approach for Margin Classifiers , 2000, J. Mach. Learn. Res..

[54]  W. Stevenson,et al.  Patterns of beat-to-beat heart rate variability in advanced heart failure. , 1992, American heart journal.

[55]  Jaehak Yu,et al.  The Effect of Aging and Severity of Sleep Apnea on Heart Rate Variability Indices in Obstructive Sleep Apnea Syndrome , 2012, Psychiatry investigation.

[56]  W. Pritchard,et al.  The brain in fractal time: 1/f-like power spectrum scaling of the human electroencephalogram. , 1992, The International journal of neuroscience.

[57]  J. Fermaglich Electric Fields of the Brain: The Neurophysics of EEG , 1982 .

[58]  R. Acharya U,et al.  Nonlinear analysis of EEG signals at different mental states , 2004, Biomedical engineering online.

[59]  T. Musha,et al.  1/f Fluctuation of Heartbeat Period , 1982, IEEE Transactions on Biomedical Engineering.

[60]  R. Petersen,et al.  Mild cognitive impairment , 2006, The Lancet.

[61]  I. Toni,et al.  Cerebral compensation during motor imagery in Parkinson's disease , 2007, Neuropsychologia.

[62]  Prognostic value of Poincare/spl acute/ plot indexes in chronic heart failure patients , 2001, Computers in Cardiology 2001. Vol.28 (Cat. No.01CH37287).

[63]  George B. Moody,et al.  Spectral analysis of heart rate without resampling , 1993, Proceedings of Computers in Cardiology Conference.

[64]  Georg Winterer,et al.  Quantitative EEG in progressing vs stable mild cognitive impairment (MCI): results of a 1‐year follow‐up study , 2008, International journal of geriatric psychiatry.

[65]  H. Huikuri,et al.  Ectopic Beats in Heart Rate Variability Analysis: Effects of Editing on Time and Frequency Domain Measures , 2001, Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc.

[66]  Glenn A. Myers,et al.  Interpolation over ectopic beats increases low frequency power in heart rate variability spectra , 1991, [1991] Proceedings Computers in Cardiology.

[67]  U. Rajendra Acharya,et al.  Heart rate variability: a review , 2006, Medical and Biological Engineering and Computing.

[68]  J. Lubar Neocortical Dynamics: Implications for Understanding the Role of Neurofeedback and Related Techniques for the Enhancement of Attention , 1997, Applied psychophysiology and biofeedback.

[69]  S. Cerutti In the Spotlight: Biomedical Signal Processing , 2011, IEEE Reviews in Biomedical Engineering.

[70]  P. Agostino Accardo,et al.  Use of the fractal dimension for the analysis of electroencephalographic time series , 1997, Biological Cybernetics.

[71]  P. Stein,et al.  Heart rate variability in risk stratification of cardiac patients. , 2013, Progress in cardiovascular diseases.

[72]  Christoph Lehmann,et al.  Application and comparison of classification algorithms for recognition of Alzheimer's disease in electrical brain activity (EEG) , 2007, Journal of Neuroscience Methods.

[73]  T. Seppänen,et al.  Quantitative beat-to-beat analysis of heart rate dynamics during exercise. , 1996, The American journal of physiology.

[74]  D. Narayana Dutt,et al.  A note on fractal dimensions of biomedical waveforms , 2009, Comput. Biol. Medicine.

[75]  L. Prichep,et al.  Quantitative EEG and Electromagnetic Brain Imaging in Aging and in the Evolution of Dementia , 2007, Annals of the New York Academy of Sciences.

[76]  M. J. Katz,et al.  Fractals and the analysis of waveforms. , 1988, Computers in biology and medicine.

[77]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[78]  P. Agostino Accardo,et al.  HRV spectral and fractal analysis in heart failure patients with different aetiologies , 2014, Computing in Cardiology 2014.

[79]  Marimuthu Palaniswami,et al.  Do existing measures of Poincare plot geometry reflect nonlinear features of heart rate variability? , 2001, IEEE Transactions on Biomedical Engineering.

[80]  S. Galloway,et al.  Effects of central sympathetic inhibition on heart rate variability during steady‐state exercise in healthy humans , 2002, Clinical physiology and functional imaging.

[81]  H. Nagaraja,et al.  Heart rate variability: origins, methods, and interpretive caveats. , 1997, Psychophysiology.

[82]  Agostino Accardo,et al.  BCI-Based Neuro-Rehabilitation Treatment for Parkinson’s Disease: cases Report , 2014 .

[83]  Pere Caminal,et al.  Methods derived from nonlinear dynamics for analysing heart rate variability , 2009, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences.

[84]  Denise C. Park,et al.  Toward defining the preclinical stages of Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease , 2011, Alzheimer's & Dementia.

[85]  U R Abeyratne,et al.  Spectral information changes in obtaining heart rate variability from tachometer R-R interval signals. , 2000, Critical reviews in biomedical engineering.

[86]  Mirja A. Peltola Role of Editing of R–R Intervals in the Analysis of Heart Rate Variability , 2011, Front. Physio..

[87]  Gianni D'Addio,et al.  Fractal behaviour of heart rate variability reflects abnormal respiration patterns in OSAS patients , 2013, Computing in Cardiology 2013.

[88]  P. Rossini,et al.  Cortical sources of resting EEG rhythms in mild cognitive impairment and subjective memory complaint , 2010, Neurobiology of Aging.

[89]  E. Basar,et al.  Review of delta, theta, alpha, beta, and gamma response oscillations in neuropsychiatric disorders. , 2013, Supplements to Clinical neurophysiology.

[90]  K. Coburn,et al.  EEG-based, neural-net predictive classification of Alzheimer's disease versus control subjects is augmented by non-linear EEG measures. , 1994, Electroencephalography and clinical neurophysiology.

[91]  Robert Tibshirani,et al.  Classification by Pairwise Coupling , 1997, NIPS.

[92]  R. Hoshi,et al.  Poincaré plot indexes of heart rate variability: Relationships with other nonlinear variables , 2013, Autonomic Neuroscience.

[93]  A P Accardo,et al.  An algorithm for the automatic differentiation between the speech of normals and patients with Friedreich's ataxia based on the short-time fractal dimension , 1998, Comput. Biol. Medicine.

[94]  M. Ajčević,et al.  Impact of Aging on Heart Rate Variability Properties of Healthy Subjects , 2015 .

[95]  J. Sleigh,et al.  [Spectral entropy: a new method for anesthetic adequacy.]. , 2004, Revista brasileira de anestesiologia.

[96]  R. K. Sunkaria Recent Trends in Nonlinear Methods of HRV Analysis: A Review , 2011 .

[97]  R. Barry,et al.  EOG correction: a comparison of four methods. , 2005, Psychophysiology.

[98]  T. Mulder Motor imagery and action observation: cognitive tools for rehabilitation , 2007, Journal of Neural Transmission.

[99]  H. Huikuri,et al.  Altered complexity and correlation properties of R-R interval dynamics before the spontaneous onset of paroxysmal atrial fibrillation. , 1999, Circulation.

[100]  D. Eckberg,et al.  Important influence of respiration on human R-R interval power spectra is largely ignored. , 1993, Journal of applied physiology.

[101]  C. Stam,et al.  Nonlinear dynamical analysis of EEG and MEG: Review of an emerging field , 2005, Clinical Neurophysiology.

[102]  Lionel Tarassenko,et al.  Quantifying errors in spectral estimates of HRV due to beat replacement and resampling , 2005, IEEE Transactions on Biomedical Engineering.

[103]  R. Uthayakumar,et al.  Application of fractal theory in analysis of human electroencephalographic signals , 2008, Comput. Biol. Medicine.

[104]  Claudio Del Percio,et al.  Development and assessment of methods for detecting dementia using the human electroencephalogram , 2006, IEEE Transactions on Biomedical Engineering.

[105]  S M Pincus,et al.  Approximate entropy as a measure of system complexity. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[106]  G. Wilson,et al.  Removal of ocular artifacts from electro-encephalogram by adaptive filtering , 2004, Medical and Biological Engineering and Computing.

[107]  G. Frisoni,et al.  EEG upper/low alpha frequency power ratio relates to temporo-parietal brain atrophy and memory performances in mild cognitive impairment , 2013, Front. Aging Neurosci..

[108]  F. Takens Detecting strange attractors in turbulence , 1981 .

[109]  C. Caltagirone,et al.  The Mental Deterioration Battery: Normative Data, Diagnostic Reliability and Qualitative Analyses of Cognitive Impairment , 1996 .

[110]  A. Tonkin,et al.  Poincaré plot of heart rate variability allows quantitative display of parasympathetic nervous activity in humans. , 1996, Clinical science.

[111]  Kazuko Hayashi,et al.  Poincaré analysis of the electroencephalogram during sevoflurane anesthesia , 2015, Clinical Neurophysiology.

[112]  Giovanni D'Addio,et al.  Ultradian rhythms during day and night in normal and COPD subjects. , 2012, Studies in health technology and informatics.

[113]  S. Perrey,et al.  Decrease in heart rate variability with overtraining: assessment by the Poincaré plot analysis , 2004, Clinical physiology and functional imaging.

[114]  GOTTFRIED MAYER‐KRESS AND,et al.  Dimensionality of the Human Electroencephalogram , 1987, Annals of the New York Academy of Sciences.

[115]  A. Aubert,et al.  Analysis of heart rate variability with correlation dimension method in a normal population and in heart transplant patients , 2001, Autonomic Neuroscience.

[116]  Pablo Laguna,et al.  Improved heart rate variability signal analysis from the beat occurrence times according to the IPFM model , 2000, IEEE Transactions on Biomedical Engineering.

[117]  T Seppänen,et al.  Abnormalities in beat-to-beat dynamics of heart rate before the spontaneous onset of life-threatening ventricular tachyarrhythmias in patients with prior myocardial infarction. , 1996, Circulation.

[118]  Mostefa Mesbah,et al.  A Nonstationary Model of Newborn EEG , 2007, IEEE Transactions on Biomedical Engineering.

[119]  Metin Akay,et al.  Biomedical Signal Processing , 2020, Series in BioEngineering.

[120]  H. Jasper Report of the committee on methods of clinical examination in electroencephalography , 1958 .

[121]  S Cerutti,et al.  Power spectral density of heart rate variability as an index of sympatho-vagal interaction in normal and hypertensive subjects. , 1984, Journal of hypertension. Supplement : official journal of the International Society of Hypertension.

[122]  R. Barry,et al.  Removal of ocular artifact from the EEG: a review , 2000, Neurophysiologie Clinique/Clinical Neurophysiology.

[123]  P. Ponikowski,et al.  Depressed heart rate variability as an independent predictor of death in chronic congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. , 1997, The American journal of cardiology.

[124]  T. Young,et al.  The occurrence of sleep-disordered breathing among middle-aged adults. , 1993, The New England journal of medicine.

[125]  W. Poewe,et al.  Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations The Movement Disorder Society Task Force on rating scales for Parkinson's disease , 2004, Movement disorders : official journal of the Movement Disorder Society.

[126]  A. Brandes,et al.  Circadian Profile of Cardiac Autonomic Nervous Modulation in Healthy Subjects: , 2003, Journal of cardiovascular electrophysiology.

[127]  Davor Milicic,et al.  The 〈〈Chaos Theory〉〉 and Nonlinear Dynamics in Heart Rate Variability Analysis: Does it Work in Short‐Time Series in Patients with Coronary Heart Disease? , 2007, Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc.