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Progress Seminar 2019.03.13 권순빈.

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Presentation on theme: "Progress Seminar 2019.03.13 권순빈."— Presentation transcript:

1 Progress Seminar 권순빈

2 연구 진행 상황 보고서 2주전 계획 연구 결과 문제점 및 대책 목표 및 계획 CPF 정형외과
Alzheimer's disease 기타 2주전 계획 연구 결과 논문 제출 (JMIR mHealth and uHealth) 논문 제출 (Osteoarthritis and Cartilage) 논문 공부 + 연구 계획 문제점 및 대책 목표 및 계획

3 EEG and Alzheimer's Disease
Classical EEG features Frequency and power Non-classical EEG features Network connectivity and activation Auditory Event Related Potential Amplitude and latency P50 Theta-gamma coupling TGC

4 Classical Features Classical EEG features include amplitude, phase and power of different frequency bands; Gamma(30-100Hz), Beta(12-30Hz), Alpha(8-12Hz), Theta(4-8Hz), Delta(1-4Hz) During the memory formation Increase in Gamma power is observed in the task-related networks Decrease in lower-frequency oscillation in multiple regions During the resting EEG, mild AD patients showed Lower alpha power compared to controls Higher delta power compared to controls During the rest EEG, AD patients showed Increased delta global field power compared to controls Increased theta global field power compared to controls Reduced alpha global field power compared to controls Reduced alpha global field power compared to MCI Reduced beta global field power compared to MCI

5 Non-Classical Features
Default Mode Network (DMN) Activated during inwardly oriented mental activity Deactivated during outwardly directed mental tasks Includes the precuneus, posterior cingulate cortex, regions of the temporal and medial prefrontal cortex In cognitive disorders, deactivation of DMN components is impaired during learning Reduced deactivation of DMN has been observed during memory-encoding test in normal individuals with cerebral amyloid deposits Hippocampal hyperactivation Hippocampal is essential for declarative memory Hippocampal hyperactivation has been observed during memory-encoding test in normal individuals with cerebral amyloid deposits Early hippocampal hyperactivation has been interpreted as a mechanism to compensate for emerging cognitive decline in early AD Studies have suggested that there is a functional connection between DMN and hippocampus

6 Auditory Event Related Potential
Measure sensory gating Reduced suppression of P50 is observed in patients with AD P300 Only occurs if the subject is actively engaged in the task of detecting the targets Amplitude was smaller and peak latency was longer for AD compared to controls P600 Language-relevant ERP Abnormal P600 was observed during ERP word repetition in mild AD patients N400 Brain’s response to words or other meaningful stimuli Abnormal N400 was observed during ERP word repetition in mild AD patients

7 Theta-Gamma Coupling Lisman and co-workers have developed a multiplexing model explaining phase-coupled theta-gamma oscillations Phase coupling of theta and gamma rhythms of EEG has been observed during working memory tasks Previous study have reported external modulation of interaction between theta and gamma rhythms can improve the performance of working memory Accuracy and modulation index during 2-back working memory task Accuracy significantly differed between AD and control Accuracy significantly differed between MCI and control Accuracy did not significantly differed between AD and MCI MI significantly differed between AD and control MI significantly differed between AD and MCI MI significantly differed between MCI and control

8 EEG Measurement Resting EEG Resting EEG Auditory ERP N-back test
Resting state Classic features Non-classic features Working memory task TGC Auditory stimulations Auditory ERP Resting EEG N-back test Resting EEG Auditory ERP

9 EEG Measurement Electrode Location Experiment / Measurement Condition
Resting state: system (19-20 electrodes) TGC: system P50: system P300: system (Fz, Cz, and Pz) DMN: 10-5 system or system with extra leads Experiment / Measurement Condition Resting state: Eyes closed TGC: 2-back test P50/P300: Auditory oddball task In random order for 3 min/trials 1kHz standard tone 65 % of total stimulus 100ms duration 2kHz target tone 20 % of total stimulus 100ms duration Press button for this tone Individual’s threshold: 60 dB or above Novel environmental tone 15% of total stimulus 200ms duration Not presented in practice trial 0.1s 0.1s 0.2s 1~1.3s 1~1.3s

10 Alzheimer’s Disease Classification


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