Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation

Aim: The aim of this work was to study the neurophysiological effect of repetitive transcranial magnetic stimulation (rTMS) applied to the left dorsolateral prefrontal cortex (DLPFC) in 8 patients with major depression disorder (MDD) and 10 patients with bipolar disorder (BP), considering separately...

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Main Authors: Karolina Lebiecka, Urszula Zuchowicz, Agata Wozniak-Kwasniewska, David Szekely, Elzbieta Olejarczyk, Olivier David
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2018.01385/full
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author Karolina Lebiecka
Karolina Lebiecka
Urszula Zuchowicz
Urszula Zuchowicz
Agata Wozniak-Kwasniewska
Agata Wozniak-Kwasniewska
David Szekely
David Szekely
David Szekely
Elzbieta Olejarczyk
Olivier David
Olivier David
author_facet Karolina Lebiecka
Karolina Lebiecka
Urszula Zuchowicz
Urszula Zuchowicz
Agata Wozniak-Kwasniewska
Agata Wozniak-Kwasniewska
David Szekely
David Szekely
David Szekely
Elzbieta Olejarczyk
Olivier David
Olivier David
author_sort Karolina Lebiecka
collection DOAJ
description Aim: The aim of this work was to study the neurophysiological effect of repetitive transcranial magnetic stimulation (rTMS) applied to the left dorsolateral prefrontal cortex (DLPFC) in 8 patients with major depression disorder (MDD) and 10 patients with bipolar disorder (BP), considering separately responders and non-responders to rTMS therapy in each of both groups.Methods: The Higuchi’s Fractal Dimension (FD) was analyzed from 64-channels EEG signals in five physiological frequency bands and every channel separately. Changes of FD were analyzed before and after 1st, 10th, and 20th session of rTMS.Results: Some differences in response to the rTMS therapy was found across individual groups. In MDD responders, FD decreased in all bands after longer stimulation (20th session). Whereas, in BP non-responders, FD decreased after 1st session in all bands as well as after 10th session in lower frequencies (delta and theta). In MDD non-responders and BP responders FD increased at the beginning of the therapy (1st and 10th session, respectively), but the final FD value did not changed in comparison to the initial FD value, except the FD decrease for theta band in BP responders. Comparison between groups showed a higher FD in MDD responders than in MDD non-responders in every band before as well as after stimulation. In contrast to MDD patients, FD was lower in BP responders than in BP non-responders in higher frequency bands (alpha, beta, and gamma) in both conditions as well as in lower frequency bands (delta and theta) after stimulation. Comparing both groups of responders, FD was lower in MDD than in BP in every band, except alpha. In case of non-responders, FD was higher in BP than in MDD in all bands in both conditions.Conclusion: The results showed that FD may be useful marker for evaluation of the rTMS effectiveness and the therapy progress as well as for group differentiation between MDD and BP or between responders and non-responders. The changes of FD under the influence of rTMS allow to unambiguously conclude whether the effect of stimulation is positive or negative as well as allow to evaluate an optimal time of rTMS.
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spelling doaj.art-67bdce5df3d1445cb826d179c4e9ef5b2022-12-21T19:52:06ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2018-09-01910.3389/fphys.2018.01385411250Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic StimulationKarolina Lebiecka0Karolina Lebiecka1Urszula Zuchowicz2Urszula Zuchowicz3Agata Wozniak-Kwasniewska4Agata Wozniak-Kwasniewska5David Szekely6David Szekely7David Szekely8Elzbieta Olejarczyk9Olivier David10Olivier David11Department of Automatics and Biomedical Engineering, AGH University of Science and Technology, Kraków, PolandNalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warsaw, PolandDepartment of Automatics and Biomedical Engineering, AGH University of Science and Technology, Kraków, PolandNalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warsaw, PolandU1216, Inserm, Grenoble, FranceGrenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, FranceU1216, Inserm, Grenoble, FranceGrenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, FranceService de Psychiatrie, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, FranceNalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warsaw, PolandU1216, Inserm, Grenoble, FranceGrenoble Institut des Neurosciences, Université Grenoble Alpes, Grenoble, FranceAim: The aim of this work was to study the neurophysiological effect of repetitive transcranial magnetic stimulation (rTMS) applied to the left dorsolateral prefrontal cortex (DLPFC) in 8 patients with major depression disorder (MDD) and 10 patients with bipolar disorder (BP), considering separately responders and non-responders to rTMS therapy in each of both groups.Methods: The Higuchi’s Fractal Dimension (FD) was analyzed from 64-channels EEG signals in five physiological frequency bands and every channel separately. Changes of FD were analyzed before and after 1st, 10th, and 20th session of rTMS.Results: Some differences in response to the rTMS therapy was found across individual groups. In MDD responders, FD decreased in all bands after longer stimulation (20th session). Whereas, in BP non-responders, FD decreased after 1st session in all bands as well as after 10th session in lower frequencies (delta and theta). In MDD non-responders and BP responders FD increased at the beginning of the therapy (1st and 10th session, respectively), but the final FD value did not changed in comparison to the initial FD value, except the FD decrease for theta band in BP responders. Comparison between groups showed a higher FD in MDD responders than in MDD non-responders in every band before as well as after stimulation. In contrast to MDD patients, FD was lower in BP responders than in BP non-responders in higher frequency bands (alpha, beta, and gamma) in both conditions as well as in lower frequency bands (delta and theta) after stimulation. Comparing both groups of responders, FD was lower in MDD than in BP in every band, except alpha. In case of non-responders, FD was higher in BP than in MDD in all bands in both conditions.Conclusion: The results showed that FD may be useful marker for evaluation of the rTMS effectiveness and the therapy progress as well as for group differentiation between MDD and BP or between responders and non-responders. The changes of FD under the influence of rTMS allow to unambiguously conclude whether the effect of stimulation is positive or negative as well as allow to evaluate an optimal time of rTMS.https://www.frontiersin.org/article/10.3389/fphys.2018.01385/fullEEGrepetitive transcranial magnetic stimulationcomplexityHiguchi fractal dimensionmajor depression disorderbipolar disorder
spellingShingle Karolina Lebiecka
Karolina Lebiecka
Urszula Zuchowicz
Urszula Zuchowicz
Agata Wozniak-Kwasniewska
Agata Wozniak-Kwasniewska
David Szekely
David Szekely
David Szekely
Elzbieta Olejarczyk
Olivier David
Olivier David
Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
Frontiers in Physiology
EEG
repetitive transcranial magnetic stimulation
complexity
Higuchi fractal dimension
major depression disorder
bipolar disorder
title Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
title_full Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
title_fullStr Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
title_full_unstemmed Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
title_short Complexity Analysis of EEG Data in Persons With Depression Subjected to Transcranial Magnetic Stimulation
title_sort complexity analysis of eeg data in persons with depression subjected to transcranial magnetic stimulation
topic EEG
repetitive transcranial magnetic stimulation
complexity
Higuchi fractal dimension
major depression disorder
bipolar disorder
url https://www.frontiersin.org/article/10.3389/fphys.2018.01385/full
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