Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment

BackgroundDementia and mild cognitive impairment are characterised by symptoms of cognitive decline, which are typically assessed using neuropsychological assessments (NPAs), such as the Mini-Mental State Examination (MMSE) and Frontal Assessment Battery (FAB). Magnetoencephalography (MEG) is a nove...

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Main Authors: Hideyuki Hoshi, Yoko Hirata, Keisuke Fukasawa, Momoko Kobayashi, Yoshihito Shigihara
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1273738/full
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author Hideyuki Hoshi
Yoko Hirata
Keisuke Fukasawa
Momoko Kobayashi
Yoshihito Shigihara
Yoshihito Shigihara
author_facet Hideyuki Hoshi
Yoko Hirata
Keisuke Fukasawa
Momoko Kobayashi
Yoshihito Shigihara
Yoshihito Shigihara
author_sort Hideyuki Hoshi
collection DOAJ
description BackgroundDementia and mild cognitive impairment are characterised by symptoms of cognitive decline, which are typically assessed using neuropsychological assessments (NPAs), such as the Mini-Mental State Examination (MMSE) and Frontal Assessment Battery (FAB). Magnetoencephalography (MEG) is a novel clinical assessment technique that measures brain activities (summarised as oscillatory parameters), which are associated with symptoms of cognitive impairment. However, the relevance of MEG and regional cerebral blood flow (rCBF) data obtained using single-photon emission computed tomography (SPECT) has not been examined using clinical datasets. Therefore, this study aimed to investigate the relationships among MEG oscillatory parameters, clinically validated biomarkers computed from rCBF, and NPAs using outpatient data retrieved from hospital records.MethodsClinical data from 64 individuals with mixed pathological backgrounds were retrieved and analysed. MEG oscillatory parameters, including relative power (RP) from delta to high gamma bands, mean frequency, individual alpha frequency, and Shannon’s spectral entropy, were computed for each cortical region. For SPECT data, three pathological parameters—‘severity’, ‘extent’, and ‘ratio’—were computed using an easy z-score imaging system (eZIS). As for NPAs, the MMSE and FAB scores were retrieved.ResultsMEG oscillatory parameters were correlated with eZIS parameters. The eZIS parameters associated with Alzheimer’s disease pathology were reflected in theta power augmentation and slower shift of the alpha peak. Moreover, MEG oscillatory parameters were found to reflect NPAs. Global slowing and loss of diversity in neural oscillatory components correlated with MMSE and FAB scores, whereas the associations between eZIS parameters and NPAs were sparse.ConclusionMEG oscillatory parameters correlated with both SPECT (i.e. eZIS) parameters and NPAs, supporting the clinical validity of MEG oscillatory parameters as pathological and symptomatic indicators. The findings indicate that various components of MEG oscillatory characteristics can provide valuable pathological and symptomatic information, making MEG data a rich resource for clinical examinations of patients with cognitive impairments. SPECT (i.e. eZIS) parameters showed no correlations with NPAs. The results contributed to a better understanding of the characteristics of electrophysiological and pathological examinations for patients with cognitive impairments, which will help to facilitate their co-use in clinical application, thereby improving patient care.
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spelling doaj.art-78321957729748aeb83ef40484d2505a2024-01-30T04:22:47ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652024-01-011610.3389/fnagi.2024.12737381273738Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairmentHideyuki Hoshi0Yoko Hirata1Keisuke Fukasawa2Momoko Kobayashi3Yoshihito Shigihara4Yoshihito Shigihara5Precision Medicine Centre, Hokuto Hospital, Obihiro, JapanDepartment of Neurosurgery, Kumagaya General Hospital, Kumagaya, JapanClinical Laboratory, Kumagaya General Hospital, Kumagaya, JapanPrecision Medicine Centre, Kumagaya General Hospital, Kumagaya, JapanPrecision Medicine Centre, Hokuto Hospital, Obihiro, JapanPrecision Medicine Centre, Kumagaya General Hospital, Kumagaya, JapanBackgroundDementia and mild cognitive impairment are characterised by symptoms of cognitive decline, which are typically assessed using neuropsychological assessments (NPAs), such as the Mini-Mental State Examination (MMSE) and Frontal Assessment Battery (FAB). Magnetoencephalography (MEG) is a novel clinical assessment technique that measures brain activities (summarised as oscillatory parameters), which are associated with symptoms of cognitive impairment. However, the relevance of MEG and regional cerebral blood flow (rCBF) data obtained using single-photon emission computed tomography (SPECT) has not been examined using clinical datasets. Therefore, this study aimed to investigate the relationships among MEG oscillatory parameters, clinically validated biomarkers computed from rCBF, and NPAs using outpatient data retrieved from hospital records.MethodsClinical data from 64 individuals with mixed pathological backgrounds were retrieved and analysed. MEG oscillatory parameters, including relative power (RP) from delta to high gamma bands, mean frequency, individual alpha frequency, and Shannon’s spectral entropy, were computed for each cortical region. For SPECT data, three pathological parameters—‘severity’, ‘extent’, and ‘ratio’—were computed using an easy z-score imaging system (eZIS). As for NPAs, the MMSE and FAB scores were retrieved.ResultsMEG oscillatory parameters were correlated with eZIS parameters. The eZIS parameters associated with Alzheimer’s disease pathology were reflected in theta power augmentation and slower shift of the alpha peak. Moreover, MEG oscillatory parameters were found to reflect NPAs. Global slowing and loss of diversity in neural oscillatory components correlated with MMSE and FAB scores, whereas the associations between eZIS parameters and NPAs were sparse.ConclusionMEG oscillatory parameters correlated with both SPECT (i.e. eZIS) parameters and NPAs, supporting the clinical validity of MEG oscillatory parameters as pathological and symptomatic indicators. The findings indicate that various components of MEG oscillatory characteristics can provide valuable pathological and symptomatic information, making MEG data a rich resource for clinical examinations of patients with cognitive impairments. SPECT (i.e. eZIS) parameters showed no correlations with NPAs. The results contributed to a better understanding of the characteristics of electrophysiological and pathological examinations for patients with cognitive impairments, which will help to facilitate their co-use in clinical application, thereby improving patient care.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1273738/fullmagnetoencephalographycognitive impairmentsclinical neurophysiologyneurologysingle-photon emission computed tomography
spellingShingle Hideyuki Hoshi
Yoko Hirata
Keisuke Fukasawa
Momoko Kobayashi
Yoshihito Shigihara
Yoshihito Shigihara
Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
Frontiers in Aging Neuroscience
magnetoencephalography
cognitive impairments
clinical neurophysiology
neurology
single-photon emission computed tomography
title Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
title_full Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
title_fullStr Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
title_full_unstemmed Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
title_short Oscillatory characteristics of resting-state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
title_sort oscillatory characteristics of resting state magnetoencephalography reflect pathological and symptomatic conditions of cognitive impairment
topic magnetoencephalography
cognitive impairments
clinical neurophysiology
neurology
single-photon emission computed tomography
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1273738/full
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