External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals

Abstract Discrimination of pain intensity using machine learning (ML) and electroencephalography (EEG) has significant potential for clinical applications, especially in scenarios where self-report is unsuitable. However, existing research is limited due to a lack of external validation (assessing p...

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Main Authors: Tyler Mari, Oda Asgard, Jessica Henderson, Danielle Hewitt, Christopher Brown, Andrej Stancak, Nicholas Fallon
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-27298-1
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author Tyler Mari
Oda Asgard
Jessica Henderson
Danielle Hewitt
Christopher Brown
Andrej Stancak
Nicholas Fallon
author_facet Tyler Mari
Oda Asgard
Jessica Henderson
Danielle Hewitt
Christopher Brown
Andrej Stancak
Nicholas Fallon
author_sort Tyler Mari
collection DOAJ
description Abstract Discrimination of pain intensity using machine learning (ML) and electroencephalography (EEG) has significant potential for clinical applications, especially in scenarios where self-report is unsuitable. However, existing research is limited due to a lack of external validation (assessing performance using novel data). We aimed for the first external validation study for pain intensity classification with EEG. Pneumatic pressure stimuli were delivered to the fingernail bed at high and low pain intensities during two independent EEG experiments with healthy participants. Study one (n = 25) was utilised for training and cross-validation. Study two (n = 15) was used for external validation one (identical stimulation parameters to study one) and external validation two (new stimulation parameters). Time–frequency features of peri-stimulus EEG were computed on a single-trial basis for all electrodes. ML training and analysis were performed on a subset of features, identified through feature selection, which were distributed across scalp electrodes and included frontal, central, and parietal regions. Results demonstrated that ML models outperformed chance. The Random Forest (RF) achieved the greatest accuracies of 73.18, 68.32 and 60.42% for cross-validation, external validation one and two, respectively. Importantly, this research is the first to externally validate ML and EEG for the classification of intensity during experimental pain, demonstrating promising performance which generalises to novel samples and paradigms. These findings offer the most rigorous estimates of ML’s clinical potential for pain classification.
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spelling doaj.art-ae5e5a6b290f4ad49f1b9b3b025296e12023-01-08T12:12:55ZengNature PortfolioScientific Reports2045-23222023-01-0113111310.1038/s41598-022-27298-1External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individualsTyler Mari0Oda Asgard1Jessica Henderson2Danielle Hewitt3Christopher Brown4Andrej Stancak5Nicholas Fallon6Department of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolDepartment of Psychology, Institute of Population Health, University of LiverpoolAbstract Discrimination of pain intensity using machine learning (ML) and electroencephalography (EEG) has significant potential for clinical applications, especially in scenarios where self-report is unsuitable. However, existing research is limited due to a lack of external validation (assessing performance using novel data). We aimed for the first external validation study for pain intensity classification with EEG. Pneumatic pressure stimuli were delivered to the fingernail bed at high and low pain intensities during two independent EEG experiments with healthy participants. Study one (n = 25) was utilised for training and cross-validation. Study two (n = 15) was used for external validation one (identical stimulation parameters to study one) and external validation two (new stimulation parameters). Time–frequency features of peri-stimulus EEG were computed on a single-trial basis for all electrodes. ML training and analysis were performed on a subset of features, identified through feature selection, which were distributed across scalp electrodes and included frontal, central, and parietal regions. Results demonstrated that ML models outperformed chance. The Random Forest (RF) achieved the greatest accuracies of 73.18, 68.32 and 60.42% for cross-validation, external validation one and two, respectively. Importantly, this research is the first to externally validate ML and EEG for the classification of intensity during experimental pain, demonstrating promising performance which generalises to novel samples and paradigms. These findings offer the most rigorous estimates of ML’s clinical potential for pain classification.https://doi.org/10.1038/s41598-022-27298-1
spellingShingle Tyler Mari
Oda Asgard
Jessica Henderson
Danielle Hewitt
Christopher Brown
Andrej Stancak
Nicholas Fallon
External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
Scientific Reports
title External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
title_full External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
title_fullStr External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
title_full_unstemmed External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
title_short External validation of binary machine learning models for pain intensity perception classification from EEG in healthy individuals
title_sort external validation of binary machine learning models for pain intensity perception classification from eeg in healthy individuals
url https://doi.org/10.1038/s41598-022-27298-1
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