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An original multivariate multi-scale methodology for assessing the complexity of physiological signals is proposed. The technique is able to incorporate the simultaneous analysis of multi-channel data as a unique block within a multi-scale framework. The basic complexity measure is done by using Permutation Entropy, a methodology for time series processing based on ordinal analysis. Permutation Entropy is conceptually simple, structurally robust to noise and artifacts, computationally very fast, which is relevant for designing portable diagnostics. Since time series derived from biological systems show structures on multiple spatial-temporal scales, the proposed technique can be useful for other types of biomedical signal analysis. In this work, the possibility of distinguish among the brain states related to Alzheimer's disease patients and Mild Cognitive Impaired subjects from normal healthy elderly is checked on a real, although quite limited, experimental database. [ABSTRACT FROM AUTHOR]

In the study of neurological disorders, Electroencephalographic (EEG) signal processing can provide valuable information because abnormalities in the interaction between neuron circuits may reflect on macroscopic abnormalities in the electrical potentials that can be detected on the scalp. A Mild Cognitive Impairment (MCI) condition, when caused by a disorder degenerating into dementia, affects the brain connectivity. Motivated by the promising results achieved through the recently developed descriptor of coupling strength between EEG signals, the Permutation Disalignment Index (PDI), the present paper introduces a novel PDI-based complex network model to evaluate the longitudinal variations in brain-electrical connectivity. A group of 33 amnestic MCI subjects was enrolled and followed-up with over four months. The results were compared to MoCA (Montreal Cognitive Assessment) tests, which scores the cognitive abilities of the patient. A significant negative correlation could be observed between MoCA variation and the characteristic path length (λ) variation (r = -0.56, p = 0.0006), whereas a significant positive correlation could be observed between MoCA variation and the variation of clustering coefficient (CC, r = 0.58, p = 0.0004), global efficiency (GE, r = 0.57, p = 0.0005) and small worldness (SW, r = 0.57, p = 0.0005). Cognitive decline thus seems to reflect an underlying cortical "disconnection" phenomenon: worsened subjects indeed showed an increased l and decreased CC, GE and SW. The PDI-based connectivity model, proposed in the present work, could be a novel tool for the objective quantification of longitudinal brain-electrical connectivity changes in MCI subjects. [ABSTRACT FROM AUTHOR]

Highlights: [•] We evaluated permutation entropy (PE) extracted from different electrodes in patients with typical absences (TAs) and healthy subjects. [•] In patients with TAs there was a recurrent behavior of PE topography, with electrodes from anterior regions associated to higher randomness and electrodes from posterior regions associated to lower randomness. [•] PE seems a useful tool to disclose abnormalities of cerebral electric activity not revealed by conventional EEG. [Copyright &y& Elsevier]

The differential diagnosis of epileptic seizures (ES) and psychogenic non-epileptic seizures (PNES) may be difficult, due to the lack of distinctive clinical features. The interictal electroencephalographic (EEG) signal may also be normal in patients with ES. Innovative diagnostic tools that exploit non-linear EEG analysis and deep learning (DL) could provide important support to physicians for clinical diagnosis. In this work, 18 patients with new-onset ES (12 males, 6 females) and 18 patients with video-recorded PNES (2 males, 16 females) with normal interictal EEG at visual inspection were enrolled. None of them was taking psychotropic drugs. A convolutional neural network (CNN) scheme using DL classification was designed to classify the two categories of subjects (ES vs. PNES). The proposed architecture performs an EEG time-frequency transformation and a classification step with a CNN. The CNN was able to classify the EEG recordings of subjects with ES vs. subjects with PNES with 94.4% accuracy. CNN provided high performance in the assigned binary classification when compared to standard learning algorithms (multi-layer perceptron, support vector machine, linear discriminant analysis and quadratic discriminant analysis). In order to interpret how the CNN achieved this performance, information theoretical analysis was carried out. Specifically, the permutation entropy (PE) of the feature maps was evaluated and compared in the two classes. The achieved results, although preliminary, encourage the use of these innovative techniques to support neurologists in early diagnoses. [ABSTRACT FROM AUTHOR]