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Background: Mild cognitive impairment (MCI) is considered a prodromal stage of Alzheimer’s disease. Early diagnosis of MCI can allow for treatment to improve cognitive function and reduce modifiable risk factors. Objective: This study aims to investigate the feasibility of individual MCI detection from healthy control (HC) using a minimum duration of resting-state functional near-infrared spectroscopy (fNIRS) signals. Methods: In this study, nine different measurement durations (i.e., 30, 60, 90, 120, 150, 180, 210, 240, and 270 s) were evaluated for MCI detection via the graph theory analysis and traditional machine learning approach, such as linear discriminant analysis, support vector machine, and K-nearest neighbor algorithms. Moreover, feature representation- and classification-based transfer learning (TL) methods were applied to identify MCI from HC through the input of connectivity maps with 30 and 90 s duration. Results: There was no significant difference among the nine various time windows in the machine learning and graph theory analysis. The feature representation-based TL showed improved accuracy in both 30 and 90 s cases (i.e., 30 s: 81.27% and 90 s: 76.73%). Notably, the classification-based TL method achieved the highest accuracy of 95.81% using the pre-trained convolutional neural network (CNN) model with the 30 s interval functional connectivity map input. Conclusion: The results indicate that a 30 s measurement of the resting-state with fNIRS could be used to detect MCI. Moreover, the combination of neuroimaging (e.g., functional connectivity maps) and deep learning methods (e.g., CNN and TL) can be considered as novel biomarkers for clinical computer-assisted MCI diagnosis.

Brain-computer interface (BCI) technology represents a fast-growing field of research and applications for disabled and healthy people, which is a direct communication pathway to translate the neural information into an active command. Owing to the complicated headset structure, low accuracies, extended training periods, and nonstationary noises, BCI still has many challenges that should be dealt with for further facilitation of BCI technology use in daily life. In this study, a simplified synchronized hybrid BCI system is proposed for multiple command control by the electroencephalograph (EEG) signals in the motor cortex. This system can detect the single motor imagery (MI) task, single steady-state visually evoked potential (SSVEP) task, and hybrid MI + SSVEP tasks simultaneously (total ten mental tasks) via 2 EEG channels with high accuracy. The fast independent component analysis algorithm is employed to hybrid signals for obtaining clear EEG signals resulting from denoising. Feature extraction is performed by the wavelet transform, which is extracted by the features in the frequency and time domains. Furthermore, a four-layer convolutional neural network (CNN) is used as a classifier to distinguish different mental tasks. Finally, the hybrid MI + SSVEP system with a simple structure achieves a high accuracy of 95.56%. Additionally, the single MI-based and the SSVEP-based BCI system obtain the classification accuracy of 90.16% and 93.21%, respectively. Experimental results indicate that the synchronized hybrid BCI system could achieve multiple command control with a simple structure. In comparison with the single MI-based and the SSVEP-based BCI system, the hybrid MI + SSVEP BCI system shows a stable performance and higher efficiency. The proposed investigation provides a new method for the multiple command control by a hybrid BCI system. Also, the proposed BCI system offers the possibility of friendly utilization for disabled people because of its reliability, ease of use, and simplified headset structure.

BackgroundBrain disorders are gradually becoming the leading cause of death worldwide. However, the lack of knowledge of brain disease’s underlying mechanisms and ineffective neuropharmacological therapy have led to further exploration of optimal treatments and brain monitoring techniques.ObjectiveThis study aims to review the current state of brain disorders, which utilize transcranial electrical stimulation (tES) and daily usable noninvasive neuroimaging techniques. Furthermore, the second goal of this study is to highlight available gaps and provide a comprehensive guideline for further investigation.MethodA systematic search was conducted of the PubMed and Web of Science databases from January 2000 to October 2020 using relevant keywords. Electroencephalography (EEG) and functional near-infrared spectroscopy were selected as noninvasive neuroimaging modalities. Nine brain disorders were investigated in this study, including Alzheimer’s disease, depression, autism spectrum disorder, attention-deficit hyperactivity disorder, epilepsy, Parkinson’s disease, stroke, schizophrenia, and traumatic brain injury.ResultsSixty-seven studies (1,385 participants) were included for quantitative analysis. Most of the articles (82.6%) employed transcranial direct current stimulation as an intervention method with modulation parameters of 1 mA intensity (47.2%) for 16–20 min (69.0%) duration of stimulation in a single session (36.8%). The frontal cortex (46.4%) and the cerebral cortex (47.8%) were used as a neuroimaging modality, with the power spectrum (45.7%) commonly extracted as a quantitative EEG feature.ConclusionAn appropriate stimulation protocol applying tES as a therapy could be an effective treatment for cognitive and neurological brain disorders. However, the optimal tES criteria have not been defined; they vary across persons and disease types. Therefore, future work needs to investigate a closed-loop tES with monitoring by neuroimaging techniques to achieve personalized therapy for brain disorders.

The goal of this study was to develop and validate a hybrid brain-computer interface (BCI) system for home automation control. Over the past decade, BCIs represent a promising possibility in the field of medical (e.g., neuronal rehabilitation), educational, mind reading, and remote communication. However, BCI is still difficult to use in daily life because of the challenges of the unfriendly head device, lower classification accuracy, high cost, and complex operation. In this study, we propose a hybrid BCI system for home automation control with two brain signals acquiring electrodes and simple tasks, which only requires the subject to focus on the stimulus and eye blink. The stimulus is utilized to select commands by generating steady-state visually evoked potential (SSVEP). The single eye blinks (i.e., confirm the selection) and double eye blinks (i.e., deny and re-selection) are employed to calibrate the SSVEP command. Besides that, the short-time Fourier transform and convolution neural network algorithms are utilized for feature extraction and classification, respectively. The results show that the proposed system could provide 38 control commands with a 2 s time window and a good accuracy (i.e., 96.92%) using one bipolar electroencephalogram (EEG) channel. This work presents a novel BCI approach for the home automation application based on SSVEP and eye blink signals, which could be useful for the disabled. In addition, the provided strategy of this study&mdash, a friendly channel configuration (i.e., one bipolar EEG channel), high accuracy, multiple commands, and short response time&mdash, might also offer a reference for the other BCI controlled applications.

Mild cognitive impairment (MCI) is the clinical precursor of Alzheimer’s disease (AD), which is considered the most common neurodegenerative disease in the elderly. Some MCI patients tend to remain stable over time and do not evolve to AD. It is essential to diagnose MCI in its early stages and provide timely treatment to the patient. In this study, we propose a neuroimaging approach to identify MCI using a deep learning method and functional near-infrared spectroscopy (fNIRS). For this purpose, fifteen MCI subjects and nine healthy controls (HCs) were asked to perform three mental tasks: N-back, Stroop, and verbal fluency (VF) tasks. Besides examining the oxygenated hemoglobin changes (ΔHbO) in the region of interest, ΔHbO maps at thirteen specific time points (i.e., 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, and 65 s) during the tasks and seven temporal feature maps (i.e., two types of mean, three types of slope, kurtosis, and skewness) in the prefrontal cortex were investigated. A four-layer convolutional neural network (CNN) was applied to identify the subjects into either MCI or HC, individually, after training the CNN model with ΔHbO maps and temporal feature maps above. Finally, we used the 5-fold cross-validation approach to evaluate the performance of the CNN. The results of temporal feature maps exhibited high classification accuracies: The average accuracies for the N-back task, Stroop task, and VFT, respectively, were 89.46%, 87.80%, and 90.37%. Notably, the highest accuracy of 98.61% was achieved from the ΔHbO slope map during 20 s ~ 60 s interval of N-back tasks. Our results indicate that the fNIRS imaging approach based on temporal feature maps is a promising diagnostic method for early detection of MCI and can be used as a tool for clinical doctors to identify MCI from their patients.

With growing age, the cognitive ability degrades gradually as an aging factor. For a portion of people, the cognitive capability diminishes to a great extent, which will eventually result in Alzheimer's disease (AD). Mild cognitive impairment (MCI) is considered as an intermediate stage of AD. Diagnosis of AD patients at an early stage can reduce the chance of developing into a severe condition for cognition. This study aims to investigate the MCI assessment methods (statistical analysis and individual classification) for distinguishing the healthy control (HC) and MCI patients via functional near-infrared spectroscopy (fNIRS). This study evaluated ten digital biomarkers from three brain regions and three mental tasks ( $N$ -back, Stroop, and verbal fluency task). Among these three tasks, the $N$ -back task achieved the best accuracy (76.67 %) with biomarker 2 (HbO mean from 5 to 25 sec) and 7 (HbO slope from 0 to peak value) in the middle prefrontal cortex by linear discriminant analysis (LDA). Additionally, the statistical analysis results also indicated that a significant difference ( $p$ -value $p$ -value < 0.05. It reveals that statistical analysis technique still should be improved for diagnosing MCI individuals. Machine learning (LDA) can contribute as a tool by early prediction of AD via analyzing digital biomarkers using a non-invasive technique.

This paper aims to develop a Brain-computer interface (BCI) speller utilizing eyes-closed and double-blinking electroencephalogram (EEG) signals and based on asynchronous mechanism. The proposed system comprises a signal processing module and a graphical user interface (virtual keyboard-VK) with 26 English characters plus a special symbol. A detected “eyes-closed”(EC) event induces the “select”command, whereas a “double-blinking”(DB) event functions as the “undo”command. A three-class support vector machine classifier involving EEG signal analysis of three groups of events (“eyes-open” - idle state, EC, and DB) is proposed. The results show that the proposed BCI can achieve an overall accuracy of 93.8% for multi-class classification. The proposed speller is then employed in the online experiment of spelling the word “bcispeller”using a 1 s time window. Consequently, it achieves an average accuracy of 92.3% and an average spelling rate of 5 letters/min. Overall, this paper shows improvement with high accuracy and spelling rate demonstrating the feasibility and reliability of implementing a real-world BCI speller.

Mild cognitive impairment (MCI), a condition characterizing poor cognition, is associated with aging and depicts early symptoms of severe cognitive impairment, known as Alzheimer’s disease (AD). Meanwhile, early detection of MCI can prevent progression to AD. A great deal of research has been performed in the past decade on MCI detection. However, availability of biomarkers for MCI detection requires greater attention. In our study, we evaluated putative and reliable biomarkers for diagnosing MCI by performing different mental tasks (i.e., N-back task, Stroop task, and verbal fluency task) using functional near-infrared spectroscopy (fNIRS) signals on a group of 15 MCI patients and 9 healthy control (HC). The 15 digital biomarkers (i.e., five means, seven slopes, peak, skewness, and kurtosis) and two image biomarkers (t-map, correlation map) in the prefrontal cortex (PFC) (i.e., left PFC, middle PFC, and right PFC) between the MCI and HC groups were investigated by the statistical analysis, linear discriminant analysis (LDA), and convolutional neural network (CNN) individually. The results reveal that the statistical analysis using digital biomarkers (with a p-value < 0.05) could not distinguish the MCI patients from the HC over 60% accuracy. Therefore, the current statistical analysis needs to be improved to be used for diagnosing the MCI patients. The best accuracy with LDA was 76.67% with the N-back and Stroop tasks. However, the CNN classification results trained by image biomarkers showed a high accuracy. In particular, the CNN results trained via t-maps revealed the best accuracy (90.62%) with the N-back task, whereas the CNN result trained by the correlation maps was 85.58% with the N-back task. Also, the results illustrated that investigating the sub-regions (i.e., right, middle, left) of the PFC for detecting MCI would be better than examining the whole PFC. The t-map (or/and the correlation map) is conclusively recommended as an image biomarker for early detection of AD. The combination of CNN and image biomarkers can provide a reliable clinical tool for diagnosing MCI patients.