Deborah Green

EEG Neurofeedback: A Brief Overview and an Example of Peak Alpha Frequency Training for Cognitive Enhancement in the Elderly

Neurofeedback (NF) is an electroencephalographic (EEG) biofeedback technique for training individuals to alter their brain activity via operant conditioning. Research has shown that NF helps reduce symptoms of several neurological and psychiatric disorders, with ongoing research currently investigating applications to other disorders and to the enhancement of non-disordered cognition. The present article briefly reviews the fundamentals and current status of NF therapy and research and illustrates the basic approach with an interim report on a pilot study aimed at developing a new NF protocol for improving cognitive function in the elderly. EEG peak alpha frequency (PAF) has been shown to correlate positively with cognitive performance and to correlate negatively with age after childhood. The present pilot study used a double-blind controlled design to investigate whether training older individuals to increase PAF would result in improved cognitive performance. The results suggested that PAF NF improved cognitive processing speed and executive function, but that it had no clear effect on memory. In sum, the results suggest that the PAF NF protocol is a promising technique for improving selected cognitive functions.

Brain activation in restrained and unrestrained eaters: an fMRI study.

Restraint theory has been used to model the process that produces binge eating. However, there is no satisfactory explanation for the tendency of restrained eaters (REs) to engage in counterregulatory eating, an ostensible analogue of binge eating. Using functional magnetic resonance imaging (fMRI), the authors investigated brain activation of normal weight REs (N = 9) and unrestrained eaters (UREs; N = 10) when fasted and fed and viewing pictures of highly and moderately palatable foods and neutral objects. When fasted and viewing highly palatable foods, UREs showed widespread bilateral activation in areas associated with hunger and motivation, whereas REs showed activation only in the cerebellum, an area previously implicated in low-level processing of appetitive stimuli. When fed and viewing high palatability foods, UREs showed activation in areas related to satiation and memory, whereas REs showed activation in areas implicated in desire, expectation of reward, and goal-defined behavior. These findings parallel those from behavioral research. The authors propose that the counterintuitive findings from preload studies and the present study are due to the fact that REs are less hungry than UREs when fasted and find palatable food more appealing than UREs when fed.

An ensemble based data fusion approach for early diagnosis of Alzheimer's disease

As the number of the elderly population affected by Alzheimers disease (AD) rises rapidly, the need to find an accurate, inexpensive and non-intrusive diagnostic procedure that can be made available to community healthcare providers is becoming an increasingly urgent public health concern. Several recent studies have looked at analyzing electroencephalogram (EEG) signals through the use of wavelets and neural networks. While showing great promise, the final outcomes of these studies have been largely inconclusive. This is mostly due to inherent difficulty of the problem, but also - perhaps - due to inefficient use of the available information, as many of these studies have used a single EEG channel for the analysis. In this contribution, we describe an ensemble of classifiers based data fusion approach to combine information from two or more sources, believed to contain complementary information, for early diagnosis of Alzheimers disease. Our emphasis is on sequentially generating an ensemble of classifiers that explicitly seek the most discriminating information from each data source. Specifically, we use the event related potentials recorded from the Pz, Cz, and Fz electrodes of the EEG, decomposed into different frequency bands using multiresolution wavelet analysis. The proposed data fusion approach includes generating multiple classifiers trained with strategically selected subsets of the training data from each source, which are then combined through a modified weighted majority voting procedure. The implementation details and the promising outcomes of this implementation are presented.

Asymmetric prefrontal cortex activation in relation to markers of overeating in obese humans

Dietary restraint is heavily influenced by affect, which has been independently related to asymmetrical activation in the prefrontal cortex (prefrontal asymmetry) in electroencephalograph (EEG) studies. In normal weight individuals, dietary restraint has been related to prefrontal asymmetry; however, this relationship was not mediated by affect. This study was designed to test the hypotheses that, in an overweight and obese sample, dietary restraint as well as binge eating, disinhibition, hunger, and appetitive responsivity would be related to prefrontal asymmetry independent of affect at the time of assessment. Resting EEG recordings and self-report measures of overeating and affect were collected in 28 overweight and obese adults. Linear regression analyses were used to predict prefrontal asymmetry from appetitive measures while controlling for affect. Cognitive restraint and binge eating were not associated with prefrontal asymmetry. However, disinhibition, hunger, and appetitive responsivity predicted left-, greater than right-, sided prefrontal cortex activation independent of affect. Findings in this study add to a growing literature implicating the prefrontal cortex in the cognitive control of dietary intake. Further research to specify the precise role of prefrontal asymmetry in the motivation toward, and cessation of, feeding in obese individuals is encouraged.

Semantic richness and the activation of concepts in semantic memory: Evidence from event-related potentials

Semantic richness refers to the amount of semantic information associated with a concept. Reaction-time (RT) studies have shown that words referring to rich concepts elicit faster responses than those referring to impoverished ones, suggesting that richer concepts are activated more quickly. In a recent functional neuroimaging study, richer concepts evoked less neural activity, which was interpreted as faster activation. The interpretations of these findings appear to conflict with event-related potential (ERP) studies showing no evidence that speed of concept activation is influenced by typical semantic variables. Resolution of this apparent contradiction is important because the interpretation of 40 years of semantic-memory RT studies depends on whether factors such as semantic richness influence the duration of initial concept activation or later decision and response processes. Consistent with previous studies of the effects of semantic factors on ERP, the present study shows that richness influences the magnitude, but not the latency, of the P2 and N400 ERP components (which are early relative to behavioral responses), suggesting that effects of richness on RT reflect temporal effects on downstream decision or response mechanisms rather than on upstream concept activation.

The transliminal brain at rest: Baseline EEG, unusual experiences, and access to unconscious mental activity

Transliminality reflects individual differences in the threshold at which unconscious processes or external stimuli enter into consciousness. Individuals high in transliminality possess characteristics such as magical ideation, belief in the paranormal, and creative personality traits, and also report the occurrence of manic/mystic experiences. The goal of the present research was to determine if resting brain activity differs for individuals high versus low in transliminality. We compared baseline EEG recordings (eyes-closed) between individuals high versus low in transliminality, assessed using The Revised Transliminality Scale of Lange et al. (2000). Identifying reliable differences at rest between high- and low-transliminality individuals would support a predisposition for transliminality-related traits. Individuals high in transliminality exhibited lower alpha, beta, and gamma power than individuals low in transliminality over left posterior association cortex and lower high alpha, low beta, and gamma power over the right superior temporal region. In contrast, when compared to individuals low in transliminality, individuals high in transliminality exhibited greater gamma power over the frontal-midline region. These results are consistent with prior research reporting reductions in left temporal/parietal activity, as well as the desynchronization of right temporal activity in schizotypy and related schizophrenia spectrum disorders. Further, differences between high- and low-transliminality groups extend existing theories linking altered hemispheric asymmetries in brain activity to a predisposition toward schizophrenia, paranormal beliefs, and unusual experiences.

Majority Vote and Decision Template Based Ensemble Classifiers Trained on Event Related Potentials for Early Diagnosis of Alzheimer's Disease

With the rapid increase in the population of elderly individuals affected by Alzheimers disease, the need for an accurate, inexpensive and non-intrusive diagnostic biomarker that can be made available to community healthcare providers presents itself as a major public health concern. The feasibility of EEG as such a biomarker has gained a renewed attention as several recent studies, including our previous efforts, reported promising results. In this paper we present our preliminary results on using wavelet coefficients of event related potentials along with an ensemble of classifiers combined with majority vote and decision templates

Ensemble Based Data Fusion for Early Diagnosis of Alzheimer's Disease

We describe an ensemble of classifiers based data fusion approach to combine information from two sources, believed to contain complimentary information, for early diagnosis of Alzheimers disease. Specifically, we use the event related potentials recorded from the Pz and Cz electrodes of the EEG, which are further analyzed using multiresolution wavelet analysis. The proposed data fusion approach includes generating multiple classifiers trained with strategically selected subsets of the training data from each source, which are then combined through a weighted majority voting. Several factors set this study apart from similar prior efforts: we use a larger cohort, specifically target early diagnosis of the disease, use an ensemble based approach rather then a single classifier, and most importantly, we combine information from multiple sources, rather then using a single modality. We present promising results obtained from the first 35 (of 80) patients whose data are analyzed thus far

P50: A candidate ERP biomarker of prodromal Alzheimer's disease

INTRODUCTION Reductions of cerebrospinal fluid (CSF) amyloid-beta (Aβ42) and elevated phosphorylated-tau (p-Tau) reflect in vivo Alzheimers disease (AD) pathology and show utility in predicting conversion from mild cognitive impairment (MCI) to dementia. We investigated the P50 event-related potential component as a noninvasive biomarker of AD pathology in non-demented elderly. METHODS 36 MCI patients were stratified into amyloid positive (MCI-AD, n=17) and negative (MCI-Other, n=19) groups using CSF levels of Aβ42. All amyloid positive patients were also p-Tau positive. P50s were elicited with an auditory oddball paradigm. RESULTS MCI-AD patients yielded larger P50s than MCI-Other. The best amyloid-status predictor model showed 94.7% sensitivity, 94.1% specificity and 94.4% total accuracy. DISCUSSION P50 predicted amyloid status in MCI patients, thereby showing a relationship with AD pathology versus MCI from another etiology. The P50 may have clinical utility for inexpensive pre-screening and assessment of Alzheimers pathology.

ERP based decision fusion for AD diagnosis across cohorts

As the average life expectancy increases, particularly in developing countries, prevalence of neurodegenerative diseases has also increased. This trend is especially alarming for Alzheimers disease (AD); as there is no cure to stop or reverse the effects of AD. However, recent pharmacological advances can slow the progression of AD, but only if AD is diagnosed at early stages. We have previously introduced an ensemble of classifiers based approach for combining event related potentials obtained from different electrode locations as an effective approach for early diagnosis of AD. We further expand this approach and analyze its robustness and stability in two ways: comparing the diagnostic accuracy on hand selected and cleaned data vs. standard automated preprocessing, but more importantly, comparing the diagnostic accuracy on two different cohorts, whose data are collected under different settings: a research university lab and a community clinic.