TY - JOUR
T1 - Amplitude-integrated EEG colored according to spectral edge frequency
AU - Kobayashi, Katsuhiro
AU - Mimaki, Nobuyoshi
AU - Endoh, Fumika
AU - Inoue, Takushi
AU - Yoshinaga, Harumi
AU - Ohtsuka, Yoko
N1 - Funding Information:
This study was supported in part by the Research Grant ( 21B-5 ) for Nervous and Mental Disorders from the Ministry of Health, Labour and Welfare, Japan .
PY - 2011/10
Y1 - 2011/10
N2 - Objective: To improve the interpretability of figures containing an amplitude-integrated electroencephalogram (aEEG), we devised a color scale that allows us to incorporate spectral edge frequency (SEF) information into aEEG figures. Preliminary clinical assessment of this novel technique, which we call aEEG/SEF, was performed using neonatal and early infantile seizure data. Methods: We created aEEG, color density spectral array (DSA), and aEEG/SEF figures for focal seizures recorded in seven infants. Each seizure was paired with an interictal period from the same patient. After receiving instructions on how to interpret the figures, eight test reviewers examined each of the 72 figures displaying compressed data in aEEG, DSA, or aEEG/SEF form (12 seizures and 12 corresponding interictal periods) and attempted to identify each as a seizure or otherwise. They were not provided with any information regarding the original record. Results: The median number of correctly identified seizures, out of a total of 12, was 7 (58.3%) for aEEG figures, 8 (66.7%) for DSA figures and 10 (83.3%) for aEEG/SEF figures; the differences among these are statistically significant (p= 0.011). All reviewers concluded that aEEG/SEF figures were the easiest to interpret. Conclusion: The aEEG/SEF data presentation technique is a valid option in aEEG recordings of seizures.
AB - Objective: To improve the interpretability of figures containing an amplitude-integrated electroencephalogram (aEEG), we devised a color scale that allows us to incorporate spectral edge frequency (SEF) information into aEEG figures. Preliminary clinical assessment of this novel technique, which we call aEEG/SEF, was performed using neonatal and early infantile seizure data. Methods: We created aEEG, color density spectral array (DSA), and aEEG/SEF figures for focal seizures recorded in seven infants. Each seizure was paired with an interictal period from the same patient. After receiving instructions on how to interpret the figures, eight test reviewers examined each of the 72 figures displaying compressed data in aEEG, DSA, or aEEG/SEF form (12 seizures and 12 corresponding interictal periods) and attempted to identify each as a seizure or otherwise. They were not provided with any information regarding the original record. Results: The median number of correctly identified seizures, out of a total of 12, was 7 (58.3%) for aEEG figures, 8 (66.7%) for DSA figures and 10 (83.3%) for aEEG/SEF figures; the differences among these are statistically significant (p= 0.011). All reviewers concluded that aEEG/SEF figures were the easiest to interpret. Conclusion: The aEEG/SEF data presentation technique is a valid option in aEEG recordings of seizures.
KW - AEEG
KW - Density spectral array
KW - Infant
KW - Neonate
KW - Seizure
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U2 - 10.1016/j.eplepsyres.2011.06.012
DO - 10.1016/j.eplepsyres.2011.06.012
M3 - Article
C2 - 21802260
AN - SCOPUS:80053923758
VL - 96
SP - 276
EP - 282
JO - Journal of Epilepsy
JF - Journal of Epilepsy
SN - 0920-1211
IS - 3
ER -