Computer and Knowledge Engineering

Computer and Knowledge Engineering

Exploring Effective Features in ADHD Diagnosis among Children through EEG/Evoked Potentials using Machine Learning Techniques

Document Type : Original Article

Authors
1 Department of Computer ,PhD Candidate,Engineering, lahijan branch, Islamic Azad University, Lahijan, Iran
2 Department of Computer Engineering, Assistant Professor, lahijan branch, Islamic Azad University, Lahijan, Iran
3 Department of Motor Behavior, Professor,Ferdowsi University of Mashhad, Mashhad, Iran.
4 Department of Clinical Psychology, Professor,Ferdowsi University of Mashhad, Mashhad, Iran
5 Brain and Trauma Foundation Professor, Grisons/Switzerland, Chur, Switzerland
Abstract
With the aid of intelligent system approaches, the present study aimed at extracting and investigating effective features for detecting Attention-Deficit/Hyperactivity Disorder (ADHD) in children. With this end in view, 103 children, aged from 6 to 10, were recruited for this study, among which 49 cases were assigned to the treatment group (ADHD children) and the remaining 54 cases to the control group (healthy children). The disorder diagnosis was performed using the well-known, relevant psychological questionnaires and clinical interviews with expert psychologists. Data collection consisted of EEG signals in eyes open and eyes closed states, as well as GO/NOGO task for about 3 hours for every participant. The extracted features consisted of the amplitudes and latency in Event-Related Potential (ERP) and the power spectrum in the sleep mode signals. Approximately 826 features of 19 channels were extracted in the standard 10-20 system and different task conditions. A set of features were selected with the aid of the feature selection methods, and then the selected features were analyzed by neuroscientists, and the irrelevant ones were removed. Next, the classification methods and their performance evaluation were applied. Finally, the best results in terms of the corresponding feature vector and classification method were presented. The healthy and ADHD groups were classified with 75.8% accuracy using the Support Vector Machine (SVM) method. The results showed that the use of selection of effective features with the aid of intelligent system techniques under the supervision of experts leads us to reach robust biomarkers in the detection of disorders.


 
 
 

Highlights

 

Keywords
Subjects

 

 

  1. Guntern, G. "Auto‐organization in human systems", Behavioral Science, Vol. 27(4), pp. 323-337, 1982.
  2. Association, A.P., "Diagnostic and statistical manual of mental disorders (DSM-5®)", American Psychiatric Pub, 2013.
  3. Helgadóttir, H., Gudmundsson, Ó. Ó., Baldursson, G., Magnússon, P., Blin, N., Brynjólfsdóttir, B., ... & Johnsen, K., "Electroencephalography as a clinical tool for diagnosing and monitoring attention deficit hyperactivity disorder: a cross-sectional study", BMJ open, Vol. 5(1), 2015.
  4. Müller, A., Candrian, G., Kropotov, J., "ADHS-Neurodiagnostik in der Praxis", Springer-Verlag, 2011.
  5. Mueller, A., Candrian, G., Kropotov, J. D., Ponomarev, V. A., & Baschera, G. M., "Classification of ADHD patients on the basis of independent ERP components using a machine learning system", In Nonlinear biomedical physics, Vol. 4, No. 1, pp. 1-12, BioMed Central, June, 2010.
  6. Mueller, A., Candrian, G., Grane, V. A., Kropotov, J. D., Ponomarev, V. A., & Baschera, G. M., "Discriminating between ADHD adults and controls using independent ERP components and a support vector machine: a validation study", Nonlinear biomedical physics, Vol. 5(1), pp. 1-18, 2011.
  7. Dubreuil-Vall L, Ruffini G, Camprodon J. A., "Deep learning convolutional neural networks discriminate adult adhd from healthy individuals on the basis of event-related spectral eeg", Frontiers in neuroscience. Apr 9;14:251, 2020.
  8. Furlong S, Cohen J. R, Hopfinger, J., Snyder, J., Robertson, M. M., Sheridan, M. A., "Resting-state EEG Connectivity in Young Children with ADHD", Journal of Clinical Child & Adolescent Psychology, Aug 18:1-7, 2020.
  9. Kaiser A, Aggensteiner PM, Holtmann M, Fallgatter A, Romanos M, Abenova K, Alm B, Becker K, Döpfner M, Ethofer T, Freitag CM. "EEG Data Quality: Determinants and Impact in a Multicenter Study of Children, Adolescents, and Adults with Attention-Deficit/Hyperactivity Disorder (ADHD)", Brain Sciences, Feb, Vol. 11(2), pp. 214, 2021.
  10. Tosun M. Effects of spectral features of EEG signals recorded with different channels and recording statuses on ADHD classification with deep learning. Physical and Engineering Sciences in Medicine. May 27:1-0, 2021.
  11. Cubero-Millán, I., Ruiz-Ramos, M. J., Molina-Carballo, A., Martínez-Serrano, S., Fernández-López, L., Machado-Casas, I., ... & Muñoz-Hoyos, A., BDNF concentrations and daily fluctuations differ among ADHD children and respond differently to methylphenidate with no relationship with depressive symptomatology. Psychopharmacology, Vol. 234(2), pp. 267-279, 2017.
  12. Wang, L. J., Li, S. C., Lee, M. J., Chou, M. C., Chou, W. J., Lee, S. Y., & Kuo, H. C., "Blood-bourne MicroRNA biomarker evaluation in attention-deficit/hyperactivity disorder of Han Chinese individuals: an exploratory study", Frontiers in psychiatry, 9, 2018.
  13. Kropotov, J. D., Grin-Yatsenko, V. A., Ponomarev, V. A., Chutko, L. S., Yakovenko, E. A., & Nikishena, I. S., "ERPs correlates of EEG relative beta training in ADHD children", International journal of psychophysiology, 55(1), pp. 23-34, 2005.
  14. Insel, T. R., & Cuthbert, B. N., "Brain disorders? Precisely", Science, Vol. 348(6234), pp. 499-500, 2015.
  15. Krieger, V., & Amador-Campos, J. A., Assessment of executive function in ADHD adolescents: contribution of performance tests and rating scales. Child Neuropsychology, Vol. 24(8), pp. 1063-1087, 2018.
  16. Yang, M. T., Hsu, C. H., Yeh, P. W., Lee, W. T., Liang, J. S., Fu, W. M., & Lee, C. Y., "Attention deficits revealed by passive auditory change detection for pure tones and lexical tones in ADHD children", Frontiers in human neuroscience, Vol. 9, pp. 470, 2015.
  17. Lenartowicz, A., & Loo, S. K., "Use of EEG to diagnose ADHD", Current psychiatry reports, Vol. 16(11), pp. 498, 2014.
  18. Kakuszi, B., Tombor, L., Papp, S., Bitter, I., & Czobor, P., "Altered response-preparation in patients with adult ADHD: A high-density ERP study", Psychiatry Research: Neuroimaging, Vol. 249, pp. 57-66, 2016.
  19. Snyder, S. M., Rugino, T. A., Hornig, M., & Stein, M. A., "Integration of an EEG biomarker with a clinician's ADHD evaluation", Brain and behavior, Vol. 5(4), e00330, 2015.
  20. Banaschewski, T., & Brandeis, D., "Annotation: what electrical brain activity tells us about brain function that other techniques cannot tell us–a child psychiatric perspective", Journal of child Psychology and Psychiatry, 48(5), pp. 415-435, 2007.
  21. Khalifa, M., "Health Analytics Types, Functions and Levels: A Review of Literature", ICIMTH, pp. 137-140, 2007.
  22. Meskó, B., Hetényi, G., & Győrffy, Z., "Will artificial intelligence solve the human resource crisis in healthcare?", BMC health services research, 18(1), pp. 1-4, 2018.
  23. Islam, M. S., Hasan, M. M., Wang, X., & Germack, H. D., "A systematic review on healthcare analytics: application and theoretical perspective of data mining", In Healthcare, Vol. 6, No. 2, pp. 54, Multidisciplinary Digital Publishing Institute, june, 2018.
  24. Jollans, L., & Whelan, R., "Neuromarkers for mental disorders: harnessing population neuroscience", Frontiers in psychiatry, Vol. 9, pp. 242, 2018.
  25. Mandal, A. https://www.news-medical.net/health/What-is-a-Biomarker.aspx.
  26. Tenev, A., Markovska-Simoska, S., Kocarev, L., Pop-Jordanov, J., Müller, A., & Candrian, G., "Machine learning approach for classification of ADHD adults",International Journal of Psychophysiology, 93(1), pp. 162-166, 2014.
  27. Öztoprak, H., Toycan, M., Alp, Y. K., Arıkan, O., Doğutepe, E., & Karakaş, S., "Machine-based classification of ADHD and nonADHD participants using time/frequency features of event-related neuroelectric activity", Clinical Neurophysiology, 128(12), pp. 2400-2410, 2017.
  28. Heinrich, H., Hoegl, T., Moll, G. H., & Kratz, O., "A bimodal neurophysiological study of motor control in attention-deficit hyperactivity disorder: a step towards core mechanisms?", Brain, 137(4), pp. 1156-1166, 2014.
  29. Müller A, Vetsch S, Pershin I, Candrian G, Baschera GM, Kropotov JD, Kasper J, Rehim HA, Eich D., "EEG/ERP-based biomarker/neuroalgorithms in adults with ADHD: Development, reliability, and application in clinical practice", The World Journal of Biological Psychiatry, May 7, 2019.
  30. Raven, J., Court, J. H., "Manual for Raven's progressive matrices and vocabulary Scales", 1991, San Antonio, TX: Harcourt Assessment, 2003, updated 2004.
  31. Zoubek, L., Charbonnier, S., Lesecq, S., Buguet, A., & Chapotot, F., "Feature selection for sleep/wake stages classification using data driven methods", Biomedical Signal Processing and Control, 2(3), pp. 171-179, 2007.
  32. Tzanetakis, G., & Cook, P., "Musical genre classification of audio signals",IEEE Transactions on speech and audio processing, 10(5), pp. 293-302, 2002.
  33. Tsallis, C., Mendes, R., & Plastino, A. R., "The role of constraints within generalized nonextensive statistics", Physica A: Statistical Mechanics and its Applications, 261(3-4), pp. 534-554, 1998.
  34. Mormann, F., Andrzejak, R. G., Elger, C. E., & Lehnertz, K., "Seizure prediction: the long and winding road",Brain, 130(2), pp. 314-333, 2007.
  35. Shannon, C. E., "A mathematical theory of communication", ACM SIGMOBILE mobile computing and communications review, 5(1), pp. 3-55, 2001.
  36. Rényi, A., "On measures of entropy and information. In Proceedings of the Fourth Berkeley Symposium on Mathematical Statistics and Probability", Volume 1: Contributions to the Theory of Statistics. The Regents of the University of California, 1961.
  37. Nai-Jen, H., & Palaniappan, R., "Classification of mental tasks using fixed and adaptive autoregressive models of EEG signals", In The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Vol. 1, pp. 507-510, IEEE,September, 2004.
  38. Bai, J., & Ng, S., "Tests for skewness, kurtosis, and normality for time series data",Journal of Business & Economic Statistics, 23(1), pp. 49-60, 2005.
  39. Ansari-Asl, K., Chanel, G., & Pun, T., "A channel selection method for EEG classification in emotion assessment based on synchronization likelihood", In 2007 15th European Signal Processing Conference, pp. 1241-1245, IEEE, September, 2007.
  40. Tang, W. C., Lu, S. W., Tsai, C. M., Kao, C. Y., & Lee, H. H., "Harmonic parameters with HHT and wavelet transform for automatic sleep stages scoring", REM, Vol. 365, pp. 8-6, 2007.
  41. Peeters, G., Giordano, B. L., Susini, P., Misdariis, N., & McAdams, S., "The timbre toolbox: Extracting audio descriptors from musical signals", The Journal of the Acoustical Society of America, 130(5), pp. 2902-2916, 2011.
  42. Kıymık, M. K., Güler, İ., Dizibüyük, A., & Akın, M., "Comparison of STFT and wavelet transform methods in determining epileptic seizure activity in EEG signals for real-time application", Computers in biology and medicine, 35(7), pp. 603-616, 2005.
  43. Percival, D. B., Walden, A. T., "Wavelet methods for time series analysis", Cambridge university press; 2000.
  44. Kaiser, A., Aggensteiner, P. M., Baumeister, S., Holz, N. E., Banaschewski, T., & Brandeis, D., "Earlier versus later cognitive event-related potentials (ERPs) in attention-deficit/hyperactivity disorder (ADHD): a meta-analysis", Neuroscience & Biobehavioral Reviews, 112, pp. 117-134, 2020.
  45. Jenke, R., Peer, A., & Buss, M., "Feature extraction and selection for emotion recognition from EEG", IEEE Transactions on Affective computing, 5(3), pp. 327-339, 2014.
  46. Park, K. S., Choi, H., Lee, K. J., Lee, J. Y., An, K. O., & Kim, E. J., "Emotion recognition based on the asymmetric left and right activation", International Journal of Medicine and Medical Sciences, 3(6), pp. 201-209, 2011.
  47. Ververidis, D., & Kotropoulos, C., "Fast and accurate sequential floating forward feature selection with the Bayes classifier applied to speech emotion recognition", Signal processing, 88(12), pp. 2956-2970, 2008.
  48. Bishop, C. M., & Tipping, M., "Variational relevance vector machines", arXiv preprint arXiv,1301.3838, 2013.
  49. Borra, S., & Di Ciaccio, A., "Measuring the prediction error. A comparison of cross-validation, bootstrap and covariance penalty methods", Computational statistics & data analysis, 54(12), pp. 2976-2989, 2010.
  50. Fawcett, T., "An introduction to ROC analysis", Pattern recognition letters, 27(8), pp. 861-874, 2006.
  51. Hajian-Tilaki, K., "Receiver operating characteristic (ROC) curve analysis for medical diagnostic test evaluation", Caspian journal of internal medicine, 4(2), pp. 627, 2013.
  52. Kropotov JD. Quantitative EEG, event-related potentials and neurotherapy. Academic Press; 2010.
  53. Thome, J., Ehlis, A. C., Fallgatter, A. J., Krauel, K., Lange, K. W., Riederer, P., & Gerlach, M., "Biomarkers for attention-deficit/hyperactivity disorder (ADHD)", A consensus report of the WFSBP task force on biological markers and the World Federation of ADHD. The World Journal of Biological Psychiatry, 13(5), pp. 379-400, 2012.
  54. Ogrim, G., Kropotov, J., & Hestad, K., "The QEEG theta/beta ratio in ADHD and normal controls: sensitivity, specificity, and behavioral correlates", Psychiatry Research, 198(3), pp. 482-488, 2012.
  55. Baijot, S., Cevallos, C., Zarka, D., Leroy, A., Slama, H., Colin, C., & Cheron, G., "EEG dynamics of a go/nogo task in children with ADHD", Brain sciences, 7(12), pp. 167, 2017.
  56. Yasumura, A., Omori, M., Fukuda, A., Takahashi, J., Yasumura, Y., Nakagawa, E., ... & Inagaki, M., "Applied machine learning method to predict children with ADHD using prefrontal cortex activity: a multicenter study in Japan", Journal of attention disorders, 24(14), pp. 2012-2020, 2020.
  57. Bzdok, D., & Yeo, B. T., "Inference in the age of big data: Future perspectives on neuroscience", Neuroimage, 155, pp. 549-564, 2017.
  58.  

     

     

Send comment about this article
Enter Name.
Enter a valid email address.
Enter a vaid affiliation.
Enter comments (At leaset 10 words)
CAPTCHA Image
Enter Security Code Correctly.