EEG Papers qEEG

Misc.

  • Pattern recognition and automatic EEG analysis
    F. H. Lopes da Silva
    Trends in Neurosciences, Volume 4, 1981, Pages 294-297 
     

  • Testing for non-linearity in EEG signal of healthy subjects
    Robert A. Stępien
    Acta Neurobiol. Exp. 2002, 62: 277-281
    http://www.nencki.gov.pl/pdf/an/vol62/stepien3.pdf
     

What is Quantitative EEG?

  • Quantitative EEG makes use of a computer-generated program that compares the patient's EEG with that of a particular normative database.3 Quantitative EEG, also known as brain mapping, is a generic term. Unlike MRIs, x-rays, or other diagnostic tests, qEEG is in no way standardized. As of 1988, there were more than two dozen manufacturers of computerized qEEG systems.4 Each system has its own particular database. Unfortunately, there is no standardization with regard to the databases. The medical literature discussing qEEG has failed or refused to address specific computer database programs, but rather deals and discusses qEEG collectively.

    Quantitative EEG is a technique for the topographic imaging of data derived from EEG, spectral analyzed EEG, and evoked potentials.5 To allow the clinician to discriminate between those abnormalities due to normal variation and those attributable to pathology, a technique known as significance probability mapping was developed.6 Significance probability mapping is a technique whereby a controlled database is established and an image of the mean value for any particular frequency band and state is compared to the image from the individual subject being analyzed.7 Where a significant standard deviation (Z) from the control group exists, a true pathological abnormality is noted.8

    A Z-score is formed, representing that an individual EEG feature is a certain number of standard deviations away from the mean of a control data set. In most applications, the control data set is a group of age-matched subjects. When Z is greater than two or three standard deviations, the patient's EEG feature is considered to be out of the normal range.9

    The normal EEG data is usually represented in a polygraph format. In the use of qEEG, a topographic map is produced, usually color coded, permitting the untrained individual to appreciate and understand.10 Colorized topographical brain maps show the patient's electncal brain activity at a specific point in time. A second map is produced that displays the brain activity of normal individuals in the matched control group, and then a third brain map is generated that indicates the statistical difference between the two. This permits the electroencephalographer to not only compare the topographical distribution of brain electrical activity in any one person with the same distribution for a group of normals, but to review the data in terms of standard deviation from the norrnal.11

    Quantitative EEG, through computer-aided analysis, permits more data from the electrical responses of the brain to be analyzed than is possible by the mere visual interpretation and inspection of the standard polygraph (EEG).12 Important is this statement by Frank Duffy, M.D.:

    We feel strongly that these techniques of topographic mapping and statistical mapping should not be considered as competitors of standard EEG; rather they really are EEG and we predict that within the next decade these techniques will cease to be regarded as special tests and all neurophysiological investigations will involve one form of topographic mapping or other.l3

    One of the most well-known brain-mapping databases is that manufactured by Nicolet under the trade name BEAM. The BEAM database was produced by Dr. Duffy. The criteria for an individual's inclusion in the BEAM database were that the person (1) pass two separate screening examinations; (2) not be under the care of a physician for any reason whatsoever; (3) not be taking any medication, including aspirin, for any reason; (4) have a normal medical history with no previous medical disorders; (5) pass a thorough medical examination conducted by a physician; (6) pass a thorough neurological examination conducted by a physician; and (7) pass a neuropsychological screening examination conducted by an experienced neuropsychologist. Individuals over the age of 50 had to meet all of the above criteria as well as additional objective factors: (1) normal CT scan; (2) normal blood chemistry; and (3) normal liver function. Finally, the technologists conducting the actual BEAM evaluation had the authority to eliminate from inclusion any individual who the technologists felt subjectively was "not right.'' l4.

Quantitative EEG

  • Introduction and Admissibility of Quantitative EEG (Brain Mapping)
    Bruce H. Stern 
    http://www.stark-stark.com/news/articles/introadmissibilofeeg-bhs.html 
     

  • Quantitative electroencephalography in Alzheimer’s disease: comparison with a control group, population norms and mental status
    Verner Knott, PhD; Erich Mohr, PhD; Colleen Mahoney, BA; Vadim Ilivitsky, MD
    http://collection.nlc-bnc.ca/100/201/300/cdn_medical_association/jpn/vol-26/issue-2/pdf/pg106.pdf 
     

  • Assessment of digital EEG, quantitative EEG and EEG brain mapping: report of the American Academy
    Nuwer M: 
    of Neurology and the American Clinical Neurophysiology Society.
    Neurology 1997; 49:277–292 
     

  • Limitations of the American Academy of Neurology and American Clinical Neurophysiology Society Paper on QEEG 
    Daniel A. Hoffman et. al
    J Neuropsychiatry Clin Neurosci 11:3, Summer 1999 pp.401-407. 
     

  • Quantitative Spectral Electroencephalography in Predicting Survival in Patients with Early Alzheimer Disease
    Jules J. Clauss et. al
    Arch. Neurol./Vol 55, Aug. 1998 pp. 1105-1111 
     

  • Beta activity in aging and dementia
    DP Holschneider, AF Leuchter
    Brain Topogr. 1995 Winter;8(2):169-80 
     

  • Future directions for epilepsy research
    M.P. Jacobs
    November (1 of 2) 2001 NEUROLOGY 57, pp.1536-1541. 
     

  • Computer –assisted EEG Diagnosis: Pattern Recognition and Brain Mapping
    Fernando Lopes da Silva
    in E. Niedermeyer; F. Lopez da Silva: Electroencephalography. Basic Principles,
    Clinical Applications, and Related Fields, 4 edition pp. 1164-1189. 
     

  • EEG Analysis: Theory and Practice
    Fernando Lopes da Silva
    in E. Niedermeyer; F. Lopez da Silva: Electroencephalography.
    Basic Principles, Clinical Applications, and Related Fields 4 edition pp. 1135-1163. 
     

  • The clinical Use of EEG Topography
    Ernst Rodin
    in E. Niedermeyer; F. Lopez da Silva: Electroencephalography.
    Basic Principles, Clinical Applications, and Related Fields, 4 edition pp. 1135-1163.
     

Interesting conferences on the topic

2005 - SPMC / SoCCE / UoP