Ordinal symbolic analysis and its application to biomedical recordings

Prediction of defibrillation success is of vital importance to guide therapy and improve the survival of patients suffering out-of-hospital cardiac arrest (OHCA). Currently, the most efficient methods to predict shock success are based on the analysis of the electrocardiogram (ECG) during ventricular fibrillation (VF), and recent studies suggest the efficacy of waveform indices that characterize the underlying non-linear dynamics of VF. In this study we introduce, adapt and fully characterize six entropy indices for VF shock outcome prediction, based on the classical definitions of entropy to measure the regularity and predictability of a time series. Data from 163 OHCA patients comprising 419 shocks (107 successful) were used, and the performance of the entropy indices was characterized in terms of embedding dimension (m) and matching tolerance (r). Six classical predictors were also assessed as baseline prediction values. The best prediction results were obtained for fuzzy entropy (FuzzEn) with m = 3 and an amplitude-dependent tolerance of r = 80 µV. This resulted in a balanced sensitivity/specificity of 80.4%/76.9%, which improved by over five points the results obtained for the best classical predictor. These results suggest that a FuzzEn approach for a joint quantification of VF amplitude and its non-linear dynamics may be a promising tool to optimize OHCA treatment.

Section: Shock Outcome Predictors Based On Entropy Measuresmentioning

confidence: 99%

Application of Entropy-Based Features to Predict Defibrillation Outcome in Cardiac Arrest

Chicote

Irusta

Alcaraz

et al. 2016

“…These metrics are based on the original time series transformation into a sequence of symbols, whose distribution is mainly characterized through common measures of entropy, such as the Shannon approach [44]. Interestingly, the information collected from the EEG signal with these indices has resulted in being complementary to the one obtained by SEn and QSEn in a variety of clinical contexts [42].…”

Section: Introductionmentioning

confidence: 99%

Symbolic Analysis of Brain Dynamics Detects Negative Stress

García-Martínez

Martínez-Rodrigo

Zangróniz

et al. 2017

Abstract:The electroencephalogram (EEG) is the most common tool used to study mental disorders. In the last years, the use of this recording for recognition of negative stress has been receiving growing attention. However, precise identification of this emotional state is still an interesting unsolved challenge. Nowadays, stress presents a high prevalence in developed countries and, moreover, its chronic condition often leads to concomitant physical and mental health problems. Recently, a measure of time series irregularity, such as quadratic sample entropy (QSEn), has been suggested as a promising single index for discerning between emotions of calm and stress. Unfortunately, this index only considers repetitiveness of similar patterns and, hence, it is unable to quantify successfully dynamics associated with the data temporal structure. With the aim of extending QSEn ability for identification of stress from the EEG signal, permutation entropy (PEn) and its modification to be amplitude-aware (AAPEn) have been analyzed in the present work. These metrics assess repetitiveness of ordinal patterns, thus considering causal information within each one of them and obtaining improved estimates of predictability. Results have shown that PEn and AAPEn present a discriminant power between emotional states of calm and stress similar to QSEn, i.e., around 65%. Additionally, they have also revealed complementary dynamics to those quantified by QSEn, thus suggesting a synchronized behavior between frontal and parietal counterparts from both hemispheres of the brain. More precisely, increased stress levels have resulted in activation of the left frontal and right parietal regions and, simultaneously, in relaxing of the right frontal and left parietal areas. Taking advantage of this brain behavior, a discriminant model only based on AAPEn and QSEn computed from the EEG channels P3 and P4 has reached a diagnostic accuracy greater than 80%, which improves slightly the current state of the art. Moreover, because this classification system is notably easier than others previously proposed, it could be used for continuous monitoring of negative stress, as well as for its regulation towards more positive moods in controlled environments.

“…The concept of Permutation entropy introduced by Bandt and Pompe [1] in 2002 has been applied to data analysis in various disciplines (compare e.g., the collection [2], and papers [3,4]). The Permutation entropy of a time series is the Shannon entropy of the distribution of ordinal patterns in the time series (see also [5] …”

Section: Introductionmentioning

confidence: 99%

Permutation Entropy: New Ideas and Challenges

Keller

Mangold

Stolz

et al. 2017

Self Cite

Over recent years, some new variants of Permutation entropy have been introduced and applied to EEG analysis, including a conditional variant and variants using some additional metric information or being based on entropies that are different from the Shannon entropy. In some situations, it is not completely clear what kind of information the new measures and their algorithmic implementations provide. We discuss the new developments and illustrate them for EEG data.