The EEG of the Neonatal Brain – Classification of Background Activity
Doktorsavhandling, 2009

The brain requires a continuous supply of oxygen and nutrients, and even a short period of reduced oxygen supply can cause severe and lifelong consequences for the affected individual. The unborn baby is fairly robust, but there are of course limits also for these individuals. The most sensitive and most important organ is the brain. When the brain is deprived of oxygen, a process can start that ultimately may lead to the death of brain cells and irreparable brain damage. This process has two phases; one more or less immediate and one delayed. There is a window of time of up to 24 hours where action can be taken to prevent the delayed secondary damage. One recently clinically available technique is to reduce the metabolism and thereby stop the secondary damage in the brain by cooling the baby. It is important to be able to quickly diagnose hypoxic injuries and to follow the development of the processes in the brain. For this, the electroencephalogram (EEG) is an important tool. The EEG is a voltage signal that originates within the brain and that easily and non-invasively can be recorded at bedside. The signals are, however, highly complex and require special competence to interpret, a competence that typically is not available at the intensive care unit. This thesis addresses the problem of automatic classification of neonatal EEG and proposes methods that would be possible to use in bed-side monitoring equipment for neonatal intensive care units. The thesis is a compilation of six papers. The first four deal with the segmentation of pathological signals (burst suppression) from post-asphyctic full term newborn babies. These studies investigate the use of various classification techniques, using both supervised and unsupervised learning. In paper V the scope is widened to include both classification of pathological activity versus activity found in healthy babies as well as application of the segmentation methods on the parts of the EEG signal that are found to be of the pathological type. The use of genetic algorithms for feature selection is also investigated. In paper VI the segmentation methods are applied on signals from pre-term babies to investigate the impact of a certain medication on the brain. The results of this thesis demonstrate ways to improve the monitoring of the brain during intensive care of newborn babies. Hopefully it will someday be implemented in monitoring equipment and help to prevent permanent brain damage in post asphyctic babies.

hypoxia

newborn

segmentation

asphyxia

cerebral

classification

neonatal

EEG

EA
Opponent: Alpo Värri

Författare

Johan Löfhede

Signaler och system, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Comparing a Supervised and an Unsupervised Classification Method for Burst Detection in Neonatal EEG

Engineering in Medicine and Biology Society, 2008. EMBS 2008. 30th Annual International Conference of the IEEE,; (2008)p. 3836 - 3839

Paper i proceeding

Detection of Bursts in the EEG of Post Asphyctic Newborns

Biopattern Brain Workshop, Göteborg,; (2006)p. 5-6

Konferensbidrag (offentliggjort, men ej förlagsutgivet)

Classifying Burst and Suppression in the EEG of Post Asphyctic Newborns using a Support Vector Machine

Neural Engineering, 2007. CNE '07. 3rd International IEEE/EMBS Conference on,; (2007)p. 630 - 633

Paper i proceeding

Ämneskategorier

Medicinsk laboratorie- och mätteknik

Fysiologi

Signalbehandling

ISBN

978-91-7385-339-2

Doktorsavhandlingar vid Chalmers tekniska högskola. Ny serie: 3020

EA

Opponent: Alpo Värri