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<art>
   <ui>1753-4631-3-6</ui>
   <ji>1753-4631</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Comparative study of nonlinear properties of EEG signals of normal persons and epileptic patients</p>
         </title>
         <aug>
            <au id="A1" ca="yes">
               <snm>Nurujjaman</snm>
               <fnm>Md</fnm>
               <insr iid="I1"/>
               <email>jaman_nonlinear@yahoo.co.in</email>
            </au>
            <au id="A2">
               <snm>Narayanan</snm>
               <fnm>Ramesh</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>rams@plasma.inpe.br</email>
            </au>
            <au id="A3">
               <snm>Iyengar</snm>
               <fnm>AN Sekar</fnm>
               <insr iid="I1"/>
               <email>ansekar.iyengar@saha.ac.in</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Plasma Physics Division, Saha Institute of Nuclear Physics, 1/AF, Bidhannagar, Kolkata &#8211; 700064, India</p>
            </ins>
            <ins id="I2">
               <p>Current address: Laboratorio Associado de Plasma, Instituto Nacional de Pesquisas Espaciais, Av. dos Astronautas, 1758 &#8211; Jardim da Granja 12227-010 Sao Jose dos Campos, SP, Brazil</p>
            </ins>
         </insg>
         <source>Nonlinear Biomedical Physics</source>
         <issn>1753-4631</issn>
         <pubdate>2009</pubdate>
         <volume>3</volume>
         <issue>1</issue>
         <fpage>6</fpage>
         <url>http://www.nonlinearbiomedphys.com/content/3/1/6</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">19619290</pubid>
               <pubid idtype="doi">10.1186/1753-4631-3-6</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>04</day>
               <month>12</month>
               <year>2008</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>20</day>
               <month>7</month>
               <year>2009</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>20</day>
               <month>7</month>
               <year>2009</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2009</year>
         <collab>Nurujjaman et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>Investigation of the functioning of the brain in living systems has been a major effort amongst scientists and medical practitioners. Amongst the various disorder of the brain, epilepsy has drawn the most attention because this disorder can affect the quality of life of a person. In this paper we have reinvestigated the EEGs for normal and epileptic patients using surrogate analysis, probability distribution function and Hurst exponent.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Using random shuffled surrogate analysis, we have obtained some of the nonlinear features that was obtained by Andrzejak <it>et al</it>. [Phys Rev E 2001, 64:061907], for the epileptic patients during seizure. Probability distribution function shows that the activity of an epileptic brain is nongaussian in nature. Hurst exponent has been shown to be useful to characterize a normal and an epileptic brain and it shows that the epileptic brain is long term anticorrelated whereas, the normal brain is more or less stochastic. Among all the techniques, used here, Hurst exponent is found very useful for characterization different cases.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>In this article, differences in characteristics for normal subjects with eyes open and closed, epileptic subjects during seizure and seizure free intervals have been shown mainly using Hurst exponent. The H shows that the brain activity of a normal man is uncorrelated in nature whereas, epileptic brain activity shows long range anticorrelation.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>The brain is a highly complex and vital organ of a human body whose neurons interact with the local as well as the remote ones in a very complicated way <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>. These interactions evolve as the spatio-temporal electro magnetic field of the brain, and are recorded as Electroencephalogram (EEG) <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr></abbrgrp>. Though the detail link between EEGs and the underlying physiology is not well understood, the former is widely used for detection and prediction of epilepsy, localization of epileptic zone and characterization of the pre and post-ictal <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr></abbrgrp> using linear and nonlinear analysis techniques <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr></abbrgrp>. Though mainly nonlinear methods have been applied to predict the onset of epileptic seizure and localizing epileptic regions, limited progress has been achieved so far <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>. Even some negative results have also been reported like linear measures are better than nonlinear measures <abbrgrp><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr></abbrgrp>, seizure is not a low dimensional process <abbrgrp><abbr bid="B14">14</abbr></abbrgrp>, it lacks determinism <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr></abbrgrp>, etc. Hence finding proper analysis techniques is also one of the main issues and experts try out different analysis tools for characterizing the normal and diseased brain states, especially the epileptic brain.</p>
         <p>In 2001, Ralph G. Andrzejak, <it>et al</it>. and later some other authors <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp> have analyzed five sets of EEG signals <abbrgrp><abbr bid="B19">19</abbr></abbrgrp> each set containing 100 epochs to study the determinism in the brain dynamics for five different physiological and pathological conditions. Sets A and B are for normal persons with eyes open and closed respectively and recorded extracranially. Sets C and D were recorded intracranially from the hippocampal formation which was nonepiletogenic of the opposite hemisphere of the brain and from within the epileptogenic zone of an epileptic patient during seizure free intervals respectively. Set E was recorded intracranially from the epileptic zone during seizure. The details of the experiments and the conditions have been described in Ref <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. R.G. Andrzejak, <it>et al</it>. <abbrgrp><abbr bid="B1">1</abbr></abbrgrp> had shown that the normal healthy subject with eyes closed and open shows stochastic behavior using amplitude adjusted Fourier transform surrogate analysis where discriminating statistics were the effective correlation dimension and nonlinear prediction error whereas, using delay vector variance discriminating statistics, significant nonlinear determinism was shown in the same subject <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>. So two conflicting results were obtained for the same subject using nonlinear methods. In the case of epileptic patients during seizure and seizure free intervals, determinism was shown using two different methods <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B17">17</abbr></abbrgrp> though other studies show lack of determinism for different epileptic patients during seizure <abbrgrp><abbr bid="B12">12</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B20">20</abbr></abbrgrp>.</p>
         <p>On the other hand, characterization of EEGs by scaling properties of the signal is also a major area of research interest <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp>. Power spectral exponent has been used to characterize the different subjects with different physiological conditions <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr></abbrgrp> and the same exponent has also been used to estimate the correlation dimension (<it>D</it><sub><it>corr</it></sub>) <abbrgrp><abbr bid="B8">8</abbr></abbrgrp>. Fractal dimension and hurst exponent have also been used to characterize the EEGs <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp>. Hence a number of experts prefer scaling properties to characterize EEG for different physiological and pathological conditions <abbrgrp><abbr bid="B8">8</abbr></abbrgrp>.</p>
         <p>In this paper, we have reinvestigated the EEG data studied in Refs. <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp> by random shuffled surrogate analysis using <it>D</it><sub><it>corr </it></sub>as discriminating statistics in order to find determinism in the signal <abbrgrp><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr><abbr bid="B30">30</abbr></abbrgrp> and the results have been compared with earlier analyses <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B17">17</abbr></abbrgrp>. Probability distribution function shows a difference between normal and epileptic brain states and this has been discussed in latter Section. Finally, we have quantified the five different physiological brain states by Hurst exponent (H) which has been estimated using <it>R</it>/<it>S </it>analysis <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>.</p>
      </sec>
      <sec>
         <st>
            <p>Results and discussion</p>
         </st>
         <sec>
            <st>
               <p>Surrogate analysis</p>
            </st>
            <p>Surrogate analysis determines the dynamics in the time series: whether it is governed by stochastic or deterministic process <abbrgrp><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr><abbr bid="B30">30</abbr></abbrgrp>.</p>
            <p>The surrogate data has been generated by Random Shuffled (RS) surrogate method, in which the signals were shuffled randomly so that the probability distribution is same but the temporal correlations are destroyed <abbrgrp><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr><abbr bid="B32">32</abbr></abbrgrp>. <it>D</it><sub><it>corr </it></sub>which gives us a measure of the complexity has been estimated for both the original and the surrogate data of the data sets A, B, C, D, and E respectively. Fig <figr fid="F1">1(a)</figr> shows that the <it>D</it><sub><it>corr </it></sub>increases with the same trend for both the original [Fig <figr fid="F1">1(b)</figr>] and the surrogate data [Fig <figr fid="F1">1(c)</figr>] for the normal persons with eyes open [Set A]. A similar trend is observed in the case of the persons with eyes closed, i.e., for Set B [Fig <figr fid="F2">2(a)</figr>]. This shows that the brain activity of a normal person is stochastic in nature agreeing with the analysis by Andrzejak, <it>et al</it>. <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. For an epileptic patient we found a different behavior during seizure free intervals and during seizure activity. The EEG signals, at seizure free state, recorded both from the hippocampal formation of the opposite hemisphere of the brain [Fig <figr fid="F2">2(b)</figr> Set C] and within the epileptogenic zone [Fig <figr fid="F2">2(c)</figr> Set D] show almost same trend in the increase in <it>D</it><sub><it>corr </it></sub>for the surrogate data as well as for original data, except for a small separation at higher embedding dimensions, which may be due to a high dimensionality of the system. During seizure activity [Fig <figr fid="F2">2(d)</figr> Set E], <it>D</it><sub><it>corr </it></sub>saturates with embedding dimension indicating low dimensional deterministic dynamics and these results agrees well with previous analyses <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B17">17</abbr></abbrgrp>. For sets A-D, as there is no saturation in <it>D</it><sub><it>corr </it></sub>at higher embedding dimension [Fig <figr fid="F1">1(a)</figr> and Figs <figr fid="F2">2(b)&#8211;(d)</figr>] and hence it is difficult to estimate actual <it>D</it><sub><it>corr</it></sub>. In Ref <abbrgrp><abbr bid="B1">1</abbr></abbrgrp><it>D</it><sub><it>corr </it></sub>was computed based on quasiscaling regions, but such an estimation is very much dependent on the variations of the time-frequency-energy characteristics rather than any nonlinear dynamics. Hence this may be inadequate to characterize epilepsy or diseased brain states for clinical application <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>.</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Surrogate analysis for data Set A</p>
               </caption>
               <text>
                  <p><b>Surrogate analysis for data Set A: </b>(a) Variation of <it>D</it><sub><it>corr </it></sub>with m. Black dot for (b) Original data; and triangle for (c) Surrogate data.</p>
               </text>
               <graphic file="1753-4631-3-6-1"/>
            </fig>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Correlation dimension: (black dot with a dash either side for original data) and (black star with a dash either side for surrogate data) for data Set B, C, D and E</p>
               </caption>
               <text>
                  <p><b>Correlation dimension: (black dot with a dash either side for original data) and (black star with a dash either side for surrogate data) for data Set B, C, D and E</b>.</p>
               </text>
               <graphic file="1753-4631-3-6-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Probability distribution functions</p>
            </st>
            <p>As we have observed from the surrogate analysis that nonlinear dynamics is responsible for epileptic patients during seizure, we have compared the probability distribution function (PDF) of a normal case and an epileptic person during seizure. The PDF for sets A and E have been shown in Figs <figr fid="F3">3(a)</figr> and <figr fid="F3">3(b)</figr> respectively. Fig <figr fid="F3">3(a)</figr> shows that for a normal healthy person with eyes open, the PDF is Gaussian in nature, whereas for epileptic patients during seizure, it is nongaussian [Fig <figr fid="F3">3(b)</figr>] signifying an intermittent nonlinear effect. But for other three cases this feature is not so clear. So we feel that the PDF may also be useful to differentiate a brain activity of an epileptic patient during seizure from other state.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Typical PDF for normal person with eyes closed (up) and for epileptic patient during seizure (bottom)</p>
               </caption>
               <text>
                  <p><b>Typical PDF for normal person with eyes closed (up) and for epileptic patient during seizure (bottom)</b>.</p>
               </text>
               <graphic file="1753-4631-3-6-3"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Hurst exponent</p>
            </st>
            <p>Since one of the major emphasis of epilepsy investigation is to predict their occurrence, it is necessary to know how the data is correlated. We have carried out a study of the Hurst exponent (H) which has been estimated using Rescaled range analysis (<it>R</it>/<it>S</it>). This method was proposed by Hurst and well established by Mandelbrot, and Wallis <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>. For a given set of data series, <it>R</it>/<it>S </it>is defined as <abbrgrp><abbr bid="B31">31</abbr><abbr bid="B34">34</abbr></abbrgrp>:</p>
            <p>
               <display-formula id="M1">
                  <graphic file="1753-4631-3-6-i1.gif"/>
               </display-formula>
            </p>
            <p>Here <inline-formula><graphic file="1753-4631-3-6-i2.gif"/></inline-formula>, where <inline-formula><graphic file="1753-4631-3-6-i3.gif"/></inline-formula>, <it>S</it><sup>2</sup>(<it>n</it>), and n are respectively the mean, variance, and time lag of the signal. The expected value of the <it>R</it>/<it>S </it>scales like <it>cn</it><sup><it>H </it></sup>as <it>n </it>&#8594; &#8734;, where H is called the Hurst exponent, and can be estimated from the slope of typical plot <inline-formula><graphic file="1753-4631-3-6-i4.gif"/></inline-formula> vs lag (n). For a given signal, we divided the data into nonoverlapping blocks of equal length and <it>R</it>/<it>S </it>has been calculated using the Equation 1 and the average value of <it>R</it>/<it>S </it>has been plotted as a function of lag in a log - log plot as shown in Fig <figr fid="F4">4</figr> and estimated H from the slope of the curve. For random data <it>H </it>= 0.5, while <it>H </it>> 0.5 for the data with long range correlations, and <it>H </it>&lt; 0.5 indicates the presence of long-range anticorrelation or antipersistency in the data.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Typical R/S vs lag n plot</p>
               </caption>
               <text>
                  <p><b>Typical R/S vs lag n plot</b>.</p>
               </text>
               <graphic file="1753-4631-3-6-4"/>
            </fig>
            <p>The estimated average Hurst exponent (&lt;<it>H </it>>) with an error bar of 100 epochs for all the five EEG data sets (viz. A-E) have been shown in Fig <figr fid="F5">5</figr>. The solid box and black dot show the &lt;<it>H </it>> for sets A and B respectively. For a normal person with eyes open (set A), the average H (&lt;<it>H </it>>) &#8776; 0.47 whereas, for the data set B, i.e., for a normal person with his eyes closed, &lt;<it>H </it>> &#8776; 0.41. The &lt;<it>H </it>> &#8776; 0.5 for a normal man with eyes open indicates that the signals are uncorrelated over long time scales signifying stochasticity of the normal brain. But with eyes closed state, decreases in H (&lt;<it>H </it>> &#8776; 0.41) may be due to the imposition of some extra constraint, which may influence the system towards an antipersistent state. The &lt;<it>H </it>> for epileptic patients are shown by up triangle for set C; star for set D; and down triangle for set E respectively. &lt;<it>H </it>> &#8776; 0.34 and 0.29 for the EEGs recorded at the hippocampal formation and epileptic zone for the seizure free intervals of epileptic patients respectively and during seizure (data set E), we get the lowest H (&lt;<it>H </it>> &#8776; 0.19). The H for epileptic patient during seizure and seizure free intervals show anticorrelation which may be due to epileptiform discharges during seizure free intervals indicating that a large discharge is always followed by a small one. The physiology behind the epileptiform discharge is due to the chronic dysfunction or "defect" in the epileptic brain, i.e., the epileptic brain is not normal even during seizure free time <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. Though the hippocampus was nonepileptogenic for these subjects, its H is still less than a normal person which may be due to its participation in secondary, nonautonomous epileptic processes initiated by the epileptic zone <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. The wide dispersion in H for the EEG recorded from the epileptic zone in seizure free intervals (star) indicates that the epileptiform discharges are intermittent probably due to the chronic presence of abnormal epileptogenic tissues <abbrgrp><abbr bid="B36">36</abbr><abbr bid="B37">37</abbr></abbrgrp>. EEG recording during seizure may not be economical and hence it may be better to locate epileptic zone by recording EEG during seizure free intervals. These analyses show the possibility of detecting the onset of the seizure state from the time dependent Hurst exponent estimated during the transition from normal to seizure state <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. Fig <figr fid="F6">6</figr> shows the Hurst exponents for all the epochs of five different sets that have been discussed above.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Average H with standard deviation error bar, Hurst exponent for hundred time series and average H are represented by: square for normal men with eyes open [set A]; black dot for normal men with eyes closed [set B]; triangle and star are for the epileptic patients during seizure free interval from two different locations [set C and D]; upside down triangle for the epileptic patients during seizure [set E]</p>
               </caption>
               <text>
                  <p><b>Average H with standard deviation error bar, Hurst exponent for hundred time series and average H are represented by: square for normal men with eyes open [set A]; black dot for normal men with eyes closed [set B]; triangle and star are for the epileptic patients during seizure free interval from two different locations [set C and D]; upside down triangle for the epileptic patients during seizure [set E]</b>.</p>
               </text>
               <graphic file="1753-4631-3-6-5"/>
            </fig>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>Hurst exponent for hundred epochs and average H are represented by: black square and black line for set A; red dot and red line for set B; blue triangle and blue line for set C; green star and green line for set D; pink upside down triangle and pink line for set E</p>
               </caption>
               <text>
                  <p><b>Hurst exponent for hundred epochs and average H are represented by: black square and black line for set A; red dot and red line for set B; blue triangle and blue line for set C; green star and green line for set D; pink upside down triangle and pink line for set E</b>.</p>
               </text>
               <graphic file="1753-4631-3-6-6"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Conclusion</p>
         </st>
         <p>In this paper we have reinvestigated the EEG data of normal and epileptic subjects to get an insight into the brain dynamics at different imposed and diseased conditions using RS surrogate analysis, PDF and H exponents. From these analysis we have found that RS and PDF may be useful to find a broad difference between normal and epileptic subjects but not helpful for constrained and seizure free intervals. Whereas, using H exponent, we have obtained differences in characteristics for normal subjects with eyes open and closed, and epileptic subjects during seizure and seizure free interval. The H shows that the brain activity of a normal man is uncorrelated in nature whereas, epileptic brains show long range anticorrelation.</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>The authors declare that they have no competing interests.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>MN and RN had carried out the time series analysis. MN, RN and ANSI prepared the manuscript. All the authors read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>We gratefully acknowledge the use of TISEAN package for the estimation of the correlation dimension.</p>
         </sec>
      </ack>
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