Evidence map›Paper›PMID 24018288›Full record

ArticleJournal of neural engineering2013

Burst suppression probability algorithms: state-space methods for tracking EEG burst suppression.

Jessica Chemali, ShiNung Ching, Patrick L Purdon, Ken Solt, Emery N Brown

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neural engineering, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03442179 (Cognitive Outcomes and Neuroimages Associated With Anesthesia-Related EEG Signatures), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03442179 unknown statusnot on this mapstarted 2019, after this paper: background citation

Cognitive Outcomes and Neuroimages Associated With Anesthesia-Related EEG Signatures

TypeobservationalSponsorMassachusetts General HospitalRan2019 to 2024Enrolled24ConditionsElderly, General Anesthesia
3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Estimating and detecting slow wave events in EEG.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Modulatory dynamics mark the transition between anesthetic states of unconsciousness.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jessica ChemaliDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
ShiNung Ching
Patrick L Purdon
Ken Solt
Emery N Brown

Funding

A Systems Neuroscience Approach for the Study of General AnesthesiaDP1OD003646 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 2007 to 2011
$4.4M
A Neural Systems Approach to Monitoring and Drug-Delivery for General AnesthesiaDP2OD006454 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI PURDON, PATRICK L. · 2009 to 2009
$2.7M
Active Induction of Emergence from General AnesthesiaK08GM094394 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI SOLT, KEN · 2010 to 2013
$469k
NIGMS NIH HHS K08 GM094394NIGMS NIH HHS K08-GM094394NIH HHS DP1 OD003646NIH HHS DP1-OD003646NIH HHS DP2 OD006454NIH HHS DP2-OD006454Wellcome Trust
6 · The paper itself

Abstract

objectiveBurst suppression is an electroencephalogram pattern in which bursts of electrical activity alternate with an isoelectric state. This pattern is commonly seen in states of severely reduced brain activity such as profound general anesthesia, anoxic brain injuries, hypothermia and certain developmental disorders. Devising accurate, reliable ways to quantify burst suppression is an important clinical and research problem. Although thresholding and segmentation algorithms readily identify burst suppression periods, analysis algorithms require long intervals of data to characterize burst suppression at a given time and provide no framework for statistical inference. APPROACH: We introduce the concept of the burst suppression probability (BSP) to define the brain's instantaneous propensity of being in the suppressed state. To conduct dynamic analyses of burst suppression we propose a state-space model in which the observation process is a binomial model and the state equation is a Gaussian random walk. We estimate the model using an approximate expectation maximization algorithm and illustrate its application in the analysis of rodent burst suppression recordings under general anesthesia and a patient during induction of controlled hypothermia. MAIN

resultThe BSP algorithms track burst suppression on a second-to-second time scale, and make possible formal statistical comparisons of burst suppression at different times. SIGNIFICANCE: The state-space approach suggests a principled and informative way to analyze burst suppression that can be used to monitor, and eventually to control, the brain states of patients in the operating room and in the intensive care unit.

Indexed as

AlgorithmsAnesthesiaAnimalsArousalCholinesterase InhibitorsData Interpretation, StatisticalElectroencephalographyElectrophysiological PhenomenaLikelihood FunctionsModels, StatisticalNeuronsNormal DistributionPhysostigmineRatsSignal Processing, Computer-AssistedCholinesterase InhibitorsPhysostigmine

Identifiers

PMID24018288
PMCPMC3793904

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.