Evidence map›Paper›PMID 33857311›Full record

ArticleSleep2021

Sleep spindles comprise a subset of a broader class of electroencephalogram events.

Tanya Dimitrov, Mingjian He, Robert Stickgold, Michael J Prerau

Abstract read
In one paragraph

Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Individualized temporal patterns drive human sleep spindle timing.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Age-associated sleep spindle characteristics in Duchenne muscular dystrophy.Sleep advances : a journal of the Sleep Research Society · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
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

4 authors.

Tanya DimitrovDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital Department of Medicine, Boston, MA.
Mingjian HeDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital Department of Medicine, Boston, MA.
Robert StickgoldDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA.
Michael J PrerauDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital Department of Medicine, Boston, MA.ORCID 0000-0002-9010-5273

Funding

Noninvasive Low-cost Biomarkers for Preclinical Diagnosis and Longitudinal Tracking of Alzheimer's Disease Using Sleep and Resting State EEGR01AG054081 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI DICKERSON, BRADFORD C, PRERAU, MICHAEL J · 2017 to 2021
$4.2M
Modeling Multi-scale Sleep EEG Dynamics as a Framework for Biomarker DiscoveryR01NS096177 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI PRERAU, MICHAEL J · 2016 to 2020
$1.9M
NIA NIH HHS R01 AG054081NINDS NIH HHS R01 NS096177
6 · The paper itself

Abstract

STUDY

objectivesSleep spindles are defined based on expert observations of waveform features in the electroencephalogram (EEG) traces. This is a potentially limiting characterization, as transient oscillatory bursts like spindles are easily obscured in the time domain by higher amplitude activity at other frequencies or by noise. It is therefore highly plausible that many relevant events are missed by current approaches based on traditionally defined spindles. Given their oscillatory structure, we reexamine spindle activity from first principles, using time-frequency activity in comparison to scored spindles.

methodsUsing multitaper spectral analysis, we observe clear time-frequency peaks in the sigma (10-16 Hz) range (TFσ peaks). While nearly every scored spindle coincides with a TFσ peak, numerous similar TFσ peaks remain undetected. We therefore perform statistical analyses of spindles and TFσ peaks using manual and automated detection methods, comparing event cooccurrence, morphological similarities, and night-to-night consistency across multiple datasets.

resultsOn average, TFσ peaks have more than three times the rate of spindles (mean rate: 9.8 vs. 3.1 events/minute). Moreover, spindles subsample the most prominent TFσ peaks with otherwise identical spectral morphology. We further demonstrate that detected TFσ peaks have stronger night-to-night rate stability (ρ = 0.98) than spindles (ρ = 0.67), while covarying with spindle rates across subjects (ρ = 0.72).

conclusionsThese results provide compelling evidence that traditionally defined spindles constitute a subset of a more generalized class of EEG events. TFσ peaks are therefore a more complete representation of the underlying phenomenon, providing a more consistent and robust basis for future experiments and analyses.

Indexed as

ElectroencephalographySleepHumansPolysomnographyResearch DesignSleep StagesEEGmemory consolidationmultitaper spectral estimationNREMsleep spindles

Identifiers

PMID33857311
PMCPMC8436142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.