Evidence map›Paper›PMID 36107467›Full record

ArticleSleep2023

Transient oscillation dynamics during sleep provide a robust basis for electroencephalographic phenotyping and biomarker identification.

Patrick A Stokes, Preetish Rath, Thomas Possidente, Mingjian He, Shaun Purcell, Dara S Manoach, Robert Stickgold, Michael J Prerau

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. CB-1 receptor agonist drastically changes oscillatory activity, defining active sleep.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Individualized temporal patterns drive human sleep spindle timing.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. At the Intersection of Pain and Sleep: a Roadmap for Preclinical Pain Research.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  15. Article
  16. Model selection for spectral parameterization.bioRxiv : the preprint server for biology · 2024
    Article
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Patrick A StokesDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9409-7039
Preetish RathDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
Thomas PossidenteDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-6857-6247
Mingjian HeDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-6688-8693
Shaun PurcellDepartment of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-7402-5812
Dara S ManoachDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-9208-1167
Robert StickgoldDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0003-3971-744X
Michael J PrerauDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9010-5273
Brigham and Women's Hospital · USBeth Israel Deaconess Medical Center · USMassachusetts General Hospital · USTufts University · US

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

Transient oscillatory events in the sleep electroencephalogram represent short-term coordinated network activity. Of particular importance, sleep spindles are transient oscillatory events associated with memory consolidation, which are altered in aging and in several psychiatric and neurodegenerative disorders. Spindle identification, however, currently contains implicit assumptions derived from what waveforms were historically easiest to discern by eye, and has recently been shown to select only a high-amplitude subset of transient events. Moreover, spindle activity is typically averaged across a sleep stage, collapsing continuous dynamics into discrete states. What information can be gained by expanding our view of transient oscillatory events and their dynamics? In this paper, we develop a novel approach to electroencephalographic phenotyping, characterizing a generalized class of transient time-frequency events across a wide frequency range using continuous dynamics. We demonstrate that the complex temporal evolution of transient events during sleep is highly stereotyped when viewed as a function of slow oscillation power (an objective, continuous metric of depth-of-sleep) and phase (a correlate of cortical up/down states). This two-fold power-phase representation has large intersubject variability-even within healthy controls-yet strong night-to-night stability for individuals, suggesting a robust basis for phenotyping. As a clinical application, we then analyze patients with schizophrenia, confirming established spindle (12-15 Hz) deficits as well as identifying novel differences in transient non-rapid eye movement events in low-alpha (7-10 Hz) and theta (4-6 Hz) ranges. Overall, these results offer an expanded view of transient activity, describing a broad class of events with properties varying continuously across spatial, temporal, and phase-coupling dimensions.

Indexed as

Memory ConsolidationSchizophreniaElectroencephalographyHumansSleepSleep StagesEEGNREMphase couplingslow oscillationspindlesTF-peakstransient oscillations

Identifiers

PMID36107467
PMCPMC9832519
OpenAlexW4295904830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.