Evidence map›Paper›PMID 40335585›Full record

ArticleScientific reports2025

Enhanced classification of tinnitus patients using EEG microstates and deep learning techniques.

Zahra Raeisi, Abolfazl Sodagartojgi, Fahimeh Sharafkhani, Amirsadegh Roshanzamir, Hossein Najafzadeh, Omid Bashiri, Alireza Golkarieh

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 citing papers in PubMed.

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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

7 authors.

Zahra RaeisiDepartment of Computer Science, University of Fairleigh Dickinson, Vancouver Campus, Vancouver, Canada.ORCID http://orcid.org/0009-0002-2334-3228
Abolfazl SodagartojgiDepartment of Statistics, Rutgers University, New Brunswick, NJ, USA.ORCID http://orcid.org/0009-0001-4138-080X
Fahimeh SharafkhaniEngineering Management and Systems Engineering Department, Missouri University of Science and Technology, Rolla, MO, 65401, USA.ORCID http://orcid.org/0009-0007-5385-4068
Amirsadegh RoshanzamirDepartment of Information Systems and Management, University of South Florida, Tampa, FL, USA.
Hossein NajafzadehDepartment of Medical Bioengineering, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Golgasht Ave, Tabriz, 51666, Iran. najafzadeh@tbzmed.ac.ir.ORCID http://orcid.org/0000-0001-7411-8480
Omid BashiriDepartment of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, NV, 89154, USA.ORCID http://orcid.org/0009-0005-7715-7553
Alireza GolkariehPhD Student in Computer Science and Informatics, Department of Computer Science and Engineering, Oakland University, Rochester, MI, USA.ORCID http://orcid.org/0009-0002-9554-8521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to deepen the understanding and classification of tinnitus through a comprehensive analysis of EEG signals utilizing innovative microstate analysis techniques and cutting-edge machine learning approaches. EEG data were collected from two datasets: a primary dataset with 36 participants (16 healthy, 20 tinnitus) and a public dataset with 37 participants (15 healthy, 22 tinnitus). Signals were decomposed into five frequency bands (delta, theta, alpha, beta, gamma) using Daubechies 4 wavelet at five decomposition levels. Microstate features (Duration, Occurrence, Mean Global Field Power, and Coverage) were extracted across four microstate configurations (4-state to 7-state) under both eyes-closed and eyes-open conditions. Classification was performed using SVM, Decision Tree, Random Forest, and Deep Neural Networks. Additionally, pre-trained models (VGG16, ResNet50, Xception) were used with a novel feature-to-image transformation approach for validation. Analysis revealed significant alterations in beta band microstates, with microstate A showing increased duration (+ 7.8% to + 11.2%) and microstate B showing decreased duration (- 9.0% to - 13.8%) in tinnitus patients. Occurrence rates were markedly elevated (~ 28-29% higher) in the tinnitus group. Transition probability analysis identified distinctive patterns between groups, with the most pronounced differences observed in gamma band (6-state configuration) during eyes-closed condition (healthy: F → B = 0.143; tinnitus: C → D = 0.153) and beta band (7-state configuration) also during eyes-closed condition (healthy: E → A = 0.091; tinnitus: C → E = 0.082). In the eyes-open condition, gamma band with 7 microstates showed substantial differences in transition patterns (healthy: E → A = 0.149; tinnitus: C → G = 0.157). Classification performance was exceptional, with DNN achieving 100% accuracy in the gamma frequency band during eyes-open condition with 5-state configuration. Frequency band analysis demonstrated that gamma band performed best for open eyes (99.89% accuracy) and beta band excelled for closed eyes (96.46% accuracy). Validation with pre-trained models showed ResNet50 with SVM classifier using 6-state configurations provided optimal discrimination (100% accuracy). EEG microstate dynamics in beta and gamma bands serve as reliable markers for distinguishing tinnitus patients. These findings provide insights into tinnitus-related neural alterations and highlight microstate analysis as a potential objective diagnostic tool for guiding personalized neuromodulation therapies.

Indexed as

Deep LearningElectroencephalographyTinnitusAdultFemaleHumansMaleMiddle AgedSupport Vector MachineClassificationDeep learningEEG microstatesTinnitus

Identifiers

PMID40335585
PMCPMC12059128

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.