An Auditory BCI System for Assisting CRS-R Behavioral Assessment in Patients with Disorders of Consciousness

作者：Xiao, Jun; Xie, Qiuyou; He, Yanbin; Yu, Tianyou; Lu, Shenglin; Huang, Ningmeng; Yu, Ronghao^*; Li, Yuanqing^*

来源：Scientific Reports, 2016, 6(1): 32917.

DOI：10.1038/srep32917

• COMA RECOVERY SCALE
• BRAIN-COMPUTER INTERFACE
• VEGETATIVE STATE
• ODDBALL PARADIGM
• POTENTIALS
• P300

The Coma Recovery Scale-Revised (CRS-R) is a consistent and sensitive behavioral assessment standard for disorders of consciousness (DOC) patients. However, the CRS-R has limitations due to its dependence on behavioral markers, which has led to a high rate of misdiagnosis. Brain-computer interfaces (BCIs), which directly detect brain activities without any behavioral expression, can be used to evaluate a patient's state. In this study, we explored the application of BCIs in assisting CRS-R assessments of DOC patients. Specifically, an auditory passive EEG-based BCI system with an oddball paradigm was proposed to facilitate the evaluation of one item of the auditory function scale in the CRS-R - the auditory startle. The results obtained from five healthy subjects validated the efficacy of the BCI system. Nineteen DOC patients participated in the CRS-R and BCI assessments, of which three patients exhibited no responses in the CRS-R assessment but were responsive to auditory startle in the BCI assessment. These results revealed that a proportion of DOC patients who have no behavioral responses in the CRS-R assessment can generate neural responses, which can be detected by our BCI system. Therefore, the proposed BCI may provide more sensitive results than the CRS-R and thus assist CRS-R behavioral assessments.

• 出版日期2016-9-13
• 单位华南理工大学