A State-space Model of the Burst Suppression Ratio
Overview
Affiliations
Burst suppression is an electroencephalogram pattern observed in states of severely reduced brain activity, such as general anesthesia, hypothermia and anoxic brain injuries. The burst suppression ratio (BSR), defined as the fraction of EEG spent in suppression per epoch, is the standard quantitative measure used to characterize burst suppression. We present a state space model to compute a dynamic estimate of the BSR as the instantaneous probability of suppression. We estimate the model using an approximate EM algorithm and illustrate its application in the analysis of rodent burst suppression recordings under general anesthesia. Our approach removes the need to artificially average the ratio over long epochs and allows us to make formal statistical comparisons of burst activity at different time points. Our state-space model suggests a more principled way to analyze this key EEG feature that may offer more informative assessments of its associated brain state.
Pleasants D, Zak R, Ashbrook L, Zhang L, Tang C, Tran D J Clin Monit Comput. 2021; 36(4):1099-1107.
PMID: 34245405 PMC: 11046414. DOI: 10.1007/s10877-021-00741-w.
Liu D, Li J, Wu J, Dai J, Chen X, Huang Y Front Neural Circuits. 2020; 14:55.
PMID: 32973462 PMC: 7461971. DOI: 10.3389/fncir.2020.00055.
Neural signatures of α2-Adrenergic agonist-induced unconsciousness and awakening by antagonist.
Ballesteros J, Briscoe J, Ishizawa Y Elife. 2020; 9.
PMID: 32857037 PMC: 7455241. DOI: 10.7554/eLife.57670.
Sekar K, Schiff N, Labar D, Forgacs P J Clin Neurophysiol. 2018; 36(2):119-126.
PMID: 30422916 PMC: 6399070. DOI: 10.1097/WNP.0000000000000536.
Variability in pharmacologically-induced coma for treatment of refractory status epilepticus.
An J, Jonnalagadda D, Junior V, Purdon P, Brown E, Westover M PLoS One. 2018; 13(10):e0205789.
PMID: 30379935 PMC: 6209214. DOI: 10.1371/journal.pone.0205789.