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      Classification of ADHD patients on the basis of independent ERP components using a machine learning system

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      1 , , 1 , 2 , 2 , 1
      Nonlinear Biomedical Physics
      BioMed Central
      Consciousness and its Measures: Joint Workshop for COST Actions NeuroMath and Consciousness
      29 November – 1 December 2009

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          Abstract

          Background

          In the context of sensory and cognitive-processing deficits in ADHD patients, there is considerable evidence of altered event related potentials (ERP). Most of the studies, however, were done on ADHD children. Using the independent component analysis (ICA) method, ERPs can be decomposed into functionally different components. Using the classification method of support vector machine, this study investigated whether features of independent ERP components can be used for discrimination of ADHD adults from healthy subjects.

          Methods

          Two groups of age- and sex-matched adults (74 ADHD, 74 controls) performed a visual two stimulus GO/NOGO task. ERP responses were decomposed into independent components by means of ICA. A feature selection algorithm defined a set of independent component features which was entered into a support vector machine.

          Results

          The feature set consisted of five latency measures in specific time windows, which were collected from four different independent components. The independent components involved were a novelty component, a sensory related and two executive function related components. Using a 10-fold cross-validation approach, classification accuracy was 92%.

          Conclusions

          This study was a first attempt to classify ADHD adults by means of support vector machine which indicates that classification by means of non-linear methods is feasible in the context of clinical groups. Further, independent ERP components have been shown to provide features that can be used for characterizing clinical populations.

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          Most cited references37

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          The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies.

          This study examined the persistence of attention deficit hyperactivity disorder (ADHD) into adulthood. We analyzed data from published follow-up studies of ADHD. To be included in the analysis, these additional studies had to meet the following criteria: the study included a control group and it was clear from the methods if the diagnosis of ADHD included subjects who did not meet full criteria but showed residual and impairing signs of the disorder. We used a meta-analysis regression model to separately assess the syndromatic and symptomatic persistence of ADHD. When we define only those meeting full criteria for ADHD as having 'persistent ADHD', the rate of persistence is low, approximately 15% at age 25 years. But when we include cases consistent with DSM-IV's definition of ADHD in partial remission, the rate of persistence is much higher, approximately 65%. Our results show that estimates of ADHD's persistence rely heavily on how one defines persistence. Yet, regardless of definition, our analyses show that evidence for ADHD lessens with age. More work is needed to determine if this reflects true remission of ADHD symptoms or is due to the developmental insensitivity of diagnostic criteria for the disorder.
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            Electrophysiological correlates of anterior cingulate function in a go/no-go task: effects of response conflict and trial type frequency.

            Neuroimaging and computational modeling studies have led to the suggestion that response conflict monitoring by the anterior cingulate cortex plays a key role in cognitive control. For example, response conflict is high when a response must be withheld (no-go) in contexts in which there is a prepotent tendency to make an overt (go) response. An event-related brain potential (ERP) component, the N2, is more pronounced on no-go than on go trials and was previously thought to reflect the need to inhibit the go response. However, the N2 may instead reflect the high degree of response conflict on no-go trials. If so, an N2 should also be apparent when subjects make a go response in conditions in which no-go events are more common. To test this hypothesis, we collected high-density ERP data from subjects performing a go/no-go task, in which the relative frequency of go versus no-go stimuli was varied. Consistent with our hypothesis, an N2 was apparent on both go and no-go trials and showed the properties expected of an ERP measure of conflict detection on correct trials: (1) It was enhanced for low-frequency stimuli, irrespective of whether these stimuli were associated with generating or suppressing a response, and (2) it was localized to the anterior cingulate cortex. This suggests that previous conceptions of the no-go N2 as indexing response inhibition may be in need of revision. Instead, the results are consistent with the view that the N2 in go/no-go tasks reflects conflict arising from competition between the execution and the inhibition of a single response.
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              The Worldwide Prevalence of ADHD: A Systematic Review and Metaregression Analysis

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                Author and article information

                Conference
                Nonlinear Biomed Phys
                Nonlinear Biomedical Physics
                BioMed Central
                1753-4631
                2010
                3 June 2010
                : 4
                : Suppl 1
                : S1
                Affiliations
                [1 ]Brain and Trauma Foundation Grisons, Poststrasse 22, 7000 Chur, Switzerland
                [2 ]Institute of the Human Brain of Russian Academy of Sciences, ul. Acad. Pavlova 9, 197376 St. Petersburg, Russian Federation
                Article
                1753-4631-4-S1-S1
                10.1186/1753-4631-4-S1-S1
                2880795
                20522259
                f249bbab-fb6d-4b53-9514-01090e6ae8b4
                Copyright ©2010 Mueller et al; licensee BioMed Central Ltd.

                This is an open access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Consciousness and its Measures: Joint Workshop for COST Actions NeuroMath and Consciousness
                Limassol, Cyprus
                29 November – 1 December 2009
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                Biophysics
                Biophysics

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