Harmonized multi-metric and multi-centric assessment of EEG source space connectivity for dementia characterization

Alzheimers Dement (Amst). 2023 Jul 8;15(3):e12455. doi: 10.1002/dad2.12455. eCollection 2023 Jul-Sep.

Abstract

Introduction: Harmonization protocols that address batch effects and cross-site methodological differences in multi-center studies are critical for strengthening electroencephalography (EEG) signatures of functional connectivity (FC) as potential dementia biomarkers.

Methods: We implemented an automatic processing pipeline incorporating electrode layout integrations, patient-control normalizations, and multi-metric EEG source space connectomics analyses.

Results: Spline interpolations of EEG signals onto a head mesh model with 6067 virtual electrodes resulted in an effective method for integrating electrode layouts. Z-score transformations of EEG time series resulted in source space connectivity matrices with high bilateral symmetry, reinforced long-range connections, and diminished short-range functional interactions. A composite FC metric allowed for accurate multicentric classifications of Alzheimer's disease and behavioral variant frontotemporal dementia.

Discussion: Harmonized multi-metric analysis of EEG source space connectivity can address data heterogeneities in multi-centric studies, representing a powerful tool for accurately characterizing dementia.

Keywords: AD; EEG; automatic harmonization; bvFTD; dementia classification; inverse solution methods; multi‐centric studies; whole‐brain functional connectivity.