TWI597683B - a migraine attack detection system included building and prediction method - Google Patents

a migraine attack detection system included building and prediction method Download PDF

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TWI597683B
TWI597683B TW105102802A TW105102802A TWI597683B TW I597683 B TWI597683 B TW I597683B TW 105102802 A TW105102802 A TW 105102802A TW 105102802 A TW105102802 A TW 105102802A TW I597683 B TWI597683 B TW I597683B
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migraine
prediction system
consistency
attack prediction
patient
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TW201727567A (en
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林進燈
莊鈞翔
呂紹瑋
曹澤宏
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國立交通大學
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偏頭痛發作預測系統之建立及預測方法 Establishment and prediction of migraine attack prediction system

本發明係有關一種偏頭痛預測方法,特別是指患者在靜息狀態下,偏頭痛發作預測系統之建立及預測方法。 The invention relates to a method for predicting migraine, in particular to a method for establishing and predicting a migraine attack prediction system in a resting state.

偏頭痛是一種不明原因的頭痛,頭痛時特徵明顯,目前尚未有研究能證實引發偏頭痛的切確原因。從偏頭痛週期來看,可分為發作間期(兩次頭痛之間)、發作前期(頭痛前期)、發作期(頭痛期)和發作後期(頭痛後期),在不同時期患者的生理狀態也會有所不同,例如腦波震盪幅度不同、習慣化程度不同、大腦皮層活化程度不同。 Migraine is an unexplained headache. The characteristics of headache are obvious. There are no studies to confirm the exact cause of migraine. From the perspective of migraine cycle, it can be divided into interictal period (between two headaches), pre-seizure period (pre-headache period), seizure period (headache period) and late stage (late headache), and the physiological state of patients in different periods is also It will be different, for example, the amplitude of brain waves is different, the degree of habituation is different, and the degree of activation of the cerebral cortex is different.

當患者處於頭痛前期時通常就會有些反應,例如肌肉僵硬、情緒變化、對聲音或氣味敏感等,但有時患者不一定能察覺自身的變化,因此當患者服藥時往往是正處於發作期,頭痛難忍才會服用止痛藥,而每個人對藥物的反應不一,有的人服藥之後還會疼痛一段時間才能慢慢減緩,相當影響生活品質。 When the patient is in the early stage of headache, there are usually some reactions, such as muscle stiffness, emotional changes, sensitivity to sound or smell, etc., but sometimes patients may not be aware of their own changes, so when the patient takes the medicine, it is often in the attack period, headache It is unbearable to take painkillers, and everyone reacts differently to drugs. Some people will suffer pain after a period of time to slow down slowly, which affects the quality of life.

目前預測偏頭痛發生通常是用光照或聲音刺激患者,藉由受刺激後的腦波變化來判斷其是否處於頭痛前期,但如此一來,患者會感到頭暈難受,很有可能促使患者偏頭痛發作。因此,本發明即提出一種在靜息狀態下,偏頭痛發作預測系統之建立及預測方法,具體架構及其實施方式將詳述於下: It is currently predicted that migraine is usually stimulated by light or sound, and the brain wave changes after stimulation are used to judge whether it is in the early stage of headache. However, the patient may feel dizzy and uncomfortable, which may prompt the patient to have a migraine attack. . Therefore, the present invention proposes a method for establishing and predicting a migraine attack prediction system in a resting state, and the specific architecture and its implementation manner will be described in detail below:

本發明之主要目的在提供一種偏頭痛發作預測系統之建立及預 測方法,其方法是擷取偏頭痛患者靜息狀態的腦波訊號後,將不同腦區(每兩個通道)的腦波訊號進行一致性分析,判斷不同腦區(每二個通道)之間的相關性的程度,從而得到多通道一致性特徵值。再通過機器學習演算法,將此相關的一致性特徵值輸入或代入到機器學習演算法中。從而學習、分類、並建立出可預測的偏頭痛時期判斷模型,偏頭痛發展預測系統建立完成後,當之後收到新的偏頭痛患者在靜息狀態下的腦波訊號時,便可利用一致性特徵值和偏頭痛時期判斷模型預測識別出出該偏頭痛患者在測量腦波的當下是處於哪一個頭痛時期。 The main purpose of the present invention is to provide a premature system for predicting migraine attacks. The method is to obtain the brain wave signal of the resting state of the migraine patient, and then analyze the brain wave signals of different brain regions (every two channels) to determine the different brain regions (every two channels). The degree of correlation between the two, resulting in multi-channel consistency eigenvalues. Then through the machine learning algorithm, the relevant consistent feature values are input or substituted into the machine learning algorithm. In order to learn, classify, and establish a predictable migraine period judgment model, after the establishment of the migraine development prediction system, when the new migraine patient receives a brain wave signal at rest, they can use the same Sexual eigenvalues and migraine period judgment models predict which headache period the migraine patient is at the moment of measuring brain waves.

本發明之另一目的在提供一種偏頭痛發作預測系統之建立及預測方法,僅需擷取患者靜息狀態(張眼和閉眼)的腦波訊號,不需給予患者任何刺激和反應。測量靜息狀態的腦波既可以避免誘發患者偏頭痛發作,也會讓偏頭痛患者感到舒適。 Another object of the present invention is to provide a method for establishing and predicting a migraine attack prediction system, which only needs to extract brain waves of the patient's resting state (open eyes and closed eyes) without giving any stimulation or reaction to the patient. Measuring brain waves at rest can avoid evoked migraine attacks and comfort for migraine patients.

本發明之再一目的在提供一種偏頭痛發作預測系統之建立及預測方法,其將腦波訊號分類為頭痛間期和頭痛前期,以輔助患者決定服藥的時機(在頭痛前期及時服藥),減緩患者的痛苦。 A further object of the present invention is to provide a method for establishing and predicting a migraine attack prediction system, which classifies brainwave signals into a headache interval and a pre-headache period to assist the patient in determining the timing of taking the medication (timely in the early stage of the headache) and slowing down The pain of the patient.

為達上述之目的,本發明提供一種偏頭痛發作預測系統之建立及預測方法,包括下列步驟:擷取一患者在靜息狀態下之腦波訊號;利用一偏頭痛發作預測系統對腦波訊號進行腦區一致性分析,並得到多通道的一致性特徵值;偏頭痛發作預測系統依據分析所得到之一致性特徵值進行機器學習;在機器學習中,當學習到屬於不同時期患者之一致性特徵值後,用一致性特徵值正確分類出不同的偏頭痛時期,以建立一偏頭痛時期判斷模型;以及擷取一偏頭痛患者靜息狀態之腦波訊號,利用偏頭痛發作預測系統中之一致性特徵值及偏頭痛時期判斷模型,從腦波訊號去判斷該偏頭痛患者目前屬於偏頭痛時期中之哪一個時期。 To achieve the above object, the present invention provides a method for establishing and predicting a migraine attack prediction system, comprising the steps of: capturing a brain wave signal of a patient at rest; using a migraine attack prediction system for brain wave signals Perform brain area consistency analysis and obtain multi-channel consistency eigenvalues; migraine attack prediction system performs machine learning based on consistent eigenvalues obtained from analysis; in machine learning, when learning the consistency of patients belonging to different periods After the eigenvalues, the different migraine periods are correctly classified by the consistency eigenvalues to establish a migraine period judgment model; and the brainwave signals of a migraine patient's resting state are taken, and the migraine attack prediction system is utilized. The consistency eigenvalue and the migraine period judgment model determine from the brain wave signal which period of the migraine period the migraine patient currently belongs to.

底下藉由具體實施例詳加說明,當更容易瞭解本發明之目的、技術內容、特點及其所達成之功效。 The purpose, technical content, features and effects achieved by the present invention will be more readily understood by the detailed description of the embodiments.

第1圖為本發明偏頭痛發作預測系統之建立及預測方法之流程圖。 Figure 1 is a flow chart of the method for establishing and predicting a migraine attack prediction system of the present invention.

第2圖為本發明偏頭痛發作預測系統之建立及預測方法中腦區一致性分析步驟之流程圖。 Fig. 2 is a flow chart showing the steps of brain brain consistency analysis in the establishment and prediction method of the migraine attack prediction system of the present invention.

第3A圖及第3B圖分別為頭痛間期及頭痛前期之腦波訊號通道示意圖。 Figures 3A and 3B are schematic diagrams of brainwave signal channels for the inter-headache period and the early headache period, respectively.

本發明提供一種偏頭痛發作預測系統之建立及預測方法,提供偏頭痛患者頭痛間期(interictal)和頭痛前期(preictal)的個人化分類,輔助藥物治療,減緩患者的痛苦與治療的空窗期。利用偏頭痛患者在不同偏頭痛時期的腦區一致性(coherence),找出一致性變化的指標建立預測與專家系統。 The invention provides a method for establishing and predicting a migraine attack prediction system, and provides a personalized classification of interictal and preictal in a migraine patient, assisting drug treatment, and slowing the pain and treatment of the patient. . Using the coherence of migraine patients during different migraine periods, find indicators of consistency changes to establish prediction and expert systems.

第1圖所示為本發明中偏頭痛發作預測系統之建立及預測方法之流程圖,其中步驟S10~S16為建立一偏頭痛發作預測系統之方法,步驟S18~S20為利用此偏頭痛發作預測系統去預測一偏頭痛患者之目前偏頭痛時期的方法,首先步驟S10擷取一患者在靜息狀態(張眼或閉眼)下之多通道腦波訊號,其係讓患者戴上可收錄腦波的儀器,可擷取從17通道至64通道不等的腦波訊號,在靜息狀態下,患者只需要做張眼或閉眼的動作即可;接著,步驟S12利用一偏頭痛發作預測系統對腦波訊號進行腦區一致性分析,得到複數一致性特徵值,此偏頭痛發作預測系統係為至少一主機中所安裝的可針對收集到的腦波訊號進行分析的程式,而腦區一致性分析則是看腦波每兩個通道(channel)的一致性,若一致性高,則代表此二通道中的能量有很高的相似度,反之則是相似度低;步驟S14中,偏頭痛發作預測系統依據分析所得到之一致性特徵值進行機器學 習,當學習到屬於不同時期患者之一致性特徵值後,於步驟S16中,偏頭痛發作預測系統便可將一致性特徵值分類出不同的偏頭痛時期,以建立一偏頭痛時期判斷模型,例如分類出該患者的腦波訊號為頭痛間期或頭痛前期;之後,只要擷取任何一個偏頭痛患者之腦波訊號,便可利用偏頭痛發作預測系統中之一致性特徵值及偏頭痛時期判斷模型,從腦波訊號去判斷該偏頭痛患者目前屬於偏頭痛時期中之何者,如步驟S18~S20所述。 Fig. 1 is a flow chart showing the method for establishing and predicting a migraine attack prediction system according to the present invention, wherein steps S10 to S16 are methods for establishing a migraine attack prediction system, and steps S18 to S20 are for predicting the migraine attack. The system predicts the current migraine period of a migraine patient. First, step S10 captures a multi-channel brain wave signal of a patient in a resting state (eye or closed eyes), which allows the patient to wear an acceptable brainwave. The instrument can extract brain wave signals ranging from 17 channels to 64 channels. In the resting state, the patient only needs to do the action of opening or closing the eyes; then, step S12 uses a migraine attack prediction system. The brain wave signal performs brain region consistency analysis to obtain a complex consistency feature value, and the migraine attack prediction system is a program installed in at least one host to analyze the collected brain wave signals, and the brain region consistency The analysis is to see the consistency of every two channels of the brain wave. If the consistency is high, it means that the energy in the two channels has a high similarity, and vice versa, the similarity is low; in step S14, the partiality is Pain attack prediction system for machine learning based on the consistency of the resulting eigenvalue analysis After learning the consistency characteristic values of the patients belonging to different periods, in step S16, the migraine attack prediction system can classify the consistency feature values into different migraine periods to establish a migraine period judgment model. For example, the brainwave signal of the patient is classified as a headache interval or a pre-headache period; after that, by taking the brainwave signal of any migraine patient, the consistency characteristic value and the migraine period in the migraine attack prediction system can be utilized. The model is judged from the brain wave signal to determine which of the migraine patients is currently in the migraine period, as described in steps S18 to S20.

步驟S10中的張眼和閉眼動作舉例而言,可為張眼一分鐘後閉眼一分鐘為一個回合,交替進行數個回合,持續5~10分鐘以收集這段時間的腦波訊號。 For example, in the case of the eye opening and the closing eye movement in step S10, one eye can be closed for one minute after one minute of eye opening, and several rounds are alternately performed for 5 to 10 minutes to collect brain wave signals during this time.

請參考第2圖,在第1圖之步驟S12中,腦區一致性步驟更包括二步驟,當步驟S10擷取到患者的腦波訊號之後,步驟S122會先濾除腦波訊號中之低頻及高頻部分後,提取其中部分之腦波資訊;之後在步驟S124中對腦波資訊進行腦區一致性分析,分析比對腦波資訊中每二個通道的特徵一致性,得到一致性特徵值,在本發明中,比對方式係利用一降維演算法對腦波資訊進行特徵提取,加權計分後得到一致性特徵值。 Referring to FIG. 2, in step S12 of FIG. 1, the brain region consistency step further includes two steps. After step S10 captures the brain wave signal of the patient, step S122 first filters out the low frequency in the brain wave signal. And after the high frequency part, extracting part of the brain wave information; then performing brain area consistency analysis on the brain wave information in step S124, analyzing the feature consistency of each of the two channels in the brain wave information, and obtaining consistency characteristics In the present invention, the comparison method uses a dimensionality reduction algorithm to extract the feature information of the brain wave information, and obtains the consistency feature value by weighted scoring.

舉例而言,若擷取患者的腦波訊號為17個通道,則會計算17個通道中每二個通道之間的一致性,總共會有=153個一致性的值,也就是一致性特徵值,而所有的一致性特徵值(例如153個一致性值)利用降維演算法來保留重要的特性,通過加權計分得到最終的一致性特徵值。 For example, if the patient's brainwave signal is 17 channels, the consistency between each of the 17 channels will be calculated. = 153 consistent values, which are consistent eigenvalues, and all consistent eigenvalues (eg 153 contiguous values) use the dimensionality reduction algorithm to preserve important characteristics, and the final consistency is obtained by weighted scoring Eigenvalues.

本發明中,偏頭痛發作預測系統係利用一監督機器學習演算法辨識器或一非監督式機器學習演算法辨識器去學習一致性特徵值,得到偏頭痛時期判斷模型。但並非僅限於監督機器學習演算法辨識器或非監督式機器學習演算法辨識器,其他具有學習模式的演算法或辨識器亦可應用於本發明中。 In the present invention, the migraine attack prediction system uses a supervised machine learning algorithm recognizer or an unsupervised machine learning algorithm recognizer to learn the consistency feature value, and obtains a migraine period judgment model. However, it is not limited to supervising machine learning algorithm recognizers or unsupervised machine learning algorithm recognizers, and other algorithms or recognizers having learning modes can also be applied to the present invention.

偏頭痛時期判斷模型為偏頭痛發作預測系統利用一致性的特徵 值所學習到的判斷機制,之後收錄新的偏頭痛患者的腦波資訊時,便可正確判斷出此患者正處於頭痛間期還是頭痛前期。請參考第3A圖及第3B圖,第3A圖為頭痛間期之腦波訊號通道示意圖,第3B圖為頭痛前期之腦波訊號通道示意圖,由圖中可看出不同時期的腦波訊號是有差別的,差別大的部分一致性特徵值會有差異,從而影響偏頭痛時期判斷模型對該患者腦波訊號的分類,本發明中偏頭痛時期判斷模型的最終目的是判斷患者目前處於頭痛間期或頭痛前期,以輔助患者適時選取適合的藥物。 The migraine period judgment model is a feature of the consistency of the migraine attack prediction system The judgment mechanism learned by the value, and then the brainwave information of the new migraine patient, can be correctly judged whether the patient is in the headache period or the early headache period. Please refer to Figure 3A and Figure 3B. Figure 3A is a schematic diagram of the brainwave signal channel during the headache interval. Figure 3B is a schematic diagram of the brainwave signal channel in the early stage of headache. It can be seen from the figure that the brainwave signal at different times is Differentiated, the difference in the consistency of the eigenvalues will be different, which affects the classification of the brainwave signals of the migraine period judgment model. The ultimate goal of the migraine period judgment model in the present invention is to judge that the patient is currently in a headache. Period or early headache, to assist patients in selecting appropriate drugs at the right time.

假設有一位偏頭痛患者,目前還沒發作,但正處於頭痛間期或頭痛前期。平常該患者每天配戴儀器收錄腦波訊號兩次,偵測他是否有進入頭痛前期,若正在頭痛前期則應立即服藥來抑制偏頭痛發生,若還在頭痛間期,亦即兩次偏頭痛之間的時期,則只需要每天保持偵測腦波訊號檢查即可。 Suppose there is a migraine patient who has not yet had an episode, but is in a headache or pre-headache. Usually, the patient wears a brainwave signal twice a day to detect whether he has entered the early stage of headache. If he is in the early stage of headache, he should take the medicine immediately to suppress the occurrence of migraine. If he is still in the headache period, that is, two migraine headaches. During the period between the two, it is only necessary to keep the brainwave signal check every day.

綜上所述,本發明所提供之偏頭痛發作預測系統之建立及預測方法係先擷取偏頭痛患者的腦波訊號,利用腦波每二個通道之間的一致性給予一一致性特徵值,依據此一致性特徵值將該患者的腦波訊號分類成頭痛前期或頭痛間期,偏頭痛發作預測系統可學習出一套判斷機制,以後每當偵測患者腦波時,偏頭痛發作預測系統皆可正確判別出患者此時正處於頭痛間期或頭痛前期,而由於在偏頭痛發作之前提前預測出偏頭痛將於何時發生,因此患者可適時選取合適的藥物服用,以抑制偏頭痛發生,減緩患者的痛苦。本發明適合做為長期偏頭痛患者的居家監控與照護。 In summary, the method for establishing and predicting a migraine attack prediction system provided by the present invention first acquires the brain wave signal of a migraine patient, and uses a consistency between each two channels of the brain wave to give a consistency characteristic. Value, according to the consistency characteristic value, the patient's brain wave signal is classified into pre-headache or headache period. The migraine attack prediction system can learn a set of judgment mechanism, and the migraine attack will be detected whenever the patient's brain wave is detected. The predictive system can correctly determine that the patient is at the time of headache or pre-headache, and because the migraine will be predicted in advance before the migraine attack, the patient can take appropriate drugs to suppress migraine. Occurs, slows down the suffering of the patient. The invention is suitable for home monitoring and care for long-term migraine patients.

唯以上所述者,僅為本發明之較佳實施例而已,並非用來限定本發明實施之範圍。故即凡依本發明申請範圍所述之特徵及精神所為之均等變化或修飾,均應包括於本發明之申請專利範圍內。 The above is only the preferred embodiment of the present invention and is not intended to limit the scope of the present invention. Therefore, any changes or modifications of the features and spirits of the present invention should be included in the scope of the present invention.

no

Claims (5)

一種偏頭痛發作預測系統之建立及預測方法,其收集腦波訊號並利用至少一主機進行偏頭痛預測,該方法包括下列步驟:建立一偏頭痛發作預測系統,包括下列步驟:擷取一患者在靜息狀態下之多通道的複數腦波訊號;進行腦區一致性分析,利用該偏頭痛發作預測系統分析該等腦波訊號在不同腦區之間的一致性,濾除該等腦波訊號中之低頻及高頻部分後,提取其中部分之腦波資訊,分析比對該腦波資訊中每二個通道(channel)的特徵一致性,再利用一降維演算法對該腦波資訊進行特徵提取,加權計分後得到多通道的複數一致性特徵值;以及該偏頭痛發作預測系統將該等一致性特徵值代入一機器學習演算法中進行機器學習,當學習到屬於不同時期患者之該等一致性特徵值後,用該等一致性特徵值分類出不同的偏頭痛時期,以建立一偏頭痛時期判斷模型;以及對一偏頭痛患者進行偏頭痛時期預測,包括:擷取該偏頭痛患者在靜息狀態下之多通道的該等腦波訊號,利用該偏頭痛發作預測系統中之該等一致性特徵值及該偏頭痛時期判斷模型,從該等腦波訊號去判斷該偏頭痛患者目前屬於該等偏頭痛時期中之何者。 A method for establishing and predicting a migraine attack prediction system, which collects brainwave signals and uses at least one host to perform migraine prediction, the method comprising the steps of: establishing a migraine attack prediction system, comprising the steps of: taking a patient Multi-channel complex brainwave signals at rest; performing brain region consistency analysis, using the migraine attack prediction system to analyze the consistency of the brainwave signals between different brain regions, and filtering out the brainwave signals After the low frequency and high frequency part, extract some of the brain wave information, analyze the characteristic consistency of each two channels in the brain wave information, and then use a dimensionality reduction algorithm to perform the brain wave information. Feature extraction, weighted scoring to obtain multi-channel complex consistency feature values; and the migraine attack prediction system substitutes the consistency feature values into a machine learning algorithm for machine learning, when learning patients belonging to different periods After the consistency feature values, different migraine periods are classified by the consistency feature values to establish a migraine period judgment model; And predicting a migraine period in a migraine patient, including: extracting the multi-channel brainwave signals of the migraine patient at rest, using the consistency feature values in the migraine attack prediction system And the migraine period judgment model, from which the brain wave signals are used to determine which of the migraine periods the migraine patient currently belongs to. 如請求項1所述之偏頭痛發作預測系統之建立及預測方法,其中該等腦波訊號為該患者在靜息狀態下做張眼和閉眼之交替動作時的該等腦波訊號,記錄該等腦波訊號5~10分鐘。 The method for establishing and predicting a migraine attack prediction system according to claim 1, wherein the brain wave signals are the brain wave signals when the patient performs an alternating action of opening and closing eyes in a resting state, and recording the Wait for the brain wave signal for 5~10 minutes. 如請求項1所述之偏頭痛發作預測系統之建立及預測方法,其中該偏 頭痛時期包括一頭痛間期(interictal)及一頭痛前期(preictal)。 The method for establishing and predicting a migraine attack prediction system according to claim 1, wherein the bias The headache period includes an interictal and a preictal. 如請求項1所述之偏頭痛發作預測系統之建立及預測方法,其中該偏頭痛發作預測系統係利用一監督機器學習演算法辨識器或一非監督式機器學習演算法辨識器去學習該一致性特徵值,得到該偏頭痛時期判斷模型。 The method for establishing and predicting a migraine attack prediction system according to claim 1, wherein the migraine attack prediction system uses a supervised machine learning algorithm identifier or an unsupervised machine learning algorithm identifier to learn the agreement. The sexual characteristic value is obtained by the migraine period judgment model. 如請求項1所述之偏頭痛發作預測系統之建立及預測方法,其中該偏頭痛發作預測系統係安裝於該主機中。The method for establishing and predicting a migraine attack prediction system according to claim 1, wherein the migraine attack prediction system is installed in the host.
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