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Assessing Complexity in Physiological Systems through Biomedical Signals Analysis

A special issue of Entropy (ISSN 1099-4300). This special issue belongs to the section "Complexity".

Deadline for manuscript submissions: closed (16 March 2020) | Viewed by 64877

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Guest Editor
IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy
Interests: complexity in biosignals; physiological time series; fractals in medicine; cardiovascular modeling; physiology in extreme environments; rehabilitation medicine
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Energy, Information Engineering and Mathematical models (DEIM), University of Palermo, 90128 Palermo, Italy
Interests: time series analysis; information dynamics; network physiology; cardiovascular neuroscience; brain connectivity
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Information Engineering and Research Center“E. Piaggio”, University of Pisa, 56122 Pisa, Italy
Interests: biomedical signal and image processing; cardiovascular and neural modeling; wearable systems for physiological monitoring
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleague,

In the last few decades, the idea that most physiological systems are complex has become increasingly popular. Complexity is considered a ubiquitous phenomenon in physiology and medicine that allows living systems to adapt to external perturbations preserving homeostasis and that originates from specific features of the system, like fractal structures, self-organization, nonlinearity, presence of many interdependent components interacting at different hierarchical levels and time scales, and interconnections with other systems through physiological networks.

Biomedical signals generated by such systems may carry information on the system complexity, information that may help to detect physiological states, to monitor the health conditions over time or to predict pathological events. For this reason, the more recent trends in biomedical signals analysis are aimed at designing tools for extracting information on the system complexity from the derived time series, like continuous electroencephalogram and electromyogram recordings, beat-by-beat values of cardiovascular variables, or breath-by-breath values of respiratory variables.

However, important methodological issues on the complexity analysis of biomedical signals are still open. These include, for instance, the development of methods that distinguish randomness from complexity; that provide robust estimates on short series or from multivariate recordings; that allow multivariate and/or multiscale estimates of predictability, entropy, and multifractality; that represent parametrically the stochastic processes describing the data; or that set the analysis parameters automatically.

Therefore, this Special Issue is aimed at collecting methodological contributions that may improve the use of complexity-based methods of signal analysis in physiological or clinical settings, as well as novel applications on biomedical signals illustrating the value of complexity analysis. Manuscripts reviewing the state-of-the-art of these topics are also welcome.

Prof. Dr. Paolo Castiglioni
Prof. Dr. Luca Faes
Prof. Dr. Gaetano Valenza
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Entropy is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • entropy;
  • fractals;
  • multiscale analysis;
  • linear and nonlinear prediction;
  • self-organization;
  • chaos;
  • information dynamics;
  • symbolic dynamics;
  • nonlinearity;
  • heart rate variability;
  • EEG

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Published Papers (17 papers)

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Editorial

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4 pages, 155 KiB  
Editorial
Assessing Complexity in Physiological Systems through Biomedical Signals Analysis
by Paolo Castiglioni, Luca Faes and Gaetano Valenza
Entropy 2020, 22(9), 1005; https://doi.org/10.3390/e22091005 - 09 Sep 2020
Cited by 7 | Viewed by 2087
Abstract
The idea that most physiological systems are complex has become increasingly popular in recent decades [...] Full article

Research

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17 pages, 5196 KiB  
Article
fNIRS Complexity Analysis for the Assessment of Motor Imagery and Mental Arithmetic Tasks
by Ameer Ghouse, Mimma Nardelli and Gaetano Valenza
Entropy 2020, 22(7), 761; https://doi.org/10.3390/e22070761 - 11 Jul 2020
Cited by 5 | Viewed by 3660
Abstract
Conventional methods for analyzing functional near-infrared spectroscopy (fNIRS) signals primarily focus on characterizing linear dynamics of the underlying metabolic processes. Nevertheless, linear analysis may underrepresent the true physiological processes that fully characterizes the complex and nonlinear metabolic activity sustaining brain function. Although there [...] Read more.
Conventional methods for analyzing functional near-infrared spectroscopy (fNIRS) signals primarily focus on characterizing linear dynamics of the underlying metabolic processes. Nevertheless, linear analysis may underrepresent the true physiological processes that fully characterizes the complex and nonlinear metabolic activity sustaining brain function. Although there have been recent attempts to characterize nonlinearities in fNIRS signals in various experimental protocols, to our knowledge there has yet to be a study that evaluates the utility of complex characterizations of fNIRS in comparison to standard methods, such as the mean value of hemoglobin. Thus, the aim of this study was to investigate the entropy of hemoglobin concentration time series obtained from fNIRS signals and perform a comparitive analysis with standard mean hemoglobin analysis of functional activation. Publicly available data from 29 subjects performing motor imagery and mental arithmetics tasks were exploited for the purpose of this study. The experimental results show that entropy analysis on fNIRS signals may potentially uncover meaningful activation areas that enrich and complement the set identified through a traditional linear analysis. Full article
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31 pages, 5420 KiB  
Article
Information Transfer in Linear Multivariate Processes Assessed through Penalized Regression Techniques: Validation and Application to Physiological Networks
by Yuri Antonacci, Laura Astolfi, Giandomenico Nollo and Luca Faes
Entropy 2020, 22(7), 732; https://doi.org/10.3390/e22070732 - 01 Jul 2020
Cited by 24 | Viewed by 3145
Abstract
The framework of information dynamics allows the dissection of the information processed in a network of multiple interacting dynamical systems into meaningful elements of computation that quantify the information generated in a target system, stored in it, transferred to it from one or [...] Read more.
The framework of information dynamics allows the dissection of the information processed in a network of multiple interacting dynamical systems into meaningful elements of computation that quantify the information generated in a target system, stored in it, transferred to it from one or more source systems, and modified in a synergistic or redundant way. The concepts of information transfer and modification have been recently formulated in the context of linear parametric modeling of vector stochastic processes, linking them to the notion of Granger causality and providing efficient tools for their computation based on the state–space (SS) representation of vector autoregressive (VAR) models. Despite their high computational reliability these tools still suffer from estimation problems which emerge, in the case of low ratio between data points available and the number of time series, when VAR identification is performed via the standard ordinary least squares (OLS). In this work we propose to replace the OLS with penalized regression performed through the Least Absolute Shrinkage and Selection Operator (LASSO), prior to computation of the measures of information transfer and information modification. First, simulating networks of several coupled Gaussian systems with complex interactions, we show that the LASSO regression allows, also in conditions of data paucity, to accurately reconstruct both the underlying network topology and the expected patterns of information transfer. Then we apply the proposed VAR-SS-LASSO approach to a challenging application context, i.e., the study of the physiological network of brain and peripheral interactions probed in humans under different conditions of rest and mental stress. Our results, which document the possibility to extract physiologically plausible patterns of interaction between the cardiovascular, respiratory and brain wave amplitudes, open the way to the use of our new analysis tools to explore the emerging field of Network Physiology in several practical applications. Full article
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17 pages, 6591 KiB  
Article
Entropy-Based Estimation of Event-Related De/Synchronization in Motor Imagery Using Vector-Quantized Patterns
by Luisa Velasquez-Martinez, Julián Caicedo-Acosta and Germán Castellanos-Dominguez
Entropy 2020, 22(6), 703; https://doi.org/10.3390/e22060703 - 24 Jun 2020
Cited by 12 | Viewed by 2727
Abstract
Assessment of brain dynamics elicited by motor imagery (MI) tasks contributes to clinical and learning applications. In this regard, Event-Related Desynchronization/Synchronization (ERD/S) is computed from Electroencephalographic signals, which show considerable variations in complexity. We present an Entropy-based method, termed VQEnt, for estimation [...] Read more.
Assessment of brain dynamics elicited by motor imagery (MI) tasks contributes to clinical and learning applications. In this regard, Event-Related Desynchronization/Synchronization (ERD/S) is computed from Electroencephalographic signals, which show considerable variations in complexity. We present an Entropy-based method, termed VQEnt, for estimation of ERD/S using quantized stochastic patterns as a symbolic space, aiming to improve their discriminability and physiological interpretability. The proposed method builds the probabilistic priors by assessing the Gaussian similarity between the input measured data and their reduced vector-quantized representation. The validating results of a bi-class imagine task database (left and right hand) prove that VQEnt holds symbols that encode several neighboring samples, providing similar or even better accuracy than the other baseline sample-based algorithms of Entropy estimation. Besides, the performed ERD/S time-series are close enough to the trajectories extracted by the variational percentage of EEG signal power and fulfill the physiological MI paradigm. In BCI literate individuals, the VQEnt estimator presents the most accurate outcomes at a lower amount of electrodes placed in the sensorimotor cortex so that reduced channel set directly involved with the MI paradigm is enough to discriminate between tasks, providing an accuracy similar to the performed by the whole electrode set. Full article
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10 pages, 576 KiB  
Article
Relative Consistency of Sample Entropy Is Not Preserved in MIX Processes
by Sebastian Żurek, Waldemar Grabowski, Klaudia Wojtiuk, Dorota Szewczak, Przemysław Guzik and Jarosław Piskorski
Entropy 2020, 22(6), 694; https://doi.org/10.3390/e22060694 - 21 Jun 2020
Cited by 3 | Viewed by 2329
Abstract
Relative consistency is a notion related to entropic parameters, most notably to Approximate Entropy and Sample Entropy. It is a central characteristic assumed for e.g., biomedical and economic time series, since it allows the comparison between different time series at a single value [...] Read more.
Relative consistency is a notion related to entropic parameters, most notably to Approximate Entropy and Sample Entropy. It is a central characteristic assumed for e.g., biomedical and economic time series, since it allows the comparison between different time series at a single value of the threshold parameter r. There is no formal proof for this property, yet it is generally accepted that it is true. Relative consistency in both Approximate Entropy and Sample entropy was first tested with the M I X process. In the seminal paper by Richman and Moorman, it was shown that Approximate Entropy lacked the property for cases in which Sample Entropy did not. In the present paper, we show that relative consistency is not preserved for M I X processes if enough noise is added, yet it is preserved for another process for which we define a sum of a sinusoidal and a stochastic element, no matter how much noise is present. The analysis presented in this paper is only possible because of the existence of the very fast NCM algorithm for calculating correlation sums and thus also Sample Entropy. Full article
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18 pages, 9163 KiB  
Article
Day and Night Changes of Cardiovascular Complexity: A Multi-Fractal Multi-Scale Analysis
by Paolo Castiglioni, Stefano Omboni, Gianfranco Parati and Andrea Faini
Entropy 2020, 22(4), 462; https://doi.org/10.3390/e22040462 - 18 Apr 2020
Cited by 9 | Viewed by 2823
Abstract
Recently, a multifractal-multiscale approach to detrended fluctuation analysis (DFA) was proposed to evaluate the cardiovascular fractal dynamics providing a surface of self-similarity coefficients α(q,τ), function of the scale τ, and moment order q. We hypothesize that this versatile DFA approach [...] Read more.
Recently, a multifractal-multiscale approach to detrended fluctuation analysis (DFA) was proposed to evaluate the cardiovascular fractal dynamics providing a surface of self-similarity coefficients α(q,τ), function of the scale τ, and moment order q. We hypothesize that this versatile DFA approach may reflect the cardiocirculatory adaptations in complexity and nonlinearity occurring during the day/night cycle. Our aim is, therefore, to quantify how α(q, τ) surfaces of cardiovascular series differ between daytime and night-time. We estimated α(q,τ) with −5 ≤ q ≤ 5 and 8 ≤ τ ≤ 2048 s for heart rate and blood pressure beat-to-beat series over periods of few hours during daytime wake and night-time sleep in 14 healthy participants. From the α(q,τ) surfaces, we estimated short-term (<16 s) and long-term (from 16 to 512 s) multifractal coefficients. Generating phase-shuffled surrogate series, we evaluated short-term and long-term indices of nonlinearity for each q. We found a long-term night/day modulation of α(q,τ) between 128 and 256 s affecting heart rate and blood pressure similarly, and multifractal short-term modulations at q < 0 for the heart rate and at q > 0 for the blood pressure. Consistent nonlinearity appeared at the shorter scales at night excluding q = 2. Long-term circadian modulations of the heart rate DFA were previously associated with the cardiac vulnerability period and our results may improve the risk stratification indicating the more relevant α(q,τ) area reflecting this rhythm. Furthermore, nonlinear components in the nocturnal α(q,τ) at q ≠ 2 suggest that DFA may effectively integrate the linear spectral information with complexity-domain information, possibly improving the monitoring of cardiac interventions and protocols of rehabilitation medicine. Full article
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8 pages, 1146 KiB  
Article
Zipf’s Law of Vasovagal Heart Rate Variability Sequences
by Jacques-Olivier Fortrat
Entropy 2020, 22(4), 413; https://doi.org/10.3390/e22040413 - 06 Apr 2020
Cited by 3 | Viewed by 3049
Abstract
Cardiovascular self-organized criticality (SOC) has recently been demonstrated by studying vasovagal sequences. These sequences combine bradycardia and a decrease in blood pressure. Observing enough of these sparse events is a barrier that prevents a better understanding of cardiovascular SOC. Our primary aim was [...] Read more.
Cardiovascular self-organized criticality (SOC) has recently been demonstrated by studying vasovagal sequences. These sequences combine bradycardia and a decrease in blood pressure. Observing enough of these sparse events is a barrier that prevents a better understanding of cardiovascular SOC. Our primary aim was to verify whether SOC could be studied by solely observing bradycardias and by showing their distribution according to Zipf’s law. We studied patients with vasovagal syncope. Twenty-four of them had a positive outcome to the head-up tilt table test, while matched patients had a negative outcome. Bradycardias were distributed according to Zipf’s law in all of the patients. The slope of the distribution of vasovagal sequences and bradycardia are slightly but significantly correlated, but only in cases of bradycardias shorter than five beats, highlighting the link between the two methods (r = 0.32; p < 0.05). These two slopes did not differ in patients with positive and negative outcomes, whereas the distribution slopes of bradycardias longer than five beats were different between these two groups (−0.187 ± 0.004 and −0.213 ± 0.006, respectively; p < 0.01). Bradycardias are distributed according to Zipf’s law, providing clear insight into cardiovascular SOC. Bradycardia distribution could provide an interesting diagnosis tool for some cardiovascular diseases. Full article
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16 pages, 4369 KiB  
Article
Suppressing the Influence of Ectopic Beats by Applying a Physical Threshold-Based Sample Entropy
by Lina Zhao, Jianqing Li, Jinle Xiong, Xueyu Liang and Chengyu Liu
Entropy 2020, 22(4), 411; https://doi.org/10.3390/e22040411 - 04 Apr 2020
Cited by 8 | Viewed by 3062
Abstract
Sample entropy (SampEn) is widely used for electrocardiogram (ECG) signal analysis to quantify the inherent complexity or regularity of RR interval time series (i.e., heart rate variability (HRV)), with the hypothesis that RR interval time series in pathological conditions output lower SampEn values. [...] Read more.
Sample entropy (SampEn) is widely used for electrocardiogram (ECG) signal analysis to quantify the inherent complexity or regularity of RR interval time series (i.e., heart rate variability (HRV)), with the hypothesis that RR interval time series in pathological conditions output lower SampEn values. However, ectopic beats can significantly influence the entropy values, resulting in difficulty in distinguishing the pathological situation from normal situations. Although a theoretical operation is to exclude the ectopic intervals during HRV analysis, it is not easy to identify all of them in practice, especially for the dynamic ECG signal. Thus, it is important to suppress the influence of ectopic beats on entropy results, i.e., to improve the robustness and stability of entropy measurement for ectopic beats-inserted RR interval time series. In this study, we introduced a physical threshold-based SampEn method, and tested its ability to suppress the influence of ectopic beats for HRV analysis. An experiment on the PhysioNet/MIT RR Interval Databases showed that the SampEn use physical meaning threshold has better performance not only for different data types (normal sinus rhythm (NSR) or congestive heart failure (CHF) recordings), but also for different types of ectopic beat (atrial beats, ventricular beats or both), indicating that using a physical meaning threshold makes SampEn become more consistent and stable. Full article
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13 pages, 1369 KiB  
Article
Entropy in Heart Rate Dynamics Reflects How HRV-Biofeedback Training Improves Neurovisceral Complexity during Stress-Cognition Interactions
by Veronique Deschodt-Arsac, Estelle Blons, Pierre Gilfriche, Beatrice Spiluttini and Laurent M. Arsac
Entropy 2020, 22(3), 317; https://doi.org/10.3390/e22030317 - 11 Mar 2020
Cited by 19 | Viewed by 4044
Abstract
Despite considerable appeal, the growing appreciation of biosignals complexity reflects that system complexity needs additional support. A dynamically coordinated network of neurovisceral integration has been described that links prefrontal-subcortical inhibitory circuits to vagally-mediated heart rate variability. Chronic stress is known to alter network [...] Read more.
Despite considerable appeal, the growing appreciation of biosignals complexity reflects that system complexity needs additional support. A dynamically coordinated network of neurovisceral integration has been described that links prefrontal-subcortical inhibitory circuits to vagally-mediated heart rate variability. Chronic stress is known to alter network interactions by impairing amygdala functional connectivity. HRV-biofeedback training can counteract stress defects. We hypothesized the great value of an entropy-based approach of beat-to-beat biosignals to illustrate how HRVB training restores neurovisceral complexity, which should be reflected in signal complexity. In thirteen moderately-stressed participants, we obtained vagal tone markers and psychological indexes (state anxiety, cognitive workload, and Perceived Stress Scale) before and after five-weeks of daily HRVB training, at rest and during stressful cognitive tasking. Refined Composite Multiscale Entropy (RCMSE) was computed over short time scales as a marker of signal complexity. Heightened vagal tone at rest and during stressful tasking illustrates training benefits in the brain-to-heart circuitry. The entropy index reached the highest significance levels in both variance and ROC curves analyses. Restored vagal activity at rest correlated with gain in entropy. We conclude that HRVB training is efficient in restoring healthy neurovisceral complexity and stress defense, which is reflected in HRV signal complexity. The very mechanisms that are involved in system complexity remain to be elucidated, despite abundant literature existing on the role played by amygdala in brain interconnections. Full article
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12 pages, 474 KiB  
Article
Complexity of Cardiotocographic Signals as A Predictor of Labor
by João Monteiro-Santos, Teresa Henriques, Inês Nunes, Célia Amorim-Costa, João Bernardes and Cristina Costa-Santos
Entropy 2020, 22(1), 104; https://doi.org/10.3390/e22010104 - 16 Jan 2020
Cited by 5 | Viewed by 2685
Abstract
Prediction of labor is of extreme importance in obstetric care to allow for preventive measures, assuring that both baby and mother have the best possible care. In this work, the authors studied how important nonlinear parameters (entropy and compression) can be as labor [...] Read more.
Prediction of labor is of extreme importance in obstetric care to allow for preventive measures, assuring that both baby and mother have the best possible care. In this work, the authors studied how important nonlinear parameters (entropy and compression) can be as labor predictors. Linear features retrieved from the SisPorto system for cardiotocogram analysis and nonlinear measures were used to predict labor in a dataset of 1072 antepartum tracings, at between 30 and 35 weeks of gestation. Two groups were defined: Group A—fetuses whose traces date was less than one or two weeks before labor, and Group B—fetuses whose traces date was at least one or two weeks before labor. Results suggest that, compared with linear features such as decelerations and variability indices, compression improves labor prediction both within one (C-Statistics of 0.728) and two weeks (C-Statistics of 0.704). Moreover, the correlation between compression and long-term variability was significantly different in groups A and B, denoting that compression and heart rate variability look at different information associated with whether the fetus is closer to or further from labor onset. Nonlinear measures, compression in particular, may be useful in improving labor prediction as a complement to other fetal heart rate features. Full article
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15 pages, 1834 KiB  
Article
Alterations of Cardiovascular Complexity during Acute Exposure to High Altitude: A Multiscale Entropy Approach
by Andrea Faini, Sergio Caravita, Gianfranco Parati and Paolo Castiglioni
Entropy 2019, 21(12), 1224; https://doi.org/10.3390/e21121224 - 15 Dec 2019
Cited by 6 | Viewed by 2623
Abstract
Stays at high altitude induce alterations in cardiovascular control and are a model of specific pathological cardiovascular derangements at sea level. However, high-altitude alterations of the complex cardiovascular dynamics remain an almost unexplored issue. Therefore, our aim is to describe the altered cardiovascular [...] Read more.
Stays at high altitude induce alterations in cardiovascular control and are a model of specific pathological cardiovascular derangements at sea level. However, high-altitude alterations of the complex cardiovascular dynamics remain an almost unexplored issue. Therefore, our aim is to describe the altered cardiovascular complexity at high altitude with a multiscale entropy (MSE) approach. We recorded the beat-by-beat series of systolic and diastolic blood pressure and heart rate in 20 participants for 15 min twice, at sea level and after arrival at 4554 m a.s.l. We estimated Sample Entropy and MSE at scales of up to 64 beats, deriving average MSE values over the scales corresponding to the high-frequency (MSEHF) and low-frequency (MSELF) bands of heart-rate variability. We found a significant loss of complexity at heart-rate and blood-pressure scales complementary to each other, with the decrease with high altitude being concentrated at Sample Entropy and at MSEHF for heart rate and at MSELF for blood pressure. These changes can be ascribed to the acutely increased chemoreflex sensitivity in hypoxia that causes sympathetic activation and hyperventilation. Considering high altitude as a model of pathological states like heart failure, our results suggest new ways for monitoring treatments and rehabilitation protocols. Full article
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22 pages, 11923 KiB  
Article
Patterns of Heart Rate Dynamics in Healthy Aging Population: Insights from Machine Learning Methods
by Danuta Makowiec and Joanna Wdowczyk
Entropy 2019, 21(12), 1206; https://doi.org/10.3390/e21121206 - 09 Dec 2019
Cited by 5 | Viewed by 2790
Abstract
Costa et. al (Frontiers in Physiology (2017) 8255) proved that abnormal features of heart rate variability (HRV) can be discerned by the presence of particular patterns in a signal of time intervals between subsequent heart contractions, called RR intervals. In the following, the [...] Read more.
Costa et. al (Frontiers in Physiology (2017) 8255) proved that abnormal features of heart rate variability (HRV) can be discerned by the presence of particular patterns in a signal of time intervals between subsequent heart contractions, called RR intervals. In the following, the statistics of these patterns, quantified using entropic tools, are explored in order to uncover the specifics of the dynamics of heart contraction based on RR intervals. The 33 measures of HRV (standard and new ones) were estimated from four hour nocturnal recordings obtained from 181 healthy people of different ages and analyzed with the machine learning methods. The validation of the methods was based on the results obtained from shuffled data. The exploratory factor analysis provided five factors driving the HRV. We hypothesize that these factors could be related to the commonly assumed physiological sources of HRV: (i) activity of the vagal nervous system; (ii) dynamical balance in the autonomic nervous system; (iii) sympathetic activity; (iv) homeostatic stability; and (v) humoral effects. In particular, the indices describing patterns: their total volume, as well as their distribution, showed important aspects of the organization of the ANS control: the presence or absence of a strong correlation between the patterns’ indices, which distinguished the original rhythms of people from their shuffled representatives. Supposing that the dynamic organization of RR intervals is age dependent, classification with the support vector machines was performed. The classification results proved to be strongly dependent on the parameters of the methods used, therefore determining that the age group was not obvious. Full article
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18 pages, 3898 KiB  
Article
Sample Entropy Combined with the K-Means Clustering Algorithm Reveals Six Functional Networks of the Brain
by Yanbing Jia and Huaguang Gu
Entropy 2019, 21(12), 1156; https://doi.org/10.3390/e21121156 - 26 Nov 2019
Cited by 9 | Viewed by 3548
Abstract
Identifying brain regions contained in brain functional networks and functions of brain functional networks is of great significance in understanding the complexity of the human brain. The 160 regions of interest (ROIs) in the human brain determined by the Dosenbach’s template have been [...] Read more.
Identifying brain regions contained in brain functional networks and functions of brain functional networks is of great significance in understanding the complexity of the human brain. The 160 regions of interest (ROIs) in the human brain determined by the Dosenbach’s template have been divided into six functional networks with different functions. In the present paper, the complexity of the human brain is characterized by the sample entropy (SampEn) of dynamic functional connectivity (FC) which is obtained by analyzing the resting-state functional magnetic resonance imaging (fMRI) data acquired from healthy participants. The 160 ROIs are clustered into six clusters by applying the K-means clustering algorithm to the SampEn of dynamic FC as well as the static FC which is also obtained by analyzing the resting-state fMRI data. The six clusters obtained from the SampEn of dynamic FC and the static FC show very high overlap and consistency ratios with the six functional networks. Furthermore, for four of six clusters, the overlap ratios corresponding to the SampEn of dynamic FC are larger than that corresponding to the static FC, and for five of six clusters, the consistency ratios corresponding to the SampEn of dynamic FC are larger than that corresponding to the static FC. The results show that the combination of machine learning methods and the FC obtained using the blood oxygenation level-dependent (BOLD) signals can identify the functional networks of the human brain, and nonlinear dynamic characteristics of the FC are more effective than the static characteristics of the FC in identifying brain functional networks and the complexity of the human brain. Full article
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13 pages, 1502 KiB  
Article
Multiscale Entropy of Cardiac and Postural Control Reflects a Flexible Adaptation to a Cognitive Task
by Estelle Blons, Laurent M. Arsac, Pierre Gilfriche and Veronique Deschodt-Arsac
Entropy 2019, 21(10), 1024; https://doi.org/10.3390/e21101024 - 21 Oct 2019
Cited by 15 | Viewed by 3252
Abstract
In humans, physiological systems involved in maintaining stable conditions for health and well-being are complex, encompassing multiple interactions within and between system components. This complexity is mirrored in the temporal structure of the variability of output signals. Entropy has been recognized as a [...] Read more.
In humans, physiological systems involved in maintaining stable conditions for health and well-being are complex, encompassing multiple interactions within and between system components. This complexity is mirrored in the temporal structure of the variability of output signals. Entropy has been recognized as a good marker of systems complexity, notably when calculated from heart rate and postural dynamics. A degraded entropy is generally associated with frailty, aging, impairments or diseases. In contrast, high entropy has been associated with the elevated capacity to adjust to an ever-changing environment, but the link is unknown between entropy and the capacity to cope with cognitive tasks in a healthy young to middle-aged population. Here, we addressed classic markers (time and frequency domains) and refined composite multiscale entropy (MSE) markers (after pre-processing) of heart rate and postural sway time series in 34 participants during quiet versus cognitive task conditions. Recordings lasted 10 min for heart rate and 51.2 s for upright standing, providing time series lengths of 500–600 and 2048 samples, respectively. The main finding was that entropy increased during cognitive tasks. This highlights the possible links between our entropy measures and the systems complexity that probably facilitates a control remodeling and a flexible adaptability in our healthy participants. We conclude that entropy is a reliable marker of neurophysiological complexity and adaptability in autonomic and somatic systems. Full article
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16 pages, 9100 KiB  
Article
Application of a Speedy Modified Entropy Method in Assessing the Complexity of Baroreflex Sensitivity for Age-Controlled Healthy and Diabetic Subjects
by Ming-Xia Xiao, Chang-Hua Lu, Na Ta, Wei-Wei Jiang, Xiao-Jing Tang and Hsien-Tsai Wu
Entropy 2019, 21(9), 894; https://doi.org/10.3390/e21090894 - 14 Sep 2019
Cited by 9 | Viewed by 2615
Abstract
The percussion entropy index (PEIorginal) was recently introduced to assess the complexity of baroreflex sensitivity. This study aimed to investigate the ability of a speedy modified PEI (i.e., PEINEW) application to distinguish among age-controlled subjects with or without diabetes. [...] Read more.
The percussion entropy index (PEIorginal) was recently introduced to assess the complexity of baroreflex sensitivity. This study aimed to investigate the ability of a speedy modified PEI (i.e., PEINEW) application to distinguish among age-controlled subjects with or without diabetes. This was carried out using simultaneous photo-plethysmo-graphy (PPG) pulse amplitude series and the R wave-to-R wave interval (RRI) series acquired from healthy subjects (Group 1, number = 42), subjects diagnosed as having diabetes mellitus type 2 with satisfactory blood sugar control (Group 2, number = 38), and type 2 diabetic patients with poor blood sugar control (Group 3, number = 35). Results from PEIorginal and multiscale cross-approximate entropy (MCAE) were also addressed with the same datasets for comparison. The results show that optimal prolongation between the amplitude series and RRI series could be delayed by one to three heartbeat cycles for Group 2, and one to four heartbeat cycles for Group 3 patients. Group 1 subjects only had prolongation for one heartbeat cycle. This study not only demonstrates the sensitivity of PEINEW and PEIorginal in differentiating between Groups 2 and 3 compared with MCAE, highlighting the feasibility of using percussion entropy applications in autonomic nervous function assessments, it also shows that PEINEW can considerably reduce the computational time required for such processes. Full article
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Review

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31 pages, 3204 KiB  
Review
Complexity Analysis of Surface Electromyography for Assessing the Myoelectric Manifestation of Muscle Fatigue: A Review
by Susanna Rampichini, Taian Martins Vieira, Paolo Castiglioni and Giampiero Merati
Entropy 2020, 22(5), 529; https://doi.org/10.3390/e22050529 - 07 May 2020
Cited by 69 | Viewed by 10277
Abstract
The surface electromyography (sEMG) records the electrical activity of muscle fibers during contraction: one of its uses is to assess changes taking place within muscles in the course of a fatiguing contraction to provide insights into our understanding of muscle fatigue in training [...] Read more.
The surface electromyography (sEMG) records the electrical activity of muscle fibers during contraction: one of its uses is to assess changes taking place within muscles in the course of a fatiguing contraction to provide insights into our understanding of muscle fatigue in training protocols and rehabilitation medicine. Until recently, these myoelectric manifestations of muscle fatigue (MMF) have been assessed essentially by linear sEMG analyses. However, sEMG shows a complex behavior, due to many concurrent factors. Therefore, in the last years, complexity-based methods have been tentatively applied to the sEMG signal to better individuate the MMF onset during sustained contractions. In this review, after describing concisely the traditional linear methods employed to assess MMF we present the complexity methods used for sEMG analysis based on an extensive literature search. We show that some of these indices, like those derived from recurrence plots, from entropy or fractal analysis, can detect MMF efficiently. However, we also show that more work remains to be done to compare the complexity indices in terms of reliability and sensibility; to optimize the choice of embedding dimension, time delay and threshold distance in reconstructing the phase space; and to elucidate the relationship between complexity estimators and the physiologic phenomena underlying the onset of MMF in exercising muscles. Full article
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22 pages, 2665 KiB  
Review
Complexity Analysis of EEG, MEG, and fMRI in Mild Cognitive Impairment and Alzheimer’s Disease: A Review
by Jie Sun, Bin Wang, Yan Niu, Yuan Tan, Chanjuan Fan, Nan Zhang, Jiayue Xue, Jing Wei and Jie Xiang
Entropy 2020, 22(2), 239; https://doi.org/10.3390/e22020239 - 20 Feb 2020
Cited by 61 | Viewed by 8836
Abstract
Alzheimer’s disease (AD) is a degenerative brain disease with a high and irreversible incidence. In recent years, because brain signals have complex nonlinear dynamics, there has been growing interest in studying complex changes in the time series of brain signals in patients with [...] Read more.
Alzheimer’s disease (AD) is a degenerative brain disease with a high and irreversible incidence. In recent years, because brain signals have complex nonlinear dynamics, there has been growing interest in studying complex changes in the time series of brain signals in patients with AD. We reviewed studies of complexity analyses of single-channel time series from electroencephalogram (EEG), magnetoencephalogram (MEG), and functional magnetic resonance imaging (fMRI) in AD and determined future research directions. A systematic literature search for 2000–2019 was performed in the Web of Science and PubMed databases, resulting in 126 identified studies. Compared to healthy individuals, the signals from AD patients have less complexity and more predictable oscillations, which are found mainly in the left parietal, occipital, right frontal, and temporal regions. This complexity is considered a potential biomarker for accurately responding to the functional lesion in AD. The current review helps to reveal the patterns of dysfunction in the brains of patients with AD and to investigate whether signal complexity can be used as a biomarker to accurately respond to the functional lesion in AD. We proposed further studies in the signal complexities of AD patients, including investigating the reliability of complexity algorithms and the spatial patterns of signal complexity. In conclusion, the current review helps to better understand the complexity of abnormalities in the AD brain and provide useful information for AD diagnosis. Full article
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