0449 Characterizing Spindle Activity as a Time-Frequency Phenomenon. (27th May 2020) - Dimitrov, T S
Abstract: Introduction: Spindles are currently defined clinically based on observed patterns in the EEG waveform trace, with automated methods seeking to replicate visual scoring by experts. Recent work suggests that sleep spindles may be more readily observed as time-frequency peaks in the EEG spectrogram. This study compares spectral peaks in the multitaper spectrogram to expert and automatic detection scoring, characterizes the variability of spindles across a night, and investigates topographical and temporal clustering of spindles within individual EEG records. Methods: We compared spectral peaks, expert scoring, and automatic detection in two datasets (DREAMS, and a high-density control study). Peaks were identified using multitaper spectral estimation and the peak prominence of the normalized power spectrum for each channel. Spatiotemporal variability analysis was performed using cluster and pattern recognition algorithms including penalized sorting of channel activation order, 2D-cross correlation, PCA and UMAP cluster analysis, and the seqNMF method. Results: Spectral peaks were shown to be highly robust to and easily differentiated from broadband noise, occuring at rates (10-16 per min) far exceeding spindle rates reported in literature (~2.5 per min). Expert scoring and automated scoring failed to capture clear spectral peaks in the time-frequency domain, indicating an underreporting of the phenomenology. No apparent clustering or patterns of sleep spindle-like activity was observed using the proposed methods, suggesting high variability of spatiotemporal evolution of spindles. Conclusion: These results suggest that the difficulty of time-domain visual scoring of spindles causes an artificially low estimate of the underlying phenomenology, which is mirrored in the assumptions implicit in the thresholds of automated scorers. This work shows that spindles are highly variable in their spatiotemporal evolution, suggesting that there is no optimal single electrode for analysis and casting doubt on the presence of a single cortical generation mechanism. We must therefore revisit the concept of the spindle using the time-frequency domain to more robustly characterize underlying phenomenology. Support: National Institute Of Neurological Disorders And Stroke Grant R01 NS-096177