TECHNICAL NOTES Editor for Western Hemisphere and Far East, J. KNOTT, Iowa City, Iowa, U.S.A. Editor for Europe and Middle East, tI. SHIPTON, Bristol, England AN ELECTRONIC OF T H E B R A I N A N D
M E T H O D FOR D E T E C T I N G E V O K E D R E S P O N S E S FOR R E P R O D U C I N G THEIR A V E R A G E W A V E F O R M S I JOHN S. BARLOW, M . D .
Neurophysiological Laboratory o[ the Neurological Service, Massachusetts General Hospital, Boston, and Research Laboratory of Electronics, 2 Massachusetts Institute o~ Technology, Cambridge, Mass. (Received f o r p u b l i c a t i o n : October 15, 1956) The detection b y v i s u a l m e a n s of cortical pot e n t i a l s evoked by s e n s o r y s t i m u l i is f r e q u e n t l y difficult in tile presence of E E G a c t i v i t y of equal or h i g h e r a m p l i t u d e in a n i m a l s if t h e a n e s t h e s i a level is light, a n d even more d i f f i c u l t in t h e h u m a n subject. T e c h n i q u e s b a s e d on the a v e r a g i n g of m a n y responses (such as D a w s o n ' s e l e c t r o m e c h a n i c a l a v e r a g e r (1953, 1954)) rely on the E E G w a v e s b e i n g unrelated to the s t i m u l u s a n d t h u s t e n d i n g to a v e r a g e out, w h e r e a s t h e p o t e n t i a l s of t h e specific response (following, as t h e y do, at a c o n s t a n t l a t e n c y ) will be a c c e n t u a t e d by t h e a v e r a g i n g process. The p r e s e n t note describes a n electronic m e t h o d for d e t e c t i n g such r e s p o n s e s a n d for r e p r o d u c i n g t h e i r a v e r a g e w a v e f o r m . T h e m a t h e m a t i c a l equivalence of a v e r a g i n g to t h e process of crosscorrelation of a s i g n a l with a repetitive b r i e f pulse h a s been shown by Lee (1950). A m e t h o d for erosseorrelation
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Fig. 1 Schema of gating of brain potentials with stimuli at successively larger delays (r) after the incidence of the stimuli (~-o), of b r a i n potenti'/ls Ires been described in t h i s J o u r n a l (B'lrlow a n d B r a z i e r 1954) ; a m o r e complete description of this i n s t r u m e n t a t i o n h a s since a p p e a r e d ( B a r low a n d B r o w n 1955). T h e electronic e q u i p m e n t employed for the p r e s e n t p u r p o s e utilizes the m a g n e t i c delay d r u m , i n t e g r a t o r , a n d t i m e r ( a u t o m a t i c recycling device) of the abovc correlator, b u t a g a t i n g a n d 1 Aided by a grant, No. B369 P h y s i o l ( 1 ) , from the V. S. P u b l i c H e a l t h S e r v i c e to Dr. M. A. B. B r a z i e r at the M a s s a chusetts General Hospital. 2 The work of this Laboratory ls supported in p a r t by the U.S. A ir F orce (Office of Scientific Research, Air Research and Development Command), the U.S. Army (Signal Corps), and the U.S. N a v y (Office of N a v a l R e s e a r c h ) .
s t o r a g e circuit is used i n s t e a d of the multiplier of t h a t instrmnent. S t i m u l i a n d b r a i n p o t e n t i M s are recorded simult a n e a u s l y on n m g n e t i e t a p e f r o m a e o n w m t i o n a l elect r o e n c e p h a l o g r a p h , and the aw,rages of evoked re sponses are obt'fined as the t a p e s are played back repeqtedly. By m e a n s of the m a g n e t i c d r m n , the s t i m u l u s a r t e f a c t s cnn be delayed in time ( r ) with respect to the b r a i n potentials, as i n d i c a t e d in f i g u r e 1. P e r a given s e t t i n g of the m a g n e t i c d r u m , i.e., •l given displqcement of stimuli in time, t h e ins t a n t a n e o u s voltage of the b r a i n 1)otentials correspondi n g tO each of the stimuli is not(,& A n a v e r a g e of all such s a m p l e s is o b t a i n e d by the Miller i n t e g r a t o r , a n d the result w r i t t e n out on "in E s t e r l i n e - A n g u s gr:,phic nfilliammeter. T h e s e t t i n g of tile m a g n e t i c d r u m is t h e n a n t o n m t i c a l l y c h a n g e d to a new delay, the tape played t h r o u g h a g a i n , '~ new "~verage ol)tained, a n d so on. The r e s u l t i n g ph)t of a v e r a g e s a g a i n s t tile delay r t h e n gives the a v e r a g e d evoke,1 response for the p a r t i c u l a r mmfl)er of stimuli chosen. A schematic "rod w a v e f o r m s of t h e g a t i n g a n d s t o r a g e u n i t ai)l)e:lr in f i g u r e 2. U t i l i z i n g ~he (lelayed stimuli as a t i m i n g signal, the g:ltillg a n d s t o r a g e unit s a m p l e s the b r a i n p o t e n t i a l s :it tile incidence of each delayed s t i m u l u s , a n d stores the samlde o b t a i n e d until t h e incidence of the n e x t delayed s t i n m l u s , at which time a new smni)le is taken, stored, a m l so on. Tile o u t p u t of the u n i t is t h u s in the f o r m of a s t e p - f u n c t i o n , the :lw'rage of which is o b t a i n e d by the Miller i n t e g r M o r . The g a t i n g , or s a m p l i n g , is accomplished by the diodes V7 a n d VS, a n d tile st'.)rage is accomplished by the condensers CI a n d (?2, in the following n m n n e r . T h e delayed s t i m u l u s pulse, a f t e r a m p l i f i c a t i o n (V1) t r i g g e r s a u n i v i b r a t o r ( V 2 ) , folh)wing which both positive a n d n e g a t i v e g a t i n g pulses of v e r y s h o r t d u r a t i o n are available at low i m p e d a n c e by m e a n s of a p h a s e i n v e r t e r (V3) a n d cathode followers ( V 6 A and V6B). Similarly, t h e b r a i n p o t e n t i a l s , a f t e r
[ 340 ]
ELECTRONIC
AVERAGING
OF EVOKED
341
RESPONSES
e f f e c t of V6 (via VT) t h u s removed, t h e p o t e n t i a l s at A1 a n d A2 (fig. 2) become t h e s a m e ; V8 now acts as a shunt~ c o n n e c t i n g t h e c a t h o d e of V5 (via t h e 2 2 K r e s i s t o r s ) to t h e s t o r a g e condensers C1 a n d C2: VSA c o n d u c t s for n e g a t i v e c h a n g e s of t h e i)otential at the cathode of V5, a n d VSB conducts for llositive c h a n g e s of this potential. A t the end of tile g a t i n g pulse, the previous conditions are resumed, a n d the s t o r a g e circuit r e t a i n s t h e i n s t a n t a n e o u s voltage at the c'~thodc of V5 ~t the end of the last g a t i n g pulse u n t i l the incidence of the n e x t one. A t this time, tile new i n s t a n t a n e o u s v o l t a g e is stored, a n d so on. F r o m the f o r e g o i n g , it is seen t h a t V7 a n d V8 serve as a switch, c o n n e c t i n g tile cathode of V5 with
suitable a m p l i f i c a t i o n (V4) are available at low imp e d a n c e front a cathode follower ( V 5 ) . D u r i n g t h e i n t e r v a l s b e t w e e n g a t i n g pulses, the relative p o t e n t i a l s at the c a t h o d e s of V5 a n d V6 are such t h a t p o i n t s A1 a n d A2 ( f i g . 2) are e f f e c t i v e l y tied to t h e catho(les of VfiA a n d V6B, via the c o n d u c t i n g diodes VTA a n d V7B, respectively. The f l u c t u a t i n g v o l t a g e s at tile c;/tho(le of V5A "rod V5B a c c o r d i n g l y a p p e a r :dmost entirely "tcross the 2 2 K series resistors, R1 a n d R2, respectively. A t tile s a m e time, t h e p o t e n t i a l s at the electrodes of VSA a n d V8B are such t h a t tim t u b e is n o n c o n d u c t i n g : t h e cathode of V8B, b e i n g conn e t t e d to the relatively h i g h p o t e n t i a l a t t h e cathode of VTB, is at a h i g h e r p o t e n t i a l t h a n the plate of VSB; :lml the ldate of V8A, being connected to t h e
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relatively low p o t e n t i a l at t h e plate of V7A, is at a lower p o t e n t i a l t h a n the cathode of V8A. The s t o r a g e c o n d e n s e r s (C1 a n d C2) are t h u s isolated f r o m the f l u c t u a t i n g p o t e n t i a l s at the cathode of V5. A t the a p p e a r a n c e of a g a t i n g (i.e., delayed s t i m u l u s ) pulse, the p o t e n t i a l s a t t h e c a t h o d e s of V f A a n d V6B are reversed, so t h a t diodes V 7 A a n d V7B are no longer c o n d u c t i n g : t h e plate of V 7 B is now at a lower p o t e n t i a l t h a n t h e c a t h o d e of V7B, a n d the cathode of V 7 A is at a h i g h e r p o t e n t i a l t h a n the plate of V7A, (thc m a x i m u m s i g n a l o u t of V5 d u r i n g t h e g a t i n g pulse n o t b e i n g l a r g e e n o u g h to s t a r t c o n d u c t i o n in either s e c t i o n ) . W i t h t h e s h u n t i n g
the s t o r a g e circuit at the incidence of g a t i n g pulses, a n d i s o l a t i n g the s t o r a g e circuit f r o m the cathode of V5 in the absence of g a t i n g pulses. Tile s t o r a g e condensers C1 a n d C2 are a r r a n g e d so t h a t f e e d b a c k o b t a i n e d f r o m t h e i r c e n t e r - t a p to the cathode of V 9 A c o m p e n s a t e s , w i t h i n limits, f o r leakage of tlle stored p o t e n t i a l ( C h a n c e 1949). T h e o u t p u t s t e p - f u n c t i o n available at low i m p e d a m t e f r o m the cathode follower V9B, is f e d to tile Miller int e g r a t o r for o b t a i n i n g the a v e r a g e at tim p a r t i c u l a r delay f o r t h e series of stimuli. T h e result is recorded on a n E s t e r l i n e - A n g u s g r a p h i c m i l l i a m m e t e r (1 millia m p e r e full scale).
342
of
J O H N S. BARLOW The clarification obtained by averaging a number m o c k responses of c o n s t a n t a m p l i t u d e a m i d an
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Fig. 3 Detection of a simulated evoked response by electronic averaging. Single responses are shown oll the left, averaged responses on the right. The simulated response is a single cycle of a 100 c/see, sine wave with a repetition rate of 5 per sec. The background activity consists of randomly fluctuating potentials of frequency range 20-400 c/see.
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em Fig. 4 Responses from the lateral gyrus of a cat under light Nembutal anesthesia to stroboscopic stimulation at a rate of 1 per sec. (A) Average of 200 responses. Delay after the stimulus in milliseconds (steps of delay 0.5 mscc). (B) Sample of inked Irace, showing four individual responses. Calibration 200 #V.
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ELECTRONIC
AVERAGING
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RESPONSES
343
f i n a l l y t h e b a c k g r o u n d a c t i v i t y alone. On t h e r i g h t in the f i g u r e are s h o w n tile a v e r a g e of 180 m o c k responses of the sine wave alone, a n d of t h e sine wave m i x e d with t h e b a c k g r o u n d noise activity. The a v e r a g e of 180 r e s p o n s e s w i t h noise shows t h e sine wave m u c h more clearly t h a n it c a n be seen in the i n d i v i d u a l responses, in which the sine wave is a l m o s t comph'te/y obscured by the noise. The t h e a r e t i c a l g a i n in the signal to noise ratio, given by the S/luare root of the n u m b e r of responses a v e r a g e d (Lee 1950), is alq)r(:xinlately 13 (i.e.~/180) in the e x a m p l e given fll~ove.
tape. Details of these modifications will appear elsewhere.
The a v e r a g e of 210 responses to stroboscopic s t i m u l q t i o n at a rate of one per second, recorded f r o m the lateral g y r u s of "t eat u n d e r l i g h t N e m b u t a l anesth(,si'l, is shown in f i g u r e 4. I n this example, the steps of' delqy are 0.5 msee. F r o m tile f i g u r e , t h e l a t e n c y of onset of s u r f a c e i)ositivity is seen to be 17 rose:'., the peak of s u r f a c e l)ositivity occurs "it '22 reset, a n d the peak of s u r f a c e n e g a t i v i t y at 36 n/see. .\ b r i e f s:mq)Ie of t h e c o r r e s p o n d i n g ink-rec o r d i n g is also shown. Tlle clarity of t h e a v e r a g e d rosponse as c o m p a r e d with sin~'le resl)onses is evident t'von, the figure. Exanq)les of some results o b t a i n e d in clinical cases have previously been i)ublislled ( B r a zier :~ml B:trlow 1956).
BARLOW, J. S. a n d BRow~% R. M. A n a n a l o g correlator s y s t e m for b r a i n potentials. T e c h n i c a l Report 300, R e s e a r c h L a b o r a t o r y of Electronics. M a s s a c h u s e t t s I n s t i t u t e of Technology, 1955. BARLOV(, J. S. a n d I~RAZIEg, M. :~.. B. A note on a correlator for e l e e t r o e n e e p h a l o g r a p h i e work. EE(; Cli~t. Neurophysiol., 1984, 6: 321-325. BRAZIER, M. A. t~. a n d ][~ARLO'~V, J. S. Sonic applications of correlation a n a l y s i s to clinical p r o b l e m s in electroencephalogr'~phv. EEG Clin. Ncurophysiol., 1956, 8: 325-331. CHANCE, B. Ed. Wavcforms, Vol. 19, M I T Radiati.~n L a b o r a t o r y Seriec~, M c G r a w - H i l l Book Comp a n y , Inc., New York. 1949. DAWSOX, G. D. A u t o c o r r e l a t i o n a n d a u t o n m t i c integration. EEG Clin. Neurophysiol., Supp. No. 4, 26-37, 1953. I)AV¢SON, G. I). i s u m m a t i o n t e c h n i q u e for the detection of small evoked potentials. EEG Clb~. Ne~lrophysiol., 1954, 6: 65-84. LEF, Y. W. A p p l i c a t i o n of s t a t i s t i c a l m e t h o d s to e e m m u n i c a t i o n problems. T e c h n i c a l R e p o r t 181, R e s e a r c h L a b o r a t o r y of Electronics, M a s s a c h u s e t t s I n s t i t u t e of T e c h n o l a g y . 1950.
In the f u t u r e , it is p l a n n e d to s u b s t i t u t e a p h ' / n t a s t r o l l type of delay (Chance 1919) for the n m g n e t i c d r u m f o r d e l a y i n g the stimuli, a n d to use an endless loop of m a g n e t i c t a p e as all a l t e r n a t e to the iw(,sent p r o c e d u r e of repeated r e w i n d i n g of ~he
Reft:rcnee: I~ARLO\V, .]. S.
The a u t h o r is i n d e b t e d to Dr. l~Iary A. B. B r a z i e r of the M a s s a c h u s e t t s General H o s p i t a l , a n d to P r o f . W a l t e r A. R o s e n b l i t h of t h e M a s s a c h u s e t t s I n s t i t u t e of Technology, for their c o n t i n u i n g i n t e r e s t a n d encouragelnent. Ill the completion of the s y s t e m f o r correlation a n a l y s i s of b r a i n potentials, of which t h e e q u i p m e n t described here is a p a r t , t h e a u t h o r h a s enj o y e d close collaboration with Mr. Robert M. Brown, of the R e s e a r c h L a b ~ i ' a t o r y of Electronics, M. I. T. REFERENCES
A n electronic m e t h o d fo~" d e t e c t i n g evoked responses of the b r a i n a n d for reprod u e i n g t h e i r a v e r a g e wavefornls. EEG Clim Ne'urophy,wol., 1957, 9: 340-343.