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EEG Theta/Beta Ratio Calculations Differ Between Various EEG Neurofeedback and Assessment Software Packages: Clinical
Cynthia Kerson1,2, Roger deBeus3, Howard Lightstone4
1Department of Applied Psychophysiology, Saybrook University, Oakland, CA, USA.
The quantitative electroencephalographic (EEG) theta/beta power ratio (TBR) varies between systems due to different calculation methods. This impacts attention-deficit hyperactivity disorder (ADHD) diagnosis and neurofeedback treatment effectiveness.
Area of Science:
- Neuroscience
- Quantitative Electroencephalography (QEEG)
- Biomedical Engineering
Background:
- The theta/beta power ratio (TBR) is associated with ADHD, often assumed equivalent across systems.
- A fixed TBR cutoff was used in the International Collaborative ADHD Neurofeedback (ICAN) trial.
- Discrepancies in TBR calculations between assessment and treatment software were observed.
Purpose of the Study:
- To investigate the reasons for differing TBR values between EEG software systems.
- To explain and compare various computational methods for calculating EEG values, including TBR.
- To highlight the importance of understanding algorithmic differences in QEEG analysis.
Main Methods:
- Comparison of computational methods for calculating TBR.
- Analysis of variance sources: spectral leakage handling and power calculation (averaging then squaring vs. squaring then averaging).
- Explanation of how different algorithms yield non-equivalent TBR values.
Main Results:
- TBR values are not equivalent across different hardware and software systems.
- Two primary sources of variance identified: spectral leakage handling and the order of operations in power calculation.
- The method of squaring voltages before averaging leads to higher band power values.
Conclusions:
- Biofeedback practitioners must be aware of the specific algorithms used by their systems for TBR calculation.
- Normative comparison data must be collected using the same system and algorithms for accurate interpretation.
- Algorithmic differences necessitate caution when comparing TBR values across studies or systems.
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