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Updated: May 5, 2026

Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
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EEG-based stroke severity classification using higher-order topological features and graph convolutional networks.

Lu Zhang1, Hanwen Zhang2, Xiaomeng Fan2

  • 1Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China.

Frontiers in Neuroscience
|May 4, 2026
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Summary
This summary is machine-generated.

This study introduces a novel method using topological features from electroencephalography (EEG) to classify stroke severity. The approach enhances accuracy in detecting stroke-related brain network alterations.

Keywords:
brain networkcycle ratioelectroencephalographygraph convolutional networkpersistent homologystroke severitytopological data analysis

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Area of Science:

  • Neuroscience
  • Computational Biology
  • Medical Imaging

Background:

  • Electroencephalography (EEG)-based stroke analysis traditionally uses signal and network descriptors.
  • Higher-order brain network structures in stroke patients are not fully understood.

Purpose of the Study:

  • To apply persistent homology for extracting higher-order topological features from EEG functional networks.
  • To integrate these topological features with conventional EEG data for stroke severity classification.
  • To investigate the role of higher-order brain network organization in post-stroke alterations.

Main Methods:

  • Persistent homology was employed to derive cycle-based topological features from EEG functional networks.
  • These features were combined with standard EEG representations.
  • A graph convolutional network was utilized for stroke severity classification.

Main Results:

  • The framework achieved 86% accuracy in differentiating mild from moderate stroke.
  • Cycle ratio analysis identified the prefrontal cortex as having significant higher-order structures.
  • This suggests prominent involvement of the prefrontal cortex in post-stroke brain network organization.

Conclusions:

  • Higher-order topological features from EEG can improve stroke severity classification.
  • This method provides deeper insights into post-stroke brain network changes.
  • The findings highlight the importance of topological network analysis in understanding stroke pathophysiology.