Introduction
Infancy is a key period of human development during which the neurobiological foundations of emerging social, emotional, and cognitive skills are shaped through the interaction of child-specific factors and environmental experiences (Gabard-Durnam and McLaughlin
2020; Johnson
2001; Nelson et al.
2007; Paterson et al.
2006). Therefore, reliably characterizing the functional properties of brain activity and organization during infancy provides a unique opportunity for understanding the impact of early life experiences on brain development and associated behavior (Lopez et al.
2023). Toward this end, electroencephalography (EEG) has been routinely used as a direct, non-invasive, and low-cost measure of brain activity that can be collected from infants during various states of arousal and/or activity (Azhari et al.
2020; Bell and Cuevas
2012). Most commonly, given its ease of acquisition and tolerance of head and body movement, EEG is readily and frequently acquired from infants while they sit on their caregiver’s lap and watch relaxing videos. Prior research using EEG data from awake infants during video-watching have tended to focus on single metrics of global (e.g., total power or power spectral density analyses) or local (e.g., region-of-interest power or event-related potential analyses) features (Braithwaite et al.
2020; Jones et al.
2020). However, recent data indicates that understanding the associations between functional brain networks (i.e., whole-brain dynamics; Xie et al.
2022) and behavior are crucial for advancing understanding of brain development during the first years of life. One promising but relatively unexplored method for characterizing whole-brain dynamics collected from high-density EEG during infancy is microstate analysis.
Microstate analysis is a data-driven approach for identifying patterns of scalp potential topographies, or
microstates, that reflect very short periods (i.e., typically less than ~ 150 ms) of synchronized neural activity (i.e., large-scale functional networks) evolving dynamically over time (Khanna et al.
2015; Michel and Koenig
2018). A small number of four to seven canonical topographies have been replicated and consistently shown to explain the majority of topographic variance in the entire EEG signal recorded during rest (i.e., the absence of external task demands) in both children and adults. Several temporal properties are also frequently calculated for each microstate and have been reported to show unique variation in their values and associations with individual differences in behavior. Temporal measures routinely used in studies include (1) global explained variance (GEV), the total variance in the data explained by a microstate, (2) duration, the average time in milliseconds (ms) that a microstate was present before transitioning to another microstate, (3) coverage, the percentage of time for which a microstate was present, (4) occurrence, the frequency with which a microstate was present per second, and (5) transition probabilities, the probability of one microstate coming after another in the sequence. Importantly, the neural generators for each microstate can be identified with source localization techniques, a critical step in understanding their functional significance and potential relevance to developing behavior.
While microstate analysis has proven to be a highly informative method for studying brain function and organization at the millisecond-level in adults, very few studies using this approach in infants have been published. More specifically, of the seven publications that we identified, four used the microstate analytic approach to examine event-related data (Bucsea et al.
2023; Gui et al.
2021; Maitre et al.
2020; Rupawala et al.
2023), two examined microstates during sleep (Hermans et al.
2023; Khazaei et al.
2021), and one used microstate analysis to examine spontaneous EEG data collected from infants (i.e., 34, 6-10-month-olds) during video-watching (Brown and Gartstein
2023). Unfortunately, none of this prior work investigated the reliability of microstate-related measures at this age, a critical step in understanding the potential use of microstates to study individual differences in behavior and development (Lopez et al.
2023). However, previous work has demonstrated the reliability of microstate analysis in adults and suggests it is likely present in younger age groups as well. More specifically, in adults, prior studies have indicated good-to-excellent internal consistency (i.e., stability of temporal properties within the same session) and short- and long-term test-retest reliability (i.e., stability of temporal properties between multiple sessions recorded in the same week) for each temporal property of each identified microstate (Antonova et al.
2022; Khanna et al.
2014; Kleinert et al.
2023; Liu et al.
2020; Popov et al.
2023). Notably, Liu et al. (
2020) demonstrated that as little as 1–2 min of data showed sufficient psychometric properties for GEV, duration, coverage, and occurrence values (i.e., intraclass correlations (ICCs) > 0.60). Recently, Kleinert et al. (
2023) demonstrated good-to-excellent short-term (ICCs = 0.87-0.92) and long-term (ICCs = 0.67-0.85) test-retest reliability of duration, coverage, and occurrence. Transition probabilities, however, have been shown to be much less reliable than GEV, duration, coverage, and occurrence values (Antonova et al.
2022; Kleinert et al.
2023; Liu et al.
2020). Critically, strong reliability has been demonstrated across microstate clustering algorithms (Khanna et al.
2014), recording lengths (two vs. three minutes; Kleinert et al.
2023), and EEG channel densities (Khanna et al.
2014; Kleinert et al.
2023; Zhang et al.
2021); though Zhang et al. (
2021) demonstrated 8- and 19-channel arrays to have significantly lower reliability than higher density arrays. While previous research has indicated high reliability of resting-state EEG source localization with approximately 1.5-2 minutes of data (Cannon et al.
2012), no research exists examining the reliability of microstate sources at any age. Taken together, while studies in adults indicate strong promise for the reliability of microstate analysis in EEG data collected from infants, equal reliability cannot be assumed across developmental stages as shown in Popov et al. (
2023), and must be individually examined for each population. Indeed, previous work using other EEG approaches such as functional connectivity (e.g., phase lag index) and event-related potentials has demonstrated that different quantities of data may be needed for reliable estimates of brain-based measures during infancy (Haartsen et al.
2020; Munsters et al.
2019).
One barrier that may be contributing to the dearth of published studies using the microstate analytic approach for characterizing infant EEG data is the lack of comprehensive, step-by-step methodological resources for infant researchers to employ this approach in their own work. Resources that specifically use examples from infant EEG data are more likely to be adopted by infant EEG researchers than resources that focus on other populations. Production of resources for analyzing EEG data in ways that inform understanding of brain function and organization (such as microstate analysis) are especially important as large-scale, multi-site, longitudinal infant EEG studies such as the HEALthy Brain and Child Development Study (Jordan et al.
2020), Bucharest Early Intervention Project (Zeanah et al.
2003), Bangladesh Early Adversity Neuroimaging Study (Turesky et al.
2019), Safe Passage Study (Dukes et al.
2014), YOUth Cohort Study (Onland-Moret et al.
2020), Eurosibs Consortium (Jones et al.
2019), and Baby Siblings Research Consortium (Levin et al.
2017) are amidst or have completed data collection, with opportunities for data access and analysis. And, in line with the open science movement, sharing of data and analytic methods will be critical for the replication of findings. Another potential explanation for the paucity of microstate studies during infancy is the lack of adaptation of the microstate analytic method for use with EEG data from infants. For example, current and popular tools for performing microstate analysis (e.g., Cartool) do not include age-appropriate MRI brain templates for the source localization of microstates. Whether the microstate analytic method requires infant-specific changes for how microstates and their temporal properties are identified and measured also remains unknown.
As a first step toward validating the use of EEG microstates for investigating infant brain development, the current study explored the feasibility of identifying microstates during video-watching resting-state and examined their psychometric reliability in 48, 5-10-month-old infants using high-density EEG. Specifically, we assessed (1) the stability of microstate topographies, their temporal properties, their transition probabilities, and their neural sources with increasing EEG data durations (i.e., 1–5 min), and (2) the internal consistency (i.e., split-half reliability) of the temporal properties, transition probabilities, and neural sources at each data duration. Given the lack of studies examining resting-state microstates during infancy, we did not make specific predictions about microstate characteristics (i.e., topographies, temporal properties, transition probabilities, neural sources) or their reliability. In order to facilitate methodological access to microstate analysis, the current study also provides resources for analyzing microstates during infancy in line with recent efforts to maximize the potential of EEG as a developmental neuroscience tool (Buzzell et al.
2023). Toward this end, we have provided a step-by-step tutorial, accompanying website, and required files (e.g., age-appropriate MRI brain templates) for performing microstate analysis and microstate source localization of EEG data using Cartool software (Brunet et al.
2011). We also shared our EEG data in the Brain Imaging Data Structure (BIDS; Pernet et al.
2019) format on OpenNeuro (Markiewicz et al.
2021).
Discussion
Reliably characterizing the functional properties of brain activity and organization during infancy provides a unique opportunity for understanding expected patterns of brain development and their association with developing infant abilities and early life experiences. EEG microstates are a promising but relatively unexplored method for measuring global patterns of brain activity and organization very early in development. As an important step in demonstrating the significant potential of using an EEG microstate-based analytic approach to study functional brain development, the current study examined the reliability of resting-state EEG microstates characterized during infancy across (i.e., group-level stability) and within (i.e., individual-level internal consistency) data of increasing durations. To further support wider availability and use of EEG microstate analysis for the study of brain development, a step-by-step tutorial for a free, easy-to-use, publicly available, and soon-to-be open-source EEG microstate analysis software package – Cartool – was also developed. And to facilitate open science practices, EEG data were shared in BIDS format on OpenNeuro. Findings revealed that video-watching resting-state EEG data collected from infants during the first year of life yielded highly reliable microstate-based measurements of brain function and organization with as little as one or four minutes of data, depending on the analytical goals. As a result, the current findings support the use of EEG microstates as a reliable and accessible analytical approach for studying the spatiotemporal dynamics of the developing brain from a very early age.
Stability Across Data Durations
Group-level stability of microstate measures reflects the predictability of patterns observed when analyzing data from a group of individuals. It allows researchers to understand how much data and number of participants are required to develop a quantitative understanding of overall expected patterns of change in microstate measures with age. Findings indicated that across all data durations investigated (i.e., 1-5 min), five data-driven microstates explained the majority of topographic variance. Topographies derived from one minute of data were visually and quantitatively (i.e., spatial correlation) similar to those from two-, three-, four-, and five-minute data durations. Further, when topographic stability was assessed by varying sample size (i.e.,
n = 10-48), a minimum of 20 participants was sufficient for topographic stability with two minutes of data or more. Even with one minute of data, each sample size yielded the same five microstates, except for when the sample size was 30, which yielded six microstates. Importantly, topographies were also similar to those reported in previously published studies of microstates in children and adults (Bagdasarov et al.
2022,
2023 (4-8-year-olds); Custo et al.
2017 (6-87-year-olds); Hill et al.
2023 (4-12-year-olds); Michel and Koenig
2018 (review of primarily adult studies); Tomescu et al.
2018 (6-87-year-olds), indicating future potential for the direct comparison of their temporal properties, transition probabilities, and neural sources across the lifespan. This finding is especially promising for longitudinal work that aims to uncover individual differences in brain development and behavior from a very early age.
The stability of microstate temporal properties (GEV, duration, coverage, and occurrence) across data of increasing durations depended on the type of temporal property and microstate assessed. Overall, four patterns emerged: First, the temporal properties of microstate 3 were stable with just one minute of data. Microstate 3 had the highest values for all its temporal properties compared to the other microstates. Increased occurrence of microstate 3 compared to the other microstates may have contributed to earlier stability of its temporal properties (i.e., more instances for the computation of its reliability). Second, duration was stable with just one minute of data for all microstates. While GEV, coverage, and occurrence quantify how much microstates are represented in the EEG signal, duration quantifies how long microstates are present when they occur, regardless of how much they are represented in the EEG signal. Therefore, duration values may be less affected by the duration of the data being analyzed or, in other words, opportunities for its occurrence. Third, GEV, coverage, and occurrence were stable with four minutes of data for all microstates except microstate 5, which did not reach stability. Microstate 5 is highly spatially correlated with microstate 3. Indeed, prior work has shown that when only four microstates are used, microstate 3 becomes a combination of microstates 3 and 5 (Custo et al.
2017). Thus, it is possible for some instances that microstate 5 shows temporal property values similar to those of microstate 3 (i.e., when more spatially aligned with microstate 3). Additional research is needed to understand whether microstates 3 and 5 are functionally distinct during infancy.
The transition probabilities between microstates showed no differences in their values across data of increasing durations. However, this may be more reflective of their poor internal consistency rather than stability across different amounts of data, as discussed below.
Source distributions had good and excellent overlap (i.e., high DSC values) across data of increasing durations. Comparison of source distributions from varying data durations indicated stability of sources even with one minute of data. Taken together, the current results suggest that measurements of infant EEG microstate topographies are stable at the group-level with 20 participants and two minutes of data, that brain dynamics of the resulting topographies achieve stability with four or more minutes of data for most microstates, and that estimation of source distributions for each topography reach stability with as little as one minute of data.
Internal Consistency
Internal consistency of microstate measures reflects the consistency and accuracy of measures at the individual-level. It allows researchers to understand how much data is required to reliably examine individual differences in brain (e.g., within-subject changes in microstate measures) and behavior (e.g., brain-behavior relationships). Similar to stability results, the internal consistency of microstate temporal properties within data of increasing durations depended on the type of temporal property and microstate assessed. On average, all temporal properties showed good or excellent internal consistency with just one minute of data, and excellent internal consistency with two or more minutes, except for duration which required five minutes to show excellent values. The slightly lower internal consistency of duration relative to other temporal properties may be due to the discontinuous nature of our preprocessed EEG data. During EEG preprocessing, data were segmented into one-second epochs and epochs were removed if they met artifact rejection criteria. Thus, each removed epoch may have altered the duration of a given microstate immediately preceding and/or following a removed epoch. For example, at the start or end of the epoch, a microstate’s duration may have been cut in half if the epoch before it or after it was removed during preprocessing. This would have less of an impact on GEV, coverage, and occurrence values, which are largely independent of duration. With more data (5 minutes), this disruption may have been averaged out.
Transition probabilities showed poor internal consistency for all data durations. There was also considerable variability in internal consistency values between transition directions, from highly negative to highly positive coefficients. Similar to the impact that preprocessing may have had on the internal consistency of duration at one minute of data, transition probabilities may have suffered from a similar problem, and potentially to a greater degree because the computation of each transition probability involved the activity of two microstates rather than one. However, in this case, as observed for duration, we would have expected an increase in internal consistency values with increasing data durations, which was not observed. Alternatively, transition probabilities may reflect state-related measures of brain activity that are modulated by environmental demands or external stimuli (e.g., idiosyncratic patterns of attention to movements of stimuli within the videos) while temporal properties may reflect trait-like measures of highly conserved patterns of brain activity and organization underlying more general cognitive (e.g., sustained attention) and/or sensory (e.g., processing of visual stimuli) domains. However, previous work in adults showed that transition probabilities did not distinguish between mental states (i.e., mind-wandering, verbalization, and visualization conditions; Antonova et al.
2022). The same study also indicated that compared to temporal properties, transition probabilities show much lower test-retest reliability (most ICCs falling below 0.7; Antonova et al.
2022), as did another study (most ICCs falling below 0.5; Kleinert et al.
2023); though neither study assessed internal consistency. Another hypothesis is that the infant brain does not have well-developed rules that govern intrinsic brain activity. Specifically, while microstate transitions are non-random in adults (Gschwind et al.
2015; Lehmann et al.
2005; Ville et al.
2010; Wackermann et al.
1993), they may be more spontaneous during infancy when the brain’s structural and functional organization is constantly and rapidly changing (Grayson and Fair
2017). Future longitudinal work is needed to elaborate on this possibility. Finally, first-order Markov models may not be appropriate for assessing microstate sequences, which may have contributed to their poor internal consistency. Previous work has demonstrated that microstate sequences are complex and show long-range dependencies; they cannot be adequately explained by simple first-order Markov models (Artoni et al.
2023; Ville et al.
2010). As such, higher-order dependencies and/or more sophisticated models need to be considered to accurately describe their syntax, which may in turn increase their reliability. Until further investigation, we do not recommend the use of first-order Markov transition probabilities with infant data.
The internal consistency of source distributions was good with one minute of data and excellent with two-, three-, four-, and five-minute data durations. This is line with previous research in adults indicating high reliability of resting-state EEG source localization with 1.5-2 minutes of data (Cannon et al.
2012) and suggests that the neural generators underlying specific microstates during infancy exhibit consistent and distinct spatial configurations. While these findings provide a key piece of data supporting each microstate as a unique neurobiological marker of brain function(s), the potential associations between microstate properties and specific aspects of behavior will require additional research.
Altogether, good or excellent internal consistency of temporal properties and source distributions was achieved with just one minute of data. Internal consistency was poor for transition probabilities at all data durations. Thus, to achieve a desirable level of internal consistency of infant EEG microstates, it is recommended that at least one minute of data is used for individual-level analyses. This will ensure that all microstate measures from individuals are consistent and dependable, allowing for valid conclusions to be drawn regarding their unique characteristics, within-subject changes, brain-behavior relationships, and developmental trajectories.
Integration of Stability and Internal Consistency Findings
Our stability and internal consistency findings suggest that the amount of data required to achieve reliable estimates of microstate temporal properties varies based on the metric of interest. Indeed, we demonstrated that while microstate temporal properties reached high levels of internal consistency with one minute of data, in order to reach stability of these properties at least 4 minutes of data was required. Considering this, we worked to clarify how the stability of EEG microstate temporal properties changed across data of different durations through a series of supplemental analyses (Supplementary Materials S12). Briefly, we found that even when comparisons between data of different durations were statistically significant, the correlations between their values were very strong, and the standard deviations of their paired differences were smaller compared to when comparisons were not statistically significant. We also found large within-participant variability in how the temporal properties changed across data durations, with some participants showing stable values across data durations and other participants showing large differences. In addition to these supplemental analyses, we observed surprisingly small paired mean differences for statistically significant comparisons, including those between 4- and 5-minutes of data for microstate 5 (Table
1). In all, the results of our analyses suggest that statistical differences in the stability of temporal properties for most microstates are not present when four or more minutes of data are used to measure them. However, they also indicate that statistical findings of stability and internal consistency need to be interpreted within the specific context of their intended use. That is, although we used statistical significance to determine whether the temporal properties of microstates changed across data of different durations, statistical significance does not replace or imply biological significance. More specifically, the presence or absence of a statistically significant difference between the temporal properties of two data durations is agnostic as to whether their difference is biologically meaningful. As designed, the current study cannot inform this question (though see Supplementary Materials S12 for additional clarity). However, as in many areas of research, it does point to the importance of future research on how statistical significance can be used to inform measure selection and design when investigating biological processes and systems using EEG microstates.
Nevertheless, when considering the pragmatic implications of study results for future infant EEG microstate research, they indicate that four minutes of data are required to achieve both stable and internally consistent temporal properties for almost all microstates. This combination – stability and internal consistency – is likely to be critical for longitudinal analyses and those investigating individual differences in brain/behavior relationships and/or neurobiological mechanisms underlying the effects of discrete events (e.g., early intervention). Our results also suggest that while lacking stability, temporal properties derived from shorter durations of data are internally consistent and may still be useful in certain contexts. For example, if the goal is to investigate potential biomarkers with predictive utility, then one minute of data may be sufficient to identify microstate-related properties that indicate a potential outcome when a detailed understanding of mechanism is not required. In fact, resting-state EEG data are often collected as part of a larger battery of tasks, and, as a result, may be of brief duration. In this case, the use of this data to assess predictive utility and potentially suggest areas for further investigation into potential mechanisms is still possible. Nevertheless, regardless of use case, the current results suggest that the amount of data used to calculate EEG microstate properties should be identical across participants included in the same analyses.
Importantly, we did not perform supplemental analyses for transition probabilities because an acceptable level of internal consistency was not achieved. That is, internal consistency must be achieved to validly interpret the statistical findings of stability analyses. Therefore, despite stability reached at one minute according to statistical models, we view transition probabilities as measured in the current study as highly unreliably given their poor internal consistency.
Strengths, Limitations, and Future Directions
The current study is the first to assess the psychometric reliability of EEG microstates – their topographies, temporal properties, transition probabilities, and neural sources – from infants during the first year of life. Our findings give guidance to researchers interested in using the microstate analytic approach in their own work; specifically, for how much data may be required for reliable results (i.e., approximately one or four minutes depending on the analysis goal). Given this guidance, and the unique advantages of this approach for investigating brain organization and functioning, microstates hold strong promise for individual differences research, which may lead to new insights characterizing the spatial and temporal dynamics of the infant brain and potential associations with emerging social, emotional, and cognitive skills. The current study is also the first to provide a comprehensive, step-by-step tutorial for performing microstate analysis in Cartool. Cartool does not require any computer programming knowledge (i.e., it is user-friendly) or software dependencies (i.e., it is a standalone program). As such, it makes performing microstate analysis feasible for researchers of varying computer programming skill levels. In addition, to support researchers who will want to perform source localization of infant microstates, MRI files (i.e., brain, head, grey matter, and segmented tissues) for 5-11-month-old infants are provided in the accompanying tutorial website.
This work has several limitations and avenues for future research. First, we did not have data from multiple sessions to assess the test-retest reliability of microstates. While previous work demonstrated adequate to excellent short- and long-term test-retest reliability of microstate measures over multiple sessions in adults (Antonova et al.
2022; Khanna et al.
2014; Kleinert et al.
2023; Liu et al.
2020; Popov et al.
2023), future work will need to directly assess this in infants. And while high reliability of microstate analysis during infancy opens the possibility of using this approach in longitudinal samples, reliability has not yet been systematically examined across childhood (e.g., toddlers, school-aged children, adolescents). This may be an important avenue for future research as previous work has indicated different levels of reliability of EEG metrics across developmental stages (Popov et al.
2023). Second, while EEG data was collected during video-watching to reduce movement-related artifacts, dynamic videos are not identical to traditional resting-state, and it is not clear whether these videos impacted microstate measures. Future work should assess whether different types of videos impact microstate measures differently. Also, video recordings of infants during EEG were not available to precisely assess whether infants were looking at the screen at all times. Third, we did not use individual MRI scans and EEG channel coordinate locations during source localization procedures, which have been previously demonstrated by Conte and Richards (
2022) to reduce localization errors of infant event-related potentials. It will be critical for future research to discern whether individual MRI scans and EEG channel coordinate locations impact microstate source localization results or if template files are acceptable, which would increase the feasibility of performing source localization to researchers who do not have access to individual MRI scans and EEG channel coordinate location. Fourth, we did not directly examine stability past five minutes of data. Future research should elaborate on whether our statistically defined four-minute data cutoff is optimal for individual differences, mechanistic, and/or longitudinal work. Lastly, although the results of our investigation suggest that current methods for performing microstate analysis are compatible with EEG data collected from infants and yield reliable measures, future research is necessary to further understand the appropriateness of the current methods to facilitate longitudinal investigations of brain development at this age.
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