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How the BIS index trails its EEG

Modelling the BIS index as a lagged mix of EEG features shows a trailing average starting about 3 s after its EEG window ends: about 16 s long in half the cases (the 15 s smoothing setting) and 32–61 s in most others. Half the response weight is older than 30 s.

Date 2026-10-13
Status current
Methods Delays and averaging windows
Devices BIS monitor
Variables BIS index, BIS EEG

Data

All 5,853 cases with a BIS module; 5,520 fitted, 3,297 good fits (median R² 0.81).

Method

EEG features at 1 Hz from BIS EEG1, each stamped at the end of its 2 s window (five band powers, total power, SEF95, beta ratio, suppression). The index is a weighted sum of the features passed through a lag kernel over −10 to 120 s, fitted per case where the signal quality index is at least 50; the kernel is split into a trailing boxcar (the fast part), a slow exponential tail and a floor. Index and EEG share the monitor's own stamps, so no clock correction is needed. Checked on synthetic index values (15, 30 and 45 s windows come back as 15, 28 and 46 s) and on the suppression ratio (a known ~63 s window, read as 77 s).

Results

  • Delay 3 s from the EEG window's end (p10–p90 3–4 s), the same in every group.
  • 15 s setting: 1,578 of 3,297 good fits (48%) have a fast part of 13–17 s: about 16 s of EEG ending 3 s before the stamp. 1,304 (40%) are longer, 32–61 s (median 50 s; less certain). Five PCs never show the 15 s window.
  • Most of the response is slow: the fast part holds 16% of the kernel weight; half the weight is older than 30 s, 90% older than 97 s.
Parameter Value Status From
BIS index delay 3 s (p10–p90 3 to 4) measured How the BIS index trails its EEG
BIS index averaging window 16 s in 48% of good fits (the 15 s setting); 32–61 s in 40%; half the weight older than 30 s measured How the BIS index trails its EEG

Discussion

Treat the index as an average of the EEG over roughly 15–40 s ending about 3 s before its stamp, with slow weight beyond. It suits slow questions (depth of anaesthesia over minutes); anything faster needs features computed from the EEG itself, which after synchronisation sits about 42 ms from SNUADC time (17 ms with the recording's own bursts; EEG–ECG timing error after the stamp model). The 132 s propofol-to-BIS latency (Drug effects as a clock check) includes this delay. The bis_smoothing label gives each case's group.

Observations it supports

Observation Status Summary
Monitor numerics describe the past, never the future established Every monitor numeric describes a window of 3–30 s or more that ended 1–9 s before its stamp. None is stamped before its data exist, so the stamps already respect the availability rule.
The BIS index is slow established The BIS index averages 15–60 s of EEG ending about 3 s before its stamp, with half its weight older than 30 s. It cannot time anything faster than about a minute.

Code

References

  • Pilge S, Zanner R, Schneider G, Blum J, Kreuzer M, Kochs EF. Time delay of index calculation: analysis of cerebral state, bispectral, and narcotrend indices. Anesthesiology. 2006;104(3):488-494. ↗
  • Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology. 1998;89(4):980-1002. ↗