Cortical Hyper-Excitability in Migraine in Response to Chromatic Patterns.

OBJECTIVE: Individuals with migraine exhibit heightened sensitivity to visual input that continues beyond their migraine episodes. However, the contribution of color to visual sensitivity, and how it relates to neural activity, has largely been unexplored in these individuals. BACKGROUND: Previously, it has been shown that, in non-migraine individuals, patterns with greater chromaticity separation evoked greater cortical activity, regardless of hue, even when colors were isoluminant. Therefore, to investigate whether individuals with migraine experienced increased visual sensitivity, we compared the behavioral and neural responses to chromatic patterns of increasing separation in migraine and non-migraine individuals. METHODS: Seventeen individuals with migraine (12 with aura) and 18 headache-free controls viewed pairs of colored horizontal grating patterns that varied in chromaticity separation. Color pairs were either blue-green, red-green, or red-blue. Participants rated the discomfort of the gratings and electroencephalogram was recorded simultaneously. RESULTS: Both groups showed increased discomfort ratings and larger N1/N2 event-related potentials (ERPs) with greater chromaticity separation, which is consistent with increased cortical excitability. However, individuals with migraine rated gratings as being disproportionately uncomfortable and exhibited greater effects of chromaticity separation in ERP amplitude across occipital and parietal electrodes. Ratings of discomfort and ERPs were smaller in response to the blue-green color pairs than the red-green and red-blue gratings, but this was to an equivalent degree across the 2 groups. CONCLUSIONS: Together, these findings indicate that greater chromaticity separation increases neural excitation, and that this effect is heightened in migraine, consistent with the theory that hyper-excitability of the visual system is a key signature of migraine.

A Spatial-Temporal Graph Attention Network for Automated Detection and Width Estimation of Cortical Spreading Depression Using Scalp EEG.

We present an end-to-end Spatial-Temporal Graph Attention Network (STGAT) for non-invasive detection and width estimation of Cortical Spreading Depressions (CSDs) on scalp electroencephalography (EEG). Our algorithm, that we refer to as CSD Spatial-temporal graph attention network or CSD-STGAT, is trained and tested on simulated CSDs with varying width and speed ranges. Using high-density EEG, CSD-STGAT achieves less than 10.96% normalized width estimation error for narrow CSDs, with an average normalized error of 6.35%±3.08% across all widths, enabling non-invasive and automated estimation of the width of CSDs for the first time. In addition, CSD-STGAT learns the temporal and spatial features of CSDs simultaneously, which improves the "spatio-temporal tracking accuracy" (i.e., the defined detection performance metric at each electrode) of the narrow CSDs by up to 14%, compared to the state-of-the-art CSD-SpArC algorithm, with only one-tenth of the network size. CSD-STGAT achieves the best spatio-temporal tracking accuracy of 86.27%±0.53% for wide CSDs using high-density EEG, which is comparable to the performance of CSD-SpArC with less than 0.38% performance reduction. We further stitch the detections across all electrodes and over time to evaluate the "temporal accuracy". Our algorithm achieves less than 0.7% false positive rate in the simulated dataset with inter-CSD intervals ranging from 5 to 60 minutes. The lightweight architecture of CSD-STGAT paves the way towards real-time detection and parameter estimation of these waves in the brain, with significant clinical impact.

EEG Source Imaging of Infarct Core and Penumbra for Ischemic Stroke Patients.

A quantitative method of analyzing EEG signals after stroke onset can help monitor disease progression and tailor treatments. In this work, we present an EEG-based imaging algorithm to estimate the location and size of the stroke infarct core and penumbra tissues. Building on recent advancements in localizing neural silences, we develop an algorithm that utilizes known spectral properties of the infarct core and penumbra to separately localize them. Our algorithm uses these properties to estimate source contributions to the scalp EEG recordings in different frequency bands. Subsequently, it utilizes optimization techniques to search for the affected brain sources iteratively. We test our algorithm on simulated datasets using a realistic MRI head model, achieving center-of-mass error of 12.80mm and 17.24mm, and size estimation error of 21.78% and 36.62% for infarct core and penumbra respectively.

Noninvasive and reliable automated detection of spreading depolarization in severe traumatic brain injury using scalp EEG.

BACKGROUND: Spreading depolarizations (SDs) are a biomarker and a potentially treatable mechanism of worsening brain injury after traumatic brain injury (TBI). Noninvasive detection of SDs could transform critical care for brain injury patients but has remained elusive. Current methods to detect SDs are based on invasive intracranial recordings with limited spatial coverage. In this study, we establish the feasibility of automated SD detection through noninvasive scalp electroencephalography (EEG) for patients with severe TBI. METHODS: Building on our recent WAVEFRONT algorithm, we designed an automated SD detection method. This algorithm, with learnable parameters and improved velocity estimation, extracts and tracks propagating power depressions using low-density EEG. The dataset for testing our algorithm contains 700 total SDs in 12 severe TBI patients who underwent decompressive hemicraniectomy (DHC), labeled using ground-truth intracranial EEG recordings. We utilize simultaneously recorded, continuous, low-density (19 electrodes) scalp EEG signals, to quantify the detection accuracy of WAVEFRONT in terms of true positive rate (TPR), false positive rate (FPR), as well as the accuracy of estimating SD frequency. RESULTS: WAVEFRONT achieves the best average validation accuracy using Delta band EEG: 74% TPR with less than 1.5% FPR. Further, preliminary evidence suggests WAVEFRONT can estimate how frequently SDs may occur. CONCLUSIONS: We establish the feasibility, and quantify the performance, of noninvasive SD detection after severe TBI using an automated algorithm. The algorithm, WAVEFRONT, can also potentially be used for diagnosis, monitoring, and tailoring treatments for worsening brain injury. Extension of these results to patients with intact skulls requires further study.

Physical injury to the brain, for example due to head trauma, may worsen over time, resulting in long-term disability or death. A spreading depolarization is a slowly spreading wave in the brain, which, if detected, can be used to predict worsening brain injuries. Current methods to detect spreading depolarizations require surgeries, which are risky and unlikely to be recommended to patients with mild brain injuries. In this work, we develop an automated monitoring technique for non-surgical, non-invasive detection of spreading depolarizations, called WAVEFRONT. We validated the performance of WAVEFRONT in 12 patients with severe brain injury. Our results demonstrate the feasibility of non-invasive detection of spreading depolarizations. Our approach can potentially help clinicians predict outcomes of brain injury patients, and tailor treatments accordingly.

Neural silences can be localized rapidly using noninvasive scalp EEG.

A rapid and cost-effective noninvasive tool to detect and characterize neural silences can be of important benefit in diagnosing and treating many disorders. We propose an algorithm, SilenceMap, for uncovering the absence of electrophysiological signals, or neural silences, using noninvasive scalp electroencephalography (EEG) signals. By accounting for the contributions of different sources to the power of the recorded signals, and using a hemispheric baseline approach and a convex spectral clustering framework, SilenceMap permits rapid detection and localization of regions of silence in the brain using a relatively small amount of EEG data. SilenceMap substantially outperformed existing source localization algorithms in estimating the center-of-mass of the silence for three pediatric cortical resection patients, using fewer than 3 minutes of EEG recordings (13, 2, and 11mm vs. 25, 62, and 53 mm), as well for 100 different simulated regions of silence based on a real human head model (12 ± 0.7 mm vs. 54 ± 2.2 mm). SilenceMap paves the way towards accessible early diagnosis and continuous monitoring of altered physiological properties of human cortical function.

Abnormalities in cortical pattern of coherence in migraine detected using ultra high-density EEG.

Individuals with migraine generally experience photophobia and/or phonophobia during and between migraine attacks. Many different mechanisms have been postulated to explain these migraine phenomena including abnormal patterns of connectivity across the cortex. The results, however, remain contradictory and there is no clear consensus on the nature of the cortical abnormalities in migraine. Here, we uncover alterations in cortical patterns of coherence (connectivity) in interictal migraineurs during the presentation of visual and auditory stimuli and during rest. We used a high-density EEG system, with 128 customized electrode locations, to compare inter- and intra-hemispheric coherence in the interictal period from 17 individuals with migraine (12 female) and 18 age- and gender-matched healthy control subjects. During presentations of visual (vertical grating pattern) and auditory (modulated tone) stimulation which varied in temporal frequency (4 and 6 Hz), and during rest, participants performed a colour detection task at fixation. Analyses included characterizing the inter- and intra-hemisphere coherence between the scalp EEG channels over 2-s time intervals and over different frequency bands at different spatial distances and spatial clusters. Pearson's correlation coefficients were estimated at zero-lag. Repeated measures analyses-of-variance revealed that, relative to controls, migraineurs exhibited significantly (i) faster colour detection performance, (ii) lower spatial coherence of alpha-band activity, for both inter- and intra-hemisphere connections, and (iii) the reduced coherence occurred predominantly in frontal clusters during both sensory conditions, regardless of the stimulation frequency, as well as during the resting-state. The abnormal patterns of EEG coherence in interictal migraineurs during visual and auditory stimuli, as well as at rest (eyes open), may be associated with the cortical hyper-responsivity that is characteristic of abnormal sensory processing in migraineurs.

An Algorithm for Automated, Noninvasive Detection of Cortical Spreading Depolarizations Based on EEG Simulations.

OBJECTIVE: We present a novel signal processing algorithm for automated, noninvasive detection of cortical spreading depolarizations (CSDs) using electroencephalography (EEG) signals and validate the algorithm on simulated EEG signals. CSDs are waves of neurochemical changes that suppress the neuronal activity as they propagate across the brain's cortical surface. CSDs are believed to mediate secondary brain damage after brain trauma and cerebrovascular diseases like stroke. We address the following two key challenges in detecting CSDs from EEG signals: i) attenuation and loss of high spatial resolution information; and ii) cortical folds, which complicate tracking CSD waves. METHODS: Our algorithm detects and tracks "wavefronts" of a CSD wave, and stitch together data across space and time to make a detection. To test our algorithm, we provide different models of CSD waves, including different widths of CSD suppressions and different patterns, and use them to simulate scalp EEG signals using head models of four subjects. RESULTS AND CONCLUSION: Our results suggest that low-density EEG grids (40 electrodes) can detect CSD widths of 1.1 cm on average, while higher density EEG grids (340 electrodes) can detect CSD patterns as thin as 0.43 cm (less than minimum widths reported in prior works), among which single-gyrus CSDs are the hardest to detect because of their small suppression area. SIGNIFICANCE: The proposed algorithm is a first step toward noninvasive, automated detection of CSDs, which can help in reducing secondary brain damages.

Efficient Hardware Implementation of Real-Time Low-Power Movement Intention Detector System Using FFT and Adaptive Wavelet Transform.

The brain-computer interfacing (BCI), a platform to extract features and classify different motor movement tasks from noisy and highly correlated electroencephalogram signals, is limited mostly by the complex and power-hungry algorithms. Among different techniques recently devised to tackle this issue, real-time onset detection, due to its negligible delay and minimal power overhead, is the most efficient one. Here, we propose a novel algorithm that outperforms the state-of-the-art design by sixfold in terms of speed, without sacrificing the accuracy for a real-time, hand movement intention detection based on the adaptive wavelet transform with only 1 s detection delay and maximum sensitivity of 88% and selectivity of 78% (only 7% loss of sensitivity).

Accurate single-trial detection of movement intention made possible using adaptive wavelet transform.

The outlook of brain-computer interfacing (BCI) is very bright. The real-time, accurate detection of a motor movement task is critical in BCI systems. The poor signal-to-noise-ratio (SNR) of EEG signals and the ambiguity of noise generator sources in brain renders this task quite challenging. In this paper, we demonstrate a novel algorithm for precise detection of the onset of a motor movement through identification of event-related-desynchronization (ERD) patterns. Using an adaptive matched filter technique implemented based on an optimized continues Wavelet transform by selecting an appropriate basis, we can detect single-trial ERDs. Moreover, we use a maximum-likelihood (ML), electrooculography (EOG) artifact removal method to remove eye-related artifacts to significantly improve the detection performance. We have applied this technique to our locally recorded Emotiv(®) data set of 6 healthy subjects, where an average detection selectivity of 85 ± 6% and sensitivity of 88 ± 7.7% is achieved with a temporal precision in the range of -1250 to 367 ms in onset detections of single-trials.