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1.
Brain ; 2024 May 14.
Article in English | MEDLINE | ID: mdl-38743818

ABSTRACT

Despite advances in understanding the cellular and molecular processes underlying memory and cognition, and recent successful modulation of cognitive performance in brain disorders, the neurophysiological mechanisms remain underexplored. High frequency oscillations beyond the classic electroencephalogram spectrum have emerged as a potential neural correlate of fundamental cognitive processes. High frequency oscillations are detected in the human mesial temporal lobe and neocortical intracranial recordings spanning gamma/epsilon (60-150 Hz), ripple (80-250 Hz) and higher frequency ranges. Separate from other non-oscillatory activities, these brief electrophysiological oscillations of distinct duration, frequency and amplitude are thought to be generated by coordinated spiking of neuronal ensembles within volumes as small as a single cortical column. Although the exact origins, mechanisms, and physiological roles in health and disease remain elusive, they have been associated with human memory consolidation and cognitive processing. Recent studies suggest their involvement in encoding and recall of episodic memory with a possible role in the formation and reactivation of memory traces. High frequency oscillations are detected during encoding, throughout maintenance, and right before recall of remembered items, meeting a basic definition for an engram activity. The temporal coordination of high frequency oscillations reactivated across cortical and subcortical neural networks is ideally suited for integrating multimodal memory representations, which can be replayed and consolidated during states of wakefulness and sleep. High frequency oscillations have been shown to reflect coordinated bursts of neuronal assembly firing and offer a promising substrate for tracking and modulation of the hypothetical electrophysiological engram.

2.
medRxiv ; 2024 Feb 15.
Article in English | MEDLINE | ID: mdl-38405801

ABSTRACT

High frequency anterior nucleus of the thalamus deep brain stimulation (ANT DBS) is an established therapy for treatment resistant focal epilepsies. Although high frequency-ANT DBS is well tolerated, patients are rarely seizure free and the efficacy of other DBS parameters and their impact on comorbidities of epilepsy such as depression and memory dysfunction remain unclear. The purpose of this study was to assess the impact of low vs high frequency ANT DBS on verbal memory and self-reported anxiety and depression symptoms. Five patients with treatment resistant temporal lobe epilepsy were implanted with an investigational brain stimulation and sensing device capable of ANT DBS and ambulatory intracranial electroencephalographic (iEEG) monitoring, enabling long-term detection of electrographic seizures. While patients received therapeutic high frequency (100 and 145 Hz continuous and cycling) and low frequency (2 and 7 Hz continuous) stimulation, they completed weekly free recall verbal memory tasks and thrice weekly self-reports of anxiety and depression symptom severity. Mixed effects models were then used to evaluate associations between memory scores, anxiety and depression self-reports, seizure counts, and stimulation frequency. Memory score was significantly associated with stimulation frequency, with higher free recall verbal memory scores during low frequency ANT DBS. Self-reported anxiety and depression symptom severity was not significantly associated with stimulation frequency. These findings suggest the choice of ANT DBS stimulation parameter may impact patients' cognitive function, independently of its impact on seizure rates.

3.
Sci Rep ; 14(1): 3339, 2024 Feb 09.
Article in English | MEDLINE | ID: mdl-38336884

ABSTRACT

This paper demonstrates the application of the Johnson-Holmquist II (JH-2) model with correlated and validated parameters to simulate the behavior of a sandstone. The JH-2 model is used to simulate various tests, including single-element tests, structural quasi-static uniaxial and triaxial compression tests, and the split Hopkinson pressure bar test. Additionally, the model is used to simulate drop-weight impact test using a ball bearing and two loading scenarios involving small-scale blasting and projectile impacts. Quantitative and qualitative comparisons demonstrate that the JH-2 model agrees well with both experimental and analytical results. Limitations of the model are also highlighted, particularly for quasi-static problems, as the model was originally developed for high-strain-rate simulations. Ultimately, this study demonstrates that the JH-2 rock constitutive model can obtain reasonable results for a material other than the material for which the model was originally correlated and validated. This paper provides valuable guidance for modeling and simulating sandstone and other rock materials subjected to dynamic loadings.

4.
Article in English | MEDLINE | ID: mdl-37622393

ABSTRACT

The basilar bifurcation region is a common site for intracranial aneurysms, as well as it gives rise to a group of perforating arteries that supply the mesencephalon and the thalamus. Complex vascular microanatomy poses a diagnostic and therapeutic challenge for neurosurgeons, neuroradiologists and neurologists. In this paper, we present a previously unreported case of basilar tip fenestration that gave rise to five perforating arteries: the artery of Percheron and four mesencephalic arteries. Due to invaluable clinical significance, the possibility of such a variant must be considered during performing various neurovascular procedures, since e.g., embolization of the fenestration misdiagnosed as an aneurysm would inevitably lead to severe neurological complications (consciousness disturbances, quadriplegia, and sensory loss). Comprehensive knowledge of the neuroanatomy and neuroembryology is crucial to safe execution of intracranial interventions.

5.
Life (Basel) ; 13(5)2023 May 15.
Article in English | MEDLINE | ID: mdl-37240831

ABSTRACT

Low frequency brain rhythms facilitate communication across large spatial regions in the brain and high frequency rhythms are thought to signify local processing among nearby assemblies. A heavily investigated mode by which these low frequency and high frequency phenomenon interact is phase-amplitude coupling (PAC). This phenomenon has recently shown promise as a novel electrophysiologic biomarker, in a number of neurologic diseases including human epilepsy. In 17 medically refractory epilepsy patients undergoing phase-2 monitoring for the evaluation of surgical resection and in whom temporal depth electrodes were implanted, we investigated the electrophysiologic relationships of PAC in epileptogenic (seizure onset zone or SOZ) and non-epileptogenic tissue (non-SOZ). That this biomarker can differentiate seizure onset zone from non-seizure onset zone has been established with ictal and pre-ictal data, but less so with interictal data. Here we show that this biomarker can differentiate SOZ from non-SOZ interictally and is also a function of interictal epileptiform discharges. We also show a differential level of PAC in slow-wave-sleep relative to NREM1-2 and awake states. Lastly, we show AUROC evaluation of the localization of SOZ is optimal when utilizing beta or alpha phase onto high-gamma or ripple band. The results suggest an elevated PAC may reflect an electrophysiology-based biomarker for abnormal/epileptogenic brain regions.

6.
Life (Basel) ; 13(4)2023 Apr 06.
Article in English | MEDLINE | ID: mdl-37109485

ABSTRACT

Eidetic memory has been reported in children and in patients with synesthesia but is otherwise thought to be a rare phenomenon. Presented herein is a patient with right-sided language dominance, as proven via multiple functional imaging and neuropsychometric methods, who has a seizure onset zone in the right temporo-parietal-occipital cortex. This patient's medically refractory epilepsy and thus hyperactive cortex could possibly contribute to near eidetic ability with paired-associates learning tasks (in both short-term and long-term retention). There are reports of epilepsy negatively affecting memory, but as far as the authors are aware to date, there is limited evidence of any lesion enhancing cognitive functions (whether through direct lesion or via compensatory mechanism) that would be localized to a seizure onset zone in the dominant temporo-parietal-occipital junction.

7.
Curr Biol ; 33(7): 1220-1236.e4, 2023 04 10.
Article in English | MEDLINE | ID: mdl-36898372

ABSTRACT

Short-term memory enables incorporation of recent experience into subsequent decision-making. This processing recruits both the prefrontal cortex and hippocampus, where neurons encode task cues, rules, and outcomes. However, precisely which information is carried when, and by which neurons, remains unclear. Using population decoding of activity in rat medial prefrontal cortex (mPFC) and dorsal hippocampal CA1, we confirm that mPFC populations lead in maintaining sample information across delays of an operant non-match to sample task, despite individual neurons firing only transiently. During sample encoding, distinct mPFC subpopulations joined distributed CA1-mPFC cell assemblies hallmarked by 4-5 Hz rhythmic modulation; CA1-mPFC assemblies re-emerged during choice episodes but were not 4-5 Hz modulated. Delay-dependent errors arose when attenuated rhythmic assembly activity heralded collapse of sustained mPFC encoding. Our results map component processes of memory-guided decisions onto heterogeneous CA1-mPFC subpopulations and the dynamics of physiologically distinct, distributed cell assemblies.


Subject(s)
Hippocampus , Mental Recall , Rats , Animals , Hippocampus/physiology , Memory, Short-Term , Prefrontal Cortex/physiology , Neurons/physiology
8.
Brain ; 146(6): 2214-2226, 2023 06 01.
Article in English | MEDLINE | ID: mdl-36408731

ABSTRACT

Modulation of cognitive functions supporting human declarative memory is one of the grand challenges of neuroscience, and of vast importance for a variety of neuropsychiatric, neurodegenerative and neurodevelopmental diseases. Despite a recent surge of successful attempts at improving performance in a range of memory tasks, the optimal approaches and parameters for memory enhancement have yet to be determined. On a more fundamental level, it remains elusive as to how delivering electrical current in a given brain area leads to enhanced memory processing. Starting from the local and distal physiological effects on neural populations, the mechanisms of enhanced memory encoding, maintenance, consolidation or recall in response to direct electrical stimulation are only now being unravelled. With the advent of innovative neurotechnologies for concurrent recording and stimulation intracranially in the human brain, it becomes possible to study both acute and chronic effects of stimulation on memory performance and the underlying neural activities. In this review, we summarize the effects of various invasive stimulation approaches for modulating memory functions. We first outline the challenges that were faced in the initial studies of memory enhancement and the lessons learnt. Electrophysiological biomarkers are then reviewed as more objective measures of the stimulation effects than behavioural outcomes. Finally, we classify the various stimulation approaches into continuous and phasic modulation with an open or closed loop for responsive stimulation based on analysis of the recorded neural activities. Although the potential advantage of closed-loop responsive stimulation over the classic open-loop approaches is inconclusive, we foresee the emerging results from ongoing longitudinal studies and clinical trials will shed light on both the mechanisms and optimal strategies for improving declarative memory. Adaptive stimulation based on the biomarker analysis over extended periods of time is proposed as a future direction for obtaining lasting effects on memory functions. Chronic tracking and modulation of neural activities intracranially through adaptive stimulation opens tantalizing new avenues to continually monitor and treat memory and cognitive deficits in a range of brain disorders. Brain co-processors created with machine-learning tools and wireless bi-directional connectivity to seamlessly integrate implanted devices with smartphones and cloud computing are poised to enable real-time automated analysis of large data volumes and adaptively tune electrical stimulation based on electrophysiological biomarkers of behavioural states. Next-generation implantable devices for high-density recording and stimulation of electrophysiological activities, and technologies for distributed brain-computer interfaces are presented as selected future perspectives for modulating human memory and associated mental processes.


Subject(s)
Brain , Memory , Humans , Brain/physiology , Memory/physiology , Mental Recall/physiology , Electric Stimulation , Cognition
9.
Stroke ; 53(11): 3474-3480, 2022 11.
Article in English | MEDLINE | ID: mdl-36073367

ABSTRACT

BACKGROUND: Despite advances in understanding various risk and prognostic factors, spontaneous intracerebral hemorrhage is connected to very high morbidity and mortality, while the therapy is mainly supportive. Understanding of the pathophysiology of initial hematoma expansion is limited due to insufficient clinical data and lack of a suitable animal model. METHODS: We injected 40 anatomic specimens of the basal ganglia with contrast medium, scanned them with a micro-computed tomography scanner and analyzed the results of radiological studies, direct and histological examinations. RESULTS: In 9 cases, micro-computed tomography and histological examinations revealed contrast medium extravasations mimicking intracerebral hematomas. The artificial hematomas spread both proximally and distally along the ruptured perforator and its branches in the perivascular spaces and detached the branches from the adjacent neural tissue leading to destruction of the tissue and secondary extravasations. Moreover, some contrast extravasations skipped to the perivascular spaces of unruptured perforators, created further extravasation sites and aggravated the expansion of the artificial hematoma. There was no subarachnoid extension of any artificial hematoma. CONCLUSIONS: We postulate that a forming basal ganglia intracerebral hematoma spreads initially in the perivascular space, detaches the branches from the neural tissue and causes secondary bleeding. It can also skip to the perivascular space of a nearby perforator. The proposed mechanism of hematoma initiation and formation explains extent of damage to the neural tissue, variability of growth in time and space, creation of secondary bleeding sites, and limited usefulness of surgical interventions. The model is reproducible, the extent of the artificial hematoma can be easily controlled, the rupture sites of the perforating arteries can be determined, and preparation of the model does not require specialized, expensive equipment apart from the micro-computed tomography scanner.


Subject(s)
Cerebral Hemorrhage , Hematoma , Animals , X-Ray Microtomography , Cerebral Hemorrhage/diagnostic imaging , Cerebral Hemorrhage/etiology , Hematoma/complications , Contrast Media , Basal Ganglia/diagnostic imaging
10.
EBioMedicine ; 82: 104135, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35785617

ABSTRACT

BACKGROUND: Treating memory and cognitive deficits requires knowledge about anatomical sites and neural activities to be targeted with particular therapies. Emerging technologies for local brain stimulation offer attractive therapeutic options but need to be applied to target specific neural activities, at distinct times, and in specific brain regions that are critical for memory formation. METHODS: The areas that are critical for successful encoding of verbal memory as well as the underlying neural activities were determined directly in the human brain with intracranial electrophysiological recordings in epilepsy patients. We recorded a broad range of spectral activities across the cortex of 135 patients as they memorised word lists for subsequent free recall. FINDINGS: The greatest differences in the spectral power between encoding subsequently recalled and forgotten words were found in low theta frequency (3-5 Hz) activities of the left anterior prefrontal cortex. This subsequent memory effect was proportionally greater in the lower frequency bands and in the more anterior cortical regions. We found the peak of this memory signal in a distinct part of the prefrontal cortex at the junction between the Broca's area and the frontal pole. The memory effect in this confined area was significantly higher (Tukey-Kramer test, p<0.05) than in other anatomically distinct areas. INTERPRETATION: Our results suggest a focal hotspot of human verbal memory encoding located in the higher-order processing region of the prefrontal cortex, which presents a prospective target for modulating cognitive functions in the human patients. The memory effect provides an electrophysiological biomarker of low frequency neural activities, at distinct times of memory encoding, and in one hotspot location in the human brain. FUNDING: Open-access datasets were originally collected as part of a BRAIN Initiative project called Restoring Active Memory (RAM) funded by the Defence Advanced Research Project Agency (DARPA). CT, ML, MTK and this research were supported from the First Team grant of the Foundation for Polish Science co-financed by the European Union under the European Regional Development Fund.


Subject(s)
Memory , Prefrontal Cortex , Brain/physiology , Brain Mapping , Humans , Magnetic Resonance Imaging , Memory/physiology , Mental Recall/physiology , Prefrontal Cortex/physiology
11.
Curr Biol ; 32(7): R331-R333, 2022 04 11.
Article in English | MEDLINE | ID: mdl-35413264

ABSTRACT

Our ability to remember life events matures through childhood and adolescence. A new study has revealed how theta oscillations between two anatomical brain regions supporting memory and executive functions are synchronized and develop across age through functional and structural connectivity.


Subject(s)
Cognitive Neuroscience , Memory, Episodic , Adolescent , Brain , Child , Humans , Mental Recall , Theta Rhythm
12.
Sci Data ; 9(1): 6, 2022 01 13.
Article in English | MEDLINE | ID: mdl-35027555

ABSTRACT

Data comprise intracranial EEG (iEEG) brain activity represented by stereo EEG (sEEG) signals, recorded from over 100 electrode channels implanted in any one patient across various brain regions. The iEEG signals were recorded in epilepsy patients (N = 10) undergoing invasive monitoring and localization of seizures when they were performing a battery of four memory tasks lasting approx. 1 hour in total. Gaze tracking on the task computer screen with estimating the pupil size was also recorded together with behavioral performance. Each dataset comes from one patient with anatomical localization of each electrode contact. Metadata contains labels for the recording channels with behavioral events marked from all tasks, including timing of correct and incorrect vocalization of the remembered stimuli. The iEEG and the pupillometric signals are saved in BIDS data structure to facilitate efficient data sharing and analysis.


Subject(s)
Brain/physiology , Electrocorticography , Epilepsy/physiopathology , Memory/physiology , Electrodes , Eye-Tracking Technology , Fixation, Ocular , Humans , Pupil , Seizures/physiopathology
13.
Sensors (Basel) ; 21(22)2021 Nov 16.
Article in English | MEDLINE | ID: mdl-34833681

ABSTRACT

The emergence of innovative neurotechnologies in global brain projects has accelerated research and clinical applications of BCIs beyond sensory and motor functions. Both invasive and noninvasive sensors are developed to interface with cognitive functions engaged in thinking, communication, or remembering. The detection of eye movements by a camera offers a particularly attractive external sensor for computer interfaces to monitor, assess, and control these higher brain functions without acquiring signals from the brain. Features of gaze position and pupil dilation can be effectively used to track our attention in healthy mental processes, to enable interaction in disorders of consciousness, or to even predict memory performance in various brain diseases. In this perspective article, we propose the term 'CyberEye' to encompass emerging cognitive applications of eye-tracking interfaces for neuroscience research, clinical practice, and the biomedical industry. As CyberEye technologies continue to develop, we expect BCIs to become less dependent on brain activities, to be less invasive, and to thus be more applicable.


Subject(s)
Brain-Computer Interfaces , Eye-Tracking Technology , Brain , Cognition , Eye Movements
14.
Neuroimage ; 245: 118637, 2021 12 15.
Article in English | MEDLINE | ID: mdl-34644594

ABSTRACT

A wide spectrum of brain rhythms are engaged throughout the human cortex in cognitive functions. How the rhythms of various frequency ranges are coordinated across the space of the human cortex and time of memory processing is inconclusive. They can either be coordinated together across the frequency spectrum at the same cortical site and time or induced independently in particular bands. We used a large dataset of human intracranial electroencephalography (iEEG) to parse the spatiotemporal dynamics of spectral activities induced during formation of verbal memories. Encoding of words for subsequent free recall activated low frequency theta, intermediate frequency alpha and beta, and high frequency gamma power in a mosaic pattern of discrete cortical sites. A majority of the cortical sites recorded activity in only one of these frequencies, except for the visual cortex where spectral power was induced across multiple bands. Each frequency band showed characteristic dynamics of the induced power specific to cortical area and hemisphere. The power of the low, intermediate, and high frequency activities propagated in independent sequences across the visual, temporal and prefrontal cortical areas throughout subsequent phases of memory encoding. Our results provide a holistic, simplified model of the spectral activities engaged in the formation of human memory, suggesting an anatomically and temporally distributed mosaic of coordinated brain rhythms.


Subject(s)
Electroencephalography/methods , Memory/physiology , Adult , Datasets as Topic , Epilepsy/diagnostic imaging , Epilepsy/surgery , Female , Humans , Magnetic Resonance Imaging , Male , Tomography, X-Ray Computed
15.
Epilepsia ; 62(11): 2627-2639, 2021 11.
Article in English | MEDLINE | ID: mdl-34536230

ABSTRACT

OBJECTIVE: Verbal memory dysfunction is common in focal, drug-resistant epilepsy (DRE). Unfortunately, surgical removal of seizure-generating brain tissue can be associated with further memory decline. Therefore, localization of both the circuits generating seizures and those underlying cognitive functions is critical in presurgical evaluations for patients who may be candidates for resective surgery. We used intracranial electroencephalographic (iEEG) recordings during a verbal memory task to investigate word encoding in focal epilepsy. We hypothesized that engagement in a memory task would exaggerate local iEEG feature differences between the seizure onset zone (SOZ) and neighboring tissue as compared to wakeful rest ("nontask"). METHODS: Ten participants undergoing presurgical iEEG evaluation for DRE performed a free recall verbal memory task. We evaluated three iEEG features in SOZ and non-SOZ electrodes during successful word encoding and compared them with nontask recordings: interictal epileptiform spike (IES) rates, power in band (PIB), and relative entropy (REN; a functional connectivity measure). RESULTS: We found a complex pattern of PIB and REN changes in SOZ and non-SOZ electrodes during successful word encoding compared to nontask. Successful word encoding was associated with a reduction in local electrographic functional connectivity (increased REN), which was most exaggerated in temporal lobe SOZ. The IES rates were reduced during task, but only in the non-SOZ electrodes. Compared with nontask, REN features during task yielded marginal improvements in SOZ classification. SIGNIFICANCE: Previous studies have supported REN as a biomarker for epileptic brain. We show that REN differences between SOZ and non-SOZ are enhanced during a verbal memory task. We also show that IESs are reduced during task in non-SOZ, but not in SOZ. These findings support the hypothesis that SOZ and non-SOZ respond differently to task and warrant further exploration into the use of cognitive tasks to identify functioning memory circuits and localize SOZ.


Subject(s)
Drug Resistant Epilepsy , Epilepsies, Partial , Brain , Drug Resistant Epilepsy/surgery , Electrocorticography , Electroencephalography , Epilepsies, Partial/surgery , Humans , Seizures
16.
Materials (Basel) ; 14(11)2021 May 25.
Article in English | MEDLINE | ID: mdl-34070356

ABSTRACT

The crushing response of a laser-welded square tube absorber made of two commercial steel grades, Docol 1000DP and Docol 1200M, is presented in the paper. Crush experiments are performed at two different loading conditions, namely, quasi-static loading at 0.5 mm/s deformation speed and impact loading at 25-28 m/s. A new approach has been proposed to study the square tube absorber under impact loading using a direct impact Hopkinson (DIH) method. To characterize the mechanical properties of the tested steels, tensile quasi-static and high strain rate testing are also performed with the use of specimens with a 7 mm gauge length. The applied strain rates are 10-3, 100, and above 103 s-1. The laser-welded joints are also characterized by microhardness test involving the base material, heat-affected zone, and fusion zone. The crashworthiness of model square tube absorbers is estimated based on the following parameters: absorbed energy, mean force, crushing force efficiency factor, and specific energy absorbed. It has been found that the square tube absorbers made of Docol 1200M steel show a higher potential in mechanical energy absorption capacity than Docol 1000DP absorber. Moreover, crushing tests prove that laser-welded joints in 0.6 mm sheets made of Docol 1000DP and Docol 1200M steels reveal high cracking toughness. In turn, strength testing at different strain rates confirms the higher strain rate sensitivity of Docol 1000DP steel than in the case of Docol 1200M steel as well as an increase in the high ductility properties of both steel grades under the high strain rate loading conditions.

17.
IEEE Trans Biomed Eng ; 68(12): 3701-3712, 2021 12.
Article in English | MEDLINE | ID: mdl-34014821

ABSTRACT

OBJECTIVE: Our goal was to analyze the electrophysiological response to direct electrical stimulation (DES) systematically applied at a wide range of parameters and anatomical sites, with particular focus on neural activities associated with memory and cognition. METHODS: We used a large set of intracranial EEG (iEEG) recordings with DES from 45 subjects with electrodes implanted both subdurally on the cortical surface and subcortically into the brain parenchyma. Subjects were stimulated in blocks of alternating frequency and amplitude parameters during quiet wakefulness. RESULTS: Stimulating at different frequencies and amplitudes of electric current revealed a persistent pattern of response in the slow and the fast neural activities. In particular, amplification of the theta (4-7 Hz) and attenuation of the gamma (29-52 Hz) power-in-band was observed with increasing the stimulation parameters. This opposite effect on the low and high frequency bands was found across a network of selected local and distal sites proportionally to the proximity and magnitude of the electric current. Power increase in the theta and decrease in the gamma band was driven by the total electric charge delivered with either increasing the frequency or amplitude of the stimulation current. This inverse effect on the theta and gamma activities was consistently observed in response to different stimulation frequencies and amplitudes. CONCLUSION: Our results suggest a uniform DES effect of amplifying theta and suppressing gamma neural activities in the human brain. SIGNIFICANCE: These findings reveal the utility of simple power-in-band features for understanding and optimizing the effects of electrical stimulation on brain functions.


Subject(s)
Brain , Electroencephalography , Cognition , Electric Stimulation , Head , Humans , Theta Rhythm
18.
Neurology ; 96(3): e366-e375, 2021 01 19.
Article in English | MEDLINE | ID: mdl-33097598

ABSTRACT

OBJECTIVE: To determine whether seizure onset zone (SOZ) can be localized accurately prior to surgical planning in patients with focal epilepsy, we performed noninvasive EEG recordings and source localization analyses on 39 patients. METHODS: In 39 patients with focal epilepsy, we recorded and extracted 138 seizures and 1,325 interictal epileptic discharges using high-density EEG. We investigated a novel approach for directly imaging sources of seizures and interictal spikes from high-density EEG recordings, and rigorously validated it for noninvasive localization of SOZ determined from intracranial EEG findings and surgical resection volume. Conventional source imaging analyses were also performed for comparison. RESULTS: Ictal source imaging showed a concordance rate of 95% when compared to intracranial EEG or resection results. The average distance from estimation to seizure onset (intracranial) electrodes is 1.35 cm in patients with concordant results, and 0.74 cm to surgical resection boundary in patients with successful surgery. About 41% of the patients were found to have multiple types of interictal activities; coincidentally, a lower concordance rate and a significantly worse performance in localizing SOZ were observed in these patients. CONCLUSION: Noninvasive ictal source imaging with high-density EEG recording can provide highly concordant results with clinical decisions obtained by invasive monitoring or confirmed by resective surgery. By means of direct seizure imaging using high-density scalp EEG recordings, the added value of ictal source imaging is particularly high in patients with complex interictal activity patterns, who may represent the most challenging cases with poor prognosis.


Subject(s)
Brain/physiopathology , Epilepsies, Partial/physiopathology , Seizures/physiopathology , Adolescent , Adult , Brain Mapping/methods , Electroencephalography , Female , Humans , Male , Middle Aged , Young Adult
19.
Sci Rep ; 9(1): 16404, 2019 Nov 06.
Article in English | MEDLINE | ID: mdl-31695124

ABSTRACT

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

20.
Sci Rep ; 9(1): 17390, 2019 11 22.
Article in English | MEDLINE | ID: mdl-31758077

ABSTRACT

Identification of active electrodes that record task-relevant neurophysiological activity is needed for clinical and industrial applications as well as for investigating brain functions. We developed an unsupervised, fully automated approach to classify active electrodes showing event-related intracranial EEG (iEEG) responses from 115 patients performing a free recall verbal memory task. Our approach employed new interpretable metrics that quantify spectral characteristics of the normalized iEEG signal based on power-in-band and synchrony measures. Unsupervised clustering of the metrics identified distinct sets of active electrodes across different subjects. In the total population of 11,869 electrodes, our method achieved 97% sensitivity and 92.9% specificity with the most efficient metric. We validated our results with anatomical localization revealing significantly greater distribution of active electrodes in brain regions that support verbal memory processing. We propose our machine-learning framework for objective and efficient classification and interpretation of electrophysiological signals of brain activities supporting memory and cognition.


Subject(s)
Brain/physiology , Electrocorticography , Electrodes, Implanted , Task Performance and Analysis , Unsupervised Machine Learning , Algorithms , Biomedical Engineering/methods , Biomedical Engineering/trends , Brain/diagnostic imaging , Brain Mapping/methods , Cognition/physiology , Datasets as Topic , Electrocorticography/methods , Electroencephalography/methods , Electrophysiological Phenomena , Epilepsy/diagnosis , Epilepsy/physiopathology , Epilepsy/psychology , Evoked Potentials/physiology , Humans , Memory, Short-Term/physiology , Retrospective Studies , Sensitivity and Specificity , Verbal Behavior/physiology
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