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Register a new userInterictal intracranial EEG for predicting surgical success: the importance of space and time
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Predicting post-operative seizure freedom using functional correlation networks derived from interictal intracranial EEG has shown some success. However, there are important challenges to consider. 1: electrodes physically closer to each other naturally tend to be more correlated causing a spatial bias. 2: implantation location and number of electrodes differ between patients, making cross-subject comparisons difficult. 3: functional correlation networks can vary over time but are currently assumed as static. In this study we address these three substantial challenges using intracranial EEG data from 55 patients with intractable focal epilepsy. Patients additionally underwent preoperative MR imaging, intra-operative CT, and post-operative MRI allowing accurate localisation of electrodes and delineation of removed tissue. We show that normalising for spatial proximity between nearby electrodes improves prediction of post-surgery seizure outcomes. Moreover, patients with more extensive electrode coverage were more likely to have their outcome predicted correctly (ROC-AUC >0.9, p<<0.05), but not necessarily more likely to have a better outcome. Finally, our predictions are robust regardless of the time segment. Future studies should account for the spatial proximity of electrodes in functional network construction to improve prediction of post-surgical seizure outcomes. Greater coverage of both removed and spared tissue allows for predictions with higher accuracy.
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Approximately over 50 million people worldwide suffer from epilepsy. Traditional diagnosis of epilepsy relies on tedious visual screening by highly trained clinicians from lengthy EEG recording that contains the presence of seizure (ictal) activities. Nowadays, there are many automatic systems that can recognize seizure-related EEG signals to help the diagnosis. However, it is very costly and inconvenient to obtain long-term EEG data with seizure activities, especially in areas short of medical resources. We demonstrate in this paper that we can use the interictal scalp EEG data, which is much easier to collect than the ictal data, to automatically diagnose whether a person is epileptic. In our automated EEG recognition system, we extract three classes of features from the EEG data and build Probabilistic Neural Networks (PNNs) fed with these features. We optimize the feature extraction parameters and combine these PNNs through a voting mechanism. As a result, our system achieves an impressive 94.07% accuracy, which is very close to reported human recognition accuracy by experienced medical professionals.
Simultaneously recorded electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) can be used to non-invasively measure the spatiotemporal dynamics of the human brain. One challenge is dealing with the artifacts that each modality introduces into the other when the two are recorded concurrently, for example the ballistocardiogram (BCG). We conducted a preliminary comparison of three different MR compatible EEG recording systems and assessed their performance in terms of single-trial classification of the EEG when simultaneously collecting fMRI. We found tradeoffs across all three systems, for example varied ease of setup and improved classification accuracy with reference electrodes (REF) but not for pulse artifact subtraction (PAS) or reference layer adaptive filtering (RLAF).
In this work, we present a neuromorphic system that combines for the first time a neural recording headstage with a signal-to-spike conversion circuit and a multi-core spiking neural network (SNN) architecture on the same die for recording, processing, and detecting High Frequency Oscillations (HFO), which are biomarkers for the epileptogenic zone. The device was fabricated using a standard 0.18$mu$m CMOS technology node and has a total area of 99mm$^{2}$. We demonstrate its application to HFO detection in the iEEG recorded from 9 patients with temporal lobe epilepsy who subsequently underwent epilepsy surgery. The total average power consumption of the chip during the detection task was 614.3$mu$W. We show how the neuromorphic system can reliably detect HFOs: the system predicts postsurgical seizure outcome with state-of-the-art accuracy, specificity and sensitivity (78%, 100%, and 33% respectively). This is the first feasibility study towards identifying relevant features in intracranial human data in real-time, on-chip, using event-based processors and spiking neural networks. By providing neuromorphic intelligence to neural recording circuits the approach proposed will pave the way for the development of systems that can detect HFO areas directly in the operation room and improve the seizure outcome of epilepsy surgery.
The brain is intrinsically organized into large-scale networks that constantly re-organize on multiple timescales, even when the brain is at rest. The timing of these dynamics is crucial for sensation, perception, cognition and ultimately consciousness, but the underlying dynamics governing the constant reorganization and switching between networks are not yet well understood. Functional magnetic resonance imaging (fMRI) and electroencephalography (EEG) provide anatomical and temporal information about the resting-state networks (RSNs), respectively. EEG microstates are brief periods of stable scalp topography, and four distinct configurations with characteristic switching patterns between them are reliably identified at rest. Microstates have been identified as the electrophysiological correlate of fMRI-defined RSNs, this link could be established because EEG microstate sequences are scale-free and have long-range temporal correlations. This property is crucial for any approach to model EEG microstates. This paper proposes a novel modeling approach for microstates: we consider nonlinear stochastic differential equations (SDEs) that exhibit a noisy network attractor between nodes that represent the microstates. Using a single layer network between four states, we can reproduce the transition probabilities between microstates but not the heavy tailed residence time distributions. Introducing a two layer network with a hidden layer gives the flexibility to capture these heavy tails and their long-range temporal correlations. We fit these models to capture the statistical properties of microstate sequences from EEG data recorded inside and outside the MRI scanner and show that the processing required to separate the EEG signal from the fMRI machine noise results in a loss of information which is reflected in differences in the long tail of the dwell-time distributions.
Previous papers have developed a statistical mechanics of neocortical interactions (SMNI) fit to short-term memory and EEG data. Adaptive Simulated Annealing (ASA) has been developed to perform fits to such nonlinear stochastic systems. An N-dimensional path-integral algorithm for quantum systems, qPATHINT, has been developed from classical PATHINT. Both fold short-time propagators (distributions or wave functions) over long times. Previous papers applied qPATHINT to two systems, in neocortical interactions and financial options. textbf{Objective}: In this paper the quantum path-integral for Calcium ions is used to derive a closed-form analytic solution at arbitrary time that is used to calculate interactions with classical-physics SMNI interactions among scales. Using fits of this SMNI model to EEG data, including these effects, will help determine if this is a reasonable approach. textbf{Method}: Methods of mathematical-physics for optimization and for path integrals in classical and quantum spaces are used for this project. Studies using supercomputer resources tested various dimensions for their scaling limits. In this paper the quantum path-integral is used to derive a closed-form analytic solution at arbitrary time that is used to calculate interactions with classical-physics SMNI interactions among scales. textbf{Results}: The mathematical-physics and computer parts of the study are successful, in that there is modest improvement of cost/objective functions used to fit EEG data using these models. textbf{Conclusion}: This project points to directions for more detailed calculations using more EEG data and qPATHINT at each time slice to propagate quantum calcium waves, synchronized with PATHINT propagation of classical SMNI.
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