Epileptic spike functional networks best predict seizure onset zones

Author(s):  
B. Maharathi ◽  
J.A. Loeb ◽  
J. Patton
2020 ◽  
Author(s):  
Daniele Grattarola ◽  
Lorenzo Livi ◽  
Cesare Alippi ◽  
Richard Wennberg ◽  
Taufik Valiante

Abstract Graph neural networks (GNNs) and the attention mechanism are two of the most significant advances in artificial intelligence methods over the past few years. The former are neural networks able to process graph-structured data, while the latter learns to selectively focus on those parts of the input that are more relevant for the task at hand. In this paper, we propose a methodology for seizure localisation which combines the two approaches. Our method is composed of several blocks. First, we represent brain states in a compact way by computing functional networks from intracranial electroencephalography recordings, using metrics to quantify the coupling between the activity of different brain areas. Then, we train a GNN to correctly distinguish between functional networks associated with interictal and ictal phases. The GNN is equipped with an attention-based layer which automatically learns to identify those regions of the brain (associated with individual electrodes) that are most important for a correct classification. The localisation of these regions is fully unsupervised, meaning that it does not use any prior information regarding the seizure onset zone. We report results both for human patients and for simulators of brain activity. We show that the regions of interest identified by the GNN strongly correlate with the localisation of the seizure onset zone reported by electroencephalographers. We also show that our GNN exhibits uncertainty on those patients for which the clinical localisation was also unsuccessful, highlighting the robustness of the proposed approach.


Brain ◽  
2018 ◽  
Vol 141 (3) ◽  
pp. 713-730 ◽  
Author(s):  
Su Liu ◽  
Candan Gurses ◽  
Zhiyi Sha ◽  
Michael M Quach ◽  
Altay Sencer ◽  
...  

Abstract High-frequency oscillations in local field potentials recorded with intracranial EEG are putative biomarkers of seizure onset zones in epileptic brain. However, localized 80–500 Hz oscillations can also be recorded from normal and non-epileptic cerebral structures. When defined only by rate or frequency, physiological high-frequency oscillations are indistinguishable from pathological ones, which limit their application in epilepsy presurgical planning. We hypothesized that pathological high-frequency oscillations occur in a repetitive fashion with a similar waveform morphology that specifically indicates seizure onset zones. We investigated the waveform patterns of automatically detected high-frequency oscillations in 13 epilepsy patients and five control subjects, with an average of 73 subdural and intracerebral electrodes recorded per patient. The repetitive oscillatory waveforms were identified by using a pipeline of unsupervised machine learning techniques and were then correlated with independently clinician-defined seizure onset zones. Consistently in all patients, the stereotypical high-frequency oscillations with the highest degree of waveform similarity were localized within the seizure onset zones only, whereas the channels generating high-frequency oscillations embedded in random waveforms were found in the functional regions independent from the epileptogenic locations. The repetitive waveform pattern was more evident in fast ripples compared to ripples, suggesting a potential association between waveform repetition and the underlying pathological network. Our findings provided a new tool for the interpretation of pathological high-frequency oscillations that can be efficiently applied to distinguish seizure onset zones from functionally important sites, which is a critical step towards the translation of these signature events into valid clinical biomarkers. 5721572971001 awx374media1 5721572971001


2017 ◽  
Vol 29 (1) ◽  
pp. 194-219 ◽  
Author(s):  
Min Wu ◽  
Ting Wan ◽  
Xiongbo Wan ◽  
Yuxiao Du ◽  
Jinhua She

This letter describes the improvement of two methods of detecting high-frequency oscillations (HFOs) and their use to localize epileptic seizure onset zones (SOZs). The wavelet transform (WT) method was improved by combining the complex Morlet WT with Shannon entropy to enhance the temporal-frequency resolution during HFO detection. And the matching pursuit (MP) method was improved by combining it with an adaptive genetic algorithm to improve the speed and accuracy of the calculations for HFO detection. The HFOs detected by these two methods were used to localize SOZs in five patients. A comparison shows that the improved WT method provides high specificity and quick localization and that the improved MP method provides high sensitivity.


2020 ◽  
Vol 223 ◽  
pp. 103812
Author(s):  
Ryan A. Grove ◽  
Deepak Madhavan ◽  
Cory H.T. Boone ◽  
Camila Pereira Braga ◽  
Zuzana Papackova ◽  
...  

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