Normative intracranial EEG maps epileptogenic tissues in focal epilepsy

Brain · 2021 · 78 citations

• Neuroscience
• Psychology
• Medicine

Planning surgery for patients with medically refractory epilepsy often requires recording seizures using intracranial EEG. Quantitative measures derived from interictal intracranial EEG yield potentially appealing biomarkers to guide these surgical procedures; however, their utility is limited by the sparsity of electrode implantation as well as the normal confounds of spatiotemporally varying neural activity and connectivity. We propose that comparing intracranial EEG recordings to a normative atlas of intracranial EEG activity and connectivity can reliably map abnormal regions, identify targets for invasive treatment and increase our understanding of human epilepsy. Merging data from the Penn Epilepsy Center and a public database from the Montreal Neurological Institute, we aggregated interictal intracranial EEG retrospectively across 166 subjects comprising >5000 channels. For each channel, we calculated the normalized spectral power and coherence in each canonical frequency band. We constructed an intracranial EEG atlas by mapping the distribution of each feature across the brain and tested the atlas against data from novel patients by generating a z-score for each channel. We demonstrate that for seizure onset zones within the mesial temporal lobe, measures of connectivity abnormality provide greater distinguishing value than univariate measures of abnormal neural activity. We also find that patients with a longer diagnosis of epilepsy have greater abnormalities in connectivity. By integrating measures of both single-channel activity and inter-regional functional connectivity, we find a better accuracy in predicting the seizure onset zones versus normal brain (area under the curve = 0.77) compared with either group of features alone. We propose that aggregating normative intracranial EEG data across epilepsy centres into a normative atlas provides a rigorous, quantitative method to map epileptic networks and guide invasive therapy. We publicly share our data, infrastructure and methods, and propose an international framework for leveraging big data in surgical planning for refractory epilepsy.

A modular high-density <i>μ</i> ECoG system on macaque vlPFC for auditory cognitive decoding

Journal of Neural Engineering · 2020 · 15 citations

• Computer Science
• Computer Science
• Speech recognition

OBJECTIVE: A fundamental goal of the auditory system is to parse the auditory environment into distinct perceptual representations. Auditory perception is mediated by the ventral auditory pathway, which includes the ventrolateral prefrontal cortex (vlPFC). Because large-scale recordings of auditory signals are quite rare, the spatiotemporal resolution of the neuronal code that underlies vlPFC's contribution to auditory perception has not been fully elucidated. Therefore, we developed a modular, chronic, high-resolution, multi-electrode array system with long-term viability in order to identify the information that could be decoded from μECoG vlPFC signals. APPROACH: We molded three separate μECoG arrays into one and implanted this system in a non-human primate. A custom 3D-printed titanium chamber was mounted on the left hemisphere. The molded 294-contact μECoG array was implanted subdurally over the vlPFC. μECoG activity was recorded while the monkey participated in a 'hearing-in-noise' task in which they reported hearing a 'target' vocalization from a background 'chorus' of vocalizations. We titrated task difficulty by varying the sound level of the target vocalization, relative to the chorus (target-to-chorus ratio, TCr). MAIN RESULTS: We decoded the TCr and the monkey's behavioral choices from the μECoG signal. We analyzed decoding accuracy as a function of number of electrodes, spatial resolution, and time from implantation. Over a one-year period, we found significant decoding with individual electrodes that increased significantly as we decoded simultaneously more electrodes. Further, we found that the decoding for behavioral choice was better than the decoding of TCr. Finally, because the decoding accuracy of individual electrodes varied on a day-by-day basis, electrode arrays with high channel counts ensure robust decoding in the long term. SIGNIFICANCE: Our results demonstrate the utility of high-resolution and high-channel-count, chronic µECoG recording. We developed a surface electrode array that can be scaled to cover larger cortical areas without increasing the chamber footprint.