1
|
Gruenwald J, Sieghartsleitner S, Kapeller C, Scharinger J, Kamada K, Brunner P, Guger C. Characterization of High-Gamma Activity in Electrocorticographic Signals. Front Neurosci 2023; 17:1206120. [PMID: 37609450 PMCID: PMC10440607 DOI: 10.3389/fnins.2023.1206120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 07/10/2023] [Indexed: 08/24/2023] Open
Abstract
Introduction Electrocorticographic (ECoG) high-gamma activity (HGA) is a widely recognized and robust neural correlate of cognition and behavior. However, fundamental signal properties of HGA, such as the high-gamma frequency band or temporal dynamics of HGA, have never been systematically characterized. As a result, HGA estimators are often poorly adjusted, such that they miss valuable physiological information. Methods To address these issues, we conducted a thorough qualitative and quantitative characterization of HGA in ECoG signals. Our study is based on ECoG signals recorded from 18 epilepsy patients while performing motor control, listening, and visual perception tasks. In this study, we first categorize HGA into HGA types based on the cognitive/behavioral task. For each HGA type, we then systematically quantify three fundamental signal properties of HGA: the high-gamma frequency band, the HGA bandwidth, and the temporal dynamics of HGA. Results The high-gamma frequency band strongly varies across subjects and across cognitive/behavioral tasks. In addition, HGA time courses have lowpass character, with transients limited to 10 Hz. The task-related rise time and duration of these HGA time courses depend on the individual subject and cognitive/behavioral task. Task-related HGA amplitudes are comparable across the investigated tasks. Discussion This study is of high practical relevance because it provides a systematic basis for optimizing experiment design, ECoG acquisition and processing, and HGA estimation. Our results reveal previously unknown characteristics of HGA, the physiological principles of which need to be investigated in further studies.
Collapse
Affiliation(s)
- Johannes Gruenwald
- g.tec medical engineering GmbH, Schiedlberg, Austria
- Institute of Computational Perception, Johannes Kepler University, Linz, Austria
| | - Sebastian Sieghartsleitner
- g.tec medical engineering GmbH, Schiedlberg, Austria
- Institute of Computational Perception, Johannes Kepler University, Linz, Austria
| | | | - Josef Scharinger
- Institute of Computational Perception, Johannes Kepler University, Linz, Austria
| | - Kyousuke Kamada
- Department for Neurosurgery, Asahikawa Medical University, Asahikawa, Japan
- Hokashin Group Megumino Hospital, Sapporo, Japan
| | - Peter Brunner
- National Center for Adaptive Neurotechnologies, Albany, NY, United States
- Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, United States
| | | |
Collapse
|
2
|
Ryun S, Kim M, Kim JS, Chung CK. Cortical maps of somatosensory perception in human. Neuroimage 2023; 276:120197. [PMID: 37245558 DOI: 10.1016/j.neuroimage.2023.120197] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 05/05/2023] [Accepted: 05/25/2023] [Indexed: 05/30/2023] Open
Abstract
Tactile and movement-related somatosensory perceptions are crucial for our daily lives and survival. Although the primary somatosensory cortex is thought to be the key structure of somatosensory perception, various cortical downstream areas are also involved in somatosensory perceptual processing. However, little is known about whether cortical networks of these downstream areas can be dissociated depending on each perception, especially in human. We address this issue by combining data from direct cortical stimulation (DCS) for eliciting somatosensation and data from high-gamma band (HG) elicited during tactile stimulation and movement tasks. We found that artificial somatosensory perception is elicited not only from conventional somatosensory-related areas such as the primary and secondary somatosensory cortices but also from a widespread network including superior/inferior parietal lobules and premotor cortex. Interestingly, DCS on the dorsal part of the fronto-parietal area including superior parietal lobule and dorsal premotor cortex often induces movement-related somatosensations, whereas that on the ventral one including inferior parietal lobule and ventral premotor cortex generally elicits tactile sensations. Furthermore, the HG mapping results of the movement and passive tactile stimulation tasks revealed considerable similarity in the spatial distribution between the HG and DCS functional maps. Our findings showed that macroscopic neural processing for tactile and movement-related perceptions could be segregated.
Collapse
Affiliation(s)
- Seokyun Ryun
- Neuroscience Research Institute, Seoul National University Medical Research Center, Seoul, Korea
| | - Minkyu Kim
- Department of Cognitive Sciences, University of California Irvine, Irvine, USA
| | - June Sic Kim
- Department of Brain & Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Korea
| | - Chun Kee Chung
- Neuroscience Research Institute, Seoul National University Medical Research Center, Seoul, Korea; Department of Brain & Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
| |
Collapse
|
3
|
Ono H, Sonoda M, Sakakura K, Kitazawa Y, Mitsuhashi T, Firestone E, Jeong JW, Luat AF, Marupudi NI, Sood S, Asano E. Dynamic cortical and tractography atlases of proactive and reactive alpha and high-gamma activities. Brain Commun 2023; 5:fcad111. [PMID: 37228850 PMCID: PMC10204271 DOI: 10.1093/braincomms/fcad111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 10/15/2022] [Accepted: 04/03/2023] [Indexed: 05/27/2023] Open
Abstract
Alpha waves-posterior dominant rhythms at 8-12 Hz reactive to eye opening and closure-are among the most fundamental EEG findings in clinical practice and research since Hans Berger first documented them in the early 20th century. Yet, the exact network dynamics of alpha waves in regard to eye movements remains unknown. High-gamma activity at 70-110 Hz is also reactive to eye movements and a summary measure of local cortical activation supporting sensorimotor or cognitive function. We aimed to build the first-ever brain atlases directly visualizing the network dynamics of eye movement-related alpha and high-gamma modulations, at cortical and white matter levels. We studied 28 patients (age: 5-20 years) who underwent intracranial EEG and electro-oculography recordings. We measured alpha and high-gamma modulations at 2167 electrode sites outside the seizure onset zone, interictal spike-generating areas and MRI-visible structural lesions. Dynamic tractography animated white matter streamlines modulated significantly and simultaneously beyond chance, on a millisecond scale. Before eye-closure onset, significant alpha augmentation occurred at the occipital and frontal cortices. After eye-closure onset, alpha-based functional connectivity was strengthened, while high gamma-based connectivity was weakened extensively in both intra-hemispheric and inter-hemispheric pathways involving the central visual areas. The inferior fronto-occipital fasciculus supported the strengthened alpha co-augmentation-based functional connectivity between occipital and frontal lobe regions, whereas the posterior corpus callosum supported the inter-hemispheric functional connectivity between the occipital lobes. After eye-opening offset, significant high-gamma augmentation and alpha attenuation occurred at occipital, fusiform and inferior parietal cortices. High gamma co-augmentation-based functional connectivity was strengthened, whereas alpha-based connectivity was weakened in the posterior inter-hemispheric and intra-hemispheric white matter pathways involving central and peripheral visual areas. Our results do not support the notion that eye closure-related alpha augmentation uniformly reflects feedforward or feedback rhythms propagating from lower to higher order visual cortex, or vice versa. Rather, proactive and reactive alpha waves involve extensive, distinct white matter networks that include the frontal lobe cortices, along with low- and high-order visual areas. High-gamma co-attenuation coupled to alpha co-augmentation in shared brain circuitry after eye closure supports the notion of an idling role for alpha waves during eye closure. These normative dynamic tractography atlases may improve understanding of the significance of EEG alpha waves in assessing the functional integrity of brain networks in clinical practice; they also may help elucidate the effects of eye movements on task-related brain network measures observed in cognitive neuroscience research.
Collapse
Affiliation(s)
- Hiroya Ono
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Pediatric Neurology, National Center of Neurology and Psychiatry, Joint Graduate School of Tohoku University, Tokyo 1878551, Japan
- Department of Pediatrics, UCLA Mattel Children’s Hospital, David Geffen School of Medicine, Los Angeles, CA 90095, USA
| | - Masaki Sonoda
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama 2360004, Japan
| | - Kazuki Sakakura
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurosurgery, University of Tsukuba, Tsukuba 3058575, Japan
| | - Yu Kitazawa
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurology and Stroke Medicine, Yokohama City University, Yokohama, Kanagawa 2360004, Japan
| | - Takumi Mitsuhashi
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurosurgery, Juntendo University, School of Medicine, Tokyo 1138421, Japan
| | - Ethan Firestone
- Department of Physiology, Wayne State University, Detroit, MI 48201, USA
| | - Jeong-Won Jeong
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurology, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
| | - Aimee F Luat
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurology, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Pediatrics, Central Michigan University, Mount Pleasant, MI 48858, USA
| | - Neena I Marupudi
- Department of Neurosurgery, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
| | - Sandeep Sood
- Department of Neurosurgery, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
| | - Eishi Asano
- Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
- Department of Neurology, Children’s Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA
| |
Collapse
|
4
|
Spontaneous modulations of high-frequency cortical activity. Clin Neurophysiol 2021; 132:2391-2403. [PMID: 34454266 DOI: 10.1016/j.clinph.2021.06.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/15/2021] [Accepted: 06/01/2021] [Indexed: 11/20/2022]
Abstract
OBJECTIVE We clarified the clinical and mechanistic significance of physiological modulations of high-frequency broadband cortical activity associated with spontaneous saccadic eye movements during a resting state. METHODS We studied 30 patients who underwent epilepsy surgery following extraoperative electrocorticography and electrooculography recordings. We determined whether high-gamma activity at 70-110 Hz preceding saccade onset would predict upcoming ocular behaviors. We assessed how accurately the model incorporating saccade-related high-gamma modulations would localize the primary visual cortex defined by electrical stimulation. RESULTS The dynamic atlas demonstrated transient high-gamma suppression in the striatal cortex before saccade onset and high-gamma augmentation subsequently involving the widespread posterior brain regions. More intense striatal high-gamma suppression predicted the upcoming saccade directed to the ipsilateral side and lasting longer in duration. The bagged-tree-ensemble model demonstrated that intense saccade-related high-gamma modulations localized the visual cortex with an accuracy of 95%. CONCLUSIONS We successfully animated the neural dynamics supporting saccadic suppression, a principal mechanism minimizing the perception of blurred vision during rapid eye movements. The primary visual cortex per se may prepare actively in advance for massive image motion expected during upcoming prolonged saccades. SIGNIFICANCE Measuring saccade-related electrocorticographic signals may help localize the visual cortex and avoid misperceiving physiological high-frequency activity as epileptogenic.
Collapse
|
5
|
Sugiura A, Silverstein BH, Jeong JW, Nakai Y, Sonoda M, Motoi H, Asano E. Four-dimensional map of direct effective connectivity from posterior visual areas. Neuroimage 2020; 210:116548. [PMID: 31958582 DOI: 10.1016/j.neuroimage.2020.116548] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 01/08/2020] [Accepted: 01/14/2020] [Indexed: 12/17/2022] Open
Abstract
Lower- and higher-order visual cortices in the posterior brain, ranging from the medial- and lateral-occipital to fusiform regions, are suggested to support visual object recognition, whereas the frontal eye field (FEF) plays a role in saccadic eye movements which optimize visual processing. Previous studies using electrophysiology and functional MRI techniques have reported that tasks requiring visual object recognition elicited cortical activation sequentially in the aforementioned posterior visual regions and FEFs. The present study aims to provide unique evidence of direct effective connectivity outgoing from the posterior visual regions by measuring the early component (10-50 ms) of cortico-cortical spectral responses (CCSRs) elicited by weak single-pulse direct cortical electrical stimulation. We studied 22 patients who underwent extraoperative intracranial EEG recording for clinical localization of seizure foci and functionally-important brain regions. We used animations to visualize the spatiotemporal dynamics of gamma band CCSRs elicited by stimulation of three different posterior visual regions. We quantified the strength of CCSR-defined effective connectivity between the lower- and higher-order posterior visual regions as well as from the posterior visual regions to the FEFs. We found that effective connectivity within the posterior visual regions was larger in the feedforward (i.e., lower-to higher-order) direction compared to the opposite direction. Specifically, connectivity from the medial-occipital region was largest to the lateral-occipital region, whereas that from the lateral-occipital region was largest to the fusiform region. Among the posterior visual regions, connectivity to the FEF was largest from the lateral-occipital region and the mean peak latency of CCSR propagation from the lateral-occipital region to FEF was 26 ms. Our invasive study of the human brain using a stimulation-based intervention supports the model that the posterior visual regions have direct cortico-cortical connectivity pathways in which neural activity is transferred preferentially from the lower-to higher-order areas. The human brain has direct cortico-cortical connectivity allowing a rapid transfer of neural activity from the lateral-occipital region to the FEF.
Collapse
Affiliation(s)
- Ayaka Sugiura
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA
| | - Brian H Silverstein
- Translational Neuroscience Program, Wayne State University, Detroit, MI, 48201, USA
| | - Jeong-Won Jeong
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA; Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA
| | - Yasuo Nakai
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA; Department of Neurological Surgery, Wakayama Medical University, Wakayama-shi, 6418509, Japan
| | - Masaki Sonoda
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA
| | - Hirotaka Motoi
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA
| | - Eishi Asano
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA; Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit, MI, 48201, USA.
| |
Collapse
|
6
|
Ikegaya N, Motoi H, Iijima K, Takayama Y, Kambara T, Sugiura A, Silverstein BH, Iwasaki M, Asano E. Spatiotemporal dynamics of auditory and picture naming-related high-gamma modulations: A study of Japanese-speaking patients. Clin Neurophysiol 2019; 130:1446-1454. [PMID: 31056408 DOI: 10.1016/j.clinph.2019.04.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 04/03/2019] [Accepted: 04/15/2019] [Indexed: 02/03/2023]
Abstract
OBJECTIVE To characterize the spatiotemporal dynamics of auditory and picture naming-related cortical activation in Japanese-speaking patients. METHODS Ten patients were assigned auditory naming and picture naming tasks during extraoperative intracranial EEG recording in a tertiary epilepsy center. Time-frequency analysis determined at what electrode sites and at what time windows during each task the amplitude of high-gamma activity (65-95 Hz) was modulated. RESULTS The superior-temporal gyrus on each hemisphere showed high-gamma augmentation during sentence listening, whereas the left middle-temporal and inferior-frontal gyri showed high-gamma augmentation peaking around stimulus offset. Auditory naming-specific high-gamma augmentation was noted in the bilateral superior-temporal gyri as well as left frontal-parietal-temporal perisylvian network regions, whereas picture naming-specific augmentation was noted in the occipital-fusiform regions, bilaterally. The inferior pre- and postcentral gyri on each hemisphere showed modality-common high-gamma augmentation time-locked to overt responses. CONCLUSIONS The spatiotemporal dynamics of auditory and picture naming-related high-gamma augmentation in Japanese-speaking patients were qualitatively similar to those previously reported in studies of English-speaking patients. SIGNIFICANCE The cortical dynamics for auditory sentence recognition are at least partly shared by cohorts speaking two distinct languages. Multicenter studies regarding the clinical utility of high-gamma language mapping across Eastern and Western hemispheres may be feasible.
Collapse
Affiliation(s)
- Naoki Ikegaya
- Department of Neurosurgery, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 1878551, Japan; Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama 2360004, Japan
| | - Hirotaka Motoi
- Department of Pediatrics, Graduate School of Medicine, Yokohama City University, Yokohama 2360004, Japan; Department of Pediatrics, Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USA
| | - Keiya Iijima
- Department of Neurosurgery, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 1878551, Japan
| | - Yutaro Takayama
- Department of Neurosurgery, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 1878551, Japan; Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, Yokohama 2360004, Japan
| | - Toshimune Kambara
- Department of Pediatrics, Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USA; Department of Psychology, Hiroshima University, Hiroshima 7398524, Japan
| | - Ayaka Sugiura
- Department of Pediatrics, Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USA
| | - Brian H Silverstein
- Translational Neuroscience Program, Wayne State University, Detroit, MI 48202, USA
| | - Masaki Iwasaki
- Department of Neurosurgery, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 1878551, Japan.
| | - Eishi Asano
- Department of Pediatrics, Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USA; Department of Neurology, Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USA.
| |
Collapse
|
7
|
Nakai Y, Sugiura A, Brown EC, Sonoda M, Jeong JW, Rothermel R, Luat AF, Sood S, Asano E. Four-dimensional functional cortical maps of visual and auditory language: Intracranial recording. Epilepsia 2019; 60:255-267. [PMID: 30710356 DOI: 10.1111/epi.14648] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 12/21/2018] [Accepted: 12/27/2018] [Indexed: 01/26/2023]
Abstract
OBJECTIVE The strength of presurgical language mapping using electrocorticography (ECoG) is its outstanding signal fidelity and temporal resolution, but the weakness includes limited spatial sampling at an individual patient level. By averaging naming-related high-gamma activity at nonepileptic regions across a large number of patients, we provided the functional cortical atlases animating the neural dynamics supporting visual-object and auditory-description naming at the whole brain level. METHODS We studied 79 patients who underwent extraoperative ECoG recording as epilepsy presurgical evaluation, and generated time-frequency plots and animation videos delineating the dynamics of naming-related high-gamma activity at 70-110 Hz. RESULTS Naming task performance elicited high-gamma augmentation in domain-specific lower-order sensory areas and inferior-precentral gyri immediately after stimulus onset. High-gamma augmentation subsequently involved widespread neocortical networks with left hemisphere dominance. Left posterior temporal high-gamma augmentation at several hundred milliseconds before response onset exhibited a double dissociation; picture naming elicited high-gamma augmentation preferentially in regions medial to the inferior-temporal gyrus, whereas auditory naming elicited high-gamma augmentation more laterally. The left lateral prefrontal regions including Broca's area initially exhibited high-gamma suppression subsequently followed by high-gamma augmentation at several hundred milliseconds before response onset during both naming tasks. Early high-gamma suppression within Broca's area was more intense during picture compared to auditory naming. Subsequent lateral-prefrontal high-gamma augmentation was more intense during auditory compared to picture naming. SIGNIFICANCE This study revealed contrasting characteristics in the spatiotemporal dynamics of naming-related neural modulations between tasks. The dynamic atlases of visual and auditory language might be useful for planning of epilepsy surgery. Differential neural activation well explains some of the previously reported observations of domain-specific language impairments following resective epilepsy surgery. Video materials might be beneficial for the education of lay people about how the brain functions differentially during visual and auditory naming.
Collapse
Affiliation(s)
- Yasuo Nakai
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan.,Department of Neurological Surgery, Wakayama Medical University, Wakayama-shi, Japan
| | - Ayaka Sugiura
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Erik C Brown
- Department of Neurological Surgery, Oregon Health and Science University, Portland, Oregon
| | - Masaki Sonoda
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Jeong-Won Jeong
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan.,Department of Neurology, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Robert Rothermel
- Department of Psychiatry, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Aimee F Luat
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan.,Department of Neurology, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Sandeep Sood
- Department of Neurosurgery, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| | - Eishi Asano
- Department of Pediatrics, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan.,Department of Neurology, Detroit Medical Center, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan
| |
Collapse
|
8
|
Motoi H, Miyakoshi M, Abel TJ, Jeong JW, Nakai Y, Sugiura A, Luat AF, Agarwal R, Sood S, Asano E. Phase-amplitude coupling between interictal high-frequency activity and slow waves in epilepsy surgery. Epilepsia 2018; 59:1954-1965. [PMID: 30146766 DOI: 10.1111/epi.14544] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 06/19/2018] [Accepted: 07/26/2018] [Indexed: 01/09/2023]
Abstract
OBJECTIVE We hypothesized that the modulation index (MI), a summary measure of the strength of phase-amplitude coupling between high-frequency activity (>150 Hz) and the phase of slow waves (3-4 Hz), would serve as a useful interictal biomarker for epilepsy presurgical evaluation. METHODS We investigated 123 patients who underwent focal cortical resection following extraoperative electrocorticography recording and had at least 1 year of postoperative follow-up. We examined whether consideration of MI would improve the prediction of postoperative seizure outcome. MI was measured at each intracranial electrode site during interictal slow-wave sleep. We compared the accuracy of prediction of patients achieving International League Against Epilepsy class 1 outcome between the full multivariate logistic regression model incorporating MI in addition to conventional clinical, seizure onset zone (SOZ), and neuroimaging variables, and the reduced logistic regression model incorporating all variables other than MI. RESULTS Ninety patients had class 1 outcome at the time of most recent follow-up (mean follow-up = 5.7 years). The full model had a noteworthy outcome predictive ability, as reflected by regression model fit R2 of 0.409 and area under the curve (AUC) of receiver operating characteristic plot of 0.838. Incomplete resection of SOZ (P < 0.001), larger number of antiepileptic drugs at the time of surgery (P = 0.007), and larger MI in nonresected tissues relative to that in resected tissue (P = 0.020) were independently associated with a reduced probability of class 1 outcome. The reduced model had a lower predictive ability as reflected by R2 of 0.266 and AUC of 0.767. Anatomical variability in MI existed among nonepileptic electrode sites, defined as those unaffected by magnetic resonance imaging lesion, SOZ, or interictal spike discharges. With MI adjusted for anatomical variability, the full model yielded the outcome predictive ability of R2 of 0.422, AUC of 0.844, and sensitivity/specificity of 0.86/0.76. SIGNIFICANCE MI during interictal recording may provide useful information for the prediction of postoperative seizure outcome.
Collapse
Affiliation(s)
- Hirotaka Motoi
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Makoto Miyakoshi
- Swartz Center for Computational Neuroscience, Institute for Neural Computation, University of California San Diego, La Jolla, California
| | - Taylor J Abel
- Division of Neurosurgery, Hospital for Sick Children, Toronto, Ontario, Canada
| | - Jeong-Won Jeong
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan.,Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Yasuo Nakai
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Ayaka Sugiura
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Aimee F Luat
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan.,Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Rajkumar Agarwal
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan.,Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Sandeep Sood
- Department of Neurosurgery, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| | - Eishi Asano
- Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan.,Department of Neurology, Children's Hospital of Michigan, Wayne State University, Detroit Medical Center, Detroit, Michigan
| |
Collapse
|