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Garrett JC, Verzhbinsky IA, Kaestner E, Carlson C, Doyle WK, Devinsky O, Thesen T, Halgren E. Binding of cortical functional modules by synchronous high-frequency oscillations. Nat Hum Behav 2024:10.1038/s41562-024-01952-2. [PMID: 39134741 DOI: 10.1038/s41562-024-01952-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 07/09/2024] [Indexed: 08/21/2024]
Abstract
Whether high-frequency phase-locked oscillations facilitate integration ('binding') of information across widespread cortical areas is controversial. Here we show with intracranial electroencephalography that cortico-cortical co-ripples (~100-ms-long ~90 Hz oscillations) increase during reading and semantic decisions, at the times and co-locations when and where binding should occur. Fusiform wordform areas co-ripple with virtually all language areas, maximally from 200 to 400 ms post-word-onset. Semantically specified target words evoke strong co-rippling between wordform, semantic, executive and response areas from 400 to 800 ms, with increased co-rippling between semantic, executive and response areas prior to correct responses. Co-ripples were phase-locked at zero lag over long distances (>12 cm), especially when many areas were co-rippling. General co-activation, indexed by non-oscillatory high gamma, was mainly confined to early latencies in fusiform and earlier visual areas, preceding co-ripples. These findings suggest that widespread synchronous co-ripples may assist the integration of multiple cortical areas for sustained periods during cognition.
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Affiliation(s)
- Jacob C Garrett
- Neurosciences Graduate Program, University of California, San Diego, La Jolla, CA, USA
| | - Ilya A Verzhbinsky
- Neurosciences Graduate Program, University of California, San Diego, La Jolla, CA, USA
- Medical Scientist Training Program, University of California, San Diego, La Jolla, CA, USA
| | - Erik Kaestner
- Center for Multimodal Imaging and Genetics, University of California, San Diego, La Jolla, CA, USA
| | - Chad Carlson
- Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Werner K Doyle
- Department of Neurosurgery, New York University Langone School of Medicine, New York, NY, USA
| | - Orrin Devinsky
- Department of Neurology, New York University Langone School of Medicine, New York, NY, USA
| | - Thomas Thesen
- Department of Medical Education, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
| | - Eric Halgren
- Departments of Radiology and Neurosciences, University of California, San Diego, La Jolla, CA, USA.
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2
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Zada Z, Goldstein A, Michelmann S, Simony E, Price A, Hasenfratz L, Barham E, Zadbood A, Doyle W, Friedman D, Dugan P, Melloni L, Devore S, Flinker A, Devinsky O, Nastase SA, Hasson U. A shared model-based linguistic space for transmitting our thoughts from brain to brain in natural conversations. Neuron 2024:S0896-6273(24)00460-4. [PMID: 39096896 DOI: 10.1016/j.neuron.2024.06.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 03/26/2024] [Accepted: 06/25/2024] [Indexed: 08/05/2024]
Abstract
Effective communication hinges on a mutual understanding of word meaning in different contexts. We recorded brain activity using electrocorticography during spontaneous, face-to-face conversations in five pairs of epilepsy patients. We developed a model-based coupling framework that aligns brain activity in both speaker and listener to a shared embedding space from a large language model (LLM). The context-sensitive LLM embeddings allow us to track the exchange of linguistic information, word by word, from one brain to another in natural conversations. Linguistic content emerges in the speaker's brain before word articulation and rapidly re-emerges in the listener's brain after word articulation. The contextual embeddings better capture word-by-word neural alignment between speaker and listener than syntactic and articulatory models. Our findings indicate that the contextual embeddings learned by LLMs can serve as an explicit numerical model of the shared, context-rich meaning space humans use to communicate their thoughts to one another.
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Affiliation(s)
- Zaid Zada
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA.
| | - Ariel Goldstein
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA; Department of Cognitive and Brain Sciences and Business School, Hebrew University, Jerusalem 9190501, Israel
| | - Sebastian Michelmann
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
| | - Erez Simony
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA; Faculty of Engineering, Holon Institute of Technology, Holon 5810201, Israel
| | - Amy Price
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
| | - Liat Hasenfratz
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
| | - Emily Barham
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
| | - Asieh Zadbood
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA; Department of Psychology, Columbia University, New York, NY 10027, USA
| | - Werner Doyle
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Daniel Friedman
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Patricia Dugan
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Lucia Melloni
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Sasha Devore
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Adeen Flinker
- Grossman School of Medicine, New York University, New York, NY 10016, USA; Tandon School of Engineering, New York University, New York, NY 10016, USA
| | - Orrin Devinsky
- Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Samuel A Nastase
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
| | - Uri Hasson
- Princeton Neuroscience Institute and Department of Psychology, Princeton University, Princeton, NJ 08544, USA
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3
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Ozker M, Yu L, Dugan P, Doyle W, Friedman D, Devinsky O, Flinker A. Speech-induced suppression and vocal feedback sensitivity in human cortex. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.12.08.570736. [PMID: 38370843 PMCID: PMC10871232 DOI: 10.1101/2023.12.08.570736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
Across the animal kingdom, neural responses in the auditory cortex are suppressed during vocalization, and humans are no exception. A common hypothesis is that suppression increases sensitivity to auditory feedback, enabling the detection of vocalization errors. This hypothesis has been previously confirmed in non-human primates, however a direct link between auditory suppression and sensitivity in human speech monitoring remains elusive. To address this issue, we obtained intracranial electroencephalography (iEEG) recordings from 35 neurosurgical participants during speech production. We first characterized the detailed topography of auditory suppression, which varied across superior temporal gyrus (STG). Next, we performed a delayed auditory feedback (DAF) task to determine whether the suppressed sites were also sensitive to auditory feedback alterations. Indeed, overlapping sites showed enhanced responses to feedback, indicating sensitivity. Importantly, there was a strong correlation between the degree of auditory suppression and feedback sensitivity, suggesting suppression might be a key mechanism that underlies speech monitoring. Further, we found that when participants produced speech with simultaneous auditory feedback, posterior STG was selectively activated if participants were engaged in a DAF paradigm, suggesting that increased attentional load can modulate auditory feedback sensitivity.
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Affiliation(s)
- Muge Ozker
- Neurology Department, New York University, New York, 10016, NY, USA
- Max Planck Institute for Psycholinguistics, 6525 XD Nijmegen, The Netherlands
| | - Leyao Yu
- Neurology Department, New York University, New York, 10016, NY, USA
- Biomedical Engineering Department, New York University, Brooklyn, 11201, NY, USA
| | - Patricia Dugan
- Neurology Department, New York University, New York, 10016, NY, USA
| | - Werner Doyle
- Neurosurgery Department, New York University, New York, 10016, NY, USA
| | - Daniel Friedman
- Neurology Department, New York University, New York, 10016, NY, USA
| | - Orrin Devinsky
- Neurology Department, New York University, New York, 10016, NY, USA
| | - Adeen Flinker
- Neurology Department, New York University, New York, 10016, NY, USA
- Biomedical Engineering Department, New York University, Brooklyn, 11201, NY, USA
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4
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Morgan AM, Devinsky O, Doyle WK, Dugan P, Friedman D, Flinker A. A low-activity cortical network selectively encodes syntax. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.06.20.599931. [PMID: 38948730 PMCID: PMC11212956 DOI: 10.1101/2024.06.20.599931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
Syntax, the abstract structure of language, is a hallmark of human cognition. Despite its importance, its neural underpinnings remain obscured by inherent limitations of non-invasive brain measures and a near total focus on comprehension paradigms. Here, we address these limitations with high-resolution neurosurgical recordings (electrocorticography) and a controlled sentence production experiment. We uncover three syntactic networks that are broadly distributed across traditional language regions, but with focal concentrations in middle and inferior frontal gyri. In contrast to previous findings from comprehension studies, these networks process syntax mostly to the exclusion of words and meaning, supporting a cognitive architecture with a distinct syntactic system. Most strikingly, our data reveal an unexpected property of syntax: it is encoded independent of neural activity levels. We propose that this "low-activity coding" scheme represents a novel mechanism for encoding information, reserved for higher-order cognition more broadly.
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Affiliation(s)
- Adam M. Morgan
- Neurology Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
| | - Orrin Devinsky
- Neurosurgery Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
| | - Werner K. Doyle
- Neurology Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
| | - Patricia Dugan
- Neurology Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
| | - Daniel Friedman
- Neurology Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
| | - Adeen Flinker
- Neurology Department, NYU Grossman School of Medicine, 550 1st Ave, New York, 10016, NY, USA
- Biomedical Engineering Department, NYU Tandon School of Engineering, 6 MetroTech Center Ave, Brooklyn, 11201, NY, USA
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5
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Yu L, Dugan P, Doyle W, Devinsky O, Friedman D, Flinker A. A left-lateralized dorsolateral prefrontal network for naming. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.05.15.594403. [PMID: 38798614 PMCID: PMC11118423 DOI: 10.1101/2024.05.15.594403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2024]
Abstract
The ability to connect the form and meaning of a concept, known as word retrieval, is fundamental to human communication. While various input modalities could lead to identical word retrieval, the exact neural dynamics supporting this convergence relevant to daily auditory discourse remain poorly understood. Here, we leveraged neurosurgical electrocorticographic (ECoG) recordings from 48 patients and dissociated two key language networks that highly overlap in time and space integral to word retrieval. Using unsupervised temporal clustering techniques, we found a semantic processing network located in the middle and inferior frontal gyri. This network was distinct from an articulatory planning network in the inferior frontal and precentral gyri, which was agnostic to input modalities. Functionally, we confirmed that the semantic processing network encodes word surprisal during sentence perception. Our findings characterize how humans integrate ongoing auditory semantic information over time, a critical linguistic function from passive comprehension to daily discourse.
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Affiliation(s)
- Leyao Yu
- Department of Biomedical Engineering, New York University, New York, 10016, New York, the United States
- Department of Neurology, School of Medicine, New York University, New York, 10016, New York, the United States
| | - Patricia Dugan
- Department of Neurology, School of Medicine, New York University, New York, 10016, New York, the United States
| | - Werner Doyle
- Department of Neurosurgery, School of Medicine, New York University, New York, 10016, New York, the United States
| | - Orrin Devinsky
- Department of Neurology, School of Medicine, New York University, New York, 10016, New York, the United States
| | - Daniel Friedman
- Department of Neurology, School of Medicine, New York University, New York, 10016, New York, the United States
| | - Adeen Flinker
- Department of Biomedical Engineering, New York University, New York, 10016, New York, the United States
- Department of Neurology, School of Medicine, New York University, New York, 10016, New York, the United States
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6
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Brands AM, Devore S, Devinsky O, Doyle W, Flinker A, Friedman D, Dugan P, Winawer J, Groen IIA. Temporal dynamics of short-term neural adaptation across human visual cortex. PLoS Comput Biol 2024; 20:e1012161. [PMID: 38815000 PMCID: PMC11166327 DOI: 10.1371/journal.pcbi.1012161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 06/11/2024] [Accepted: 05/12/2024] [Indexed: 06/01/2024] Open
Abstract
Neural responses in visual cortex adapt to prolonged and repeated stimuli. While adaptation occurs across the visual cortex, it is unclear how adaptation patterns and computational mechanisms differ across the visual hierarchy. Here we characterize two signatures of short-term neural adaptation in time-varying intracranial electroencephalography (iEEG) data collected while participants viewed naturalistic image categories varying in duration and repetition interval. Ventral- and lateral-occipitotemporal cortex exhibit slower and prolonged adaptation to single stimuli and slower recovery from adaptation to repeated stimuli compared to V1-V3. For category-selective electrodes, recovery from adaptation is slower for preferred than non-preferred stimuli. To model neural adaptation we augment our delayed divisive normalization (DN) model by scaling the input strength as a function of stimulus category, enabling the model to accurately predict neural responses across multiple image categories. The model fits suggest that differences in adaptation patterns arise from slower normalization dynamics in higher visual areas interacting with differences in input strength resulting from category selectivity. Our results reveal systematic differences in temporal adaptation of neural population responses between lower and higher visual brain areas and show that a single computational model of history-dependent normalization dynamics, fit with area-specific parameters, accounts for these differences.
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Affiliation(s)
| | - Sasha Devore
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Orrin Devinsky
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Werner Doyle
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Adeen Flinker
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Daniel Friedman
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Patricia Dugan
- New York University Grossman School of Medicine, New York, New York, United States of America
| | - Jonathan Winawer
- Department of Psychology, New York University, New York, New York, United States of America
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7
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Pinheiro-Chagas P, Sava-Segal C, Akkol S, Daitch A, Parvizi J. Spatiotemporal Dynamics of Successive Activations across the Human Brain during Simple Arithmetic Processing. J Neurosci 2024; 44:e2118222024. [PMID: 38485257 PMCID: PMC11044197 DOI: 10.1523/jneurosci.2118-22.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 02/16/2024] [Accepted: 03/03/2024] [Indexed: 03/26/2024] Open
Abstract
Previous neuroimaging studies have offered unique insights about the spatial organization of activations and deactivations across the brain; however, these were not powered to explore the exact timing of events at the subsecond scale combined with a precise anatomical source of information at the level of individual brains. As a result, we know little about the order of engagement across different brain regions during a given cognitive task. Using experimental arithmetic tasks as a prototype for human-unique symbolic processing, we recorded directly across 10,076 brain sites in 85 human subjects (52% female) using the intracranial electroencephalography. Our data revealed a remarkably distributed change of activity in almost half of the sampled sites. In each activated brain region, we found juxtaposed neuronal populations preferentially responsive to either the target or control conditions, arranged in an anatomically orderly manner. Notably, an orderly successive activation of a set of brain regions-anatomically consistent across subjects-was observed in individual brains. The temporal order of activations across these sites was replicable across subjects and trials. Moreover, the degree of functional connectivity between the sites decreased as a function of temporal distance between regions, suggesting that the information is partially leaked or transformed along the processing chain. Our study complements prior imaging studies by providing hitherto unknown information about the timing of events in the brain during arithmetic processing. Such findings can be a basis for developing mechanistic computational models of human-specific cognitive symbolic systems.
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Affiliation(s)
- Pedro Pinheiro-Chagas
- Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, California 94305
- UCSF Memory and Aging Center, Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, California
| | - Clara Sava-Segal
- Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, California 94305
| | - Serdar Akkol
- Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, California 94305
| | - Amy Daitch
- Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, California 94305
| | - Josef Parvizi
- Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, California 94305
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8
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Blenkmann AO, Leske SL, Llorens A, Lin JJ, Chang EF, Brunner P, Schalk G, Ivanovic J, Larsson PG, Knight RT, Endestad T, Solbakk AK. Anatomical registration of intracranial electrodes. Robust model-based localization and deformable smooth brain-shift compensation methods. J Neurosci Methods 2024; 404:110056. [PMID: 38224783 DOI: 10.1016/j.jneumeth.2024.110056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 11/27/2023] [Accepted: 01/03/2024] [Indexed: 01/17/2024]
Abstract
BACKGROUND Intracranial electrodes are typically localized from post-implantation CT artifacts. Automatic algorithms localizing low signal-to-noise ratio artifacts and high-density electrode arrays are missing. Additionally, implantation of grids/strips introduces brain deformations, resulting in registration errors when fusing post-implantation CT and pre-implantation MR images. Brain-shift compensation methods project electrode coordinates to cortex, but either fail to produce smooth solutions or do not account for brain deformations. NEW METHODS We first introduce GridFit, a model-based fitting approach that simultaneously localizes all electrodes' CT artifacts in grids, strips, or depth arrays. Second, we present CEPA, a brain-shift compensation algorithm combining orthogonal-based projections, spring-mesh models, and spatial regularization constraints. RESULTS We tested GridFit on ∼6000 simulated scenarios. The localization of CT artifacts showed robust performance under difficult scenarios, such as noise, overlaps, and high-density implants (<1 mm errors). Validation with data from 20 challenging patients showed 99% accurate localization of the electrodes (3160/3192). We tested CEPA brain-shift compensation with data from 15 patients. Projections accounted for simple mechanical deformation principles with < 0.4 mm errors. The inter-electrode distances smoothly changed across neighbor electrodes, while changes in inter-electrode distances linearly increased with projection distance. COMPARISON WITH EXISTING METHODS GridFit succeeded in difficult scenarios that challenged available methods and outperformed visual localization by preserving the inter-electrode distance. CEPA registration errors were smaller than those obtained for well-established alternatives. Additionally, modeling resting-state high-frequency activity in five patients further supported CEPA. CONCLUSION GridFit and CEPA are versatile tools for registering intracranial electrode coordinates, providing highly accurate results even in the most challenging implantation scenarios. The methods are implemented in the iElectrodes open-source toolbox.
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Affiliation(s)
- Alejandro Omar Blenkmann
- Department of Psychology, University of Oslo, Norway; RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway.
| | - Sabine Liliana Leske
- Department of Musicology, University of Oslo, Norway; RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway; Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway
| | - Anaïs Llorens
- Department of Psychology, University of Oslo, Norway; Department of Psychology and the Helen Wills Neuroscience Institute, University of California, Berkeley, USA; Université de Franche-Comté, SUPMICROTECH, CNRS, Institut FEMTO-ST, 25000 Besançon, France; Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team TURC, 75014 Paris, France
| | - Jack J Lin
- Department of Neurology and Center for Mind and Brain, University of California, Davis, USA
| | - Edward F Chang
- Department of Neurological Surgery, University of California, San Francisco, USA
| | - Peter Brunner
- Department of Neurology, Albany Medical College, Albany, NY, USA; National Center for Adaptive Neurotechnologies, Albany, NY, USA; Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA
| | - Gerwin Schalk
- Department of Neurology, Albany Medical College, Albany, NY, USA; National Center for Adaptive Neurotechnologies, Albany, NY, USA; Tianqiao and Chrissy Chen Institute, Chen Frontier Lab for Applied Neurotechnology, Shanghai, China; Fudan University/Huashan Hospital, Department of Neurosurgery, Shanghai, China
| | | | | | - Robert Thomas Knight
- Department of Psychology and the Helen Wills Neuroscience Institute, University of California, Berkeley, USA
| | - Tor Endestad
- Department of Psychology, University of Oslo, Norway; RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway; Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway
| | - Anne-Kristin Solbakk
- Department of Psychology, University of Oslo, Norway; RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway; Department of Neurosurgery, Oslo University Hospital, Norway; Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway
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Kabakoff H, Yu L, Friedman D, Dugan P, Doyle WK, Devinsky O, Flinker A. Timing and location of speech errors induced by direct cortical stimulation. Brain Commun 2024; 6:fcae053. [PMID: 38505231 PMCID: PMC10948744 DOI: 10.1093/braincomms/fcae053] [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: 07/17/2023] [Revised: 11/30/2023] [Accepted: 02/22/2024] [Indexed: 03/21/2024] Open
Abstract
Cortical regions supporting speech production are commonly established using neuroimaging techniques in both research and clinical settings. However, for neurosurgical purposes, structural function is routinely mapped peri-operatively using direct electrocortical stimulation. While this method is the gold standard for identification of eloquent cortical regions to preserve in neurosurgical patients, there is lack of specificity of the actual underlying cognitive processes being interrupted. To address this, we propose mapping the temporal dynamics of speech arrest across peri-sylvian cortices by quantifying the latency between stimulation and speech deficits. In doing so, we are able to substantiate hypotheses about distinct region-specific functional roles (e.g. planning versus motor execution). In this retrospective observational study, we analysed 20 patients (12 female; age range 14-43) with refractory epilepsy who underwent continuous extra-operative intracranial EEG monitoring of an automatic speech task during clinical bedside language mapping. Latency to speech arrest was calculated as time from stimulation onset to speech arrest onset, controlling for individual speech rate. Most instances of motor-based arrest (87.5% of 96 instances) were in sensorimotor cortex with mid-range latencies to speech arrest with a distributional peak at 0.47 s. Speech arrest occurred in numerous regions, with relatively short latencies in supramarginal gyrus (0.46 s), superior temporal gyrus (0.51 s) and middle temporal gyrus (0.54 s), followed by relatively long latencies in sensorimotor cortex (0.72 s) and especially long latencies in inferior frontal gyrus (0.95 s). Non-parametric testing for speech arrest revealed that region predicted latency; latencies in supramarginal gyrus and in superior temporal gyrus were shorter than in sensorimotor cortex and in inferior frontal gyrus. Sensorimotor cortex is primarily responsible for motor-based arrest. Latencies to speech arrest in supramarginal gyrus and superior temporal gyrus (and to a lesser extent middle temporal gyrus) align with latencies to motor-based arrest in sensorimotor cortex. This pattern of relatively quick cessation of speech suggests that stimulating these regions interferes with the outgoing motor execution. In contrast, the latencies to speech arrest in inferior frontal gyrus and in ventral regions of sensorimotor cortex were significantly longer than those in temporoparietal regions. Longer latencies in the more frontal areas (including inferior frontal gyrus and ventral areas of precentral gyrus and postcentral gyrus) suggest that stimulating these areas interrupts a higher-level speech production process involved in planning. These results implicate the ventral specialization of sensorimotor cortex (including both precentral and postcentral gyri) for speech planning above and beyond motor execution.
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Affiliation(s)
- Heather Kabakoff
- Department of Neurology, New York University School of Medicine, New York, NY 10016, USA
| | - Leyao Yu
- Department of Biomedical Engineering, New York University School of Engineering, Brooklyn, NY 11201, USA
| | - Daniel Friedman
- Department of Neurology, New York University School of Medicine, New York, NY 10016, USA
| | - Patricia Dugan
- Department of Neurology, New York University School of Medicine, New York, NY 10016, USA
| | - Werner K Doyle
- Department of Neurosurgery, New York University School of Medicine, New York, NY 10016, USA
| | - Orrin Devinsky
- Department of Neurology, New York University School of Medicine, New York, NY 10016, USA
| | - Adeen Flinker
- Department of Neurology, New York University School of Medicine, New York, NY 10016, USA
- Department of Biomedical Engineering, New York University School of Engineering, Brooklyn, NY 11201, USA
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10
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Young JJ, Chan AHW, Jette N, Bender HA, Saad AE, Saez I, Panov F, Ghatan S, Yoo JY, Singh A, Fields MC, Marcuse LV, Mayberg HS. Elevated phase amplitude coupling as a depression biomarker in epilepsy. Epilepsy Behav 2024; 152:109659. [PMID: 38301454 PMCID: PMC10923038 DOI: 10.1016/j.yebeh.2024.109659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/28/2023] [Accepted: 01/19/2024] [Indexed: 02/03/2024]
Abstract
Depression is prevalent in epilepsy patients and their intracranial brain activity recordings can be used to determine the types of brain activity that are associated with comorbid depression. We performed case-control comparison of spectral power and phase amplitude coupling (PAC) in 34 invasively monitored drug resistant epilepsy patients' brain recordings. The values of spectral power and PAC for one-minute segments out of every hour in a patient's study were correlated with pre-operative assessment of depressive symptoms by Beck Depression Inventory-II (BDI). We identified an elevated PAC signal (theta-alpha-beta phase (5-25 Hz)/gamma frequency (80-100 Hz) band) that is present in high BDI scores but not low BDI scores adult epilepsy patients in brain regions implicated in primary depression, including anterior cingulate cortex, amygdala and orbitofrontal cortex. Our results showed the application of PAC as a network-specific, electrophysiologic biomarker candidate for comorbid depression and its potential as treatment target for neuromodulation.
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Affiliation(s)
- James J Young
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Andy Ho Wing Chan
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Nathalie Jette
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Heidi A Bender
- Weill Cornell Medicine, Department of Neurological Surgery, 525 East 68th Street, New York, NY 10021, USA
| | - Adam E Saad
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Ignacio Saez
- Departments of Neurocience, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA.
| | - Fedor Panov
- Departments of Neurosurgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Saadi Ghatan
- Departments of Neurosurgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Ji Yeoun Yoo
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Anuradha Singh
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Madeline C Fields
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Lara V Marcuse
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
| | - Helen S Mayberg
- Departments of Neurology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Departments of Neurosurgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA.
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11
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Brands AM, Devore S, Devinsky O, Doyle W, Flinker A, Friedman D, Dugan P, Winawer J, Groen IIA. Temporal dynamics of short-term neural adaptation across human visual cortex. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.09.13.557378. [PMID: 37745548 PMCID: PMC10515883 DOI: 10.1101/2023.09.13.557378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
Neural responses in visual cortex adapt to prolonged and repeated stimuli. While adaptation occurs across the visual cortex, it is unclear how adaptation patterns and computational mechanisms differ across the visual hierarchy. Here we characterize two signatures of short-term neural adaptation in time-varying intracranial electroencephalography (iEEG) data collected while participants viewed naturalistic image categories varying in duration and repetition interval. Ventral- and lateral-occipitotemporal cortex exhibit slower and prolonged adaptation to single stimuli and slower recovery from adaptation to repeated stimuli compared to V1-V3. For category-selective electrodes, recovery from adaptation is slower for preferred than non-preferred stimuli. To model neural adaptation we augment our delayed divisive normalization (DN) model by scaling the input strength as a function of stimulus category, enabling the model to accurately predict neural responses across multiple image categories. The model fits suggest that differences in adaptation patterns arise from slower normalization dynamics in higher visual areas interacting with differences in input strength resulting from category selectivity. Our results reveal systematic differences in temporal adaptation of neural population responses across the human visual hierarchy and show that a single computational model of history-dependent normalization dynamics, fit with area-specific parameters, accounts for these differences.
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12
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Ferrero JJ, Hassan AR, Yu Z, Zhao Z, Ma L, Wu C, Shao S, Kawano T, Engel J, Doyle W, Devinsky O, Khodagholy D, Gelinas JN. Closed-loop electrical stimulation to prevent focal epilepsy progression and long-term memory impairment. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.02.09.579660. [PMID: 38405990 PMCID: PMC10888806 DOI: 10.1101/2024.02.09.579660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/27/2024]
Abstract
Interictal epileptiform discharges (IEDs) are ubiquitously expressed in epileptic networks and disrupt cognitive functions. It is unclear whether addressing IED-induced dysfunction could improve epilepsy outcomes as most therapeutics target seizures. We show in a model of progressive hippocampal epilepsy that IEDs produce pathological oscillatory coupling which is associated with prolonged, hypersynchronous neural spiking in synaptically connected cortex and expands the brain territory capable of generating IEDs. A similar relationship between IED-mediated oscillatory coupling and temporal organization of IEDs across brain regions was identified in human subjects with refractory focal epilepsy. Spatiotemporally targeted closed-loop electrical stimulation triggered on hippocampal IED occurrence eliminated the abnormal cortical activity patterns, preventing spread of the epileptic network and ameliorating long-term spatial memory deficits in rodents. These findings suggest that stimulation-based network interventions that normalize interictal dynamics may be an effective treatment of epilepsy and its comorbidities, with a low barrier to clinical translation. One-Sentence Summary Targeted closed-loop electrical stimulation prevents spread of the epileptic network and ameliorates long-term spatial memory deficits.
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13
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Kabakoff H, Yu L, Friedman D, Dugan P, Doyle WK, Devinsky O, Flinker A. Timing and location of speech errors induced by direct cortical stimulation. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.09.14.557732. [PMID: 37745363 PMCID: PMC10515921 DOI: 10.1101/2023.09.14.557732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
Cortical regions supporting speech production are commonly established using neuroimaging techniques in both research and clinical settings. However, for neurosurgical purposes, structural function is routinely mapped peri-operatively using direct electrocortical stimulation. While this method is the gold standard for identification of eloquent cortical regions to preserve in neurosurgical patients, there is lack of specificity of the actual underlying cognitive processes being interrupted. To address this, we propose mapping the temporal dynamics of speech arrest across peri-sylvian cortices by quantifying the latency between stimulation and speech deficits. In doing so, we are able to substantiate hypotheses about distinct region-specific functional roles (e.g., planning versus motor execution). In this retrospective observational study, we analyzed 20 patients (12 female; age range 14-43) with refractory epilepsy who underwent continuous extra-operative intracranial EEG monitoring of an automatic speech task during clinical bedside language mapping. Latency to speech arrest was calculated as time from stimulation onset to speech arrest onset, controlling for individual speech rate. Most instances of motor-based arrest (87.5% of 96 instances) were in sensorimotor cortex with mid-range latencies to speech arrest with a distributional peak at 0.47 seconds. Speech arrest occurred in numerous regions, with relatively short latencies in supramarginal gyrus (0.46 seconds), superior temporal gyrus (0.51 seconds), and middle temporal gyrus (0.54 seconds), followed by relatively long latencies in sensorimotor cortex (0.72 seconds) and especially long latencies in inferior frontal gyrus (0.95 seconds). Nonparametric testing for speech arrest revealed that region predicted latency; latencies in supramarginal gyrus and in superior temporal gyrus were shorter than in sensorimotor cortex and in inferior frontal gyrus. Sensorimotor cortex is primarily responsible for motor-based arrest. Latencies to speech arrest in supramarginal gyrus and superior temporal gyrus (and to a lesser extent middle temporal gyrus) align with latencies to motor-based arrest in sensorimotor cortex. This pattern of relatively quick cessation of speech suggests that stimulating these regions interferes with the outgoing motor execution. In contrast, the latencies to speech arrest in inferior frontal gyrus and in ventral regions of sensorimotor cortex were significantly longer than those in temporoparietal regions. Longer latencies in the more frontal areas (including inferior frontal gyrus and ventral areas of precentral gyrus and postcentral gyrus) suggest that stimulating these areas interrupts a higher-level speech production process involved in planning. These results implicate the ventral specialization of sensorimotor cortex (including both precentral and postcentral gyri) for speech planning above and beyond motor execution.
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Affiliation(s)
- Heather Kabakoff
- Department of Neurology, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
| | - Leyao Yu
- Department of Biomedical Engineering, New York University School of Engineering, 6 MetroTech Center Ave., Brooklyn, NY, 11201, USA
| | - Daniel Friedman
- Department of Neurology, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
| | - Patricia Dugan
- Department of Neurology, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
| | - Werner K Doyle
- Department of Neurosurgery, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
| | - Orrin Devinsky
- Department of Neurology, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
| | - Adeen Flinker
- Department of Neurology, New York University School of Medicine, 550 1st Ave., New York, NY, 10016, USA
- Department of Biomedical Engineering, New York University School of Engineering, 6 MetroTech Center Ave., Brooklyn, NY, 11201, USA
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14
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Pinheiro-Chagas P, Sava-Segal C, Akkol S, Daitch A, Parvizi J. Spatiotemporal dynamics of successive activations across the human brain during simple arithmetic processing. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.11.22.568334. [PMID: 38045319 PMCID: PMC10690273 DOI: 10.1101/2023.11.22.568334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Previous neuroimaging studies have offered unique insights about the spatial organization of activations and deactivations across the brain, however these were not powered to explore the exact timing of events at the subsecond scale combined with precise anatomical source information at the level of individual brains. As a result, we know little about the order of engagement across different brain regions during a given cognitive task. Using experimental arithmetic tasks as a prototype for human-unique symbolic processing, we recorded directly across 10,076 brain sites in 85 human subjects (52% female) using intracranial electroencephalography (iEEG). Our data revealed a remarkably distributed change of activity in almost half of the sampled sites. Notably, an orderly successive activation of a set of brain regions - anatomically consistent across subjects-was observed in individual brains. Furthermore, the temporal order of activations across these sites was replicable across subjects and trials. Moreover, the degree of functional connectivity between the sites decreased as a function of temporal distance between regions, suggesting that information is partially leaked or transformed along the processing chain. Furthermore, in each activated region, distinct neuronal populations with opposite activity patterns during target and control conditions were juxtaposed in an anatomically orderly manner. Our study complements the prior imaging studies by providing hitherto unknown information about the timing of events in the brain during arithmetic processing. Such findings can be a basis for developing mechanistic computational models of human-specific cognitive symbolic systems. Significance statement Our study elucidates the spatiotemporal dynamics and anatomical specificity of brain activations across >10,000 sites during arithmetic tasks, as captured by intracranial EEG. We discovered an orderly, successive activation of brain regions, consistent across individuals, and a decrease in functional connectivity as a function of temporal distance between regions. Our findings provide unprecedented insights into the sequence of cognitive processing and regional interactions, offering a novel perspective for enhancing computational models of cognitive symbolic systems.
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15
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Wang R, Chen X, Khalilian-Gourtani A, Yu L, Dugan P, Friedman D, Doyle W, Devinsky O, Wang Y, Flinker A. Distributed feedforward and feedback cortical processing supports human speech production. Proc Natl Acad Sci U S A 2023; 120:e2300255120. [PMID: 37819985 PMCID: PMC10589651 DOI: 10.1073/pnas.2300255120] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 07/22/2023] [Indexed: 10/13/2023] Open
Abstract
Speech production is a complex human function requiring continuous feedforward commands together with reafferent feedback processing. These processes are carried out by distinct frontal and temporal cortical networks, but the degree and timing of their recruitment and dynamics remain poorly understood. We present a deep learning architecture that translates neural signals recorded directly from the cortex to an interpretable representational space that can reconstruct speech. We leverage learned decoding networks to disentangle feedforward vs. feedback processing. Unlike prevailing models, we find a mixed cortical architecture in which frontal and temporal networks each process both feedforward and feedback information in tandem. We elucidate the timing of feedforward and feedback-related processing by quantifying the derived receptive fields. Our approach provides evidence for a surprisingly mixed cortical architecture of speech circuitry together with decoding advances that have important implications for neural prosthetics.
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Affiliation(s)
- Ran Wang
- Electrical and Computer Engineering Department, New York University, New York, NY11201
| | - Xupeng Chen
- Electrical and Computer Engineering Department, New York University, New York, NY11201
| | | | - Leyao Yu
- Neurology Department, New York University, New York, NY10016
- Biomedical Engineering Department, New York University, New York, NY11201
| | - Patricia Dugan
- Neurology Department, New York University, New York, NY10016
| | - Daniel Friedman
- Neurology Department, New York University, New York, NY10016
| | - Werner Doyle
- Neurosurgery Department, New York University, New York, NY10016
| | - Orrin Devinsky
- Neurology Department, New York University, New York, NY10016
| | - Yao Wang
- Electrical and Computer Engineering Department, New York University, New York, NY11201
- Biomedical Engineering Department, New York University, New York, NY11201
| | - Adeen Flinker
- Neurology Department, New York University, New York, NY10016
- Biomedical Engineering Department, New York University, New York, NY11201
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16
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Soula M, Maslarova A, Harvey RE, Valero M, Brandner S, Hamer H, Fernández‐Ruiz A, Buzsáki G. Interictal epileptiform discharges affect memory in an Alzheimer's disease mouse model. Proc Natl Acad Sci U S A 2023; 120:e2302676120. [PMID: 37590406 PMCID: PMC10450667 DOI: 10.1073/pnas.2302676120] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 07/06/2023] [Indexed: 08/19/2023] Open
Abstract
Interictal epileptiform discharges (IEDs) are transient abnormal electrophysiological events commonly observed in epilepsy patients but are also present in other neurological diseases, such as Alzheimer's disease (AD). Understanding the role IEDs have on the hippocampal circuit is important for our understanding of the cognitive deficits seen in epilepsy and AD. We characterize and compare the IEDs of human epilepsy patients from microwire hippocampal recording with those of AD transgenic mice with implanted multilayer hippocampal silicon probes. Both the local field potential features and firing patterns of pyramidal cells and interneurons were similar in the mouse and human. We found that as IEDs emerged from the CA3-1 circuits, they recruited pyramidal cells and silenced interneurons, followed by post-IED suppression. IEDs suppressed the incidence and altered the properties of physiological sharp-wave ripples, altered their physiological properties, and interfered with the replay of place field sequences in a maze. In addition, IEDs in AD mice inversely correlated with daily memory performance. Together, our work implies that IEDs may present a common and epilepsy-independent phenomenon in neurodegenerative diseases that perturbs hippocampal-cortical communication and interferes with memory.
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Affiliation(s)
- Marisol Soula
- Neuroscience Institute, Langone Medical Center, New York University, New York, NY10016
| | - Anna Maslarova
- Neuroscience Institute, Langone Medical Center, New York University, New York, NY10016
- Department of Neurosurgery, Erlangen University Hospital, Friedrich Alexander University Erlangen-Nuremberg, 91054Erlangen, Germany
| | - Ryan E. Harvey
- Department of Neurobiology and Behavior, Cornell University, Ithaca, NY14853
| | - Manuel Valero
- Hospital del Mar Medical Research Institute, Barcelona Biomedical Research Park, Barcelona08003, Spain
| | - Sebastian Brandner
- Department of Neurosurgery, Erlangen University Hospital, Friedrich Alexander University Erlangen-Nuremberg, 91054Erlangen, Germany
| | - Hajo Hamer
- Department of Neurology, Epilepsy Center, Erlangen University Hospital, Friedrich Alexander University Erlangen-Nuremberg, 91054Erlangen, Germany
| | | | - György Buzsáki
- Neuroscience Institute, Langone Medical Center, New York University, New York, NY10016
- Department of Physiology and Neuroscience, Langone Medical Center, New York University, New York, NY10016
- Department of Neurology, Langone Medical Center, New York University, New York, NY10016
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17
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Yuasa K, Groen IIA, Piantoni G, Montenegro S, Flinker A, Devore S, Devinsky O, Doyle W, Dugan P, Friedman D, Ramsey N, Petridou N, Winawer J. Precise Spatial Tuning of Visually Driven Alpha Oscillations in Human Visual Cortex. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.11.528137. [PMID: 36865223 PMCID: PMC9979988 DOI: 10.1101/2023.02.11.528137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Neuronal oscillations at about 10 Hz, called alpha oscillations, are often thought to arise from synchronous activity across occipital cortex, reflecting general cognitive states such as arousal and alertness. However, there is also evidence that modulation of alpha oscillations in visual cortex can be spatially specific. Here, we used intracranial electrodes in human patients to measure alpha oscillations in response to visual stimuli whose location varied systematically across the visual field. We separated the alpha oscillatory power from broadband power changes. The variation in alpha oscillatory power with stimulus position was then fit by a population receptive field (pRF) model. We find that the alpha pRFs have similar center locations to pRFs estimated from broadband power (70-180 Hz), but are several times larger. The results demonstrate that alpha suppression in human visual cortex can be precisely tuned. Finally, we show how the pattern of alpha responses can explain several features of exogenous visual attention. Significance Statement The alpha oscillation is the largest electrical signal generated by the human brain. An important question in systems neuroscience is the degree to which this oscillation reflects system-wide states and behaviors such as arousal, alertness, and attention, versus much more specific functions in the routing and processing of information. We examined alpha oscillations at high spatial precision in human patients with intracranial electrodes implanted over visual cortex. We discovered a surprisingly high spatial specificity of visually driven alpha oscillations, which we quantified with receptive field models. We further use our discoveries about properties of the alpha response to show a link between these oscillations and the spread of visual attention.
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18
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Soper DJ, Reich D, Ross A, Salami P, Cash SS, Basu I, Peled N, Paulk AC. Modular pipeline for reconstruction and localization of implanted intracranial ECoG and sEEG electrodes. PLoS One 2023; 18:e0287921. [PMID: 37418486 PMCID: PMC10328232 DOI: 10.1371/journal.pone.0287921] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 06/15/2023] [Indexed: 07/09/2023] Open
Abstract
Implantation of electrodes in the brain has been used as a clinical tool for decades to stimulate and record brain activity. As this method increasingly becomes the standard of care for several disorders and diseases, there is a growing need to quickly and accurately localize the electrodes once they are placed within the brain. We share here a protocol pipeline for localizing electrodes implanted in the brain, which we have applied to more than 260 patients, that is accessible to multiple skill levels and modular in execution. This pipeline uses multiple software packages to prioritize flexibility by permitting multiple different parallel outputs while minimizing the number of steps for each output. These outputs include co-registered imaging, electrode coordinates, 2D and 3D visualizations of the implants, automatic surface and volumetric localizations of the brain regions per electrode, and anonymization and data sharing tools. We demonstrate here some of the pipeline's visualizations and automatic localization algorithms which we have applied to determine appropriate stimulation targets, to conduct seizure dynamics analysis, and to localize neural activity from cognitive tasks in previous studies. Further, the output facilitates the extraction of information such as the probability of grey matter intersection or the nearest anatomic structure per electrode contact across all data sets that go through the pipeline. We expect that this pipeline will be a useful framework for researchers and clinicians alike to localize implanted electrodes in the human brain.
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Affiliation(s)
- Daniel J. Soper
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Dustine Reich
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States of America
| | - Alex Ross
- Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, United States of America
| | - Pariya Salami
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Sydney S. Cash
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Ishita Basu
- Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, United States of America
| | - Noam Peled
- Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States of America
- Harvard Medical School, Boston, MA, United States of America
| | - Angelique C. Paulk
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
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19
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Zada Z, Goldstein A, Michelmann S, Simony E, Price A, Hasenfratz L, Barham E, Zadbood A, Doyle W, Friedman D, Dugan P, Melloni L, Devore S, Flinker A, Devinsky O, Nastase SA, Hasson U. A shared linguistic space for transmitting our thoughts from brain to brain in natural conversations. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.06.27.546708. [PMID: 37425747 PMCID: PMC10327051 DOI: 10.1101/2023.06.27.546708] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/11/2023]
Abstract
Effective communication hinges on a mutual understanding of word meaning in different contexts. The embedding space learned by large language models can serve as an explicit model of the shared, context-rich meaning space humans use to communicate their thoughts. We recorded brain activity using electrocorticography during spontaneous, face-to-face conversations in five pairs of epilepsy patients. We demonstrate that the linguistic embedding space can capture the linguistic content of word-by-word neural alignment between speaker and listener. Linguistic content emerged in the speaker's brain before word articulation, and the same linguistic content rapidly reemerged in the listener's brain after word articulation. These findings establish a computational framework to study how human brains transmit their thoughts to one another in real-world contexts.
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Affiliation(s)
- Zaid Zada
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Ariel Goldstein
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
- Department of Cognitive and Brain Sciences and Business School, Hebrew University; Jerusalem, 9190501, Israel
| | - Sebastian Michelmann
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Erez Simony
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
- Faculty of Engineering, Holon Institute of Technology, Holon, 5810201, Israel
| | - Amy Price
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Liat Hasenfratz
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Emily Barham
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Asieh Zadbood
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
- Department of Psychology, Columbia University; New York, 10027, USA
| | - Werner Doyle
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Daniel Friedman
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Patricia Dugan
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Lucia Melloni
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Sasha Devore
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Adeen Flinker
- Grossman School of Medicine, New York University; New York, 10016, USA
- Tandon School of Engineering, New York University; New York, 10016, USA
| | - Orrin Devinsky
- Grossman School of Medicine, New York University; New York, 10016, USA
| | - Samuel A. Nastase
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
| | - Uri Hasson
- Princeton Neuroscience Institute and Department of Psychology, Princeton University; New Jersey, 08544, USA
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20
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Blenkmann AO, Leske SL, Llorens A, Lin JJ, Chang E, Brunner P, Schalk G, Ivanovic J, Larsson PG, Knight RT, Endestad T, Solbakk AK. Anatomical registration of intracranial electrodes. Robust model-based localization and deformable smooth brain-shift compensation methods. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.05.08.539503. [PMID: 37214984 PMCID: PMC10197594 DOI: 10.1101/2023.05.08.539503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Precise electrode localization is important for maximizing the utility of intracranial EEG data. Electrodes are typically localized from post-implantation CT artifacts, but algorithms can fail due to low signal-to-noise ratio, unrelated artifacts, or high-density electrode arrays. Minimizing these errors usually requires time-consuming visual localization and can still result in inaccurate localizations. In addition, surgical implantation of grids and strips typically introduces non-linear brain deformations, which result in anatomical registration errors when post-implantation CT images are fused with the pre-implantation MRI images. Several projection methods are currently available, but they either fail to produce smooth solutions or do not account for brain deformations. To address these shortcomings, we propose two novel algorithms for the anatomical registration of intracranial electrodes that are almost fully automatic and provide highly accurate results. We first present GridFit, an algorithm that simultaneously localizes all contacts in grids, strips, or depth arrays by fitting flexible models to the electrodes' CT artifacts. We observed localization errors of less than one millimeter (below 8% relative to the inter-electrode distance) and robust performance under the presence of noise, unrelated artifacts, and high-density implants when we ran ~6000 simulated scenarios. Furthermore, we validated the method with real data from 20 intracranial patients. As a second registration step, we introduce CEPA, a brain-shift compensation algorithm that combines orthogonal-based projections, spring-mesh models, and spatial regularization constraints. When tested with real data from 15 patients, anatomical registration errors were smaller than those obtained for well-established alternatives. Additionally, CEPA accounted simultaneously for simple mechanical deformation principles, which is not possible with other available methods. Inter-electrode distances of projected coordinates smoothly changed across neighbor electrodes, while changes in inter-electrode distances linearly increased with projection distance. Moreover, in an additional validation procedure, we found that modeling resting-state high-frequency activity (75-145 Hz ) in five patients further supported our new algorithm. Together, GridFit and CEPA constitute a versatile set of tools for the registration of subdural grid, strip, and depth electrode coordinates that provide highly accurate results even in the most challenging implantation scenarios. The methods presented here are implemented in the iElectrodes open-source toolbox, making their use simple, accessible, and straightforward to integrate with other popular toolboxes used for analyzing electrophysiological data.
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Affiliation(s)
- Alejandro Omar Blenkmann
- Department of Psychology, University of Oslo, Norway
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway
| | - Sabine Liliana Leske
- Department of Musicology, University of Oslo, Norway
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway
| | - Anaïs Llorens
- Department of Psychology, University of Oslo, Norway
- Department of Psychology and the Helen Wills Neuroscience Institute, University of California, Berkeley, USA
| | - Jack J. Lin
- Department of Neurology and Center for Mind and Brain, University of California, Davis, USA
| | - Edward Chang
- Department of Neurological Surgery, University of California, San Francisco, USA
| | - Peter Brunner
- Department of Neurology, Albany Medical College, Albany, NY, USA
- National Center for Adaptive Neurotechnologies, Albany, NY, USA
| | - Gerwin Schalk
- Department of Neurology, Albany Medical College, Albany, NY, USA
- National Center for Adaptive Neurotechnologies, Albany, NY, USA
- Tianqiao and Chrissy Chen Institute, Chen Frontier Lab for Applied Neurotechnology, Shanghai, China
- Fudan University/Huashan Hospital, Department of Neurosurgery, Shanghai, China
| | | | | | - Robert Thomas Knight
- Department of Psychology and the Helen Wills Neuroscience Institute, University of California, Berkeley, USA
| | - Tor Endestad
- Department of Psychology, University of Oslo, Norway
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway
- Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway
| | - Anne-Kristin Solbakk
- Department of Psychology, University of Oslo, Norway
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, University of Oslo, Norway
- Department of Neurosurgery, Oslo University Hospital, Norway
- Department of Neuropsychology, Helgeland Hospital, Mosjøen, Norway
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21
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Soula M, Maslarova A, Harvey RE, Valero M, Brandner S, Hamer H, Fernández-Ruiz A, Buzsáki G. Interictal epileptiform discharges affect memory in an Alzheimer's Disease mouse model. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.15.528683. [PMID: 36824810 PMCID: PMC9949089 DOI: 10.1101/2023.02.15.528683] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Interictal epileptiform discharges (IEDs) are transient abnormal electrophysiological events commonly observed in epilepsy patients but are also present in other neurological disease, such as Alzheimer's Disease (AD). Understanding the role IEDs have on the hippocampal circuit is important for our understanding of the cognitive deficits seen in epilepsy and AD. We characterize and compare the IEDs of human epilepsy patients from microwire hippocampal recording with those of AD transgenic mice with implanted multi-layer hippocampal silicon probes. Both the local field potential features and firing patterns of pyramidal cells and interneurons were similar in mouse and human. We found that as IEDs emerged from the CA3-1 circuits, they recruited pyramidal cells and silenced interneurons, followed by post-IED suppression. IEDs suppressed the incidence and altered the properties of physiological sharp-wave ripples (SPW-Rs), altered their physiological properties, and interfered with the replay of place field sequences in a maze. In addition, IEDs in AD mice inversely correlated with daily memory performance. Together, our work implicates that IEDs may present a common and epilepsy-independent phenomenon in neurodegenerative diseases that perturbs hippocampal-cortical communication and interferes with memory. Significant Statement Prevalence of neurodegenerative diseases and the number of people with dementia is increasing steadily. Therefore, novel treatment strategies for learning and memory disorders are urgently necessary. IEDs, apart from being a surrogate for epileptic brain regions, have also been linked to cognitive decline. Here we report that IEDs in human epilepsy patients and AD mouse models have similar local field potential characteristics and associated firing patterns of pyramidal cells and interneurons. Mice with more IEDs displayed fewer hippocampal SPW-Rs, poorer replay of spatial trajectories, and decreased memory performance. IED suppression is an unexplored target to treat cognitive dysfunction in neurodegenerative diseases.
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22
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Melloni L, Mudrik L, Pitts M, Bendtz K, Ferrante O, Gorska U, Hirschhorn R, Khalaf A, Kozma C, Lepauvre A, Liu L, Mazumder D, Richter D, Zhou H, Blumenfeld H, Boly M, Chalmers DJ, Devore S, Fallon F, de Lange FP, Jensen O, Kreiman G, Luo H, Panagiotaropoulos TI, Dehaene S, Koch C, Tononi G. An adversarial collaboration protocol for testing contrasting predictions of global neuronal workspace and integrated information theory. PLoS One 2023; 18:e0268577. [PMID: 36763595 PMCID: PMC9916582 DOI: 10.1371/journal.pone.0268577] [Citation(s) in RCA: 23] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 05/03/2022] [Indexed: 02/11/2023] Open
Abstract
The relationship between conscious experience and brain activity has intrigued scientists and philosophers for centuries. In the last decades, several theories have suggested different accounts for these relationships. These theories have developed in parallel, with little to no cross-talk among them. To advance research on consciousness, we established an adversarial collaboration between proponents of two of the major theories in the field, Global Neuronal Workspace and Integrated Information Theory. Together, we devised and preregistered two experiments that test contrasting predictions of these theories concerning the location and timing of correlates of visual consciousness, which have been endorsed by the theories' proponents. Predicted outcomes should either support, refute, or challenge these theories. Six theory-impartial laboratories will follow the study protocol specified here, using three complementary methods: Functional Magnetic Resonance Imaging (fMRI), Magneto-Electroencephalography (M-EEG), and intracranial electroencephalography (iEEG). The study protocol will include built-in replications, both between labs and within datasets. Through this ambitious undertaking, we hope to provide decisive evidence in favor or against the two theories and clarify the footprints of conscious visual perception in the human brain, while also providing an innovative model of large-scale, collaborative, and open science practice.
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Affiliation(s)
- Lucia Melloni
- Neural Circuits, Consciousness and Cognition Research Group, Max Planck Institute for Empirical Aesthetics, Frankfurt am Main, Germany
- Department of Neurology, New York University Grossman School of Medicine, New York, New York, United States of America
| | - Liad Mudrik
- School of Psychological Sciences, Tel-Aviv University, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
| | - Michael Pitts
- Psychology Department, Reed College, Portland, Oregon, United States of America
| | - Katarina Bendtz
- Children’s Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
| | - Oscar Ferrante
- Centre for Human Brain Health, School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Urszula Gorska
- Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
| | - Rony Hirschhorn
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
| | - Aya Khalaf
- Department of Neurology, Yale School of Medicine, New Haven, Connecticut, United States of America
- Biomedical Engineering and Systems, Faculty of Engineering, Cairo University, Giza, Egypt
| | - Csaba Kozma
- Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
| | - Alex Lepauvre
- Neural Circuits, Consciousness and Cognition Research Group, Max Planck Institute for Empirical Aesthetics, Frankfurt am Main, Germany
| | - Ling Liu
- School of Psychological and Cognitive Science, Peking University, Peking, China
- IDG/McGovern Institute for Brain Science at Peking University, Peking, China
| | - David Mazumder
- Children’s Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
| | - David Richter
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - Hao Zhou
- Cognitive Neuroimaging Unit, Commissariat à l’Energie Atomique (CEA), Institut National de la Santé et de la Recherche Médicale (INSERM) U992, Gif-sur-Yvette, France
- State Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China
| | - Hal Blumenfeld
- Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
| | - Melanie Boly
- Department of Neurology, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
| | - David J. Chalmers
- Department of Philosophy, New York University, New York, New York, United States of America
| | - Sasha Devore
- Department of Neurology, New York University Grossman School of Medicine, New York, New York, United States of America
| | - Francis Fallon
- Philosophy Department, St. John’s University, New York, New York, United States of America
| | - Floris P. de Lange
- Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - Ole Jensen
- Centre for Human Brain Health, School of Psychology, University of Birmingham, Birmingham, United Kingdom
| | - Gabriel Kreiman
- Children’s Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
- Center for Brains, Minds and Machines, Boston, Massachusetts, United States of America
| | - Huan Luo
- School of Psychological and Cognitive Science, Peking University, Peking, China
- IDG/McGovern Institute for Brain Science at Peking University, Peking, China
| | - Theofanis I. Panagiotaropoulos
- Cognitive Neuroimaging Unit, Commissariat à l’Energie Atomique (CEA), Institut National de la Santé et de la Recherche Médicale (INSERM) U992, Gif-sur-Yvette, France
| | - Stanislas Dehaene
- Cognitive Neuroimaging Unit, Commissariat à l’Energie Atomique (CEA), Institut National de la Santé et de la Recherche Médicale (INSERM) U992, Gif-sur-Yvette, France
- Collège de France, Paris, France
| | - Christof Koch
- MindScope Program, Allen Institute, Seattle, Washington, United States of America
| | - Giulio Tononi
- Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
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23
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Pinheiro-Chagas P, Chen F, Sabetfakhri N, Perry C, Parvizi J. Direct intracranial recordings in the human angular gyrus during arithmetic processing. Brain Struct Funct 2023; 228:305-319. [PMID: 35907987 DOI: 10.1007/s00429-022-02540-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 07/12/2022] [Indexed: 01/07/2023]
Abstract
The role of angular gyrus (AG) in arithmetic processing remains a subject of debate. In the present study, we recorded from the AG, supramarginal gyrus (SMG), intraparietal sulcus (IPS), and superior parietal lobule (SPL) across 467 sites in 30 subjects performing addition or multiplication with digits or number words. We measured the power of high-frequency-broadband (HFB) signal, a surrogate marker for regional cortical engagement, and used single-subject anatomical boundaries to define the location of each recording site. Our recordings revealed the lowest proportion of sites with activation or deactivation within the AG compared to other subregions of the inferior parietal cortex during arithmetic processing. The few activated AG sites were mostly located at the border zones between AG and IPS, or AG and SMG. Additionally, we found that AG sites were more deactivated in trials with fast compared to slow response times. The increase or decrease of HFB within specific AG sites was the same when arithmetic trials were presented with number words versus digits and during multiplication as well as addition trials. Based on our findings, we conclude that the prior neuroimaging findings of so-called activations in the AG during arithmetic processing could have been due to group-based analyses that might have blurred the individual anatomical boundaries of AG or the subtractive nature of the neuroimaging methods in which lesser deactivations compared to the control condition have been interpreted as "activations". Our findings offer a new perspective with electrophysiological data about the engagement of AG during arithmetic processing.
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Affiliation(s)
- Pedro Pinheiro-Chagas
- Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, CA, 94305, USA
| | - Fengyixuan Chen
- Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, CA, 94305, USA
| | - Niki Sabetfakhri
- Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, CA, 94305, USA
| | - Claire Perry
- Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, CA, 94305, USA
| | - Josef Parvizi
- Laboratory of Behavioral and Cognitive Neuroscience, Stanford Human Intracranial Cognitive Electrophysiology Program, Department of Neurology and Neurological Science, Stanford University, Stanford, CA, 94305, USA.
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24
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Patient-specific solution of the electrocorticography forward problem in deforming brain. Neuroimage 2022; 263:119649. [PMID: 36167268 DOI: 10.1016/j.neuroimage.2022.119649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 08/25/2022] [Accepted: 09/23/2022] [Indexed: 11/22/2022] Open
Abstract
Invasive intracranial electroencephalography (iEEG), or electrocorticography (ECoG), measures electric potential directly on the surface of the brain and can be used to inform treatment planning for epilepsy surgery. Combined with numerical modeling it can further improve accuracy of epilepsy surgery planning. Accurate solution of the iEEG forward problem, which is a crucial prerequisite for solving the iEEG inverse problemin epilepsy seizure onset zone localization, requires accurate representation of the patient's brain geometry and tissue electrical conductivity after implantation of electrodes. However, implantation of subdural grid electrodes causes the brain to deform, which invalidates preoperatively acquired image data. Moreover, postoperative magnetic resonance imaging (MRI) is incompatible with implanted electrodes and computed tomography (CT) has insufficient range of soft tissue contrast, which precludes both MRI and CT from being used to obtain the deformed postoperative geometry. In this paper, we present a biomechanics-based image warping procedure using preoperative MRI for tissue classification and postoperative CT for locating implanted electrodes to perform non-rigid registration of the preoperative image data to the postoperative configuration. We solve the iEEG forward problem on the predicted postoperative geometry using the finite element method (FEM) which accounts for patient-specific inhomogeneity and anisotropy of tissue conductivity. Results for the simulation of a current source in the brain show large differences in electric potential predicted by the models based on the original images and the deformed images corresponding to the brain geometry deformed by placement of invasive electrodes. Computation of the lead field matrix (useful for solution of the iEEG inverse problem) also showed significant differences between the different models. The results suggest that rapid and accurate solution of the forward problem in a deformed brain for a given patient is achievable.
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25
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Mercier MR, Dubarry AS, Tadel F, Avanzini P, Axmacher N, Cellier D, Vecchio MD, Hamilton LS, Hermes D, Kahana MJ, Knight RT, Llorens A, Megevand P, Melloni L, Miller KJ, Piai V, Puce A, Ramsey NF, Schwiedrzik CM, Smith SE, Stolk A, Swann NC, Vansteensel MJ, Voytek B, Wang L, Lachaux JP, Oostenveld R. Advances in human intracranial electroencephalography research, guidelines and good practices. Neuroimage 2022; 260:119438. [PMID: 35792291 DOI: 10.1016/j.neuroimage.2022.119438] [Citation(s) in RCA: 47] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 05/23/2022] [Accepted: 06/30/2022] [Indexed: 12/11/2022] Open
Abstract
Since the second-half of the twentieth century, intracranial electroencephalography (iEEG), including both electrocorticography (ECoG) and stereo-electroencephalography (sEEG), has provided an intimate view into the human brain. At the interface between fundamental research and the clinic, iEEG provides both high temporal resolution and high spatial specificity but comes with constraints, such as the individual's tailored sparsity of electrode sampling. Over the years, researchers in neuroscience developed their practices to make the most of the iEEG approach. Here we offer a critical review of iEEG research practices in a didactic framework for newcomers, as well addressing issues encountered by proficient researchers. The scope is threefold: (i) review common practices in iEEG research, (ii) suggest potential guidelines for working with iEEG data and answer frequently asked questions based on the most widespread practices, and (iii) based on current neurophysiological knowledge and methodologies, pave the way to good practice standards in iEEG research. The organization of this paper follows the steps of iEEG data processing. The first section contextualizes iEEG data collection. The second section focuses on localization of intracranial electrodes. The third section highlights the main pre-processing steps. The fourth section presents iEEG signal analysis methods. The fifth section discusses statistical approaches. The sixth section draws some unique perspectives on iEEG research. Finally, to ensure a consistent nomenclature throughout the manuscript and to align with other guidelines, e.g., Brain Imaging Data Structure (BIDS) and the OHBM Committee on Best Practices in Data Analysis and Sharing (COBIDAS), we provide a glossary to disambiguate terms related to iEEG research.
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26
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Burkhardt J, Sharma A, Tan J, Franke L, Leburu J, Jeschke J, Devore S, Friedman D, Chen J, Haehn D. N-Tools-Browser: Web-Based Visualization of Electrocorticography Data for Epilepsy Surgery. FRONTIERS IN BIOINFORMATICS 2022; 2:857577. [PMID: 36304315 PMCID: PMC9580919 DOI: 10.3389/fbinf.2022.857577] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/11/2022] [Indexed: 11/13/2022] Open
Abstract
Epilepsy affects more than three million people in the United States. In approximately one-third of this population, anti-seizure medications do not control seizures. Many patients pursue surgical treatment that can include a procedure involving the implantation of electrodes for intracranial monitoring of seizure activity. For these cases, accurate mapping of the implanted electrodes on a patient’s brain is crucial in planning the ultimate surgical treatment. Traditionally, electrode mapping results are presented in static figures that do not allow for dynamic interactions and visualizations. In collaboration with a clinical research team at a Level 4 Epilepsy Center, we developed N-Tools-Browser, a web-based software using WebGL and the X-Toolkit (XTK), to help clinicians interactively visualize the location and functional properties of implanted intracranial electrodes in 3D. Our software allows the user to visualize the seizure focus location accurately and simultaneously display functional characteristics (e.g., results from electrical stimulation mapping). Different visualization modes enable the analysis of multiple electrode groups or individual anatomical locations. We deployed a prototype of N-Tools-Browser for our collaborators at the New York University Grossman School of Medicine Comprehensive Epilepsy Center. Then, we evaluated its usefulness with domain experts on clinical cases.
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Affiliation(s)
- Jay Burkhardt
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
| | - Aaryaman Sharma
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
| | - Jack Tan
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
| | - Loraine Franke
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
| | - Jahnavi Leburu
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
| | - Jay Jeschke
- Department of Neurology, New York University, Grossman School of Medicine, New York, NY, United States
| | - Sasha Devore
- Department of Neurology, New York University, Grossman School of Medicine, New York, NY, United States
| | - Daniel Friedman
- Department of Neurology, New York University, Grossman School of Medicine, New York, NY, United States
| | - Jingyun Chen
- Department of Neurology, New York University, Grossman School of Medicine, New York, NY, United States
- *Correspondence: Jingyun Chen,
| | - Daniel Haehn
- Machine Psychology Lab, Department of Computer Science, University of Massachusetts Boston, Boston, MA, United States
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27
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Goldstein A, Zada Z, Buchnik E, Schain M, Price A, Aubrey B, Nastase SA, Feder A, Emanuel D, Cohen A, Jansen A, Gazula H, Choe G, Rao A, Kim C, Casto C, Fanda L, Doyle W, Friedman D, Dugan P, Melloni L, Reichart R, Devore S, Flinker A, Hasenfratz L, Levy O, Hassidim A, Brenner M, Matias Y, Norman KA, Devinsky O, Hasson U. Shared computational principles for language processing in humans and deep language models. Nat Neurosci 2022; 25:369-380. [PMID: 35260860 PMCID: PMC8904253 DOI: 10.1038/s41593-022-01026-4] [Citation(s) in RCA: 92] [Impact Index Per Article: 46.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 01/27/2022] [Indexed: 11/17/2022]
Abstract
Departing from traditional linguistic models, advances in deep learning have resulted in a new type of predictive (autoregressive) deep language models (DLMs). Using a self-supervised next-word prediction task, these models generate appropriate linguistic responses in a given context. In the current study, nine participants listened to a 30-min podcast while their brain responses were recorded using electrocorticography (ECoG). We provide empirical evidence that the human brain and autoregressive DLMs share three fundamental computational principles as they process the same natural narrative: (1) both are engaged in continuous next-word prediction before word onset; (2) both match their pre-onset predictions to the incoming word to calculate post-onset surprise; (3) both rely on contextual embeddings to represent words in natural contexts. Together, our findings suggest that autoregressive DLMs provide a new and biologically feasible computational framework for studying the neural basis of language.
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Affiliation(s)
- Ariel Goldstein
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA.
- Google Research, Mountain View, CA, USA.
| | - Zaid Zada
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | | | | | - Amy Price
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Bobbi Aubrey
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
- New York University Grossman School of Medicine, New York, NY, USA
| | - Samuel A Nastase
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | | | | | | | | | - Harshvardhan Gazula
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Gina Choe
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
- New York University Grossman School of Medicine, New York, NY, USA
| | - Aditi Rao
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
- New York University Grossman School of Medicine, New York, NY, USA
| | - Catherine Kim
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
- New York University Grossman School of Medicine, New York, NY, USA
| | - Colton Casto
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Lora Fanda
- New York University Grossman School of Medicine, New York, NY, USA
| | - Werner Doyle
- New York University Grossman School of Medicine, New York, NY, USA
| | - Daniel Friedman
- New York University Grossman School of Medicine, New York, NY, USA
| | - Patricia Dugan
- New York University Grossman School of Medicine, New York, NY, USA
| | - Lucia Melloni
- Max Planck Institute for Empirical Aesthetics, Frankfurt, Germany
| | - Roi Reichart
- Faculty of Industrial Engineering and Management, Technion, Israel Institute of Technology, Haifa, Israel
| | - Sasha Devore
- New York University Grossman School of Medicine, New York, NY, USA
| | - Adeen Flinker
- New York University Grossman School of Medicine, New York, NY, USA
| | - Liat Hasenfratz
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Omer Levy
- Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv, Israel
| | | | - Michael Brenner
- Google Research, Mountain View, CA, USA
- School of Engineering and Applied Science, Harvard University, Cambridge, MA, USA
| | | | - Kenneth A Norman
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Orrin Devinsky
- New York University Grossman School of Medicine, New York, NY, USA
| | - Uri Hasson
- Department of Psychology and the Neuroscience Institute, Princeton University, Princeton, NJ, USA
- Google Research, Mountain View, CA, USA
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28
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Kaestner E, Wu X, Friedman D, Dugan P, Devinsky O, Carlson C, Doyle W, Thesen T, Halgren E. The Precentral Gyrus Contributions to the Early Time-Course of Grapheme-to-Phoneme Conversion. NEUROBIOLOGY OF LANGUAGE (CAMBRIDGE, MASS.) 2022; 3:18-45. [PMID: 37215328 PMCID: PMC10158576 DOI: 10.1162/nol_a_00047] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 06/16/2021] [Indexed: 05/24/2023]
Abstract
As part of silent reading models, visual orthographic information is transduced into an auditory phonological code in a process of grapheme-to-phoneme conversion (GPC). This process is often identified with lateral temporal-parietal regions associated with auditory phoneme encoding. However, the role of articulatory phonemic representations and the precentral gyrus in GPC is ambiguous. Though the precentral gyrus is implicated in many functional MRI studies of reading, it is not clear if the time course of activity in this region is consistent with the precentral gyrus being involved in GPC. We recorded cortical electrophysiology during a bimodal match/mismatch task from eight patients with perisylvian subdural electrodes to examine the time course of neural activity during a task that necessitated GPC. Patients made a match/mismatch decision between a 3-letter string and the following auditory bi-phoneme. We characterized the distribution and timing of evoked broadband high gamma (70-170 Hz) as well as phase-locking between electrodes. The precentral gyrus emerged with a high concentration of broadband high gamma responses to visual and auditory language as well as mismatch effects. The pars opercularis, supramarginal gyrus, and superior temporal gyrus were also involved. The precentral gyrus showed strong phase-locking with the caudal fusiform gyrus during letter-string presentation and with surrounding perisylvian cortex during the bimodal visual-auditory comparison period. These findings hint at a role for precentral cortex in transducing visual into auditory codes during silent reading.
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Affiliation(s)
- Erik Kaestner
- Center for Multimodal Imaging and Genetics, University of California, San Diego, USA
| | - Xiaojing Wu
- Department of Neurology, NYU Langone School of Medicine, New York, USA
| | - Daniel Friedman
- Department of Neurology, NYU Langone School of Medicine, New York, USA
| | - Patricia Dugan
- Department of Neurology, NYU Langone School of Medicine, New York, USA
| | - Orrin Devinsky
- Department of Neurology, NYU Langone School of Medicine, New York, USA
| | - Chad Carlson
- Department of Neurology, Medical College of Wisconsin, Milwaukee, USA
| | - Werner Doyle
- Department of Neurology, NYU Langone School of Medicine, New York, USA
- Department of Neurosurgery, NYU Langone School of Medicine, New York, USA
| | - Thomas Thesen
- Department of Neurology, NYU Langone School of Medicine, New York, USA
| | - Eric Halgren
- Department of Neurosciences, University of California at San Diego, La Jolla, USA
- Department of Radiology, University of California at San Diego, La Jolla, USA
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29
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Ozker M, Doyle W, Devinsky O, Flinker A. A cortical network processes auditory error signals during human speech production to maintain fluency. PLoS Biol 2022; 20:e3001493. [PMID: 35113857 PMCID: PMC8812883 DOI: 10.1371/journal.pbio.3001493] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 11/24/2021] [Indexed: 01/09/2023] Open
Abstract
Hearing one's own voice is critical for fluent speech production as it allows for the detection and correction of vocalization errors in real time. This behavior known as the auditory feedback control of speech is impaired in various neurological disorders ranging from stuttering to aphasia; however, the underlying neural mechanisms are still poorly understood. Computational models of speech motor control suggest that, during speech production, the brain uses an efference copy of the motor command to generate an internal estimate of the speech output. When actual feedback differs from this internal estimate, an error signal is generated to correct the internal estimate and update necessary motor commands to produce intended speech. We were able to localize the auditory error signal using electrocorticographic recordings from neurosurgical participants during a delayed auditory feedback (DAF) paradigm. In this task, participants hear their voice with a time delay as they produced words and sentences (similar to an echo on a conference call), which is well known to disrupt fluency by causing slow and stutter-like speech in humans. We observed a significant response enhancement in auditory cortex that scaled with the duration of feedback delay, indicating an auditory speech error signal. Immediately following auditory cortex, dorsal precentral gyrus (dPreCG), a region that has not been implicated in auditory feedback processing before, exhibited a markedly similar response enhancement, suggesting a tight coupling between the 2 regions. Critically, response enhancement in dPreCG occurred only during articulation of long utterances due to a continuous mismatch between produced speech and reafferent feedback. These results suggest that dPreCG plays an essential role in processing auditory error signals during speech production to maintain fluency.
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Affiliation(s)
- Muge Ozker
- Department of Neurology, New York University School of Medicine, New York, New York, United States of America
| | - Werner Doyle
- Department of Neurosurgery, New York University School of Medicine, New York, New York, United States of America
| | - Orrin Devinsky
- Department of Neurology, New York University School of Medicine, New York, New York, United States of America
| | - Adeen Flinker
- Department of Neurology, New York University School of Medicine, New York, New York, United States of America
- Department of Biomedical Engineering, New York University School of Engineering, New York, New York, United States of America
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30
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Ongoing neural oscillations influence behavior and sensory representations by suppressing neuronal excitability. Neuroimage 2021; 247:118746. [PMID: 34875382 DOI: 10.1016/j.neuroimage.2021.118746] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 10/21/2021] [Accepted: 11/19/2021] [Indexed: 12/28/2022] Open
Abstract
The ability to process and respond to external input is critical for adaptive behavior. Why, then, do neural and behavioral responses vary across repeated presentations of the same sensory input? Ongoing fluctuations of neuronal excitability are currently hypothesized to underlie the trial-by-trial variability in sensory processing. To test this, we capitalized on intracranial electrophysiology in neurosurgical patients performing an auditory discrimination task with visual cues: specifically, we examined the interaction between prestimulus alpha oscillations, excitability, task performance, and decoded neural stimulus representations. We found that strong prestimulus oscillations in the alpha+ band (i.e., alpha and neighboring frequencies), rather than the aperiodic signal, correlated with a low excitability state, indexed by reduced broadband high-frequency activity. This state was related to slower reaction times and reduced neural stimulus encoding strength. We propose that the alpha+ rhythm modulates excitability, thereby resulting in variability in behavior and sensory representations despite identical input.
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31
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Hardstone R, Zhu M, Flinker A, Melloni L, Devore S, Friedman D, Dugan P, Doyle WK, Devinsky O, He BJ. Long-term priors influence visual perception through recruitment of long-range feedback. Nat Commun 2021; 12:6288. [PMID: 34725348 PMCID: PMC8560909 DOI: 10.1038/s41467-021-26544-w] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 10/08/2021] [Indexed: 11/10/2022] Open
Abstract
Perception results from the interplay of sensory input and prior knowledge. Despite behavioral evidence that long-term priors powerfully shape perception, the neural mechanisms underlying these interactions remain poorly understood. We obtained direct cortical recordings in neurosurgical patients as they viewed ambiguous images that elicit constant perceptual switching. We observe top-down influences from the temporal to occipital cortex, during the preferred percept that is congruent with the long-term prior. By contrast, stronger feedforward drive is observed during the non-preferred percept, consistent with a prediction error signal. A computational model based on hierarchical predictive coding and attractor networks reproduces all key experimental findings. These results suggest a pattern of large-scale information flow change underlying long-term priors' influence on perception and provide constraints on theories about long-term priors' influence on perception.
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Affiliation(s)
- Richard Hardstone
- Neuroscience Institute, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Michael Zhu
- Neuroscience Institute, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Adeen Flinker
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Lucia Melloni
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Sasha Devore
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Daniel Friedman
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Patricia Dugan
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Werner K Doyle
- Department of Neurosurgery, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Orrin Devinsky
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA
| | - Biyu J He
- Neuroscience Institute, New York University Grossman School of Medicine, New York, NY, 10016, USA.
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, 10016, USA.
- Department of Neuroscience and Physiology, New York University Grossman School of Medicine, New York, NY, 10016, USA.
- Department of Radiology, New York University Grossman School of Medicine, New York, NY, 10016, USA.
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32
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Kaestner E, Thesen T, Devinsky O, Doyle W, Carlson C, Halgren E. An Intracranial Electrophysiology Study of Visual Language Encoding: The Contribution of the Precentral Gyrus to Silent Reading. J Cogn Neurosci 2021; 33:2197-2214. [PMID: 34347873 PMCID: PMC8497063 DOI: 10.1162/jocn_a_01764] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Models of reading emphasize that visual (orthographic) processing provides input to phonological as well as lexical-semantic processing. Neurobiological models of reading have mapped these processes to distributed regions across occipital-temporal, temporal-parietal, and frontal cortices. However, the role of the precentral gyrus in these models is ambiguous. Articulatory phonemic representations in the precentral gyrus are obviously involved in reading aloud, but it is unclear if the precentral gyrus is recruited during reading silently in a time window consistent with participation in phonological processing contributions. Here, we recorded intracranial electrophysiology during a speeded semantic decision task from 24 patients to map the spatio-temporal flow of information across the cortex during silent reading. Patients selected animate nouns from a stream of nonanimate words, letter strings, and false-font stimuli. We characterized the distribution and timing of evoked high-gamma power (70-170 Hz) as well as phase-locking between electrodes. The precentral gyrus showed a proportion of electrodes responsive to linguistic stimuli (27%) that was at least as high as those of surrounding peri-sylvian regions. These precentral gyrus electrodes had significantly greater high-gamma power for words compared to both false-font and letter-string stimuli. In a patient with word-selective effects in the fusiform, superior temporal, and precentral gyri, there was significant phase-locking between the fusiform and precentral gyri starting at ∼180 msec and between the precentral and superior temporal gyri starting at ∼220 msec. Finally, our large patient cohort allowed exploratory analyses of the spatio-temporal reading network underlying silent reading. The distribution, timing, and connectivity results place the precentral gyrus as an important hub in the silent reading network.
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Affiliation(s)
| | | | | | - Werner Doyle
- New York University Comprehensive Epilepsy Center
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33
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Leeman-Markowski B, Hardstone R, Lohnas L, Cowen B, Davachi L, Doyle W, Dugan P, Friedman D, Liu A, Melloni L, Selesnick I, Wang B, Meador K, Devinsky O. Effects of hippocampal interictal discharge timing, duration, and spatial extent on list learning. Epilepsy Behav 2021; 123:108209. [PMID: 34416521 PMCID: PMC9169111 DOI: 10.1016/j.yebeh.2021.108209] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 05/11/2021] [Accepted: 06/30/2021] [Indexed: 11/15/2022]
Abstract
Interictal epileptiform discharges (IEDs) can impair memory. The properties of IEDs most detrimental to memory, however, are undefined. We studied the impact of temporal and spatial characteristics of IEDs on list learning. Subjects completed a memory task during intracranial EEG recordings including hippocampal depth and temporal neocortical subdural electrodes. Subjects viewed a series of objects, and after a distracting task, recalled the objects from the list. The impacts of IED presence, duration, and propagation to neocortex during encoding of individual stimuli were assessed. The effects of IED total number and duration during maintenance and recall periods on delayed recall performance were also determined. The influence of IEDs during recall was further investigated by comparing the likelihood of IEDs preceding correctly recalled items vs. periods of no verbal response. Across 6 subjects, we analyzed 28 hippocampal and 139 lateral temporal contacts. Recall performance was poor, with a median of 17.2% correct responses (range 10.4-21.9%). Interictal epileptiform discharges during encoding, maintenance, and recall did not significantly impact task performance, and there was no significant difference between the likelihood of IEDs during correct recall vs. periods of no response. No significant effects of discharge duration during encoding, maintenance, or recall were observed. Interictal epileptiform discharges with spread to lateral temporal cortex during encoding did not adversely impact recall. A post hoc analysis refining model assumptions indicated a negative impact of IED count during the maintenance period, but otherwise confirmed the above results. Our findings suggest no major effect of hippocampal IEDs on list learning, but study limitations, such as baseline hippocampal dysfunction, should be considered. The impact of IEDs during the maintenance period may be a focus of future research.
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Affiliation(s)
- Beth Leeman-Markowski
- Research Service, VA New York Harbor Healthcare System, 423 E. 23rd St., New York, NY 10010, United States; Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY 10016, United States.
| | - Richard Hardstone
- Neuroscience Institute, New York University Langone Health, 550 1st Ave., New York, NY, US 10016
| | - Lynn Lohnas
- Department of Psychology, New York University, 6 Washington Pl., New York, NY, US 10003
| | - Benjamin Cowen
- Department of Electrical and Computer Engineering, Tandon School of Engineering, New York University, 6 MetroTech Center, Brooklyn, NY, US 11201
| | - Lila Davachi
- Department of Psychology, New York University, 6 Washington Pl., New York, NY, US 10003
| | - Werner Doyle
- Department of Neurosurgery, New York University Langone Health, 530 1st Ave., New York, NY, US 10016
| | - Patricia Dugan
- Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY, US 10016
| | - Daniel Friedman
- Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY, US 10016
| | - Anli Liu
- Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY, US 10016,Neuroscience Institute, New York University Langone Health, 550 1st Ave., New York, NY, US 10016
| | - Lucia Melloni
- Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY, US 10016,Max Planck Institute for Empirical Aesthetics, Grüneburgweg 14, 60322 Frankfurt am Main, Germany
| | - Ivan Selesnick
- Department of Electrical and Computer Engineering, Tandon School of Engineering, New York University, 6 MetroTech Center, Brooklyn, NY, US 11201
| | - Binhuan Wang
- Department of Population Health, New York University Langone Health, 180 Madison Ave., New York, NY, US 10016
| | - Kimford Meador
- Department of Neurology & Neurological Sciences, Stanford University School of Medicine, 213 Quarry Road, Palo Alto, CA, US 94304
| | - Orrin Devinsky
- Comprehensive Epilepsy Center, Department of Neurology, New York University Langone Health, 223 E. 34th St., New York, NY, US 10016,Neuroscience Institute, New York University Langone Health, 550 1st Ave., New York, NY, US 10016,Department of Neurosurgery, New York University Langone Health, 530 1st Ave., New York, NY, US 10016,Department of Psychiatry, New York University Langone Health, 550 1st Ave., New York, NY, US 10016
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34
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Michelmann S, Price AR, Aubrey B, Strauss CK, Doyle WK, Friedman D, Dugan PC, Devinsky O, Devore S, Flinker A, Hasson U, Norman KA. Moment-by-moment tracking of naturalistic learning and its underlying hippocampo-cortical interactions. Nat Commun 2021; 12:5394. [PMID: 34518520 PMCID: PMC8438040 DOI: 10.1038/s41467-021-25376-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 08/02/2021] [Indexed: 01/10/2023] Open
Abstract
Humans form lasting memories of stimuli that were only encountered once. This naturally occurs when listening to a story, however it remains unclear how and when memories are stored and retrieved during story-listening. Here, we first confirm in behavioral experiments that participants can learn about the structure of a story after a single exposure and are able to recall upcoming words when the story is presented again. We then track mnemonic information in high frequency activity (70–200 Hz) as patients undergoing electrocorticographic recordings listen twice to the same story. We demonstrate predictive recall of upcoming information through neural responses in auditory processing regions. This neural measure correlates with behavioral measures of event segmentation and learning. Event boundaries are linked to information flow from cortex to hippocampus. When listening for a second time, information flow from hippocampus to cortex precedes moments of predictive recall. These results provide insight on a fine-grained temporal scale into how episodic memory encoding and retrieval work under naturalistic conditions. When listening to a story, humans learn about its structure and content. Here the authors reveal the neural processes behind episodic memory and predictive recall at a fine temporal scale in this naturalistic setting
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Affiliation(s)
- Sebastian Michelmann
- Department of Psychology, Princeton University, Princeton, NJ, USA. .,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA.
| | - Amy R Price
- Department of Psychology, Princeton University, Princeton, NJ, USA.,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Bobbi Aubrey
- Department of Psychology, Princeton University, Princeton, NJ, USA.,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Camilla K Strauss
- Department of Psychology, Princeton University, Princeton, NJ, USA.,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Werner K Doyle
- School of Medicine, New York University, New York, NY, USA
| | | | | | - Orrin Devinsky
- School of Medicine, New York University, New York, NY, USA
| | - Sasha Devore
- School of Medicine, New York University, New York, NY, USA
| | - Adeen Flinker
- School of Medicine, New York University, New York, NY, USA
| | - Uri Hasson
- Department of Psychology, Princeton University, Princeton, NJ, USA.,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
| | - Kenneth A Norman
- Department of Psychology, Princeton University, Princeton, NJ, USA.,Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
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35
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Charlebois CM, Caldwell DJ, Rampersad SM, Janson AP, Ojemann JG, Brooks DH, MacLeod RS, Butson CR, Dorval AD. Validating Patient-Specific Finite Element Models of Direct Electrocortical Stimulation. Front Neurosci 2021; 15:691701. [PMID: 34408621 PMCID: PMC8365306 DOI: 10.3389/fnins.2021.691701] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 07/12/2021] [Indexed: 11/13/2022] Open
Abstract
Direct electrocortical stimulation (DECS) with electrocorticography electrodes is an established therapy for epilepsy and an emerging application for stroke rehabilitation and brain-computer interfaces. However, the electrophysiological mechanisms that result in a therapeutic effect remain unclear. Patient-specific computational models are promising tools to predict the voltages in the brain and better understand the neural and clinical response to DECS, but the accuracy of such models has not been directly validated in humans. A key hurdle to modeling DECS is accurately locating the electrodes on the cortical surface due to brain shift after electrode implantation. Despite the inherent uncertainty introduced by brain shift, the effects of electrode localization parameters have not been investigated. The goal of this study was to validate patient-specific computational models of DECS against in vivo voltage recordings obtained during DECS and quantify the effects of electrode localization parameters on simulated voltages on the cortical surface. We measured intracranial voltages in six epilepsy patients during DECS and investigated the following electrode localization parameters: principal axis, Hermes, and Dykstra electrode projection methods combined with 0, 1, and 2 mm of cerebral spinal fluid (CSF) below the electrodes. Greater CSF depth between the electrode and cortical surface increased model errors and decreased predicted voltage accuracy. The electrode localization parameters that best estimated the recorded voltages across six patients with varying amounts of brain shift were the Hermes projection method and a CSF depth of 0 mm (r = 0.92 and linear regression slope = 1.21). These results are the first to quantify the effects of electrode localization parameters with in vivo intracranial recordings and may serve as the basis for future studies investigating the neuronal and clinical effects of DECS for epilepsy, stroke, and other emerging closed-loop applications.
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Affiliation(s)
- Chantel M Charlebois
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States.,Scientific Computing and Imaging (SCI) Institute, University of Utah, Salt Lake City, UT, United States
| | - David J Caldwell
- Department of Bioengineering, University of Washington, Seattle, WA, United States.,Center for Neurotechnology, University of Washington, Seattle, WA, United States.,Medical Scientist Training Program, University of Washington, Seattle, WA, United States
| | - Sumientra M Rampersad
- Department of Electrical and Computer Engineering, Northeastern University, Boston, MA, United States
| | - Andrew P Janson
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States.,Scientific Computing and Imaging (SCI) Institute, University of Utah, Salt Lake City, UT, United States
| | - Jeffrey G Ojemann
- Department of Neurological Surgery, University of Washington, Seattle, WA, United States
| | - Dana H Brooks
- Department of Electrical and Computer Engineering, Northeastern University, Boston, MA, United States
| | - Rob S MacLeod
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States.,Scientific Computing and Imaging (SCI) Institute, University of Utah, Salt Lake City, UT, United States
| | - Christopher R Butson
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States.,Scientific Computing and Imaging (SCI) Institute, University of Utah, Salt Lake City, UT, United States.,Department of Neurology, Neurosurgery and Psychiatry, University of Utah, Salt Lake City, UT, United States
| | - Alan D Dorval
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States
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36
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Lavrov I, Latypov T, Mukhametova E, Lundstrom BN, Sandroni P, Lee K, Klassen B, Stead M. Pre-motor versus motor cerebral cortex neuromodulation for chronic neuropathic pain. Sci Rep 2021; 11:12688. [PMID: 34135363 PMCID: PMC8209192 DOI: 10.1038/s41598-021-91872-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 05/21/2021] [Indexed: 11/13/2022] Open
Abstract
Electrical stimulation of the cerebral cortex (ESCC) has been used to treat intractable neuropathic pain for nearly two decades, however, no standardized approach for this technique has been developed. In order to optimize targeting and validate the effect of ESCC before placing the permanent grid, we introduced initial assessment with trial stimulation, using a temporary grid of subdural electrodes. In this retrospective study we evaluate the role of electrode location on cerebral cortex in control of neuropathic pain and the role of trial stimulation in target-optimization for ESCC. Location of the temporary grid electrodes and location of permanent electrodes were evaluated in correlation with the long-term efficacy of ESCC. The results of this study demonstrate that the long-term effect of subdural pre-motor cortex stimulation is at least the same or higher compare to effect of subdural motor or combined pre-motor and motor cortex stimulation. These results also demonstrate that the initial trial stimulation helps to optimize permanent electrode positions in relation to the optimal functional target that is critical in cases when brain shift is expected. Proposed methodology and novel results open a new direction for development of neuromodulation techniques to control chronic neuropathic pain.
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Affiliation(s)
- Igor Lavrov
- Department of Neurology, Mayo Clinic, Rochester, MN, USA.
- Department of Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.
- Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia.
- Skolkovo Institute of Science and Technology, Moscow, Russia.
| | - Timur Latypov
- Division of Brain, Imaging, and Behaviour Systems Neuroscience, Krembil Research Institute, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
- Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Elvira Mukhametova
- Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia
| | | | - Paola Sandroni
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Kendall Lee
- Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Bryan Klassen
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Matt Stead
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
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37
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Crocker B, Ostrowski L, Williams ZM, Dougherty DD, Eskandar EN, Widge AS, Chu CJ, Cash SS, Paulk AC. Local and distant responses to single pulse electrical stimulation reflect different forms of connectivity. Neuroimage 2021; 237:118094. [PMID: 33940142 DOI: 10.1016/j.neuroimage.2021.118094] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Revised: 03/13/2021] [Accepted: 04/13/2021] [Indexed: 12/17/2022] Open
Abstract
Measuring connectivity in the human brain involves innumerable approaches using both noninvasive (fMRI, EEG) and invasive (intracranial EEG or iEEG) recording modalities, including the use of external probing stimuli, such as direct electrical stimulation. To examine how different measures of connectivity correlate with one another, we compared 'passive' measures of connectivity during resting state conditions to the more 'active' probing measures of connectivity with single pulse electrical stimulation (SPES). We measured the network engagement and spread of the cortico-cortico evoked potential (CCEP) induced by SPES at 53 out of 104 total sites across the brain, including cortical and subcortical regions, in patients with intractable epilepsy (N=11) who were undergoing intracranial recordings as a part of their clinical care for identifying seizure onset zones. We compared the CCEP network to functional, effective, and structural measures of connectivity during a resting state in each patient. Functional and effective connectivity measures included correlation or Granger causality measures applied to stereoEEG (sEEGs) recordings. Structural connectivity was derived from diffusion tensor imaging (DTI) acquired before intracranial electrode implant and monitoring (N=8). The CCEP network was most similar to the resting state voltage correlation network in channels near to the stimulation location. In contrast, the distant CCEP network was most similar to the DTI network. Other connectivity measures were not as similar to the CCEP network. These results demonstrate that different connectivity measures, including those derived from active stimulation-based probing, measure different, complementary aspects of regional interrelationships in the brain.
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Affiliation(s)
- Britni Crocker
- Harvard-MIT Health Sciences and Technology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, 02139; Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Lauren Ostrowski
- Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Ziv M Williams
- Nayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
| | - Darin D Dougherty
- Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129
| | - Emad N Eskandar
- Nayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA; Department of Neurosurgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467
| | - Alik S Widge
- Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129; Picower Institute for Learning & Memory, Massachusetts Institute of Technology, Cambridge, MA 02124; Department of Psychiatry, University of Minnesota, Minneapolis, MN 55455
| | - Catherine J Chu
- Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Sydney S Cash
- Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Angelique C Paulk
- Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA; Nayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
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38
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Tantawi M, Miao J, Matias C, Skidmore CT, Sperling MR, Sharan AD, Wu C. Gray Matter Sampling Differences Between Subdural Electrodes and Stereoelectroencephalography Electrodes. Front Neurol 2021; 12:669406. [PMID: 33986721 PMCID: PMC8110924 DOI: 10.3389/fneur.2021.669406] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 03/31/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: Stereoelectroencephalography (SEEG) has seen a recent increase in popularity in North America; however, concerns regarding the spatial sampling capabilities of SEEG remain. We aimed to quantify and compare the spatial sampling of subdural electrode (SDE) and SEEG implants. Methods: Patients with drug-resistant epilepsy who underwent invasive monitoring were included in this retrospective case-control study. Ten SEEG cases were compared with ten matched SDE cases based on clinical presentation and pre-implantation hypothesis. To quantify gray matter sampling, MR and CT images were coregistered and a 2.5mm radius sphere was superimposed over the center of each electrode contact. The estimated recording volume of gray matter was defined as the cortical voxels within these spherical models. Paired t-tests were performed to compare volumes and locations of SDE and SEEG recording. A Ripley's K-function analysis was performed to quantify differences in spatial distributions. Results: The average recording volume of gray matter by each individual contact was similar between the two modalities. SEEG implants sampled an average of 20% more total gray matter, consisted of an average of 17% more electrode contacts, and had 77% more of their contacts covering gray matter within sulci. Insular coverage was only achieved with SEEG. SEEG implants generally consist of discrete areas of dense local coverage scattered across the brain; while SDE implants cover relatively contiguous areas with lower density recording. Significance: Average recording volumes per electrode contact are similar for SEEG and SDE, but SEEG may allow for greater overall volumes of recording as more electrodes can be routinely implanted. The primary difference lies in the location and distribution of gray matter than can be sampled. The selection between SEEG and SDE implantation depends on sampling needs of the invasive implant.
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Affiliation(s)
- Mohamed Tantawi
- Department of Radiology, Jefferson Integrated Magnetic Resonance Imaging Center, Thomas Jefferson University, Philadelphia, PA, United States.,Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States
| | - Jingya Miao
- Department of Radiology, Jefferson Integrated Magnetic Resonance Imaging Center, Thomas Jefferson University, Philadelphia, PA, United States.,Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States
| | - Caio Matias
- Department of Radiology, Jefferson Integrated Magnetic Resonance Imaging Center, Thomas Jefferson University, Philadelphia, PA, United States.,Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States
| | | | - Michael R Sperling
- Department of Neurology, Thomas Jefferson University, Philadelphia, PA, United States
| | - Ashwini D Sharan
- Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States
| | - Chengyuan Wu
- Department of Radiology, Jefferson Integrated Magnetic Resonance Imaging Center, Thomas Jefferson University, Philadelphia, PA, United States.,Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, United States
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39
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Henin S, Shankar A, Borges H, Flinker A, Doyle W, Friedman D, Devinsky O, Buzsáki G, Liu A. Spatiotemporal dynamics between interictal epileptiform discharges and ripples during associative memory processing. Brain 2021; 144:1590-1602. [PMID: 33889945 DOI: 10.1093/brain/awab044] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 11/16/2020] [Accepted: 12/06/2020] [Indexed: 12/13/2022] Open
Abstract
We describe the spatiotemporal course of cortical high-gamma activity, hippocampal ripple activity and interictal epileptiform discharges during an associative memory task in 15 epilepsy patients undergoing invasive EEG. Successful encoding trials manifested significantly greater high-gamma activity in hippocampus and frontal regions. Successful cued recall trials manifested sustained high-gamma activity in hippocampus compared to failed responses. Hippocampal ripple rates were greater during successful encoding and retrieval trials. Interictal epileptiform discharges during encoding were associated with 15% decreased odds of remembering in hippocampus (95% confidence interval 6-23%). Hippocampal interictal epileptiform discharges during retrieval predicted 25% decreased odds of remembering (15-33%). Odds of remembering were reduced by 25-52% if interictal epileptiform discharges occurred during the 500-2000 ms window of encoding or by 41% during retrieval. During encoding and retrieval, hippocampal interictal epileptiform discharges were followed by a transient decrease in ripple rate. We hypothesize that interictal epileptiform discharges impair associative memory in a regionally and temporally specific manner by decreasing physiological hippocampal ripples necessary for effective encoding and recall. Because dynamic memory impairment arises from pathological interictal epileptiform discharge events competing with physiological ripples, interictal epileptiform discharges represent a promising therapeutic target for memory remediation in patients with epilepsy.
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Affiliation(s)
- Simon Henin
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - Anita Shankar
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - Helen Borges
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - Adeen Flinker
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - Werner Doyle
- NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA.,NYU Langone Health, Department of Neurosurgery, New York, NY 10016, USA
| | - Daniel Friedman
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - Orrin Devinsky
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA
| | - György Buzsáki
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,New York University, Neuroscience Institute, New York, NY 10016, USA
| | - Anli Liu
- NYU Langone Health, Department of Neurology, New York, NY 10017, USA.,NYU Langone Health, Comprehensive Epilepsy Center, New York, NY 10016, USA.,New York University, Neuroscience Institute, New York, NY 10016, USA
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Yazdani M, Reagan J, Kocher M, Antonucci M, Taylor J, Edwards J, Vandergrift WA, Spampinato MV. Safety of MRI in the localization of implanted intracranial electrodes for refractory epilepsy. J Neuroimaging 2021; 31:551-559. [PMID: 33783916 DOI: 10.1111/jon.12848] [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: 12/07/2020] [Revised: 01/27/2021] [Accepted: 02/17/2021] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND AND PURPOSE This is an observational study to evaluate the safety of magnetic resonance imaging (MRI) to localize subdural grids and depth electrodes in patients with refractory epilepsy using a 1.5 Tesla MR scanner. METHODS We implemented an optimized MRI protocol providing adequate image quality for the assessment of subdural grids and depth electrodes, while minimizing the specific absorption rate (SAR). We reviewed all MRI studies performed in patients with subdural grids and depth electrodes between January 2010 and October 2018. Image quality was graded as acceptable or nonacceptable for the assessment of intracranial device positioning. We reviewed the medical record and any imaging obtained after intracranial implant removal for adverse event or complication occurring during and after the procedure. RESULTS Ninety-nine patients with refractory epilepsy underwent MRI scans using a magnetization-prepared rapid acquisition of gradient echo sequence and a transmit-receive head coil with depth electrodes and subdural grids in place. Two patients underwent two separate depth electrode implantations for a total of 101 procedures and MRI scans. No clinical adverse events were reported during or immediately after imaging. Image quality was graded as acceptable for 97 MRI scans. Review of follow-up CT and MRI studies after implant removal, available for 70 patients, did not demonstrate unexpected complications in 69 patients. CONCLUSION In our experience, a low SAR MRI protocol can be used to safely localize intracranial subdural grids and depth electrode in patients with refractory epilepsy.
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Affiliation(s)
- Milad Yazdani
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
| | - Justin Reagan
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
| | - Madison Kocher
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
| | - Michael Antonucci
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
| | - James Taylor
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
| | - Jonathan Edwards
- Department of Neurosciences, Medical University of South Carolina, Charleston, SC
| | | | - Maria Vittoria Spampinato
- Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC
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Clinical safety of intracranial EEG electrodes in MRI at 1.5 T and 3 T: a single-center experience and literature review. Neuroradiology 2021; 63:1669-1678. [PMID: 33543360 DOI: 10.1007/s00234-021-02661-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 01/28/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE Intracranial electroencephalography (EEG) can be a critical part of presurgical evaluation for drug resistant epilepsy. With the increasing use of intracranial EEG, the safety of these electrodes in the magnetic resonance imaging (MRI) environment remains a concern, particularly at higher field strengths. However, no studies have reported the MRI safety experience of intracranial electrodes at 3 T. We report an MRI safety review of patients with intracranial electrodes at 1.5 and 3 T. METHODS One hundred and sixty-five consecutive admissions for intracranial EEG monitoring were reviewed. A total of 184 MRI scans were performed on 135 patients over 140 admissions. These included 118 structural MRI studies at 1.5 T and 66 functional MRI studies at 3 T. The magnetic resonance (MR) protocols avoided the use of high specific energy absorption rate sequences that could result in electrode heating. The intracranial implantations included 114 depth, 15 subdural, and 11 combined subdural and depth electrodes. Medical records were reviewed for patient-reported complications and radiologic complications related to these studies. Pre-implantation, post-implantation, and post-explantation imaging studies were reviewed for potential complications. RESULTS No adverse events or complications were seen during or after MRI scanning at 1.5 or 3 T apart from those attributed to electrode implantation. There was also no clinical or imaging evidence of worsening of pre-existing implantation-related complications after MR imaging. CONCLUSION No clinical or radiographic complications are seen when performing MRI scans at 1.5 or 3 T on patients with implanted intracranial EEG electrodes while avoiding high specific energy absorption rate sequences.
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Henin S, Turk-Browne NB, Friedman D, Liu A, Dugan P, Flinker A, Doyle W, Devinsky O, Melloni L. Learning hierarchical sequence representations across human cortex and hippocampus. SCIENCE ADVANCES 2021; 7:eabc4530. [PMID: 33608265 PMCID: PMC7895424 DOI: 10.1126/sciadv.abc4530] [Citation(s) in RCA: 66] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 01/07/2021] [Indexed: 05/03/2023]
Abstract
Sensory input arrives in continuous sequences that humans experience as segmented units, e.g., words and events. The brain's ability to discover regularities is called statistical learning. Structure can be represented at multiple levels, including transitional probabilities, ordinal position, and identity of units. To investigate sequence encoding in cortex and hippocampus, we recorded from intracranial electrodes in human subjects as they were exposed to auditory and visual sequences containing temporal regularities. We find neural tracking of regularities within minutes, with characteristic profiles across brain areas. Early processing tracked lower-level features (e.g., syllables) and learned units (e.g., words), while later processing tracked only learned units. Learning rapidly shaped neural representations, with a gradient of complexity from early brain areas encoding transitional probability, to associative regions and hippocampus encoding ordinal position and identity of units. These findings indicate the existence of multiple, parallel computational systems for sequence learning across hierarchically organized cortico-hippocampal circuits.
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Affiliation(s)
- Simon Henin
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA.
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | | | - Daniel Friedman
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Anli Liu
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Patricia Dugan
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Adeen Flinker
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Werner Doyle
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Orrin Devinsky
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
| | - Lucia Melloni
- New York University Comprehensive Epilepsy Center, 223 34th Street, New York, NY 10016, USA.
- Department of Neurology, New York University School of Medicine, 240 East 38th Street, 20th Floor, New York, NY 10016, USA
- Department of Neuroscience, Max Planck Institute for Empirical Aesthetics, Grüneburgweg 14, 60322 Frankfurt am Main, Germany
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Shum J, Fanda L, Dugan P, Doyle WK, Devinsky O, Flinker A. Neural correlates of sign language production revealed by electrocorticography. Neurology 2020; 95:e2880-e2889. [PMID: 32788249 PMCID: PMC7734739 DOI: 10.1212/wnl.0000000000010639] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 05/20/2020] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE The combined spatiotemporal dynamics underlying sign language production remain largely unknown. To investigate these dynamics compared to speech production, we used intracranial electrocorticography during a battery of language tasks. METHODS We report a unique case of direct cortical surface recordings obtained from a neurosurgical patient with intact hearing who is bilingual in English and American Sign Language. We designed a battery of cognitive tasks to capture multiple modalities of language processing and production. RESULTS We identified 2 spatially distinct cortical networks: ventral for speech and dorsal for sign production. Sign production recruited perirolandic, parietal, and posterior temporal regions, while speech production recruited frontal, perisylvian, and perirolandic regions. Electrical cortical stimulation confirmed this spatial segregation, identifying mouth areas for speech production and limb areas for sign production. The temporal dynamics revealed superior parietal cortex activity immediately before sign production, suggesting its role in planning and producing sign language. CONCLUSIONS Our findings reveal a distinct network for sign language and detail the temporal propagation supporting sign production.
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Affiliation(s)
- Jennifer Shum
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY.
| | - Lora Fanda
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY
| | - Patricia Dugan
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY
| | - Werner K Doyle
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY
| | - Orrin Devinsky
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY
| | - Adeen Flinker
- From the Department of Neurology (J.S., L.F., P.D., W.K.D., O.D., A.F.), Comprehensive Epilepsy Center, and Department of Neurosurgery (W.K.D.), New York University School of Medicine, NY
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Thézé R, Giraud AL, Mégevand P. The phase of cortical oscillations determines the perceptual fate of visual cues in naturalistic audiovisual speech. SCIENCE ADVANCES 2020; 6:6/45/eabc6348. [PMID: 33148648 PMCID: PMC7673697 DOI: 10.1126/sciadv.abc6348] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 09/17/2020] [Indexed: 06/11/2023]
Abstract
When we see our interlocutor, our brain seamlessly extracts visual cues from their face and processes them along with the sound of their voice, making speech an intrinsically multimodal signal. Visual cues are especially important in noisy environments, when the auditory signal is less reliable. Neuronal oscillations might be involved in the cortical processing of audiovisual speech by selecting which sensory channel contributes more to perception. To test this, we designed computer-generated naturalistic audiovisual speech stimuli where one mismatched phoneme-viseme pair in a key word of sentences created bistable perception. Neurophysiological recordings (high-density scalp and intracranial electroencephalography) revealed that the precise phase angle of theta-band oscillations in posterior temporal and occipital cortex of the right hemisphere was crucial to select whether the auditory or the visual speech cue drove perception. We demonstrate that the phase of cortical oscillations acts as an instrument for sensory selection in audiovisual speech processing.
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Affiliation(s)
- Raphaël Thézé
- Department of Basic Neurosciences, Faculty of Medicine, University of Geneva, 1202 Geneva, Switzerland
| | - Anne-Lise Giraud
- Department of Basic Neurosciences, Faculty of Medicine, University of Geneva, 1202 Geneva, Switzerland
| | - Pierre Mégevand
- Department of Basic Neurosciences, Faculty of Medicine, University of Geneva, 1202 Geneva, Switzerland.
- Division of Neurology, Department of Clinical Neurosciences, Geneva University Hospitals, 1205 Geneva, Switzerland
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Erhardt JB, Lottner T, Pasluosta CF, Gessner I, Mathur S, Schuettler M, Bock M, Stieglitz T. Fabrication and validation of reference structures for the localization of subdural standard- and micro-electrodes in MRI. J Neural Eng 2020; 17:046044. [PMID: 32764195 DOI: 10.1088/1741-2552/abad7a] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Report simple reference structure fabrication and validate the precise localization of subdural micro- and standard electrodes in magnetic resonance imaging (MRI) in phantom experiments. APPROACH Electrode contacts with diameters of 0.3 mm and 4 mm are localized in 1.5 T MRI using reference structures made of silicone and iron oxide nanoparticle doping. The precision of the localization procedure was assessed for several standard MRI sequences and implant orientations in phantom experiments and compared to common clinical localization procedures. MAIN RESULTS A localization precision of 0.41 ± 0.20 mm could be achieved for both electrode diameters compared to 1.46 ± 0.69 mm that was achieved for 4 mm standard electrode contacts localized using a common clinical standard method. The new reference structures are intrinsically bio-compatible, and they can be detected with currently available feature detection software so that a clinical implementation of this technology should be feasible. SIGNIFICANCE Neuropathologies are increasingly diagnosed and treated with subdural electrodes, where the exact localization of the electrode contacts with respect to the patient's cortical anatomy is a prerequisite for the procedure. Post-implantation electrode localization using MRI may be advantageous compared to the common alternative of CT-MRI image co-registration, as it avoids systematic localization errors associated with the co-registration itself, as well as brain shift and implant movement. Additionally, MRI provides superior soft tissue contrast for the identification of brain lesions without exposing the patient to ionizing radiation. Recent studies show that smaller electrodes and high-density electrode grids are ideal for clinical and research purposes, but the localization of these devices in MRI has not been demonstrated.
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Affiliation(s)
- Johannes B Erhardt
- Department of Microsystems Engineering-IMTEK, University of Freiburg, Freiburg, Germany. BrainLinks-BrainTools, Freiburg, Germany
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Foldes ST, Munter BT, Appavu BL, Kerrigan JF, Adelson PD. Shift in electrocorticography electrode locations after surgical implantation in children. Epilepsy Res 2020; 167:106410. [PMID: 32758670 DOI: 10.1016/j.eplepsyres.2020.106410] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 06/05/2020] [Accepted: 06/27/2020] [Indexed: 10/24/2022]
Abstract
Interpreting electrocorticography (ECoG) in the context of neuroimaging requires that multimodal information be integrated accurately. However, the implantation of ECoG electrodes can shift the brain impacting the spatial interpretation of electrode locations in the context of pre-implant imaging. We characterized the amount of shift in ECoG electrode locations immediately after implant in a pediatric population. Electrode-shift was quantified as the difference in the electrode locations immediately after surgery (via post-operation CT) compared to the brain surface before the operation (pre-implant T1 MRI). A total of 1140 ECoG contracts were assessed across 18 patients ranging from 3 to 19 (12.1 ± 4.8) years of age who underwent intracranial monitoring in preparation for epilepsy resection surgery. Patients had an average of 63 channels assessed with an average of 5.64 ± 3.27 mm shift from the pre-implant brain surface within 24 h of implant. This shift significantly increased with estimated intracranial volume, but not age. Shift also varied significantly depending of the lobe the contact was over; where contacts on the temporal and frontal lobe had less shift than the parietal. Furthermore, contacts on strips had significantly less shift than those on grids. The shift in the brain surface due to ECoG implantation could lead to a misinterpretation of contact location particularly in patients with larger intracranial volume and for grid contacts over the parietal lobes.
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Affiliation(s)
- Stephen T Foldes
- Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, AZ, United States; Department of Child Health, University of Arizona - College of Medicine, Phoenix, AZ, United States; School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States.
| | - Bryce T Munter
- Department of Child Health, University of Arizona - College of Medicine, Phoenix, AZ, United States
| | - Brian L Appavu
- Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, AZ, United States; Department of Child Health, University of Arizona - College of Medicine, Phoenix, AZ, United States; School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States
| | - John F Kerrigan
- Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, AZ, United States; Department of Child Health, University of Arizona - College of Medicine, Phoenix, AZ, United States
| | - P David Adelson
- Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, AZ, United States; Department of Child Health, University of Arizona - College of Medicine, Phoenix, AZ, United States; School of Biological and Health Systems Engineering, Arizona State University, Tempe, AZ, United States
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Liu A, Friedman D, Barron DS, Wang X, Thesen T, Dugan P. Forced conceptual thought induced by electrical stimulation of the left prefrontal gyrus involves widespread neural networks. Epilepsy Behav 2020; 104:106644. [PMID: 31951969 PMCID: PMC7172015 DOI: 10.1016/j.yebeh.2019.106644] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 09/03/2019] [Accepted: 10/04/2019] [Indexed: 01/27/2023]
Abstract
BACKGROUND Early accounts of forced thought were reported at the onset of a focal seizure, and characterized as vague, repetitive, and involuntary intellectual auras distinct from perceptual or psychic hallucinations or illusions. Here, we examine the neural underpinnings involved in conceptual thought by presenting a series of 3 patients with epilepsy reporting intrusive thoughts during electrical stimulation of the left lateral prefrontal cortex (PFC) during invasive surgical evaluation. We illustrate the widespread networks involved through two independent brain imaging modalities: resting state functional magnetic resonance imaging (fMRI) (rs-fMRI) and task-based meta-analytic connectivity modeling (MACM). METHODS We report the clinical and stimulation characteristics of three patients with left hemispheric language dominance who demonstrate forced thought with functional mapping. To examine the brain networks underlying this phenomenon, we used the regions of interest (ROI) centered at the active electrode pairs. We modeled functional networks using two approaches: (1) rs-fMRI functional connectivity analysis, representing 81 healthy controls and (2) meta-analytic connectivity modeling (MACM), representing 8260 healthy subjects. We also determined the overlapping regions between these three subjects' rs-fMRI and MACM networks through a conjunction analysis. RESULTS We identified that left PFC was associated with a large-scale functional network including frontal, temporal, and parietal regions, a network that has been associated with multiple cognitive functions including semantics, speech, attention, working memory, and explicit memory. CONCLUSIONS We illustrate the neural networks involved in conceptual thought through a unique patient population and argue that PFC supports this function through activation of a widespread network.
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Affiliation(s)
- Anli Liu
- NYU Langone Medical Center, Department of Neurology, United States of America.
| | - Daniel Friedman
- NYU Langone Medical Center, Department of Neurology, United States of America.
| | | | - Xiuyuan Wang
- NYU Langone Medical Center, Department of Neurology and Radiology, United States of America.
| | - Thomas Thesen
- NYU Langone Medical Center, Department of Neurology, United States of America.
| | - Patricia Dugan
- NYU Langone Medical Center, Department of Neurology, United States of America.
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Li G, Jiang S, Chen C, Brunner P, Wu Z, Schalk G, Chen L, Zhang D. iEEGview: an open-source multifunction GUI-based Matlab toolbox for localization and visualization of human intracranial electrodes. J Neural Eng 2019; 17:016016. [PMID: 31658449 DOI: 10.1088/1741-2552/ab51a5] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE The precise localization of intracranial electrodes is a fundamental step relevant to the analysis of intracranial electroencephalography (iEEG) recordings in various fields. With the increasing development of iEEG studies in human neuroscience, higher requirements have been posed on the localization process, resulting in urgent demand for more integrated, easy-operation and versatile tools for electrode localization and visualization. With the aim of addressing this need, we develop an easy-to-use and multifunction toolbox called iEEGview, which can be used for the localization and visualization of human intracranial electrodes. APPROACH iEEGview is written in Matlab scripts and implemented with a GUI. From the GUI, by taking only pre-implant MRI and post-implant CT images as input, users can directly run the full localization pipeline including brain segmentation, image co-registration, electrode reconstruction, anatomical information identification, activation map generation and electrode projection from native brain space into common brain space for group analysis. Additionally, iEEGview implements methods for brain shift correction, visual location inspection on MRI slices and computation of certainty index in anatomical label assignment. MAIN RESULTS All the introduced functions of iEEGview work reliably and successfully, and are tested by images from 28 human subjects implanted with depth and/or subdural electrodes. SIGNIFICANCE iEEGview is the first public Matlab GUI-based software for intracranial electrode localization and visualization that holds integrated capabilities together within one pipeline. iEEGview promotes convenience and efficiency for the localization process, provides rich localization information for further analysis and offers solutions for addressing raised technical challenges. Therefore, it can serve as a useful tool in facilitating iEEG studies.
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Affiliation(s)
- Guangye Li
- State Key Laboratory of Mechanical Systems and Vibrations, Institute of Robotics, Shanghai Jiao Tong University, Shanghai, People's Republic of China. National Center for Adaptive Neurotechnologies, Wadsworth Center, New York State Department of Health, Albany, NY, United States of America
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Quantitative Signal Characteristics of Electrocorticography and Stereoelectroencephalography: The Effect of Contact Depth. J Clin Neurophysiol 2019; 36:195-203. [PMID: 30925509 PMCID: PMC6493682 DOI: 10.1097/wnp.0000000000000577] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Supplemental Digital Content is Available in the Text. Purpose: Patients undergoing epilepsy surgery often require invasive EEG, but few studies have examined the signal characteristics of contacts on the surface of the brain (electrocorticography, ECOG) versus depth contacts, used in stereoelectroencephalography (SEEG). As SEEG and ECOG have significant differences in complication rates, it is important to determine whether both modalities produce similar signals for analysis, to ultimately guide management of medically intractable epilepsy. Methods: Twenty-seven patients who underwent SEEG (19), ECOG (6), or both (2) were analyzed for quantitative measures of activity including spectral power and phase–amplitude coupling during approximately 1 hour of wakefulness. The position of the contacts was calculated by coregistering the postoperative computed tomography with a reconstructed preoperative MRI. Using two types of referencing schemes—local versus common average reference—the brain regions where any quantitative measure differed systematically with contact depth were established. Results: Using even the most permissive statistical criterion, few quantitative measures were significantly correlated with contact depth in either ECOG or SEEG contacts. The factors that predicted changes in spectral power and phase–amplitude coupling with contact depth were failing to baseline correct spectral power measures, use of a local rather than common average reference, using baseline correction for phase–amplitude coupling measures, and proximity of other grey matter structures near the region where the contact was located. Conclusions: The signals recorded by ECOG and SEEG have very similar spectral power and phase–amplitude coupling, suggesting that both modalities are comparable from an electrodiagnostic standpoint in delineation of the epileptogenic network.
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Abstract
The alpha rhythm is the longest-studied brain oscillation and has been theorized to play a key role in cognition. Still, its physiology is poorly understood. In this study, we used microelectrodes and macroelectrodes in surgical epilepsy patients to measure the intracortical and thalamic generators of the alpha rhythm during quiet wakefulness. We first found that alpha in both visual and somatosensory cortex propagates from higher-order to lower-order areas. In posterior cortex, alpha propagates from higher-order anterosuperior areas toward the occipital pole, whereas alpha in somatosensory cortex propagates from associative regions toward primary cortex. Several analyses suggest that this cortical alpha leads pulvinar alpha, complicating prevailing theories of a thalamic pacemaker. Finally, alpha is dominated by currents and firing in supragranular cortical layers. Together, these results suggest that the alpha rhythm likely reflects short-range supragranular feedback, which propagates from higher- to lower-order cortex and cortex to thalamus. These physiological insights suggest how alpha could mediate feedback throughout the thalamocortical system.
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