Mercedes Cabrerizo, Adjouadi Malek, Ayala Melvin, Tito Maria
Department of Electrical and Computer Engineering, Florida International University, 10555 W. Flagler Street, Miami, FL 33174, USA.
Biomed Sci Instrum. 2006;42:243-8.
This study introduces an algorithm for a new application dedicated at discriminating between electrodes leading to a seizure onset and those that do not lead to seizure using interictal subdural EEG data. The significance of this study is in determining among all of these channels, all containing interictal spikes that are asynchronously, independent of region and time, which are selected randomly (these EEG portions may or may not contain spikes), and yet through the developed algorithm, we are able to classify those channels that lead to seizure and those that do not. The main zones of ictal activity are supposed to evolve from the tissue located at the channels that present interictal activity, but sometimes this is no the case. The purpose is to gain a better understanding of the dynamics of the human brain through a study of subdural EEG, with an emphasis on attempting to characterize the common behaviors of interictal EEG channels prior to an ictal activity. The study will try to correlate the clinical features with the EEG findings and to determine whether the patient has a consistent source of ictal activity, which is coming from the location of the group of channels that present interictal activity. If a method was found to detect the electrodes that present interictal activity, with the most potential to lead to an pileptic seizure, then the epilepsy focus could be located with a higher degree of certainty. This analysis allows for the detection of neurological disorders due to epileptic activity in the brain, and rings out how different patients react prior to a seizure.
本研究介绍了一种算法,用于一项新的应用,该应用旨在利用发作间期硬膜下脑电图数据,区分导致癫痫发作起始的电极和不导致癫痫发作的电极。本研究的意义在于,在所有这些均包含发作间期尖峰的通道中确定哪些通道会导致癫痫发作,哪些不会。这些尖峰是异步的,与区域和时间无关,是随机选择的(这些脑电图部分可能包含或不包含尖峰),然而通过所开发的算法,我们能够对导致癫痫发作的通道和不导致癫痫发作的通道进行分类。癫痫发作活动的主要区域应该从存在发作间期活动的通道所在的组织演变而来,但有时情况并非如此。目的是通过对硬膜下脑电图的研究,更好地理解人类大脑的动态,重点是试图描述发作期活动之前发作间期脑电图通道的常见行为。该研究将尝试将临床特征与脑电图结果相关联,并确定患者是否有一致的发作期活动源,该活动源来自呈现发作间期活动的通道组的位置。如果找到一种方法来检测呈现发作间期活动且最有可能导致癫痫发作的电极,那么癫痫病灶的定位就能更准确。这种分析有助于检测由于大脑癫痫活动引起的神经障碍,并揭示不同患者在癫痫发作前的反应。