Zaveri Hitten P, Duckrow Robert B, Spencer Susan S
Department of Neurology, Yale University School of Medicine, New Haven, CT 06520, USA.
Clin Neurophysiol. 2006 Sep;117(9):2102-8. doi: 10.1016/j.clinph.2006.05.032. Epub 2006 Aug 1.
Bipolar montages are routinely employed for the interpretation of scalp and intracranial EEGs (icEEGs). In this manuscript we consider the assumptions that support the use of a bipolar montage and question the universal appropriateness of bipolar representation of icEEGs for the time-series analysis of these signals. Bipolar montages introduce an element of spatial processing into the observed time-series. In the case of icEEGs, we argue ambiguity may be introduced in some settings through this operation because of a lack of certifiability of local differentiability and continuity of the spatial structure of icEEGs, and their suboptimal spatial sampling.
Example icEEGs were collected from three patients being studied for possible resective epilepsy surgery. Referential and bipolar representations of these signals were subjected to different visual and time-series analysis. The time-series measures calculated were the power spectral density and magnitude squared coherence.
Visual analysis and time-series measures revealed that the icEEG time-series was altered by the use of a bipolar montage. The changes resulted from either the introduction of unrelated information from the two referential time-series into the bipolar time-series, or from the removal or alteration of information common to the two referential time-series in the bipolar time-series. The changes could not be predicted without prior knowledge of the relationship between measurement sites that form the bipolar montage.
In certain settings, bipolar montages alter icEEGs and can confound the time-series analysis of these signals. In such settings, bipolar montages should be used with caution in the time-series analysis of icEEGs.
This manuscript addresses the representation of the intracranial EEG for time-series analysis. There may be contexts where the assumptions underpinning correct application of the bipolar montage to the intracranial EEG are not satisfied.
双极导联常用于头皮脑电图和颅内脑电图(icEEG)的解读。在本论文中,我们探讨了支持使用双极导联的假设,并质疑双极导联在icEEG信号时间序列分析中的普遍适用性。双极导联在观测到的时间序列中引入了空间处理元素。对于icEEG而言,我们认为在某些情况下,由于缺乏icEEG空间结构局部可微性和连续性的可认证性以及其空间采样不理想,这种操作可能会引入模糊性。
从三名正在接受可能的切除性癫痫手术评估的患者中收集icEEG示例。对这些信号的参考导联和双极导联表示进行不同的视觉和时间序列分析。计算的时间序列指标为功率谱密度和幅度平方相干性。
视觉分析和时间序列指标显示,使用双极导联会改变icEEG时间序列。这些变化要么是由于将两个参考时间序列中的无关信息引入双极时间序列,要么是由于在双极时间序列中去除或改变了两个参考时间序列共有的信息。如果没有形成双极导联的测量部位之间关系的先验知识,这些变化是无法预测的。
在某些情况下,双极导联会改变icEEG,并可能混淆这些信号的时间序列分析。在这种情况下,在icEEG的时间序列分析中应谨慎使用双极导联。
本论文探讨了用于时间序列分析的颅内脑电图的表示方法。可能存在一些情况,双极导联正确应用于颅内脑电图的假设不成立。