在癫痫和对照中挖掘新皮层高频振荡的数据。
Data mining neocortical high-frequency oscillations in epilepsy and controls.
机构信息
Department of Electrical and Computer Engineering, United States Naval Academy, Annapolis, MD 21402, USA.
出版信息
Brain. 2011 Oct;134(Pt 10):2948-59. doi: 10.1093/brain/awr212. Epub 2011 Sep 8.
Transient high-frequency (100-500 Hz) oscillations of the local field potential have been studied extensively in human mesial temporal lobe. Previous studies report that both ripple (100-250 Hz) and fast ripple (250-500 Hz) oscillations are increased in the seizure-onset zone of patients with mesial temporal lobe epilepsy. Comparatively little is known, however, about their spatial distribution with respect to seizure-onset zone in neocortical epilepsy, or their prevalence in normal brain. We present a quantitative analysis of high-frequency oscillations and their rates of occurrence in a group of nine patients with neocortical epilepsy and two control patients with no history of seizures. Oscillations were automatically detected and classified using an unsupervised approach in a data set of unprecedented volume in epilepsy research, over 12 terabytes of continuous long-term micro- and macro-electrode intracranial recordings, without human preprocessing, enabling selection-bias-free estimates of oscillation rates. There are three main results: (i) a cluster of ripple frequency oscillations with median spectral centroid = 137 Hz is increased in the seizure-onset zone more frequently than a cluster of fast ripple frequency oscillations (median spectral centroid = 305 Hz); (ii) we found no difference in the rates of high frequency oscillations in control neocortex and the non-seizure-onset zone neocortex of patients with epilepsy, despite the possibility of different underlying mechanisms of generation; and (iii) while previous studies have demonstrated that oscillations recorded by parenchyma-penetrating micro-electrodes have higher peak 100-500 Hz frequencies than penetrating macro-electrodes, this was not found for the epipial electrodes used here to record from the neocortical surface. We conclude that the relative rate of ripple frequency oscillations is a potential biomarker for epileptic neocortex, but that larger prospective studies correlating high-frequency oscillations rates with seizure-onset zone, resected tissue and surgical outcome are required to determine the true predictive value.
局部场电位的瞬态高频(100-500 Hz)振荡在人类内侧颞叶中得到了广泛研究。先前的研究报告称,在伴有内侧颞叶癫痫的患者的发作起始区,棘波(100-250 Hz)和快棘波(250-500 Hz)振荡均增加。然而,关于它们在皮质性癫痫中的发作起始区的空间分布,或者在正常脑中的发生率,知之甚少。我们在一组 9 例皮质性癫痫患者和 2 例无癫痫发作史的对照患者中,对高频振荡及其发生频率进行了定量分析。使用一种无监督方法自动检测和分类振荡,该方法使用了癫痫研究中前所未有的大容量数据集,超过 12 太字节的连续长期微和宏观电极颅内记录,无需人工预处理,从而可以对振荡率进行无选择偏差的估计。主要有三个结果:(i)在发作起始区中,具有中位数谱质心 = 137 Hz 的棘波频率振荡簇比具有中位数谱质心 = 305 Hz 的快棘波频率振荡簇更频繁地增加;(ii)我们发现,在控制皮质和癫痫患者的非发作起始区皮质中,高频振荡的发生率没有差异,尽管存在不同的产生机制;(iii)尽管先前的研究表明,穿透性微电极记录的振荡具有比穿透性宏观电极更高的 100-500 Hz 峰值频率,但这里用于从皮质表面记录的脑皮层电极却没有发现这种情况。我们的结论是,棘波频率振荡的相对速率可能是癫痫性皮质的潜在生物标志物,但需要更大的前瞻性研究将高频振荡速率与发作起始区、切除组织和手术结果相关联,以确定其真正的预测价值。