Weiss Shennan A, Waldman Zachary, Raimondo Federico, Slezak Diego, Donmez Mustafa, Worrell Gregory, Bragin Anatol, Engel Jerome, Staba Richard, Sperling Michael
Departments of Neurology & Neuroscience, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Department of Computer Science, Faculty of Exact & Natural Sciences, University of Buenos Aires, Buenos Aires, Argentina.
Biomark Med. 2019 Apr;13(5):409-418. doi: 10.2217/bmm-2018-0335. Epub 2019 May 2.
Pathological high frequency oscillations (HFOs) are putative neurophysiological biomarkers of epileptogenic brain tissue. Utilizing HFOs for epilepsy surgery planning offers the promise of improved seizure outcomes for patients with medically refractory epilepsy. This review discusses possible machine learning strategies that can be applied to HFO biomarkers to better identify epileptogenic regions. We discuss the role of HFO rate, and utilizing features such as explicit HFO properties (spectral content, duration, and power) and phase-amplitude coupling for distinguishing pathological HFO (pHFO) events from physiological HFO events. In addition, the review highlights the importance of neuroanatomical localization in machine learning strategies.
病理性高频振荡(HFOs)被认为是致痫脑组织的神经生理生物标志物。利用HFOs进行癫痫手术规划有望改善药物难治性癫痫患者的癫痫发作预后。本文综述了可能适用于HFO生物标志物的机器学习策略,以更好地识别致痫区域。我们讨论了HFO发生率的作用,以及利用诸如明确的HFO特性(频谱内容、持续时间和功率)和相位-振幅耦合等特征来区分病理性HFO(pHFO)事件与生理性HFO事件。此外,本文综述强调了神经解剖定位在机器学习策略中的重要性。