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静息态 MEG 青少年肌阵挛癫痫的计算生物标志物。

A computational biomarker of juvenile myoclonic epilepsy from resting-state MEG.

机构信息

Cardiff University Brain Research Imaging Centre, School of Psychology, Cardiff University, Cardiff CF24 4HQ, United Kingdom.

Cardiff University Brain Research Imaging Centre, School of Psychology, Cardiff University, Cardiff CF24 4HQ, United Kingdom.

出版信息

Clin Neurophysiol. 2021 Apr;132(4):922-927. doi: 10.1016/j.clinph.2020.12.021. Epub 2021 Feb 4.

Abstract

OBJECTIVE

For people with idiopathic generalized epilepsy, functional networks derived from their resting-state scalp electrophysiological recordings have shown an inherent higher propensity to generate seizures than those from healthy controls when assessed using the concept of brain network ictogenicity (BNI). Herein we tested whether the BNI framework is applicable to resting-state magnetoencephalography (MEG) from people with juvenile myoclonic epilepsy (JME).

METHODS

The BNI framework consists in deriving a functional network from apparently normal brain activity, placing a mathematical model of ictogenicity into the network and then computing how often such network generates seizures in silico. We considered data from 26 people with JME and 26 healthy controls.

RESULTS

We found that resting-state MEG functional networks from people with JME are characterized by a higher propensity to generate seizures (i.e., higher BNI) than those from healthy controls. We found a classification accuracy of 73%.

CONCLUSIONS

The BNI framework is applicable to MEG and was capable of differentiating people with epilepsy from healthy controls.

SIGNIFICANCE

The BNI framework may be applied to resting-state MEG to aid in epilepsy diagnosis.

摘要

目的

对于特发性全面性癫痫患者,当使用脑网络致痫性(BNI)的概念评估时,源自其静息状态头皮电生理记录的功能网络显示出比健康对照组更高的固有致痫倾向。在此,我们测试了 BNI 框架是否适用于青少年肌阵挛性癫痫(JME)患者的静息状态脑磁图(MEG)。

方法

BNI 框架包括从明显正常的大脑活动中得出功能网络,将致痫性的数学模型放入网络中,然后计算该网络在计算机中产生癫痫发作的频率。我们考虑了 26 名 JME 患者和 26 名健康对照者的数据。

结果

我们发现,JME 患者的静息状态 MEG 功能网络具有更高的致痫倾向(即更高的 BNI),而健康对照组则较低。我们发现分类准确率为 73%。

结论

BNI 框架适用于 MEG,并能够区分癫痫患者和健康对照者。

意义

BNI 框架可应用于静息状态 MEG 以辅助癫痫诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d96/7992031/5eacf548be7b/gr1.jpg

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