Huang Baoqiang, Li Chunsheng
Department of Biomedical Engineering, School of Electrical Engineering, Shenyang University of Technology, Shenyang 110870, P. R. China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2022 Dec 25;39(6):1165-1172. doi: 10.7507/1001-5515.202205048.
Drug-refractory epilepsy (DRE) may be treated by surgical intervention. Intracranial EEG has been widely used to localize the epileptogenic zone (EZ). Most studies of epileptic network focus on the features of EZ nodes, such as centrality and degrees. It is difficult to apply those features to the treatment of individual patients. In this study, we proposed a spatial neighbor expansion approach for EZ localization based on a neural computational model and epileptic network reconstruction. The virtual resection method was also used to validate the effectiveness of our approach. The electrocorticography (ECoG) data from 11 patients with DRE were analyzed in this study. Both interictal data and surgical resection regions were used. The results showed that the rate of consistency between the localized regions and the surgical resections in patients with good outcomes was higher than that in patients with poor outcomes. The average deviation distance of the localized region for patients with good outcomes and poor outcomes were 15 mm and 36 mm, respectively. Outcome prediction showed that the patients with poor outcomes could be improved when the brain regions localized by the proposed approach were treated. This study provides a quantitative analysis tool for patient-specific measures for potential surgical treatment of epilepsy.
药物难治性癫痫(DRE)可通过手术干预进行治疗。颅内脑电图已被广泛用于定位癫痫病灶区(EZ)。大多数关于癫痫网络的研究都集中在EZ节点的特征上,如中心性和度数。将这些特征应用于个体患者的治疗存在困难。在本研究中,我们基于神经计算模型和癫痫网络重建提出了一种用于EZ定位的空间邻域扩展方法。还使用虚拟切除方法来验证我们方法的有效性。本研究分析了11例DRE患者的皮质脑电图(ECoG)数据。使用了发作间期数据和手术切除区域。结果表明,预后良好的患者中定位区域与手术切除之间的一致性率高于预后不良的患者。预后良好和预后不良患者的定位区域平均偏差距离分别为15毫米和36毫米。结果预测表明,当对通过所提出方法定位的脑区进行治疗时,预后不良的患者可能会得到改善。本研究为癫痫潜在手术治疗的个体化措施提供了一种定量分析工具。
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