Intracerebrally recorded high frequency oscillations: Simple visual assessment versus automated detection

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Publikace nespadá pod Lékařskou fakultu, ale pod Středoevropský technologický institut. Oficiální stránka publikace je na webu muni.cz.

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PAIL Martin HALÁMEK Josef DANIEL Pavel KUBA Robert TYRLÍKOVÁ Ivana CHRASTINA Jan JURÁK Pavel REKTOR Ivan BRÁZDIL Milan

Rok publikování 2013
Druh Článek v odborném periodiku
Časopis / Zdroj Clinical Neurophysiology
Fakulta / Pracoviště MU

Středoevropský technologický institut

Citace
www http://www.sciencedirect.com/science/article/pii/S1388245713003143#
Doi http://dx.doi.org/10.1016/j.clinph.2013.03.032
Obor Neurologie, neurochirurgie, neurovědy
Klíčová slova High frequency oscillations; Spikes; Ripples; Fast ripples; Temporal lobe epilepsy; Extratemporal lobe epilepsy; Seizure onset zone; Epileptogenic zone
Popis Objective: We compared the possible contribution (in the detection of seizure onset zone – SOZ) of simple visual assessment of intracerebrally recorded high-frequency oscillations (HFO) with standard automated detection. Methods: We analyzed stereo-EEG (SEEG) recordings from 20 patients with medically intractable partial seizures (10 temporal/10 extratemporal). Independently using simple visual assessment and automated detection of HFO, we identified the depth electrode contacts with maximum occurrences of ripples (R) and fast ripples (FR). The SOZ was determined by independent visual identification in standard SEEG recordings, and the congruence of results from visual versus automated HFO detection was compared. Results: Automated detection of HFO correctly identified the SOZ in 14 (R)/10 (FR) out of 20 subjects; a simple visual assessment of SEEG recordings in the appropriate frequency ranges correctly identified the SOZ in 13 (R)/9 (FR) subjects. Conclusions: Simple visual assessment of SEEG traces and standard automated detection of HFO seem to contribute comparably to the identification of the SOZ in patients with focal epilepsies. When using macroelectrodes in neocortical extratemporal epilepsies, the SOZ might be better determined by the ripple range. Significance: Standard automated detection of HFO enables the evaluation of HFO characteristics in whole data. This detection allows general purpose and objective evaluation, without any bias from the neurophysiologist’s experiences and practice
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