Evidence map›Paper›PMID 33097598›Full record

ArticleNeurology2021

Contribution of Ictal Source Imaging for Localizing Seizure Onset Zone in Patients With Focal Epilepsy.

Shuai Ye, Lin Yang, Yunfeng Lu, Michal T Kucewicz, Benjamin Brinkmann, Cindy Nelson, Abbas Sohrabpour, Gregory A Worrell, Bin He

Open access · greenAbstract read
In one paragraph

Article in Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Mapping epileptogenic brain using a unified spatial-temporal-spectral source imaging framework.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  3. Article
  4. Deep learning-based EEG source imaging is robust under varying electrode configurations.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  5. Article
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  11. Ictal source localization from intracranial recordings.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
    Article
  12. Article
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  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Shuai YeFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Lin YangFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Yunfeng LuFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Michal T KucewiczFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Benjamin BrinkmannFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Cindy NelsonFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Abbas SohrabpourFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Gregory A WorrellFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN.
Bin HeFrom the Department of Biomedical Engineering (S.Y., A.S., B.H.), Carnegie Mellon University, Pittsburgh, PA; Department of Biomedical Engineering (L.Y., Y.L.), University of Minnesota, Minneapolis; Mayo Clinic (M.T.K., B.B., C.N., G.A.W.), Rochester, MN. bhe1@andrew.cmu.edu.ORCID 0000-0003-2944-8602
University of Minnesota · US

Funding

Electrophysiological Source Imaging of Partial EpilepsyR01NS096761 · NINDS · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2016 to 2025
$3.6M
Spatio-temporal Dynamic Imaging of Seizure SourcesR01EB021027 · NIBIB · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2016 to 2020
$1.3M
A Computational Approach for 3D Brain Source ImagingR01EB007920 · NIBIB · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2007 to 2010
$1.3M
Multimodal Imaging of Brain Activity and ConnectivityR01EB006433 · NIBIB · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2009 to 2012
$1.3M
NIBIB NIH HHS R01 EB006433NIBIB NIH HHS R01 EB007920NIBIB NIH HHS R01 EB021027NINDS NIH HHS R01 NS096761
6 · The paper itself

Abstract

objectiveTo determine whether seizure onset zone (SOZ) can be localized accurately prior to surgical planning in patients with focal epilepsy, we performed noninvasive EEG recordings and source localization analyses on 39 patients.

methodsIn 39 patients with focal epilepsy, we recorded and extracted 138 seizures and 1,325 interictal epileptic discharges using high-density EEG. We investigated a novel approach for directly imaging sources of seizures and interictal spikes from high-density EEG recordings, and rigorously validated it for noninvasive localization of SOZ determined from intracranial EEG findings and surgical resection volume. Conventional source imaging analyses were also performed for comparison.

resultsIctal source imaging showed a concordance rate of 95% when compared to intracranial EEG or resection results. The average distance from estimation to seizure onset (intracranial) electrodes is 1.35 cm in patients with concordant results, and 0.74 cm to surgical resection boundary in patients with successful surgery. About 41% of the patients were found to have multiple types of interictal activities; coincidentally, a lower concordance rate and a significantly worse performance in localizing SOZ were observed in these patients.

conclusionNoninvasive ictal source imaging with high-density EEG recording can provide highly concordant results with clinical decisions obtained by invasive monitoring or confirmed by resective surgery. By means of direct seizure imaging using high-density scalp EEG recordings, the added value of ictal source imaging is particularly high in patients with complex interictal activity patterns, who may represent the most challenging cases with poor prognosis.

Indexed as

AdolescentAdultBrainBrain MappingElectroencephalographyEpilepsies, PartialFemaleHumansMaleMiddle AgedSeizuresYoung Adult

Identifiers

PMID33097598
PMCPMC7884986
OpenAlexW3094465992

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.