Evidence map›Paper›PMID 33975080›Full record

ArticleSeizure2021

Neuromagnetic high frequency spikes are a new and noninvasive biomarker for localization of epileptogenic zones.

Jing Xiang, Ellen Maue, Han Tong, Francesco T Mangano, Hansel Greiner, Jeffrey Tenney

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Seizure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00600717 (Localizing Functional Brain Cortices and Epileptogenic Zones With High Frequency Brain Signals), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 52% 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.

NCT00600717 withdrawnnot on this map

Localizing Functional Brain Cortices and Epileptogenic Zones With High Frequency Brain Signals

TypeobservationalSponsorChildren's Hospital Medical Center, CincinnatiRan2000 to 2027Enrolled0ConditionsEpilepsy, Migraine, Headache, Pain
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Magnetoencephalography for Epilepsy Presurgical Evaluation.Current neurology and neuroscience reports · 2024
    Review
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

6 authors at 2 institutions in 1 country.

Jing XiangMEG Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. Electronic address: Jing.xiang@cchmc.org.
Ellen MaueMEG Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Han TongMEG Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Neuroscience Graduate Program, University of Cincinnati, Cincinnati, OH, United States.
Francesco T ManganoDivision of Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Hansel GreinerDivision of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Jeffrey TenneyMEG Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · US

Funding

Neuromagnetic High Frequency Oscillations to Guide Epilepsy SurgeryR21NS104459 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI XIANG, JING · 2018 to 2019
$414k
Aberrant Neuromagnetic Signatures with Chronic MigraineR21NS081420 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI XIANG, JING · 2013 to 2014
$398k
Motor cortex dysfunction in migraineR21NS072817 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI XIANG, JING · 2010 to 2011
$356k
NINDS NIH HHS R21 NS072817NINDS NIH HHS R21 NS081420NINDS NIH HHS R21 NS104459
6 · The paper itself

Abstract

objectiveOne barrier hindering high frequency brain signals (HFBS, >80 Hz) from wide clinical applications is that the brain generates both pathological and physiological HFBS. This study was to find specific biomarkers for localizing epileptogenic zones (EZs).

methodsTwenty three children with drug-resistant epilepsy and age/sex matched healthy controls were studied with magnetoencephalography (MEG). High frequency oscillations (HFOs, > 4 oscillatory waveforms) and high frequency spikes (HFSs, > 1 spiky or sharp waveforms) in 80-250 Hz and 250-600 Hz bands were blindly detected with an artificial intelligence method and validated with visual inspection. The magnitude of HFOs and HFSs were quantified with spectral analyses. Sources of HFSs and HFOs were localized and compared with clinical EZs determined by invasive recordings and surgical outcomes.

resultsHFOs in 80-250 Hz and 250-600 Hz were identified in both epilepsy patients (18/23, 12/23, respectively) and healthy controls (6/23, 4/23, respectively). HFSs in 80-250 Hz and 250-600 Hz were detected in patients (16/23, 11/23, respectively) but not in healthy controls. A combination of HFOs and HFSs localized EZs for 22 (22/23, 96%) patients.

conclusionsThe results indicate, for the first time, that HFSs are a newer and more specific biomarker than HFOs for localizing EZs because HFOs appeared in both epilepsy patients and healthy controls while HFSs appeared only in epilepsy patients.

Indexed as

Artificial IntelligenceDrug Resistant EpilepsyBiomarkersChildElectroencephalographyHumansMagnetoencephalographyBiomarkersEpilepsyHigh frequency activityHigh-frequency oscillationHigh frequency spikeMagnetic Source ImagingMagnetoencephalography

Identifiers

PMID33975080
PMCPMC8249330
OpenAlexW3157675919

What OpenQuestion holds

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Registered trials

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.