Evidence map›Paper›PMID 35211078›Full record

ArticleFrontiers in neurology2022

SEEG in 3D: Interictal Source Localization From Intracerebral Recordings.

David Satzer, Yasar T Esengul, Peter C Warnke, Naoum P Issa, Douglas R Nordli

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
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  4. Article
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  7. Article
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  9. Ideal current dipoles are appropriate source representations for simulating neurons for intracranial recordings.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
    Article
  10. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

David SatzerDepartment of Neurosurgery, University of Chicago, Chicago, IL, United States.
Yasar T EsengulDepartment of Neurology, University of Chicago, Chicago, IL, United States.
Peter C WarnkeDepartment of Neurosurgery, University of Chicago, Chicago, IL, United States.
Naoum P IssaDepartment of Neurology, University of Chicago, Chicago, IL, United States.
Douglas R NordliSection of Child Neurology, Department of Pediatrics, University of Chicago, Chicago, IL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereo-electroencephalography (SEEG) uses a three-dimensional configuration of depth electrodes to localize epileptiform activity, but traditional analysis of SEEG is spatially restricted to the point locations of the electrode contacts. Interpolation of brain activity between contacts might allow for three-dimensional representation of epileptiform activity and avoid pitfalls of SEEG interpretation.

objectiveThe goal of this study was to validate SEEG-based interictal source localization and assess the ability of this technique to monitor far-field activity in non-implanted brain regions.

methodsInterictal epileptiform discharges were identified on SEEG in 26 patients who underwent resection, ablation, or disconnection of the suspected epileptogenic zone. Dipoles without (free) and with (scan) gray matter restriction, and current density (sLORETA and SWARM methods), were calculated using a finite element head model. Source localization results were compared to the conventional irritative zone (IZ) and the surgical treatment volumes (TV) of seizure-free vs. non-seizure-free patients.

resultsThe median distance from dipole solutions to the nearest contact in the conventional IZ was 7 mm (interquartile range 4-15 mm for free dipoles and 4-14 mm for scan dipoles). The IZ modeled with SWARM predicted contacts within the conventional IZ with 83% (75-100%) sensitivity and 94% (88-100%) specificity. The proportion of current within the TV was greater in seizure-free patients (

conclusionsSource localization accurately represented interictal discharges from SEEG. The proportion of current within the TV distinguished between seizure-free and non-seizure-free patients when near-field recordings were obtained from the surgical target. The high prevalence of deep sources in this cohort likely obscured any benefit of concurrent scalp EEG. SEEG-based interictal source localization is useful in illustrating and corroborating the epileptogenic zone. Additional techniques are needed to localize far-field epileptiform activity from non-implanted brain regions.

Indexed as

electrical source localizationepilepsyinverse problemirritative zonestereotaxy

Identifiers

PMID35211078
PMCPMC8861202

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