Evidence map›Paper›PMID 35755635›Full record

ArticleBrain communications2022

Distributed brain co-processor for tracking spikes, seizures and behaviour during electrical brain stimulation.

Vladimir Sladky, Petr Nejedly, Filip Mivalt, Benjamin H Brinkmann, Inyong Kim, Erik K St Louis, Nicholas M Gregg, Brian N Lundstrom, Chelsea M Crowe, Tal Pal Attia and 14 more

Abstract read
In one paragraph

Article in Brain communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Post-Ictal Sleep Changes in Human Focal Epilepsy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Impedance Rhythms in Human Limbic System.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    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

24 authors.

Vladimir SladkyDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-4712-7039
Petr NejedlyDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Filip MivaltDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Benjamin H BrinkmannDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-2392-8608
Inyong KimDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Erik K St LouisCenter for Sleep Medicine, Departments of Neurology and Medicine, Divisions of Sleep Neurology & Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-2833-8826
Nicholas M GreggDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-6151-043X
Brian N LundstromDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-5310-5549
Chelsea M CroweDepartment of Veterinary Clinical Sciences, University of California, Davis, CA, USA.
Tal Pal AttiaDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0003-3456-9628
Daniel CrepeauDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Irena BalzekasDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Victoria S MarksDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0003-4417-4240
Lydia P WheelerDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Jan CimbalnikInternational Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic.
Mark CookDepartment of Neurology, Royal Melbourne Hospital, Melbourne, Australia.
Radek JancaFaculty of Electrical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Beverly K SturgesDepartment of Veterinary Clinical Sciences, University of California, Davis, CA, USA.
Kent LeydeCadence Neuroscience, Seattle, WA, USA.
Kai J MillerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Jamie J Van GompelDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-8087-7870
Timothy DenisonDepartment of Bioengineering, Oxford University, Oxford, UK.
Gregory A WorrellDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.
Vaclav KremenDepartment of Neurology, Bioelectronics Neurophysiology and Engineering Laboratory, Mayo Clinic, Rochester, MN, USA.

Funding

Reliable Seizure Prediction Using Physiological Signals and Machine LearningR01NS092882 · NINDS · MAYO CLINIC ROCHESTER · PI Gregory A Worrell · 2015 to 2026
$5.7M
Accelerating Dissemination of Implantable Neurotechnology for Clinical ResearchU24NS113637 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BORTON, DAVID ALLENSON, DENISON, TIMOTHY · 2020 to 2024
$4.4M
NINDS NIH HHS R01 NS092882NINDS NIH HHS U24 NS113637
6 · The paper itself

Abstract

Early implantable epilepsy therapy devices provided open-loop electrical stimulation without brain sensing, computing, or an interface for synchronized behavioural inputs from patients. Recent epilepsy stimulation devices provide brain sensing but have not yet developed analytics for accurately tracking and quantifying behaviour and seizures. Here we describe a distributed brain co-processor providing an intuitive bi-directional interface between patient, implanted neural stimulation and sensing device, and local and distributed computing resources. Automated analysis of continuous streaming electrophysiology is synchronized with patient reports using a handheld device and integrated with distributed cloud computing resources for quantifying seizures, interictal epileptiform spikes and patient symptoms during therapeutic electrical brain stimulation. The classification algorithms for interictal epileptiform spikes and seizures were developed and parameterized using long-term ambulatory data from nine humans and eight canines with epilepsy, and then implemented prospectively in out-of-sample testing in two pet canines and four humans with drug-resistant epilepsy living in their natural environments. Accurate seizure diaries are needed as the primary clinical outcome measure of epilepsy therapy and to guide brain-stimulation optimization. The brain co-processor system described here enables tracking interictal epileptiform spikes, seizures and correlation with patient behavioural reports. In the future, correlation of spikes and seizures with behaviour will allow more detailed investigation of the clinical impact of spikes and seizures on patients.

Indexed as

electrophysiologyepilepsymachine learningseizures

Identifiers

PMID35755635
PMCPMC9217965

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.