Evidence map›Paper›PMID 39587325›Full record

ArticleCommunications medicine2024

Using high-frequency oscillations from brief intraoperative neural recordings to predict the seizure onset zone.

Behrang Fazli Besheli, Zhiyi Sha, Jay R Gavvala, Sacit Karamursel, Michael Quach, Chandra Prakash Swamy, Amir Hossein Ayyoubi, Alica M Goldman, Daniel J Curry, Sameer A Sheth and 6 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Spurious Spike Elimination using Sparse Signal Processing Improves Seizure Onset Zone Delineation in Brief Intraoperative iEEG Recordings.The ... Midwest Symposium on Circuits and Systems conference proceedings : MWSCAS. Midwest Symposium on Circuits and Systems · 2025
    Article
  7. Integrating Spatial-Temporal Channel Reliability with AI for Robust High-Frequency Oscillation Detection in Intracranial EEG.International IEEE/EMBS Conference on Neural Engineering : [proceedings]. International IEEE EMBS Conference on Neural Engineering · 2025
    Article
  8. Data-Driven Hyperparameter Tuning of High-Frequency Oscillation Detection for Seizure-Onset Zone Localization.International IEEE/EMBS Conference on Neural Engineering : [proceedings]. International IEEE EMBS Conference on Neural Engineering · 2025
    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

16 authors.

Behrang Fazli BesheliDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.ORCID http://orcid.org/0009-0000-3302-5931
Zhiyi ShaDepartment of Neurology, University of Minnesota, Minneapolis, MN, 55401, USA.
Jay R GavvalaDepartment of Neurology, UT Health, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-9392-6608
Sacit KaramurselDepartment of Physiology, School of Medicine, Koç Üniversitesi, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-7534-9392
Michael QuachDepartment of Neurology, Texas Children's Hospital, Houston, TX, 77030, USA.
Chandra Prakash SwamyDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.
Amir Hossein AyyoubiDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.
Alica M GoldmanDepartment of Neurology-Neurophysiology, Baylor College of Medicine, Houston, TX, 77030, USA.
Daniel J CurryDepartment of Neurosurgery, Texas Children's Hospital, Houston, TX, 77030, USA.
Sameer A ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, 77030, USA.
David DarrowDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, 55401, USA.ORCID http://orcid.org/0000-0001-9335-0584
Kai J MillerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.
David J FrancisDepartment of Psychology, University of Houston, Houston, TX, 77030, USA.
Gregory A WorrellDepartment of Neurology, Mayo Clinic, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0003-2916-0553
Thomas R HenryDepartment of Neurology, University of Minnesota, Minneapolis, MN, 55401, USA.
Nuri F InceDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA. Ince.Nuri@mayo.edu.ORCID http://orcid.org/0000-0003-4985-4528

Funding

Acute Modulation of Stereotyped High Frequency Oscillations with a Closed-Loop Brain Interchange System in Drug Resistant EpilepsyUH3NS117944 · NINDS · UNIVERSITY OF HOUSTON · PI Nuri Firat Ince · 2021 to 2026
$2.9M
Investigation of Stereotyped High-Frequency Oscillations with Computational Intelligence for the Prediction of Seizure Onset Zone in EpilepsyR01NS112497 · NINDS · UNIVERSITY OF HOUSTON · PI INCE, NURI FIRAT · 2019 to 2023
$2.3M
NINDS NIH HHS R01 NS112497NINDS NIH HHS UH3 NS117944U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS112497
6 · The paper itself

Abstract

backgroundWhile high-frequency oscillations (HFOs) and their stereotyped clusters (sHFOs) have emerged as potential neuro-biomarkers for the rapid localization of the seizure onset zone (SOZ) in epilepsy, their clinical application is hindered by the challenge of automated elimination of pseudo-HFOs originating from artifacts in heavily corrupted intraoperative neural recordings. This limitation has led to a reliance on semi-automated detectors, coupled with manual visual artifact rejection, impeding the translation of findings into clinical practice.

methodsIn response, we have developed a computational framework that integrates sparse signal processing and ensemble learning to automatically detect genuine HFOs of intracranial EEG data. This framework is utilized during intraoperative monitoring (IOM) while implanting electrodes and postoperatively in the epilepsy monitoring unit (EMU) before the respective surgery.

resultsOur framework demonstrates a remarkable ability to eliminate pseudo-HFOs in heavily corrupted neural data, achieving accuracy levels comparable to those obtained through expert visual inspection. It not only enhances SOZ localization accuracy of IOM to a level comparable to EMU but also successfully captures sHFO clusters within IOM recordings, exhibiting high specificity to the primary SOZ.

conclusionsThese findings suggest that intraoperative HFOs, when processed with computational intelligence, can be used as early feedback for SOZ tailoring surgery to guide electrode repositioning, enhancing the efficacy of the overall invasive therapy.

Identifiers

PMID39587325
PMCPMC11589742

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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.