Evidence map›Paper›PMID 40038415›Full record

ArticleNPJ digital medicine2025

Machine learning on interictal intracranial EEG predicts surgical outcome in drug resistant epilepsy.

Hmayag Partamian, Saeed Jahromi, Ludovica Corona, M Scott Perry, Eleonora Tamilia, Joseph R Madsen, Jeffrey Bolton, Scellig S D Stone, Phillip L Pearl, Christos Papadelis

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Noninvasive Biomarkers for Assessing the Excitatory/Inhibitory Imbalance in Children with Epilepsy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  5. Review
  6. 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

10 authors.

Hmayag PartamianNeuroscience Research Center, Jane and John Justin Institute for Mind Health, Cook Children's Health Care System, Fort Worth, TX, USA.
Saeed JahromiNeuroscience Research Center, Jane and John Justin Institute for Mind Health, Cook Children's Health Care System, Fort Worth, TX, USA.
Ludovica CoronaNeuroscience Research Center, Jane and John Justin Institute for Mind Health, Cook Children's Health Care System, Fort Worth, TX, USA.
M Scott PerryNeuroscience Research Center, Jane and John Justin Institute for Mind Health, Cook Children's Health Care System, Fort Worth, TX, USA.
Eleonora TamiliaFetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Joseph R MadsenDepartment of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Jeffrey BoltonDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Scellig S D StoneDepartment of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Phillip L PearlDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Christos PapadelisNeuroscience Research Center, Jane and John Justin Institute for Mind Health, Cook Children's Health Care System, Fort Worth, TX, USA. christos.papadelis@cookchildrens.org.

Funding

Interictal High Frequency Oscillations of Epileptogenecity in Pediatric PatientsR01NS104116 · NINDS · COOK CHILDREN'S MEDICAL CENTER · PI PAPADELIS, CHRISTOS · 2019 to 2024
$2.4M
Noninvasive Mapping of Functional and Effective Connectivity in Children with Drug Resistant EpilepsyR01NS134944 · NINDS · COOK CHILDREN'S MEDICAL CENTER · PI Christos Papadelis · 2024 to 2026
$1.3M
NINDS NIH HHS R01 NS104116NINDS NIH HHS R01NS104116NINDS NIH HHS R01 NS134944NINDS NIH HHS R01NS134944
6 · The paper itself

Abstract

Surgical success for patients with focal drug resistant epilepsy (DRE) relies on accurate localization of the epileptogenic zone (EZ). Currently, no exam delineates this zone unambiguously. Instead, the EZ is approximated by the area where seizures begin, which is identified manually through a tedious process that is prone to errors and biases. More importantly, resection of this area does not always predict good surgical outcome. Here, we propose an artificially intelligent, patient-specific framework that automatically identifies the EZ requiring little to no input from clinicians, without having to wait for a seizure to occur. The framework transforms interictal intracranial electroencephalography data into spatiotemporal representations of brain activity discriminating the interictal epileptogenic network from background activity. The epileptogenic network delineates the EZ with high precision and predicts surgical outcome. Our framework eliminates the need for manual data inspection, reduces prolonged monitoring, and enhances surgical planning for DRE patients.

Identifiers

PMID40038415
PMCPMC11880530

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Registered trials

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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.