Abstract

BackgroundStereoelectroencephalographic (SEEG) recordings can be performed before final resective surgery in some drug-resistant patients with focal epilepsies. For good SEEG signal interpretation, it is important to correctly identify the brain tissue in which each contact is inserted. Tissue classification is usually done with the coregistration of CT scan (with implanted SEEG electrodes) with preoperative MRI. New methodBrain tissue classification is done here directly from SEEG signals obtained at rest by a linear discriminant analysis (LDA) classifier using measured SEEG signals. The classification operates on features extracted from Bode plots obtained via non-parametric frequency domain transfer functions of adjacent contacts pairs. Classification results have been compared with classification from T1 MRI following the labelling procedure described in Deman et al. (2018), together with minor corrections by visual inspection by specialists. ResultsWith the data processed from 19 epileptic patients representing 1284 contact pairs, an accuracy of 72 ± 3% was obtained for homogeneous tissue separation. To our knowledge only one previous study conducted brain tissue classification using the power spectra of SEEG signals, and the distance between contacts on a shaft. The features proposed in our article performed better with the LDA classifier. However, the Bayesian classifier proposed in Greene et al. (2020) is more robust and could be used in a future study to enhance the classification performance. Conclusions and significanceOur findings suggest that careful analysis of the transfer function between adjacent contacts measuring resting activity via frequency domain identification, could allow improved interpretation of SEEG data and or their co-registration with subject’s anatomy.

Highlights

  • Drug-resistant epileptic patients with focal seizures may undergo resective surgery for the removal of the seizure onset zone

  • Baseline signals frequency responses have been obtained from 1284 contact pairs (486 with fs = 1024 Hz, and 798 with fs = 512 Hz)

  • Considering the approximated spike rates for each patient as an indicative of epileptic tissue, the results indicate that our method is robust to epileptic tissues, as disregarding them does not affect the accuracy of the method

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Summary

Introduction

Drug-resistant epileptic patients with focal seizures may undergo resective surgery for the removal of the seizure onset zone. For interpreting SEEG signals, it is important to know whether the contacts are located in the grey or in the white matter. The coregistration of CT scan (with implanted SEEG electrodes) with preoperative MRI is done [1], and the image contrast between grey and white matter is used to classify the tissue ([2] [3]). Stereoelectroencephalographic (SEEG) recordings can be performed before final resective surgery in some drug-resistant patients with focal epilepsies. For good SEEG signal interpretation, it is important to correctly identify the brain tissue in which each contact is inserted. Tissue classification is usually done with the coregistration of CT scan (with implanted SEEG electrodes) with preoperative MRI.

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