Abstract

Localization of epileptic focus is a worldwide problem. Many studies find that high frequency oscillations (HFOs) seem to be a very specific indicator of the seizure onset zone (SOZ) in recent years. However, it is hard to detect HFOs accurately and many algorithms have a high sensitivity but unsatisfactory specificity. In this study, a novel method combining wavelet decomposition and back propagation (BP) neural network was proposed to increase the specificity of HFOs detection. Three epileptic patients with medically intractable epilepsy were recruited and underwent an individually presurgical monitoring with around 54–90 channels of intracranial electroencephalograph (iEEG). Over 3970 analyzed HFOs events from 420 hours of iEEG data, the sensitivity and the false discovery rate (FDR) of the present approach were 90% and 8.50%, respectively. The obtained results showed that the proposed BP neural network combined with wavelet decomposition could obviously decrease the influence of spikes and high-frequency noise caused by patient motion, which both are similar to HFOs, meanwhile effectively improve the specificity of HFOs detection.

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