Background: Direct electrical stimulation of the brain through intracranial electrodes is currently used to probe the epileptic brain as part of pre-surgical evaluation, and it is also being considered for therapeutic treatments through neuromodulation. It is still unknown, however, how consistent intracranial direct electrical stimulation responses are across sessions, to allow effective neuromodulation design.
Objective: To investigate the cross-session consistency of the electrophysiological effect of electrical stimulation delivered through intracranial EEG.
Methods: We analysed data from 79 epilepsy patients implanted with intracranial EEG who underwent brain stimulation as part of a memory experiment. We quantified the effect of stimulation in terms of band power modulation and compared this effect from session to session. As a reference, we applied the same measures during baseline periods.
Results: In most sessions, the effect of stimulation on band power could not be distinguished from baseline fluctuations of band power. Stimulation effect was also not consistent across sessions; only a third of the session pairs had a higher consistency than the baseline standards. Cross-session consistency is mainly associated with the strength of positive stimulation effects, and it also tends to be higher when the baseline conditions are more similar between sessions.
Conclusion: These findings can inform our practices for designing neuromodulation with greater efficacy when using direct electrical brain stimulation as a therapeutic treatment.
Targeted electrical stimulation of the brain perturbs neural networks and modulates their rhythmic activity both at the site of stimulation and at remote brain regions. Understanding, or even predicting, this neuromodulatory effect is crucial for any therapeutic use of brain stimulation. To this end, we analyzed the stimulation responses in 131 stimulation sessions across 66 patients with focal epilepsy recorded through intracranial EEG (iEEG). We considered functional and structural connectivity features as predictors of the response at every iEEG contact. Taking advantage of multiple recordi…
Functional magnetic resonance imaging (fMRI) has begun to narrow down the neural correlates of self-generated forms of thought, with current evidence pointing toward central roles for the default, frontoparietal, and visual networks. Recent work has linked the arising of thoughts more specifically to default network activity, but the limited temporal resolution of fMRI has precluded more detailed conclusions about where in the brain self-created mental content is generated and how this is achieved. Here I argue that the unparalleled spatiotemporal resolution of intracranial electrophysiology (…
Predicting post-operative seizure freedom using functional correlation networks derived from interictal intracranial EEG has shown some success. However, there are important challenges to consider. 1: electrodes physically closer to each other naturally tend to be more correlated causing a spatial bias. 2: implantation location and number of electrodes differ between patients, making cross-subject comparisons difficult. 3: functional correlation networks can vary over time but are currently assumed as static. In this study we address these three substantial challenges using intracranial EEG da…
Assigning accurate conductivity values in human head models is an essential factor for performing precise electroencephalographic (EEG) source localization and targeting of transcranial electrical stimulation (TES). Unfortunately, the literature reports diverging conductivity values of the different tissues in the human head. The current study analyzes first the performance of in-vivo conductivity estimation for different configurations concerning the localization of the electrical source and measurement. Then, it presents conductivity estimates for three epileptic patients using scalp EEG and…
Cortical oscillations, electrophysiological activity patterns, associated with cognitive functions and impaired in many psychiatric disorders can be observed in intracranial electroencephalography (iEEG). Direct cortical stimulation (DCS) may directly target these oscillations and may serve as therapeutic approaches to restore functional impairments. However, the presence of electrical stimulation artifacts in neurophysiological data limits the analysis of the effects of stimulation. Currently available methods suffer in performance in the presence of nonstationarity inherent in biological dat…
The identification of abnormal electrographic activity is important in a wide range of neurological disorders, including epilepsy for localising epileptogenic tissue. However, this identification may be challenging during non-seizure (interictal) periods, especially if abnormalities are subtle compared to the repertoire of possible healthy brain dynamics. Here, we investigate if such interictal abnormalities become more salient by quantitatively accounting for the range of healthy brain dynamics in a location-specific manner. To this end, we constructed a normative map of brain dynamics, in te…
Objective: Identifying abnormalities in interictal intracranial EEG, by comparing patient data to a normative map, has shown promise for the localisation of epileptogenic tissue and prediction of outcome. The approach typically uses short interictal segments of around one minute. However, the temporal stability of findings has not been established. Methods: Here, we generated a normative map of iEEG in non-pathological brain tissue from 249 patients. We computed regional band power abnormalities in a separate cohort of 39 patients for the duration of their monitoring period (0.92-8.62 days of …
Analogous to the mirror neuron system repeatedly described in monkeys as a possible substrate for imitation learning and/or action understanding, a neuronal execution/observation matching system (OEMS) is assumed in humans, but little is known to what extent this system is activated in non-experimental, real-life conditions. In the present case study, we investigated brain activity of this system during natural, non-experimental motor behavior as it occurred during playing of the board game "Malefiz". We compared spectral modulations of the high-gamma band related to ipsilateral reaching movem…
Alterations to structural and functional brain networks have been reported across many neurological conditions. However, the relationship between structure and function -- their coupling -- is relatively unexplored, particularly in the context of an intervention. Epilepsy surgery alters the brain structure and networks to control the functional abnormality of seizures. Given that surgery is a structural modification aiming to alter the function, we hypothesized that stronger structure-function coupling preoperatively is associated with a greater chance of post-operative seizure control. We con…
The present literature about possible mechanisms behind the effectivity of noninvasive electromagnetic stimulation in major depressive disorder (MDD) is not very rich. Despite extensive research in applications for clinical practice, the exact effects are yet not clear. We are comparing our previous results about the complexity changes induced by repetitive Transcranial Magnetic Stimulation (rTMS), and transcranial direct current stimulation (tDCS) which are known to modulate neural dynamics. Also, we are reviewing different biomarkers of complexity changes connected to depression, and how the…
Transcranial direct current stimulation (tDCS) is known to have a modulatory effect on neural tissue and that it is polarity specific. It is also shown that tDCS demonstrated the lasting effect in therapeutic applications. The main aim of the study was to examine the effects of tDCS on cortical dynamics by analyzing EEG recordings. We applied here measures taken from Recurrence Quantification Analysis, Mean State Shift (MSS) and State Variance (SV) which were previously used to detect changes in brain-state dynamics after TMS. The studied cohort comprised of 16 healthy subjects; all subjects r…
Non-Invasive Reconstruction of Intracranial EEG Across the Deep Temporal Lobe from Scalp EEG based on Conditional Normalizing Flow
School of Artificial Intelligence, Chongqing University of Technology（重庆理工大学人工智能学院）；School of Smart Health, Chongqing Polytechnic University of Electronic Technology（重庆电子工程职业大学智能健康学院）
When it comes to the classification of brain signals in real-life applications, the training and the prediction data are often described by different distributions. Furthermore, diverse data sets, e.g., recorded from various subjects or tasks, can even exhibit distinct feature spaces. The fact that data that have to be classified are often only available in small amounts reinforces the need for techniques to generalize learned information, as performances of brain-computer interfaces (BCIs) are enhanced by increasing quantity of available data. In this paper, we apply transfer learning to a fr…
Objective: The aim of this study is to develop an efficient and reliable epileptic seizure prediction system using intracranial EEG (iEEG) data, especially for people with drug-resistant epilepsy. The prediction procedure should yield accurate results in a fast enough fashion to alert patients of impending seizures. Methods: We quantitatively analyze the human iEEG data to obtain insights into how the human brain behaves before and between epileptic seizures. We then introduce an efficient pre-processing method for reducing the data size and converting the time-series iEEG data into an image-l…
University of Illinois（伊利诺伊大学）；Mayo Clinic（梅奥诊所）；Czech Institute of Informatics, Robotics and Cybernetics（捷克信息学、机器人学与控制论研究所）；Czech Technical University in Prague（布拉格捷克理工大学）
An ability to map seizure-generating brain tissue, i.e., the seizure onset zone (SOZ), without recording actual seizures could reduce the duration of invasive EEG monitoring for patients with drug-resistant epilepsy. A widely-adopted practice in the literature is to compare the incidence (events/time) of putative pathological electrophysiological biomarkers associated with epileptic brain tissue with the SOZ determined from spontaneous seizures recorded with intracranial EEG, primarily using a single biomarker. Clinical translation of the previous efforts suffers from their inability to genera…
Earable Platform with Integrated Simultaneous EEG Sensing and Auditory Stimulation
Shu Chien-Gene Lay Department of Bioengineering, UC San Diego（舒建-金来生物工程系，加州大学圣地亚哥分校）；Institute for Neural Computation, UC San Diego（神经计算研究所，加州大学圣地亚哥分校）
Albert-Ludwigs-University Freiburg（弗莱堡阿尔伯特-路德维希大学）；Motol University Hospital, Charles University Prague（布拉格查理大学莫托尔大学医院）；University Medical Center Freiburg（弗莱堡大学医学中心）
Deep learning techniques have revolutionized the field of machine learning and were recently successfully applied to various classification problems in noninvasive electroencephalography (EEG). However, these methods were so far only rarely evaluated for use in intracranial EEG. We employed convolutional neural networks (CNNs) to classify and characterize the error-related brain response as measured in 24 intracranial EEG recordings. Decoding accuracies of CNNs were significantly higher than those of a regularized linear discriminant analysis. Using time-resolved deep decoding, it was possible…
The objective of the present work is to measure postural kinematics and power spectral variation from HD-EEG to assess changes in cortical activity during adaptation and habituation to postural perturbation. To evoke proprioceptive postural perturbation, vibratory stimulation at 85 Hz was applied to the calf muscles of 33 subjects over four 75-second stimulation periods. Stimulation was performed according to a pseudorandom binary sequence. Vibratory impulses were synchronized to high-density electroencephalography (HD-EEG, 256 channels). Changes in absolute spectral power (ASP) were analyzed …
Institute of Neuroinformatics, University of Zurich and ETH Zurich（苏黎世大学与苏黎世联邦理工学院神经信息学研究所）；UniversitätsSpital und Universität Zürich（苏黎世大学医院与苏黎世大学）
In this work, we present a neuromorphic system that combines for the first time a neural recording headstage with a signal-to-spike conversion circuit and a multi-core spiking neural network (SNN) architecture on the same die for recording, processing, and detecting High Frequency Oscillations (HFO), which are biomarkers for the epileptogenic zone. The device was fabricated using a standard 0.18$μ$m CMOS technology node and has a total area of 99mm$^{2}$. We demonstrate its application to HFO detection in the iEEG recorded from 9 patients with temporal lobe epilepsy who subsequently underwent …
Transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) is widely used to study the reactivity and connectivity of brain regions for clinical or research purposes. The electromagnetic pulse of the TMS device generates at the instant of administration an artifact of large amplitude and a duration up to tens of milliseconds that overlaps with brain activity. Methods for TMS artifact correction have been developed to remove the artifact and recover the underlying, immediate response of the cerebral cortex to the magnetic stimulus. In this study, three such algorithms are …
Noninvasive brain stimulation and neuroimaging have revolutionized human neuroscience, with a multitude of applications including diagnostic subtyping, treatment optimization, and relapse prediction. It is therefore particularly relevant to identify robust and clinically valuable brain biomarkers linking symptoms to their underlying neural mechanisms. Brain biomarkers must be reproducible (i.e., have internal reliability) across similar experiments within a laboratory and be generalizable (i.e., have external reliability) across experimental setups, laboratories, brain regions, and disease sta…
We describe the experimental procedures for a dataset that we have made publicly available at https://doi.org/10.5281/zenodo.2649006 in mat and csv formats. This dataset contains electroencephalographic (EEG) recordings of 25 subjects testing the Brain Invaders (Congedo, 2011), a visual P300 Brain-Computer Interface inspired by the famous vintage video game Space Invaders (Taito, Tokyo, Japan). The visual P300 is an event-related potential elicited by a visual stimulation, peaking 240-600 ms after stimulus onset. EEG data were recorded by 16 electrodes in an experiment that took place in the G…
Epilepsy is recognised as a dynamic disease, where both seizure susceptibility and seizure characteristics themselves change over time. Specifically, we recently quantified the variable electrographic spatio-temporal seizure evolutions that exist within individual patients. This variability appears to follow subject-specific circadian, or longer, timescale modulations. It is therefore important to know whether continuously-recorded interictal iEEG features can capture signatures of these modulations over different timescales. In this work, we analyse continuous intracranial electroencephalogra…
Epilepsy Center Frankfurt（法兰克福癫痫中心）；Rhine-Main Neurocenter（莱茵-美因神经中心）
Epilepsy is a common neurological disorder characterized by recurrent seizures accompanied by excessive synchronous brain activity. The process of structural and functional brain alterations leading to increased seizure susceptibility and eventually spontaneous seizures is called epileptogenesis (EPG) and can span months or even years. Detecting and monitoring the progression of EPG could allow for targeted early interventions that could slow down disease progression or even halt its development. Here, we propose an approach for staging EPG using deep neural networks and identify potential ele…
University of Montreal（蒙特利尔大学）；Concordia University（康考迪亚大学）
Closed-loop brain stimulation refers to capturing neurophysiological measures such as electroencephalography (EEG), quickly identifying neural events of interest, and producing auditory, magnetic or electrical stimulation so as to interact with brain processes precisely. It is a promising new method for fundamental neuroscience and perhaps for clinical applications such as restoring degraded memory function; however, existing tools are expensive, cumbersome, and offer limited experimental flexibility. In this article, we propose the Portiloop, a deep learning-based, portable and low-cost close…
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；University of Ferrara（费拉拉大学）
Transcranial Magnetic Stimulation (TMS) combined with EEG recordings (TMS-EEG) has shown great potential in the study of the brain and in particular of Alzheimer's Disease (AD). In this study, we propose an automatic method of determining the duration of TMS induced perturbation of the EEG signal as a potential metric reflecting the brain's functional alterations. A preliminary study is conducted in patients with Alzheimer's disease (AD). Three metrics for characterizing the strength and duration of TMS evoked EEG (TEP) activity are proposed and their potential in identifying AD patients from …
Localising the Seizure Onset Zone from Single-Pulse Electrical Stimulation Responses with a CNN Transformer
UCL Institute of Health Informatics（伦敦大学学院健康信息学研究所）；Wellcome Centre for Human Neuroimaging（惠康人类神经影像学中心）；UCL Queen Square Institute of Neurology（伦敦大学学院皇后广场神经病学研究所）；Great Ormond Street Hospital（大奥蒙德街医院）；UCL Institute of Child Health（伦敦大学学院儿童健康研究所）；UMC Utrecht Brain Center（乌得勒支大学医学中心脑中心）；University Medical Center Utrecht（乌得勒支大学医学中心）；Stichting Epilepsie Instellingen Nederland (SEIN)（荷兰癫痫机构基金会）；Columbia University（哥伦比亚大学）；King’s College Hospital NHS Foundation Trust（国王学院医院国民保健服务基金会）
We present BrainNet which, to our knowledge, is the first multi-person non-invasive direct brain-to-brain interface for collaborative problem solving. The interface combines electroencephalography (EEG) to record brain signals and transcranial magnetic stimulation (TMS) to deliver information noninvasively to the brain. The interface allows three human subjects to collaborate and solve a task using direct brain-to-brain communication. Two of the three subjects are "Senders" whose brain signals are decoded using real-time EEG data analysis to extract decisions about whether to rotate a block in…
Humans constantly interact with digital devices that disregard their feelings. However, the synergy between human and technology can be strengthened if the technology is able to distinguish and react to human emotions. Models that rely on unconscious indications of human emotions, such as (neuro)physiological signals, hold promise in personalization of feedback and adaptation of the interaction. The current study elaborated on adopting a predictive approach in studying human emotional processing based on brain activity. More specifically, we investigated the proposition of predicting self-repo…
Deep Learning-Powered Electrical Brain Signals Analysis: Advancing Neurological Diagnostics
College of Computer Science and Technology, Zhejiang University（浙江大学计算机科学与技术学院）；DiFint Technology (Shanghai) Co（上海迪芬特技术有限公司）；Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences（中国科学院上海微系统与信息技术研究所）；School of Graduate Study, University of Chinese Academy of Sciences（中国科学院大学研究生院）；The INSIDE Institute for Biological and Artificial Intelligence（生物与人工智能研究所）
The brain is a system operating on multiple time scales, and characterisation of dynamics across time scales remains a challenge. One framework to study such dynamics is that of fractal geometry. However, currently there exists no established method for the study of brain dynamics using fractal geometry, due to the many challenges in the conceptual and technical understanding of the methods. We aim to highlight some of the practical challenges of applying fractal geometry to brain dynamics and propose solutions to enable its wider use in neuroscience. Using intracranially recorded EEG and simu…
