Yuval Harpaz1, Stephen E Robinson2, Mordekhay Medvedovsky3, Abraham Goldstein4. 1. Gonda Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel. Electronic address: Yuval.Harpaz@biu.ac.il. 2. MEG Core Facility, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA. 3. Brain Function Imaging Unit, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel; BioMag Laboratory, Helsinki University Central Hospital, Helsinki, Finland. 4. Gonda Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel; Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.
Abstract
OBJECTIVE: To suggest ways to apply the excess kurtosis estimator g2, in the detection of epileptic activity with magnetoencephalography, while avoiding its bias towards detecting high-amplitude, infrequent events. METHODS: Synthetic aperture magnetometry (SAM), combined with g2, was applied using window lengths ranging from 0.125 s to 32 s and with sum and maximum metrics on simulated data and recordings of two focal epilepsy patients. RESULTS: Comparing sources with different spike rates (two per second and one per 2s), the sum metric was most efficient when using a window of 0.25s. Simulations showed that the sum metric is insensitive to spike frequency when the window includes more than one spike. SAM(g2) images from long segments with maximum metric resulted in misleading images, showing the strongest activity away from the lesions. CONCLUSIONS: Using a sliding window and the sum metric is beneficial when imaging interictal spikes and status epilepticus. Windows should be short enough not to include more than one interictal event. For continuous events such as electrographic seizures windows should contain baseline data and the epileptic event. SIGNIFICANCE: The sliding window and metric should be set according to the suggested guidelines when using SAM(g2) for presurgical evaluation.
OBJECTIVE: To suggest ways to apply the excess kurtosis estimator g2, in the detection of epileptic activity with magnetoencephalography, while avoiding its bias towards detecting high-amplitude, infrequent events. METHODS: Synthetic aperture magnetometry (SAM), combined with g2, was applied using window lengths ranging from 0.125 s to 32 s and with sum and maximum metrics on simulated data and recordings of two focal epilepsypatients. RESULTS: Comparing sources with different spike rates (two per second and one per 2s), the sum metric was most efficient when using a window of 0.25s. Simulations showed that the sum metric is insensitive to spike frequency when the window includes more than one spike. SAM(g2) images from long segments with maximum metric resulted in misleading images, showing the strongest activity away from the lesions. CONCLUSIONS: Using a sliding window and the sum metric is beneficial when imaging interictal spikes and status epilepticus. Windows should be short enough not to include more than one interictal event. For continuous events such as electrographic seizures windows should contain baseline data and the epileptic event. SIGNIFICANCE: The sliding window and metric should be set according to the suggested guidelines when using SAM(g2) for presurgical evaluation.
Authors: Jonathan M Scott; Stephen E Robinson; Tom Holroyd; Richard Coppola; Susumu Sato; Sara K Inati Journal: J Clin Neurophysiol Date: 2016-10 Impact factor: 2.177
Authors: Michael B H Hall; Ida A Nissen; Elisabeth C W van Straaten; Paul L Furlong; Caroline Witton; Elaine Foley; Stefano Seri; Arjan Hillebrand Journal: Clin Neurophysiol Date: 2018-03-09 Impact factor: 3.708