| Literature DB >> 30450486 |
Tomonori Ono1, Joost Wagenaar2, Filippo S Giorgi3, Petr Fabera4, Ryosuke Hanaya5, John Jefferys6, Jason T Moyer2, Lauren C Harte-Hargrove7, Aristea S Galanopoulou8.
Abstract
Electroencephalography (EEG) is commonly used in epilepsy and neuroscience research to study brain activity. The principles of EEG recording such as signal acquisition, digitization, and conditioning share similarities between animal and clinical EEG systems. In contrast, preclinical EEG studies demonstrate more variability and diversity than clinical studies in the types and locations of EEG electrodes, methods of data analysis, and scoring of EEG patterns and associated behaviors. The TASK3 EEG working group of the International League Against Epilepsy/American Epilepsy Society (ILAE/AES) Joint Translational Task Force has developed a set of preclinical common data elements (CDEs) and case report forms (CRFs) for recording, analysis, and scoring of animal EEG studies. This companion document accompanies the first set of proposed preclinical EEG CRFs and is intended to clarify the CDEs included in these worksheets. We provide 7 CRF and accompanying CDE modules for use by the research community, covering video acquisition, electrode information, experimental scheduling, and scoring of EEG activity. For ease of use, all data elements and input ranges are defined in supporting Excel charts (Appendix S1).Entities:
Keywords: Case report form; Common data elements; EEG; Epilepsy; Guidelines; Preclinical research; Rodent model
Year: 2018 PMID: 30450486 PMCID: PMC6210053 DOI: 10.1002/epi4.12260
Source DB: PubMed Journal: Epilepsia Open ISSN: 2470-9239
Figure 1Diagrams showing the application of each CRF module. Module 1, EEG/video data acquisition; module 2, electrodes; module 3, EEG recording schedule/log; module 4, EEG scoring method; module 5, EEG scoring ‐ General information and background activity; module 6, EEG scoring – epileptiform discharges; module 7, EEG scoring – seizures. Blue bars indicate the modules that are filled as single entries for each animal and could be used across animals that enter the same study design, simplifying data entry (e.g., modules 1, 2, 3‐a, 3‐b, 3‐c, 4). Yellow bars indicate modules that need to be filled for each animal either as single or recurrent entry, depending on the study design (e.g., modules 3‐d, 5, 6, 7). The order may be reversed between model induction and electrode implantation and the number of EEG recordings may be single session depending on the study protocol. The use of common templates to describe filled CRF modules that could be frequently recurring within the study may simplify data entry. For example, creating a pre‐filled module 1, 2, and 4 based on the study design may allow re‐use and re‐population of relevant data for multiple animals. Creation of a “typical EEG background” CRF template for controls may also allow re‐use in other animals and files that demonstrate the same background.
Terms used in the EEG preclinical CDEs to describe background patterns
| Terms | Definitions/characteristics | References |
|---|---|---|
| Background activity | The range of rhythms, activities, and patterns seen on EEG that characterize specific sleep‐wake or behavioral states, during periods without ictal patterns (e.g., seizures) | |
| Awake state EEG | Awake EEG is recorded during periods when the animal has eyes open and is either immobile (quiet wakefulness) or has purposeful locomotion or exploratory behavior. An alpha or theta rhythm may be seen depending on the behavioral state and age of the animal. Mixed frequency waveforms appear, typically faster than in NREM sleep, which may vary according to the age and electrode location and montage. Age differences exist |
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| NREM sleep state EEG | NREM state EEG is characterized by increased delta slow‐wave background (maximally frontally), which often accompanies spindles (7–14 Hz) or K complexes. EMG usually has decreased signals. Age differences exist |
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| REM sleep state EEG | Corresponds to paradoxical sleep. It consists of low‐amplitude high‐frequency activities, which are similar to awake EEG, but the animal is asleep (eyes closed). There are also decreased EMG signals and occasional bursts of EMG activity (twitches). Age differences exist |
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| Spindles | Regular rhythmic waves seen superimposed during NREM sleep state with frequency of 7‐14 Hz in rodents. Their appearance may depend on the age of animals |
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| K‐complex | High amplitude slow wave, usually biphasic (negative‐positive) transients superimposed during NREM sleep |
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| Frequency range |
Delta, 1–3 Hz; Theta, 4–7 Hz; Alpha; 8–12 Hz, Beta, 13–30 Hz; Gamma, >30 Hz. |
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| Slowing | Continuous or intermittent activity that is slower than the expected range of activities for the specific age/region/state of the animal. Slowing can also be generalized or focal, polymorphic, or rhythmic |
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| Attenuation | Significant reduction in the background voltage amplitudes of the EEG. Criteria for “significant” may vary; reporting the definitions in each study is useful | |
| Suppression | Periods with lack of detectable EEG activities. Suppression can be continuous or intermittent | |
| Increased amplitude | High‐amplitude waves relative to the background activity Interpretation depends on the electrode montage and electrode location; definitions in a given study are valuable | |
| Excess fast activity | Excessive high‐frequency activities (beta or faster). The amplitude may be typically higher than the usual amplitude of these fast activities. Fast activities usually have lower amplitudes than the slower frequencies |
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| Disorganization | Disruption of normal anteroposterior gradient of activities and absence of expected state‐related EEG patterns | |
| Sharp transients | Cortical sharp potentials, biphasic events with a duration of 250 msec in immature rodents (postnatal day 5–13) of uncertain significance |
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| Sharp waves | Sharp waveforms 70–200 msec in duration that disrupt the background. These may or may not be epileptic in nature | |
| Slow activity transients (SATs) | Slow activity with a waveform lasting up to 7 s, that has high amplitude and delta (1–4 Hz) activities embedded. They may occur in neonatal rodents during all behavioral states |
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| Discontinuity | Sudden alteration between background activities and periods of EEG suppression |
NREM, non–rapid eye movement sleep; REM, rapid eye movement sleep.
Terms used in the EEG preclinical CDEs to characterize epileptiform discharges and seizures
| Terms | Definitions/characteristics | References |
|---|---|---|
| Spike | A wave with a sharp peak clearly standing out from the background, with a duration 70 msec or less |
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| Sharp wave | A wave with a sharp peak clearly standing out from the background, with a duration 70–200 msec |
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| Spike (or sharp) and wave complex |
A pattern in which a spike (or sharp wave) is immediately followed by a slow wave |
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| High gamma/HFOs (ictal and interictal) |
EEG activity with frequencies usually greater than 80 Hz and several tens to hundreds of msec in duration interictally |
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| Isolated | An event that is sporadic with no clear repetition, pattern, or rhythmicity | |
| Bursts | Sudden emergence of brief patterns (e.g., epileptiform) that clearly disrupt the background | |
| Bilaterally synchronous | An event that occurs at almost the same time on both hemispheres |
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| Bilaterally independent | An event that occurs either at the left or the right hemisphere |
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| Rhythmic | Repetitive waveforms at a predictable rhythmicity or periodicity | |
| Periodic | Rhythmic events that repeat at regular intervals |
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| Pseudoperiodic | Repetitive events that appear to be periodic, but the intervals between the events are not exactly the same. May be described as “quasiperiodic” or “semiperiodic” | |
| Atypical | An event/pattern that resembles a classical epileptiform event/pattern, but differs in certain aspects of the morphology, symmetry, localization, or evolution | |
| Electroclinical seizure | A seizure pattern in the EEG that is associated with behavioral ictal correlates | |
| Electrographic seizure | A seizure pattern in the EEG that is not associated with any ictal behavioral correlates. The distinction between electrographic and electroclinical seizures also depends on the extent of electrode coverage and the ability to record from the regions where seizure begins or propagates to | |
| Behavioral seizure | A behavioral change that is thought to be epileptic but occurs without any EEG seizure correlate | |
| Cluster | Repetitive seizures that appear in the same day (e.g., more than 3 seizures/day). This definition may depend on the type of seizures or models. Different definitions have been used in the literature. The timeframe during which the seizure cluster appears and the presence and duration of “seizure‐free period” prior to and following the cluster are also elements that may need to be defined in each study |
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| Infraslow | A very slow and sustained change in potential. May be described as DC‐shift, slow potential shift, or baseline shift |
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HFOs, high‐frequency oscillations.
List of proposed “high” prioritized CDEs for rodent EEG studies
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Module 4 |
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Module 6 |
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Module 7 |
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AP, anterior‐posterior; DV, dorsal‐lateral; ECG, electrocardiography; EMG, electromyography; EOG, electrooculography; HFOs, high‐frequency oscillations; ML, medial‐lateral; SE, status epilepticus.