Biomechanical Modelling of the Brain for Neuronavigation in Epilepsy Surgery

Author(s):  
Karol Miller ◽  
Angus C. R. Tavner ◽  
Louis P. M. Menagé ◽  
Nicholas Psanoudakis ◽  
Grand Roman Joldes ◽  
...  
2021 ◽  
Vol 14 ◽  
Author(s):  
Elliot G. Neal ◽  
Mike R. Schoenberg ◽  
Stephanie Maciver ◽  
Yarema B. Bezchlibnyk ◽  
Fernando L. Vale

Background: Brain regions positively correlated with the epileptogenic zone in patients with temporal lobe epilepsy vary in spread across the brain and in the degree of correlation to the temporal lobes, thalamus, and limbic structures, and these parameters have been associated with pre-operative cognitive impairment and seizure freedom after epilepsy surgery, but negatively correlated regions have not been as well studied. We hypothesize that connectivity within a negatively correlated epilepsy network may predict which patients with temporal lobe epilepsy will respond best to surgery.Methods: Scalp EEG and resting state functional MRI (rsfMRI) were collected from 19 patients with temporal lobe epilepsy and used to estimate the irritative zone. Using patients’ rsfMRI, the negatively correlated epilepsy network was mapped by determining all the brain voxels that were negatively correlated with the voxels in the epileptogenic zone and the spread and average connectivity within the network was determined.Results: Pre-operatively, connectivity within the negatively correlated network was inversely related to the spread (diffuseness) of that network and positively associated with higher baseline verbal and logical memory. Pre-operative connectivity within the negatively correlated network was also significantly higher in patients who would go on to be seizure free.Conclusion: Patients with higher connectivity within brain regions negatively correlated with the epilepsy network had higher baseline memory function, narrower network spread, and were more likely to be seizure free after surgery.


2004 ◽  
Vol 16 (2) ◽  
pp. 160-163 ◽  
Author(s):  
Prabhat Kumar Sinha ◽  
Praveen Kumar Neema ◽  
S. Manikandan ◽  
K. P. Unnikrishnan ◽  
Ramesh Chandra Rathod

2005 ◽  
Vol 8 (6) ◽  
pp. 607-614 ◽  
Author(s):  
Dawna Duncan Armstrong

Our understanding of the pathogenesis of the neuropathology of epilepsy has been challenged by a need to separate the “lesions” that cause epilepsy from the “lesions” that are produced by the epilepsy. Significant clinical, genetic, pathologic, and experimental studies of Ammon horn sclerosis (AHS) suggest that AHS is the result and cause of seizures. The data support the idea that seizures cause alterations in cell numbers, cell shape, and organization of neuronal circuitry, thus setting up an identifiable seizure-genic focus. As such, AHS represents a slowly progressive lesion and a search for the cause of the initiating seizure has led to the identification of ion channel mutations. In this report, the neuropathology of other conditions associated with intractable epilepsy is considered, suggesting that in them similar epilepsy-produced alterations in microarchitecture can be observed. The idea is important to define the optimum time for epilepsy surgery and the underlying etiology of these seizure-genic lesions.


2016 ◽  
Vol 64 ◽  
pp. 273-282 ◽  
Author(s):  
Alexandra Liava ◽  
Roberto Mai ◽  
Francesco Cardinale ◽  
Laura Tassi ◽  
Giuseppe Casaceli ◽  
...  

2020 ◽  
Author(s):  
Matteo Demuru ◽  
Dorien van Blooijs ◽  
Willemiek Zweiphenning ◽  
Dora Hermes ◽  
Frans Leijten ◽  
...  

AbstractThe neuroscience community increasingly uses the Brain Imaging Data Structure (BIDS) to organize data, extending from MRI to electrophysiology data. While automated tools and workflows are developed that help organize MRI data from the scanner to BIDS, these workflows are lacking for clinical intracranial EEG (iEEG data). We present a practical guideline on how to organize full clinical iEEG epilepsy data into BIDS. We present electrophysiological datasets recorded from twelve subjects who underwent intracranial monitoring followed by resective epilepsy surgery at the University Medical Center Utrecht, the Netherlands, and became seizure-free after surgery. These data include intraoperative electrocorticography recordings from six patients, long-term electrocorticography recordings from three patients and stereo-encephalography recordings from three patients. We describe the 6 steps in the pipeline that are essential to structure the data from these clinical iEEG recordings into BIDS and the challenges during this process. These guidelines enable centers performing clinical iEEG recordings to structure their data to improve accessibility, reusability and interoperability of clinical data.Background & SummaryToday’s era of big data and open science has highlighted the importance of organizing and storing data in keeping with the FAIR Data Principles of Findable, Accessible, Interoperable and Reusable Data to the neuroscientific community1,2. Over the past five years, a community-driven effort to develop a simple standardized method of organizing, annotating and describing neuroimaging data has resulted in the Brain Imaging Data Structure (BIDS). BIDS was originally developed for magnetic resonance imaging data (MRI3), but now also has extensions for magnetoencephalography (MEG4), electroencephalography (EEG5), and intracranial encephalography (iEEG6). BIDS prescribes rules about the organization of the data itself, with a formalized file/folder structure and naming conventions, and provides standardized templates to store associated metadata in human and machine readable, text-based, JSON and TSV file formats. Software packages analyzing neuroimaging data increasingly support data organized using the BIDS format (https://bids-apps.neuroimaging.io/apps/). However, a major challenge in the use of BIDS is to curate the data from their source format into a BIDS validated set. Several tools exist to convert MRI source data into BIDS datasets7–11, but to our knowledge, there is currently no tool or protocol for iEEG.The University Medical Center in Utrecht, the Netherlands, is a tertiary referral center performing around 150 epilepsy surgeries per year. The success of surgery for treating focal epilepsy depends on accurate prediction of brain tissue that needs to be removed or disconnected to yield full seizure control. People referred for epilepsy surgery undergo an extensive presurgical work-up, starting with MRI and video-EEG and, if needed, PET or ictal SPECT. This noninvasive phase is followed directly by a resection, possibly guided by intraoperative ECoG, or by long-term electrocorticography (ECoG) or stereo-encephalography (SEEG) with electrodes placed on or implanted in the brain12. From January 2008 until December 2019, 560 of the epilepsy surgeries in our center were guided by intraoperative ECoG; 163 surgeries followed after long-term ECoG or SEEG investigation. These iEEG data offer a unique combination of high spatial and temporal resolution measurements of the living human brain and it is important to curate these data in a way such that they can be used by many people in the future to study epilepsy and typical brain dynamics.As part of RESPect (Registry for Epilepsy Surgery Patients, ethical committee approval (18-109)), we started to retrospectively convert raw, unprocessed, clinical iEEG data of patients that underwent epilepsy surgery from January 2008 onwards, to the iEEG-BIDS format and identified 6 critical steps in this process. With this paper, we give a practical workflow of how we collected iEEG data in the UMC Utrecht and converted these data to BIDS. We share our entire pipeline and provide practical examples of six patients with intraoperative ECoG, three patients with long-term ECoG and three patients with SEEG data, demonstrating how BIDS can be used for intraoperative as well as long-term recordings.


2008 ◽  
Vol 25 (3) ◽  
pp. E24 ◽  
Author(s):  
Sanjiv Bhatia ◽  
John Ragheb ◽  
Mahlon Johnson ◽  
Sanghoon Oh ◽  
David I. Sandberg ◽  
...  

Object Surgery is an important therapeutic modality for pediatric patients with intractable epilepsy. However, existing imaging and diagnostic technologies such as MR imaging and electrocochleography (ECoG) do not always effectively delineate the true resection margin of an epileptic cortical lesion because of limitations in their sensitivity. Optical spectroscopic techniques such as fluorescence and diffuse reflectance spectroscopy provide a nondestructive means of gauging the physiological features of the brain in vivo, including hemodynamics and metabolism. In this study, the authors investigate the feasibility of using combined fluorescence and diffuse reflectance spectroscopy to assist epilepsy surgery in children. Methods In vivo static fluorescence and diffuse reflectance spectra were acquired from the brain in children undergoing epilepsy surgery. Spectral measurements were obtained using a portable spectroscopic system in conjunction with a fiber optic probe. The optical investigations were conducted at the normal and abnormal cortex as defined by intraoperative ECoG and preoperative imaging studies. Biopsy samples were taken from the investigated sites located within the zone of resection. The optical spectra were classified into multiple subsets in accordance with the ECoG and histological study results. The authors used statistical comparisons between 2 given data subsets to identify unique spectral features. Empirical discrimination algorithms were developed using the identified spectral features to determine if the objective of the study was achieved. Results Fifteen pediatric patients were enrolled in this pilot study. Elevated diffuse reflectance signals between 500 and 600 nm and/or between 650 and 850 nm were observed commonly in the investigated sites with abnormal ECoG and/or histological features in 10 patients. The appearance of a fluorescent peak at 400 nm was observed in both normal and abnormal cortex of 5 patients. These spectral alterations were attributed to changes in morphological and/or biochemical characteristics of the epileptic cortex. The sensitivities and specificities of the empirical discrimination algorithms, which were constructed using the identified spectral features, were all > 90%. Conclusions The results of this study demonstrate the feasibility of using static fluorescence and diffuse reflectance spectroscopy to differentiate normal from abnormal cortex on the basis of intraoperative assessment of ECoG and histological features. It is therefore possible to use fluorescence and diffuse reflectance spectroscopy as an aid in epilepsy surgery.


Author(s):  
A. Hamberger ◽  
B. Nyström ◽  
H. Silfvenius ◽  
A. Hedström

2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONS340-ONS345 ◽  
Author(s):  
Mehran Mahvash ◽  
Roy König ◽  
Jörg Wellmer ◽  
Horst Urbach ◽  
Bernhard Meyer ◽  
...  

Abstract Objective: To develop a method for the coregistration of digital photographs of the human cortex with head magnetic resonance imaging (MRI) scans for invasive diagnostics and resective neocortical epilepsy surgery. Methods: Six chronically epileptic patients (two women, four men; mean age, 34 yr; age range, 20–43 yr) underwent preoperative three-dimensional (3D) T1-weighted MRI scans. Digital photographs of the exposed cortex were taken during implantation of subdural grid electrodes. Rendering software (Analyze 3.1; Biomedical Imaging Resource, Mayo Foundation, Rochester, MN) was used to create an MRI-based 3D model of the brain surface. Digital photographs were manually coregistered with the brain surface MRI model using the registration tool in the Analyze software. By matching the digital photograph and the brain surface model, the position of the subdural electrodes was integrated into the coordinate system of the preoperatively acquired 3D MRI dataset. Results: In all patients, the position of the labeled electrode contacts in relation to the cortical anatomy could be visualized on the 3D models of the cortical surface. At the time of resection, the resulting image of the coregistration process provides a realistic view of the cortex and the position of the subdural electrode. Conclusion: The coregistration of digital photographs of the brain cortex with the results of 3D MRI data sets is possible. This allows for identification of anatomic details underlying the subdural grid electrodes and enhances the orientation of the surgeon.


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