03596nas a2200505 4500008004100000022001400041245010700055210006900162260001200231300001300243490000700256520217800263653002502441653001502466653001002481653002502491653001802516653001602534653002002550653002402570653002702594653001302621653002202634653001102656653001102667653000902678653001602687653002902703653002302732653002302755653001802778653002202796653001702818653001502835100002202850700001802872700002902890700002402919700002002943700001802963700002302981700001903004700001903023856004803042 2011 eng d a1529-240100aNonuniform high-gamma (60-500 Hz) power changes dissociate cognitive task and anatomy in human cortex.0 aNonuniform highgamma 60500 Hz power changes dissociate cognitive c02/2011 a2091-1000 v313 a

High-gamma-band (>60 Hz) power changes in cortical electrophysiology are a reliable indicator of focal, event-related cortical activity. Despite discoveries of oscillatory subthreshold and synchronous suprathreshold activity at the cellular level, there is an increasingly popular view that high-gamma-band amplitude changes recorded from cellular ensembles are the result of asynchronous firing activity that yields wideband and uniform power increases. Others have demonstrated independence of power changes in the low- and high-gamma bands, but to date, no studies have shown evidence of any such independence above 60 Hz. Based on nonuniformities in time-frequency analyses of electrocorticographic (ECoG) signals, we hypothesized that induced high-gamma-band (60-500 Hz) power changes are more heterogeneous than currently understood. Using single-word repetition tasks in six human subjects, we showed that functional responsiveness of different ECoG high-gamma sub-bands can discriminate cognitive task (e.g., hearing, reading, speaking) and cortical locations. Power changes in these sub-bands of the high-gamma range are consistently present within single trials and have statistically different time courses within the trial structure. Moreover, when consolidated across all subjects within three task-relevant anatomic regions (sensorimotor, Broca's area, and superior temporal gyrus), these behavior- and location-dependent power changes evidenced nonuniform trends across the population. Together, the independence and nonuniformity of power changes across a broad range of frequencies suggest that a new approach to evaluating high-gamma-band cortical activity is necessary. These findings show that in addition to time and location, frequency is another fundamental dimension of high-gamma dynamics.

10aAcoustic Stimulation10aAdolescent10aAdult10aAnalysis of Variance10aBrain Mapping10aBrain Waves10aCerebral Cortex10aCognition Disorders10aElectroencephalography10aEpilepsy10aEvoked Potentials10aFemale10aHumans10aMale10aMiddle Aged10aNeuropsychological Tests10aNonlinear Dynamics10aPhotic Stimulation10aReaction Time10aSpectrum Analysis10aTime Factors10aVocabulary1 aGaona, Charles, M1 aSharma, Mohit1 aFreudenberg, Zachary, V.1 aBreshears, Jonathan1 aBundy, David, T1 aRoland, Jarod1 aBarbour, Dennis, L1 aSchalk, Gerwin1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2130724604454nas a2200433 4500008004100000022001400041245010500055210006900160260001200229300001100241490000700252520325900259653002503518653001503543653001003558653001803568653002003586653002803606653002703634653001303661653001103674653001103685653000903696653002203705653001603727653002303743653001103766653002003777653001603797100001603813700002303829700001903852700001803871700001803889700002403907700002203931700001903953856004803972 2010 eng d a1524-404000aElectrocorticographic frequency alteration mapping for extraoperative localization of speech cortex.0 aElectrocorticographic frequency alteration mapping for extraoper c02/2010 aE407-90 v663 a

OBJECTIVE: 

Electrocortical stimulation (ECS) has long been established for delineating eloquent cortex in extraoperative mapping. However, ECS is still coarse and inefficient in delineating regions of functional cortex and can be hampered by afterdischarges. Given these constraints, an adjunct approach to defining motor cortex is the use of electrocorticographic (ECoG) signal changes associated with active regions of cortex. The broad range of frequency oscillations are categorized into 2 main groups with respect to sensorimotor cortex: low-frequency bands (LFBs) and high-frequency bands (HFBs). The LFBs tend to show a power reduction, whereas the HFBs show power increases with cortical activation. These power changes associated with activated cortex could potentially provide a powerful tool in delineating areas of speech cortex. We explore ECoG signal alterations as they occur with activated region of speech cortex and its potential in clinical brain mapping applications.

METHODS: 

We evaluated 7 patients who underwent invasive monitoring for seizure localization. Each had extraoperative ECS mapping to identify speech cortex. Additionally, all subjects performed overt speech tasks with an auditory or a visual cue to identify associated frequency power changes in regard to location and degree of concordance with ECS results.

RESULTS: 

Electrocorticographic frequency alteration mapping (EFAM) had an 83.9% sensitivity and a 40.4% specificity in identifying any language site when considering both frequency bands and both stimulus cues. Electrocorticographic frequency alteration mapping was more sensitive in identifying the Wernicke area (100%) than the Broca area (72.2%). The HFB is uniquely suited to identifying the Wernicke area, whereas a combination of the HFB and LFB is important for Broca localization.

CONCLUSION: 

The concordance between stimulation and spectral power changes demonstrates the possible utility of EFAM as an adjunct method to improve the efficiency and resolution of identifying speech cortex.

10aAcoustic Stimulation10aAdolescent10aAdult10aBrain Mapping10aCerebral Cortex10aChi-Square Distribution10aElectroencephalography10aEpilepsy10aFemale10aHumans10aMale10aMass Spectrometry10aMiddle Aged10aPhotic Stimulation10aSpeech10aVerbal Behavior10aYoung Adult1 aWu, Melinda1 aWisneski, Kimberly1 aSchalk, Gerwin1 aSharma, Mohit1 aRoland, Jarod1 aBreshears, Jonathan1 aGaona, Charles, M1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2008711103481nas a2200289 4500008004100000022001400041245009200055210006900147260001200216300001000228490000700238520264000245653001802885653002002903653002002923653001502943653002502958653002702983653001103010653002703021100001803048700001903066700002003085700001903105700001903124856004803143 2010 eng d a1525-506900aPassive real-time identification of speech and motor cortex during an awake craniotomy.0 aPassive realtime identification of speech and motor cortex durin c05/2010 a123-80 v183 a

Precise localization of eloquent cortex is a clinical necessity prior to surgical resections adjacent to speech or motor cortex. In the intraoperative setting, this traditionally requires inducing temporary lesions by direct electrocortical stimulation (DECS). In an attempt to increase efficiency and potentially reduce the amount of necessary stimulation, we used a passive mapping procedure in the setting of an awake craniotomy for tumor in two patients resection. We recorded electrocorticographic (ECoG) signals from exposed cortex while patients performed simple cue-directed motor and speech tasks. SIGFRIED, a procedure for real-time event detection, was used to identify areas of cortical activation by detecting task-related modulations in the ECoG high gamma band. SIGFRIED's real-time output quickly localized motor and speech areas of cortex similar to those identified by DECS. In conclusion, real-time passive identification of cortical function using SIGFRIED may serve as a useful adjunct to cortical stimulation mapping in the intraoperative setting.

10aBrain Mapping10aBrain Neoplasms10aCerebral Cortex10aCraniotomy10aElectric Stimulation10aElectroencephalography10aHumans10aNeurologic Examination1 aRoland, Jarod1 aBrunner, Peter1 aJohnston, James1 aSchalk, Gerwin1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2047874502156nas a2200337 4500008004100000022001400041245008300055210006900138260001200207300000700219490000700226520120000233653001001433653002001443653001101463653002401474653001701498653001301515653002301528653002401551653002801575653001301603653004101616653002801657100001901685700001901704700001801723700001601741700001301757856004801770 2009 eng d a1092-068400aEvolution of brain-computer interfaces: going beyond classic motor physiology.0 aEvolution of braincomputer interfaces going beyond classic motor c07/2009 aE40 v273 a

The notion that a computer can decode brain signals to infer the intentions of a human and then enact those intentions directly through a machine is becoming a realistic technical possibility. These types of devices are known as brain-computer interfaces (BCIs). The evolution of these neuroprosthetic technologies could have significant implications for patients with motor disabilities by enhancing their ability to interact and communicate with their environment. The cortical physiology most investigated and used for device control has been brain signals from the primary motor cortex. To date, this classic motor physiology has been an effective substrate for demonstrating the potential efficacy of BCI-based control. However, emerging research now stands to further enhance our understanding of the cortical physiology underpinning human intent and provide further signals for more complex brain-derived control. In this review, the authors report the current status of BCIs and detail the emerging research trends that stand to augment clinical applications in the future.

10aBrain10aCerebral Cortex10aHumans10aMan-Machine Systems10aMotor Cortex10aMovement10aMovement Disorders10aNeuronal Plasticity10aProstheses and Implants10aResearch10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aRoland, Jarod1 aRouse, Adam1 aMoran, D uhttp://www.ncbi.nlm.nih.gov/pubmed/19569892