03432nas a2200361 4500008004100000022001400041245014400055210006900199260001300268300001100281490000800292520223300300653001002533653002002543653001502563653002602578653002702604653001102631653003102642100003102673700002702704700002002731700001702751700002102768700001902789700001902808700002302827700002602850700002702876700001802903700002602921856012302947 2024 eng d a1872-678X00aAnatomical registration of intracranial electrodes. Robust model-based localization and deformable smooth brain-shift compensation methods.0 aAnatomical registration of intracranial electrodes Robust modelb c2024 Apr a1100560 v4043 a

BACKGROUND: Intracranial electrodes are typically localized from post-implantation CT artifacts. Automatic algorithms localizing low signal-to-noise ratio artifacts and high-density electrode arrays are missing. Additionally, implantation of grids/strips introduces brain deformations, resulting in registration errors when fusing post-implantation CT and pre-implantation MR images. Brain-shift compensation methods project electrode coordinates to cortex, but either fail to produce smooth solutions or do not account for brain deformations.

NEW METHODS: We first introduce GridFit, a model-based fitting approach that simultaneously localizes all electrodes' CT artifacts in grids, strips, or depth arrays. Second, we present CEPA, a brain-shift compensation algorithm combining orthogonal-based projections, spring-mesh models, and spatial regularization constraints.

RESULTS: We tested GridFit on ∼6000 simulated scenarios. The localization of CT artifacts showed robust performance under difficult scenarios, such as noise, overlaps, and high-density implants (<1 mm errors). Validation with data from 20 challenging patients showed 99% accurate localization of the electrodes (3160/3192). We tested CEPA brain-shift compensation with data from 15 patients. Projections accounted for simple mechanical deformation principles with < 0.4 mm errors. The inter-electrode distances smoothly changed across neighbor electrodes, while changes in inter-electrode distances linearly increased with projection distance.

COMPARISON WITH EXISTING METHODS: GridFit succeeded in difficult scenarios that challenged available methods and outperformed visual localization by preserving the inter-electrode distance. CEPA registration errors were smaller than those obtained for well-established alternatives. Additionally, modeling resting-state high-frequency activity in five patients further supported CEPA.

CONCLUSION: GridFit and CEPA are versatile tools for registering intracranial electrode coordinates, providing highly accurate results even in the most challenging implantation scenarios. The methods are implemented in the iElectrodes open-source toolbox.

10aBrain10aCerebral Cortex10aElectrodes10aElectrodes, Implanted10aElectroencephalography10aHumans10aMagnetic Resonance Imaging1 aBlenkmann, Alejandro, Omar1 aLeske, Sabine, Liliana1 aLlorens, Anaïs1 aLin, Jack, J1 aChang, Edward, F1 aBrunner, Peter1 aSchalk, Gerwin1 aIvanovic, Jugoslav1 aLarsson, Pål, Gunnar1 aKnight, Robert, Thomas1 aEndestad, Tor1 aSolbakk, Anne-Kristin uhttps://www.neurotechcenter.org/publications/2024/anatomical-registration-intracranial-electrodes-robust-model-based-002553nas a2200325 4500008004100000022001400041245011400055210006900169260001200238300001000250490000800260520151900268653002401787653001001811653001801821653002001839653002501859653001101884653001301895100002401908700002001932700002401952700002301976700002201999700002102021700002502042700001902067700001902086856012202105 2023 eng d a1872-895200aPassive functional mapping of receptive language cortex during general anesthesia using electrocorticography.0 aPassive functional mapping of receptive language cortex during g c03/2023 a31-440 v1473 a

OBJECTIVE: To investigate the feasibility of passive functional mapping in the receptive language cortex during general anesthesia using electrocorticographic (ECoG) signals.

METHODS: We used subdurally placed ECoG grids to record cortical responses to speech stimuli during awake and anesthesia conditions. We identified the cortical areas with significant responses to the stimuli using the spectro-temporal consistency of the brain signal in the broadband gamma (BBG) frequency band (70-170 Hz).

RESULTS: We found that ECoG BBG responses during general anesthesia effectively identify cortical regions associated with receptive language function. Our analyses demonstrated that the ability to identify receptive language cortex varies across different states and depths of anesthesia. We confirmed these results by comparing them to receptive language areas identified during the awake condition. Quantification of these results demonstrated an average sensitivity and specificity of passive language mapping during general anesthesia to be 49±7.7% and 100%, respectively.

CONCLUSION: Our results demonstrate that mapping receptive language cortex in patients during general anesthesia is feasible.

SIGNIFICANCE: Our proposed protocol could greatly expand the population of patients that can benefit from passive language mapping techniques, and could eliminate the risks associated with electrocortical stimulation during an awake craniotomy.

10aAnesthesia, General10aBrain10aBrain Mapping10aCerebral Cortex10aElectrocorticography10aHumans10aLanguage1 aNourmohammadi, Amin1 aSwift, James, R1 ade Pesters, Adriana1 aGuay, Christian, S1 aAdamo, Matthew, A1 aDalfino, John, C1 aRitaccio, Anthony, L1 aSchalk, Gerwin1 aBrunner, Peter uhttps://www.neurotechcenter.org/publications/2023/passive-functional-mapping-receptive-language-cortex-during-general