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-003070nas a2200301 4500008004100000022001400041245007000055210006700125260001600192300001100208490000700219520218100226653001002407653001002417653001502427653002502442653001202467653001102479653003102490653001402521653000902535100002102544700001702565700002302582700002402605700002302629856011602652 2024 eng d a1097-019300aComplexity organization of resting-state functional-MRI networks.0 aComplexity organization of restingstate functionalMRI networks c2024 Aug 15 ae268090 v453 a

Entropy measures are increasingly being used to analyze the structure of neural activity observed by functional magnetic resonance imaging (fMRI), with resting-state networks (RSNs) being of interest for their reproducible descriptions of the brain's functional architecture. Temporal correlations have shown a dichotomy among these networks: those that engage with the environment, known as extrinsic, which include the visual and sensorimotor networks; and those associated with executive control and self-referencing, known as intrinsic, which include the default mode network and the frontoparietal control network. While these inter-voxel temporal correlations enable the assessment of synchrony among the components of individual networks, entropic measures introduce an intra-voxel assessment that quantifies signal features encoded within each blood oxygen level-dependent (BOLD) time series. As a result, this framework offers insights into comprehending the representation and processing of information within fMRI signals. Multiscale entropy (MSE) has been proposed as a useful measure for characterizing the entropy of neural activity across different temporal scales. This measure of temporal entropy in BOLD data is dependent on the length of the time series; thus, high-quality data with fine-grained temporal resolution and a sufficient number of time frames is needed to improve entropy precision. We apply MSE to the Midnight Scan Club, a highly sampled and well-characterized publicly available dataset, to analyze the entropy distribution of RSNs and evaluate its ability to distinguish between different functional networks. Entropy profiles are compared across temporal scales and RSNs. Our results have shown that the spatial distribution of entropy at infra-slow frequencies (0.005-0.1 Hz) reproduces known parcellations of RSNs. We found a complexity hierarchy between intrinsic and extrinsic RSNs, with intrinsic networks robustly exhibiting higher entropy than extrinsic networks. Finally, we found new evidence that the topography of entropy in the posterior cerebellum exhibits high levels of entropy comparable to that of intrinsic RSNs.

10aAdult10aBrain10aConnectome10aDefault Mode Network10aEntropy10aHumans10aMagnetic Resonance Imaging10aNerve Net10aRest1 aTrevino, Gabriel1 aLee, John, J1 aShimony, Joshua, S1 aLuckett, Patrick, H1 aLeuthardt, Eric, C uhttps://www.neurotechcenter.org/publications/2024/complexity-organization-resting-state-functional-mri-networks02755nas a2200337 4500008004100000022001400041245007600055210006900131260001300200300001100213490000800224520171700232653001001949653001501959653001101974653001101985653003101996100001802027700002302045700002602068700002402094700002002118700002102138700002402159700002302183700002402206700002202230700002302252700002302275856011902298 2024 eng d a1872-678X00aOptimal approaches to analyzing functional MRI data in glioma patients.0 aOptimal approaches to analyzing functional MRI data in glioma pa c2024 Feb a1100110 v4023 a

BACKGROUND: Resting-state fMRI is increasingly used to study the effects of gliomas on the functional organization of the brain. A variety of preprocessing techniques and functional connectivity analyses are represented in the literature. However, there so far has been no systematic comparison of how alternative methods impact observed results.

NEW METHOD: We first surveyed current literature and identified alternative analytical approaches commonly used in the field. Following, we systematically compared alternative approaches to atlas registration, parcellation scheme, and choice of graph-theoretical measure as regards differentiating glioma patients (N = 59) from age-matched reference subjects (N = 163).

RESULTS: Our results suggest that non-linear, as opposed to affine registration, improves structural match to an atlas, as well as measures of functional connectivity. Functionally- as opposed to anatomically-derived parcellation schemes maximized the contrast between glioma patients and reference subjects. We also demonstrate that graph-theoretic measures strongly depend on parcellation granularity, parcellation scheme, and graph density.

COMPARISON WITH EXISTING METHODS AND CONCLUSIONS: Our current work primarily focuses on technical optimization of rs-fMRI analysis in glioma patients and, therefore, is fundamentally different from the bulk of papers discussing glioma-induced functional network changes. We report that the evaluation of glioma-induced alterations in the functional connectome strongly depends on analytical approaches including atlas registration, choice of parcellation scheme, and graph-theoretical measures.

10aBrain10aConnectome10aGlioma10aHumans10aMagnetic Resonance Imaging1 aPark, Ki, Yun1 aShimony, Joshua, S1 aChakrabarty, Satrajit1 aTanenbaum, Aaron, B1 aHacker, Carl, D1 aDonovan, Kara, M1 aLuckett, Patrick, H1 aMilchenko, Mikhail1 aSotiras, Aristeidis1 aMarcus, Daniel, S1 aLeuthardt, Eric, C1 aSnyder, Abraham, Z uhttps://www.neurotechcenter.org/publications/2024/optimal-approaches-analyzing-functional-mri-data-glioma-patients03236nas a2200481 4500008004100000022001400041245011400055210006900169260001300238300001200251490000800263520183300271653001002104653000902114653001002123653002002133653001102153653001102164653001102175653002102186653003102207653000902238653001602247653002102263653001402284653000902298653002602307100002402333700002402357700001802381700002302399700001902422700003302441700001702474700001602491700001602507700001802523700002102541700002302562700002302585700002302608856012302631 2024 eng d a1573-737300aPredicting post-surgical functional status in high-grade glioma with resting state fMRI and machine learning.0 aPredicting postsurgical functional status in highgrade glioma wi c2024 Aug a175-1850 v1693 a

PURPOSE: High-grade glioma (HGG) is the most common and deadly malignant glioma of the central nervous system. The current standard of care includes surgical resection of the tumor, which can lead to functional and cognitive deficits. The aim of this study is to develop models capable of predicting functional outcomes in HGG patients before surgery, facilitating improved disease management and informed patient care.

METHODS: Adult HGG patients (N = 102) from the neurosurgery brain tumor service at Washington University Medical Center were retrospectively recruited. All patients completed structural neuroimaging and resting state functional MRI prior to surgery. Demographics, measures of resting state network connectivity (FC), tumor location, and tumor volume were used to train a random forest classifier to predict functional outcomes based on Karnofsky Performance Status (KPS < 70, KPS ≥ 70).

RESULTS: The models achieved a nested cross-validation accuracy of 94.1% and an AUC of 0.97 in classifying KPS. The strongest predictors identified by the model included FC between somatomotor, visual, auditory, and reward networks. Based on location, the relation of the tumor to dorsal attention, cingulo-opercular, and basal ganglia networks were strong predictors of KPS. Age was also a strong predictor. However, tumor volume was only a moderate predictor.

CONCLUSION: The current work demonstrates the ability of machine learning to classify postoperative functional outcomes in HGG patients prior to surgery accurately. Our results suggest that both FC and the tumor's location in relation to specific networks can serve as reliable predictors of functional outcomes, leading to personalized therapeutic approaches tailored to individual patients.

10aAdult10aAged10aBrain10aBrain Neoplasms10aFemale10aGlioma10aHumans10amachine learning10aMagnetic Resonance Imaging10aMale10aMiddle Aged10aNeoplasm Grading10aPrognosis10aRest10aRetrospective Studies1 aLuckett, Patrick, H1 aOlufawo, Michael, O1 aPark, Ki, Yun1 aLamichhane, Bidhan1 aDierker, Donna1 aVerastegui, Gabriel, Trevino1 aLee, John, J1 aYang, Peter1 aKim, Albert1 aButt, Omar, H1 aChheda, Milan, G1 aSnyder, Abraham, Z1 aShimony, Joshua, S1 aLeuthardt, Eric, C uhttps://www.neurotechcenter.org/publications/2024/predicting-post-surgical-functional-status-high-grade-glioma-resting04323nas a2200877 4500008004100000022001400041245008800055210006900143260001200212300001200224490000800236520184100244653001202085653001802097653001002115653001402125653002202139653000902161653000902170653001102179653001102190653002002201653001102221653003102232653001702263653001002280100002002290700002502310700001902335700002202354700002002376700002302396700002202419700002202441700002302463700002602486700001602512700002202528700002202550700002102572700001702593700002002610700002002630700002202650700002202672700001902694700003002713700002302743700002202766700002502788700001302813700002102826700002702847700002302874700002002897700002302917700002002940700001902960700001902979700002302998700002103021700001703042700002103059700002203080700002303102700002303125700001803148700002203166700002103188700002403209700002303233700002403256700002003280700002503300856012003325 2023 eng d a1476-468700aA somato-cognitive action network alternates with effector regions in motor cortex.0 asomatocognitive action network alternates with effector regions  c05/2023 a351-3590 v6173 a

Motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down the precentral gyrus from foot to face representations, despite evidence for concentric functional zones and maps of complex actions. Here, using precision functional magnetic resonance imaging (fMRI) methods, we find that the classic homunculus is interrupted by regions with distinct connectivity, structure and function, alternating with effector-specific (foot, hand and mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, as well as to the cingulo-opercular network (CON), critical for action and physiological control, arousal, errors and pain. This interdigitation of action control-linked and motor effector regions was verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant and child) precision fMRI suggested cross-species homologues and developmental precursors of the inter-effector system. A battery of motor and action fMRI tasks documented concentric effector somatotopies, separated by the CON-linked inter-effector regions. The inter-effectors lacked movement specificity and co-activated during action planning (coordination of hands and feet) and axial body movement (such as of the abdomen or eyebrows). These results, together with previous studies demonstrating stimulation-evoked complex actions and connectivity to internal organs such as the adrenal medulla, suggest that M1 is punctuated by a system for whole-body action planning, the somato-cognitive action network (SCAN). In M1, two parallel systems intertwine, forming an integrate-isolate pattern: effector-specific regions (foot, hand and mouth) for isolating fine motor control and the SCAN for integrating goals, physiology and body movement.

10aAnimals10aBrain Mapping10aChild10aCognition10aDatasets as Topic10aFoot10aHand10aHumans10aInfant10aInfant, Newborn10aMacaca10aMagnetic Resonance Imaging10aMotor Cortex10aMouth1 aGordon, Evan, M1 aChauvin, Roselyne, J1 aVan, Andrew, N1 aRajesh, Aishwarya1 aNielsen, Ashley1 aNewbold, Dillan, J1 aLynch, Charles, J1 aSeider, Nicole, A1 aKrimmel, Samuel, R1 aScheidter, Kristen, M1 aMonk, Julia1 aMiller, Ryland, L1 aMetoki, Athanasia1 aMontez, David, F1 aZheng, Annie1 aElbau, Immanuel1 aMadison, Thomas1 aNishino, Tomoyuki1 aMyers, Michael, J1 aKaplan, Sydney1 aD'Andrea, Carolina, Badke1 aDemeter, Damion, V1 aFeigelis, Matthew1 aRamirez, Julian, S B1 aXu, Ting1 aBarch, Deanna, M1 aSmyser, Christopher, D1 aRogers, Cynthia, E1 aZimmermann, Jan1 aBotteron, Kelly, N1 aPruett, John, R1 aWillie, Jon, T1 aBrunner, Peter1 aShimony, Joshua, S1 aKay, Benjamin, P1 aMarek, Scott1 aNorris, Scott, A1 aGratton, Caterina1 aSylvester, Chad, M1 aPower, Jonathan, D1 aListon, Conor1 aGreene, Deanna, J1 aRoland, Jarod, L1 aPetersen, Steven, E1 aRaichle, Marcus, E1 aLaumann, Timothy, O1 aFair, Damien, A1 aDosenbach, Nico, U F uhttps://www.neurotechcenter.org/publications/2023/somato-cognitive-action-network-alternates-effector-regions-motor02982nas a2200313 4500008004100000022001400041245013700055210006900192260001200261300001100273490000700284520198000291653001002271653001802281653002502299653002602324653002702350653001102377653003102388100001602419700001702435700001502452700001902467700001402486700001902500700001602519700001902535856011402554 2019 eng d a1741-255200aiEEGview: an open-source multifunction GUI-based Matlab toolbox for localization and visualization of human intracranial electrodes.0 aiEEGview an opensource multifunction GUIbased Matlab toolbox for c12/2019 a0160160 v173 a

OBJECTIVE: The precise localization of intracranial electrodes is a fundamental step relevant to the analysis of intracranial electroencephalography (iEEG) recordings in various fields. With the increasing development of iEEG studies in human neuroscience, higher requirements have been posed on the localization process, resulting in urgent demand for more integrated, easy-operation and versatile tools for electrode localization and visualization. With the aim of addressing this need, we develop an easy-to-use and multifunction toolbox called iEEGview, which can be used for the localization and visualization of human intracranial electrodes.

APPROACH: iEEGview is written in Matlab scripts and implemented with a GUI. From the GUI, by taking only pre-implant MRI and post-implant CT images as input, users can directly run the full localization pipeline including brain segmentation, image co-registration, electrode reconstruction, anatomical information identification, activation map generation and electrode projection from native brain space into common brain space for group analysis. Additionally, iEEGview implements methods for brain shift correction, visual location inspection on MRI slices and computation of certainty index in anatomical label assignment.

MAIN RESULTS: All the introduced functions of iEEGview work reliably and successfully, and are tested by images from 28 human subjects implanted with depth and/or subdural electrodes.

SIGNIFICANCE: iEEGview is the first public Matlab GUI-based software for intracranial electrode localization and visualization that holds integrated capabilities together within one pipeline. iEEGview promotes convenience and efficiency for the localization process, provides rich localization information for further analysis and offers solutions for addressing raised technical challenges. Therefore, it can serve as a useful tool in facilitating iEEG studies.

10aBrain10aBrain Mapping10aElectrocorticography10aElectrodes, Implanted10aElectroencephalography10aHumans10aMagnetic Resonance Imaging1 aLi, Guangye1 aJiang, Shize1 aChen, Chen1 aBrunner, Peter1 aWu, Zehan1 aSchalk, Gerwin1 aChen, Liang1 aZhang, Dingguo uhttps://www.neurotechcenter.org/publications/2019/ieegview-open-source-multifunction-gui-based-matlab-toolbox10628nas a2200313 4500008004100000022001400041245012900055210006900184260001200253520965800265653001209923653003109935653002509966653002409991653002910015653001310044653003110057653000810088653001710096653001310113100002510126700001710151700001910168700002010187700002210207700001810229700001910247856004810266 2012 eng d a1940-087X00aRecording Human Electrocorticographic (ECoG) Signals for Neuroscientific Research and Real-time Functional Cortical Mapping.0 aRecording Human Electrocorticographic ECoG Signals for Neuroscie c05/20123 a

Neuroimaging studies of human cognitive, sensory, and motor processes are usually based on noninvasive techniques such as electroencephalography (EEG), magnetoencephalography or functional magnetic-resonance imaging. These techniques have either inherently low temporal or low spatial resolution, and suffer from low signal-to-noise ratio and/or poor high-frequency sensitivity. Thus, they are suboptimal for exploring the short-lived spatio-temporal dynamics of many of the underlying brain processes. In contrast, the invasive technique of electrocorticography (ECoG) provides brain signals that have an exceptionally high signal-to-noise ratio, less susceptibility to artifacts than EEG, and a high spatial and temporal resolution (i.e., <1 cm/<1 millisecond, respectively). ECoG involves measurement of electrical brain signals using electrodes that are implanted subdurally on the surface of the brain. Recent studies have shown that ECoG amplitudes in certain frequency bands carry substantial information about task-related activity, such as motor execution and planning, auditory processing and visual-spatial attention. Most of this information is captured in the high gamma range (around 70-110 Hz). Thus, gamma activity has been proposed as a robust and general indicator of local cortical function. ECoG can also reveal functional connectivity and resolve finer task-related spatial-temporal dynamics, thereby advancing our understanding of large-scale cortical processes. It has especially proven useful for advancing brain-computer interfacing (BCI) technology for decoding a user's intentions to enhance or improve communication and control. Nevertheless, human ECoG data are often hard to obtain because of the risks and limitations of the invasive procedures involved, and the need to record within the constraints of clinical settings. Still, clinical monitoring to localize epileptic foci offers a unique and valuable opportunity to collect human ECoG data. We describe our methods for collecting recording ECoG, and demonstrate how to use these signals for important real-time applications such as clinical mapping and brain-computer interfacing. Our example uses the BCI2000 software platform and the SIGFRIED method, an application for real-time mapping of brain functions. This procedure yields information that clinicians can subsequently use to guide the complex and laborious process of functional mapping by electrical stimulation. PREREQUISITES AND PLANNING: Patients with drug-resistant partial epilepsy may be candidates for resective surgery of an epileptic focus to minimize the frequency of seizures. Prior to resection, the patients undergo monitoring using subdural electrodes for two purposes: first, to localize the epileptic focus, and second, to identify nearby critical brain areas (i.e., eloquent cortex) where resection could result in long-term functional deficits. To implant electrodes, a craniotomy is performed to open the skull. Then, electrode grids and/or strips are placed on the cortex, usually beneath the dura. A typical grid has a set of 8 x 8 platinum-iridium electrodes of 4 mm diameter (2.3 mm exposed surface) embedded in silicon with an inter-electrode distance of 1cm. A strip typically contains 4 or 6 such electrodes in a single line. The locations for these grids/strips are planned by a team of neurologists and neurosurgeons, and are based on previous EEG monitoring, on a structural MRI of the patient's brain, and on relevant factors of the patient's history. Continuous recording over a period of 5-12 days serves to localize epileptic foci, and electrical stimulation via the implanted electrodes allows clinicians to map eloquent cortex. At the end of the monitoring period, explantation of the electrodes and therapeutic resection are performed together in one procedure. In addition to its primary clinical purpose, invasive monitoring also provides a unique opportunity to acquire human ECoG data for neuroscientific research. The decision to include a prospective patient in the research is based on the planned location of their electrodes, on the patient's performance scores on neuropsychological assessments, and on their informed consent, which is predicated on their understanding that participation in research is optional and is not related to their treatment. As with all research involving human subjects, the research protocol must be approved by the hospital's institutional review board. The decision to perform individual experimental tasks is made day-by-day, and is contingent on the patient's endurance and willingness to participate. Some or all of the experiments may be prevented by problems with the clinical state of the patient, such as post-operative facial swelling, temporary aphasia, frequent seizures, post-ictal fatigue and confusion, and more general pain or discomfort. At the Epilepsy Monitoring Unit at Albany Medical Center in Albany, New York, clinical monitoring is implemented around the clock using a 192-channel Nihon-Kohden Neurofax monitoring system. Research recordings are made in collaboration with the Wadsworth Center of the New York State Department of Health in Albany. Signals from the ECoG electrodes are fed simultaneously to the research and the clinical systems via splitter connectors. To ensure that the clinical and research systems do not interfere with each other, the two systems typically use separate grounds. In fact, an epidural strip of electrodes is sometimes implanted to provide a ground for the clinical system. Whether research or clinical recording system, the grounding electrode is chosen to be distant from the predicted epileptic focus and from cortical areas of interest for the research. Our research system consists of eight synchronized 16-channel g.USBamp amplifier/digitizer units (g.tec, Graz, Austria). These were chosen because they are safety-rated and FDA-approved for invasive recordings, they have a very low noise-floor in the high-frequency range in which the signals of interest are found, and they come with an SDK that allows them to be integrated with custom-written research software. In order to capture the high-gamma signal accurately, we acquire signals at 1200Hz sampling rate-considerably higher than that of the typical EEG experiment or that of many clinical monitoring systems. A built-in low-pass filter automatically prevents aliasing of signals higher than the digitizer can capture. The patient's eye gaze is tracked using a monitor with a built-in Tobii T-60 eye-tracking system (Tobii Tech., Stockholm, Sweden). Additional accessories such as joystick, bluetooth Wiimote (Nintendo Co.), data-glove (5(th) Dimension Technologies), keyboard, microphone, headphones, or video camera are connected depending on the requirements of the particular experiment. Data collection, stimulus presentation, synchronization with the different input/output accessories, and real-time analysis and visualization are accomplished using our BCI2000 software. BCI2000 is a freely available general-purpose software system for real-time biosignal data acquisition, processing and feedback. It includes an array of pre-built modules that can be flexibly configured for many different purposes, and that can be extended by researchers' own code in C++, MATLAB or Python. BCI2000 consists of four modules that communicate with each other via a network-capable protocol: a Source module that handles the acquisition of brain signals from one of 19 different hardware systems from different manufacturers; a Signal Processing module that extracts relevant ECoG features and translates them into output signals; an Application module that delivers stimuli and feedback to the subject; and the Operator module that provides a graphical interface to the investigator. A number of different experiments may be conducted with any given patient. The priority of experiments will be determined by the location of the particular patient's electrodes. However, we usually begin our experimentation using the SIGFRIED (SIGnal modeling For Realtime Identification and Event Detection) mapping method, which detects and displays significant task-related activity in real time. The resulting functional map allows us to further tailor subsequent experimental protocols and may also prove as a useful starting point for traditional mapping by electrocortical stimulation (ECS). Although ECS mapping remains the gold standard for predicting the clinical outcome of resection, the process of ECS mapping is time consuming and also has other problems, such as after-discharges or seizures. Thus, a passive functional mapping technique may prove valuable in providing an initial estimate of the locus of eloquent cortex, which may then be confirmed and refined by ECS. The results from our passive SIGFRIED mapping technique have been shown to exhibit substantial concurrence with the results derived using ECS mapping. The protocol described in this paper establishes a general methodology for gathering human ECoG data, before proceeding to illustrate how experiments can be initiated using the BCI2000 software platform. Finally, as a specific example, we describe how to perform passive functional mapping using the BCI2000-based SIGFRIED system.

10aBCI200010abrain-computer interfacing10aElectrocorticography10aepilepsy monitoring10afunctional brain mapping10aissue 6410aMagnetic Resonance Imaging10aMRI10aneuroscience10aSIGFRIED1 aHill, Jeremy, Jeremy1 aGupta, Disha1 aBrunner, Peter1 aGunduz, Aysegul1 aAdamo, Matthew, A1 aRitaccio, A L1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2278213104192nas a2200409 4500008004100000022001400041245005900055210005700114260001200171300001100183490000700194520303500201653001403236653001403250653001503264653002703279653001303306653001103319653004003330653003103370653002903401653001103430653002203441653002803463653002203491653001703513653002803530100002803558700001703586700002303603700002503626700001903651700002003670700002403690700002003714856004803734 2010 eng d a1531-824900aBrain-computer interfacing based on cognitive control.0 aBraincomputer interfacing based on cognitive control c06/2010 a809-160 v673 a

OBJECTIVE: 

Brain-computer interfaces (BCIs) translate deliberate intentions and associated changes in brain activity into action, thereby offering patients with severe paralysis an alternative means of communication with and control over their environment. Such systems are not available yet, partly due to the high performance standard that is required. A major challenge in the development of implantable BCIs is to identify cortical regions and related functions that an individual can reliably and consciously manipulate. Research predominantly focuses on the sensorimotor cortex, which can be activated by imagining motor actions. However, because this region may not provide an optimal solution to all patients, other neuronal networks need to be examined. Therefore, we investigated whether the cognitive control network can be used for BCI purposes. We also determined the feasibility of using functional magnetic resonance imaging (fMRI) for noninvasive localization of the cognitive control network.

METHODS: 

Three patients with intractable epilepsy, who were temporarily implanted with subdural grid electrodes for diagnostic purposes, attempted to gain BCI control using the electrocorticographic (ECoG) signal of the left dorsolateral prefrontal cortex (DLPFC).

RESULTS: 

All subjects quickly gained accurate BCI control by modulation of gamma-power of the left DLPFC. Prelocalization of the relevant region was performed with fMRI and was confirmed using the ECoG signals obtained during mental calculation localizer tasks.

INTERPRETATION: 

The results indicate that the cognitive control network is a suitable source of signals for BCI applications. They also demonstrate the feasibility of translating understanding about cognitive networks derived from functional neuroimaging into clinical applications.

10aCognition10aComputers10aElectrodes10aElectroencephalography10aEpilepsy10aHumans10aImage Processing, Computer-Assisted10aMagnetic Resonance Imaging10aNeuropsychological Tests10aOxygen10aPrefrontal Cortex10aPsychomotor Performance10aSpectrum Analysis10aTime Factors10aUser-Computer Interface1 aVansteensel, Mariska, J1 aHermes, Dora1 aAarnoutse, Erik, J1 aBleichner, Martin, G1 aSchalk, Gerwin1 aRijen, Peter, C1 aLeijten, Frans, S S1 aRamsey, Nick, F uhttp://www.ncbi.nlm.nih.gov/pubmed/2051794302204nas a2200469 4500008004100000022001400041245010100055210006900156260001200225300000900237490000700246520081300253653001001066653002001076653001801096653001001114653002001124653003301144653002701177653001601204653001301220653001101233653003101244653003101275653002001306653001801326653001201344653001701356653001601373653003001389653001301419653003201432653004901464653002401513653003801537100002501575700001701600700002201617700002301639710002401662856004801686 2009 eng d a1525-506900aAdvances in the application of technology to epilepsy: the CIMIT/NIO Epilepsy Innovation Summit.0 aAdvances in the application of technology to epilepsy the CIMITN c09/2009 a3-460 v163 a

In 2008, a group of clinicians, scientists, engineers, and industry representatives met to discuss advances in the application of engineering technologies to the diagnosis and treatment of patients with epilepsy. The presentations also provided a guide for further technological development, specifically in the evaluation of patients for epilepsy surgery, seizure onset detection and seizure prediction, intracranial treatment systems, and extracranial treatment systems. This article summarizes the discussions and demonstrates that cross-disciplinary interactions can catalyze collaborations between physicians and engineers to address and solve many of the pressing unmet needs in epilepsy.

10aAdult10aAnticonvulsants10aBrain Mapping10aChild10aDrug Resistance10aElectric Stimulation Therapy10aElectroencephalography10aEngineering10aEpilepsy10aHumans10aMagnetic Resonance Imaging10aMedical Laboratory Science10aMicroelectrodes10aNanoparticles10aNeurons10aNeurosurgery10aNeurotoxins10aPredictive Value of Tests10aSeizures10aSpectroscopy, Near-Infrared10aTomography, Emission-Computed, Single-Photon10aTomography, Optical10aTranscranial Magnetic Stimulation1 aSchachter, Steven, C1 aGuttag, John1 aSchiff, Steven, J1 aSchomer, Donald, L1 aSummit Contributors uhttp://www.ncbi.nlm.nih.gov/pubmed/1978022505892nas a2200361 4500008004100000022001400041245010100055210006900156260001200225300001000237490000800247520480000255653001505055653002805070653001805098653002005116653002705136653002405163653001105187653000905198653001105207653003105218653003205249653002805281653004105309653002205350653002805372100002305400700002005423700002005443700001905463856004805482 2008 eng d a0165-027000aExtraction and localization of mesoscopic motor control signals for human ECoG neuroprosthetics.0 aExtraction and localization of mesoscopic motor control signals  c01/2008 a63-810 v1673 a

Electrocorticogram (ECoG) recordings for neuroprosthetics provide a mesoscopic level of abstraction of brain function between microwire single neuron recordings and the electroencephalogram (EEG). Single-trial ECoG neural interfaces require appropriate feature extraction and signal processing methods to identify and model in real-time signatures of motor events in spontaneous brain activity. Here, we develop the clinical experimental paradigm and analysis tools to record broadband (1Hz to 6kHz) ECoG from patients participating in a reaching and pointing task. Motivated by the significant role of amplitude modulated rate coding in extracellular spike based brain-machine interfaces (BMIs), we develop methods to quantify spatio-temporal intermittent increased ECoG voltages to determine if they provide viable control inputs for ECoG neural interfaces. This study seeks to explore preprocessing modalities that emphasize amplitude modulation across frequencies and channels in the ECoG above the level of noisy background fluctuations in order to derive the commands for complex, continuous control tasks. Preliminary experiments show that it is possible to derive online predictive models and spatially localize the generation of commands in the cortex for motor tasks using amplitude modulated ECoG.

10aAdolescent10aBiofeedback, Psychology10aBrain Mapping10aCerebral Cortex10aElectroencephalography10aEpilepsies, Partial10aFemale10aHand10aHumans10aMagnetic Resonance Imaging10aPhysical Therapy Modalities10aPsychomotor Performance10aSignal Processing, Computer-Assisted10aSpectrum Analysis10aUser-Computer Interface1 aSanchez, Justin, C1 aGunduz, Aysegul1 aCarney, Paul, R1 aPrincipe, Jose uhttp://www.ncbi.nlm.nih.gov/pubmed/1758250703540nas a2200457 4500008004100000022001400041245004900055210004100104260001200145300001100157490000700168520234400175653001002519653001502529653001402544653001002558653002702568653002702595653002102622653001302643653001102656653000902667653000902676653001902685653001102704653003102715653002702746653000902773653001302782653003302795653004102828653002802869100002302897700001902920700002102939700002002960700001802980700002102998700001503019856004803034 2007 eng d a1053-811900aAn MEG-based brain-computer interface (BCI).0 aMEGbased braincomputer interface BCI c07/2007 a581-930 v363 a

Brain-computer interfaces (BCIs) allow for communicating intentions by mere brain activity, not involving muscles. Thus, BCIs may offer patients who have lost all voluntary muscle control the only possible way to communicate. Many recent studies have demonstrated that BCIs based on electroencephalography(EEG) can allow healthy and severely paralyzed individuals to communicate. While this approach is safe and inexpensive, communication is slow. Magnetoencephalography (MEG) provides signals with higher spatiotemporal resolution than EEG and could thus be used to explore whether these improved signal properties translate into increased BCI communication speed. In this study, we investigated the utility of an MEG-based BCI that uses voluntary amplitude modulation of sensorimotor mu and beta rhythms. To increase the signal-to-noise ratio, we present a simple spatial filtering method that takes the geometric properties of signal propagation in MEG into account, and we present methods that can process artifacts specifically encountered in an MEG-based BCI. Exemplarily, six participants were successfully trained to communicate binary decisions by imagery of limb movements using a feedback paradigm. Participants achieved significant mu rhythm self control within 32 min of feedback training. For a subgroup of three participants, we localized the origin of the amplitude modulated signal to the motor cortex. Our results suggest that an MEG-based BCI is feasible and efficient in terms of user training.

10aAdult10aAlgorithms10aArtifacts10aBrain10aElectroencephalography10aElectromagnetic Fields10aElectromyography10aFeedback10aFemale10aFoot10aHand10aHead Movements10aHumans10aMagnetic Resonance Imaging10aMagnetoencephalography10aMale10aMovement10aPrincipal Component Analysis10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aMellinger, Jürgen1 aSchalk, Gerwin1 aBraun, Christoph1 aPreissl, Hubert1 aRosenstiel, W1 aBirbaumer, Niels1 aKübler, A uhttp://www.ncbi.nlm.nih.gov/pubmed/17475511