TY - JOUR T1 - Nonuniform high-gamma (60-500 Hz) power changes dissociate cognitive task and anatomy in human cortex. JF - J Neurosci Y1 - 2011 A1 - Charles M Gaona A1 - Sharma, Mohit A1 - Zachary V. Freudenberg A1 - Breshears, Jonathan A1 - Bundy, David T A1 - Roland, Jarod A1 - Barbour, Dennis L A1 - Gerwin Schalk A1 - Leuthardt, E C KW - Acoustic Stimulation KW - Adolescent KW - Adult KW - Analysis of Variance KW - Brain Mapping KW - Brain Waves KW - Cerebral Cortex KW - Cognition Disorders KW - Electroencephalography KW - Epilepsy KW - Evoked Potentials KW - Female KW - Humans KW - Male KW - Middle Aged KW - Neuropsychological Tests KW - Nonlinear Dynamics KW - Photic Stimulation KW - Reaction Time KW - Spectrum Analysis KW - Time Factors KW - Vocabulary AB -

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.

VL - 31 UR - http://www.ncbi.nlm.nih.gov/pubmed/21307246 IS - 6 ER - TY - JOUR T1 - Electrocorticographic frequency alteration mapping for extraoperative localization of speech cortex. JF - Neurosurgery Y1 - 2010 A1 - Wu, Melinda A1 - Wisneski, Kimberly A1 - Gerwin Schalk A1 - Sharma, Mohit A1 - Roland, Jarod A1 - Breshears, Jonathan A1 - Charles M Gaona A1 - Leuthardt, E C KW - Acoustic Stimulation KW - Adolescent KW - Adult KW - Brain Mapping KW - Cerebral Cortex KW - Chi-Square Distribution KW - Electroencephalography KW - Epilepsy KW - Female KW - Humans KW - Male KW - Mass Spectrometry KW - Middle Aged KW - Photic Stimulation KW - Speech KW - Verbal Behavior KW - Young Adult AB -

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.

VL - 66 UR - http://www.ncbi.nlm.nih.gov/pubmed/20087111 IS - 2 ER - TY - JOUR T1 - Passive real-time identification of speech and motor cortex during an awake craniotomy. JF - Epilepsy Behav Y1 - 2010 A1 - Roland, Jarod A1 - Peter Brunner A1 - Johnston, James A1 - Gerwin Schalk A1 - Leuthardt, E C KW - Brain Mapping KW - Brain Neoplasms KW - Cerebral Cortex KW - Craniotomy KW - Electric Stimulation KW - Electroencephalography KW - Humans KW - Neurologic Examination AB -

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.

VL - 18 UR - http://www.ncbi.nlm.nih.gov/pubmed/20478745 IS - 1-2 ER - TY - JOUR T1 - Evolution of brain-computer interfaces: going beyond classic motor physiology. JF - Neurosurg Focus Y1 - 2009 A1 - Leuthardt, E C A1 - Gerwin Schalk A1 - Roland, Jarod A1 - Rouse, Adam A1 - Moran, D KW - Brain KW - Cerebral Cortex KW - Humans KW - Man-Machine Systems KW - Motor Cortex KW - Movement KW - Movement Disorders KW - Neuronal Plasticity KW - Prostheses and Implants KW - Research KW - Signal Processing, Computer-Assisted KW - User-Computer Interface AB -

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.

VL - 27 UR - http://www.ncbi.nlm.nih.gov/pubmed/19569892 IS - 1 ER -