High-gamma modulation language mapping with stereo-EEG: A novel analytic approach and diagnostic validation

•An approach for analysis of task-related high-gamma modulation in stereo-EEG using distribution of power differential clusters is described.•Stereo-EEG high-gamma language mapping effectively localized reference neuroanatomy (Neurosynth).•Stereo-EEG high-gamma language mapping also adequately class...

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Veröffentlicht in:Clinical neurophysiology 2020-12, Vol.131 (12), p.2851-2860
Hauptverfasser: Ervin, Brian, Buroker, Jason, Rozhkov, Leonid, Holloway, Timothy, Horn, Paul S., Scholle, Craig, Byars, Anna W., Mangano, Francesco T., Leach, James L., Greiner, Hansel M., Holland, Katherine D., Arya, Ravindra
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container_end_page 2860
container_issue 12
container_start_page 2851
container_title Clinical neurophysiology
container_volume 131
creator Ervin, Brian
Buroker, Jason
Rozhkov, Leonid
Holloway, Timothy
Horn, Paul S.
Scholle, Craig
Byars, Anna W.
Mangano, Francesco T.
Leach, James L.
Greiner, Hansel M.
Holland, Katherine D.
Arya, Ravindra
description •An approach for analysis of task-related high-gamma modulation in stereo-EEG using distribution of power differential clusters is described.•Stereo-EEG high-gamma language mapping effectively localized reference neuroanatomy (Neurosynth).•Stereo-EEG high-gamma language mapping also adequately classified electrical stimulation mapping speech/language sites. A novel analytic approach for task-related high-gamma modulation (HGM) in stereo-electroencephalography (SEEG) was developed and evaluated for language mapping. SEEG signals, acquired from drug-resistant epilepsy patients during a visual naming task, were analyzed to find clusters of 50–150 Hz power modulations in time–frequency domain. Classifier models to identify electrode contacts within the reference neuroanatomy and electrical stimulation mapping (ESM) speech/language sites were developed and validated. In 21 patients (9 females), aged 4.8–21.2 years, SEEG HGM model predicted electrode locations within Neurosynth language parcels with high diagnostic odds ratio (DOR 10.9, p 
doi_str_mv 10.1016/j.clinph.2020.09.023
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A novel analytic approach for task-related high-gamma modulation (HGM) in stereo-electroencephalography (SEEG) was developed and evaluated for language mapping. SEEG signals, acquired from drug-resistant epilepsy patients during a visual naming task, were analyzed to find clusters of 50–150 Hz power modulations in time–frequency domain. Classifier models to identify electrode contacts within the reference neuroanatomy and electrical stimulation mapping (ESM) speech/language sites were developed and validated. In 21 patients (9 females), aged 4.8–21.2 years, SEEG HGM model predicted electrode locations within Neurosynth language parcels with high diagnostic odds ratio (DOR 10.9, p &lt; 0.0001), high specificity (0.85), and fair sensitivity (0.66). Another SEEG HGM model classified ESM speech/language sites with significant DOR (5.0, p &lt; 0.0001), high specificity (0.74), but insufficient sensitivity. Time to largest power change reliably localized electrodes within Neurosynth language parcels, while, time to center-of-mass power change identified ESM sites. SEEG HGM mapping can accurately localize neuroanatomic and ESM language sites. 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Time to largest power change reliably localized electrodes within Neurosynth language parcels, while, time to center-of-mass power change identified ESM sites. SEEG HGM mapping can accurately localize neuroanatomic and ESM language sites. 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subjects Cortical localization
Epilepsy surgery
High-gamma activation
Intracranial electrodes
Machine learning
title High-gamma modulation language mapping with stereo-EEG: A novel analytic approach and diagnostic validation
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