Sequential analysis of fMRI images: A new approach to study human epileptic networks

Summary Purpose:  The aim of this study was to introduce a new approach for analysis of functional magnetic resonance imaging (fMRI) data in order to illustrate the temporal development of the blood oxygenation level–dependent (BOLD) signal changes induced by epileptic seizures. Method:  In order to...

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Veröffentlicht in:Epilepsia (Copenhagen) 2009-12, Vol.50 (12), p.2526-2537
Hauptverfasser: Donaire, Antonio, Falcón, Carlos, Carreno, Mar, Bargallo, Nuria, Rumià, Jordi, Setoain, Javier, Maestro, Iratxe, Boget, Teresa, Pintor, Luis, Agudo, Rolando, Falip, Merce, Fernández, Santiago
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container_end_page 2537
container_issue 12
container_start_page 2526
container_title Epilepsia (Copenhagen)
container_volume 50
creator Donaire, Antonio
Falcón, Carlos
Carreno, Mar
Bargallo, Nuria
Rumià, Jordi
Setoain, Javier
Maestro, Iratxe
Boget, Teresa
Pintor, Luis
Agudo, Rolando
Falip, Merce
Fernández, Santiago
description Summary Purpose:  The aim of this study was to introduce a new approach for analysis of functional magnetic resonance imaging (fMRI) data in order to illustrate the temporal development of the blood oxygenation level–dependent (BOLD) signal changes induced by epileptic seizures. Method:  In order to sequentially analyze the fMRI images acquired during epileptic seizures, a continuous series of echo planar imaging (EPI) scans covering the complete period of a seizure was acquired. Data were segmented into 10‐s blocks. Each block, representing a unique experimental condition, was contrasted with a neutral (no seizure) baseline condition. Visual comparison of the activations from one block to the next highlighted the course of activations and deactivations during the seizure event. This analysis was applied to three independent seizures of one patient with peri‐rolandic epilepsy secondary to chronic encephalitis: one seizure before epilepsy surgery and two after unsuccessful tailored resection. Observations were compared to results from invasive subdural electroencephalography (EEG) monitoring, single‐photon emission computed tomography (SPECT) coregistered to MRI (SISCOM), and independent component analysis (ICA), a model‐free method of BOLD‐signal analysis. Results:  The initial increase in BOLD signal occurred 10–40 s before clinical onset in the same location compared to the seizure‐onset zone determined by invasive subdural evaluation and SISCOM. Sequential involvement of cortical and subcortical structures was in agreement with SISCOM, intracranial EEG recordings, and ICA results. Discussion:  In selected patients, sequential analysis of changes in BOLD signal induced by epileptic seizures might represent a useful approach for investigating the temporal development of brain activity during epileptic seizures, thereby allowing imaging of those cerebral structures involved in seizure generation and propagation.
doi_str_mv 10.1111/j.1528-1167.2009.02152.x
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Results:  The initial increase in BOLD signal occurred 10–40 s before clinical onset in the same location compared to the seizure‐onset zone determined by invasive subdural evaluation and SISCOM. Sequential involvement of cortical and subcortical structures was in agreement with SISCOM, intracranial EEG recordings, and ICA results. 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Cerebral palsy</topic><topic>Humans</topic><topic>Ictal‐fMRI</topic><topic>Image Enhancement</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Magnetic Resonance Imaging - statistics &amp; numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Oxygen - blood</topic><topic>Partial seizures</topic><topic>Pharmacology. 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Method:  In order to sequentially analyze the fMRI images acquired during epileptic seizures, a continuous series of echo planar imaging (EPI) scans covering the complete period of a seizure was acquired. Data were segmented into 10‐s blocks. Each block, representing a unique experimental condition, was contrasted with a neutral (no seizure) baseline condition. Visual comparison of the activations from one block to the next highlighted the course of activations and deactivations during the seizure event. This analysis was applied to three independent seizures of one patient with peri‐rolandic epilepsy secondary to chronic encephalitis: one seizure before epilepsy surgery and two after unsuccessful tailored resection. Observations were compared to results from invasive subdural electroencephalography (EEG) monitoring, single‐photon emission computed tomography (SPECT) coregistered to MRI (SISCOM), and independent component analysis (ICA), a model‐free method of BOLD‐signal analysis. Results:  The initial increase in BOLD signal occurred 10–40 s before clinical onset in the same location compared to the seizure‐onset zone determined by invasive subdural evaluation and SISCOM. Sequential involvement of cortical and subcortical structures was in agreement with SISCOM, intracranial EEG recordings, and ICA results. Discussion:  In selected patients, sequential analysis of changes in BOLD signal induced by epileptic seizures might represent a useful approach for investigating the temporal development of brain activity during epileptic seizures, thereby allowing imaging of those cerebral structures involved in seizure generation and propagation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19490031</pmid><doi>10.1111/j.1528-1167.2009.02152.x</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via Wiley Online Library; Wiley Free Content; IngentaConnect Free/Open Access Journals; Alma/SFX Local Collection
subjects Anticonvulsants. Antiepileptics. Antiparkinson agents
Biological and medical sciences
Brain Mapping - methods
Cerebral Cortex - physiopathology
Echo-Planar Imaging - statistics & numerical data
Electrodes, Implanted
Electroencephalography - statistics & numerical data
Epilepsy - diagnosis
Epilepsy - physiopathology
Epilepsy - surgery
Epilepsy, Rolandic - diagnosis
Epilepsy, Rolandic - physiopathology
Epilepsy, Rolandic - surgery
Female
Follow-Up Studies
Functional neuroimaging
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Ictal‐fMRI
Image Enhancement
Image Interpretation, Computer-Assisted
Magnetic Resonance Imaging - methods
Magnetic Resonance Imaging - statistics & numerical data
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Neuropharmacology
Oxygen - blood
Partial seizures
Pharmacology. Drug treatments
Subdural Space
Tomography, Emission-Computed, Single-Photon
Treatment Outcome
title Sequential analysis of fMRI images: A new approach to study human epileptic networks
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