Correlation of FDG‐PET hypometabolism and SEEG epileptogenicity mapping in patients with drug‐resistant focal epilepsy

Summary Objective Interictal [18F]fluorodeoxyglucose–positron emission tomography (FDG‐PET) is used in the presurgical evaluation of patients with drug‐resistant focal epilepsy. We aimed at clarifying its relationships with ictal high‐frequency oscillations (iHFOs) shown to be a relevant marker of t...

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Veröffentlicht in:Epilepsia (Copenhagen) 2016-12, Vol.57 (12), p.2045-2055
Hauptverfasser: Lamarche, Florence, Job, Anne‐Sophie, Deman, Pierre, Bhattacharjee, Manik, Hoffmann, Dominique, Gallazzini‐Crépin, Céline, Bouvard, Sandrine, Minotti, Lorella, Kahane, Philippe, David, Olivier
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container_issue 12
container_start_page 2045
container_title Epilepsia (Copenhagen)
container_volume 57
creator Lamarche, Florence
Job, Anne‐Sophie
Deman, Pierre
Bhattacharjee, Manik
Hoffmann, Dominique
Gallazzini‐Crépin, Céline
Bouvard, Sandrine
Minotti, Lorella
Kahane, Philippe
David, Olivier
description Summary Objective Interictal [18F]fluorodeoxyglucose–positron emission tomography (FDG‐PET) is used in the presurgical evaluation of patients with drug‐resistant focal epilepsy. We aimed at clarifying its relationships with ictal high‐frequency oscillations (iHFOs) shown to be a relevant marker of the seizure‐onset zone. Methods We studied the correlation between FDG‐PET and epileptogenicity maps in an unselected series of 37 successive patients having been explored with stereo‐electroencephalography (SEEG). Results At the group level, we found a significant correlation between iHFOs and FDG‐PET interictal hypometabolism only in cases of temporal lobe epilepsy. This correlation was found with HFOs, and the same comparison between FDG‐PET and ictal SEEG power of lower frequencies during the same epochs did not show the same significance. Significance This finding suggests that interictal FDG‐PET and ictal HFOs may share common underlying pathophysiologic mechanisms of ictogenesis in temporal lobe epilepsy, and combining both features may help to identify the seizure‐onset zone.
doi_str_mv 10.1111/epi.13592
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We aimed at clarifying its relationships with ictal high‐frequency oscillations (iHFOs) shown to be a relevant marker of the seizure‐onset zone. Methods We studied the correlation between FDG‐PET and epileptogenicity maps in an unselected series of 37 successive patients having been explored with stereo‐electroencephalography (SEEG). Results At the group level, we found a significant correlation between iHFOs and FDG‐PET interictal hypometabolism only in cases of temporal lobe epilepsy. This correlation was found with HFOs, and the same comparison between FDG‐PET and ictal SEEG power of lower frequencies during the same epochs did not show the same significance. Significance This finding suggests that interictal FDG‐PET and ictal HFOs may share common underlying pathophysiologic mechanisms of ictogenesis in temporal lobe epilepsy, and combining both features may help to identify the seizure‐onset zone.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/epi.13592</identifier><identifier>PMID: 27861778</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Adolescent ; Adult ; Brain Mapping ; Child ; Electrodes, Implanted ; Electroencephalography ; Epilepsies, Partial - diagnostic imaging ; Epilepsies, Partial - physiopathology ; Epileptogenicity map ; FDG‐PET ; Female ; Fluorodeoxyglucose F18 - metabolism ; Focal epilepsy ; Full‐Length Original Research ; Humans ; Ictal HFO ; Image Processing, Computer-Assisted ; Male ; Middle Aged ; Positron-Emission Tomography ; SEEG ; Statistics as Topic ; Young Adult</subject><ispartof>Epilepsia (Copenhagen), 2016-12, Vol.57 (12), p.2045-2055</ispartof><rights>2016 The Authors. published by Wiley Periodicals, Inc. on behalf of International League Against Epilepsy.</rights><rights>2016 The Authors. 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We aimed at clarifying its relationships with ictal high‐frequency oscillations (iHFOs) shown to be a relevant marker of the seizure‐onset zone. Methods We studied the correlation between FDG‐PET and epileptogenicity maps in an unselected series of 37 successive patients having been explored with stereo‐electroencephalography (SEEG). Results At the group level, we found a significant correlation between iHFOs and FDG‐PET interictal hypometabolism only in cases of temporal lobe epilepsy. This correlation was found with HFOs, and the same comparison between FDG‐PET and ictal SEEG power of lower frequencies during the same epochs did not show the same significance. 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Job, Anne‐Sophie ; Deman, Pierre ; Bhattacharjee, Manik ; Hoffmann, Dominique ; Gallazzini‐Crépin, Céline ; Bouvard, Sandrine ; Minotti, Lorella ; Kahane, Philippe ; David, Olivier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4152-160d030e7f3d1a78807573a07f9f6cf139b46688f661676ac76fa68f9272d0ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brain Mapping</topic><topic>Child</topic><topic>Electrodes, Implanted</topic><topic>Electroencephalography</topic><topic>Epilepsies, Partial - diagnostic imaging</topic><topic>Epilepsies, Partial - physiopathology</topic><topic>Epileptogenicity map</topic><topic>FDG‐PET</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18 - metabolism</topic><topic>Focal epilepsy</topic><topic>Full‐Length Original Research</topic><topic>Humans</topic><topic>Ictal HFO</topic><topic>Image Processing, Computer-Assisted</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Positron-Emission Tomography</topic><topic>SEEG</topic><topic>Statistics as Topic</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamarche, Florence</creatorcontrib><creatorcontrib>Job, Anne‐Sophie</creatorcontrib><creatorcontrib>Deman, Pierre</creatorcontrib><creatorcontrib>Bhattacharjee, Manik</creatorcontrib><creatorcontrib>Hoffmann, Dominique</creatorcontrib><creatorcontrib>Gallazzini‐Crépin, Céline</creatorcontrib><creatorcontrib>Bouvard, Sandrine</creatorcontrib><creatorcontrib>Minotti, Lorella</creatorcontrib><creatorcontrib>Kahane, Philippe</creatorcontrib><creatorcontrib>David, Olivier</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lamarche, Florence</au><au>Job, Anne‐Sophie</au><au>Deman, Pierre</au><au>Bhattacharjee, Manik</au><au>Hoffmann, Dominique</au><au>Gallazzini‐Crépin, Céline</au><au>Bouvard, Sandrine</au><au>Minotti, Lorella</au><au>Kahane, Philippe</au><au>David, Olivier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of FDG‐PET hypometabolism and SEEG epileptogenicity mapping in patients with drug‐resistant focal epilepsy</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2016-12</date><risdate>2016</risdate><volume>57</volume><issue>12</issue><spage>2045</spage><epage>2055</epage><pages>2045-2055</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><abstract>Summary Objective Interictal [18F]fluorodeoxyglucose–positron emission tomography (FDG‐PET) is used in the presurgical evaluation of patients with drug‐resistant focal epilepsy. We aimed at clarifying its relationships with ictal high‐frequency oscillations (iHFOs) shown to be a relevant marker of the seizure‐onset zone. Methods We studied the correlation between FDG‐PET and epileptogenicity maps in an unselected series of 37 successive patients having been explored with stereo‐electroencephalography (SEEG). Results At the group level, we found a significant correlation between iHFOs and FDG‐PET interictal hypometabolism only in cases of temporal lobe epilepsy. This correlation was found with HFOs, and the same comparison between FDG‐PET and ictal SEEG power of lower frequencies during the same epochs did not show the same significance. Significance This finding suggests that interictal FDG‐PET and ictal HFOs may share common underlying pathophysiologic mechanisms of ictogenesis in temporal lobe epilepsy, and combining both features may help to identify the seizure‐onset zone.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>27861778</pmid><doi>10.1111/epi.13592</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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ispartof Epilepsia (Copenhagen), 2016-12, Vol.57 (12), p.2045-2055
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content; Wiley Online Library All Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Brain Mapping
Child
Electrodes, Implanted
Electroencephalography
Epilepsies, Partial - diagnostic imaging
Epilepsies, Partial - physiopathology
Epileptogenicity map
FDG‐PET
Female
Fluorodeoxyglucose F18 - metabolism
Focal epilepsy
Full‐Length Original Research
Humans
Ictal HFO
Image Processing, Computer-Assisted
Male
Middle Aged
Positron-Emission Tomography
SEEG
Statistics as Topic
Young Adult
title Correlation of FDG‐PET hypometabolism and SEEG epileptogenicity mapping in patients with drug‐resistant focal epilepsy
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