Marketing Papers

Document Type

Technical Report

Date of this Version

9-2013

Publication Source

Journal of Neurophysiology

Volume

110

Issue

5

Start Page

1167

Last Page

1179

DOI

10.1152/jn.01009.2012

Abstract

High-frequency (100–500 Hz) oscillations (HFOs) recorded from intracranial electrodes are a potential biomarker for epileptogenic brain. HFOs are commonly categorized as ripples (100–250 Hz) or fast ripples (250–500 Hz), and a third class of mixed frequency events has also been identified. We hypothesize that temporal changes in HFOs may identify periods of increased the likelihood of seizure onset. HFOs (86,151) from five patients with neocortical epilepsy implanted with hybrid (micro + macro) intracranial electrodes were detected using a previously validated automated algorithm run over all channels of each patient's entire recording. HFOs were characterized by extracting quantitative morphologic features and divided into four time epochs (interictal, preictal, ictal, and postictal) and three HFO clusters (ripples, fast ripples, and mixed events). We used supervised classification and nonparametric statistical tests to explore quantitative changes in HFO features before, during, and after seizures. We also analyzed temporal changes in the rates and proportions of events from each HFO cluster during these periods. We observed patient-specific changes in HFO morphology linked to fluctuation in the relative rates of ripples, fast ripples, and mixed frequency events. These changes in relative rate occurred in pre- and postictal periods up to thirty min before and after seizures. We also found evidence that the distribution of HFOs during these different time periods varied greatly between individual patients. These results suggest that temporal analysis of HFO features has potential for designing custom seizure prediction algorithms and for exploring the relationship between HFOs and seizure generation.

Copyright/Permission Statement

Originally published in the Journal of Neurophysiology © 2013 American Physiological Society

This is a pre-publication version. The final version is available at http://dx.doi.org/10.1152/jn.01009.2012

Keywords

epilepsy, HFO, oscillation, machine learning, classifier

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Date Posted: 15 June 2018

This document has been peer reviewed.