Recurrence Quantification Analysis of Dynamic Brain Networks

Evidence suggests that brain network dynamics is a key determinant of brain function and dysfunction. Here we propose a new framework to assess the dynamics of brain networks based on recurrence analysis. Our framework uses recurrence plots and recurrence quantification analysis to characterize dynamic networks. For resting-state magnetoencephalographic dynamic functional networks (dFNs), we have found that functional networks recur more quickly in people with epilepsy than healthy controls. This suggests that recurrence of dFNs may be used as a biomarker of epilepsy. For stereo electroencephalography data, we have found that dFNs involved in epileptic seizures emerge before seizure onset, and recurrence analysis allows us to detect seizures. We further observe distinct dFNs before and after seizures, which may inform neurostimulation strategies to prevent seizures. Our framework can also be used for understanding dFNs in healthy brain function and in other neurological disorders besides epilepsy.Comment: 77 pages, 11 figures; note: the acknowledgments section is the most complete in this arxiv version (compared to the published version in EJN

Quantitative Multimodal Mapping Of Seizure Networks In Drug-Resistant Epilepsy

Over 15 million people worldwide suffer from localization-related drug-resistant epilepsy. These patients are candidates for targeted surgical therapies such as surgical resection, laser thermal ablation, and neurostimulation. While seizure localization is needed prior to surgical intervention, this process is challenging, invasive, and often inconclusive. In this work, I aim to exploit the power of multimodal high-resolution imaging and intracranial electroencephalography (iEEG) data to map seizure networks in drug-resistant epilepsy patients, with a focus on minimizing invasiveness. Given compelling evidence that epilepsy is a disease of distorted brain networks as opposed to well-defined focal lesions, I employ a graph-theoretical approach to map structural and functional brain networks and identify putative targets for removal. The first section focuses on mesial temporal lobe epilepsy (TLE), the most common type of localization-related epilepsy. Using high-resolution structural and functional 7T MRI, I demonstrate that noninvasive neuroimaging-based network properties within the medial temporal lobe can serve as useful biomarkers for TLE cases in which conventional imaging and volumetric analysis are insufficient. The second section expands to all forms of localization-related epilepsy. Using iEEG recordings, I provide a framework for the utility of interictal network synchrony in identifying candidate resection zones, with the goal of reducing the need for prolonged invasive implants. In the third section, I generate a pipeline for integrated analysis of iEEG and MRI networks, paving the way for future large-scale studies that can effectively harness synergy between different modalities. This multimodal approach has the potential to provide fundamental insights into the pathology of an epileptic brain, robustly identify areas of seizure onset and spread, and ultimately inform clinical decision making

Cross-Frequency Coupling and Intelligent Neuromodulation.

Cross-frequency coupling (CFC) reflects (nonlinear) interactions between signals of different frequencies. Evidence from both patient and healthy participant studies suggests that CFC plays an essential role in neuronal computation, interregional interaction, and disease pathophysiology. The present review discusses methodological advances and challenges in the computation of CFC with particular emphasis on potential solutions to spurious coupling, inferring intrinsic rhythms in a targeted frequency band, and causal interferences. We specifically focus on the literature exploring CFC in the context of cognition/memory tasks, sleep, and neurological disorders, such as Alzheimer's disease, epilepsy, and Parkinson's disease. Furthermore, we highlight the implication of CFC in the context and for the optimization of invasive and noninvasive neuromodulation and rehabilitation. Mainly, CFC could support advancing the understanding of the neurophysiology of cognition and motor control, serve as a biomarker for disease symptoms, and leverage the optimization of therapeutic interventions, e.g., closed-loop brain stimulation. Despite the evident advantages of CFC as an investigative and translational tool in neuroscience, further methodological improvements are required to facilitate practical and correct use in cyborg and bionic systems in the field

Brain Connectivity Networks for the Study of Nonlinear Dynamics and Phase Synchrony in Epilepsy

Assessing complex brain activity as a function of the type of epilepsy and in the context of the 3D source of seizure onset remains a critical and challenging endeavor. In this dissertation, we tried to extract the attributes of the epileptic brain by looking at the modular interactions from scalp electroencephalography (EEG). A classification algorithm is proposed for the connectivity-based separation of interictal epileptic EEG from normal. Connectivity patterns of interictal epileptic discharges were investigated in different types of epilepsy, and the relation between patterns and the epileptogenic zone are also explored in focal epilepsy. A nonlinear recurrence-based method is applied to scalp EEG recordings to obtain connectivity maps using phase synchronization attributes. The pairwise connectivity measure is obtained from time domain data without any conversion to the frequency domain. The phase coupling value, which indicates the broadband interdependence of input data, is utilized for the graph theory interpretation of local and global assessment of connectivity activities. The method is applied to the population of pediatric individuals to delineate the epileptic cases from normal controls. A probabilistic approach proved a significant difference between the two groups by successfully separating the individuals with an accuracy of 92.8%. The investigation of connectivity patterns of the interictal epileptic discharges (IED), which were originated from focal and generalized seizures, was resulted in a significant difference ( ) in connectivity matrices. It was observed that the functional connectivity maps of focal IED showed local activities while generalized cases showed global activated areas. The investigation of connectivity maps that resulted from temporal lobe epilepsy individuals has shown the temporal and frontal areas as the most affected regions. In general, functional connectivity measures are considered higher order attributes that helped the delineation of epileptic individuals in the classification process. The functional connectivity patterns of interictal activities can hence serve as indicators of the seizure type and also specify the irritated regions in focal epilepsy. These findings can indeed enhance the diagnosis process in context to the type of epilepsy and effects of relative location of the 3D source of seizure onset on other brain areas

Critical bistability and large-scale synchrony in human brain dynamics

Neurophysiological dynamics of the brain, overt behaviours, and private experiences of the mind are co-emergent and co-evolving phenomena. An adult human brain contains ~100 billion neurons that are hierarchically organized into intricate networks of functional units comprised of interconnected neurons. It has been hypothesized that neurons within a functional unit communicate with each other or neurons from other units via synchronized activity. At any moment, cascades of synchronized activity from millions of neurons propagate through networks of all sizes, and the levels of synchronization wax and wane. How to understand cognitive functions or diseases from such rich dynamics poses a great challenge. The brain criticality hypothesis proposes that the brain, like many complex systems, optimize its performance by operating near a critical point of phase transition between disorder and order, which suggests complex brain dynamics be effectively studied by combining computational and empirical approaches. Hence, the brain criticality framework requires both classic reductionist and reconstructionist approaches. Reconstructionism in the current context refers to addressing the “Wholeness” of macro-level emergence due to fundamental mechanisms such as synchrony between neurons in the brain. This thesis includes five studies and aims to advance theory, empirical evidence, and methodology in the research of neuronal criticality and large-scale synchrony in the human brain. Study I: The classic criticality theory is based on the hypothesis that the brain operates near a continuous, second order phase transition between order and disorder in resource-conserving systems. This idea, however, cannot explain why the brain, a non-conserving system, often shows bistability, a hallmark of first order, discontinuous phase transition. We used computational modeling and found that bistability may occur exclusively within the critical regime so that the first-order phase transition emerged progressively with increasing local resource demands. We observed that in human resting-state brain activity, moderate α-band (11 Hz) bistability during rest predicts cognitive performance, but excessive resting-state bistability in fast (> 80 Hz) oscillations characterizes epileptogenic zones in patients’ brain. These findings expand the framework of brain criticality and show that near-critical neuronal dynamics involve both first- and second-order phase transitions in a frequency-, neuroanatomy-, and state-dependent manner. Study II: Long-range synchrony between cortical oscillations below ~100 Hz is pervasive in brain networks, whereas oscillations and broad-band activities above ~100 Hz have been considered to be strictly local phenomena. We showed with human intracerebral recordings that high-frequency oscillations (HFOs, 100−400 Hz) may be synchronized between brain regions separated by several centimeters. We discovered subject-specific frequency peaks of HFO synchrony and found the group-level HFO synchrony to exhibit laminar-specific connectivity and robust community structures. Importantly, the HFO synchrony was both transiently enhanced and suppressed in separate sub-bands during tasks. These findings showed that HFO synchrony constitutes a functionally significant form of neuronal spike-timing relationships in brain activity and thus a new mesoscopic indication of neuronal communication per se. Studies III: Signal linear mixing in magneto- (MEG) and electro-encephalography (EEG) artificially introduces linear correlations between sources and confounds the separability of cortical current estimates. This linear mixing effect in turn introduces false positives into synchrony estimates between MEG/EEG sources. Several connectivity metrics have been proposed to supress the linear mixing effects. We show that, although these metrics can remove false positives caused by instantaneous mixing effects, all of them discover false positive ghost interactions (SIs). We also presented major difficulties and technical concerns in mapping brain functional connectivity when using the most popular pairwise correlational metrics. Study IV and V: We developed a novel approach as a solution to the SIs problem. Our approach is to bundle observed raw edges, i.e., true interactions or SIs, into hyperedges by raw edges’ adjacency in signal mixing. We showed that this bundling approach yields hyperedges with optimal separability between true interactions while suffers little loss in the true positive rate. This bundling approach thus significantly decreases the noise in connectivity graphs by minimizing the false-positive to true-positive ratio. Furthermore, we demonstrated the advantage of hyperedge bundling in visualizing connectivity graphs derived from MEG experimental data. Hence, the hyperedges represent well the true cortical interactions that are detectable and dissociable in MEG/EEG sources. Taken together, these studies have advanced theory, empirical evidence, and methodology in the research of neuronal criticality and large-scale synchrony in the human brain. Study I provided modeling and empirical evidence for linking bistable criticality and the classic criticality hypothesis into a unified framework. Study II was the first to reveal HFO phase synchrony in large-scale neocortical networks, which was a fundamental discovery of long-range neuronal interactions on fast time-scale per se. Study III raised awareness of the ghost interaction (SI) problem for a critical view on reliable interpretation of MEG/EEG connectivity, and for the development of novel approaches to address the SI problem. Study IV offered a practical solution to the SI problem and opened a new avenue for mapping reliable MEG/EEG connectivity. Study V described the technical details of the hyperedge bundling approach, shared the source code and specified the simulation parameters used in Study IV.Ihmisaivojen neurofysiologinen dynamiikka, ihmisen käyttäytyminen, sekä yksityiset mielen kokemukset syntyvät ja kehittyvät rinnakkaisina ilmiöinä. Ihmisen aivot koostuvat ~100 miljardista hierarkisesti järjestäytyneestä hermosolusta, jotka toisiinsa kytkeytyneinä muodostavat monimutkaisen verkoston toiminnallisia yksiköitä. Hermosolujen aktiivisuuden synkronoitumisen on esitetty mahdollistavan neuronien välisen kommunikoinnin toiminnallisten yksiköiden sisällä sekä niiden välillä. Hetkenä minä hyvänsä, synkronoidun aktiivisuuden kaskadit etenevät aivojen erikokoisissa verkostoissa jatkuvasti heikentyen ja voimistuen. Kognitiivisten funktioiden ja erilaisten aivosairauksien ymmärtäminen tulkitsemalla aivojen rikasta dynamiikkaa on suuri haaste. Kriittiset aivot -hypoteesi ehdottaa aivojen, kuten monien muidenkin kompleksisten systeemien, optimoivan suorituskykyään operoimalla lähellä kriittistä pistettä järjestyksen ja epäjärjestyksen välissä, puoltaen sitä, että aivojen kompleksisia dynamiikoita voitaisiin tutkia yhdistämällä laskennallisia ja empiirisiä lähestymistapoja. Aivojen kriittisyyden viitekehys edellyttää perinteistä reduktionismia ja rekonstruktionismia. Erityisesti, rekonstruktionismi tähtää kuvaamaan aivojen makrotason “yhteneväisyyden” syntymistä perustavanlaatuisten mekaniikoiden, kuten aivojen toiminnallisten yksiköiden välisen synkronian avulla. Tämä väitöskirja sisältää viisi tutkimusta, jotka edistävät teoriaa, empiirisiä todisteita ja metodologiaa aivojen kriittisyyden ja laajamittaisen synkronian tutkimuksessa. Tutkimus I tarjosi mallinnuksia ja empiirisiä todisteita bistabiilin kriittisyyden ja klassisen kriittisyyden hypoteesien yhdistämiseksi yhdeksi viitekehykseksi. Tutkimus II oli ensimmäinen laatuaan paljastaen korkeataajuisten oskillaatioiden (high-frequency oscillation, HFO) vaihesynkronian laajamittaisissa neokortikaalisissa verkostoissa, mikä oli perustavanlaatuinen löytö pitkän matkan neuronaalisista vuorovaikutuksista nopeilla aikaskaaloilla. Tutkimus III lisäsi tietoisuutta aave-vuorovaikutuksien (spurious interactions, SI) ongelmasta MEG/EEG kytkeytyvyyden luotettavassa tulkinnassa sekä uudenlaisten menetelmien kehityksessä SI-ongelman ratkaisemiseksi. Tutkimus IV tarjosi käytännöllisen “hyperedge bundling” -ratkaisun SI-ongelmaan ja avasi uudenlaisen tien luotettavaan MEG/EEG kytkeytyvyyden kartoittamiseen. Tutkimus V kuvasi teknisiä yksityiskohtia hyperedge bundling -menetelmästä, jakoi menetelmän lähdekoodin ja täsmensi tutkimuksessa IV käytettyjä simulaatioparametreja. Yhdessä nämä tutkimukset ovat edistäneet teoriaa, empiirisiä todisteita ja metodologiaa neuronaalisen kriittisyyden sekä laajamittaisen synkronian hyödyntämisessä ihmisaivojen tutkimuksessa

Network-based brain computer interfaces: principles and applications

Brain-computer interfaces (BCIs) make possible to interact with the external environment by decoding the mental intention of individuals. BCIs can therefore be used to address basic neuroscience questions but also to unlock a variety of applications from exoskeleton control to neurofeedback (NFB) rehabilitation. In general, BCI usability critically depends on the ability to comprehensively characterize brain functioning and correctly identify the user s mental state. To this end, much of the efforts have focused on improving the classification algorithms taking into account localized brain activities as input features. Despite considerable improvement BCI performance is still unstable and, as a matter of fact, current features represent oversimplified descriptors of brain functioning. In the last decade, growing evidence has shown that the brain works as a networked system composed of multiple specialized and spatially distributed areas that dynamically integrate information. While more complex, looking at how remote brain regions functionally interact represents a grounded alternative to better describe brain functioning. Thanks to recent advances in network science, i.e. a modern field that draws on graph theory, statistical mechanics, data mining and inferential modelling, scientists have now powerful means to characterize complex brain networks derived from neuroimaging data. Notably, summary features can be extracted from these networks to quantitatively measure specific organizational properties across a variety of topological scales. In this topical review, we aim to provide the state-of-the-art supporting the development of a network theoretic approach as a promising tool for understanding BCIs and improve usability

Source-sink connectivity: A novel interictal EEG marker of the epileptic brain network

Epilepsy affects over 60 million people worldwide. Epilepsy diagnosis depends on abnormalities in scalp electroencephalography (EEG) signals but their presence varies from 29-55%, resulting in a delayed diagnosis. Additionally, artifacts mimicking abnormalities and conditions imitating epileptic seizures contribute to a misdiagnosis rate of 30%. Antiepileptic drugs (AEDs) are the mainstay of epilepsy treatment, but around 30% of patients do not respond to AEDs. Surgical treatment is a hopeful alternative but outcomes depend on precise identification of the epileptogenic zone (EZ), the brain region(s) where seizures originate, and success rates range from 20-80%. Localization of the EZ requires visual inspection of intracranial EEG (iEEG) recordings during seizures which is costly and time-consuming and, in the end, clinicians ignore most of the data captured. Diagnosis and management of epilepsy rely on detecting sporadic EEG signatures. Thus, there is a great need to more quickly and accurately identify the underlying cause and location of seizures in the brain. We developed and tested the source-sink index (SSI) as an interictal (between seizures) EEG marker of epileptogenic activity. We hypothesized that seizures are suppressed when the EZ is inhibited by neighboring regions. We developed an algorithm that identifies two groups of nodes from the EEG network: those inhibiting their neighboring nodes ("sources") and the inhibited nodes themselves ("sinks"). Specifically, dynamical network models were estimated from EEG data and their connectivity properties revealed top sources and sinks in the network. We tested and validated a twofold application of SSI, as: i) an iEEG marker of the EZ, and ii) a scalp EEG marker of epilepsy. We found that SSI highly agreed with the annotated EZ in successful outcome patients but identified untreated regions in failure patients. Further, SSI outperformed high frequency oscillations, a frequently proposed interictal EZ marker, in predicting surgical outcomes. When used to predict diagnostic outcomes, SSI showed significant improvement over the gold standard's reported sensitivity and specificity. Our results suggest that SSI captures the characteristics of regions responsible for seizure initiation. As such, it is a promising marker of epileptogenicity that could significantly improve the speed and outcomes of epilepsy management and diagnosis

Epileptic Seizures and the EEG

A study of epilepsy from an engineering perspective, this volume begins by summarizing the physiology and the fundamental ideas behind the measurement, analysis and modeling of the epileptic brain. It introduces the EEG and provides an explanation of the type of brain activity likely to register in EEG measurements, offering an overview of how these EEG records are and have been analyzed in the past. The book focuses on the problem of seizure detection and surveys the physiologically based dynamic models of brain activity. Finally, it addresses the fundamental question: can seizures be predicted? Based on the authors' extensive research, the book concludes by exploring a range of future possibilities in seizure prediction