Mapping the epileptic brain with EEG dynamical connectivity: established methods and novel approaches

Several algorithms rooted in statistical physics, mathematics and machine learning are used to analyze neuroimaging data from patients suffering from epilepsy, with the main goals of localizing the brain region where the seizure originates from and of detecting upcoming seizure activity in order to trigger therapeutic neurostimulation devices. Some of these methods explore the dynamical connections between brain regions, exploiting the high temporal resolution of the electroencephalographic signals recorded at the scalp or directly from the cortical surface or in deeper brain areas. In this paper we describe this specific class of algorithms and their clinical application, by reviewing the state of the art and reporting their application on EEG data from an epileptic patient

A Hidden Markov Factor Analysis Framework for Seizure Detection in Epilepsy Patients

Approximately 1% of the world population suffers from epilepsy. Continuous long-term electroencephalographic (EEG) monitoring is the gold-standard for recording epileptic seizures and assisting in the diagnosis and treatment of patients with epilepsy. Detection of seizure from the recorded EEG is a laborious, time consuming and expensive task. In this study, we propose an automated seizure detection framework to assist electroencephalographers and physicians with identification of seizures in recorded EEG signals. In addition, an automated seizure detection algorithm can be used for treatment through automatic intervention during the seizure activity and on time triggering of the injection of a radiotracer to localize the seizure activity. In this study, we developed and tested a hidden Markov factor analysis (HMFA) framework for automated seizure detection based on different features such as total effective inflow which is calculated based on connectivity measures between different sites of the brain. The algorithm was tested on long-term (2.4-7.66 days) continuous sEEG recordings from three patients and a total of 16 seizures, producing a mean sensitivity of 96.3% across all seizures, a mean specificity of 3.47 false positives per hour, and a mean latency of 3.7 seconds form the actual seizure onset. The latency was negative for a few of the seizures which implies the proposed method detects the seizure prior to its onset. This is an indication that with some extension the proposed method is capable of seizure prediction

Internetwork and intranetwork communications during bursting dynamics: Applications to seizure prediction

We use a simple dynamical model of two interacting networks of integrate-and-fire neurons to explain a seemingly paradoxical result observed in epileptic patients indicating that the level of phase synchrony declines below normal levels during the state preceding seizures (preictal state). We model the transition from the seizure free interval (interictal state) to the seizure (ictal state) as a slow increase in the mean depolarization of neurons in a network corresponding to the epileptic focus. We show that the transition from the interictal to preictal and then to the ictal state may be divided into separate dynamical regimes: the formation of slow oscillatory activity due to resonance between the two interacting networks observed during the interictal period, structureless activity during the preictal period when the two networks have different properties, and bursting dynamics driven by the network corresponding to the epileptic focus. Based on this result, we hypothesize that the beginning of the preictal period marks the beginning of the transition of the epileptic network from normal activity toward seizing

Locally embedded presages of global network bursts

Spontaneous, synchronous bursting of neural population is a widely observed phenomenon in nervous networks, which is considered important for functions and dysfunctions of the brain. However, how the global synchrony across a large number of neurons emerges from an initially non-bursting network state is not fully understood. In this study, we develop a new state-space reconstruction method combined with high-resolution recordings of cultured neurons. This method extracts deterministic signatures of upcoming global bursts in "local" dynamics of individual neurons during non-bursting periods. We find that local information within a single-cell time series can compare with or even outperform the global mean field activity for predicting future global bursts. Moreover, the inter-cell variability in the burst predictability is found to reflect the network structure realized in the non-bursting periods. These findings demonstrate the deterministic mechanisms underlying the locally concentrated early-warnings of the global state transition in self-organized networks

Interaction between Thalamus and Hippocampus in Termination of Amygdala-Kindled Seizures in Mice

The thalamus and hippocampus have been found both involved in the initiation, propagation, and termination of temporal lobe epilepsy. However, the interaction of these regions during seizures is not clear. The present study is to explore whether some regular patterns exist in their interaction during the termination of seizures. Multichannel in vivo recording techniques were used to record the neural activities from the cornu ammonis 1 (CA1) of hippocampus and mediodorsal thalamus (MDT) in mice. The mice were kindled by electrically stimulating basolateral amygdala neurons, and Racine’s rank standard was employed to classify the stage of behavioral responses (stage 1~5). The coupling index and directionality index were used to investigate the synchronization and information flow direction between CA1 and MDT. Two main results were found in this study. (1) High levels of synchronization between the thalamus and hippocampus were observed before the termination of seizures at stage 4~5 but after the termination of seizures at stage 1~2. (2) In the end of seizures at stage 4~5, the information tended to flow from MDT to CA1. Those results indicate that the synchronization and information flow direction between the thalamus and the hippocampus may participate in the termination of seizures

Simulation of Abnormal/Normal Brain States Using the KIV Model

Recent studies have focused on the phenomena of abnormal electrical brain activity which may transition into a debilitating seizure state through the entrainment of large populations of neurons.Starting from the initial epileptogenisis of a small population of abnormally firing neurons, to the mobilization of mesoscopic neuron populations behaving in a synchronous manner, a model has been formulated that captures the initial epileptogenisis to the semi-periodic entrainment of distant neuron populations.The normal non-linear dynamic signal captured through EEG, moves into a semi-periodic state, which can be quantified as the seizure state.Capturing the asynchronous/synchronous behavior of the normal/pathological brain state will be discussed.This model will also demonstrate how electrical stimulation applied to the limbic system restores the seizure state of the brain back to its original normal condition.Human brain states are modeled using a biologically inspired neural network, the KIV model.The KIV model exhibits the noisy, chaotic attributes found in the limbic system of brains of higher forms of organisms, and in its normal basal state, represents the homogeneous activity of millions of neuron activations.The KIV can exhibit the ’unbalanced state’ of neural activity, whereas when a small cluster of abnormal firing neurons starts to exhibit periodic neural firings that eventually entrain all the neurons within the limbic system, the network has moved into the ‘seizure’ state.These attributes have been found in human EEG recordings and have been duplicated in this model of the brain.The discussion in this dissertation covers the attributes found in human EEG data and models these attributes.Additionally, this model proposes a methodology to restore the modeled ‘seizure’ state, and by doing so, proposes a manner for external electrical titration to restore the abnormal seizure state back to a normal chaotic EEG signal state.Quantification measurements of normal, abnormal, and restoration to normal brain states will be exhibited using the following approaches:Analysis of human EEG dataQuantification measurements of brain states.Development of models of the different brain states, i.e. fit parameters of the model on individual personal data/history.Implementation of quantitative measurements on “restored” simulated seizure state

Seizure prediction : ready for a new era

Acknowledgements: The authors acknowledge colleagues in the international seizure prediction group for valuable discussions. L.K. acknowledges funding support from the National Health and Medical Research Council (APP1130468) and the James S. McDonnell Foundation (220020419) and acknowledges the contribution of Dean R. Freestone at the University of Melbourne, Australia, to the creation of Fig. 3.Peer reviewedPostprin