Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.

We investigated two important means for improving source reconstruction in presurgical epilepsy diagnosis. The first investigation is about the optimal choice of the number of epileptic spikes in averaging to (1) sufficiently reduce the noise bias for an accurate determination of the center of gravi...

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Main Authors: Ümit Aydin, Johannes Vorwerk, Matthias Dümpelmann, Philipp Küpper, Harald Kugel, Marcel Heers, Jörg Wellmer, Christoph Kellinghaus, Jens Haueisen, Stefan Rampp, Hermann Stefan, Carsten H Wolters
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0118753
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author Ümit Aydin
Johannes Vorwerk
Matthias Dümpelmann
Philipp Küpper
Harald Kugel
Marcel Heers
Jörg Wellmer
Christoph Kellinghaus
Jens Haueisen
Stefan Rampp
Hermann Stefan
Carsten H Wolters
author_facet Ümit Aydin
Johannes Vorwerk
Matthias Dümpelmann
Philipp Küpper
Harald Kugel
Marcel Heers
Jörg Wellmer
Christoph Kellinghaus
Jens Haueisen
Stefan Rampp
Hermann Stefan
Carsten H Wolters
author_sort Ümit Aydin
collection DOAJ
description We investigated two important means for improving source reconstruction in presurgical epilepsy diagnosis. The first investigation is about the optimal choice of the number of epileptic spikes in averaging to (1) sufficiently reduce the noise bias for an accurate determination of the center of gravity of the epileptic activity and (2) still get an estimation of the extent of the irritative zone. The second study focuses on the differences in single modality EEG (80-electrodes) or MEG (275-gradiometers) and especially on the benefits of combined EEG/MEG (EMEG) source analysis. Both investigations were validated with simultaneous stereo-EEG (sEEG) (167-contacts) and low-density EEG (ldEEG) (21-electrodes). To account for the different sensitivity profiles of EEG and MEG, we constructed a six-compartment finite element head model with anisotropic white matter conductivity, and calibrated the skull conductivity via somatosensory evoked responses. Our results show that, unlike single modality EEG or MEG, combined EMEG uses the complementary information of both modalities and thereby allows accurate source reconstructions also at early instants in time (epileptic spike onset), i.e., time points with low SNR, which are not yet subject to propagation and thus supposed to be closer to the origin of the epileptic activity. EMEG is furthermore able to reveal the propagation pathway at later time points in agreement with sEEG, while EEG or MEG alone reconstructed only parts of it. Subaveraging provides important and accurate information about both the center of gravity and the extent of the epileptogenic tissue that neither single nor grand-averaged spike localizations can supply.
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spelling doaj.art-7b660f6ab8db4c0fa6067f335a02af6d2022-12-21T21:31:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e011875310.1371/journal.pone.0118753Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.Ümit AydinJohannes VorwerkMatthias DümpelmannPhilipp KüpperHarald KugelMarcel HeersJörg WellmerChristoph KellinghausJens HaueisenStefan RamppHermann StefanCarsten H WoltersWe investigated two important means for improving source reconstruction in presurgical epilepsy diagnosis. The first investigation is about the optimal choice of the number of epileptic spikes in averaging to (1) sufficiently reduce the noise bias for an accurate determination of the center of gravity of the epileptic activity and (2) still get an estimation of the extent of the irritative zone. The second study focuses on the differences in single modality EEG (80-electrodes) or MEG (275-gradiometers) and especially on the benefits of combined EEG/MEG (EMEG) source analysis. Both investigations were validated with simultaneous stereo-EEG (sEEG) (167-contacts) and low-density EEG (ldEEG) (21-electrodes). To account for the different sensitivity profiles of EEG and MEG, we constructed a six-compartment finite element head model with anisotropic white matter conductivity, and calibrated the skull conductivity via somatosensory evoked responses. Our results show that, unlike single modality EEG or MEG, combined EMEG uses the complementary information of both modalities and thereby allows accurate source reconstructions also at early instants in time (epileptic spike onset), i.e., time points with low SNR, which are not yet subject to propagation and thus supposed to be closer to the origin of the epileptic activity. EMEG is furthermore able to reveal the propagation pathway at later time points in agreement with sEEG, while EEG or MEG alone reconstructed only parts of it. Subaveraging provides important and accurate information about both the center of gravity and the extent of the epileptogenic tissue that neither single nor grand-averaged spike localizations can supply.https://doi.org/10.1371/journal.pone.0118753
spellingShingle Ümit Aydin
Johannes Vorwerk
Matthias Dümpelmann
Philipp Küpper
Harald Kugel
Marcel Heers
Jörg Wellmer
Christoph Kellinghaus
Jens Haueisen
Stefan Rampp
Hermann Stefan
Carsten H Wolters
Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
PLoS ONE
title Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
title_full Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
title_fullStr Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
title_full_unstemmed Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
title_short Combined EEG/MEG can outperform single modality EEG or MEG source reconstruction in presurgical epilepsy diagnosis.
title_sort combined eeg meg can outperform single modality eeg or meg source reconstruction in presurgical epilepsy diagnosis
url https://doi.org/10.1371/journal.pone.0118753
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