Application of dipole modeling in localization of mesio-temporal epileptogenic focus.

J J Chen, J J Tsai, C H Sheu, H Y Lin, J G Yeh
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Abstract

Improved methods for noninvasive localization of an epileptic focus, modeled as an electrical dipole, are developed in this research. For the head geometrical model, a three-dimensional (3-D) electromagnetic tracking system is utilized to measure the exact positions of electrodes. A nonlinear optimization technique, the Levenberg-Marquardt method, is adopted for dipole localization. For the optimization algorithm to converge to correct solution, the singular value decomposition (SVD) technique is used to extract the dominant component of the EEG spike for initial estimation and dipole localization. The localization results of varied montages, including standard 10-20 electrodes and enhanced temporal electrodes, with or without invasive sphenoid electrodes, are compared. Our experimental results indicate that dipole localization with enhanced temporal electrodes can be used as an alternative for the invasive sphenoid electrodes to differentiate the epileptogenic foci of mesio-temporal area from temporal convexity.

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偶极子模型在中颞叶致痫灶定位中的应用。
改进了癫痫病灶的非侵入性定位方法,以电偶极子为模型,在本研究中得到了发展。对于头部几何模型,利用三维电磁跟踪系统测量电极的精确位置。采用非线性优化技术Levenberg-Marquardt方法进行偶极子定位。为了使优化算法收敛到正确解,采用奇异值分解(SVD)技术提取脑电信号峰值的主导分量进行初始估计和偶极子定位。比较不同蒙太奇的定位结果,包括标准10-20电极和增强颞叶电极,有或没有侵入蝶骨电极。我们的实验结果表明,增强颞电极偶极子定位可以作为侵入性蝶骨电极的替代方法来区分中颞区与颞凸的致痫灶。
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