从未切割的人体深部信号源得出的颅内电压曲线揭示了多信号源组成和信号源分配偏差。

IF 4.4 2区 医学 Q1 NEUROSCIENCES Journal of Neuroscience Pub Date : 2024-10-31 DOI:10.1523/JNEUROSCI.0695-24.2024
Julia Makarova, Rafael Toledano, Lidia Blázquez, Erika Sánchez-Herráez, Antonio Gil-Nagel, Javier deFelipe, Oscar Herreras
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引用次数: 0

摘要

颅内电位被用作神经网络的功能生物标记。当电位从源群扩散开来时,它们就会混杂在记录中。在人类中,大脑皮层回旋结构的个体差异构成了额外的挑战,因为功能区的位置和范围各不相同。我们使用源分离技术来拆分通过植入男女癫痫患者体内的探索性深层阵列获得的混合电位,以了解共同作用源的数量、位置、相对贡献和动态。分离的发生器的独特空间轮廓使我们有可能为每位患者分辨出数十个独立的皮层区域,这些区域即使在癫痫发作期间也能保持稳定,从而能够对数天内和不同状态下的活动进行跟踪。通过将这些轮廓与核磁共振成像相匹配,我们将每个区域与脑沟和脑回的有限部分联系起来,并确定了相应源的本地或远程起源。我们还绘制了各阵列中特定来源的三维覆盖图。平均而言,单个记录点由 3-5 个本地和远处信号源组成,这些信号源来自相距数厘米的区域。在癫痫发作期间,13-85% 的发生器参与其中,少数发生器会重新出现。使用原始电位进行位置分配时会出现严重偏差,包括在确定癫痫发作起源部位时出现大量假阳性。双极蒙太奇不会改变这种情况,因为双极蒙太奇本身会带来额外的误差。通过这种方式,源分解揭示了人类电位的多源性质和颅内的远距离传播,同时有效地解决了患者特定的解剖功能皮质分歧问题。然而,由于场电位遍布整个脑容量,它们会与其他场电位混合,即使在颅内记录时也无法确定其起源位置。我们利用先进的算法,通过独特的空间轮廓来区分这些区域的活动,从而确定正常区域和癫痫区域的三维轮廓,并跟踪其活动数天。我们可以对每位患者的数十个独立信号源进行探索和精确定位。研究结果表明,标准立体电子脑电图记录由 3-5 个群体贡献,分离后将有助于规划临床干预,通过更准确地标记癫痫灶和避免假阳性来打破癫痫网络。
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Intracranial voltage profiles from untangled human deep sources reveal multisource composition and source allocation bias.

Intracranial potentials are used as functional biomarkers of neural networks. As potentials spread away from the source populations, they become mixed in the recordings. In humans, interindividual differences in the gyral architecture of the cortex pose an additional challenge, as functional areas vary in location and extent. We used source separation techniques to disentangle mixing potentials obtained by exploratory deep arrays implanted in epileptic patients of either sex to gain access to the number, location, relative contribution and dynamics of co-active sources. The unique spatial profiles of separated generators made it possible to discern dozens of independent cortical areas for each patient, whose stability maintained even during seizure, enabling the follow up of activity for days and across states. Through matching these profiles to MRI, we associated each with limited portions of sulci and gyri, and determined the local or remote origin of the corresponding sources. We also plotted source-specific 3D coverage across arrays. In average, individual recording sites are contributed to by 3-5 local and distant generators from areas up to several centimeters apart. During seizure, 13-85 % of generators were involved, and a few appeared anew. Significant bias in location assignment using raw potentials is revealed, including numerous false positives when determining the site of origin of a seizure. This is not amended by bipolar montage, which introduce additional errors of its own. In this way, source disentangling reveals the multisource nature and far intracranial spread of potentials in humans, while efficiently addressing patient-specific anatomofunctional cortical divergence.Significance Statement Field potentials are used to better localize zones showing normal and pathological activity. However, as potentials spread throughout the brain volume, they mix with others and make their place of origin uncertain, even when recorded intracranially. We used advanced algorithms to disentangle the activity of each these zones by their unique spatial profiles, which allowed us to determine the 3D outline of normal and epileptic areas and follow their activity for days. Dozens of independent sources per patient can be explored and precisely located. The findings show that standard stereoEEG recordings are contributed by 3-5 populations, which after separation will help to plan clinical intervention to break epileptic networks by more accurately marking epileptic foci and avoiding false positives.

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来源期刊
Journal of Neuroscience
Journal of Neuroscience 医学-神经科学
CiteScore
9.30
自引率
3.80%
发文量
1164
审稿时长
12 months
期刊介绍: JNeurosci (ISSN 0270-6474) is an official journal of the Society for Neuroscience. It is published weekly by the Society, fifty weeks a year, one volume a year. JNeurosci publishes papers on a broad range of topics of general interest to those working on the nervous system. Authors now have an Open Choice option for their published articles
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