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      Mapping Epileptic Activity: Sources or Networks for the Clinicians?

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          Abstract

          Epileptic seizures of focal origin are classically considered to arise from a focal epileptogenic zone and then spread to other brain regions. This is a key concept for semiological electro-clinical correlations, localization of relevant structural lesions, and selection of patients for epilepsy surgery. Recent development in neuro-imaging and electro-physiology and combinations, thereof, have been validated as contributory tools for focus localization. In parallel, these techniques have revealed that widespread networks of brain regions, rather than a single epileptogenic region, are implicated in focal epileptic activity. Sophisticated multimodal imaging and analysis strategies of brain connectivity patterns have been developed to characterize the spatio-temporal relationships within these networks by combining the strength of both techniques to optimize spatial and temporal resolution with whole-brain coverage and directional connectivity. In this paper, we review the potential clinical contribution of these functional mapping techniques as well as invasive electrophysiology in human beings and animal models for characterizing network connectivity.

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          Most cited references216

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          Network modelling methods for FMRI.

          There is great interest in estimating brain "networks" from FMRI data. This is often attempted by identifying a set of functional "nodes" (e.g., spatial ROIs or ICA maps) and then conducting a connectivity analysis between the nodes, based on the FMRI timeseries associated with the nodes. Analysis methods range from very simple measures that consider just two nodes at a time (e.g., correlation between two nodes' timeseries) to sophisticated approaches that consider all nodes simultaneously and estimate one global network model (e.g., Bayes net models). Many different methods are being used in the literature, but almost none has been carefully validated or compared for use on FMRI timeseries data. In this work we generate rich, realistic simulated FMRI data for a wide range of underlying networks, experimental protocols and problematic confounds in the data, in order to compare different connectivity estimation approaches. Our results show that in general correlation-based approaches can be quite successful, methods based on higher-order statistics are less sensitive, and lag-based approaches perform very poorly. More specifically: there are several methods that can give high sensitivity to network connection detection on good quality FMRI data, in particular, partial correlation, regularised inverse covariance estimation and several Bayes net methods; however, accurate estimation of connection directionality is more difficult to achieve, though Patel's τ can be reasonably successful. With respect to the various confounds added to the data, the most striking result was that the use of functionally inaccurate ROIs (when defining the network nodes and extracting their associated timeseries) is extremely damaging to network estimation; hence, results derived from inappropriate ROI definition (such as via structural atlases) should be regarded with great caution. Copyright © 2010 Elsevier Inc. All rights reserved.
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            Electrophysiological signatures of resting state networks in the human brain.

            Functional neuroimaging and electrophysiological studies have documented a dynamic baseline of intrinsic (not stimulus- or task-evoked) brain activity during resting wakefulness. This baseline is characterized by slow (<0.1 Hz) fluctuations of functional imaging signals that are topographically organized in discrete brain networks, and by much faster (1-80 Hz) electrical oscillations. To investigate the relationship between hemodynamic and electrical oscillations, we have adopted a completely data-driven approach that combines information from simultaneous electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). Using independent component analysis on the fMRI data, we identified six widely distributed resting state networks. The blood oxygenation level-dependent signal fluctuations associated with each network were correlated with the EEG power variations of delta, theta, alpha, beta, and gamma rhythms. Each functional network was characterized by a specific electrophysiological signature that involved the combination of different brain rhythms. Moreover, the joint EEG/fMRI analysis afforded a finer physiological fractionation of brain networks in the resting human brain. This result supports for the first time in humans the coalescence of several brain rhythms within large-scale brain networks as suggested by biophysical studies.
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              Dynamic causal modelling.

              In this paper we present an approach to the identification of nonlinear input-state-output systems. By using a bilinear approximation to the dynamics of interactions among states, the parameters of the implicit causal model reduce to three sets. These comprise (1) parameters that mediate the influence of extrinsic inputs on the states, (2) parameters that mediate intrinsic coupling among the states, and (3) [bilinear] parameters that allow the inputs to modulate that coupling. Identification proceeds in a Bayesian framework given known, deterministic inputs and the observed responses of the system. We developed this approach for the analysis of effective connectivity using experimentally designed inputs and fMRI responses. In this context, the coupling parameters correspond to effective connectivity and the bilinear parameters reflect the changes in connectivity induced by inputs. The ensuing framework allows one to characterise fMRI experiments, conceptually, as an experimental manipulation of integration among brain regions (by contextual or trial-free inputs, like time or attentional set) that is revealed using evoked responses (to perturbations or trial-bound inputs, like stimuli). As with previous analyses of effective connectivity, the focus is on experimentally induced changes in coupling (cf., psychophysiologic interactions). However, unlike previous approaches in neuroimaging, the causal model ascribes responses to designed deterministic inputs, as opposed to treating inputs as unknown and stochastic.
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                Author and article information

                Contributors
                URI : http://frontiersin.org/people/u/82145
                URI : http://frontiersin.org/people/u/49881
                URI : http://frontiersin.org/people/u/183924
                URI : http://frontiersin.org/people/u/81716
                URI : http://frontiersin.org/people/u/110817
                URI : http://frontiersin.org/people/u/189745
                URI : http://frontiersin.org/people/u/3353
                URI : http://frontiersin.org/people/u/189724
                URI : http://frontiersin.org/people/u/109772
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                05 November 2014
                2014
                : 5
                : 218
                Affiliations
                [1] 1EEG and Epilepsy Unit, Neurology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva, Switzerland
                [2] 2Laboratory for Multimodal Human Brain Mapping, Hofstra North Shore LIJ School of Medicine , Manhasset, NY, USA
                [3] 3Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University of Geneva , Geneva, Switzerland
                [4] 4Support Center of Advanced Neuroimaging (SCAN), Institute for Diagnostic and Interventional Neuroradiology, University Hospital Inselspital , Bern, Switzerland
                [5] 5Radiology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva, Switzerland
                Author notes

                Edited by: Patrick William Carney, The Florey Institute of Neuroscience and Mental Health, Australia

                Reviewed by: Mario Alonso, Instituto Nacional de Neurología y Neurocirugía, Mexico; Christine T. Ekdahl, Lund University, Sweden

                *Correspondence: Serge Vulliemoz, EEG and Epilepsy Unit, Neurology Department, University Hospitals of Geneva, 4 rue Gabrielle-Perret-Gentil, Geneva 4 1211, Switzerland e-mail: serge.vulliemoz@ 123456hcuge.ch

                This article was submitted to Epilepsy, a section of the journal Frontiers in Neurology.

                Article
                10.3389/fneur.2014.00218
                4220689
                25414692
                13b8624b-e67b-4b91-9df7-689c909392e1
                Copyright © 2014 Pittau, Mégevand, Sheybani, Abela, Grouiller, Spinelli, Michel, Seeck and Vulliemoz.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 18 July 2014
                : 08 October 2014
                Page count
                Figures: 6, Tables: 0, Equations: 0, References: 283, Pages: 21, Words: 20269
                Categories
                Neuroscience
                Review Article

                Neurology
                connectivity,resting-state network,epilepsy,animal model,eeg,fmri,meg,intracranial eeg
                Neurology
                connectivity, resting-state network, epilepsy, animal model, eeg, fmri, meg, intracranial eeg

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