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      Simultaneous EEG-fMRI for Functional Neurological Assessment

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          Abstract

          The increasing incidence of neurodegenerative and psychiatric diseases requires increasingly sophisticated tools for their diagnosis and monitoring. Clinical assessment takes advantage of objective parameters extracted by electroencephalogram and magnetic resonance imaging (MRI) among others, to support clinical management of neurological diseases. The complementarity of these two tools can be now emphasized by the possibility of integrating the two technologies in a hybrid solution, allowing simultaneous acquisition of the two signals by the novel EEG-fMRI technology. This review will focus on simultaneous EEG-fMRI technology and related early studies, dealing about issues related to the acquisition and processing of simultaneous signals, and including critical discussion about clinical and technological perspectives.

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          Most cited references58

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          Event-related potential: An overview

          Electroencephalography (EEG) provides an excellent medium to understand neurobiological dysregulation, with the potential to evaluate neurotransmission. Time-locked EEG activity or event-related potential (ERP) helps capture neural activity related to both sensory and cognitive processes. In this article, we attempt to present an overview of the different waveforms of ERP and the major findings in various psychiatric conditions.
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            The ten-twenty electrode system of the international federation.

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              Comparison of different cortical connectivity estimators for high-resolution EEG recordings.

              The aim of this work is to characterize quantitatively the performance of a body of techniques in the frequency domain for the estimation of cortical connectivity from high-resolution EEG recordings in different operative conditions commonly encountered in practice. Connectivity pattern estimators investigated are the Directed Transfer Function (DTF), its modification known as direct DTF (dDTF) and the Partial Directed Coherence (PDC). Predefined patterns of cortical connectivity were simulated and then retrieved by the application of the DTF, dDTF, and PDC methods. Signal-to-noise ratio (SNR) and length (LENGTH) of EEG epochs were studied as factors affecting the reconstruction of the imposed connectivity patterns. Reconstruction quality and error rate in estimated connectivity patterns were evaluated by means of some indexes of quality for the reconstructed connectivity pattern. The error functions were statistically analyzed with analysis of variance (ANOVA). The whole methodology was then applied to high-resolution EEG data recorded during the well-known Stroop paradigm. Simulations indicated that all three methods correctly estimated the simulated connectivity patterns under reasonable conditions. However, performance of the methods differed somewhat as a function of SNR and LENGTH factors. The methods were generally equivalent when applied to the Stroop data. In general, the amount of available EEG affected the accuracy of connectivity pattern estimations. Analysis of 27 s of nonconsecutive recordings with an SNR of 3 or more ensured that the connectivity pattern could be accurately recovered with an error below 7% for the PDC and 5% for the DTF. In conclusion, functional connectivity patterns of cortical activity can be effectively estimated under general conditions met in most EEG recordings by combining high-resolution EEG techniques, linear inverse estimation of the cortical activity, and frequency domain multivariate methods such as PDC, DTF, and dDTF.
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                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                13 August 2019
                2019
                : 10
                : 848
                Affiliations
                IRCCS SDN , Naples, Italy
                Author notes

                Edited by: Brad Manor, Institute for Aging Research, United States

                Reviewed by: Junhong Zhou, Harvard Medical School, United States; Bo Gao, Affiliated Hospital of Guizhou Medical University, China

                *Correspondence: Carlo Cavaliere carlocavaliere1983@ 123456yahoo.it

                This article was submitted to Applied Neuroimaging, a section of the journal Frontiers in Neurology

                Article
                10.3389/fneur.2019.00848
                6700249
                31456735
                f45e9388-c643-44a9-b5e9-1d054465d550
                Copyright © 2019 Mele, Cavaliere, Alfano, Orsini, Salvatore and Aiello.

                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) and the copyright owner(s) 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
                : 28 February 2019
                : 22 July 2019
                Page count
                Figures: 5, Tables: 2, Equations: 0, References: 67, Pages: 11, Words: 6804
                Categories
                Neurology
                Review

                Neurology
                eeg,fmri,multimodal image analysis,functional connectivity,eeg spectra
                Neurology
                eeg, fmri, multimodal image analysis, functional connectivity, eeg spectra

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