Suppression of background brain activity influence in localizing epileptic spike sources from biomagnetic measurements.
The origin of inter-ictal epileptic activity can be localized from the magnetoencephalogram (MEG) using the Equivalent Current Dipole (ECD) as a source model. One problem with such localizations is that in many patients, the localization of an epileptic spike source becomes inaccurate because the epileptic spikes are superimposed by pathologic brain rhythmic activities. This paper proposes to use the spatial coherence of the measured magnetic field caused by the measured magnetic field to suppress its influence in the ECD localization. In the method proposed here, the covariance matrix, which expresses the spatial coherence of the rhythmic magnetic field, is first calculated using a data portion where no spikes exist and rhythmic slow waves are evident. Then, ECD localization is performed by minimizing the least-squares cost function modified by the covariance matrix. Experiments using a computer generated ECD field and rhythmic slow waves measured from a patient suffering from complex partial epilepsy prove the basic effectiveness of the method proposed. Localizations of actual spike sources in the same clinical data are performed, and results indicating the effectiveness of the proposed method are obtained.
Sekihara
K
K
Central Research Laboratory, Hitachi, Ltd., Tokyo, Japan.
Abraham-Fuchs
K
K
Stefan
H
H
Hellstrandt
E
E
D001921:Brain / Q000503:physiopathology*; D001931:Brain Mapping; D017034:Epilepsy, Frontal Lobe / Q000503:physiopathology*; D005071:Evoked Potentials / Q000502:physiology*; D005260:Female; D006801:Humans; D015225:Magnetoencephalography; D008875:Middle Aged; D013997:Time Factors