Dipole-source analysis in a realistic head model in patients with focal epilepsy.

Objective. In electroencephalography (EEG) measurements, the signal of each recording electrode is contrasted with a reference electrode or a combination of electrodes. The estimation of a neutral reference is a long-standing issue in EEG data analysis, which has motivated the proposal of different re-referencing methods, among which linked-mastoid re-referencing (LMR), average re-referencing (AR) and reference electrode standardization technique (REST). In this study we quantitatively assessed the extent to which the use of a high-density montage and a realistic head model can impact on the optimal estimation of a neutral reference for EEG recordings. Approach. Using simulated recordings generated by projecting specific source activity over the sensors, we assessed to what extent AR, REST and LMR may distort the scalp topography. We examined the impact electrode coverage has on AR and REST, and how accurate the REST reconstruction is for realistic and less realistic (three-layer and single-layer spherical) head models, and with possible uncertainty in the electrode positions. We assessed LMR, AR and REST also in the presence of typical EEG artifacts that are mixed in the recordings. Finally, we applied them to real EEG data collected in a target detection experiment to corroborate our findings on simulated data. Main results. Both AR and REST have relatively low reconstruction errors compared to LMR, and that REST is less sensitive than AR and LMR to artifacts mixed in the EEG data. For both AR and REST, high electrode density yields low re-referencing reconstruction errors. A realistic head model is critical for REST, leading to a more accurate estimate of a neutral reference compared to spherical head models. With a low-density montage, REST shows a more reliable reconstruction than AR either with a realistic or a three-layer spherical head model. Conversely, with a high-density montage AR yields better results unless precise information on electrode positions is available. Significance. Our study is the first to quantitatively assess the performance of EEG re-referencing techniques in relation to the use of a high-density montage and a realistic head model. We hope our study will help researchers in the choice of the most effective re-referencing approach for their EEG studies.

Various source localization techniques have indicated the generators of each identifiable component of movement-related cortical potentials, since the discovery of the surface negative potential prior to self-paced movement by Kornhuber and Decke. Readiness potentials and fields preceding self-paced finger movements were recorded simultaneously using multichannel electroencephalography (EEG) and magnetoencephalography (MEG) from five healthy subjects. The cortical areas involved in this paradigm are the supplementary motor area (SMA) (bilateral), pre-SMA (bilateral), and contralateral motor area of the moving finger. This hypothesis is tested in this paper using the dipole source analysis independently for only EEG, only MEG, and both combined. To localize the sources, the forward problem is first solved by using the boundary-element method for realistic head models and by using a locally-fitted-sphere approach for spherical head models consisting of a set of connected volumes, typically representing the scalp, skull, and brain. In the source reconstruction it is to be expected that EEG predominantly localizes radially oriented sources while MEG localizes tangential sources at the desired region of the cortex. The effect of MEG on EEG is also observed when analyzing both combined data. When comparing the two head models, the spherical and the realistic head models showed similar results. The significant points for this study are comparing the source analysis between the two modalities (EEG and MEG) so as to assure that EEG is sensitive to mostly radially orientated sources while MEG is only sensitive to only tangential sources, and comparing the spherical and individual head models.

The purpose of this study is to evaluate the difference between anatomical locations of mismatch negativity (MMN) generators using a realistic head model and the Talairach coordinate system. This was performed by dipole source analysis by using a high density 128 channel electroencephalography (EEG) acquisition system and the subjects' individual 3D magnetic resonance images (MRI) for the realistic head model, in 24 healthy subjects. For dipole source localization, both the Talairach coordinate system and the individual MRI realistic head models were used and location results were compared. The MMN generators were clearly localized in the superior temporal gyri, especially in Heschl's gyrus, according to each individual's structural MRI. Only 37.5% of subjects showed the same anatomical locations of the MMN generator in both hemispheres in the realistic head model and in Talairach coordinate system, but fifteen subjects (62.5%) didn't. This result indicates that individually registered functional locations are desirable for the precise localization of activated areas in functional imaging studies and that a brain coordinate system is needed which adequately accounts for ethnic differences.

Computational head and brain volume conductor modeling is a practical and non-invasive method to investigate neuroelectrical activity in the brain. Anatomical structures included in a model affect the flow of volume currents and the resulting scalp surface potentials. The influence of different tissues within the head on scalp surface potentials was investigated by constructing five highly detailed, realistic head models from segmented and processed Visible Human Man digital images. The models were: (1) model with 20 different tissues, that is, skin, dense connective tissue (fat), aponeurosis (muscle), outer, middle and inner tables of the scalp, dura matter, arachnoid layer (including cerebrospinal fluid), pia matter, six cortical layers, eye tissue, muscle around the eye, optic nerve, temporal muscle, white matter and internal air, (2) model with three main inhomogeneities, that is, scalp, skull, brain, (3) model with homogeneous scalp and remaining inhomogeneities, (4) model with homogeneous skull and remaining inhomogeneities, and (5) model with homogeneous brain matter and remaining inhomogeneities. Scalp potentials because of three different dipolar sources in the parietal-occipital lobe were computed for all five models. Results of a forward solution revealed that tissues included in the model and the dipole source location directly affect the simulated scalp surface potentials. The major finding indicates that significant change in the scalp surface potentials is observed when the brain's distinctions are removed. The other modifications, for example, layers of the scalp and skull are important too, but they have less effect on the overall results.

Heat transfer due to electroconvulsive therapy: Influence of anisotropic thermal and electrical skull conductivity

This paper presents finite-difference-time-domain (FDTD) calculations of the specific absorption rate (SAR) in realistic head models from exposure to a generic handset working as 1750 Mhz. The head models with different sizes were obtained from the same whole-body model. The purpose of this work is to study whether there is a variation of SAR absorption in the same brain, but the sizes of head models are different. The obtained peak SARs in each of the tissues were averaged over 10 grams of tissue in the shape of cube. It was found that the SAR absorption in human brain is dependent on the size of the head model. The induced SAR in brain tissues in smaller head model is larger than that in larger head model. It suggested that the mobile phone dosimetric analysis in most of the previous literatures which only considered head model in the simulation may overestimate the brain exposure compared to the practical situation that the whole-body exposed to the fields radiated by the mobile phone.

The performance of the three-shell spherical head model versus the performance of the realistic head model is investigated when solving the inverse problem with a single dipole, in the presence of noise. This is evaluated by inspecting the average dipole location error when applying a spherical and a realistic head model, for 1000 noisy scalp potentials, originating from the same test dipole and having the same noise level. The location errors are obtained utilizing a local linearization, which is validated with a Monte Carlo simulation. For 27 electrodes, an EEG epoch of one time sample and spatially white Gaussian noise we found that the importance of the realistic head model over the spherical head model reduces by increasing the noise level.

Caudal cingulate cortex involvement in pain processing: an inter-individual laser evoked potential source localisation study using realistic head models

Disturbed sleep is common in epilepsy. The direct influence of nocturnal epileptic activity on sleep fragmentation remains poorly understood. Stereo-electroencephalography paired with polysomnography is the ideal tool to study this relationship. We investigated whether sleep-related epileptic activity is associated with sleep disruption. We visually marked sleep stages, arousals, seizures, and epileptic bursts in 36 patients with focal drug-resistant epilepsy who underwent combined stereo-electroencephalography/polysomnography during presurgical evaluation. Epileptic spikes were detected automatically. Spike and burst indices (n/sec/channel) were computed across four 3-second time windows (baseline sleep, pre-arousal, arousal, and post-arousal). Sleep stage and anatomic localization were tested as modulating factors. We assessed the intra-arousal dynamics of spikes and their relationship with the slow wave component of non-rapid eye-movement sleep (NR) arousals. The vast majority of sleep-related seizures (82.4%; 76.5% asymptomatic) were followed by awakenings or arousals. The epileptic burst index increased significantly before arousals as compared to baseline and postarousal, irrespective of sleep stage or brain area. A similar pre-arousal increase was observed for the spike index in NR stage 2 and rapid eye-movement sleep. In addition, the spike index increased during the arousal itself in neocortical channels, and was strongly correlated with the slow wave component of NR arousals (r = 0.99, p < 0.0001). Sleep fragmentation in focal drug-resistant epilepsy is associated with ictal and interictal epileptic activity. The increase in interictal epileptic activity before arousals suggests its participation in sleep disruption. An additional increase in the spike rate during arousals may result from a sleep-wake boundary instability, suggesting a bidirectional relationship. ANN NEUROL 2020;88:907-920.

Electroencephalography (EEG) forward solution computes the electrical potentials over the electrodes that are lying on the scalp surface. Forward solution requires a numerical head model to work on. The head model can be spherical or a realistic one. Accuracy of the forward problem can be improved by using realistic head models. Triangulated realistic head model is an input for the Boundary Element method (BEM) which solves the EEG forward problem. In this paper, a software is introduced which constructs 3-D triangulated realistic head models from the Magnetic Resonance images.

The objective of this study was to determine the validity of interictal spike (IIS) source localization in frontal lobe epilepsies (FLE) using stereoelectroencephalography as a validating method. Ten patients with drug-resistant FLE were studied with high-resolution EEG and stereoelectroencephalography. Sixty-four scalp channels, a realistic head model, and different algorithms were used. For each patient, the intracerebral interictal distribution was studied and classified into one of three groups: lateral, medial, and mixed (latero-medio-basal). Surface IIS were abundant or subcontinuous for 8 of 10 FLE patients. In lateral and medial groups, intracerebral interictal activities were accurately localized. In the mixed group, source localizations designated a part of the intracerebral interictal distribution. A high degree of source localization accuracy is obtained in FLE. False-positive results were never obtained, but the extent of interictal activity could be underestimated by source localization results. Geometrical and cytoarchitectonic characteristics of the generator appear crucial to explain why medial frontal IIS (anterior para-cingulate gyrus and anterior cingulate gyrus) may be localizable whereas only the lateral orbitofrontal IIS seems to be localizable.

The human head is a significant part of the human body, with which we can recognize individuals from a vast universe of populations. Since the early 1970s, considerable effort has been devoted to computeraided modeling of human head for applications varied from realistic effect in computer graphics to custom model generation in modern manufacturing industries. However, realistic head modeling is still a challenge and continues to fascinate computer graphics researchers. The greatest difficulties in human head modeling result from the extremely complex geometric form of the human head. To generate realistic individualized models, most proposed head modeling techniques use the common approach of deforming a generic model into an individualized one, based on individual head information. There are various sources to obtain individual information, e.g., anthropometric data, range data and 2D pictures. Given the individual information, the quality of the resulting individualized model depends on the quality of the generic model and the deformation technique used. In our study, we observe that the mathematical form in which the generic model is represented strongly determines the deformation effect and, thus, determines the quality of the resulting individualized models. During the past few years, the multiresolution modeling technique has been demonstrated to be a powerful tool for highly detailed sculptured object modeling. In our work, we adopt the multiresolution technique for generic head modeling and propose a feature-based deformation technique. We show that using our technique we can generate highly realistic individualized head models with speed and efficiency. We also demonstrate that our proposed technique can result in great efficiency for a wide range of downstream applications.

Neonatal EEG at scalp is focal and implies high skull conductivity in realistic neonatal head models

This paper shows simulation results of transcranial magnetic stimulation (TMS) for three different coils including Fo8 (figure of eight) coil, V-shape coil, and butterfly coil. Considering the clinical applications the feasibility of three different coils in TMS is analyzed. An electromagnetic software of Xfdtd which employ impedance method is used to obtain three dimensional distribution of electric field, magnetic field in the realistic head model. This study conducting with realistic head model offers actual penetration depth, focality, and biocompatibility which are not possible with homogeneous head model used in some existing works. Among the three proposed coils, the Fo8 coil has greater induced electric field and magnetic field than other two coils (Butterfly and V shape coil respectively).

Multiple sparse volumetric priors for distributed EEG source reconstruction