The morphology of high frequency oscillations (HFO) does not improve delineating the epileptogenic zone

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
Sergey BurnosJ Gotman

Abstract

We hypothesized that high frequency oscillations (HFOs) with irregular amplitude and frequency more specifically reflect epileptogenicity than HFOs with stable amplitude and frequency. We developed a fully automatic algorithm to detect HFOs and classify them based on their morphology, with types defined according to regularity in amplitude and frequency: type 1 with regular amplitude and frequency; type 2 with irregular amplitude, which could result from filtering of sharp spikes; type 3 with irregular frequency; and type 4 with irregular amplitude and frequency. We investigated the association of different HFO types with the seizure onset zone (SOZ), resected area and surgical outcome. HFO rates of all types were significantly higher inside the SOZ than outside. HFO types 1 and 2 were strongly correlated to each other and showed the highest rates among all HFOs. Their occurrence was highly associated with the SOZ, resected area and surgical outcome. The automatic detection emulated visual markings with 93% true positives and 57% false detections. HFO types 1 and 2 similarly reflect epileptogenicity. For clinical application, it may not be necessary to separate real HFOs from "false oscillations" produced by the filter effect o...Continue Reading

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Citations

Jul 30, 2016·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Tommaso FedeleJohannes Sarnthein
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