机构:[1]Key Laboratory of Universal Wireless Communications, Beijing University of Posts and Telecommunications, Ministry of Education, No. 10 Xitucheng Road, Haidian District, Beijing 100876, China.[2]Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, No. 45 Changchun Street, Xuanwu District, Beijing 100053, China.神经科系统神经外科首都医科大学宣武医院
Successful surgery on drug-resistant epilepsy patients (DRE) needs precise localization of the seizure onset zone (SOZ). Previous studies analyzing this issue still face limitations, such as inadequate analysis of features, low sensitivity and limited generality. Our study proposed an innovative and effective SOZ localization method based on multiple epileptogenic biomarkers (spike and HFOs), and analysis of single-contact (MEBM-SC) to address the above problems. We extracted contacts epileptic features from signal distributions and signal energy based on machine learning and end-to-end deep learning. Among them, a normalized pathological ripple rate was designed to reduce the disturbance of physiological ripple and enhance the performance of SOZ localization. Then, a feature selection algorithm based on Shapley value and hypothetical testing (ShapHT+) was used to limit interference from irrelevant features. Moreover, an attention mechanism and a focal loss algorithm were used on the classifier to learn significant features and overcome the unbalance of SOZ/nSOZ contacts. Finally, we provided an SOZ prediction and visualization on magnetic resonance imaging (MRI). Ten patients with DRE were selected to verify our method. The experiment performed cross-validation and revealed that MEBM-SC obtains higher sensitivity. Additionally, the spike has better sensitivity while HFOs have better specificity, and the combination of these biomarkers can achieve the best performance. The study confirmed that MEBM-SC can increase the sensitivity and accuracy of SOZ localization and help clinicians to perform a precise and reliable preoperative evaluation based on interictal SEEG.
基金:
This study was funded by Fundamental Research Funds for the Central Universities
(2020XD-A06-1), State Key Program of the National Natural Science Foundation of China (82030037),
National Natural Science Foundation of China (62203063), and BUPT Excellent Ph.D. Students
Foundation (CX2021206).
第一作者机构:[1]Key Laboratory of Universal Wireless Communications, Beijing University of Posts and Telecommunications, Ministry of Education, No. 10 Xitucheng Road, Haidian District, Beijing 100876, China.
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Wang Yiping,Yang Yanfeng,Li Si,et al.Automatic Localization of Seizure Onset Zone Based on Multi-Epileptogenic Biomarkers Analysis of Single-Contact from Interictal SEEG[J].BIOENGINEERING-BASEL.2022,9(12):doi:10.3390/bioengineering9120769.
APA:
Wang Yiping,Yang Yanfeng,Li Si,Su Zichen,Guo Jinjie...&Zhao Guoguang.(2022).Automatic Localization of Seizure Onset Zone Based on Multi-Epileptogenic Biomarkers Analysis of Single-Contact from Interictal SEEG.BIOENGINEERING-BASEL,9,(12)
MLA:
Wang Yiping,et al."Automatic Localization of Seizure Onset Zone Based on Multi-Epileptogenic Biomarkers Analysis of Single-Contact from Interictal SEEG".BIOENGINEERING-BASEL 9..12(2022)