Delineating potential epileptogenic areas utilizing resting functional magnetic resonance imaging (fMRI) in epilepsy patients

Neurocase. 2016 Aug;22(4):362-8. doi: 10.1080/13554794.2016.1195845. Epub 2016 Jun 30.

Abstract

Seizure localization includes neuroimaging like electroencephalogram, and magnetic resonance imaging (MRI) with limited ability to characterize the epileptogenic network. Temporal clustering analysis (TCA) characterizes epileptogenic network congruent with interictal epileptiform discharges by clustering together voxels with transient signals. We generated epileptogenic areas for 12 of 13 epilepsy patients with TCA, congruent with different areas of seizure onset. Resting functional MRI (fMRI) scans are noninvasive, and can be acquired quickly, in patients with different levels of severity and function. Analyzing resting fMRI data using TCA is quick and can complement clinical methods to characterize the epileptogenic network.

Keywords: Epilepsy; electroencephalogram; resting function magnetic resonance imaging; seizure foci localization; temporal clustering analysis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Electroencephalography
  • Epilepsy / diagnostic imaging*
  • Epilepsy / physiopathology*
  • Functional Neuroimaging / methods*
  • Hippocampus* / diagnostic imaging
  • Hippocampus* / pathology
  • Hippocampus* / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Temporal Lobe* / diagnostic imaging
  • Temporal Lobe* / pathology
  • Temporal Lobe* / physiopathology