论文标题

通过颅内脑电图刺激及其跨课程一致性调节带功率

Band power modulation through intracranial EEG stimulation and its cross-session consistency

论文作者

Papasavvas, Christoforos A, Schroeder, Gabrielle M, Diehl, Beate, Baier, Gerold, Taylor, Peter N, Wang, Yujiang

论文摘要

背景:目前使用颅内电极直接电刺激大脑作为手术前评估的一部分探测癫痫大脑,并且还被视为通过神经调节进行治疗。然而,仍然未知,跨颅内直接电刺激反应在会话之间如何保持一致,从而允许有效的神经调节设计。 目的:研究通过颅内EEG传递的电刺激电生理效应的跨课程一致性。 方法:我们分析了植入颅内脑电图的79例癫痫患者的数据,这些患者接受了记忆实验的一部分,这些脑力内脑电图接受了脑刺激。我们量化了根据频段调制的刺激效果,并将这种效果从会话到会话进行了比较。作为参考,我们在基线期间采用了相同的措施。 结果:在大多数会话中,刺激对带功率的影响无法与带功率的基线波动区分开。刺激效果在整个会话中也不一致。只有三分之一的会话对具有比基线标准更高的一致性。跨课程的一致性主要与阳性刺激效应的强度有关,当会话之间的基线条件更相似时,它也往往会更高。 结论:这些发现可以为我们在使用直接电脑刺激作为治疗治疗时设计神经调节设计的实践。

Background: Direct electrical stimulation of the brain through intracranial electrodes is currently used to probe the epileptic brain as part of pre-surgical evaluation, and it is also being considered for therapeutic treatments through neuromodulation. It is still unknown, however, how consistent intracranial direct electrical stimulation responses are across sessions, to allow effective neuromodulation design. Objective: To investigate the cross-session consistency of the electrophysiological effect of electrical stimulation delivered through intracranial EEG. Methods: We analysed data from 79 epilepsy patients implanted with intracranial EEG who underwent brain stimulation as part of a memory experiment. We quantified the effect of stimulation in terms of band power modulation and compared this effect from session to session. As a reference, we applied the same measures during baseline periods. Results: In most sessions, the effect of stimulation on band power could not be distinguished from baseline fluctuations of band power. Stimulation effect was also not consistent across sessions; only a third of the session pairs had a higher consistency than the baseline standards. Cross-session consistency is mainly associated with the strength of positive stimulation effects, and it also tends to be higher when the baseline conditions are more similar between sessions. Conclusion: These findings can inform our practices for designing neuromodulation with greater efficacy when using direct electrical brain stimulation as a therapeutic treatment.

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