Key result
Spiking neural network detects fast ripples to predict postsurgical seizure outcomes with ~100% accuracy.
Why the study?
Automatic detection of high frequency oscillations (HFOs) in real-time during intraoperative ECoG remains an open challenge for guiding epilepsy surgery.
Does a spiking neural network accurately detect high frequency oscillations in intraoperative ECoG to predict seizure outcomes in epilepsy surgery patients?
Does a spiking neural network accurately detect high frequency oscillations in intraoperative ECoG to predict seizure outcomes in epilepsy surgery patients?
A novel spiking neural network can accurately detect high frequency oscillations in intraoperative ECoG, potentially guiding real-time resection during epilepsy surgery.
Advances computational tools for epilepsy surgery; hypothesis-generating pending prospective outcome studies.
To achieve seizure freedom, epilepsy surgery requires the complete resection of the epileptogenic brain tissue. In intraoperative electrocorticography (ECoG) recordings, high frequency oscillations (HFOs) generated by epileptogenic tissue can be used to tailor the resection margin. However, automatic detection of HFOs in real-time remains an open challenge. Here we present a spiking neural network (SNN) for automatic HFO detection that is optimally suited for neuromorphic hardware implementation. We trained the SNN to detect HFO signals measured from intraoperative ECoG on-line, using an independently labeled dataset (58 min, 16 recordings). We targeted the detection of HFOs in the fast ripple frequency range (250-500 Hz) and compared the network results with the labeled HFO data. We endowed the SNN with a novel artifact rejection mechanism to suppress sharp transients and demonstrate its effectiveness on the ECoG dataset. The HFO rates (median 6.6 HFO/min in pre-resection recordings) detected by this SNN are comparable to those published in the dataset (Spearman’s = 0.81). The postsurgical seizure outcome was “predicted” with 100% (CI [63 100%]) accuracy for all 8 patients. These results provide a further step towards the construction of a real-time portable battery-operated HFO detection system that can be used during epilepsy surgery to guide the resection of the epileptogenic zone.
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Burelo et al. (2021) studied Epilepsy (n=8). Spiking neural network (SNN) for automatic HFO detection vs. Independently labeled dataset was evaluated on Postsurgical seizure outcome prediction accuracy (95% CI 63-100). A spiking neural network for automatic high frequency oscillation detection predicted postsurgical seizure outcome with 100% accuracy (CI 63-100%) in 8 patients undergoing epilepsy surgery.
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