論文

査読有り 国際誌
2018年9月

Multi-component intrinsic brain activities as a safe alternative to cortical stimulation for sensori-motor mapping in neurosurgery.

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
  • Shuichiro Neshige
  • Masao Matsuhashi
  • Katsuya Kobayashi
  • Takeyo Sakurai
  • Akihiro Shimotake
  • Takefumi Hitomi
  • Takayuki Kikuchi
  • Kazumichi Yoshida
  • Takeharu Kunieda
  • Riki Matsumoto
  • Ryosuke Takahashi
  • Susumu Miyamoto
  • Hirofumi Maruyama
  • Masayasu Matsumoto
  • Akio Ikeda
  • 全て表示

129
9
開始ページ
2038
終了ページ
2048
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.clinph.2018.06.007

OBJECTIVE: To assess the feasibility of multi-component electrocorticography (ECoG)-based mapping using "wide-spectrum, intrinsic-brain activities" for identifying the primary sensori-motor area (S1-M1). METHODS: We evaluated 14 epilepsy patients with 1514 subdural electrodes implantation covering the perirolandic cortices at Kyoto University Hospital between 2011 and 2016. We performed multi-component, ECoG-based mapping (band-pass filter, 0.016-300/600 Hz) involving combined analyses of the single components: movement-related cortical potential (<0.5-1 Hz), event-related synchronization (76-200 Hz), and event-related de-synchronization (8-24 Hz) to identify the S1-M1. The feasibility of multi-component mapping was assessed through comparisons with single-component mapping and electrical cortical stimulation (ECS). RESULTS: Among 54 functional areas evaluation, ECoG-based maps showed significantly higher rate of localization concordances with ECS maps when the three single-component maps were consistent than when those were inconsistent with each other (p < 0.001 in motor, and p = 0.02 in sensory mappings). Multi-component mapping revealed high sensitivity (89-90%) and specificity (94-97%) as compared with ECS. CONCLUSIONS: Wide-spectrum, multi-component ECoG-based mapping is feasible, having high sensitivity/specificity relative to ECS. SIGNIFICANCE: This safe (non-stimulus) mapping strategy, alternative to ECS, would allow clinicians to rule in/out the possibility of brain function prior to resection surgery.

リンク情報
DOI
https://doi.org/10.1016/j.clinph.2018.06.007
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29935961
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85048835447&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85048835447&origin=inward
ID情報
  • DOI : 10.1016/j.clinph.2018.06.007
  • ISSN : 1388-2457
  • eISSN : 1872-8952
  • PubMed ID : 29935961
  • SCOPUS ID : 85048835447

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