Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states

Abstract Infraslow activity (ISA) and high-frequency activity (HFA) are key biomarkers for studying epileptic seizures. We aimed to elucidate the relationship between ISA and HFA around seizure onset. We enrolled seven patients with drug-resistant focal epilepsy who underwent intracranial electrode...

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Autores principales: Hiroaki Hashimoto, Hui Ming Khoo, Takufumi Yanagisawa, Naoki Tani, Satoru Oshino, Haruhiko Kishima, Masayuki Hirata
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c7fffb77964649eda67cc544abb9dbc3
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spelling oai:doaj.org-article:c7fffb77964649eda67cc544abb9dbc32021-12-02T17:51:12ZPhase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states10.1038/s41598-021-96479-12045-2322https://doaj.org/article/c7fffb77964649eda67cc544abb9dbc32021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96479-1https://doaj.org/toc/2045-2322Abstract Infraslow activity (ISA) and high-frequency activity (HFA) are key biomarkers for studying epileptic seizures. We aimed to elucidate the relationship between ISA and HFA around seizure onset. We enrolled seven patients with drug-resistant focal epilepsy who underwent intracranial electrode placement. We comparatively analyzed the ISA, HFA, and ISA-HFA phase-amplitude coupling (PAC) in the seizure onset zone (SOZ) or non-SOZ (nSOZ) in the interictal, preictal, and ictal states. We recorded 15 seizures. HFA and ISA were larger in the ictal states than in the interictal or preictal state. During seizures, the HFA and ISA of the SOZ were larger and occurred earlier than those of nSOZ. In the preictal state, the ISA-HFA PAC of the SOZ was larger than that of the interictal state, and it began increasing at approximately 87 s before the seizure onset. The receiver-operating characteristic curve revealed that the ISA-HFA PAC of the SOZ showed the highest discrimination performance in the preictal and interictal states, with an area under the curve of 0.926. This study demonstrated the novel insight that ISA-HFA PAC increases before the onset of seizures. Our findings indicate that ISA-HFA PAC could be a useful biomarker for discriminating between the preictal and interictal states.Hiroaki HashimotoHui Ming KhooTakufumi YanagisawaNaoki TaniSatoru OshinoHaruhiko KishimaMasayuki HirataNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hiroaki Hashimoto
Hui Ming Khoo
Takufumi Yanagisawa
Naoki Tani
Satoru Oshino
Haruhiko Kishima
Masayuki Hirata
Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
description Abstract Infraslow activity (ISA) and high-frequency activity (HFA) are key biomarkers for studying epileptic seizures. We aimed to elucidate the relationship between ISA and HFA around seizure onset. We enrolled seven patients with drug-resistant focal epilepsy who underwent intracranial electrode placement. We comparatively analyzed the ISA, HFA, and ISA-HFA phase-amplitude coupling (PAC) in the seizure onset zone (SOZ) or non-SOZ (nSOZ) in the interictal, preictal, and ictal states. We recorded 15 seizures. HFA and ISA were larger in the ictal states than in the interictal or preictal state. During seizures, the HFA and ISA of the SOZ were larger and occurred earlier than those of nSOZ. In the preictal state, the ISA-HFA PAC of the SOZ was larger than that of the interictal state, and it began increasing at approximately 87 s before the seizure onset. The receiver-operating characteristic curve revealed that the ISA-HFA PAC of the SOZ showed the highest discrimination performance in the preictal and interictal states, with an area under the curve of 0.926. This study demonstrated the novel insight that ISA-HFA PAC increases before the onset of seizures. Our findings indicate that ISA-HFA PAC could be a useful biomarker for discriminating between the preictal and interictal states.
format article
author Hiroaki Hashimoto
Hui Ming Khoo
Takufumi Yanagisawa
Naoki Tani
Satoru Oshino
Haruhiko Kishima
Masayuki Hirata
author_facet Hiroaki Hashimoto
Hui Ming Khoo
Takufumi Yanagisawa
Naoki Tani
Satoru Oshino
Haruhiko Kishima
Masayuki Hirata
author_sort Hiroaki Hashimoto
title Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
title_short Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
title_full Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
title_fullStr Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
title_full_unstemmed Phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
title_sort phase-amplitude coupling between infraslow and high-frequency activities well discriminates between the preictal and interictal states
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c7fffb77964649eda67cc544abb9dbc3
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AT huimingkhoo phaseamplitudecouplingbetweeninfraslowandhighfrequencyactivitieswelldiscriminatesbetweenthepreictalandinterictalstates
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