Research progress of epileptic seizure prediction methods based on EEG

Electroencephalography-driven brain-network models for personalized interpretation and prediction of neural oscillations

OBJECTIVE

Develop an encephalography (EEG)-driven method that integrates interpretability, predictiveness, and personalization to assess the dynamics of the brain network, with a focus on pathological conditions such as pharmacoresistant epilepsy.

METHODS

We propose a method to identify dominant coherent oscillations from EEG recordings. It relies on the Koopman operator theory to achieve individualized EEG prediction and electrophysiological interpretability. We extend it with concepts from adiabatic theory to address the nonstationary and noisy EEG signals.

RESULTS

By simultaneously capturing the local spectral and connectivity aspects of patient-specific oscillatory dynamics, we are able to clarify the underlying dynamical mechanism. We use it to construct the corresponding generative models of the brain network. We demonstrate the proposed approach on recordings of patients in status epilepticus.

CONCLUSIONS

The proposed EEG-driven method opens new perspectives on integrating interpretability, predictiveness, and personalization within a unified framework. It provides a quantitative approach for assessing EEG recordings, crucial for understanding and modulating pathological brain activity.

SIGNIFICANCE

This work bridges theoretical neuroscience and clinical practice, offering a novel framework for understanding and predicting brain network dynamics. The resulting approach paves the way for data-driven insights into brain network mechanisms and the design of personalized neuromodulation therapies.

Analysis of Epilepsy Treatment Strategies Based on an Astrocyte-Neuron-Coupled Network Model

Background/Objectives: Epilepsy is a common neurological disorder that not only severely impacts patients' health but also imposes a significant burden on families and society. However, its pathogenesis remains unclear. Astrocytes play a crucial role in epileptic seizures and may serve as potential therapeutic targets. Establishing a network model of epileptic seizures based on the astrocyte-neuron cell coupling and the clinical electroencephalographic (EEG) characteristics of epilepsy can facilitate further research on refractory epilepsy and the development of treatment strategies. Methods: This study constructs a neuronal network dynamic model of epileptic seizures based on the Watts-Strogatz small-world network, with a particular emphasis on the biological mechanisms of astrocyte-neuron coupling. The phase-locking value (PLV) is used to quantify the degree of network synchronization and to identify the key nodes or connections influencing synchronous seizures, such that two epilepsy treatment strategies are proposed: seizure suppression through stimulation and surgical resection simulation therapy. The therapeutic effects are evaluated based on the PLV-quantified network synchronization. Results: The results indicate that the desynchronization effect of random noise and sinusoidal wave stimulation is limited, while square wave stimulation is the most effective. Among the four surgical resection strategies, the effectiveness is the highest when resecting nodes exhibiting epileptic discharges. These findings contribute to the development of rational seizure suppression strategies and provide insights into precise epileptic focus localization and personalized treatment approaches.