AED Strategy after Refractory Epilepsy Surgery

Investigation of two neural mass models for DCM-based effective connectivity inference in temporal epilepsy

BACKGROUND AND OBJECTIVE

Recently, spectral Dynamic Causal Modelling (DCM) has been used increasingly to infer effective connectivity from epileptic intracranial electroencephalographic (iEEG) signals. In this context, the Physiology-Based Model (PBM), a neural mass model, is used as a generative model. However, previous studies have highlighted out the inability of PBM to properly describe iEEG signals with specific power spectral densities (PSDs). More precisely, PSDs that have multiple peaks around β and γ rhythms (i.e. spectral characteristics at seizure onset) are concerned.

METHODS

To cope with this limitation, an alternative neural mass model, called the complete PBM (cPBM), is investigated. The spectral DCM and two recent variants are used to evaluate the relevance of cPBM over PBM.

RESULTS

The study is conducted on both simulated signals and real epileptic iEEG recordings. Our results confirm that, compared to PBM, cPBM shows (i) more ability to model the desired PSDs and (ii) lower numerical complexity whatever the method.

CONCLUSIONS

Thanks to its intrinsic and extrinsic connectivity parameters as well as the input coming into the fast inhibitory subpopulation, the cPBM provides a more expressive model of PSDs, leading to a better understanding of epileptic patterns and DCM-based effective connectivity inference.