Systems and methods for stereo-eeg implantation and resection surgeries
AssigneeDuke University
InventorsWarren GRILL, Brandon THIO
Life of this patent
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Abstract
The present disclosure describes innovations to improve the use of stereo-EEG (sEEG) intreating epilepsy. The systems and methods include a fully automated platform for generating patient specific head models, a visualization of the tissue that can be recorded by a set of sEEG electrodes, an automated implantation trajectory planning algorithm that incorporates the tissue that can be recorded by a set of sEEG electrodes, and a dynamic source reconstruction algorithm that can visualize the epileptiform activity.
Claims23
A method for generating a stereo-EEG model, the method comprising:
- receiving images of a patient brain;
- determining a coordinate for each of a plurality of electrodes;
- generating three-dimensional geometry of the patient brain based on the images;
- generating three-dimensional geometry of the plurality of electrodes within the three-dimension geometry of the patient brain based on the images and the coordinates for each of the plurality of electrodes;
- defining an electrical property of the three-dimensional geometry of the patient brain;
- and
- outputting a finite element model for the patient brain and the plurality of electrodes.
A method for determining recordable brain tissue for a patient, the method comprising:
- generating a head model for the patient;
- determining a plurality of voltages throughout the head model that result from a plurality of neural sources;
- determining a recording sensitivity throughout the head model based on whether the voltages are above a threshold value for the plurality of electrodes;
- and
- displaying a visualization of the recording sensitivity throughout the head model.
A method for determining implantation trajectories for a plurality of electrodes, the method comprising:
- generating a head model for the patient;
- determining a plurality of voltages throughout the head model that result from a plurality of neural sources;
- determining a recording sensitivity throughout the head model based on whether the voltages are above a threshold value for the plurality of electrodes;
- and
- determining implantation trajectories for the plurality of electrodes to maximize recording sensitivity for a brain region of interest.
A method for reconstructing propagating neural activity with time-dependent stereo-EEG data from a plurality of electrodes, the method comprising:
- simulating a static source reconstruction using the set of time-dependent stereo-EEG data;
- clustering adjacent populations of active neural sources together to generate time-dependent active clusters of neural sources;
- fitting a spatial trajectory to the time-dependent active clusters;
- constraining a search region to cortical points within a threshold distance of the spatial trajectory;
- simulating a propagating source reconstruction based on the search region and the spatial trajectory of the time-dependent active clusters;
- and
- displaying the propagating source in a three-dimensional head model.
A method for reconstructing dynamic stationary neural activity with time-dependent stereo-EEG data from a plurality of electrodes, the method comprising:
- parcellating of a cortical mesh into synchronously active spatially disparate sources;
- iteratively solving for a temporal basis function underlying the activity of spatially disparate sources, wherein a spatiotemporal link defines which temporal basis function maps to which source, and wherein hyperparameters define the number of temporal basis functions and which spatially disparate sources are active;
- wherein convergence occurs when the difference between subsequent reconstructed sources is below a threshold;
- and
- the spatial extents of each source are iteratively shrunk using a stationary source localization algorithm with the solved time courses for the spatially disparate sources.
A method comprising:
- generating a patient specific head model;
- determining implantation trajectories for a plurality of stereo-EEG electrodes that maximize a recording sensitivity for a region of interest;
- implanting the plurality of stereo-EEG electrodes in a patient head based on the implantation trajectories;
- recording time-dependent stereo-EEG data from the plurality of electrodes;
- reconstructing a dynamic source of neural activity based on the time-dependent stereo-EEG data;
- and
- displaying the source of neural activity in the patient specific head model.
Dependencies are inferred from the claim text.