Abstract
Characterizing epileptogenic zones EZ (sources responsible of excessive discharges) would assist a neurologist during epilepsy diagnosis. Locating efficiently these abnormal sources among magnetoencephalography (MEG) biomarker is obtained by several inverse problem techniques. These techniques present different assumptions and particular epileptic network connectivity. Here, we proposed to evaluate performances of distributed inverse problem in defining EZ. First, we applied an advanced technique based on Singular Value Decomposition (SVD) to recover only pure transitory activities (interictal epileptiform discharges). We evaluated our technique's robustness in separation between transitory and ripples versus frequency range, transitory shapes, and signal to noise ratio on simulated data (depicting both epileptic biomarkers and respecting time series and spectral properties of realistic data). We validated our technique on MEG signal using detector precision on 5 patients. Then, we applied four methods of inverse problem to define cortical areas and neural generators of excessive discharges. We computed network connectivity of each technique. Then, we confronted obtained noninvasive networks to intracerebral EEG transitory network connectivity using nodes in common, connection strength, distance metrics between concordant nodes of MEG and IEEG, and average propagation delay. Coherent Maximum Entropy on the Mean (cMEM) proved a high matching between MEG network connectivity and IEEG based on distance between active sources, followed by Exact low-resolution brain electromagnetic tomography (eLORETA), Dynamical Statistical Parametric Mapping (dSPM), and Minimum norm estimation (MNE). Clinical performance was interesting for entire methods providing in an average of 73.5% of active sources detected in depth and seen in MEG, and vice versa, about 77.15% of active sources were detected from MEG and seen in IEEG. Investigated problem techniques succeed at least in finding one part of seizure onset zone. dSPM and eLORETA depict the highest connection strength among all techniques. Propagation delay varies in this range [18, 25]ms, knowing that eLORETA ensures the lowest propagation delay (18 ms) and the closet one to IEEG propagation delay.