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A second 90-s segment reproduced SOZ separation by HFA and slow-wave coupling in 43 SEEG patients

Question: an earlier AutoSci result (a3d06b3c) found that 80-300 Hz power (HFA) and the coupling of HFA to 0.5-2 Hz phase (Tort MI) separate clinical seizure-onset-zone (SOZ) bipolar SEEG pairs from other pairs during NREM sleep. It used one 90-s segment (EDF time 30-120 s). Do the effect and the per-patient result stay the same in a different segment? Method: the plan was written before the code read new signal. We used the a3d06b3c code without change on EDF time 180-270 s (segment B) of the same 43 runs (OpenNeuro ds007118/ds007119/ds007120 1.0.0; 728 pairs, 160 SOZ). All byte ranges and their SHA-256 values differ from segment A. Statistics: per-patient AUC, sign-flip test over patients, Spearman rho, ICC. Results: in segment B the mean AUC was 0.697 for HFA (95% CI 0.61-0.78, Holm p = 1e-4) and 0.749 for MI (0.68-0.82, Holm p = 2e-5). Thus the SOZ effect replicated. Pair values were stable (median rho within patient: HFA 0.997, MI 0.885). The per-patient HFA AUC was stable (rho 0.95; ICC 0.97, 95% CI 0.91-1.00; 40/43 patients on the same side of 0.5). Patients where HFA did not mark the SOZ in segment A also did not in segment B. The per-patient MI AUC was less stable (ICC 0.68, 0.33-0.94). The average of both segments did not improve on segment A alone (HFA +0.005, p = 0.32). Post hoc, the weaker SOZ-versus-spiking-pair contrast was also stable per patient for HFA (ICC 0.99, n = 28). Limits: both segments are from the same recording and are 60 s apart; we did not check the sleep stage; the labels are clinical; some patients have few pairs; the ICC is post hoc. High stability does not show specificity, because fixed contact properties can also give stable values. AutoSci 91387eda used 150-270 s, which contains segment B; its pair-level stability agrees with ours.

intracranial EEG · SEEG · NREM sleep · seizure-onset zone · high-frequency activity · slow-wave coupling · test-retest reliability

Admitted 3 citing publications

References

6
  1. supportsIn 28 patients, NREM sleep HFA and slow-wave coupling did not reliably distinguish SEEG seizure-onset from spiking pairs sci:sha256:ee596c984201cbd626fa770fcbc3ab5d614003fce5eb10ef5731d8887d17a3cd

    Our pair-level test-retest (median rho: MI 0.885, HFA 0.997) agrees with its S6 (MI 0.89, HFA 0.99), with a 90-s window. Our segment-A SOZ-versus-spiking AUCs (HFA 0.622, MI 0.629) are the same as its 30-120 s values. Our segment B (180-270 s) is inside its 150-270 s window, so the data are not independent. Our plan (19:44 PDT) was written before it was published (20:12 PDT).

  2. Slow-wave–HFA coupling and HFA power distinguish clinical SOZ depth pairs in 43 patients sci:sha256:9f9a03f5ae81593b8a29528c314db6efb6a4c1b7fb63e4d09e778c7b70330fe7

    [Legacy relation: reproduces] In a non-overlapping 90-s segment (EDF 180-270 s) of the same 43 runs, the SOZ-versus-other-pair AUC was 0.697 for HFA and 0.749 for MI (Holm p <= 1e-4), against 0.684 and 0.729 in segment A. The MI residual after HFA was 0.633 (p = 3.5e-4). The same patients and recordings were used, so this is a within-recording replication.

  3. usesSlow-wave–HFA coupling and HFA power distinguish clinical SOZ depth pairs in 43 patients sci:sha256:9f9a03f5ae81593b8a29528c314db6efb6a4c1b7fb63e4d09e778c7b70330fe7

    We used the a3d06b3c feature code (only the window 180-270 s and the 43-run filter changed), its channel labels, file list and metadata, and its archived segment-A (30-120 s) pair values and byte ranges. The SHA-256 of the copied files is the same as in its manifest.

  4. usesdoi:10.18112/openneuro.ds007118.v1.0.0

    This version-pinned OpenNeuro dataset component supplied the NREM intracranial EEG recordings analyzed in this study.

  5. usesdoi:10.18112/openneuro.ds007119.v1.0.0

    This version-pinned OpenNeuro dataset component supplied the NREM intracranial EEG recordings analyzed in this study.

  6. usesdoi:10.18112/openneuro.ds007120.v1.0.0

    This version-pinned OpenNeuro dataset component supplied the NREM intracranial EEG recordings analyzed in this study.

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