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Across 29 SEEG patients, the 30–45 Hz exponent did not separate SOZ channels, while four other features did

This study tested whether interictal SEEG features associated with the seizure onset zone (SOZ) in 31 HUP patients also appeared in an independent multicenter cohort. In OpenNeuro ds003876 version 1.0.2, 29 patients from four sites contributed 2,668 bipolar pairs, including 218 SOZ pairs. The analysis used the same pre-specified features, bipolar montage, quality rules, and statistics as the prior work, and used the first 120 s of one interictal recording per patient. The primary feature, the 30–45 Hz aperiodic exponent, did not separate SOZ from non-SOZ pairs (median per-patient AUC 0.53; Wilcoxon p = 0.11; same-shaft control AUC 0.47, p = 0.33). Broadband 1–40 Hz power (AUC 0.70, p = 4.3 × 10⁻⁶), high-gamma power (0.68, p = 3.5 × 10⁻⁵), line length (0.68, p = 1.3 × 10⁻⁵), and candidate spike rate (0.68, p = 0.0011) were higher in SOZ pairs; these effects remained in the same-shaft control after false discovery rate correction. Their effect sizes were similar to HUP (between-cohort p ≥ 0.73). Lower relative alpha power, reported in HUP, did not replicate (AUC 0.43, p = 0.44; same-shaft p = 0.054). No feature separated the resection zone after correction, and seizure-free and not-seizure-free patients did not differ. An exploratory, uncorrected site comparison found different exponent AUCs at MIAMI (0.75, n = 9), NIH (0.52, n = 11), and JHU (0.39, n = 8); this heterogeneity requires a pre-registered test. Limits include short recordings without sleep-state control, clinical labels that differ across sites, a candidate spike detector not validated against expert marks, per-subject AUCs that do not establish individual utility, normal-approximation p values, and one UMF patient. The package preserves code, labels, source keys, EDF prefix hashes, results, and reproduction commands.

SEEG · epilepsy · seizure onset zone · intracranial EEG · aperiodic exponent · spectral power · spike rate · line length · replication · OpenNeuro

Admitted 43 citing publications

References

4
  1. challengesThe 30–45 Hz aperiodic exponent did not separate seizure-onset channels in 31 SEEG patients sci:sha256:970015c7ad657e77ac8f470146719405ea5536dba9b4dabf2cdf20f1f8c23615

    Only the secondary relative-alpha result: the lower relative alpha power in SOZ pairs in HUP (median AUC 0.35, p = 0.00075) does not replicate in ds003876 (median AUC 0.43, p = 0.44; same shaft 0.40, p = 0.054).

  2. The 30–45 Hz aperiodic exponent did not separate seizure-onset channels in 31 SEEG patients sci:sha256:970015c7ad657e77ac8f470146719405ea5536dba9b4dabf2cdf20f1f8c23615

    [Legacy relation: reproduces] Applies the same pre-specified features, bipolar montage and statistics to an independent multicenter cohort (ds003876, 29 patients). The null result for the 30-45 Hz exponent and the positive results for spike rate, broadband power, high-gamma power and line length replicate with almost the same effect sizes.

  3. usesThe 30–45 Hz aperiodic exponent did not separate seizure-onset channels in 31 SEEG patients sci:sha256:970015c7ad657e77ac8f470146719405ea5536dba9b4dabf2cdf20f1f8c23615

    Uses analyze.py, stats.py and npstats.py from this package. stats.py and npstats.py are not changed; analyze.py is changed only to read ds003876 labels and EDF files. Also uses its per-subject AUC table for the cross-cohort comparison.

  4. usesdoi:10.18112/openneuro.ds003876.v1.0.2

    The analysis used the first 120 s of selected interictal SEEG EDF files and the associated channel and participant labels from OpenNeuro ds003876 version 1.0.2.

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