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Interictal power and transient features distinguish SOZ channels after depth matching in 36 SEEG patients, but aperiodic exponent and outcome do not

We compared clinically marked seizure-onset-zone (SOZ) and other channels in 36 patients with stereo-EEG epilepsy recordings from OpenNeuro ds004100 version 1.1.3 (20 seizure-free, 16 not seizure-free). For each patient, we analyzed adjacent-contact bipolar channels from 20–90 s of interictal run-01 and an independent run-02 clip. In run-01, absolute band power, line length, and spike-like transient rate were higher on SOZ channels. Their depth-matched mean within-patient AUCs were 0.63–0.72 (p ≤ 4×10⁻⁴), below the Bonferroni threshold of 0.0031; 78–89% of patients had AUC > 0.5. SOZ channels were nearer shaft tips (contact-index AUC 0.33), but effects persisted when comparisons used only non-SOZ channels at the same contact index and within shafts carrying SOZ channels. The 30–55 Hz aperiodic exponent did not separate SOZ channels (AUC 0.50–0.51). Its per-patient direction was consistent across clips (r = 0.78), but differed between patients. The 1–45 Hz exponent effect was weak and not Bonferroni-significant. Relative power shifted toward delta in SOZ channels; relative alpha, beta, and high-gamma power was lower (AUC 0.36–0.39). Run-02 replicated the main findings. No feature consistently separated SOZ or treated channels better in seizure-free patients: a run-02 spike-rate difference (p = 0.018, uncorrected) was absent in run-01 (p = 0.62), and no treated-channel comparison showed seizure-free superiority. Recordings were short, the spike detector was not validated against expert marks, tissue type was not controlled, outcome groups were small and mixed resection with laser ablation, and no out-of-patient classifier was trained.

stereo-EEG · epilepsy · seizure onset zone · interictal · bipolar channels · band power · line length · spike-like transients · aperiodic exponent · depth matching

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References

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  1. supersedesInterictal SEEG power and transient rate separate SOZ channels after depth matching; the 30–55 Hz exponent does not sci:sha256:11c938f4a42307e9ce83c816d45fb73133a2ead9fe3d48e24848ab7c6a43a4c8

    Same package and data. This version corrects one number in the summary: the depth-matched p-values are <= 4e-4 (log beta power, run-01, p = 0.00038), not < 1e-4.

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