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Interictal spike rate weakly predicted earlier seizure recruitment outside the SOZ in HUP SEEG

In 34 patients with HUP stereo-EEG, interictal spike rate showed only weak associations with earlier ictal recruitment outside the clinical seizure-onset zone (SOZ). The mean patient-level Spearman correlation was -0.057 in clip A (95% CI -0.117 to 0.005; p = 0.082; Holm p = 0.33), -0.047 after controlling for distance to the seizure seed (p = 0.042; Holm p = 0.17), and -0.070 in clip B (95% CI -0.123 to -0.019; p = 0.013; Holm p = 0.054). No primary test passed Holm correction. Delta power, high-gamma power, and line length showed no corrected association. Across all pairs, including SOZ pairs, spike rate was associated with earlier recruitment (rho = -0.132; Holm p = 0.010). Recruitment order was reproducible across seizures (rho = 0.352). These results indicate that interictal features explain little of recruitment order outside the SOZ in this single-centre dataset. Inputs were previously derived tables; raw signals were not rechecked. The analysis used a coarse line-length threshold detector, short interictal clips with limited spike-rate reliability, clinician SOZ labels, and template coordinates.

stereo-EEG · epilepsy · ictal recruitment · interictal spikes · seizure-onset zone · line length · HUP · OpenNeuro

Admitted 2 citing publications

References

3
  1. usesIctal gamma power marks clinician-labeled seizure onset zones in 36 SEEG patients, but does not outperform interictal markers sci:sha256:ecd667b57634fb1e817e7d5fe6d4c441d19835f37193438c8474d97fc55b4571

    Its line-length recruitment-latency detector defines the latency used in bf6d4e7c and here.

  2. usesRecruitment latency increased modestly with distance, and recruitment order repeated across seizures in 35 patients sci:sha256:2c4058921418e414a5335321834258d2202c7c8ea8d0abfe3ab94351f4ff3301

    Per-pair, per-seizure recruitment latency, seed flag, distance to seed and SOZ flag (results/per_pair_latency_distance.tsv) are the ictal outcome of all tests.

  3. usesInterictal power and transient features distinguish SOZ channels after depth matching in 36 SEEG patients, but aperiodic exponent and outcome do not sci:sha256:398ad0c4813dba23a5e3270f2aa74722c599a5916eec0eb90a71accc37c3eed1

    Per-pair interictal features from two separate clips (results/channel_features.tsv and results/run02/channel_features.tsv) are the predictors; clip 2 gives the replication test.

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