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Vila-Vidal, M.

Publications and source records attributed to Vila-Vidal, M..

5 recordsLinked to original sources

Emergence of high-connectivity states before epileptic seizures: Multi-patient validation, physiological correlates, and network modeling

Objective.Epilepsy affects around 50 million people worldwide, and reliable pre-seizure biomarkers could significantly improve neuromodulation therapies for drug-resistant patients. Recent research using stereo-electroencephalography (sEEG) has revealed transient changes in network dynamics preceding seizures. In particular, our previous work showed that these alterations are driven by recurrent, short-lasting (0.6 s) high-connectivity network configurations--termed High-Connectivity States (HCS). Here, we aim to replicate and further characterize HCS as a biomarker in a multicentric patient cohort, assess its robustness across recording modalities and montages, explore its relationship with interpretable physiological variables, and examine its network-level association with seizure-onset zone (SOZ) dynamics. Approach.We analyzed long-term intracranial EEG (iEEG) recordings from 12 patients with sEEG and electrocorticography (ECoG). In two patients with extensive clinical information, we examined the interplay between HCS and SOZ dynamics. We also developed a low-dimensional stochastic network model to investigate mechanistic rationales of HCS emergence. Additionally, we compared HCS dynamics with gamma-band activity and heart rate, and tested robustness across different montage configurations. Main Results.In most patients, HCS probability reliably increased hours before seizure onset. In the two deeply characterized patients, this increase was specifically linked to an increased network centrality within the SOZ. The network model revealed that changes in HCS probability stem primarily from topological reconfigurations rather than changes in mean connectivity, underscoring the importance of dynamic interactions between epileptogenic and non-epileptogenic regions. Significance.These results support HCS probability as a promising biomarker for early seizure prediction and offer mechanistic insights into pre-seizure brain network dynamics.

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Identifying the seizure onset zone with intracranial EEG: A systematic comparison between power and connectivity-based biomarkers

BackgroundIctal stereo-encephalography (sEEG) biomarkers for seizure onset zone (SOZ) localization can be classified depending on whether they target abnormalities in signal power or functional connectivity between signals, and they may depend on the frequency band and time window at which they are estimated. New methodThis work aimed to compare and optimize the performance of a power and a connectivity-based biomarkers to identify SOZ contacts from ictal sEEG recordings. To do so, we used a previously introduced power-based measure, the normalized mean activation (nMA), which quantifies the ictal average power activation. Similarly, we defined the normalized mean strength (nMS), to quantify the ictal mean functional connectivity of every contact with the rest. The optimal frequency bands and time windows were selected based on optimizing AUC and F2-score. ResultsThe analysis was performed on a dataset of 67 seizures from 10 patients with pharmacoresistant temporal lobe epilepsy. Our results suggest that the power-based biomarker generally performs better for the detection of SOZ than the connectivity-based one. However, an equivalent performance level can be achieved when both biomarkers are independently optimized. Optimal performance was achieved in the beta and lower-gamma range for the power biomarker and in the higher-gamma range for connectivity, both using a 30 s period after seizure onset. ConclusionsThe results of this study highlight the importance of this optimization step over frequency and time windows when comparing different SOZ discrimination biomarkers. This information should be considered when training SOZ classifiers on retrospective patients data for clinical applications.

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Using in silico perturbational approach to identify critical areas in schizophrenia

Schizophrenia is a debilitating neuropsychiatric disorder whose underlying correlates remain unclear despite decades of neuroimaging investigation. One contentious topic concerns the role of global signal fluctuations and how they affect more focal functional changes. Moreover, it has been difficult to pinpoint causal mechanisms of circuit disruption. Here we analysed resting-state fMRI data from 47 schizophrenia patients and 118 age-matched healthy controls and used dynamical analyses to investigate how global fluctuations and other functional metastable states are affected by this disorder. We then used in-silico perturbation of a whole-brain model to identify critical areas involved in the disease. We found that brain dynamics in the schizophrenic group were characterised by an increased probability of globally coherent states and reduced recurrence of a substate dominated by coupled activity in the default mode and limbic networks. Perturbing a set of temporoparietal sensory and associative areas in a model of the healthy brain reproduced global pathological dynamics. Healthy brain dynamics were instead restored by perturbing a set of medial fronto-temporal and cingulate regions in the model of pathology. These results highlight the relevance of global signal alterations in schizophrenia and identify a set of vulnerable areas involved in determining a shift in brain state.

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Assessing the influence of local neural activity on global connectivity fluctuations: Application to human intracranial EEG during a cognitive task

Cognitive-relevant information is processed by different brain areas that cooperate to eventually produce a response. The relationship between local activity and global brain states during such processes, however, remains for the most part unexplored. To address this question, we designed a simple face-recognition task performed in patients with drug-resistant epilepsy and monitored with intracranial EEG. Based on our observations, we developed a novel analytical framework (named "local-global" framework) to statistically correlate the brain activity in every recorded gray-matter region with the widespread connectivity fluctuations as proxy to identify concurrent local activations and global brain phenomena that may plausibly reflect a common functional network during cognition. The application of the local-global framework to the data from 3 subjects showed that similar connectivity fluctuations found across patients were mainly coupled to the local activity of brain areas involved in face information processing. In particular, our findings provide preliminary evidence that the reported global measures might be a novel signature of functional brain activity reorganization when a stimulus is processed in a task context regardless of the specific recorded areas. Data availability statementDue to institutional restrictions, the data that supports the findings of this study can be accessed only with a data sharing agreement. All code used in this work can be found at https://github.com/mvilavidal/localglobal2022. Funding statementMVV was supported by a fellowship from "la Caixa" Foundation, Spain (ID 100010434, fellowship code LCF/BQ/DE17/11600022). MVV and ATC were supported by the Bial Foundation grant 106/18. GD and ATC were supported by the project "Cluster Emergent del Cervell Huma" (CECH, ref. 001-P-001682), within the framework of the European Research Development Fund Operational Program of Catalonia 2014-2020. GD was supported by a Spanish national research project (ref. PID2019-105772GB-I00 MCIU AEI) funded by the Spanish Ministry of Science, Innovation and Universities (MCIU), State Research Agency (AEI); HBP SGA3 Human Brain Project Specific Grant Agreement 3 (grant agreement no. 945539), funded by the EU H2020 FET Flagship programme; SGR Research Support Group support (ref. 2017 SGR 1545), funded by the Catalan Agency for Management of University and Research Grants (AGAUR); Neurotwin Digital twins for model-driven non-invasive electrical brain stimulation (grant agreement ID: 101017716) funded by the EU H2020 FET Proactive programme; euSNN European School of Network Neuroscience (grant agreement ID: 860563) funded by the EU H2020 MSCA-ITN Innovative Training Networks; Brain-Connects: Brain Connectivity during Stroke Recovery and Rehabilitation (id. 201725.33) funded by the Fundacio La Marato TV3; Corticity, FLAG-ERA JTC 2017, (ref. PCI2018-092891) funded by the Spanish Ministry of Science, Innovation and Universities (MCIU), State Research Agency (AEI). Conflict of interest disclosureThe authors declare no conflicts of interest. Ethics approval statementThe study was conducted in accordance with the Declaration of Helsinki. All diagnostic, surgical and experimental procedures have been previously approved by The Clinical Ethical Committee of Hospital Clinic (Barcelona, Spain). In particular, the specific proposal to run the cognitive experiments for this study was approved in March 2020 under the code number HCB/2020/0182. Patient consent statementInformed consent was explicitly obtained from all participants prior to the recordings and the performance of the tasks.

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Low entropy map of brain oscillatory activity identifies spatially localized events: a new method for automated epilepsy focus prediction

The spatial mapping of localized events in brain activity critically depends on the correct identification of the pattern signatures associated with those events. For instance, in the context of epilepsy research, a number of different electrophysiological patterns have been associated with epileptogenic activity. Motivated by the need to define automated seizure focus detectors, we propose a novel data-driven algorithm for the spatial identification of localized events that is based on the following rationale: the distribution of emerging oscillations during confined events across all recording sites is highly non-uniform and can be mapped using a spatial entropy function. By applying this principle to EEG recording obtained from 67 distinct seizure epochs, our method successfully identified the seizure focus on a group of ten drug-resistant temporal lobe epilepsy patients (average sensitivity: 0.94, average specificity: 0.90) together with its characteristic electrophysiological pattern signature. Cross-validation of the method outputs with postresective information revealed the consistency of our findings in long follow-up seizure-free patients. Overall, our methodology provides a reliable computational procedure that might be used as in both experimental and clinical domains to identify the neural populations undergoing an emerging functional or pathological transition.\n\nConflict of interestsThe authors declare no competing financial interests.

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