Abstract
In recent years, new recording technologies have advanced such that, at high temporal and spatial resolutions, high-frequency oscillations (HFO) can be recorded in human partial epilepsy. However, because of the deluge of multichannel data generated by these experiments, achieving the full potential of parallel neuronal recordings depends on the development of new data mining techniques to extract meaningful information relating to time, frequency and space. Here, we aim to bridge this gap by focusing on up-to-date recording techniques for measurement of HFO and new analysis tools for their quantitative assessment. In particular, we emphasize how these methods can be applied, what property might be inferred from neuronal signals, and potentially productive future directions.
Keywords: Human partial epilepsy, Microelectrodes, Intracranial electrodes, Wide bandwidth acquisition, Quantitative analysis
1. Introduction
Collective neuronal oscillations of functional networks in human brain occur over a wide range of spatial and temporal scales. Neocortical networks that perform critical physiological functions are organized across spatial scales from sub-millimeter cortical columns to centimeter scale lobar structures. Extracellular microwire electrodes (~10 to 50 μm) are widely used to record the neural activity spanning single neuron action potentials to collective oscillations of large neuronal assemblies (Buzsaki, 2004). On millisecond time scales the extracellular currents associated with single neuron action potentials are detected within a radius of ~150 μm surrounding a micro-electrode (Buzsaki, 2004). On slower time scales (<600 Hz) the linear superposition of potentials associated with extracellular current fluctuations generate a more spatially extended local field potential (LFP). The frequency of these LFP oscillations (~DC −600 Hz) extends far beyond the traditional electroencephalogram (EEG) (Neidermeyer and Lopes da Silva, 2011; Vanhatalo et al., 2005). Mechanisms generating the extracellular currents responsible for the LFP are varied, but primarily reflect synaptic activity (Buzsaki et al., 2003), and it is difficult to directly associate LFP characteristics (e.g. frequency, amplitude, spectrum, waveform morphology, etc.) with mechanisms, physiology, or pathology. The spatial extent of the LFP is determined by the extracellular matrix and complex geometry of extracellular current flow (Mitzdorf, 1985). The LFP can be highly localized, reflecting neuronal activity within approximately 250 μm of the recording electrode (Katzner et al., 2009) to more spatially extended (1–10 mm) activity (Kajikawa and Schroeder, 2011).
Clinical macro-electrodes placed within or on the surface of the brain record a spatial average of locally generated LFP and volume conducted activity (Kajikawa and Schroeder, 2011; Whitmer et al., 2010). Because of their relatively large surface area macro-electrodes, typically ~1 to 10 mm2, do not record single neuron action potentials or multi-unit activity. Similar to micro-electrodes, LFP oscillations detected with clinical macro-electrodes span a wide range of frequencies (~DC −600 Hz). These clinical recordings are variably referred to as electroencephalography (EEG), intracranial electroencephalogram (iEEG), or electrocorticography (ECoG). In this review we use the term LFP to describe the wide bandwidth electrical activity and oscillations (<600 Hz) recorded directly from brain using either intracranial micro- or macroelectrodes. In keeping with current clinical terminology, we also use iEEG to describe recordings obtained with intracranial electrodes. For decades researchers largely focused on activity in the Berger bands (1–25 Hz) (Gloor, 1969, 1975). More recent studies, however, implicate gamma frequency oscillations (gamma: 25–80 Hz) and synchrony as a fundamental mechanism of percept binding and playing a critical role in brain function (Singer, 1999; von der Malsburg, 1999) and disease (Uhlhaas and Singer, 2006). Beyond the gamma frequency range, hippocampal ripple frequency oscillations (ripple: 80–200 Hz) are believed play an important role in memory function (Buzsaki et al., 1992; Buzsaki and Draguhn, 2004; Lisman and Idiart, 1995), and somatosensory neocortex ultra-fast oscillations (>400 Hz) in sensory coding (Baker et al., 2003; Telenczuk et al., 2011).
In addition to physiological LFP it was recognized early on that human epileptic brain generates pathological interictal transients, i.e. epileptiform spikes and sharp waves, that are clearly distinct from seizures and occur without clinical symptoms (Gibbs et al., 1936; Swartz and Goldensohn, 1998; Gloor, 1969). In addition to interictal epileptiform spikes and sharp waves, wide bandwidth recordings from humans and animals with epilepsy have revealed high frequency oscillations (HFO) as a possible electrophysiologi-cal signature of epileptic brain. The initial studies of recordings from human hippocampus supported the hypothesis that HFO above 250 Hz, named fast ripple (FR) oscillations (Bragin et al., 1999a,b), were a unique pathological oscillation associated with epileptic brain. However, recent studies reporting physiological somatosensory evoked HFO in nonhuman primates, likely reflecting multiunit cortical neuronal responses (Telenczuk et al., 2011), makes the specific association of activity in the FR with pathology problematic. In addition, multiple studies have now shown that HFO in the range of physiological gamma and ripple oscillations are also increased in human epileptogenic hippocampus (Worrell et al., 2008; Crépon et al., 2010; Jacobs et al., 2010), and neocortex (Worrell et al., 2004; Jacobs et al., 2010; Blanco et al., 2011; Schevon et al., 2009).
Interictal spikes and sharp waves recorded from scalp EEG are a highly specific marker of epilepsy. For example, only 69 (0.5%) of 13,658 healthy candidates for aircrew training without a history of seizures had interictal spikes or sharp waves on a routine scalp EEG (Gregory et al., 1993). Epileptiform spikes and sharp waves are identified in scalp EEG recordings as transient waveforms produced by an abrupt change in voltage polarity occurring over a duration of less than 70 ms or 70–200 ms, respectively. While this definition is simple it is well recognized by electroencephalographers that visual detection of these is events is highly subjective. Furthermore, unlike scalp EEG were recordings from normal controls provide clear information about the specificity of interictal events, iEEG recordings are essentially limited to patients with partial epilepsy. Thus, the specificity of intracranial recorded spikes, sharp waves, and HFO as biomarkers of epileptogenic brain remains challenging.
Whether HFO recorded in epileptic brain are generated by unique pathological mechanisms, or represent aberrations of normal physiological oscillations is not clear (Le Van Quyen et al., 2006). There are currently no established criteria for distinguishing physiological from pathological HFO (Engel et al., 2009; Le Van Quyen et al., 2006). These important questions are currently active areas of research. Here we review state-of-art for electrodes, acquisition, analysis, and data mining of HFO in human partial epilepsy.
2. Spatial and temporal scale of HFO
To adequately sample the temporal dynamics of HFO a reasonable approach is digital sampling at 5 times the oscillation frequency of interest (Neidermeyer and Lopes da Silva, 2011). The spatial resolution that best characterizes HFO, however, is a much more challenging question. Initially, ripple and FR oscillations were reported in intracranial recordings utilizing microwires (Bragin et al., 1999a,b, 2002a,b). Contrary to gamma oscillations, ripple and FR HFO were not until recently reported using non-invasive EEG and MEG methods. This was consistent with the wealth of data from intracranial studies using microelectrodes that showed HFO are transient (ripple: 19–360 ms and FR: 25–214 ms) LFP oscillations (ripple: 120–1050 μV and FR: 566–1250 μV) (Bragin et al., 2002a,b), and FR oscillations were localized to small tissue volumes (<1 mm). Because these initial reports came from microwires it was not clear that interictal HFO were even detectable on the spatial scale of clinical intracranial macroelectrodes (surface area: 1–10 mm2). Subsequently, multiple groups have demonstrated interictal ripple and FR can be detected using clinical macroelectrodes (>1 mm2) (Urrestarazu et al., 2007; Worrell et al., 2008; Crépon et al., 2010).
However, the question of the clinically optimal spatial scale remains unanswered. Early investigations using single neuron recordings in humans were focused on the “epileptic neuron” hypothesis, proposing that specific pathological neurons served as pacemakers that recruited surrounding non-pathological neurons into seizures (Wyler et al., 1982). This line of investigation was largely unsuccessful in defining the dynamics of seizure generation, and the concept of an epileptic network involving distributed assemblies of neurons is the focus of current investigations (Bragin et al., 2000; Stead et al., 2010). The cortical column has been proposed as a possible anatomic substrate for the initiation of epileptic activity (Goldensohn, 1975; Gabor et al., 1979; Reichenthal and Hocherman, 1977, 1979), but currently there is no direct experimental evidence (Chesi and Stone, 1998; Schwartz, 2003; Schwindt et al., 1997). While the role of sub-millimeter scale neuronal assemblies in the generation of seizures is not known, the fact that FR oscillations (250–1000 Hz) are often localized to sub-millimeter volumes (<1 mm3) in human hippocampus (Bragin et al., 1999a,b, 2002a,b; Worrell et al., 2008; Staba et al., 2002a,b) and recent observations of microdomain electrographic seizures (Stead et al., 2010) and periodic complexes (Schevon et al., 2008) supports the hypothesis that the pathological organization of epileptic brain extends to sub-millimeter scales.
A related question is whether there is a minimum volume of tissue (or number of neurons) required for an epileptiform discharge. There is experimental evidence supporting the concept of a “critical volume” from both in vitro slice and in vivo animal studies, i.e. below a critical volume a sustained epileptiform discharge does not occur. Using restricted perfusion of penicillin and subpial transcortical cuts to interrupt the lateral connectivity Reichenthal and Hocherman (1977, 1979) demonstrated a minimum area of ~0.5 mm2 (radius of ~400 μm) in rat and 0.7 mm2 (470 μm) in cat cortex was required for sustained epileptic discharge. Similar results have been found using other chemo-convulsants and transcortical cuts (Bashir and Holmes, 1993; Holmes, 1994; Schwindt et al., 1997). These studies suggest that the “critical volume” is independent of the experimental model (~ 200 to 470 μm radius), and is an intrinsic property of cortical tissue. The in vitro slice data from rodent neocortex (Chesi and Stone, 1998) and hippocampus (Miles et al., 1984) report the minimal volume of cortex and neurons needed to sustain epileptiform activity is considerably smaller than that reported from in vivo studies. Using small wedges of hippocampal slice from rat, Miles et al. (1984) reported that, in the CA3 field, synchronized after-discharges in the presence of picrotoxin do not occur in microslices containing less than ~1000 pyramidal cells. Similarly, Chesi and Stone (1998) reported that cortical sections of supragranular or infragranular layers of mouse cortex required ~2000 neurons to sustain epileptiform bursting.
The optimal spatial scale for localization of human epileptic brain and epilepsy surgery remains an open question. Recording on the scale of single neurons and cortical columns makes possible the direct investigation of the cellular components and their interactions during epileptiform LFP oscillations and spikes, and may ultimately prove useful for clinical practice. This approach makes possible investigations into the modulation of neuronal firing during physiological and pathological LFP activity and provides a window into the complex cortical dynamics across multiple spatial and temporal scales. More recently, and discussed below, there reports of HFO recorded from scalp electrodes have appeared (Andrade-Valenca et al., 2011). This is an unexpected, and surprising result given that previous work utilizing concurrent iEEG and scalp EEG report that approximately 7 cm2 was required to generate a LFP spike detectable on the scalp (Tao et al., 2005; Fig. 1).
2.1. Human intracranial electrodes
Electrode cross sectional area determines the scale of spatial sampling. Multiple research groups are now actively exploring electrode sizes, spatial density, and configurations in human and animal studies. iEEG is associated with risk to patients (Hamer et al., 2002; Luders and Comair, 2001; Van Gompel et al., 2008a,b). Therefore, iEEG is only obtained in clinical situations were direct recording from the brain is required, as is commonly required for epilepsy surgery. The level of invasiveness of experimental intracranial electrodes varies considerably. Studies investigating HFO in human epileptic brain have primarily utilized standard clinical subdural or depth macroelectrodes (Fisher et al., 1992; Jacobs et al., 2008; Jirsch et al., 2006; Traub et al., 2001; Urrestarazu et al., 2006; Worrell et al., 2004; Crépon et al., 2010), or hybrid electrode systems (Bragin et al., 2002a,b; Worrell et al., 2008; Blanco et al., 2011) that combine clinical macroelectrodes with additional experimental microelectrodes (Fig. 2) (Van Gompel et al., 2008a,b). The data support that hybrid electrodes do not increase the risk of hemorrhage, infection or other complications (Van Gompel et al., 2008a,b). Hybrid subdural electrodes are modifications of standard clinical subdural electrodes with additional microwire arrays incorporated into the silastic substrate of the grid (Fig. 2). All the electrodes are subdural, epipial contacts. Clinical depth electrodes with microwires exiting the tip have been used extensively by the UCLA group with excellent safety (Fig. 3). Using a similar depth electrode design with additional microwires embedded in the electrode shaft have been studied and show excellent safety (Van Gompel et al., 2008a,b).
More invasive electrode systems that are independent of the clinical electrodes and penetrate brain tissue have also been used to probe the spatial fine scale of human epileptic brain (Ulbert et al., 2004a,b; Schevon et al., 2008, 2009; Truccolo et al., 2011; Keller et al., 2010). These electrode systems have the advantage of recording single neuron extracellular action potentials in the layers of neocortex, but are more invasive and require penetration of cortex.
2.2. Acquisition and storage
Wide-bandwidth electrophysiology from a large number of microwires required to record neuronal ensembles and sub-millimeter regions of brain has, until very recently, largely been the domain of animal research (Buzsaki and Draguhn, 2004). Recently these advances have been applied to human iEEG, and the approach has shown potential for clinical utility (Bragin et al., 1999a,b; Brinkmann et al., 2009; Engel et al., 2009). Because of the technical challenges associated with wide bandwidth recordings from high impedance microelectrodes, progress determining the optimal spatial and temporal recording resolution for epileptic brain localization and seizure generation has been slow. Nonetheless, significant progress has been made by a number of groups that have demonstrated the feasibility and potential clinical importance. Fortunately, the technical challenges of data transfer, storage, and analysis of large Terabyte data sets is now possible (Le Van Quyen and Bragin, 2007; Brinkmann et al., 2009). Nonetheless, accurately identifying epileptiform spikes and HFO transients in continuous multi-day iEEG recordings continues to present a challenge (Fig. 4).
3. Automatic detection techniques
Automatic detection is crucial for investigation of HFO as biomarkers of epileptogenic tissue, and is likely necessary to propel future clinical applications. The detection and labeling of interictal and ictal epileptiform activity in LFP or iEEG records can be broadly categorized into: (i) Expert manual review – considered the gold standard, but associated with poor inter-reviewer reliability (Abend et al., 2011; Benbadi et al., 2009) and not feasible for large data sets. (ii) Supervised detection – usually implemented using a high sensitivity automated detection algorithm that may have poor specificity, but is combined with expert review. (iii) Unsupervised detection – achieves fully automated detection and data labeling, but requires high specificity and sensitivity detectors to be useful.
3.1. Definition and detection
The criteria selected by different investigators for automated detection are varied, and depending on electrode type (macro-electrode, microelectrodes, penetrating, and epipial), proximity to the HFO generators and the tissue sampled, the range of HFO amplitude (10–1000 μV) and duration (30–100 ms) reported spans a wide range. Algorithms for detection of spontaneous HFO commonly require at least four oscillations that stand out from the ongoing background activity, and at least 25 ms inter-event interval. Visual marking and 1st generation detectors combined with expert review have provided a good understanding of the relation between HFO and epilepsy (see Jacobs et al., 2012, in this special issue), but is very time consuming and subjective. Objective, consistent, accurate labelling of epileptiform activity in large-scale recordings requires automated detectors. The automated mining and analysis of large-scale data sets and HFO detectors is an area of active research (Gardner et al., 2007a,b; Worrell et al., 2008; Blanco et al., 2010, 2011; Crépon et al., 2010; Zelmann et al., 2010, 2011).
The objective is the detection of spontaneous HFO events that can be distinguished from ongoing background activity. Thus, a logical approach is to compare the energy of the signal with an energy threshold. The first step is band-pass filtering the data, to restrict the range of frequencies under consideration. When the energy of the filtered LFP is statistically larger than the threshold during a certain interval, the segment is considered as a possible HFO (Fig. 5A) (Staba et al., 2002a,b; Gardner et al., 2007a,b; Crépon et al., 2010; Zelmann et al., 2011). Under the assumption that HFO are rare events, some detectors (Staba et al., 2002a,b; Gardner et al., 2007a,b; Crépon et al., 2010) compute the energy threshold based on the entire signal, including the events. This assumption seems correct in the majority of the channels, but in very active channels it can fail. In those cases, performance can be improved by first detecting baseline sections (segments without oscillatory components) and computing the energy threshold based on the energy in the detected baseline (Zelmann et al., 2010).
A question that often arises is whether HFO should be a band-limited event (as in Crépon et al., 2010) or it can be a broadband event (e.g. Staba et al., 2002a,b; Worrell et al., 2008; Zelmann et al., 2010). If band-limited, should there be specific spectral boundaries? In other words, should an HFO be defined as an isolated event in the time–frequency map, or could it contain a variety of frequencies within a range? Separate, but related question is whether only those HFOs that occur alone versus those occurring in association with epileptiform spikes are relevant. There is no clear answer to these questions.
Since the analysis is focused in a particular frequency band, the filter characteristics must be taken into account to avoid the detection of false oscillations (Bénar et al., 2010), i.e. sharp transients with spectral content in HFO bands but without actual HFO in the raw LFP. The phenomena is well known, first reported over a century ago by Gibbs’ (Gibbs, 1899) and referred to as “Gibbs’ phenomena”. Such false oscillations are not artefacts (defined as activity originated outside the brain, see Section 4), since the sharp spikes are generated in the brain. They rather originate from the Fourier transform of a transient that always exhibits a wide range of frequencies. The transient being the result of the additive superposition of all those harmonics, a narrow band filter will generate spurious oscillations in the vicinity of the transient. The distinction between true LFP oscillations and spurious oscillations created by filtering, i.e. Gibbs’ phenomena, can be challenging but in principle is possible. For example, oscillations resulting from filtering will have a low correlation with the raw signal in the frequency band of interest. Conversely, if there is a true LFP oscillation present in the signal the correlation should be high. Lastly, the process can also be validated by random selection of events to visually verify the presence of discrete HFO in the unfiltered LFP.
Existing methods for automated HFO detection implicitly model the events as short-duration, high frequency transients added to background activities (Staba et al., 2002a,b), but there are different implicit specific goals on what to detect as an HFO. Indeed, the definition of HFO is dissimilar across different groups. As a result, published detectors were optimized using diverse filter settings, HFO duration, and statistical relation to background. When comparing results from different centres, it is important to take into account not only the difference in the optimization of the detectors, but also the electrode size, the number and distribution of the contacts, the sampling rate and filters, and the quality of the data. This situation is not unique to HFOs but applies to any study based on LFP. Until a unique general definition is established for HFO, it is important not to use a detector “out of the box” because what is valid in one center would probably not be valid for another place. The detector of choice should be trained and validated for a dataset with similar characteristics to the dataset of interest in order to obtain good performance (Zelmann et al., 2011). Fig. 5 B and C exemplifies the detections made under different implicit assumptions when testing different detectors on the same dataset. As a running definition, we suggest the following: at least four oscillations of sinusoidal like morphology in the filtered signal (above 80 Hz) with energy larger than the 95 percentile of the surrounding background. In addition, constrains in the time–frequency plane has been empirically proposed by some authors (see Section 5).
3.2. Validation of the detections
The validation of automatic detectors of sporadic unpredictable events is not trivial. The difficulties that are present in the detection of HFO are the same challenges present in the robust detection of spikes and seizures. In order to validate the detections a “gold standard” is needed. To avoid false negatives, the most common approach is to implement the detectors with high sensitivity but low specificity. In this way, most of the events should be detected, at the cost of producing a large number of false positives that then need to be discarded. As for spikes and seizures, a way of only keeping the “true” HFOs is considering human expert’s detections as the gold standard. But variability among reviewers has to be considered. In this regard, a possibility is to consider more than one reviewer (as in Gardner et al., 2007a,b; Zelmann et al., 2010), although agreement between reviewers can be poor (Gardner et al., 2007a,b). Even though human reviewers are not the perfect solution, it is a reasonable approach given that they are the clinical users and that they are considered as the gold standard when identifying other electrophysiological signals, such as spikes, seizures, or the alpha rhythm. To obtain a reliable gold standard, it is important to control for inter-reviewer reliability and for consistency in the markings (Zelmann et al., 2009). This results in a supervised training algorithm for optimizing the parameters of the detector, followed by validation of all the detected events by expert reviewers. When considering human reviewers as the gold standard, it is also important to consider that reviewers trained in different centres will probably consider a dissimilar definition of HFOs, while reviewer from the same centre will have bias towards certain types of events. However, it is important to also acknowledge that this situation is not unique to HFOs but applies to any study based on LFP or EEG.
Another possibility is to consider the output of the detector directly as the “true” HFO. This approach is followed by Staba et al. (2002) by adding a restriction on the number of oscillations above certain energy level. This method can be extended to include a cascade of classifiers to sieve the data to candidate events (Viola and Jones, 2001). In Blanco et al. (2010), an unsupervised approach is implemented by means of clustering. Unsupervised detection can achieve fully automated detection and labelling of massive data streams, but requires high specificity and sensitivity detectors to be useful. An interesting approach would be a combination of supervised and unsupervised methods. After detecting possible events with a high sensitivity low specificity detectors, clustering could be implemented to remove artefacts, and the remaining events validated by an expert reviewer. In addition, an adaptive approach could allow learning from preceding detections, to gradually reduce the need of expert validation. In this way, excellent performance while significantly reducing data volume can be achieved. In any case, the ultimate validation will be given by the usefulness of the detections. In other words, by whether the same conclusions in terms of epileptogenic regions or cognitive function location are obtained by the automatic methods or by the human experts. Moreover, the rate of HFO in a channel seems a reliable marker of underlying epileptogenic tissue and it has been the most commonly used measure. However, other measures (such as: ranking of channel durations, amplitudes, peak frequency, temporal distributions, and entropy) might turn out to be the most appropriate to characterize HFO activity. For instance, the ranking of the channels with respect to the rate showed that HFOs remain more confined than spikes when comparing interictal and ictal periods (Zijlmans et al., 2011). Further studies are needed to determine which measure is the most informative of the relation of HFOs with the epileptogenic region.
Given the massive amounts of iEEG data that are collected from patients undergoing evaluation for epilepsy surgery it is likely untenable to rely on visual review of HFO. The development of reliable HFO detectors will likely have a significant impact on future clinical applications of wide bandwidth recordings.
4. Artefacts or brain oscillations?
A major obstacle to HFO research is the unfortunate fact that various muscle activities typically result in prominent increases in gamma power (>25 Hz), and contaminate the recorded signal in the HFO spectrum. Myogenic activity interferes with the detection of HFO and represents a significant and often under-estimated challenge in clinical and basic research. For many years, iEEG recordings were assumed to be largely, if not completely, immune to eye movement and muscle artefacts. This assumption has recently been proven wrong (Ball et al., 2009; Jerbi et al., 2009a; Kovach et al., 2011). In this section we briefly overview these sources of artefacts and discuss ways of avoiding them.
Because blinks and saccadic eye movements have been shown to yield gamma-range increases in spectral power, in particular in scalp EEG (Reva and Aftanas, 2004; Trujillo et al., 2005; Yuval-Greenberg et al., 2008; Melloni et al., 2009), there is increasing concern about the reliability of HFO reports obtained from scalp EEG. For instance, the study by Yuval-Greenberg et al. (2008) shows that gamma activity recorded in posterior scalp EEG electrodes might be contaminated by ocular muscle activity associated with miniature saccades. Their detailed findings achieved using high-resolution eye-tracking are in line with earlier reports by Reva and Aftanas (2004) and Trujillo et al. (2005) who reported similar effects using the electrooculogram (EOG). This contamination was shown to be prominent when the reference electrode is positioned on the nose because a saccade is associated with a pre-saccadic spike potential that gets picked up by this reference channel and is thereby injected into all electrode traces. This critical issue might have been overlooked by a number of studies which may have falsely interpreted high frequency scalp EEG activity arising from eye movements as representing signals of neuronal origin. In contrast to scalp-EEG, invasive recordings have long been assumed to be largely immune to such myogenic artefacts. The spatial resolution of iEEG, and specifically of bipolar depth stereotactic-EEG (SEEG) schemes is on the order of 5 mm (Lachaux et al., 2003; Jerbi et al., 2009b) and is one reason why SEEG is, in general, not expected to be contaminated by distant ocular activity. However, intracranial electrodes that record directly from structures in the vicinity of eye muscles and cranium foramen can indeed be contaminated by myogenic activity from extraocular muscles. This was observed recently in depth iEEG recordings (Jerbi et al., 2009a) and replicated in subdural grid recordings (Kovach et al., 2011). These studies show that eye movements generate transient biphasic potential at the onset of a saccade along with an increase in broadband power (20–200 Hz). In addition to saccades, blinks have also been shown to contaminate iEEG (Ball et al., 2009). Moreover, extracranial muscle contractions caused by facial grimacing or chewing also generate artefacts in the high frequency components of iEEG recordings (Otsubo et al., 2008). The presence of muscular activity is more pronounced during seizures, due to tonic muscle activity caused by the seizure itself. These important questions are discussed in more detail in recent publications reporting scalp recorded HFO (Andrade-Valenca et al., 2011; von Ellenrieder et al., 2012).
5. Analysis and characterization of HFO
5.1. Time–frequency analysis
Time–frequency analysis has applications in almost every field of science, spanning neuroscience, engineering, and the physical sciences. Time–frequency analysis characterizes the temporal dependence of the frequency spectrum, and has been used extensively in LFP and EEG analysis (Le Van Quyen and Bragin, 2007). The fast Fourier transform (FFT) has long been the primary computational tool used for computing the spectral content in EEG time series. Because sine wave basis functions have an infinite duration, and the time–frequency uncertainty relationship, the approach provides precise frequency information without temporal resolution. This limitation can be overcome by using consecutive short duration overlapping windows over which the signal of interest is stationary. The temporal resolution is thus limited by the size of the window used for computation. In order to optimally capture the temporal dynamics of spectral measures, techniques, such as Wigner-Ville transform illustrated in Fig. 6E, have been developed and are widely used (Cohen, 1995). More recently, wavelet based transforms have been developed and have proven powerful (Mallat, 1998). Although the wavelet transform is only one of the various transforms that map a signal onto the time–frequency plane, it constitutes a common approach. The choice of the wavelet is not unique and any particular choice will extract the instantaneous frequencies with different accuracy. Given a so-called mother wavelet that oscillates over a small temporal support and vanishes (or decreases rapidly to zero), a set of wavelets is built from dilated and contracted versions of this function centered at various times b:
where a denotes the scale of the dilation (a < 1) or contraction (a > 1). Thus, a wavelet behaves like a ‘mathematical zoom’ at various scales and temporal positions. From a signal s(t), the wavelet coefficient at particular scale-time point (a,b) is given by the projection of the signal over the wavelet at this point:
where the overbar indicates the complex conjugate of the wavelet since this function can be complex-valued. In general, the time–frequency maps consist in displaying the square of the modulus in the time-scale plane. At any scale a, the time course of the wavelet coefficients along the coordinate b can be Fourier transformed to give a more compact and useful expression of the wavelet transform,
in which ŝ(ω) and ψ̂(ω) denote the Fourier transform of the signal and the mother wavelet, respectively. This expression emphasizes the well-known trade-off to be found: a narrow-band wavelet will be accurate in frequency but highly delocalized in time. It is worth mentioning that a wavelet is said to be admissible if ψ̂(0) = 0, i.e. it strictly oscillates, without any DC component. Here, we consider three examples all based on an exponential decay in frequency (Fig. 7; examples of applications are shown in Fig. 6).
The Derivative-of-Gaussian (DoG) wavelets. This well-known class of wavelet enforces the flatness of the wavelet at f = 0 through the power n:
This real wavelet is the derivative of order n of a Gaussian. The larger n is, the sharper the low-frequency spectrum of the wavelet is. The most common value is n = 2 (“Mexican hat” wavelet) but we consider n = 6 in the illustration in Fig. 7 (top) for two values of a. From the spectral characteristics of this wavelet, we cannot expect to obtain an accurate characterization of the high frequencies contained in the signals although it will detect precise location of the fluctuations. This is illustrated in Fig. 6B where two HFOs are analyzed.
The Morlet wavelet. This is the most popular wavelet despite the fact it does not satisfy exactly the admissibility condition. In frequency, it is Gaussian filter of a given width (fb), centered around a central frequency fc, just far enough to have ψ̂(0) ≈ 0:
The Fourier spectrum of this wavelet is shown in Fig. 7 for scales of ratio equal 0.3. The Morlet wavelet is complex valued and the spectral width being smaller than the previous DoG wavelet, the frequency accuracy of the transform is improved as shown in example of Fig. 6C.
The analytical Morse wavelet (Lilli and Olhede, 2010; Zerouali et al., 2011).
This complex-valued wavelet has a narrower bandwidth (Fig. 7) and better isolates the bursts of oscillations that compose the HFO. As illustrated in Fig. 6D, this time–frequency representation may reveal chirp-like oscillatory behavior (Fig. 6D, left) (Molaee-Ardekani et al., 2010) or a brief burst of fast activity well localized in time and frequency (Fig. 6D, right).
In this way, wavelet transforms are useful in accurately resolving LFP oscillations into specific time and frequency components, for example for the analysis of HFO in vitro (Khalilov et al., 2005; Oren et al., 2006), induced and evoked HFO correlates of a variety of physiological processes (Tallon-Baudry and Bertrand, 1999; Lachaux et al., 2005; Le Van Quyen et al., 2008) or pathologic HFO in epilepsy (Jouny et al., 2003). In addition to wavelets, pseudo-wavelets have been developed for detection of HFOs (Hsu et al., 2010). An example is a method that uses a set of mathematical damped harmonic oscillators as the wavelet basis. The approach relaxes the admissability constraint, which is required for well behaved inverse transforms, but generate good time–frequency resolution for brief oscillatory transients.
5.2. Cross-location and cross-frequency analyzes of HFOs
Synchronization of local and distributed neuronal networks is critical for normal brain function. Functional connectivity is commonly characterized by synchrony, i.e. statistical dependencies, between activities in different brain regions (Varela et al., 2001). These functional couplings are transient (with a duration in the order of hundreds of milliseconds), dynamic (the strength of association between two cortical regions has a time-varying nature) and frequency-specific (neuronal groups oscillate in specific bands according to a precise phase relationship). In neurological disease, neuronal synchrony can be altered, and in epilepsy synchrony is believed to play an important role in the formation of epileptic networks and the generation of seizures. In epilepsy, multiple studies have reported that epileptic brain is characterized by increased neuronal synchrony, except possibly prior to seizure onset when synchrony may actually decrease (Netoff and Schiff, 2002). Previous studies have largely been limited to lower frequency bandwidth in patients with epilepsy. Recently, investigation of neuronal synchrony in epileptic and control subjects with intractable facial pain using iEEG recordings showed a functional disconnection between the brain region generating seizures and surrounding brain (Warren et al., 2010) that extended to HFO range.
Multiple measures of neural synchrony were used to analyze interictal iEEG such as mean phase coherence (Mormann et al., 2003; Schevon et al., 2007), magnitude squared coherence (Zaveri et al., 2009), and nonlinear correlation (Bettus et al., 2008). Nevertheless, the specificity of frequency and transient nature of these high-frequency interactions require time–frequency sensitive tools for detecting short phase-locking between two oscillations, that is, the process by which two cyclic signals tend to oscillate, with a phase difference that is constant. Studying the relationships between the phases of neurophysiologic signals is not a new concept, but detecting precise phase-locking in experimental data can be problematic if, for example, phase entrainment is of short duration, buried in noise or masked by amplitude fluctuations between the oscillating signals that are uncorrelated. Only recently, new tools for the detection of localized phase synchronizations, with respect to both time and frequency, have been developed (Rosenblum et al., 1996; Lachaux et al., 1999; Le Van Quyen et al., 2001; Le Van Quyen and Bragin, 2007). The important advantage of these methods is that the phase components can be analyzed separately from the amplitude components, which can be noisy or uncorrelated. These techniques have opened up a range of new perspectives in neuroscience for the study of normal (reviewed in Varela et al., 2001) or disturbed (reviewed in Uhlhaas and Singer, 2006) synchronizations of HFOs. More recently, synchrony measures have been extended beyond simple pair-wise methods to the complex dynamics of ensembles. A global view of brain synchronization and local ensemble clusters can be probed by investigating the multichannel synchronization, and tools to investigate these complex dynamics have been recently applied to LFP from human recordings (Rudrauf et al., 2006).
In addition to cross-location analyzes of HFOs, recent studies indicate that brain oscillations do not exist in isolation, but they rather interact across different spectral scales giving rise to a variety of cross-frequency coupling dynamics (Canolty and Knight, 2010). Two forms of cross-frequency phase interactions have been described, an amplitude-independent phase-locking of n cycles of one LFP to m cycles of a independent LFP (Palva et al., 2005) and ‘nested oscillations’ (Chrobak and Buzsáki, 1998; Vanhatalo et al., 2004; Canolty et al., 2006). One example of this cross-frequency has been reported in human EEG recordings showing that the phase of low-frequency rhythms (4–8 Hz) during cognitive tasks modulates the amplitude of higher frequency oscillations (80–150 Hz) (Canolty et al., 2006). This type of cross-frequency coupling is called phase-amplitude modulation and another well known example occurs in the rodent hippocampus between the theta oscillatory (4–12 Hz) phase and the amplitude of gamma (30–100 Hz) oscillations (Buzsaki, 2006). Based on these observations, it has been suggested that global brain processes operate in a slow ‘rhythmic mode’ and use these differential excitability states as a mechanism of amplifying relevant activities at a small scale and suppressing irrelevant ones (Schroeder and Lakatos, 2009). Although, several methods have been proposed to assess cross-frequency coupling, none has been chosen as the gold standard. The different measures possess different advantages and limitations and may be used to serve different purposes (Cohen, 2008; Tort et al., 2010).
6. Non-invasive approaches of HFO recording
6.1. Scalp EEG recording of HFO
There have been reports of the detection of task-related gamma activity as well as HFO using scalp EEG, though high frequencies are attenuated over the scalp probably because of the summation of polyphasic cortical activity with variable phase (Pfurtscheller and Cooper, 1975). Regarding the cognitive studies, visual responses at 40 Hz in low-gamma band were initially detected through scalp EEG using time–frequency analysis (Tallon-Baudry et al., 1996). High-gamma (>60 Hz) as well as low-gamma band responses were also detected through MEG with respect to visual stimuli (Kaiser et al., 2004; Wyart and Tallon-Baudry, 2008). In patients with epilepsy, rhythmic ripple oscillations >80 Hz were recently described in association with scalp EEG epileptiform spikes, and were demonstrated to have a close relation with the seizure onset zone (Andrade-Valenca et al., 2011). In childhood epilepsy, scalp EEG ripple oscillations were found in patients with continuous spike-waves during slow wave sleep (CSWS) in Landau–Kleffner syndrome (LKS) and related disorders, and ripple oscillations were shown to have discrete spectral components in the ripple band in time–frequency spectra (Kobayashi et al., 2010) (Fig. 8). A small amount of ripple was observed in some patients with idiopathic childhood epilepsy (Kobayashi et al., 2011). There are also studies of paroxysmal gamma-band activity in the scalp EEG of childhood epilepsy (Kobayashi et al., 2004; Wu et al., 2008).
Amplitude of scalp ripples is at most about 10 μV. In a study of intracranial ripples and fast ripples in pediatric patients with epilepsy (Akiyama et al., 2011), cortical ripples mostly had amplitude <100 μV, but occasionally reached 250 μV and even up to 500 μV and involved area that was simultaneously covered by several electrode-contacts. Although the exact relationship between intracranial and scalp ripples is still an open question, probably only a small proportion of cortical ripples has a broad spatial extent and can be recorded on the scalp (Andrade-Valenca et al., 2011).
6.2. Relation of HFO to fMRI
The analysis of relationship between recording sites of task-related gamma, particularly high-gamma, LFP and regions of blood oxygenation level-dependent (BOLD) signal activation in functional MRI (fMRI) has been pioneered with the use of implanted electrodes in patients with epilepsy to find a close spatial and temporal correspondence between gamma LFP and BOLD activation using an experimental paradigm with an audiovisual stimulation with a movie clip (Mukamel et al., 2005; Nir et al., 2007; Privman et al., 2007), a conditional visuomotor task (Brovelli et al., 2005), and a language task (Lachaux et al., 2007). BOLD signal activation by visual stimuli was demonstrated to reflect non-phase-locked changes in cortical gamma activity rather than phase-locked event-related potentials (ERPs) (Engell et al., 2012). Hemodynamic activity was measured by optical imaging and confirmed to have a tight relation with LFP gamma-oscillation in an animal study (Niessing et al., 2005). The simultaneous recording of iEEG spikes and fMRI was also performed (Vulliemoz et al., 2011). The simultaneous iEEG and fMRI has been demonstrated as a safe technique (Carmichael et al., 2010), and may be promising for the study of HFO in the future.
6.3. HFO generators and inverse problem
Source estimation of high frequencies is mostly performed by the MEG beamformer analysis, which has been used for a variety of cognitive studies. Beamformer techniques are more suitable for source analysis of HFO than traditional dipole source modeling because oscillatory activity is not phase-locked and cannot be averaged to improve signal-to-noise ratio as in case of evoked responses (Hillebrand et al., 2005). In beamformer techniques, an optimum spatial filter is defined for each location of a volumetric grid in the brain, and the spatial filter corresponding to each location is independently applied to MEG data to construct the spatial distribution of power within a specific frequency band.
Regarding the application of MEG beamformer techniques to visual function, gamma activity was estimated to be induced in the primary visual cortex by visual stimuli, particularly luminance contrast (Adjamian et al., 2008). In motor function, high gamma activity was identified in the primary motor cortex during self-paced movements, such as index finger abductions (Cheyne et al., 2008). The induction of gamma activity was also observed in the occipital lobe by a working memory task related to the retention of face orientations (Jokisch and Jensen, 2007), in the caudal inferior temporal gyrus by perceptual closure, which refers to the coherent perception of an object with incomplete visual information (Grützner et al., 2010), and in the midline occipital cortex and the posterior parietal cortex in responses to illusory triangles (Kaiser et al., 2008).
Regarding EEG data recorded with 27 electrodes, source of high-gamma activity related to a self-paced finger movement task was estimated by a weighted minimum norm least-squares inverse method, and the source was in the contralateral motor area (Darvas et al., 2010).
In a study involving epileptic patients who underwent surgery and MEG beamformer analysis on 20–70 Hz activity associated with epileptiform discharges, the resected area was identified with an accuracy of 85% by volumetric sources of beta/gamma power in patients with good surgical outcome (Guggisberg et al., 2008). The reliability of estimated sources of high frequencies should be verified further by comparison to invasive data in the future.
7. International database project and common open toolboxes for analysis
Because of the relatively limited number of centers performing epilepsy surgery, many researchers do not have access to adequate iEEG data sets required to address research questions. Similarly, because of the long time scales over which most animal models of epileptogenesis develop spontaneous seizures, weeks to months, it has not been the practice of researchers to store continuous EEG from these animals over the time course of epileptogenesis. However, it is clear that this is the kind of data (continuous wide-bandwidth electrophysiology from multiple epilepsy models and humans) required for research. Recently, there has been significant interest in development of shared databases and open source toolboxes. The Freiburg Seizure Prediction database (https://epilepsy.uni-freiburg.de/freiburg-seizure-prediction-project/eeg-database) is an excellent resource of human iEEG data from 21 patients, and has been used in multiple publications. There are now two large electrophysiology database projects, one funded by the European Union (http://www.epilepsiae.eu/project_outputs/european_database_on_epilepsy) and one funded by NIH to make human and animal electrophysology available (http://ieeg.org).
In addition to data there are now many toolboxes available for analyzing electrophysiological data. Several libraries of MATLAB routines are commercially available [e.g. the MATLAB wavelet toolbox (http://www.mathworks.com/products/wavelet)] or are free of charge on the Internet [e.g. the time–frequency toolbox (http://tftb.nongnu.org/), the Wavelab toolbox (http://stat.stanford.edu/~wavelab/) or the field trip toolbox (http://fieldtrip.fcdonders.nl/). Another popular is EEGlab (http://sccn.ucsd.edu/eeglab/) that is primarily focused on tools for event-related EEG dynamics. Recently, a software platform called EPILAB for epilepsy related analysis has been created (Teixeira et al., 2011; http://epilepsiae.eu/project_outputs/epilab_software).
8. Conclusions
Digital electronics and computing have revolutionized clinical iEEG and wide bandwidth electrophysiology recordings from hundreds of electrodes are now possible. These studies have redefined the spatial and temporal bandwidth of human brain activity (Bragin et al., 2002a,b; Schevon et al., 2009; Vanhatalo et al., 2005; Stead et al., 2010). There remain many questions about clinical utility, but this is now receiving significant attention (for a recent reviews see Engel et al., 2009; Le Van Quyen et al., 2006; Worrell and Gotman, 2011). The fact that HFO can be recorded with clinical macroelectrodes is of significant clinical importance, since high impedance microwire introduces a number of additional recording challenges. At this time, however, the optimal electrode cross-section and spacing for mapping epileptic brain is not known. While studies have previously demonstrated that FR are often localized to sub-millimeter scales (Bragin et al., 2002a,b), recent studies did not find a correlation between electrode size and HFO detections (Châtillon et al., 2011).
Two recent papers report an association between epilepsy surgery outcomes and resection of HFO generating tissue (Wu et al., 2010; Jacobs et al., 2010). Furthermore, increases in HFO may identify periods of increased predisposition to clinical seizures. Indeed, a question of fundamental importance to epilepsy is understanding the transition from interictal state to seizure. Because interictal HFO localize epileptogenic brain regions and seizures often initiate with a HFO multiple groups have investigated whether HFO precede seizures. In an in vitro model of epilepsy ripple and FR activity were demonstrated to increase prior to seizure onset (Dzhala and Staley, 2003). Grenier et al. (2001, 2003) in a series of in vivo experiments in cat cortex showed that an increase in ripple frequency oscillations preceded induced seizures. There are no conclusive studies, however, showing HFO are precursor events in human partial epilepsy (Zijlmans et al., 2011), although gamma frequency activity and HFO are increased in some patients prior to seizure (Worrell et al., 2004; Khosravani et al., 2009).
On a final note, the signal processing methods and the micro-versus macro-electrode issues discussed here are as critical for the rapidly growing body of neuroscience research that relies on invasive measurements of high frequency brain activity (e.g. Le Van Quyen et al., 2010; Jensen et al., 2007; Lachaux et al., 2003) as the clinical applications. A better understanding of the implications and limitations of the techniques and methods used will be key in shedding light on a number of questions such as the relationship between neuronal firing and broadband gamma-band activity (Manning et al., 2009) or the functional significance of high gamma power suppression in default-mode network structures during attention (Ossandón et al., 2011; Jerbi et al., 2010).
Abbreviations
- EEG
electroencephalography
- iEEG
intracranial EEG
- MEG
magnetoencephalography
- LFP
local field potential
- HFO
high-frequency oscillations
- FR
fast ripples
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