03596nas a2200505 4500008004100000022001400041245010700055210006900162260001200231300001300243490000700256520217800263653002502441653001502466653001002481653002502491653001802516653001602534653002002550653002402570653002702594653001302621653002202634653001102656653001102667653000902678653001602687653002902703653002302732653002302755653001802778653002202796653001702818653001502835100002202850700001802872700002902890700002402919700002002943700001802963700002302981700001903004700001903023856004803042 2011 eng d a1529-240100aNonuniform high-gamma (60-500 Hz) power changes dissociate cognitive task and anatomy in human cortex.0 aNonuniform highgamma 60500 Hz power changes dissociate cognitive c02/2011 a2091-1000 v313 a

High-gamma-band (>60 Hz) power changes in cortical electrophysiology are a reliable indicator of focal, event-related cortical activity. Despite discoveries of oscillatory subthreshold and synchronous suprathreshold activity at the cellular level, there is an increasingly popular view that high-gamma-band amplitude changes recorded from cellular ensembles are the result of asynchronous firing activity that yields wideband and uniform power increases. Others have demonstrated independence of power changes in the low- and high-gamma bands, but to date, no studies have shown evidence of any such independence above 60 Hz. Based on nonuniformities in time-frequency analyses of electrocorticographic (ECoG) signals, we hypothesized that induced high-gamma-band (60-500 Hz) power changes are more heterogeneous than currently understood. Using single-word repetition tasks in six human subjects, we showed that functional responsiveness of different ECoG high-gamma sub-bands can discriminate cognitive task (e.g., hearing, reading, speaking) and cortical locations. Power changes in these sub-bands of the high-gamma range are consistently present within single trials and have statistically different time courses within the trial structure. Moreover, when consolidated across all subjects within three task-relevant anatomic regions (sensorimotor, Broca's area, and superior temporal gyrus), these behavior- and location-dependent power changes evidenced nonuniform trends across the population. Together, the independence and nonuniformity of power changes across a broad range of frequencies suggest that a new approach to evaluating high-gamma-band cortical activity is necessary. These findings show that in addition to time and location, frequency is another fundamental dimension of high-gamma dynamics.

10aAcoustic Stimulation10aAdolescent10aAdult10aAnalysis of Variance10aBrain Mapping10aBrain Waves10aCerebral Cortex10aCognition Disorders10aElectroencephalography10aEpilepsy10aEvoked Potentials10aFemale10aHumans10aMale10aMiddle Aged10aNeuropsychological Tests10aNonlinear Dynamics10aPhotic Stimulation10aReaction Time10aSpectrum Analysis10aTime Factors10aVocabulary1 aGaona, Charles, M1 aSharma, Mohit1 aFreudenberg, Zachary, V.1 aBreshears, Jonathan1 aBundy, David, T1 aRoland, Jarod1 aBarbour, Dennis, L1 aSchalk, Gerwin1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2130724603803nas a2200433 4500008004100000022001400041024002500055245010000080210006900180260001200249300001100261490000600272520257600278653001002854653001002864653001802874653002502892653002702917653002202944653002802966653001102994653001103005653001603016653000903032653001603041653001403057653003403071653002803105100001903133700002203152700001803174700002103192700001803213700002903231700001803260700002403278700001903302856004803321 2011 eng d a1741-2552 aNIHMSID: NIHMS48176700aUsing the electrocorticographic speech network to control a brain-computer interface in humans.0 aUsing the electrocorticographic speech network to control a brai c06/2011 a0360040 v83 a

Electrocorticography (ECoG) has emerged as a new signal platform for brain-computer interface (BCI) systems. Classically, the cortical physiology that has been commonly investigated and utilized for device control in humans has been brain signals from the sensorimotor cortex. Hence, it was unknown whether other neurophysiological substrates, such as the speech network, could be used to further improve on or complement existing motor-based control paradigms. We demonstrate here for the first time that ECoG signals associated with different overt and imagined phoneme articulation can enable invasively monitored human patients to control a one-dimensional computer cursor rapidly and accurately. This phonetic content was distinguishable within higher gamma frequency oscillations and enabled users to achieve final target accuracies between 68% and 91% within 15 min. Additionally, one of the patients achieved robust control using recordings from a microarray consisting of 1 mm spaced microwires. These findings suggest that the cortical network associated with speech could provide an additional cognitive and physiologic substrate for BCI operation and that these signals can be acquired from a cortical array that is small and minimally invasive.

10aAdult10aBrain10aBrain Mapping10aComputer Peripherals10aElectroencephalography10aEvoked Potentials10aFeedback, Physiological10aFemale10aHumans10aImagination10aMale10aMiddle Aged10aNerve Net10aSpeech Production Measurement10aUser-Computer Interface1 aLeuthardt, E C1 aGaona, Charles, M1 aSharma, Mohit1 aSzrama, Nicholas1 aRoland, Jarod1 aFreudenberg, Zachary, V.1 aSolisb, Jamie1 aBreshears, Jonathan1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2147163804454nas a2200433 4500008004100000022001400041245010500055210006900160260001200229300001100241490000700252520325900259653002503518653001503543653001003558653001803568653002003586653002803606653002703634653001303661653001103674653001103685653000903696653002203705653001603727653002303743653001103766653002003777653001603797100001603813700002303829700001903852700001803871700001803889700002403907700002203931700001903953856004803972 2010 eng d a1524-404000aElectrocorticographic frequency alteration mapping for extraoperative localization of speech cortex.0 aElectrocorticographic frequency alteration mapping for extraoper c02/2010 aE407-90 v663 a

OBJECTIVE: 

Electrocortical stimulation (ECS) has long been established for delineating eloquent cortex in extraoperative mapping. However, ECS is still coarse and inefficient in delineating regions of functional cortex and can be hampered by afterdischarges. Given these constraints, an adjunct approach to defining motor cortex is the use of electrocorticographic (ECoG) signal changes associated with active regions of cortex. The broad range of frequency oscillations are categorized into 2 main groups with respect to sensorimotor cortex: low-frequency bands (LFBs) and high-frequency bands (HFBs). The LFBs tend to show a power reduction, whereas the HFBs show power increases with cortical activation. These power changes associated with activated cortex could potentially provide a powerful tool in delineating areas of speech cortex. We explore ECoG signal alterations as they occur with activated region of speech cortex and its potential in clinical brain mapping applications.

METHODS: 

We evaluated 7 patients who underwent invasive monitoring for seizure localization. Each had extraoperative ECS mapping to identify speech cortex. Additionally, all subjects performed overt speech tasks with an auditory or a visual cue to identify associated frequency power changes in regard to location and degree of concordance with ECS results.

RESULTS: 

Electrocorticographic frequency alteration mapping (EFAM) had an 83.9% sensitivity and a 40.4% specificity in identifying any language site when considering both frequency bands and both stimulus cues. Electrocorticographic frequency alteration mapping was more sensitive in identifying the Wernicke area (100%) than the Broca area (72.2%). The HFB is uniquely suited to identifying the Wernicke area, whereas a combination of the HFB and LFB is important for Broca localization.

CONCLUSION: 

The concordance between stimulation and spectral power changes demonstrates the possible utility of EFAM as an adjunct method to improve the efficiency and resolution of identifying speech cortex.

10aAcoustic Stimulation10aAdolescent10aAdult10aBrain Mapping10aCerebral Cortex10aChi-Square Distribution10aElectroencephalography10aEpilepsy10aFemale10aHumans10aMale10aMass Spectrometry10aMiddle Aged10aPhotic Stimulation10aSpeech10aVerbal Behavior10aYoung Adult1 aWu, Melinda1 aWisneski, Kimberly1 aSchalk, Gerwin1 aSharma, Mohit1 aRoland, Jarod1 aBreshears, Jonathan1 aGaona, Charles, M1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2008711103481nas a2200289 4500008004100000022001400041245009200055210006900147260001200216300001000228490000700238520264000245653001802885653002002903653002002923653001502943653002502958653002702983653001103010653002703021100001803048700001903066700002003085700001903105700001903124856004803143 2010 eng d a1525-506900aPassive real-time identification of speech and motor cortex during an awake craniotomy.0 aPassive realtime identification of speech and motor cortex durin c05/2010 a123-80 v183 a

Precise localization of eloquent cortex is a clinical necessity prior to surgical resections adjacent to speech or motor cortex. In the intraoperative setting, this traditionally requires inducing temporary lesions by direct electrocortical stimulation (DECS). In an attempt to increase efficiency and potentially reduce the amount of necessary stimulation, we used a passive mapping procedure in the setting of an awake craniotomy for tumor in two patients resection. We recorded electrocorticographic (ECoG) signals from exposed cortex while patients performed simple cue-directed motor and speech tasks. SIGFRIED, a procedure for real-time event detection, was used to identify areas of cortical activation by detecting task-related modulations in the ECoG high gamma band. SIGFRIED's real-time output quickly localized motor and speech areas of cortex similar to those identified by DECS. In conclusion, real-time passive identification of cortical function using SIGFRIED may serve as a useful adjunct to cortical stimulation mapping in the intraoperative setting.

10aBrain Mapping10aBrain Neoplasms10aCerebral Cortex10aCraniotomy10aElectric Stimulation10aElectroencephalography10aHumans10aNeurologic Examination1 aRoland, Jarod1 aBrunner, Peter1 aJohnston, James1 aSchalk, Gerwin1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/20478745