02549nas a2200325 4500008004100000022001400041245011400055210006900169260001200238300001000250490000800260520151900268653002401787653001001811653001801821653002001839653002501859653001101884653001301895100002401908700002001932700002401952700002301976700002201999700002102021700002502042700001902067700001902086856011802105 2023 eng d a1872-895200aPassive functional mapping of receptive language cortex during general anesthesia using electrocorticography.0 aPassive functional mapping of receptive language cortex during g c03/2023 a31-440 v1473 a

OBJECTIVE: To investigate the feasibility of passive functional mapping in the receptive language cortex during general anesthesia using electrocorticographic (ECoG) signals.

METHODS: We used subdurally placed ECoG grids to record cortical responses to speech stimuli during awake and anesthesia conditions. We identified the cortical areas with significant responses to the stimuli using the spectro-temporal consistency of the brain signal in the broadband gamma (BBG) frequency band (70-170 Hz).

RESULTS: We found that ECoG BBG responses during general anesthesia effectively identify cortical regions associated with receptive language function. Our analyses demonstrated that the ability to identify receptive language cortex varies across different states and depths of anesthesia. We confirmed these results by comparing them to receptive language areas identified during the awake condition. Quantification of these results demonstrated an average sensitivity and specificity of passive language mapping during general anesthesia to be 49±7.7% and 100%, respectively.

CONCLUSION: Our results demonstrate that mapping receptive language cortex in patients during general anesthesia is feasible.

SIGNIFICANCE: Our proposed protocol could greatly expand the population of patients that can benefit from passive language mapping techniques, and could eliminate the risks associated with electrocortical stimulation during an awake craniotomy.

10aAnesthesia, General10aBrain10aBrain Mapping10aCerebral Cortex10aElectrocorticography10aHumans10aLanguage1 aNourmohammadi, Amin1 aSwift, James, R1 ade Pesters, Adriana1 aGuay, Christian, S1 aAdamo, Matthew, A1 aDalfino, John, C1 aRitaccio, Anthony, L1 aSchalk, Gerwin1 aBrunner, Peter uhttps://neurotechcenter.org/publications/2023/passive-functional-mapping-receptive-language-cortex-during-general03173nas a2200493 4500008004100000022001400041245012000055210006900175260001200244300001200256490000800268520172300276653001801999653002002017653001502037653001102052653002202063653001102085653001102096653001402107653001302121653000902134653001602143653003102159653001402190653002602204653001302230653001802243653001602261100001802277700002302295700002102318700002302339700002602362700002402388700001802412700001902430700001402449700002202463700002202485700002602507700003102533856011502564 2020 eng d a1573-737300aPotential differences between monolingual and bilingual patients in approach and outcome after awake brain surgery.0 aPotential differences between monolingual and bilingual patients c07/2020 a587-5980 v1483 a

INTRODUCTION: 20.8% of the United States population and 67% of the European population speak two or more languages. Intraoperative different languages, mapping, and localization are crucial. This investigation aims to address three questions between BL and ML patients: (1) Are there differences in complications (i.e. seizures) and DECS techniques during intra-operative brain mapping? (2) Is EOR different? and (3) Are there differences in the recovery pattern post-surgery?

METHODS: Data from 56 patients that underwent left-sided awake craniotomy for tumors infiltrating possible dominant hemisphere language areas from September 2016 to June 2019 were identified and analyzed in this study; 14 BL and 42 ML control patients. Patient demographics, education level, and the age of language acquisition were documented and evaluated. fMRI was performed on all participants.

RESULTS: 0 (0%) BL and 3 (7%) ML experienced intraoperative seizures (P = 0.73). BL patients received a higher direct DECS current in comparison to the ML patients (average = 4.7, 3.8, respectively, P = 0.03). The extent of resection was higher in ML patients in comparison to the BL patients (80.9 vs. 64.8, respectively, P = 0.04). The post-operative KPS scores were higher in BL patients in comparison to ML patients (84.3, 77.4, respectively, P = 0.03). BL showed lower drop in post-operative KPS in comparison to ML patients (- 4.3, - 8.7, respectively, P = 0.03).

CONCLUSION: We show that BL patients have a lower incidence of intra-operative seizures, lower EOR, higher post-operative KPS and tolerate higher DECS current, in comparison to ML patients.

10aBrain Mapping10aBrain Neoplasms10aCraniotomy10aFemale10aFollow-Up Studies10aGlioma10aHumans10aIncidence10aLanguage10aMale10aMiddle Aged10aMonitoring, Intraoperative10aPrognosis10aRetrospective Studies10aSeizures10aUnited States10aWakefulness1 aReFaey, Karim1 aTripathi, Shashwat1 aBhargav, Adip, G1 aGrewal, Sanjeet, S1 aMiddlebrooks, Erik, H1 aSabsevitz, David, S1 aJentoft, Mark1 aBrunner, Peter1 aWu, Adela1 aTatum, William, O1 aRitaccio, Anthony1 aChaichana, Kaisorn, L1 aQuinones-Hinojosa, Alfredo uhttps://neurotechcenter.org/publications/2020/potential-differences-between-monolingual-and-bilingual-patients02881nas a2200397 4500008004100000022001400041245011100055210006900166260001200235300001100247490000700258520172500265653001501990653002002005653001802025653002002043653002502063653002702088653002402115653001102139653001102150653001302161653002902174653003202203653001102235100002602246700001902272700002602291700002402317700001902341700001902360700001802379700002302397700001502420856004802435 2014 eng d a1933-071500aReal-time functional mapping: potential tool for improving language outcome in pediatric epilepsy surgery.0 aRealtime functional mapping potential tool for improving languag c09/2014 a287-950 v143 a

Accurate language localization expands surgical treatment options for epilepsy patients and reduces the risk of postsurgery language deficits. Electrical cortical stimulation mapping (ESM) is considered to be the clinical gold standard for language localization. While ESM affords clinically valuable results, it can be poorly tolerated by children, requires active participation and compliance, carries a risk of inducing seizures, is highly time consuming, and is labor intensive. Given these limitations, alternative and/or complementary functional localization methods such as analysis of electrocorticographic (ECoG) activity in high gamma frequency band in real time are needed to precisely identify eloquent cortex in children. In this case report, the authors examined 1) the use of real-time functional mapping (RTFM) for language localization in a high gamma frequency band derived from ECoG to guide surgery in an epileptic pediatric patient and 2) the relationship of RTFM mapping results to postsurgical language outcomes. The authors found that RTFM demonstrated relatively high sensitivity (75%) and high specificity (90%) when compared with ESM in a "next-neighbor" analysis. While overlapping with ESM in the superior temporal region, RTFM showed a few other areas of activation related to expressive language function, areas that were eventually resected during the surgery. The authors speculate that this resection may be associated with observed postsurgical expressive language deficits. With additional validation in more subjects, this finding would suggest that surgical planning and associated assessment of the risk/benefit ratio would benefit from information provided by RTFM mapping.

10aAdolescent10aAnticonvulsants10aBrain Mapping10aCerebral Cortex10aElectric Stimulation10aElectroencephalography10aEpilepsies, Partial10aFemale10aHumans10aLanguage10aNeuropsychological Tests10aSensitivity and Specificity10aSpeech1 aKorostenskaja, Milena1 aChen, Po-Ching1 aSalinas, Christine, M1 aWesterveld, Michael1 aBrunner, Peter1 aSchalk, Gerwin1 aCook, Jane, C1 aBaumgartner, James1 aLee, Ki, H uhttp://www.ncbi.nlm.nih.gov/pubmed/2499581502954nas a2200373 4500008004100000022001400041245008200055210006900137260001200206300001100218490000700229520184300236653002802079653002702107653002802134653002702162653002202189653003002211653001102241653001302252653002502265653002402290653001202314653004102326653002802367653001802395653002202413100001902435700001502454700002502469700002002494700001802514856004802532 2011 eng d a1530-888X00aA graphical model framework for decoding in the visual ERP-based BCI speller.0 agraphical model framework for decoding in the visual ERPbased BC c01/2011 a160-820 v233 a

We present a graphical model framework for decoding in the visual ERP-based speller system. The proposed framework allows researchers to build generative models from which the decoding rules are obtained in a straightforward manner. We suggest two models for generating brain signals conditioned on the stimulus events. Both models incorporate letter frequency information but assume different dependencies between brain signals and stimulus events. For both models, we derive decoding rules and perform a discriminative training. We show on real visual speller data how decoding performance improves by incorporating letter frequency information and using a more realistic graphical model for the dependencies between the brain signals and the stimulus events. Furthermore, we discuss how the standard approach to decoding can be seen as a special case of the graphical model framework. The letter also gives more insight into the discriminative approach for decoding in the visual speller system.

10aArtificial Intelligence10aComputer User Training10aDiscrimination Learning10aElectroencephalography10aEvoked Potentials10aEvoked Potentials, Visual10aHumans10aLanguage10aModels, Neurological10aModels, Theoretical10aReading10aSignal Processing, Computer-Assisted10aUser-Computer Interface10aVisual Cortex10aVisual Perception1 aMartens, S M M1 aMooij, J M1 aHill, Jeremy, Jeremy1 aFarquhar, Jason1 aSchölkopf, B uhttp://www.ncbi.nlm.nih.gov/pubmed/20964540