[1]吴婷,刘宏毅,张锐.脑磁图静息态脑网络定位与皮质脑电图的对照研究[J].临床神经外科杂志,2015,(03):168-175.
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脑磁图静息态脑网络定位与皮质脑电图的对照研究()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2015年03期
页码:
168-175
栏目:
癫痫专题 论著
出版日期:
2015-06-15

文章信息/Info

Title:
A comparative study between magnetoencephalography resting-state neural networks and electrocorticography locating
作者:
吴婷 刘宏毅 张锐
南京医科大学附属脑科医院
关键词:
脑磁图描计术静息态脑网络癫痫手术
Keywords:
Magnetoencephalography resting-state neural networks epilepsy surgery
分类号:
R742.1
文献标志码:
A
摘要:
目的 对照脑磁图静息态脑网络定位与皮质脑电图的一致性。 方法 选取难治性癫痫患者16例,术前均运用脑磁图静息态网络定位,同时运用传统的脑磁图dipole法和SAM法皮质脑电图定位,与皮质脑电图的结果对照,分别比较两种技术的吻合度。结果 16例患者均有明显的棘波放电,dipole定位局限10例,散发6例,SAM值升高单病灶11例,多病灶5例。16人均显示静息态脑网络异常,敏感度100% (16/16)。dipole定位ECoG的定位符合率为62.5%(10/16),SAM与ECoG的定位符合率为68.7%(11/16),MEG脑网络功能异常与ECoG的定侧符合率为100%,定位符合率为81.2%(13/16)。结论:磁图静息态网络定位可以敏感地定位癫痫放电区,可以为癫痫手术规划提供帮助。
Abstract:
Purpose: The present study aims to contrast the consistency of magnetoencephalography resting-state neural networks and electrocorticography locating. Method: 16 refractory epilepsy patients were recruited. Magnetoencephalography resting-state neural networks and electrocorticography were located before surgical operation to contrast the consistency. Result: Spikes were observed in 16 patients, and located focally in 10 patients and sporadically 6 patients by dipole. Single focus in 11 patients and multiple lesions in 5 patients were located by SAM. The resting state brain network of all patients were abnormal, the sensitivity was 100%(16/16). The coincidence rate was 62.5% (10/16) between Dipole and ECoG, 68.7% (10/16) between SAM and ECoG, 81.2%(13/16) between MEG and ECoG locating seizure onset zones, 100% between MEG and ECoG locating resting state brain network. Conclusion: Magnetoencephalography resting-state neural networks may locate locate seizure onset zones, and contribute epilepsy operation.

备注/Memo

备注/Memo:
[收稿日期] 2015-03-31 [基金项目]国家自然科学基金(编号:81101112)
更新日期/Last Update: 2015-06-15