The effect of increased intracranial EEG sampling rates in clinical practice

Publication date: February 2018
Source:Clinical Neurophysiology, Volume 129, Issue 2
Author(s): Kathryn A. Davis, Seth P. Devries, Abba Krieger, Temenuzhka Mihaylova, Daniela Minecan, Brian Litt, Joost B. Wagenaar, William C. Stacey
ObjectiveRecent research suggests that high frequency intracranial EEG (iEEG) may improve localization of epileptic networks. This study aims to determine whether recording macroelectrode iEEG with higher sampling rates improves seizure localization in clinical practice.Methods14 iEEG seizures from 10 patients recorded with >2000 Hz sampling rate were downsampled to four sampling rates: 100, 200, 500, 1000 Hz. In the 56 seizures, seizure onset time and location was marked by 5 independent, blinded EEG experts.ResultsWhen reading iEEG under clinical conditions, there was no consistent difference in time or localization of seizure onset or number of electrodes involved in the seizure onset zone with sampling rates varying from 100 to 1000 Hz. Stratification of patients by outcome did not improve with higher sampling rate.ConclusionWhen utilizing standard clinical protocols, there was no benefit to acquiring iEEGs with sampling rate >100 Hz. Significant variability was noted in EEG marking both within and between individual expert EEG readers.SignificanceAlthough commercial equipment is capable of sampling much faster than 100 Hz, tools allowing visualization of subtle high frequency activity such as HFOs will be required to improve patient care. Quantitative methods may decrease reader variability, and potentially improve patient outcomes.



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