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  <title>NITRC News Group Forum: presurgical-brain-mapping-in-epilepsy-using-simultaneous-eeg-and-functional-mri-at-ultra-high-field--feasibility-and-first-results.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=6045</link>
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	&lt;table border=&quot;0&quot; width=&quot;100%&quot;&gt;&lt;tr&gt;&lt;td align=&quot;left&quot;/&gt;&lt;td align=&quot;right&quot;&gt;&lt;a href=&quot;http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&amp;amp;cmd=Link&amp;amp;LinkName=pubmed_pubmed&amp;amp;from_uid=26946508&quot;&gt;Related Articles&lt;/a&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Presurgical brain mapping in epilepsy using simultaneous EEG and functional MRI at ultra-high field: feasibility and first results.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;MAGMA. 2016 Mar 5;&lt;/p&gt;
        &lt;p&gt;Authors:  Grouiller F, Jorge J, Pittau F, van der Zwaag W, Iannotti GR, Michel CM, Vulliémoz S, Vargas MI, Lazeyras F&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        OBJECTIVES: The aim of this study was to demonstrate that eloquent cortex and epileptic-related hemodynamic changes can be safely and reliably detected using simultaneous electroencephalography (EEG)-functional magnetic resonance imaging (fMRI) recordings at ultra-high field (UHF) for clinical evaluation of patients with epilepsy.&lt;br/&gt;
        MATERIALS AND METHODS: Simultaneous EEG-fMRI was acquired at 7 T using an optimized setup in nine patients with lesional epilepsy. According to the localization of the lesion, mapping of eloquent cortex (language and motor) was also performed in two patients.&lt;br/&gt;
        RESULTS: Despite strong artifacts, efficient correction of intra-MRI EEG could be achieved with optimized artifact removal algorithms, allowing robust identification of interictal epileptiform discharges. Noise-sensitive topography-related analyses and electrical source localization were also performed successfully. Localization of epilepsy-related hemodynamic changes compatible with the lesion were detected in three patients and concordant with findings obtained at 3 T. Local loss of signal in specific regions, essentially due to B 1 inhomogeneities were found to depend on the geometric arrangement of EEG leads over the cap.&lt;br/&gt;
        CONCLUSION: These results demonstrate that presurgical mapping of epileptic networks and eloquent cortex is both safe and feasible at UHF, with the benefits of greater spatial resolution and higher blood-oxygenation-level-dependent sensitivity compared with the more traditional field strength of 3 T.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26946508 [PubMed - as supplied by publisher]&lt;/p&gt;
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