Simultaneous MEG or fMRI And INtracranial EEG

Study Overview
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Brief Summary
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The SEMAINE project will investigate intracranial EEG (icEEG) simultaneously recorded with either fMRI or MEG to 1) improve identification of the epileptogenic zone in patients suffering from drug-resistant partial epilepsy, and 2) define the functional organization of neural networks underlying human perception and cognition in order to prevent inadvertent deficits resulting from neurosurgical resection. In particular, high-frequency activity (HFA), as measured with icEEG, has been demonstrated in recent years as a relevant index for both epileptogenic tissue and healthy cortical processing, but its correlates in fMRI and MEG require further investigation. This will be a pioneering effort in several respects, as the first to directly measure high-frequency neural activity in tandem with fMRI, and among the first to do so with MEG. In addition to their attractiveness as noninvasive imaging techniques, fMRI and MEG have the potential to examine whole-brain networks that are not accessible to icEEG's necessarily limited spatial coverage. Furthermore, such a campaign of simultaneous recordings will take unprecedented advantage of icEEG as the bridge between the two noninvasive techniques, providing compelling evidence for the links between all three measurements with respect to underlying high-frequency neural activity in both health and disease. This project will therefore lead to improved selection of epilepsy surgery candidates and improved neurosurgical outcomes from the precise mapping of epileptogenic and healthy brain networks. The same techniques will be immediately applicable to functional mapping of other types of neurosurgery populations as well as diagnostic neuroimaging of neurological and psychiatric populations.

Conditions
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Epilepsy, Healthy Volunteers

Intervention / Treatment
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* Procedure: MEG or fMRI And INtracranial EEG
* Procedure: fMRI


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged between 18 and 60 years, not subject of any measure of legal protection Patients suffering from drug resistant partial epilepsy Patient undergoing intracranial video EEG Patients with electrodes implanted in orthogonal no MRI cons-indication Patients who signed a consent form Intellectual capacity to perform cognitive tasks and to sign an informed consent. Affiliation to social security Exclusion Criteria: Pregnant women Elderly patients under 18 or over 60 years Patient not suffering from drug resistant partial epilepsy, or not scheduled for a SEEG MRI cons-indication Patients taking psychotropics drugs Claustrophobia Inability to perform cognitive tasks or to give informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patient<br> | Procedure: fMRI<br> <br> |
| Experimental: Volunteers<br> | Procedure: MEG or fMRI And INtracranial EEG<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Oxygenation Level Dependent changes, associated with intracranial EEG signal, as determined by simultaneous fMRI and icEEG | fMRI correlates of epileptic and cognitive-induced high-frequency activities | Month 2 | 
| MEG signal, associated with intracranial EEG signal, as determined by simultaneous MEG and icEEG | MEG correlates of epileptic and cognitive-induced high-frequency activities | Month 2 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Epilepsy surgery, High frequency activity, icEEG, fMRI, MEG