Cited by 414EEG and Brain-Computer InterfacesEpilepsy research and treatmentDirection-of-Arrival Estimation Techniques

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Epileptic source localization with high density EEG: how many electrodes are needed?

Lantz, G, Grave de Peralta, R, Spinelli, L, Seeck, M, Michel, C.M·2003·Clinical Neurophysiology

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Abstract

Objective Electroencephalography (EEG) source reconstruction is becoming recognized as a useful technique to non-invasively localize the epileptic focus. Whereas, large array magnetoencephalography (MEG) systems are available since quite some time, application difficulties have previously prevented multichannel EEG recordings. Recently, however, EEG systems which allow for quick (10-20min) application of, and recording from, up to 125 electrodes have become available. The purpose of the current investigation was to systematically compare the accuracy of epileptic source localization with high electrode density to that obtained with sparser electrode setups.Methods Interictal epileptiform activity was recorded with 123 electrodes in 14 epileptic patients undergoing presurgical evaluation. Each single epileptiform potential was down sampled to 63 and 31 electrodes, and a distributed source model (EPIFOCUS) was used to reconstruct the sources with the 3 different electrode configurations. The localization accuracy with the 3 electrode setups was then assessed, by determining the distance from the inverse solution, maximum of each single spike to the epileptogenic lesion.Results In 9/14 patients, the distance from the EEG source to the lesion was significantly smaller with 63 than with 31 electrodes, and increasing the number of electrodes to 123 increased this number of patients from 9 to 11. Simulations confirmed the relation between the number of electrodes and localization accuracy.Conclusions The results illustrate the necessity of multichannel EEG recordings for high source location accuracy in epileptic patients.

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Authors: Lantz, G., Grave de Peralta, R., Spinelli, L., Seeck, M., & Michel, C. M.
Affiliations: University of Geneva (CH)
University Hospital of Geneva (CH)
Corresponding author: Lantz, G
ORCID: Seeck, M
Michel, C.M
Venue: Clinical Neurophysiology
Publisher: Elsevier BV
Published: 2003-01
Volume: 114
Issue: 1
Pages: 63-69
ISSN: 1388-2457 (ISSN-L)
DOI: 10.1016/s1388-2457(02)00337-1
OpenAlex: W2153208799
Cited by: 413
References: 30
Citations by year: 2026: 11 · 2025: 20 · 2024: 17 · 2023: 25 · 2022: 24 · 2021: 20 · 2020: 27 · 2019: 30 · 2018: 21 · 2017: 27 · 2016: 21 · 2015: 25 · 2014: 26 · 2013: 15 · 2012: 17
FWCI: 3.51
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Neurophysiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Research Foundation
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
Physical Sciences › Computer Science › Signal Processing › Direction-of-Arrival Estimation Techniques
Keywords: high-density EEG, electrode number, interictal epileptiform activity, preoperative assessment, distributed source model, inverse solution, epileptogenic lesions, positioning accuracy, multichannel EEG
MeSH terms: Adolescent, Adult, Brain, Brain Mapping, Child, Electrodes, Electroencephalography, Epilepsy, Female, Humans, Male, Middle Aged

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Epileptic source localization with high density EEG: how many electrodes are needed?

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