EEG-f MRI - Applications

Applications

In principle, the technique combines the EEG’s well documented ability to characterise certain brain states with high temporal resolution and to reveal pathological patterns, with fMRI’s (more recently discovered and less well understood) ability to image blood dynamics through the entire brain with high spatial resolution. Up to now, EEG-fMRI has been mainly seen as an fMRI technique in which the synchronously acquired EEG is used to characterise brain activity (‘brain state’) across time allowing to map (through statistical parametric mapping, for example) the associated haemodynamic changes.

The initial motivation for EEG-fMRI was in the field of research into epilepsy, and in particular the study of interictal epileptiform discharges (IED, or interictal spikes), and their generators, and of seizures. IED are unpredictable and sub-clinical events in patients with epilepsy that can only be observed using EEG (or MEG). Therefore recording EEG during fMRI acquisition allows the study of their haemodynamic correlates. The method can reveal haemodynamic changes linked to IED and seizures, and has proven a powerful scientific tool. The simultaneous and synchronized video recording identifies clinical seizure activity along with electophysiological activity on EEG, which helps to investigate, correlated haemodynamic changes in brain during seizures.

The clinical value of these findings is the subject of ongoing investigations, but recent researches suggest an acceptable reliability for EEG-fMRI studies and better sensitivity in higher field scanner. Outside the field of epilepsy, EEG-fMRI has been used to study event-related (triggered by external stimuli) brain responses and provided important new insights into baseline brain activity in during resting wakefulness and sleep.

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