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Previous, current, and future stereotactic EEG techniques for localising epileptic foci

Authors :
Debayan Dasgupta
Anna Miserocchi
Andrew W. McEvoy
John S. Duncan
Source :
Expert review of medical devices. 19(7)
Publication Year :
2022

Abstract

Drug-resistant focal epilepsy presents a significant morbidity burden globally, and epilepsy surgery has been shown to be an effective treatment modality. Therefore, accurate identification of the epileptogenic zone for surgery is crucial, and in those with unclear noninvasive data, stereoencephalography is required.This review covers the history and current practices in the field of intracranial EEG, particularly analyzing how stereotactic image-guidance, robot-assisted navigation, and improved imaging techniques have increased the accuracy, scope, and use of SEEG globally.We provide a perspective on the future directions in the field, reviewing improvements in predicting electrode bending, image acquisition, machine learning and artificial intelligence, advances in surgical planning and visualization software and hardware. We also see the development of EEG analysis tools based on machine learning algorithms that are likely to work synergistically with neurophysiology experts and improve the efficiency of EEG and SEEG analysis and 3D visualization. Improving computer-assisted planning to minimize manual input from the surgeon, and seamless integration into an ergonomic and adaptive operating theater, incorporating hybrid microscopes, virtual and augmented reality is likely to be a significant area of improvement in the near future.

Details

ISSN :
17452422
Volume :
19
Issue :
7
Database :
OpenAIRE
Journal :
Expert review of medical devices
Accession number :
edsair.doi.dedup.....b3fc2bd22790518b5bf24e5e94e69350