EEG-fMRI
Encyclopedia
EEG-fMRI is a multimodal neuroimaging
Neuroimaging
Neuroimaging includes the use of various techniques to either directly or indirectly image the structure, function/pharmacology of the brain...

 technique whereby EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 and fMRI data are recorded synchronously
Synchronization
Synchronization is timekeeping which requires the coordination of events to operate a system in unison. The familiar conductor of an orchestra serves to keep the orchestra in time....

 for the study of electrical brain
Brain
The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...

 activity in correlation with haemodynamic
Hemodynamics
Hemodynamics, meaning literally "blood movement" is the study of blood flow or the circulation.All animal cells require oxygen for the conversion of carbohydrates, fats and proteins into carbon dioxide , water and energy in a process known as aerobic respiration...

 changes in brain during the electrical activity, be it normal function or associated with disorders.

Principle

Scalp EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 reflects the brain’s electrical activity, and in particular post-synaptic
Synaptic
Synaptic may refer to:*Synapse, part of the nervous system*Synapsis, the pairing of two homologous chromosomes*Synaptic , a Linux graphical package management program for APT See also...

 potentials (see Inhibitory postsynaptic current and Excitatory postsynaptic potential
Excitatory postsynaptic potential
In neuroscience, an excitatory postsynaptic potential is a temporary depolarization of postsynaptic membrane potential caused by the flow of positively charged ions into the postsynaptic cell as a result of opening of ligand-sensitive channels...

) in the cerebral cortex
Cerebral cortex
The cerebral cortex is a sheet of neural tissue that is outermost to the cerebrum of the mammalian brain. It plays a key role in memory, attention, perceptual awareness, thought, language, and consciousness. It is constituted of up to six horizontal layers, each of which has a different...

, whereas fMRI is capable of detecting haemodynamic changes throughout the brain through the BOLD effect. EEG-fMRI therefore allows measuring both neuronal and haemodynamic activity which comprise two important components of the neurovascular coupling
Haemodynamic response
Haemodynamics is a medical term for the dynamic regulation of the blood flow in the brain. It is the principle on which functional magnetic resonance imaging is based....

 mechanism.

Methodology

The simultaneous acquisition of EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 and fMRI data of sufficient quality requires solutions to problems linked to potential health risks (due to currents induced by the MR image forming process in the circuits created by the subject and EEG recording system) and EEG and fMRI data quality. There are two degrees of integration of the data acquisition, reflecting technical limitations associated with the interference between the EEG and MR instruments. These are: interleaved acquisitions, in which each acquisition modality is interrupted in turn (periodically) to allow data of adequate quality to be recorded by the other modality; continuous acquisitions, in which both modalities are able to record data of adequate quality continuously. The latter can be achieved using real-time or post-processing EEG artifact reduction software. EEG was first recorded in an MR environment around 1993.
Several groups have found independent means to solve the problems of mutual contamination of the EEG and fMRI signals. The first continuous EEG-fMRI experiment was performed in 1999
using a hardware-based approach. A predominantly
software-based method was implemented shortly thereafter
.
An addition to EEG-fMRI set up is the simultaneous and synchronized video recording without affecting the EEG and fMRI data quality.

For the most part, the combined EEG-fMRI data collection is now treated as a solved problem, and commercial devices are available from major manufacturers (e.g., Electrical Geodesics, Inc.), but issues remain. There are significant residual artifacts in the EEG that occur with each heartbeat
Cardiac cycle
The cardiac cycle is a term referring to all or any of the events related to the flow or blood pressure that occurs from the beginning of one heartbeat to the beginning of the next. The frequency of the cardiac cycle is described by the heart rate. Each beat of the heart involves five major stages...

. The traces in the EEG that record this are often referred to as a, "Ballistocardiogram
Ballistocardiography
The ballistocardiograph is a measure of ballistic forces on the heart. Ballistocardiography is a technique for producing a graphical representation of repetitive motions of the human body arising from the sudden ejection of blood into the great vessels with each heart beat...

 (BCG)," because of their presumed origin in the motion of the EEG leads in the magnetic field that occurs with each heartbeat. In practice, the causes of this artifact are not well proven and may be the results of factors such as induced electrical fields with the movement of blood, etc...

Applications

In principle, the technique combines the EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

’s well documented ability to characterise certain brain
Brain
The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...

 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
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 is used to characterise brain activity (‘brain state’) across time allowing to map (through statistical parametric mapping
Statistical parametric mapping
Statistical parametric mapping or SPM is a statistical technique created by Karl Friston for examining differences in brain activity recorded during functional neuroimaging experiments using neuroimaging technologies such as fMRI or PET...

, for example) the associated haemodynamic changes.

The initial motivation for EEG-fMRI was in the field of research into epilepsy
Epilepsy
Epilepsy is a common chronic neurological disorder characterized by seizures. These seizures are transient signs and/or symptoms of abnormal, excessive or hypersynchronous neuronal activity in the brain.About 50 million people worldwide have epilepsy, and nearly two out of every three new cases...

, and in particular the study of interictal epileptiform discharges (IED, or interictal spikes
Inter-ictal spiking
Inter-ictal spiking refers to abnormal neuronal discharges between epileptic seizures. This abnormal activity can originate from one or more cranial lobes, often travels from one lobe to another,and interferes with normal activity from the affected lobe...

), and their generators, and of seizures. IED are unpredictable and sub-clinical events in patients with epilepsy that can only be observed using EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 (or MEG). Therefore recording EEG
EEG
EEG commonly refers to electroencephalography, a measurement of the electrical activity of the brain.EEG may also refer to:* Emperor Entertainment Group, a Hong Kong-based entertainment company...

 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
Reliability
In general, reliability is the ability of a person or system to perform and maintain its functions in routine circumstances, as well as hostile or unexpected circumstances.Reliability may refer to:...

 for EEG-fMRI studies and better sensitivity
Sensitivity
Stimulus|Sensitivity may refer to:* Sensitivity , the ability to react to a stimulus* Sensitivity , the strength of physical or emotional reaction in people* Sensitivity , variations in process dynamics and control systems...

 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
Brain
The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...

 activity in during resting wakefulness and sleep
Sleep
Sleep is a naturally recurring state characterized by reduced or absent consciousness, relatively suspended sensory activity, and inactivity of nearly all voluntary muscles. It is distinguished from quiet wakefulness by a decreased ability to react to stimuli, and is more easily reversible than...

.
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