Decision support system for epileptogenic zone location during brain resection

Abstract

This paper presents a system for locating the epileptogenic zone (EZ) using an automated analysis of electrocorticography (ECoG) signal recorded with 20 electrodes placed on the brain surface. The developed system enables automatic determination of places where anomalies connected with epilepsy are observed. The developed algorithm was tested on signals recorded for 33 patients who, after a prior neurological analysis, underwent the brain resection surgery. The results obtained with the algorithm were compared with those of medical analyses performed by the neurologist. The proposed system has a satisfactory accuracy – 87.8% – and can be used as a decision-supporting tool by the neurosurgeon during brain resection.