Neuromagnetic coherence of epileptic activity: An MEG study

PurposeThis study was undertaken to test the hypothesis that patients with epilepsy have abnormal imaginary coherence compared with control subjects.MethodsThirty patients with seizures underwent magnetoencephalography (MEG) recording using a whole cortex MEG system. Conventional equivalent current dipoles (ECDs) and synthetic aperture magnetometry (SAM) were used to analyze MEG data. Neural synchronization was studied using imaginary coherence to analyze resting-state MEG data. The ECDs, SAM, and MEG results were then compared with intra/extra-operative EEG.ResultsAbnormal imaginary coherence was identified in all patients (30/30, 100%). The locations of abnormal imaginary coherence were in agreement with the ECDs locations of spikes in 23 patients (23/30, 76.7%). The ECD locations in 5 patients were scattered or located bilaterally. The locations of abnormal imaginary coherence were in agreement with SAM locations in 26 patients (26/30, 86.7%). One case of imaginary coherence was located in two lobes. The ECDs fit locations were in agreement with SAM locations in 21 patients (21/30, 70.0%). The locations of abnormal imaginary coherence, ECDs, and SAM were in agreement with intra/extra-operative EEG in 23 patients (23/30, 76.7%), 17 patients (17/30, 56.7%), and 20 patients (20/30, 66.7%), respectively. The results of ECDs location, SAM location, imaginary coherence, and intracranial EEG (iEEG) were consistent in 15 patients (15/30, 50%).ConclusionsThe results show that patients with epilepsy have abnormal imaginary coherence, and suggest that the location and coherence of epileptic activity could be quantitatively identified and analyzed using neuromagnetic signals.