Evidence map›Paper›PMID 39740248›Full record

ArticleEpilepsia2025

User-defined virtual sensors: A new solution to the problem of temporal plus epilepsy sources.

Jeffrey Tenney, Hisako Fujiwara, Jesse Skoch, Paul Horn, Seungrok Hong, Olivia Lee, Kelly Kremer, Ravindra Arya, Katherine Holland, Francesco Mangano and 1 more

Abstract read
In one paragraph

Article in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jeffrey TenneyDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0001-5970-0843
Hisako FujiwaraDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0001-6087-4007
Jesse SkochDivision of Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Paul HornDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Seungrok HongDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Olivia LeeDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0009-0006-1712-9865
Kelly KremerDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Ravindra AryaDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Katherine HollandDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Francesco ManganoDivision of Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Hansel GreinerDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0001-7479-1384

Funding

Distinguishing TLE and TLE+ using MEG virtual sensorsR21NS123630 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI TENNEY, JEFFREY · 2022 to 2023
$437k
NINDS NIH HHS 5R21NS123630NINDS NIH HHS R21 NS123630
6 · The paper itself

Abstract

objectiveThe most common medically resistant epilepsy (MRE) involves the temporal lobe (TLE), and children designated as temporal plus epilepsy (TLE+) have a five-times increased risk of postoperative surgical failure. This retrospective, blinded, cross-sectional study aimed to correlate visual and computational analyses of magnetoencephalography (MEG) virtual sensor waveforms with surgical outcome and epilepsy classification (TLE and TLE+).

methodsPatients with MRE who underwent MEG and iEEG monitoring and had at least 1 year of postsurgical follow-up were included in this retrospective analysis. User-defined virtual sensor (UDvs) beamforming was completed with virtual sensors placed manually and symmetrically in the bilateral amygdalohippocampi, inferior/middle/superior temporal gyri, insula, suprasylvian operculum, orbitofrontal cortex, and temporoparieto-occipital junction. Additionally, MEG effective connectivity was computed and quantified using eigenvector centrality (EC) to identify hub regions. More conventional MEG methods (equivalent current dipole [ECD], standardized low-resolution brain electromagnetic tomography, synthetic aperture magnetometry beamformer), UDvs beamformer, and EC hubs were compared to iEEG.

resultsEighty patients (38 female, 42 male) with MRE (mean age = 11.3 ± 6.2 years, range = 1.0-31.5) were identified and included. Twenty-five patients (31.3%) were classified as TLE, whereas 55 (68.8%) were TLE+. When modeling the association between MEG method, iEEG, and postoperative surgical outcome (odds of a worse [International League Against Epilepsy (ILAE) class > 2] outcome), a significant result was seen only for UDvs beamformer (odds ratio [OR] = 1.22, 95% confidence interval [CI] = 1.01-1.48). Likewise, when the relationship between MEG method, iEEG, and classification (TLE and TLE+) was modeled, only UDvs beamformer had a significant association (OR = 1.47, 95% CI = 1.13-1.92). When modeling the association between EC hub location and resection/ablation to postoperative surgical outcome (odds of a good [ILAE 1-2] outcome), a significant association was seen (OR = 1.22, 95% CI = 1.05-1.43). SIGNIFICANCE: This study demonstrates a concordance between UDvs beamforming and iEEG that is related to both postsurgical seizure outcome and presurgical classification of epilepsy (TLE and TLE+). UDvs beamforming could be a complementary approach to the well-established ECD, improving invasive electrode and surgical resection planning for patients undergoing epilepsy surgery evaluations and treatments.

Indexed as

Drug Resistant EpilepsyEpilepsy, Temporal LobeMagnetoencephalographyAdolescentAdultChildCross-Sectional StudiesFemaleHumansMaleRetrospective StudiesYoung Adultconnectivityepilepsy surgerymagnetoencephalographypediatricstemporal epilepsy

Identifiers

PMID39740248
PMCPMC11999793

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.