Method and apparatus for aiding in the anatomical localization of dysfunction in a brain

• US 4,094,307 A
• Filed: 02/24/1977
• Issued: 06/13/1978
• Est. Priority Date: 02/24/1977
• Status: Expired due to Term

• Current Assignee: David N. Young Jr
• Original Assignee: David N. Young Jr
• Inventors: Young, David N. Jr.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/771,683
• Time in Patent Office: 474 Days
• Field of Search: 128/2.1 B, 128/2 N, 128/2 T, 128/2.1 R, 351/6
• US Class Current: 600/544
• CPC Class Codes: A61B 3/02 Subjective types, i.e. testing apparatus requiring the active assistance of the patient
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/378 Visual stimuli
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

A method and apparatus for synthesizing a set of optimal sensory stimuli designed to elicit an optimal response for each particular brain electrode location in a subject whose brain is being examined to anatomically localize brain dysfunction. A pseudorandom input signal having the general characteristics of Gaussian white noise is generated and converted into a color video visual stimulus which can be observed by the subject and summed on his retina and associated neural network. A plurality of electrodes are positioned with respect to various different and distinct areas of the brain of the subject to be examined. The subject is shown the color video visual stimulus and the electrical analog response from the electrodes is amplified and stored. The stored analog response signals are cross-correlated with the resynthesized input signal to compute a Wiener kernel representation of the response for each electrode. Portions of the pseudorandom input signal which resulted in insignificant analog responses are masked out so that the subsequent generation of pseudorandom input signals will be bandwidth-limited. The analog responses to the bandwidth-limited visual stimulus are cross-correlated with the resynthesized masked input signal and new Wiener kernel representations are recomputed for each electrode. The recomputed Wiener kernel representations of the response from each electrode are then multiplied in an array processor with the resynthesized bandwidth-limited input signal to compute an optimum visual stimulus for each of the electrodes. These optimum visual stimuli may be subsequently displayed to the subject alone or in conjunction with psychophysical tests to aid in anatomically localizing dysfunction in a brain under examination.

Claims

1. A method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy comprising the steps of:

placing a plurality of electrodes with respect to physical areas of the subject'"'"'s brain;

generating a pseudorandom, repeatable, broadband visual stimulus;

summing the broadband visual stimulus on the retina and associated neural networks of the subject;

amplifying the electrical analog response signal measured by each of the placed electrodes;

recording the amplified analog response signal from each electrode;

resynthesizing the broadband visual stimulus;

cross-correlating the resynthesized broadband visual stimulus with the recorded analog response signal for each placed electrode to obtain at least a first, second and third order Wiener kernel representation thereof;

limiting the bandwidth of the visual stimulus by masking out those portions which produce non-significant electrical analog responses;

summing the bandwidth-limited visual stimulus on the retina and associated networks of the subject;

amplifying the bandwidth-limited electrical analog response signal measured by each of the placed electrodes;

recording the amplified bandwidth-limited electrical analog response signals from each electrode;

resynthesizing the bandwidth-limited visual stimulus;

cross-correlating the resynthesized bandwidth-limited visual stimulus with the stored bandwidth-limited analog response signal for each electrode to recompute at least a first, second and third order Wiener kernel representation thereof;

synthesizing an optimal kernel-defined visual stimulus Λ

for each of said electrodes by multiplying the resynthesized bandwidth-limited visual stimulus by the recomputed Wiener kernel representation of the system;

presenting an optimal Λ

-defined visual stimulus to the subject for each placed electrode;

summing the Λ

-defined visual stimulus on the retina and associated neural network of the subject;

determining which of the Λ

-defined visual stimuli produced neurophysiologically significant responses in the subject; and

utilizing the known locations of those placed electrodes whose Λ

-defined visual stimuli produced said significant responses and the nature thereof to specifically isolate the anatomical location of the dysfunction.

2. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of placing a plurality of electrodes includes arranging scalp electrodes about the surface of the subject'"'"'s head.

3. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of placing a plurality of electrodes includes surfically implanting electrodes at different discrete physical locations within that section of the subject'"'"'s brain to be examined.

4. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein the step of generating a pseudorandon, repeatable, broadband visual stimulus includes:

arranging a concantenation of a series of shift registers to generate an endless pseudorandom sequence of binary digits;

utilizing a hierarchial network to pick off a given sequence thereof; and

inputting the given pseudorandom sequence into a digital color video monitor for producing, on a television screen portion thereof, a broadband visual stimulus f(I) defined by the equation ##EQU12## where "n" equals the video frame number and where "r", "g", and "b" represent the red, green and blue color guns of the video monitor.

5. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of amplifying the electrical analog response signal measured by each of the placed electrodes includes providing a very high-impedance amplifier having very low amplifier noise and a plurality of channels, at least one amplifying channel for each of said placed electrodes, said amplifier being capable of receiving and amplifying both spike and slow potential electrical analog response waveforms from the subject'"'"'s brain.

6. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 5 wherein said amplifying step further includes providing said amplifier with a DC offset input responsive to a compensation signal to allow amplifier compensation for large potential variences while maintaining high input impedance and low amplifier noise, monitoring for great changes in the potential produced at said electrodes, generating a digitally controlled compensation signal in response thereto and feeding said compensation signal to said DC offset input for compensation purposes.

7. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of recording the amplified analog response signal for each electrode includes storing said analog response signal on magnetic tape having one-channel for each of said placed electrodes.

8. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of resynthesizing the broadband visual stimulus includes the step of regenerating said pseudorandom repeatable broadband visual stimulus.

9. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of generating a pseudorandom repeatable broadband visual stimulus is followed by the step of storing a representation of said generated pseudorandom repeatable broadband visual stimulus and wherein said step of resynthesizing includes playing back said stored representation of said generated pseudorandom repeatable broadband visual stimulus.

10. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 9 wherein said step of cross-correlating includes:

determining a first time lag σ

₁ ;

cross-correlating to compute a first order Wiener kernel h₁ where ##EQU13## for ##EQU14## where φ

_xx is an autocorrelation function and where y(t) is the electrical analog response signal from the brain while y₁ (t) represents a delayed representation of the visual stimulus f(I);

determining a second time lag σ

₂ ;

cross-correlating to compute a second order Wiener kernel h₂ where ##EQU15## determining a third time lag σ

₃ ;

cross-correlating to compute a third order Wiener kernel h₃ where ##EQU16## for σ

₁ ≠

σ

₂ ≠

σ

₃ and summing the various order kernels to construct a kernel-defined response for each of said placed electrodes.

11. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 10 wherein said step of cross-correlating further includes the step of computing the nth order Wiener kernel by determining the time lag σ

_n and then cross-correlating to compute an nth order Wiener kernel h_n where ##EQU17## except where for n >

2, two or more σ

'"'"'s are equal.

12. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein the step of limiting the bandwidth of the visual stimulus includes determining insignificant cross-correlation products whose absolute values are approximately zero and preventing the generation of those portions of the generated pseudorandom visual stimulus giving rise to those responses whose cross-correlation products are determined to be insignificant thereby limiting the bandwidth of said visual stimulus.

13. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 4 wherein the step of limiting the bandwidth of the visual stimulus includes the step of determining insignificant cross-correlation products whose absolute values are approximately zero, determining which sequences of binary digits from the total generated pseudorandom sequence of binary digits resulted in said insignificant cross-correlation products and masking out the generation of those determined sequences of binary digits from said generated pseudorandom sequence of binary digits to limit the bandwidth of said visual stimulus.

14. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein each step of synthesizing an optimal kernel-defined visual stimulus Λ

for each of said electrodes includes inputting the bandwidth-limited visual stimulus and the recomputed Wiener kernel representation of the response into a high speed array processor, multiplying the bandwidth limited visual stimulus by the Wiener kernel representation of the response and summing the output to form an optimal kernel-defined visual stimulus Λ

for each placed electrode where ##EQU18## where h₁, h₂, and h₃ represent the first, second and third recomputed Wiener kernel representations of the response signal and f(I) represents the bandwidth-limited visual stimulus.

15. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 wherein said step of presenting an optimal Λ

-defined visual stimulus to the subject for each placed electrode includes feeding the kernal-defined optimal visual stimulus into a digital color video monitor and generating a color video representation thereof for observation by said subject.

16. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 further including the steps of storing a standard spike and slow potential waveform indicative of epilepsy;

playing out the stored standard waveform and the recorded broadband analog response signal; and

cross-correlating the stored representation of the standard waveform with the recorded broadband analog response signal to identify epileptic spike and wave activity.

17. The method for determining the specific anatomical localization of dysfunction in temporal lobe epilepsy of claim 1 further including the additional step of constructing a meaningful psychophysical test utilizing the optimal Wiener kernel-defined stimuli Λ

wherein the subject is required to make a judgement "same" versus "different" for the condition f₁ (I) = f₂ (I) vs f₁ (I) + Λ

for bilaterally equivalent electrode placements and plotting the responses as a signal detection task for sorting according to criterion levels such that when noise trials are subtracted from signal trials, the residue will indicate function or dysfunction for particular stimulus-brain area combinations thereby generating additional neurophysiologically meaningful information.

18. A system for synthesizing a set of "n" discrete optimal visual stimuli, one optimal visual stimulus for each different and distinct brain area being examined, for use in determining the anatomical localization of brain dysfunction, said system comprising:

means for generating a pseudorandom input signal having the general characteristics of Gaussian white noise;

means responsive to said input signal for displaying a color video visual stimulus representation thereof, said visual stimulus being displayed so that it may be summed on the retina and associated neural network of the subject whose brain is being examined;

a plurality of "n" individual electrodes, one of said electrodes being disposed adjacent each of said different and distinct brain areas to be examined for monitoring the electrical spikes and slow potential response produced in said areas when said subject observes said displayed visual stimulus;

high impedance, low noise amplifier means having "n" channels, each of said channels being coupled to a different and distinct one of said "n" electrodes for amplifying the spikes and slow potential electrical analog response signals therefrom;

means for storing the amplified output of each of said "n" channels;

computational means responsive to said storage means and to said input signal-generating means for cross-correlating a resynthesized input signal with said stored electrical analog response signal for computing a Wiener kernel representation of the response from each of said electrodes for determining which portions of said input signal gave rise to insignificant responses;

means responsive to a determination of which portions of said input signal were responsible for insignificant responses for masking out the subsequent generation thereof so as to limit the bandwidth of any subsequently generated input signals;

said computational means being responsive to the resynthesized subsequently regenerated bandwidth-limited input signal and to the subsequently stored electrical analog response signals measured by said electrodes in response to the subject'"'"'s observation of the displayed bandwidth-limited visual stimulus resulting from said bandwidth-limited input signal for cross-correlating to obtain a recomputed Wiener kernel representation of the output of each of said electrodes; and

array processor means responsive to said recomputed Wiener kernel representation of the output of each of said electrodes and to the resynthesized bandwidth-limited input signals for multiplying same to produce an optimal input signal for each of "n" electrodes which can be supplied to said display means for displaying an optimal visual stimulus for testing each of said different and distinct brain areas being examined to anatomically localize brain dysfunction.

19. The apparatus of claim 18 wherein each of said plurality of "n" individual electrodes is a surface electrode adapted to be attached to the surface of the subject'"'"'s head for testing the different and distinct brain area located thereunder.

20. The system of claim 18 wherein each of said plurality of the "n" individual electrodes is adapted to be surgically implanted within the different and distinct brain areas to be examined.

21. The system of claim 18 wherein said means for generating a pseudorandom input signal includes a concentration of a series of binay shift registers for generating an endless sequence of binary digits, a hierarchialnetwork adapted to pick off a given pseudorandom sequence from said endless sequence, and means for multiplexing binary digits from said given pseudorandom sequence into complete words capable of controlling said color video display to generate said visual stimulus.

22. The system of claim 18 wherein said amplifier means includes means responsive to large potential variants such as may be produced by electrical build-up at the electrode for generating a control signal, said amplifier means having a DC offset terminal responsive to the application of said control signal thereto to compensate for said large potential variants while maintaining a high input impedance and low amplifier noise for both spike and slow potential waveforms.

23. The system of claim 18 wherein said means for storing the amplified output of each of said "n" channels incudes a "n"-channel analog storage tape.

24. The system of claim 18 further including output means for recording both the broadband electrophysiological spike and slow potentials and the derived functions resulting from the cross-correlations for analysis purposes.

25. A method for determining the anatomical localization of dysfunction in the sensory systems of a brain under examination comprising the steps of:

placing a plurality of electrodes adjacent various distinct areas of the brain to be examined;

generating a sensory stimulus having the general characteristics of white noise;

exposing the subject whose brain is being examined to the generated sensory stimulus;

amplifying the electrical analog response signal measured by each of the placed electrodes;

recording the amplified analog response signal from each electrode;

resynthesizing the original sensory stimulus;

cross-correlating the resynthesized sensory stimulus with the recorded analog response signal for each placed electrode to obtain at least a first and second order Wiener kernel representation thereof;

limiting the bandwidth of the sensory stimulus by masking out those portions which tended to produce insignificant electrical analog responses in the brain of the subject under examination;

exposing the subject to a bandwidth-limited sensory stimulus;

amplifying the electrical analog response signal measured by each of the placed electrodes;

recording the amplified electrical analog response signals from each electrode;

resynthesizing the bandwidth-limited sensory stimulus;

cross-correlating the resynthesized, bandwidth-limited sensory stimulus with the stored bandwidth-limited analog response signal for each electrode to recompute at least a first and second order Wiener kernel representation thereof;

synthesizing an optimal kernel-defined visual stimulus for each of said electrodes by multiplying the resynthesized bandwidth-limited sensory stimulus by the recomputed Wiener kernel representation;

subsequently exposing the subject to the synthesized optimal kernel-defined sensory stimuli; and

utilizing the known locations of the placed electrodes whose optimal kernel-defined sensory stimuli produced significant neurophysiological responses in the subject to aid in determining the anatomical localization of dysfunction in the brain.