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T Virues

Publications and source records attributed to T Virues.

3 recordsLinked to original sources

Multivariate statistical brain electromagnetic mapping.

Brain Electromagnetic Topography (BET) has attained widespread use. The representation of EEG or MEG parameters as scalp maps (BETm) aids its clinical interpretation. However, some critical issues limit the usefulness of BETm. In particular, the conventional statistical assessment of BETm with respect to normative data is based upon marginal significance probability scales which involve multiple univariate comparisons (one at each recording site). As a consequence, the probability of false positive findings (type I error) is increased above its nominal level. The use of conservative levels avoids this phenomenon but results in a considerable increase of the probability of not detecting real abnormality (type II error). Furthermore, BETm are constructed without taking into consideration the patterns of correlations characteristic of electromagnetic data under normal states of brain functioning. This limits the capability of BETm of representing multivariate aspects of abnormality. This paper introduces some techniques to approach these difficulties. Multivariate Brain Electromagnetic Topographic maps (MBETm) are defined, which retain the attractive features of mapping but also take advantage of multivariate characteristics (in the spatial and frequency domains) to highlight aspects of neuropathology. Moreover, simultaneous significance probability (SSP) scales, valid for both BETm and MBETm, are introduced for the global control of the probability of a type I error. The use of these techniques is illustrated with data from patients with cortical tumours and with epilepsy. ROC analysis shows that in some cases there is a significant improvement in both detection and localization accuracy.

Brain

A global scale factor in brain topography.

In this paper statistical resampling techniques are used to support the presence of an equiangular first principal component in EEG log spectra and therefore the existence of a global scale factor in EEG recordings. the Log transformed spectra from a normal sample (n = 211, age 5-97) were analyzed. To reach this conclusion a method for estimating the scale factor is introduced. It is also shown that this factor remains constant in each individual for all derivations and frequencies and across functional states. The contribution of this scale factor to the overall variance of the normal EEG reaches 42% of the total variance of age corrected data. Part of the variance of the scale factor exhibits age dependency. Scale factor correction of EEG spectra data improves the diagnostic accuracy for detecting pathological EEG spectra from an almost random level (Area under the ROC curve = .6) to .84.

Adolescent

Brain-stem auditory evoked potentials and brain death.

BAEP records were obtained from 30 brain-dead patients. Three BAEP patterns were observed: (1) no identifiable waves (73.34%), (2) an isolated bilateral wave I (16.66%), and (3) an isolated unilateral wave I (10%). When wave I was present, it was always significantly delayed. Significant augmentation of wave I amplitude was present bilaterally in one case and unilaterally in another. On the other hand, in serial records from 3 cases wave I latency tended to increase progressively until this component disappeared. During the same period, wave I amplitude fluctuations were observed. A significant negative correlation was found for wave I latency with heart rate and body temperature in 1 case. Two facts might explain the progressive delay and disappearance of wave I in brain-dead patients: a progressive hypoxic-ischaemic dysfunction of the cochlea and the eighth nerve plus hypothermia, often present in brain-dead patients. Then the incidence of wave I preservation reported by different authors in single BAEP records from brain-dead patients might depend on the moment at which the evoked potential study was done in relation to the onset of the clinical state. It is suggested that, although BAEPs provide an objective electrophysiological assessment of brain-stem function, essential for BD diagnosis, this technique could be of no value for this purpose when used in isolation.

Adolescent