2002
Autores
Leal, AJR; Passao, V; Calado, E; Vieira, JP; Cunha, JPS;
Publicação
CLINICAL NEUROPHYSIOLOGY
Abstract
Objective: The epilepsy associated with the hypothalamic hamartomas constitutes a syndrome with peculiar seizures, usually refractory to medical therapy, mild cognitive delay, behavioural problems and multifocal spike activity in the scalp electroencephalogram (EEG). The cortical origin of spikes has been widely assumed but not specifically demonstrated. Methods: We present results of a source analysis of interictal spikes from 4 patients (age 2-25 years) with epilepsy and hypothalamic hamartoma, using EEG scalp recordings (32 electrodes) and realistic boundary element models constructed from volumetric magnetic resonance imaging (MRIs). Multifocal spike activity was the most common finding, distributed mainly over the frontal and temporal lobes. A spike classification based on scalp topography was done and averaging within each class performed to improve the signal to noise ratio. Single moving dipole models were used, as well as the Rap-MUSIC algorithm. Results: All spikes with good signal to noise ratio were best explained by initial deep sources in the neighbourhood of the hamartoma, with late sources located in the cortex. Not a single patient could have his spike activity explained by a combination of cortical sources. Conclusions: Overall, the results demonstrate a consistent origin of spike activity in the subcortical region in the neighbourhood of the hamartoma, with late spread to cortical areas.
2012
Autores
Silva Cunha, JPS; Paula, LM; Bento, VF; Bilgin, C; Dias, E; Noachtar, S;
Publicação
MEDICAL ENGINEERING & PHYSICS
Abstract
Movement quantification of the human body is presently used for analyzing deficits resulting from Central Nervous System (CNS) pathologies or exploring the insights of the human motor system behaviour. Following our previous work on 2D movement quantification of epileptic seizures, we now present a feasibility study for a newly developed 3D technique. In order to validate this new 3D approach we made a comparison with the previous method. Both techniques were tested in two different datasets: a simple motor execution performed by a volunteer and a complex motor motion induced by a real epileptic seizure. The results obtained showed, as expected, the superior robustness and precision of the 3D approach but also confirmed the validity of the 2D method, given certain constraints. We conclude that the newly developed 3D system will highly improve our capacity of pursuing the clinical research on quantitative characterization of seizure semiology to support epilepsy diagnosis.
2012
Autores
Teles, DC; Colunas, MFM; Fernandes, JM; Oliveira, IC; Cunha, JPS;
Publicação
Lecture Notes of the Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering
Abstract
Every day, thousands of first responders work to save the lives of others, sometimes without the adequate surveillance of health conditions. The VitalResponder is a project that aims at monitoring and control teams of first responders in emergency scenarios, using mobile technologies to capture and use real-time data to support real-time coordination. In this paper we present a system to capture, process, and display the vital signs of team members, which are made available to a first responders' team leader, for coordination and monitoring. The system addresses specific requirements of the field action, such as the mobility of actors, combining two of the most recent mobile technologies: the iPad (for the coordination view) and Android OS-based smartphones (for real-time sensor data acquisition). © 2012 ICST Institute for Computer Science, Social Informatics and Telecommunications Engineering.
2011
Autores
Fernandes, JM; Tafula, S; Silva Cunha, JPS;
Publicação
IMAGE ANALYSIS AND RECOGNITION: 8TH INTERNATIONAL CONFERENCE, ICIAR 2011, PT II: 8TH INTERNATIONAL CONFERENCE, ICIAR 2011
Abstract
We propose a technical solution that enables 3D video-based in-bore movement quantification to be acquired synchronously with the BOLD function magnetic resonance imaging (fMRI) sequences. Our solution relies on in-bore video setup with 2 cameras mounted in a 90 degrees angle that allows tracking movments while acquiring fMRI sequences. In this study we show that using 3D motion quantification of a simple finger opposition paradigm we were able to map two different finger positions to two different BOLD response patterns in a typical block design protocol. The motion information was also used to adjust the block design to the actual motion start and stop improving the time accuracy of the analysis. These results reinforce the role of video based motion quantification in fMRI analysis as an independent regressor that allows new findings not discernable when using traditional block designs.
2010
Autores
Fernandes, JM; Tafula, SM; Brandao, S; Bastos Leite, AJ; Ramos, I; Silva Cunha, JPS;
Publicação
WORLD CONGRESS ON MEDICAL PHYSICS AND BIOMEDICAL ENGINEERING, VOL 25, PT 4: IMAGE PROCESSING, BIOSIGNAL PROCESSING, MODELLING AND SIMULATION, BIOMECHANICS
Abstract
The combination of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) is a powerful tool to study brain function. In this study, we present a video-EEG-fMRI system where in-bore video, EEG and fMRI are acquired synchronously. To determine the added value of video in a typical EEG-fMRI scenario, we analyzed a simple motor activation paradigm (right index tapping). By using in-bore video, our results show that it is possible to determine different EEG potentials related to motion as well as to clearly distinguish the corresponding blood oxygen level dependent activations.
2006
Autores
Fernandas, JM; Leal, A; Cunha, JPS;
Publicação
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Abstract
EpiGauss is a method that combines single dipole model with dipole clustering to characterize active brain generators in space and time related to EEG events. EpiGauss was applied to study epileptogenic activity in 4 patients suffering of hypothalamic hamartoma related epilepsy, a rare syndrome with a unique epileptogenic source - the hamartoma lesion - and natural propagation hypothesis - from hamartoma to the surface EEG focus. The results are compared to Rap-MUSIC and Single Moving Dipole methods over the same patients. © Springer-Verlag Berlin Heidelberg 2006.
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