# Influence of a Silastic ECoG Grid on EEG/ECoG Based Source Analysis

## Authors

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DOI: 10.1007/s10548-012-0251-0

- Cite this article as:
- Lanfer, B., Röer, C., Scherg, M. et al. Brain Topogr (2013) 26: 212. doi:10.1007/s10548-012-0251-0

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## Abstract

The simultaneous evaluation of the local electrocorticogram (ECoG) and the more broadly distributed electroencephalogram (EEG) from humans undergoing evaluation for epilepsy surgery has been shown to further the understanding of how pathologies give rise to spontaneous seizures. However, a well-known problem is that the disruption of the conducting properties of the brain coverings can render simultaneous scalp and intracranial recordings unrepresentative of the habitual EEG. The ECoG electrodes for measuring the potential on the surface of the cortex are commonly embedded into one or more sheets of a silastic material. These highly resistive silastic sheets influence the volume conduction and might therefore also influence the scalp EEG and ECoG measurements. We carried out a computer simulation study to examine how the scalp EEG and the ECoG, as well as the source reconstruction therefrom, employing equivalent current dipole estimation methods, are affected by the insulating ECoG grids. The finite element method with high quality tetrahedral meshes, generated using a constrained Delaunay tetrahedralization meshing approach, was used to model the volume conductor that incorporates the very thin ECoG sheets. It is shown that the insulating silastic substrate of the ECoG grids can have a large impact on the scalp potential and on source reconstruction from scalp EEG data measured in the presence of the grids. The reconstruction errors are characterized with regard to the location of the source in the brain and the mislocalization tendency. In addition, we found a non-negligible influence of the insulating grids on ECoG based source analysis. We conclude, that the thin insulating ECoG sheets should be taken into account, when performing source analysis of simultaneously measured ECoG and scalp EEG data.

### Keywords

Finite element methodFEMECoGPresurgical epilepsy diagnosisSimultaneous EEGConstrained Delaunay tetrahedralizationDipole fitting method## Introduction

Epilepsy is a disorder affecting over 50 million people worldwide. A large group of those patients can be treated successfully using anti-epileptic drugs, but approx. 30 % of the patients are pharmacoresistant (Leeman and Cole 2008). An alternative effective treatment is the surgical resection of the epileptogenic tissue (Penfield 1950; Wiebe et al. 2001). The precise localization of the epileptogenic foci, preferably with non-invasive methods, is the major goal of the presurgical evaluation (Rosenow and Lunders 2001). In addition to evaluation by video and electroencephalography (EEG) long-term monitoring, magnetic resonance imaging (MRI), single photon emission computed tomography (CT) and neuropsychological examination, source analysis of ictal or inter-ictal brain activity using EEG and magnetoencephalography (MEG) is a promising tool (Bast et al. 2004, 2006; Ebersole 1999; Huiskamp et al. 1997, 1999; Kobayashi et al. 2001; Merlet and Gotman 1999; Plummer et al. 2008; Roth et al. 1997; Rullmann et al. 2009; Salayev et al. 2006; Scherg et al. 1999; Stefan et al. 2003; Waberski et al. 2000). Source analysis results correlated well with results from intracranial electrocorticographic (ECoG) recordings (Kobayashi et al. 2001; Merlet and Gotman 1999; Roth et al. 1997; Rullmann et al. 2009) and epileptogenic subcompartments could well be distinguished using source reconstruction techniques (Baumgartner et al. 1995; Ebersole 1999; Lantz et al. 2001; Roth et al. 1997). In a large study, source analysis revealed additional localizational information in 35 % of the 455 patients and in 10 %, it could even contribute to the decision about type, size and eventually necessary prior invasive examinations (Stefan et al. 2003).

In EEG and MEG source analysis the aim is to reconstruct the location and orientation of the sources of neurological activity from measured EEG or MEG data. Numerous methods have been proposed for this source reconstruction (e.g., Hämäläinen et al. 1993; Michel et al. 2004). Equivalent current dipole estimation (ECD) methods, like the dipole fitting method (Mosher et al. 1992; Scherg et al. 1999) or the goal-function scan method (Knösche 1997; Mosher et al. 1992), are among the most widely used approaches.

Source reconstruction from EEG or ECoG data requires an appropriate solution of the so-called forward problem, that is, the estimation of the electric potentials from an assumed current density distribution. Different methods were proposed to solve the forward problem, analytic formulas assuming a spherical volume conductor geometry (de Munck and Peters 1993) being the earliest. In more recent times, numerical methods, for example, the boundary element method (BEM) (Kybic et al. 2005), the finite difference method (FDM) (Hallez et al. 2005), the finite volume method (FVM) (Cook and Koles 2006), and the finite element method (FEM) (Bertrand et al. 1991; Buchner et al. 1997; Pursiainen et al. 2011; Ramon et al. 2004; Wolters et al. 2007b) were developed to solve the EEG forward problem in realistic models of the human head. The FEM is known for its flexibility with regard to the geometry and conductivity distribution of the volume conductor model, so that it does not require simplifying assumptions on geometry or conductivities (Schwarz 1991). Thus, in combination with a suitable meshing approach, it is able to treat arbitrarily complex geometries and conductivity distributions, and it is therefore adequate for solving the forward problem in head volume conductors incorporating only fractions of a millimeter thin, highly insulating ECoG grids.

In the last years, there is an increasing interest in simultaneous intracranial and extracranial recordings of epileptiform activity (Huiskamp et al. 2000; Lai et al. 2005; Lantz et al. 1996; Ray et al. 2007; Tao et al. 2007a, b; Zhang et al. 2006). A problem of ECoG measurements is the uncertainty of the placement of the electrode grid in combination with the limited field-of-view of the ECoG electrodes. This problem can be alleviated by simultaneously measuring and analyzing the scalp EEG. For example, in a situation where only electrodes at the border of the ECoG grid pick up activity, source reconstruction from scalp EEG can be performed to verify that the ECoG grid is correctly placed above the origin of the recorded activity. Using the scalp EEG it is also possible to scan for activity in brain areas not covered by the ECoG grid, thus, for example, helping to decide if the activity detected in the ECoG originates from the seizure onset zone or if it already propagated there.

In addition, simultaneous measurement and evaluation of the local ECoG and the more broadly distributed EEG from humans undergoing evaluation for epilepsy surgery provides an opportunity to investigate the network dynamics of the epileptogenic brain. Evaluating both modalities sources immediately below the grid and in distant cortical and subcortical areas can be measured, and interactions between these sources can be revealed.

There is, however, a problem with simultaneous measurements of the ECoG and the scalp EEG. The ECoG measurement is performed using electrodes which are commonly embedded into one or more silastic sheets. These thin silastic sheets are highly insulating and might therefore influence the volume conduction of the brain electric currents and, as a consequence, also affect the scalp EEG and ECoG measurements and the source analysis results therefrom. Such a disruption of the conducting properties of the brain coverings by ECoG grids can make simultaneous scalp and intracranial recordings unrepresentative of the habitual EEG (Alarcon et al. 2001; van den Broek et al. 1998; Tao et al. 2007a; Zhang et al. 2006).

Thus, an important research question is how exactly EEG and ECoG are influenced by the presence of the insulating grids, and also how source reconstruction based on EEG or ECoG data is affected.

Previous work on this was done by Zhang et al. (2006). In a simulation study they found a strong influence of insulating ECoG sheets on the scalp potential and on cortical potential imaging (CPI) from scalp EEG data.

Further publications with relevance for the topics of ECoG and source analysis exist (Dümpelmann et al. 2009; Fuchs et al. 2007; Zhang et al. 2008). Zhang et al. (2008) investigated how current density reconstruction (CDR) methods can be used to perform source analysis based on ECoG data. Fuchs et al. (2007) compared different volume conductor models for EEG and ECoG source analysis. The work of Dümpelmann et al. (2009) is concerned with the application of minimum norm (Hämäläinen et al. 1994) and MUSIC (Mosher et al. 1992) source reconstruction methods to ECoG data.

In this article, a simulation study is performed to investigate the influence of highly insulating ECoG grids on source analysis from the ECoG data itself and from simultaneously measured scalp EEG data. Potential distributions on the scalp and inside of the volume conductor are compared while ignoring, respectively, incorporating the insulating ECoG grids. Furthermore, to the best of our knowledge, it is studied for the first time how source reconstruction from scalp EEG and ECoG data by means of the widely-used ECD estimation approaches are affected by the presence of the insulating ECoG grids. Localization errors and mislocalization trends are assessed for a large number of probe sources distributed throughout the whole brain. Thus, we are able to make a statement, how much sources in brain regions closer to and more distant from the insulating grids are affected. In detailed, highly resolved error maps mislocalization trends and maximally affected dipole orientations are presented. Our study extends the work of Zhang et al. (Zhang et al. 2006) with regard to the following important aspects: We investigate the influence of the silastic electrode sheets on source reconstruction using the widely-used ECD estimation method, allowing us to explicitly state which localization errors have to be expected when ignoring the grids. In addition, we study the influence on source analysis from ECoG data, and we investigate the influence for sources distributed throughout the whole brain.

In the context of our simulation study, we furthermore describe an alternative way of solving the forward problem in the complex volume conductor incorporating the thin, insulating ECoG sheets. The FEM and problem-adapted, high-quality constrained Delaunay tetrahedralization (CDT) finite element meshes are used to model the electric properties of the head incorporating the thin silastic ECoG sheets. Advantages of the described method include good expected numerical convergence properties and the ability to model the ECoG grids without simplifying assumptions on the thickness of the grids.

## Methods

### The Bioelectric Forward and Inverse Problem

*J*

_{p}is called the bioelectric forward problem. Following (Hämäläinen et al. 1993; Sarvas 1987), a mathematical description for this problem is given by the quasi-static approximation of the Maxwell equations,

**n**the surface normal.

The non-uniqueness of the bioelectric inverse problem, that is, the estimation of *J*_{p} from measured potentials \(\Upphi\), implies that assumptions on the source model, as well as anatomical and physiological a-priori knowledge about the source region should be taken into account to obtain a unique solution (Hämäläinen et al. 1993; Sarvas 1987). Therefore, different inverse approaches for continuous and discrete source parameter space have been proposed (see, e.g., Hämäläinen et al. 1993; Michel et al. 2004 and the references therein). For the present study ECD estimation approaches are used to solve the inverse problem. The classical dipole fitting approach (Mosher et al. 1992; Scherg and von Cramon 1986) is employed for solving the inverse problem based on the EEG data. The optimization of the non-linear location parameters is performed using a Nelder-Mead simplex algorithm. Starting from an initial guess or seed point, the simplex algorithm finds the next local minimum of the cost function. To reliably find also the global minimum the simplex fit is repeatedly started from appropriately chosen seed points. For the dipole fits in the presented simulation study 16 different initial seed points distributed beneath the ECoG grids were used. Due to the limited field of view of the ECoG electrodes and a resulting more complex cost-function, we applied a goal function scan approach (Knösche 1997; Mosher et al. 1992) for ECD estimation from the ECoG data. In this approach, a single dipole is placed successively at each node of a scanning grid and the best fitting dipole moment is determined by linear estimation. In this way, for each grid node a goal function value is computed. The position of the grid node with the highest goal function value is interpreted as the reconstructed source position. A high resolution of the goal function scan is achieved by using a fine 1 mm scanning grid.

### Finite Element Method for the Numerical Solution of the Forward Problem

*n*being the number of finite element nodes, \({{\bf u} \in \mathbb{R}^n}\) is the discrete potential vector, containing an approximation to the potential at the finite element nodes, and \({{\bf J}\in\mathbb{R}^n}\) is the current vector. The number of finite element nodes,

*n*, is typically a large number. Despite its size,

**K**can easily be stored in memory on a common computer, because it is sparse, with only very few non-zero elements per column. In contrast, during inversion using a conventional direct solver, the decomposition of the matrix

**K**would fill up and could not be stored in memory any longer. Therefore, to solve Eq. (2) for a given right-hand side we use an iterative solver (Wolters et al. 2004).

As described later, our study will necessitate thousands of single dipole fits and thus hundreds of thousands of forward computations, which would be practically impossible in combination with the FE forward approach when iteratively solving Eq. (2) for each of the source locations proposed by the nonlinear optimizer. Our investigation is enabled by means of a transfer matrix approach (Weinstein et al. 2000; Wolters et al. 2004). In this way, the large FE system of equations does not have to be solved for every source, which shall be simulated, but only (*s* − 1) times, where *s* is the number of sensors. After this setup step, the forward simulation for a single source using the Venant approach can then be performed in few milliseconds on a common PC.

For the computation of the transfer matrix, we employed an algebraic multigrid preconditioned conjugate gradient (AMG-CG) method, and for each sensor, we solved up to a relative error of 10^{−6} in the controllable **K****C**^{−1}**K**-energy norm (with **C**^{−1} being one V-cycle of the AMG) (Lew et al. 2009b). Using the AMG-CG solver the computation of the transfer matrix for 30 electrodes and the FE mesh used in this study with ~110 k nodes takes only around 1 min 41 s on a common PC.

### Accuracy Aspects of the Chosen Numerical Forward and Inverse Approaches

The complexity of the investigated volume conductor incorporating the very thin and highly insulating ECoG sheets raises the question how we can ensure that our FEM simulations achieve good numerical accuracies. This section is dedicated to the discussion of this question.

*H*

^{m}Sobolev norm [Definition 1.2,8], \(\Upphi\) the potential from Eq. (1) that we are searching for, \(\Upphi_h=\sum\nolimits_{i=1}^n \varphi_{i} u_{i}\) the computed finite element approximation with \(\varphi_i\) an FE basis function,

*h*denotes the edge length of a finite element,

*C*is a constant that is independent of

*h*and reflects the mesh-regularity and

*k*is the quantitative convergence order. In the following, we discuss the interplay of

*m*,

*k*,

*h*and

*C*and how we chose the parameters, especially

*h*, to adapt the FE mesh to our specific problem.

In general, the order *k* depends on the regularity of the solution, on the degree of the FE basis functions, on the chosen Sobolev norm *m*, and on the approximation properties of the triangulation to the geometry [Chaps. 7,8]. Because of the limited regularity of \(\Upphi\) in volume conductors with discontinuous conductivities (\(\Upphi\) is bending at tissue boundaries so that the resulting current density is continuous), we can only assume \(\Upphi\) to be in Sobolev space *H*^{1} (Wolters et al. 2007b). We therefore choose linear FE basis functions, so that we will not find a much higher convergence order than *k* = 1 for the Sobolev norm *m* = 1 (see Wolters et al. 2007b, Sect. 3.7). Therefore, for the investigated problem, it is advisable to use a small, problem-adapted and locally varying mesh-size *h* in combination with linear basis functions \(\varphi_i\), as we have done here, instead of using higher order basis functions in combination with larger *h* which would end up in less accurate solutions for the same computational amount of work. Small *h* is needed especially in areas of large potential gradients or where an exact representation of the tissue structures needs full resolution. We therefore use highest resolution in the area of the 0.127 mm thin silastic grid (we especially take care that the grids are modeled without any holes) and lower resolution in areas where high-adaptivity is less advantageous.

On the other side, naive local mesh refinement leads to irregular tetrahedra in the border area between finely and coarsely meshed regions. Our meshing approach can partly compensate for this by only gradually changing the mesh resolution. But still, a very high mesh-resolution in the area of the silastic sheet and a much coarser mesh in other areas can only be achieved at the cost of a slightly increased mesh-irregularity. The constant *C* is affected by, amongst other factors, the regularity of the mesh (Braess 2007; Hackbusch 1992; Wolters et al. 2007b). However, for a finite size of *C*, we can always find an *h* so that the right-hand side of the Eq. (3) is small so that convergence of the approximative FE solution \(\Upphi_h\) to \(\Upphi\) is given.

In summary, the above convergence formula (3) tells us that we have to do our best to balance between a sufficiently small mesh size *h* that is adapted to accurately represent the potential function and a small constant *C*. Then, convergence is given through the above formula.

Furthermore, our experience from studies in multi-layer sphere models shows that the chosen FE forward modeling approach (Lew et al. 2009) as well as the inverse dipole fitting scenarios (Wolters 2008) achieve good numerical accuracy. In the latter work, dipole fitting localization errors were below 2 mm for all sources with eccentricities up to 1 mm below the cerebrospinal fluid (CSF) compartment in a model with a similar number of finite element nodes.

### Adaptive Constrained Delaunay Tetrahedral Meshing Approach

For our simulation study the CDT meshing approach (Si 2008; Si and Gärtner 2005) was employed for the generation of a tetrahedral finite element mesh that provides a good balance between locally refined mesh size *h* and small *C*. The meshing procedure starts with the preparation of a suitable boundary discretization of the segmented volume conductor compartments. Triangle meshes of the different tissue boundaries are produced that do not intersect each other. The absence of intersections is a necessary requirement for the input surfaces. The CDT approach is then used to construct a tetrahedralization conforming to the input surface meshes. This conformity is not guaranteed when using an ordinary Delaunay tetrahedralization. The CDT is constructed to fulfill two additional constraints to the size and shape of the tetrahedra. The first constraint restricts the volume of the generated tetrahedra (and thus *h*) in specified compartments, the so-called volume constraint. In our mesh, a very low volume constraint is chosen in the region of the insulating grids to adequately model the strong potential gradient due to the highly insulating ECoG grids. To keep *C* in a reasonable limit, the second constraint demands tetrahedra with a quality number *Q* lower than a given value, where *Q* = *R*/*L* is the radius-edge ratio of the tetrahedron with *R* denoting the radius of the unique circumsphere and *L* the shortest edge length of the tetrahedron. For all well-shaped tetrahedra, this value is small, and with \(Q = \sqrt{6}/4 = 0.612\), the smallest value is achieved for a regular tetrahedron where all edges have the same length. For most badly-shaped tetrahedra, this value is large. The radius-edge ratio can detect almost all degenerated tetrahedra except one type of tetrahedra, which has no small edges, but can have large dihedral angles, so-called slivers. An additional mesh smoothing and optimization step is used to remove the slivers and improve the overall mesh quality. The CDT meshing approach thus produces high-quality tetrahedral meshes, which do not contain any badly shaped tetrahedra. As discussed above, this is an important criterion to ensure good numerical properties of the FEM with CDT meshes.

### Study Design

In a second study, to investigate the influence of the grids on the solution of the inverse problem, sources were distributed across the whole brain volume, with sources placed more densely below the grids. The orientations of the dipole sources were determined to maximize the expected localization errors, when ignoring the influence of the ECoG grids. This was done as follows: For every source, the lead field (dimension *s* × 3), that is, the potential for a source in *x*-, *y*- and *z*-direction, was computed in the model ignoring the grids and in the model incorporating the grids. Then the singular value decomposition of the difference between these two lead fields was calculated. The right-singular vector belonging to the largest singular value was chosen as dipole orientation for the forward EEG computations when taking the grid into account. This orientation maximizes the *L*_{2} norm of the potential difference, that is, the relative error, between the solutions ignoring, respectively, incorporating the ECoG grids. For this dipole orientation, which yields the maximum relative error, we expect to find localization errors, which are close to the maximum localization error for any dipole at that position. Plots showing the dipole orientations having maximum relative error are also presented.

Forward simulations were performed in the reference model to generate reference EEG and ECoG data. This data was then reconstructed in the erroneous test model ignoring the insulating electrode sheets using the dipole fitting approach for EEG data, and the goal function scan method for the ECoG data. Differences between the reference dipole sources and the reconstructed dipole sources were evaluated using the error measures described in “Error Measures for Inverse Calculations” section. Mislocalization errors for all sources, represented by vectors pointing from the reference to the reconstructed source position, are shown to illustrate the dependence of the localization error on the brain region and to show the mislocalization tendency. In addition average source reconstruction errors are analyzed for sources at different distance intervals to the insulating grids.

### Construction of the Reference Model

A voxel-based affine registration using mutual information was used to register the pre-surgical T1-MRI onto the post-surgical CT (Maes et al. 1997). The registered datasets were then segmented into the four tissue compartments scalp, skull, CSF and brain using an adaptive fuzzy C-means (AFCM) segmentation approach (Pham and Prince 1998). Scalp, skull and the CSF in the craniotomy opening were extracted from the CT while the remaining part of the CSF-compartment and the brain were segmented out of the T1-MRI.

To model the ECoG grids, the barycenters of the electrodes were extracted from the CT image and triangulated. Duplicates of the two triangulated surfaces were then shifted along the averaged triangle normals by 0.127 mm, that is, the thickness of the grids. By connecting the edges of the original and the shifted grids two closed surfaces were constructed. A CDT was finally applied to build tetrahedra meshes of the volumes of the two ECoG grids. Note, that no simplifications regarding the geometry of the ECoG grids were applied. Triangle meshes of the segmented surfaces scalp, outer skull, inner skull, CSF and brain were obtained from the registered and segmented image datasets using the software CURRY (Neuroscan 2009). Due to the craniotomy hole and the brain shift (Soza 2005) between the pre-surgical MRI and the post-surgical CT, intersections of the resulting triangulated surfaces occurred. Therefore, a first tetrahedralization was obtained using the CDT on the non-intersecting surfaces. Then, one-by-one, the nodes of the CDT meshes of the ECoG grids and the nodes of the triangulated outer and inner skull surfaces were added and new CDT meshes were created. The procedure resulted in a CDT FE mesh with 116,651 nodes and 662,099 elements.

The mean radius-edge ratio across all tetrahedra was 1.29 and only 0.05 % of all tetrahedra had a radius-edge ratio larger than 3.0. Even if most *Q* values are clearly above the optimal value of 0.612, the otherwise limited values still show that we achieved good mesh quality for our special case of a volume conductor with thin silastic grids where a strong adaptive grid refinement is a more important prerequisite than a completely regular mesh. Thus, a good convergence can be expected for the FEM simulations as deeply discussed in “Accuracy Aspects of the Chosen Numerical Forward and Inverse Approaches” section.

Finally, a conductivity value was assigned to each tetrahedron by determining which closed segmented surface surrounds the tetrahedron using a solid-angle calculation as described in detail in Röer (2008). Conductivity values of 0.33 S/m, 0.0042 S/m, 1.79 S/m, 0.33 S/m and 3.3 × 10^{−11} S/m (Baumann et al. 1997; Buchner et al. 1997; Zhang et al. 2006) were used for the compartments scalp, skull, CSF, brain and silastic grids, respectively. For those simulations in which the modeling of the ECoG grids was ignored, a test model was constructed where the conductivity of all grid tetrahedra was set to the value of CSF conductivity. The test model otherwise remained unchanged.

### Error Measures for Forward Calculations

*relative error*(

*RE*), the

*relative difference measure*(

*RDM*) and the

*magnification factor*(

*MAG*). The RE can be defined as

*L*

_{2}norm. The RE is equally affected by changes in topography and in total magnitude of the potentials (Meijs et al. 1989). Therefore, we introduce the topography error RDM, and the magnitude error MAG. Following Lew et al. (2009) we define the RDM as

### Error Measures for Inverse Calculations

*M*

_{ref}, and the magnitude of the reconstructed dipole,

*M*

_{rec}, is computed,

### Software and Computational Platform

CDT meshing was performed using the software TetGen (Si 2009). All source analysis forward and inverse computations were performed within the software toolbox SimBio (2012) on a PC equipped with 8 GB of RAM and an *Intel Core 2 Quad Q6600* CPU. Visualization was carried out using the software SCIRun (59).

## Results

Errors between FEM solutions for the scalp EEG and the ECoG incorporating the ECoG grid and ignoring it

Dipole number | Orientation | Scalp EEG | ECoG | ||
---|---|---|---|---|---|

RDM in % | MAG | RDM in % | MAG | ||

1 (farthest from the grid) | Radial | 6.2541 | 1.0704 | 19.4246 | 0.6723 |

2 | Radial | 8.1315 | 1.1094 | 14.9579 | 0.7025 |

3 | Radial | 12.8126 | 1.2165 | 19.9120 | 0.5644 |

4 | Radial | 28.0687 | 2.0094 | 17.7442 | 0.3565 |

5 (closest to the grid) | Radial | 37.3872 | 3.6547 | 14.2245 | 0.2817 |

1 | Tangential | 3.7798 | 1.0126 | 9.2548 | 0.8243 |

2 | Tangential | 6.7608 | 1.0372 | 10.4221 | 0.7956 |

3 | Tangential | 13.0755 | 1.0850 | 15.8391 | 0.6782 |

4 | Tangential | 25.6068 | 1.2337 | 23.0515 | 0.5128 |

5 | Tangential | 44.7511 | 1.6391 | 21.0273 | 0.3722 |

No significant difference between the scalp potential distributions can be seen for the deepest dipole while, for more superficial dipoles and especially for the dipole closest to the grid (#5), clear differences can be observed. The RDM and MAG values for the EEG potentials in Table 1 confirm these observations. The RDM is maximal for the most superficial sources #4 and #5, where it reaches values of up to 45 %. For the sources close to the grids the MAG is also strongly affected by a screening effect of the grids. Especially for radial sources high MAG values of up to 3.65 are observed, that is, in the model without the grids simulated electrode potentials were up to more than three times as large as compared to the model incorporating the grids.

Although the potentials inside of the volume conductor in the region close to the source do not seem to differ for the deepest sources, it is evident from the iso-potential lines that the potentials do differ in the vicinity of the insulating grids. It can be observed that the iso-potential lines in the model with ECoG grids are denser below the grid and less dense in the area between the grid and the scalp surface. Iso-potential lines were plotted at the same iso-values in the models with and without grids. Thus, this indicates that the ECoG potentials are smaller when ignoring the grid as compared to when modeling the grid. The MAG values (<0.4) for the ECoG potentials of dipole #1 in Table 1 confirm this observation. It is notable that even for the most distant dipole position the RDM values for the ECoG data—ranging between 9 and 20 %—are large, and even larger than the RDM values for the scalp EEG data. The influence of the insulating grids on the potentials in the vicinity of the grid is even more obvious for the most superficial radial and tangential dipoles as shown in Fig. 5b, d. When ignoring the insulating grids the iso-potential lines can pass through the area of the grids unhindered. In contrast, when incorporating the grids the iso-potential lines are compressed below the grid and the potential distribution is distorted. This is also clearly visible in the ECoG RDM values presented in Table 1.

In the next study, effects of the ECoG grids on the EEG and ECoG inverse solutions were investigated. For each of the sources, that were distributed across the whole brain volume, with the orientations causing the maximal influence (as described in “Study Design” section) a reference solution was generated by simulating the potential at the EEG and ECoG electrodes in the reference volume conductor model incorporating the ECoG grids. ECD estimation (moving dipole fitting for the EEG (Mosher et al. 1992; Scherg and Von Cramon 1986) and goal function scan for the ECoG (Knösche 1997; Mosher et al. 1992)) was then performed to reconstruct these reference data. The forward solutions for the ECD estimation were calculated in the model ignoring the ECoG grids.

Average errors of the ECD estimation results from scalp EEG and ECoG reference data across four different distance ranges from the ECoG grids

Distance \(\varnothing\) in mm | Scalp EEG | ECoG | ||||
---|---|---|---|---|---|---|

Localization \(\varnothing\) in mm | Orientation \(\varnothing\) in ° | %\(\Updelta M\,\varnothing\) in % | Localization \(\varnothing\) in mm | Orientation \(\varnothing\) in ° | %\(\Updelta M\,\varnothing\) in % | |

| 13.4 | 42.2 | 211.2 | 5.4 | 77.5 | 686.4 |

10 < | 12.4 | 20.1 | 35.7 | 8.9 | 51.0 | 84.5 |

20 < | 7.1 | 7.6 | 18.3 | 17.2 | 53.6 | 52.6 |

| 2.7 | 2.9 | 5.0 | 26.5 | 87.6 | 339.2 |

Errors for the source reconstruction based on the ECoG reference data are presented in Fig. 8 and in Table 2. With regard to the localization error sources closer than 1 cm to the grid are least affected with an average error of 5.4 mm. The localization error strongly increases for more distant sources, most likely due to the limited field-of-view of the ECoG. Already in the distance range from 2 to 4 cm the average localization error rises to 17.2 mm. From Fig. 8 we observe that sources tend to be reconstructed at positions more towards the insulating ECoG grids. For sources close to the border of the ECoG grids, for example, we can observe that they are by tendency reconstructed at positions more towards the center of the closest grid. With respect to the orientation and magnitude of the reconstructed sources large errors of on average 77.5°, respectively, 686.6 % can be found even for the sources immediately below the grid. Orientation and magnitude errors stay on a high level ranging between 51.0° and 87.6°, respectively, 52.6 and 339.2 % for more distant sources.

## Discussion

In our results we observed a tendency of sources close to the border of the grids to be localized at positions towards the grid’s center during EEG source reconstruction when not accounting for the insulating ECoG grids. As already pointed out in the introduction simultaneously measured EEG data can be analyzed in practice to verify the correct placement of the ECoG grid. The observed mislocalization tendency can have consequences for this application. In the case of an epileptic source close to the border of the ECoG grid, the evaluation of the scalp EEG without taking the insulating ECoG grids into account would indicate, due to the mislocalization tendency, that the source is lying well below the grid. Thus, the suboptimal placement of the ECoG grid would not be detected. Only when incorporating the insulating grids in the volume conductor model it would be possible to recognize that the grid is not placed above the epileptic source and the grid placement could be corrected.

For ECoG source reconstruction it was found that sources immediately below the grids were less affected with regard to their localization error (on average 5.4 mm at distances up to 1 cm from the grids), but their moments could only be reconstructed with big errors of, on average, 77.5° in orientation and 686.4 % in magnitude. In Pataraia et al. (2005), Salayev et al. (2006) it was reported that ECD orientations might even be more important than absolute localizations in attributing epileptic activity to subcompartments of the respective brain area. We therefore conclude that also for ECoG source analysis, an accurate modeling of the insulating ECoG grids might be important.

In our reference model the ECoG grids were located on the right superior frontal and parietal cortex. As the presented results are in general very clear, we do not expect significantly different outcomes when considering insulating grids placed on other cortex regions. There might, however, be some cases were the influence of the grids on the scalp EEG might be smaller. From the potential distributions inside the model (Figure 5) we learned that the presence of the grid mainly affects the potentials in the vicinity of the grid. When the grid is placed on the inferior temporal lobe, for example, then there might be only few or no electrodes on the scalp surface close to the grid. Thus, the scalp EEG would be less affected. The influence on the ECoG data, however, should still be very similar to the results presented here.

A comparable study to the one presented here was performed by Zhang et al. (2006). However, their study focused on investigating the effect of insulating ECoG grids on the cortical potential imaging (CPI) method, so that we cannot compare our source reconstruction results obtained using ECD estimation to theirs. In particular, Zhang et al. express the influence of the grids on the results of their CPI approach in terms of correlation between the directly simulated and the reconstructed cortical potentials. We, however, are able to make statements regarding the actual localization errors in mm that are to be expected when ignoring the insulating grids. Nevertheless, we can compare our results regarding the influence of the grids on the scalp potential maps to the results in Zhang et al.’s study. The authors report, that the scalp potential magnitude simulated in the model incorporating the insulating electrode grid strongly decreases, especially for radial dipoles, pointing towards the grid. This is in good agreement with the results presented in Fig. 5. Furthermore, Zhang et al. find decreasing values of the correlation coefficient (CC) between the scalp potentials simulated with and without ECoG grids, when the dipole source approaches the grid. The RDM is related to the CC through \(\hbox{RDM}=\sqrt{2(1-\hbox{CC})}\) (Wolters et al. 2007b). Therefore, the decreasing CC found by Zhang et al. is in agreement with the increasing RDM in our study, that is, an increased topography error, for sources approaching the grids. Our findings with regard to the influence of the insulating grids on the ECoG data are new and have not yet been reported in the literature. We believe that these results are important and of interest for many researchers working on ECoG based source analysis.

The findings presented in this article might also aid in the interpretation of previous work related to the simultaneous measurement of ECoG and scalp EEG. In Tao et al. (2007a, b), for example, the cerebral EEG substrates of scalp EEG seizure patterns were determined to assess the limitations of scalp seizure recording in the localization of seizure onset zones in patients with temporal lobe epilepsy. In light of our results, it is an interesting question whether the silastic membrane of the subdural grids may have attenuated the scalp EEG. This could have given a bias to the interpretation that a synchronously-active cortical area of minimally 10 cm^{2} is required to generate a scalp recognizable interictal spike or ictal rhythm and that a percentage of spikes lacked sufficient synchrony to result in a clearly localized or lateralized scalp ictal pattern (Tao et al. 2007a, b).

Although we took care to construct a detailed and realistic volume conductor model for our simulation study, some limitations of the model must be discussed. Due to the brain shift, which occurs when the skull of the patient is opened during surgery, the alignment of the pre-surgical MRI and the post-surgical CT was suboptimal. Therefore, we have to expect some inaccuracy in the segmentation of the CSF and the brain compartments in the area of the craniotomy hole. It shall first be noted, that, even if a post-surgical MRI was not available to us, to the best of our knowledge, there should be generally no technical obstacles for measuring an MRI after the surgery. This post-surgical MRI should then in practice be used for model construction. Another, however more difficult, solution strategy could be the modeling of the brain shift as reported by Soza (2005) and its subsequent use for an improved registration of a pre-surgical MRI and a post-surgical CT. A further important aspect to be discussed here are the chosen conductivity values for the different tissue compartments. In our investigations standard isotropic conductivity values were used for all segmented tissue compartments (Baumann et al. 1997; Buchnet al. 1997; Zhang et al. 2006). However, as recent studies have shown, the skull might be better represented by a model that distinguishes compact and cancellous bone tissue (Akhtari et al. 2002; Dannhauer et al. 2011; Law 1993) and the brain is known to have an inhomogeneous and anisotropic conductivity (Güllmar et al. 2010; Hallez et al. 2005; Rullmann et al. 2009; Wolters 2008). Furthermore, conductivity parameters are known to vary inter- and intra-individually (Akhtari et al. 2002; Law 1993; Lew et al. 2009). However, as those errors affect the reference and the test model alike we do not assume that an improved modeling with regard to those aspects would have had a significant influence on the results presented here.

In “Accuracy Aspects of the Chosen Numerical Forward and Inverse Approaches” and “Adaptive Constrained Delaunay Tetrahedral Meshing Approach” sections, based on our experience, we manually determined the important parameters for the setup of optimal FE forward solutions for all sources in our sophisticated volume conductor scenario. We would like to note that optimized numerical accuracy can in some applications also be achieved by using automatically adapted finite element refinement strategies (see, e.g., Zienkiewicz et al. 2005, Chapt. 14). One of our future goals is to investigate how such automatic adaptation algorithms can contribute to FE-based source analysis.

In the present study we employed a CDT, instead of a hexahedral meshing approach for FE model creation. A hexahedral meshing approach could not be used for this epilepsy patient’s head model incorporating the thin ECoG grids without also employing advanced techniques, like local refinement and treatment of ’hanging’ or ’irregular nodes’ (Schimpf et al. 1996). Nevertheless, we would like to mention that hexahedral FE approaches (Rullmann et al. 2009; Schimpf et al. 1996; Vallaghe and Papadopoulo 2010; Wolters 2008; Wolters et al. 2007a; b) are very attractive for source analysis in standard volume conductor models, especially because no explicit description of the compartment boundaries is required.

Another important tool for epilepsy diagnosis is the simultaneous measurement of MEG and ECoG (Mikuni et al. 1997). One of the great advantages of MEG is that it is much less affected by volume conduction effects than EEG (Hämäläinen et al. 1993; Wolters et al. 2006). We assume that this should also be true for MEG recordings in the presence of the implanted insulating ECoG grids. Thus, for non-radial sources, reconstruction errors should be mostly negligible when not modeling the grids for MEG source analysis. Nevertheless, for sources very close to the insulating grids, the volume currents in the vicinity of the source, that are also contributing to the MEG signal, should be considerably distorted and, as a consequence, the MEG might also be influenced by the silastic ECoG grids. Further investigations are necessary to quantify this influence.

In conclusion, our study has shown that the insulating ECoG grids strongly distort the potential distribution in the vicinity of the grids. This resulted in large errors for the simultaneously measured surface EEG, especially for sources lying beneath the grid, and to significant errors for the source reconstruction from scalp EEG data. The ECoG data was also shown to be strongly affected by the insulating properties of the electrode sheet, and considerable source reconstruction errors were found even for sources immediately below the grid.

For the first time, source reconstruction errors employing widely-used ECD estimation approaches and evaluating probe sources distributed throughout the whole brain volume were presented and analyzed. The presented mislocalization maps can help interpreting EEG and ECoG source reconstruction results where the insulating ECoG grids were ignored. Furthermore, an alternative way was described of generating suitable volume conductor models with good convergence properties for solving the forward problem taking into account the very thin insulating ECoG grids. From the observed forward and inverse errors, we conclude, that the highly insulating silastic ECoG grids have to be taken into account for the analysis of scalp EEG data measured in the presence of the insulating ECoG grids. In addition, it might also be beneficial to account for the insulating grids when analyzing ECoG data. In practice, the insulating grids could be taken into account using the FEM based on adapted, high-quality CDT finite element meshes and using freely-available software, as it was described in this work.

## Acknowledgments

This work was supported by the Deutsche Forschungsgemeinschaft (WO1425/2-1, STE380/14-1). The authors would like to thank Chris Johnson, Tolga Tasdizen and Darby J. Van Uitert from the SCI Institute, University of Utah, Salt Lake City, USA, Gregory A. Worrell from the Department of Neurology and Division of Epilepsy, Mayo Clinic, Rochester, Minnesota, USA, and Scott Makeig from the Swartz Center for Computational Neuroscience, University of California San Diego, USA, for providing the necessary data for model construction and for their valuable help and the fruitful discussions with regard to this study. We would also like to thank the anonymous reviewers for their helpful critics and comments that significantly improved our manuscript.