Predicting Epileptogenic Tubers in Patients with Tuberous Sclerosis Complex
NCT06789419 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 112
Last updated 2025-01-23
Summary
Accurate localization of epileptogenic tubers (ETs) in patients with tuberous sclerosis complex (TSC) is essential but challenging because ETs lack distinct pathological or genetic markers that differentiate them from other cortical tubers. Approximately 60% of patients fail to have their ETs identified through noninvasive preoperative evaluations, highlighting the clinical need for an efficient, noninvasive ET localization method.
Using MRI data from training datasets, we developed a novel noninvasive fusion model that combines a risk model based on lesion network mapping with a prediction model using brain functional connectivity and random forest algorithms. A retrospective analysis was conducted on TSC patients with epilepsy who underwent resective surgery. Tubers were classified as true-ETs, false-ETs, or true non-ETs based on resection locations and postoperative seizure-freedom. The model calculated and ranked the ET probability for each tuber for every patient, and its accuracy was assessed based on postoperative seizure outcomes.
Conditions
- Tuberous Sclerosis Complex
Sponsors & Collaborators
-
Beijing Children's Hospital
lead OTHER
Eligibility
- Min Age
- 6 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-07-01
- Primary Completion
- 2023-06-01
- Completion
- 2023-06-01
More Related Trials
-
Electrohaemodynamic Activity in Epileptic Children : Combined Video-EEG and Near-infrared Spectroscopy (NIRS) Analysis
NCT02814331 ·Status: COMPLETED
-
The Effectiveness and Safety of Vagus Nerve Stimulation for TRE
NCT04198207 ·Status: COMPLETED
-
Optimized and Personalized Trans-cranial Brain Stimulation in Partial Refractory Epilepsies
NCT06212609 ·Status: RECRUITING ·Phase: NA
-
Prediction of the Cognitive Effects of Electroconvulsive Therapy Via Machine Learning and Neuroimaging
NCT03490149 ·Status: UNKNOWN
-
Mapping Epileptic Networks Using Multimodal Imaging
NCT06202976 ·Status: RECRUITING
-
Localizing the Epileptogenic Zone With High Resolution Electroencephalography
NCT01090934 ·Status: COMPLETED ·Phase: NA
-
Concomitant High-resolution Recording of Haemodynamic and Electrical Activities of Children With Typical or Atypical Absence Seizures
NCT02819427 ·Status: UNKNOWN
-
Contribution of Genetics, Non-invasive Methods and Neuropsychology in Focal Cryptogenic Epilepsies
NCT05015868 ·Status: COMPLETED ·Phase: NA
-
Improvement of the Accuracy of Spatial Representation of Invasive Exploratory Electrodes in Focal Epilepsy
NCT02898935 ·Status: COMPLETED
-
Innovative MRI to Localize the Epileptic Zone
NCT06057233 ·Status: NOT_YET_RECRUITING
-
Long Term Efficacy and Safety of TMS Targeting Cerebellum to Treat DRE
NCT06832813 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Multimodal PET Imaging With 18F-FDG/SV2A/TSPO for Resection Planning in Drug-Resistant Epilepsy
NCT07147309 ·Status: NOT_YET_RECRUITING
-
Diffusion Tensor Imaging in Epilepsy With Continuous Spikes and Waves During Sleep
NCT03035513 ·Status: UNKNOWN
-
Impact of Epileptic Discharge on the Structural Connectivity of the Developing Brain
NCT03268824 ·Status: RECRUITING
-
Neuronal and Network Mechanisms of Electrocortical Stimulation
NCT06391294 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Invasive Brain-Computer Interfaces for Attention
NCT06940089 ·Status: WITHDRAWN ·Phase: NA
-
Continuous Thetaburst Stimulation for the Treatment of Refractory Epilepsy - Safety, Feasibility and Proof-of-concept
NCT02635633 ·Status: TERMINATED ·Phase: NA
-
Evaluation of Direct Effects of Electric Fields on Brain
NCT05250713 ·Status: COMPLETED ·Phase: NA
-
Hippocampal and Thalamic DBS for Bilateral Temporal Lobe Epilepsy
NCT04164056 ·Status: UNKNOWN ·Phase: PHASE4
-
Subiculum Electrical Stimulation for Temporal Lobe Epilepsy With Biliteral Hippocampus Sclerosis(SESTB)
NCT06436547 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
High Definition Transcranial Direct Current Stimulation (HD-tDCS) for Refractory Epilepsy
NCT06241963 ·Status: RECRUITING ·Phase: NA
-
Improving Cognitive Aptitudes With tDCS in Patients With Multiple Sclerosis
NCT02266121 ·Status: TERMINATED ·Phase: NA
-
Localizing Epileptic Networks Using MRI and iEEG
NCT04649008 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Transcranial Stimulation During Sleep to Improve Cognition in Epilepsy
NCT02268591 ·Status: WITHDRAWN ·Phase: NA
-
Determination of Biomarkers of the Effectiveness of Deep Brain Stimulation by Direct Electrophysiological Recordings of Brain Activity in a Cognitive Context - LFP-DBS 2024
NCT06813300 ·Status: RECRUITING ·Phase: NA