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nomenon dynamical entrainment (synchronization), and it has constituted the basis
for the development of epileptic seizure prediction algorithms.
17.2.2.2 Measure of Dynamical Entrainment
A statistical measure of synchronization of the dynamics between two electrodes i
and j has been developed in the past. Specifically, the T ij between electrode sites i
and j for a measure of dynamics (e.g., STL max ) at time t is defined as
D t
ij
|
|
T ij =
ij / m ,
(17.2)
t
σ
ˆ
where D t ij and ˆ
t
ij denote the sample mean and standard deviation respectively of
all m differences between a measure's values at electrodes i and j within a window
w t =[
σ
m 10
t
t
,
t
.
24 s
]
moving over the measure's profiles. If the true mean
μ
ij of
the differences D t ij is equal to 0, and
t
ij are independent and normally distributed,
T ij is asymptotically distributed as the t -distribution with
σ
degrees of free-
dom. We have shown that these independence and normality conditions are satisfied
for STL max [10]. Therefore, we define desynchronization between electrode sites i
and j when T ij is significantly different from 0 at a significance level
(
m
1
)
. The desyn-
chronization condition between the electrode sites i and j , as detected by the paired
t -test, is
α
T ij >
t α / 2 , m 1 =
T th ,
(17.3)
where t α / 2 , m 1 =
T th is the 100
(
1
α /
2
)
critical value of the t -distribution with m
1
degrees of freedom. If T ij
t α / 2 , m 1 (which means that we do not have satisfactory
statistical evidence at the
level for the differences of values of a measure between
electrode sites i and j be nonzero within the time window w t ), we consider sites i
and j be synchronized with each other at time t .Using
α
α =
0
.
01 and m
=
60, the
threshold T th =
662.
We then estimate the average level of synchronization, as measured by the av-
erage T-index across all possible entrained (synchronized) pairs of electrode sites
within a predefined time period over time. This average T-index is followed over
time to monitor the response of SE to AED treatment. In the following sections, for
simplicity, we denote these spatially averaged T-index values by “T-index.” Results
from this analysis in SE patients are presented next.
2
.
17.3 Results
From the EEG data per SE patient, the STL max profiles per recording site and the
T-index profiles over time per pair of recording sites were estimated. All synchro-
nized pairs of electrode sites within 10 min prior to administration of the first drug
 
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