Recent Advances in High-Frequency Oscillations and Seizure Onset Detection Using Laplacian Electroencephalography via Tripolar Concentric Ring Electrodes ^†

Laplacian electroencephalogram signal from novel and noninvasive tripolar concentric ring electrodes has been demonstrated to have superior performance compared to the electroencephalogram from conventional disc electrodes due to its unique capabilities which allow automatic attenuation of common movement and muscle artifacts in applications including brain-computer interface, seizure onset detection, and detection of high-frequency oscillations and seizure onset zones. This review paper covers the recent advances in the fields of high-frequency oscillations and seizure onset detection based on tripolar Laplacian electroencephalography in animal models and human data to improve the diagnostic yield of electroencephalography for epilepsy. Progression of methodologies utilized including integration of multiple sensors using exponentially embedded families and results obtained including a comparison to the results of others as well as to the performance of the same detector on simultaneously recorded electroencephalogram via conventional disc electrodes is discussed in detail. Specific advantages of using this particular sensor for these particular applications are highlighted. Promising directions for the future work and an overview of currently ongoing research are discussed along with the potential of combining the two detectors and using automatically detected high-frequency oscillations that have been shown to be indicative of early seizure development as auxiliary features for the seizure onset detection.