How can I investigate causal brain networks with iEEG?

TL;DR

This paper reviews the use of cortico-cortical evoked potentials (CCEPs) with iEEG to causally and directionally investigate brain networks, discussing methods, applications, neurophysiology, and future improvements.

Contribution

It provides a comprehensive overview of CCEP techniques, highlighting their unique ability to establish causal and directional connectivity in human brain networks.

Findings

CCEP can identify causal brain connections

CCEP reveals functional and pathological networks

Discussion of limitations and future directions

Abstract

While many human imaging methodologies probe the structural and functional connectivity of the brain, techniques to investigate cortical networks in a causal and directional manner are critical but limited. The use of iEEG enables several approaches to directly characterize brain regions that are functionally connected and in some cases also establish directionality of these connections. In this chapter we focus on the basis, method and application of the cortico-cortical evoked potential (CCEP), whereby electrical pulses applied to one set of intracranial electrodes yields an electrically-induced brain response at local and remote regions. In this chapter, CCEPs are first contextualized within common brain connectivity methods used to define cortical networks and how CCEP adds unique information. Second, the practical and analytical considerations when using CCEP are discussed. Third, we review the neurophysiology underlying CCEPs and the applications of CCEPs including exploring functional and pathological brain networks and probing brain plasticity. Finally, we end with a discussion of limitations, caveats, and directions to improve CCEP utilization in the future.