Unveiling the Future of Magnetoencephalography: A Comparative Study of Rb-OPM and 4He-OPM in Epilepsy Detection

Magnetoencephalography (MEG) has been a groundbreaking tool in understanding brain activity by recording magnetic fields generated by electrical brain signals. Traditionally, cryogenic MEG systems using superconducting quantum interference devices (SQUIDs) have been employed, but their limitations, especially for individuals with smaller head circumferences like children, have sparked the search for alternative technologies.

The advent of optically pumped magnetometers (OPMs) has brought about a revolution in MEG. This study delves into the comparison of two types of OPMs: Rb-OPMs, based on alkali OPM technology, and He-OPMs, which use optical pumping of helium gas as a sensitive element. The aim is to assess their practical application in detecting interictal epileptiform discharges (IEDs) in a school-aged girl with refractory focal epilepsy.

Rb-OPMs, characterised by their small size and reduced brain-sensor distance, have already shown promise in recording physiological brain activity and epileptiform discharges in both children and adults. The study compares Rb-OPMs with He-OPMs, which are larger but offer a wider bandwidth and dynamic range. The focus is on maximising the detection of IEDs and comparing their amplitudes and signal-to-noise ratios (SNR).

The patient underwent simultaneous scalp recordings with four He-OPMs, four Rb-OPMs, and four EEG electrodes. The data were processed using independent component analysis (ICA) to isolate IED activity and assess the performance of each OPM modality. The results revealed that both Rb-OPMs and He-OPMs successfully recorded IEDs, showcasing the potential of OPMs in clinical applications.

However, challenges such as the high temperature of Rb-OPMs and limitations in recording bandwidth pose considerations for their widespread use. The study also highlighted the impact of sensor positioning on the amplitude and SNR of recorded signals. Despite these challenges, the findings suggest that OPMs, especially when used in a multi-axial configuration, hold promise for maximising spatial brain sampling.

This research marks a significant step forward in understanding the capabilities of Rb-OPMs and He-OPMs in the context of epilepsy detection. The comparative analysis sheds light on their strengths and limitations, providing valuable insights for researchers and clinicians exploring non-invasive pre-surgical evaluation methods.

To delve deeper into the details and implications of this groundbreaking study, we invite you to read the full paper: https://doi.org/10.3389/fnins.2023.1284262. Discover the potential of OPMs in advancing the field of magnetoencephalography and their role in shaping the future of diagnostic evaluation for focal epilepsy.