Doctoral Thesis

Methods for Analysis of Long-Term Clinical Recordings of Intracranial EEG in Epileptic Patients

Final Thesis 17.99 MB Summary of Thesis 17.99 MB

Author of thesis: Ing. Vojtěch Trávníček

Acad. year: 2025/2026

Supervisor: Ing. Pavel Jurák, CSc.

Reviewers: Ing. Martin Lamoš, Ph.D., prof. MUDr. Jakub Otáhal, Ph.D.

Abstract:

Intracranial EEG (iEEG) is an indispensable method for pre-surgical planning in patients
with pharmacoresistant epilepsy. The current clinical standard for the identification of
surgical targets is grounded in the analysis of ictal data, while interictal recordings still
play a minor role in clinical diagnoses despite representing 99% of presurgical data.
This thesis introduces relative entropy as a new feature for the analysis of interictal
data to locate the epileptogenic zone, hence the surgical target. It provides analyses of
confounding variables such as antiseizure medication, states of vigilance, and proximity to
seizures and reveals that states of vigilance modulate feature values and distributions the
most. It further investigates novel features of very-fast ripples and ultra-fast ripples and
explores their behavior in different states of vigilance. Finally, a novel detection method
for ultra-fast oscillations (2-8kHz) was designed and implemented to allow quantitave
analyses of this novel phenomena.
Together, these results offer new features for the identification of the epileptogenic zone
and contribute to a deeper understanding of presurgical iEEG recordings by description
of different confounding factors and their influence on iEEG.

Keywords:

epilepsy, iEEG, signal processing, high-frequency oscillations

Date of defence

14.01.2026

Result of the defence

Defended (thesis was successfully defended)

znamkaPznamka

Process of defence

Ing. Trávníček prezentoval výsledky své práce, které byly publikovány v impaktovaných časopisech. Posudky oponentů byly pozitivní a doktorand odpověděl na všechny položené otázky. V diskuzi byly položeny další otázky členů komise a odpovědi byly robněž zodpovězeny bez výhrad.

Language of thesis

English

Faculty

Department

Study programme

Biomedical Technology and Bioinformatics (DKC-BTB)

Composition of Committee

doc. Ing. Jana Kolářová, Ph.D. (předseda)
prof. MUDr. Jakub Otáhal, Ph.D. (člen)
Ing. Martin Lamoš, Ph.D. (člen)
Doc. MUDr. Martina Bočková, Ph.D. (člen)
prof. Eric Daniel Glowacki, Ph.D. (člen)
prof. Ing. Jiří Mekyska, Ph.D. (člen)

Supervisor’s report
Ing. Pavel Jurák, CSc.

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Posudek vedoucího práce [.pdf] 114,92 kB

Reviewer’s report
Ing. Martin Lamoš, Ph.D.

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Posudek oponenta [.pdf] 90,92 kB

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Posudek oponenta [.pdf] 329,11 kB

Responsibility: Mgr. et Mgr. Hana Odstrčilová