1. Introduction
Epilepsy is one of the most common neurological diseases that affects around 1% of the world’s population [
1]. In 30 % of epilepsy cases, patients do not respond to available antiepileptic drugs [
2]. For some of these patients, resective surgery can be considered as a potential treatment option [
2,
3]. However, a positive outcome of resection surgery highly depends on several factors including accurately identifying the epileptogenic zone (EZ) during presurgical evaluation [
4]. In that regard, the capacity to rely on objective biomarkers is fundamental to defining the optimal surgical approach for each patient. Depth-EEG recordings performed with intracerebral electrodes are capable of recording local field potentials (LFPs) with a sub-millisecond temporal resolution. Fast ripples (FRs) are pathological high-frequency oscillations (200-600 Hz) observed in LFPs [
5,
6]. In the last two decades, they gained a vast interest in clinical applications as a possible biomarker of epileptic regions due to their high specificity [
7,
8,
9].
FRs are mainly produced in primary sensory areas and hippocampal–entorhinal circuits of both humans and rodents [
4,
10,
11]. They have been discovered to mirror the underlying network changes during epileptogenesis, as they can be detected weeks before the onset of the first spontaneous seizure [
2]. Many studies investigated the pathophysiological mechanisms of FRs generation over the years. Recently, Al Harrach et al. [
12] analyzed the evolution of FR during epileptogenesis using computational modeling and
in vivo recordings from the CA1 subfield of the hippocampus of epileptic mice. They found that the generation of FRs is linked to two mechanisms: (a) the asynchronous firing of small clusters of pyramidal cells wherein each neuron fires at a frequency smaller than that of the recorded FRs; (b) hyper-excitability in the seizure onset zone which can induce distant pathological plasticity in connected remote networks [
12]. This is consistent with another study about the distinct hyperexcitable mechanisms underlying FRs generation [
13]
Clinical studies have not only highlighted the important role of FRs in the identification of the EZ but recently they revealed a positive correlation between removing regions generating FRs and postoperative outcome [
14,
15,
16]. However, the accurate detection of FRs remains a challenge due to their short duration, nonstationary type, and low amplitude that often mix with background activity and noise [
17,
18,
19]. Microelectrodes are extensively used to record pathological fast ripples (FRs) due to their ability to provide high spatial resolution and selectivity, allowing the recording of local field potentials (LFPs) from a smaller population of neurons [
17,
20]. However, they suffer from high impedance caused by their small size, particularly in frequencies below 1 kHz [
21]. This impedimetric impact affects the recording of signals in two ways. First, the signal-to-noise ratio (SNR) level decreases due to the higher contribution of thermal noise [
22,
23]. Second, microelectrodes will have a high cut-off frequency of around 10 kHz. Beyond this threshold, the impedance increases by several folds due to the gradual transformation of the electrode from a resistive to a capacitive regime [
21]. This switch results in phase-shift and non-linear distortion of signals which can seriously affect the quality of the recorded FRs[
17,
24].
Over the past few years, several high-performance microelectrode designs have been proposed with the aim of optimizing neural recording. These designs entail a tradeoff between achieving high electrical performance and maintaining adequate spatial resolution [
17,
25,
26]. In particular, the introduction of coating microelectrodes with conductive polymers (CP) has proven to be a successful strategy for reducing the impedance and cut-off frequency of microelectrodes [
27,
28]. CPs are mixed ion/electronic conductors that enhance communication between ionically conductive living tissue and electronically conductive electrodes by facilitating the transfer of electrons and ions. The permeability of CPs to ions is crucial for reducing impedance and cut-off frequency, as it enables electrochemical interaction throughout the entire bulk material [
29,
30].
Among conductive polymers, poly(3,4-ethylenedioxythiophene)-poly(styrene sulfonate) (PEDOT:PSS) is commonly used because of its thermal, electrochemical, and moisture stability, optical transparency, low oxidation potential, and commercial availability [
27,
28]. It promises to improve signal transfer while maintaining the geometrical size unchanged [
17]. PEDOT:PSS is synthesized through the oxidation of its monomers, EDOT (3,4-ethylenedioxythiophene), in the presence of PSS counter ions [
27]. Its deposition on microelectrodes has the potential to reduce the impedance by two orders of magnitude and to push the cut-off frequency to a few tens of hertz thanks to its volumetric capacitive behavior [
28,
31].
Several studies have analyzed the impact of impedance on recorded signal quality focusing on LFPs and individual neuron activities. However, aside from our recent study about the model-guided design of microelectrodes to improve FRs recording [
17], no other studies have investigated the impact of the microelectrode impedance on the transfer function of the recording system and its direct impact on FRs observability. In our previous study, we used
in silico modeling to test FR observability with different types of microelectrode made with different materials and combined with different coatings [
17]. We concluded that using PEDOT/PSS coated microelectrodes can improve FRs observability [
17]. There was concern, however, that the results were only based on one day of
in vivo recordings. In this study, we investigate the effect of the tuning of a Gold (Au) microelectrode impedance through the coating with PEDOT:PSS (Au/PEDOT:PSS) and its impact on FRs observability during epileptogenesis using a Kainate mouse model of temporal lobe epilepsy. To quantify the impact of PEDOT:PSS coating we developed equivalent circuit models and compared the observed FRs energy feature contents for Au and Au/PEDOT:PSS microelectrodes.
3. Results
In this study, we evaluated the impact of the microelectrode impedance tuning on the quality of the recorded FRs. Accordingly, we coated standard Au wire electrodes with PEDOT:PSS to study the relation between impedance tuning and FR observability. The electrodes were prepared in pairs as portrayed in
Figure 1. The SEM micrographs, presented in
Figure 5.A, showed that the morphology of PEDOT:PSS coating is highly dependent on the surface roughness. Therefore, the resulting PEDOT:PSS roughness is due to the surface structure itself. Electrochemical impedance measurement (EIS) was employed to verify the performance of the fabricated electrodes. After coating the Au electrodes with PEDOT:PSS, as predicted the impedance dropped by two orders of magnitude (
Figure 2.A). In particular, at 500Hz, it decreased from 110
± 1.5 k
to 1.612 ± 0.2 k
. This decrease is due to the PEDOT:PSS volumetric capacitive behavior [
28,
29]. To characterize the PEDOT:PSS coating we used Cyclic voltammetry (CV) in the same electrochemical cell.
Figure 5.B shows the CV curve of the Au/PEDOT:PSS microelectrode obtained in an aqueous solution. After 400 consecutive oxidation–reduction cycles at a scan rate of 100 mV/s [
32], the PEDOT:PSS electrochemical properties remained unaltered. Lastly, we measured the impedance variation at 1 KHz over 4 weeks. The impedance magnitude plot is depicted in
Figure 5.C in
. We observed a slight increase in the impedance over the first week then it decreased to its original value in the following couple of weeks to settle at 2.25
throughout the last week of monitoring indicating its stability (
Figure 5.C).
To evaluate the change in the cut-off frequency after coating with PEDOT:PSS, we analyzed the equivalent circuit transfer function (H(
)) variation.
Figure 2.C depicts the transfer functions of the Au and Au/PEDOT:PSS microelectrodes in Bode plot form. As predicted the transfer function of the system (
Figure 6) predicts a low-pass filtering effect on the signal, where the shunt capacitance tunes the cut-off frequency. For the Au electrode (without coating), the transfer function does not present a typical profile (
Figure 6). There is no predominant capacitive or resistive profile. From 1 Hz to 3 kHz, the slope of the attenuation is -1.1 dB/dec, starting at -3.12 dB. After this point, the slope becomes sharper. At 400 Hz, in the middle of the FR band, the gain of the Transfer function is around -12 dB for
= 1 nF. In the case of coated electrodes, the cut-off frequency of the ETI seems to be towards the end of the FR band (
Figure 6). Based on the transfer function phase variation, in the FR and lower frequency bands, the phase of the signal should not be altered. The improvement in the filtering effect of the microelectrode after coating is directly related to the decrease in the impedance. The PEDOT:PSS coating shifted the capacitive behavior of the electrodes to a frequency as low as 63 ± 0.1 Hz (
Figure 2.B). This is reflected in the transfer function cut-off frequency variation which represents the electrode’s transition from resistive to capacitive behavior[
21].
From an electrochemical point of view, the spread resistivity(
) remained unchanged before and after PEDOT:PSS coating at 2 ± 0.1 k
since it only depends on the electrode’s geometrical size.
increased by three orders of magnitude from 6± 0.5 nF to 1.32 ± 0.12
F as PEDOT:PSS is deposited.
rised from 1
± 0.01 to several G
after PEDOT:PSS deposition which signifies that the polymeric film acted as an ideal capacitor and hindered charge transfer at the electrode-electrolyte interface. So, we can safely remove the
component from the circuit for the Au/PEDOT:PSS electrode. Due to the rough surface of the Au wires before coating with PEDOT:PSS, we used the constant phase element which accounts for imperfections on the surface with the n value around 0.890 hich is due to the surface roughness as shown in SEM image (
Figure 5.A). After coating, the n value of the constant phase element is almost 1 which reflects the capacitive behavior of PEDOT:PSS. Therefore for PEDOT:PSS coated electrodes, we replaced the
Q with the Warburg element to model diffusion mass. The value of the Warburg element is 11 ± 0.3
which is quite low in comparison with bare electrodes (840 k
). It translates to the resistivity of the system for any mass transfer[
41] (in this case, charge) due to PEDOT:PSS coating. This result is in excellent agreement with the cut-off frequency variation.
For the segmentation of fast ripples (FRs), we employed the pipeline depicted in
Figure 4. This process relies on the visual detection of FRs and subsequent filtering within the frequency band of 200-600 Hz, as explained in detail previously. The analysis of the iEEG recordings shows that the number of FRs varies greatly each day, from 55 on day 2; 336 on day 4; 1791 on day 7; 627 on day 9; and 1713 on day 11. The energy in both FR and background bands was found to be higher for signals recorded with the Au/PEDOT:PSS electrode compared to the Au one, as shown in
Figure 7. Both box plots depicted in
Figure 7.D and E ) follow the same trend. The energy of the recorded FRs has a similar distribution from day 2 to day 7. However, on day 9, the energy is attenuated on both electrodes and in both the background and the FRs frequency bands. Considering day 2 as the reference: the median value of the energy for the FR band attenuates by 11 % and 10 % for Au and for Au with PEDOT:PSS, respectively. In the background band, the attenuation is slightly inferior, with 7 % on both electrodes. On day 11, this number decreases even more to 25 % and 22 % for Au and Au/PEDOT:PSS electrodes, respectively. The equivalent numbers in the background bands are 13 % and 12 % for Au and Au/PEDOT:PSS respectively. A one-tailed paired samples t-test was performed between the two time series recorded on each day. It revealed statistical significance, with a p-value always inferior to
. Therefore, coating electrodes with PEDOT:PSS makes visual detection easier since it gives signals a higher amplitude. However, the improvement is on all frequencies and not only on the FR band. In the FR band, the difference of energy between the electrodes is 6.3 dB on day 2; 6.1 dB on day 9; and 6.2 dB on day 11; based on the median values. On the background band, the difference in energy is very similar: 6.2 dB on days 2 and 9, and 6.1 dB on day 11. Hence, the energy recorded with the Au/PEDOT:PSS is on average 4 times higher than with the Au wire, which would match the prediction of the model for the Transfer Function of the system in
Figure 6.
4. Discussion
PEDOT:PSS-coated electrodes are widely used in modern bioelectronics and neural recordings [
27,
32,
42,
43]. They have been referred to as the new golden standard for neuroelectronic interfaces [
42] since they can improve the SNR ratio during the recording of LFPs [
44]. In the context of epilepsy, they can offer a solution to the FR recording issues related to microelectrodes’ high impedance and mechanical mismatch with the brain tissues. However, there is a lack of studies that specifically address the problem of improving FR observability by lowering the impedance of the electrode. In our recent study [
17] we investigated using computational modeling the impact of PEDOT/PSS voting on the quality of recorded FRs. This study included preliminary
in vivo results that showed that PEDOT/PSS can record FRs with higher energy compared to Au and stainless steel wires. Still, the
in vivo results were not conclusive, since they were based on one recording day, and only 2/3 of the mice presented this improvement in the recorded FR signals. This study aimed to experimentally validate the improvement of FR observability and visual detection using PEDOT: PSS-coated gold wire microelectrodes with an improved experimental scheme.
Regarding FR detection, it should be noted that, although various detectors have been used for the automatic detection of FRs, their outcome is highly dependent on the detector type and parameters. As a result, visual detection of FRs is still the golden standard in the field [
9]. The results presented in this work indicates that Au/PEDOT:PSS microelectrodes significantly increase the energy of the signal of the signal of interest compared to Au microelectrodes throughout the two weeks of postimplantation recording (Figure ). These findings validate the results presented in the previous study [
17] and also suggest that using PEDOT/PSS coated microelectrodes can improve FRs observability and thereupon their detection.
Another result that was observed in this work concerned the signal energy variation postimplantation. According to the segmented FRs, the energy of the signals decreased after the seventh recording day (
Figure 7.D and
Figure 7.E). This can be explained by the formation of scar tissue around the electrodes. The insertion of the electrodes in the brain triggers a complex trajectory of immune responses which encapsulate the probe with a dense scar. Several events are assigned to the foreign body reaction; including the insertion trauma, the disruption of the blood-brain barrier, and the presence of the probe itself [
45]. The main reason behind this cascade is the mechanical mismatch between the brain tissue (young modulus of 200 to 1500 pa) and the electrodes (for example 50 Gpa for silicon probes). Accordingly, the scar tissue, which encapsulates the electrode, can be as thick as 100
m[
46,
47]. This phenomenon reduces the number of neurons close to the implant and disturbs the impedance of the electrodes. Previous works, based on
in vivo impedance spectroscopy, investigated the properties of this scar tissue [
46,
48]. In particular, Charkhkar et al.[
49] observed that the main increase of the impedance takes place during the first week postimplantation then it stabilizes for the PEDOT-coated microelectrodes making it more suitable for chronic implantation compared to the Au one. They attributed this conclusion to improved coupling between microelectrode and brain tissue. This is consistent with our results where we found that the decrease in the signal’s energy after day 7 was significantly lower in the case of PEDOT:PSS coated electrodes. In addition, the ratio of the FRs energy to the background energy was significantly higher for day 11 (P<0.0001) for the Au/PEDOT:PSS microelectrode compared to the Au one. This suggests that for Au/PEDOT:PSS, the attenuation due to the ETI is lower in the FR band compared to the background. This was expected from the transfer function of the system (
Figure 6). However, this transfer function did not take into account the scar tissue layer.
Another point to mention would be that we considered the wires’ resistivity null. This resistivity is due to the insulator surrounding the electrodes in the conductive medium of the brain. Its value is equal to a few pF [
33]. Moreover, the impedance of the amplifier was equal 50 M
according to the technical documentation (Deltamed TM) which we assumed to be infinite. These approximations allowed us to simplify the equivalent circuit since the input of the amplifier is the potential of a capacitance that also accounts for the various parasitic effects in parallel. Nonetheless, the value of the equivalent capacitance is unknown. In the same plane, the effect of the soldering and the connectors and wires contribution is not known either. Our observations show a constant difference of 6 dB between the two materials tested in this study. Therefore, one can only speculate that one of the parasitic capacitance is in the order of 1 nF, and is predominant compared to the others. Accordingly, our model would portray very well the Transfer Function of the system and could be applied to other materials.
The present study is limited by the number of animals used in the
in vivo recordings. In addition, the number of recorded FRs varied greatly between the recording sessions. This can be explained by the inherent variability of the kainate model [
36], in which epileptogenesis progresses at a different rate in each animal. Furthermore, the rate of FRs is related to the activity of the animal, which is conditioned by its amount of stress. Nonetheless, the high number of segmented events is enough to deduce pertinent results that are in line with our previous findings in [
17]. Future work will focus on the influence of the mechanical properties of the electrode on the intensity of the inflammatory response and scar tissue formation. The electrical properties of gliosis caused by the electrode implantation can be improved through PEDOT:PSS coating (reduced mechanical mismatch between the microelectrode and the brain tissue) and should be further investigated. This work proposes new and improved recording microelectrodes specific to the recording of FRs. These PEDOT:PSS coated electrodes contribute to better FR detection results by increasing their observability. Accordingly, they can improve EZ delineation during presurgical evaluation.
Author Contributions
Conceptualization, H.M.,G.Dauly, A.EM. and M.AH.; methodology, G.Dauly, M.AH., F.W., H.M.; validation, G.Dieuset; investigation, H.M., G. Dauly, M.AH.; data curation, G.Dieuset; writing—original draft preparation, H.M., G.D. and M.AH.; writing—review and editing, H.M., G.D., M. AH., A.EM., F.W. and E.I.; visualization, G.D.; supervision, F.W., E.I. and M. AH.; project administration, F.W.; funding acquisition, F.W. and E. I. All authors have read and agreed to the published version of the manuscript.