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Related Experiment Video

Updated: Jan 17, 2026

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Methodologies to detect cortico-cortical evoked potentials: a systematic review.

Tamara Al-Sadek1,2,3, Aryan Wadhwa2,3, Millen Wadhwa2,3

  • 1Department of Electrical and Computer Engineering, Maroun Semaan Faculty of Engineering and Architecture, American University of Beirut, Beirut, Lebanon.

Frontiers in Human Neuroscience
|September 17, 2025
PubMed
Summary

Cortico-cortical evoked potentials (CCEPs) lack standardized detection methods, with many studies omitting details. Data-driven approaches are recommended for improved quantification in brain connectivity research.

Keywords:
CCEP detectionECoGSEEGcortico-cortical evoked potentialsepilepsyfunctional connectivitysingle pulse electrical stimulation

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Area of Science:

  • Neuroscience
  • Electrophysiology
  • Brain Connectivity

Background:

  • Cortico-cortical evoked potentials (CCEPs) reveal functional connectivity between brain regions.
  • Current methods for defining and measuring CCEPs lack standardization.
  • Understanding CCEP detection is crucial for interpreting brain communication pathways.

Purpose of the Study:

  • To systematically review CCEP detection methodologies in published literature.
  • To identify commonalities, gaps, and trends in CCEP detection approaches.
  • To evaluate the prevalence of different detection techniques and their reporting.

Main Methods:

  • Systematic literature review of CCEP detection methods.
  • Data extraction on study demographics, stimulation parameters, recording techniques, and detection approaches.
  • Analysis of 187 studies, with detailed review of 72 studies involving 3,424 patients.

Main Results:

  • Over 50% of studies failed to describe their CCEP detection method.
  • Threshold-based detection was most common (68.1%), followed by statistical testing (16.7%).
  • Data-driven and frequency-based methods were used in only 4.1% of studies each.

Conclusions:

  • Significant lack of consensus exists in CCEP detection methodologies.
  • Many studies rely on threshold-based methods, potentially limiting accuracy.
  • Future research should prioritize data-driven approaches for robust CCEP quantification.