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Machine Learning-Based Prediction of Speech Arrest During Direct Cortical Stimulation Mapping
Nikasadat Emami, Amirhossein Khalilian-Gourtani, Jianghao Qian, Antoine Ratouchniak, Xupeng Chen, Yao Wang, Adeen Flinker
https://arxiv.org/abs/2509.08703

Machine Learning-Based Prediction of Speech Arrest During Direct Cortical Stimulation Mapping
Identifying cortical regions critical for speech is essential for safe brain surgery in or near language areas. While Electrical Stimulation Mapping (ESM) remains the clinical gold standard, it is invasive and time-consuming. To address this, we analyzed intracranial electrocorticographic (ECoG) data from 16 participants performing speech tasks and developed machine learning models to directly predict if the brain region underneath each ECoG electrode is critical. Ground truth labels indicating…