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Epilepsy affects nearly 1% of the global population, of which two thirds can be treated by anti-epileptic drugs and a much lower percentage by surgery. Diagnostic procedures for epilepsy and monitoring are highly specialized and labour-intensive. The accuracy of the diagnosis is also complicated by overlapping medical symptoms, varying levels of experience and inter-observer variability among clinical professions. This paper proposes a novel hybrid bilinear deep learning network with an application in the clinical procedures of epilepsy classification diagnosis, where the use of surface electroencephalogram (sEEG) and audiovisual monitoring is standard practice. Hybrid bilinear models based on two types of feature extractors, namely Convolutional Neural Networks (CNNs) and Recurrent Neural Networks (RNNs), are trained using Short-Time Fourier Transform (STFT) of one-second sEEG. In the proposed hybrid models, CNNs extract spatio-temporal patterns, while RNNs focus on the characteristics of temporal dynamics in relatively longer intervals given the same input data. Second-order features, based on interactions between these spatio-temporal features are further explored by bilinear pooling and used for epilepsy classification. Our proposed methods obtain an F1-score of 97.4% on the Temple University Hospital Seizure Corpus and 97.2% on the EPILEPSIAE dataset, comparing favourably to existing benchmarks for sEEG-based seizure type classification. The open-source implementation of this study is available at https://github.com/NeuroSyd/Epileptic-Seizure-Classification
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Epileptic seizure forecasting, combined with the delivery of preventative therapies, holds the potential to greatly improve the quality of life for epilepsy patients and their caregivers. Forecasting seizures could prevent some potentially catastrophic consequences such as injury and death in addition to a long list of potential clinical benefits it may provide for patient care in hospitals. The challenge of seizure forecasting lies within the seemingly unpredictable transitions of brain dynamics into the ictal state. The main body of computational research on determining seizure risk has been focused solely on prediction algorithms, which involves a remarkable issue of balancing accuracy and false-alarms. In this paper, we developed a seizure-risk warning system that employs Bayesian convolutional neural network (BCNN) to provide meaningful information to the patient and provide a greater opportunity for him/her to be potentially more in charge of his/her health. We use scalp electroencephalogram (EEG) signals and release information on the certainty of our automatic seizure-risk assessment. In the process, we pave the ground-work towards incorporating auxiliary signals to improve our EEG-based seizure-risk assessment system. Our previous CNN results show an average AUC of 74.65% while we could achieve on an EEG-only BCNN an average AUC of 68.70%. This drop in performance is the cost of providing richer information to the patient at this stage of this research.
An accurate seizure prediction system enables early warnings before seizure onset of epileptic patients. It is extremely important for drug-refractory patients. Conventional seizure prediction works usually rely on features extracted from Electroencephalography (EEG) recordings and classification algorithms such as regression or support vector machine (SVM) to locate the short time before seizure onset. However, such methods cannot achieve high-accuracy prediction due to information loss of the hand-crafted features and the limited classification ability of regression and SVM algorithms. We propose an end-to-end deep learning solution using a convolutional neural network (CNN) in this paper. One and two dimensional kernels are adopted in the early- and late-stage convolution and max-pooling layers, respectively. The proposed CNN model is evaluated on Kaggle intracranial and CHB-MIT scalp EEG datasets. Overall sensitivity, false prediction rate, and area under receiver operating characteristic curve reaches 93.5%, 0.063/h, 0.981 and 98.8%, 0.074/h, 0.988 on two datasets respectively. Comparison with state-of-the-art works indicates that the proposed model achieves exceeding prediction performance.
We propose a computationally efficient algorithm for seizure detection. Instead of using a purely data-driven approach, we develop a hybrid model-based/data-driven method, combining convolutional neural networks with factor graph inference. On the CHB-MIT dataset, we demonstrate that the proposed method can generalize well in a 6 fold leave-4-patientout evaluation. Moreover, it is shown that our algorithm can achieve as much as 5% absolute improvement in performance compared to previous data-driven methods. This is achieved while the computational complexity of the proposed technique is a fraction of the complexity of prior work, making it suitable for real-time seizure detection.
Objective: Epilepsy is one of the most prevalent neurological diseases among humans and can lead to severe brain injuries, strokes, and brain tumors. Early detection of seizures can help to mitigate injuries, and can be used to aid the treatment of patients with epilepsy. The purpose of a seizure prediction system is to successfully identify the pre-ictal brain stage, which occurs before a seizure event. Patient-independent seizure prediction models are designed to offer accurate performance across multiple subjects within a dataset, and have been identified as a real-world solution to the seizure prediction problem. However, little attention has been given for designing such models to adapt to the high inter-subject variability in EEG data. Methods: We propose two patient-independent deep learning architectures with different learning strategies that can learn a global function utilizing data from multiple subjects. Results: Proposed models achieve state-of-the-art performance for seizure prediction on the CHB-MIT-EEG dataset, demonstrating 88.81% and 91.54% accuracy respectively. Conclusions: The Siamese model trained on the proposed learning strategy is able to learn patterns related to patient variations in data while predicting seizures. Significance: Our models show superior performance for patient-independent seizure prediction, and the same architecture can be used as a patient-specific classifier after model adaptation. We are the first study that employs model interpretation to understand classifier behavior for the task for seizure prediction, and we also show that the MFCC feature map utilized by our models contains predictive biomarkers related to interictal and pre-ictal brain states.
Automated seizure detection and classification from electroencephalography (EEG) can greatly improve the diagnosis and treatment of seizures. While prior studies mainly used convolutional neural networks (CNNs) that assume image-like structure in EEG signals or spectrograms, this modeling choice does not reflect the natural geometry of or connectivity between EEG electrodes. In this study, we propose modeling EEGs as graphs and present a graph neural network for automated seizure detection and classification. In addition, we leverage unlabeled EEG data using a self-supervised pre-training strategy. Our graph model with self-supervised pre-training significantly outperforms previous state-of-the-art CNN and Long Short-Term Memory (LSTM) models by 6.3 points (7.8%) in Area Under the Receiver Operating Characteristic curve (AUROC) for seizure detection and 6.3 points (9.2%) in weighted F1-score for seizure type classification. Ablation studies show that our graph-based modeling approach significantly outperforms existing CNN or LSTM models, and that self-supervision helps further improve the model performance. Moreover, we find that self-supervised pre-training substantially improves model performance on combined tonic seizures, a low-prevalence seizure type. Furthermore, our model interpretability analysis suggests that our model is better at identifying seizure regions compared to an existing CNN. In summary, our graph-based modeling approach integrates domain knowledge about EEG, sets a new state-of-the-art for seizure detection and classification on a large public dataset (5,499 EEG files), and provides better ability to identify seizure regions.
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