Epileptic seizure detection using multiwavelet transform based approximate entropy and artificial neural networks

Automatic detection of epilepsy from EEGs using a temporal convolutional network with a self-attention layer

BACKGROUND

Over 60% of epilepsy patients globally are children, whose early diagnosis and treatment are critical for their development and can substantially reduce the disease's burden on both families and society. Numerous algorithms for automated epilepsy detection from EEGs have been proposed. Yet, the occurrence of epileptic seizures during an EEG exam cannot always be guaranteed in clinical practice. Models that exclusively use seizure EEGs for detection risk artificially enhanced performance metrics. Therefore, there is a pressing need for a universally applicable model that can perform automatic epilepsy detection in a variety of complex real-world scenarios.

METHOD

To address this problem, we have devised a novel technique employing a temporal convolutional neural network with self-attention (TCN-SA). Our model comprises two primary components: a TCN for extracting time-variant features from EEG signals, followed by a self-attention (SA) layer that assigns importance to these features. By focusing on key features, our model achieves heightened classification accuracy for epilepsy detection.

RESULTS

The efficacy of our model was validated on a pediatric epilepsy dataset we collected and on the Bonn dataset, attaining accuracies of 95.50% on our dataset, and 97.37% (A v. E), and 93.50% (B vs E), respectively. When compared with other deep learning architectures (temporal convolutional neural network, self-attention network, and standardized convolutional neural network) using the same datasets, our TCN-SA model demonstrated superior performance in the automated detection of epilepsy.

CONCLUSION

The proven effectiveness of the TCN-SA approach substantiates its potential as a valuable tool for the automated detection of epilepsy, offering significant benefits in diverse and complex real-world clinical settings.

Seizure detection using nonlinear measures over EEG frequency bands and deep learning classifiers

Epilepsy is a brain disorder that causes patients to suffer from convulsions, which affects their behavior and way of life. Epilepsy can be detected with electroencephalograms (EEGs), which record brain neural activity. Traditional approaches for detecting epileptic seizures from an EEG signal are time-consuming and annoying. To supersede these traditional methods, a myriad of automated seizure detection frameworks based on machine learning techniques have recently been developed. Feature extraction and classification are the two essential phases for seizure detection. The classifier assigns the proper class label after feature extraction lowers the input pattern space while maintaining useful features. This paper proposes a new feature extraction method based on calculating nonlinear features from the most relevant EEG frequency bands. The EEG signal is first decomposed into smaller time segments from which a vector of nonlinear features is computed and supplied to machine learning (ML) and deep learning (DL) classifiers. Experiments on the Bonn dataset reveals an accuracy of 99.7% reached in classifying normal and ictal EEG signals; and an accuracy of 98.8% in the discrimination of ictal and interictal EEG signals. Furthermore, a performance of 100% is achieved on the Hauz Khas dataset. The classification results of the proposed approach were compared to those from published state of the art techniques. Our results are equivalent to or better than some recent studies appeared in the literature.

Multiband seizure type classification based on 3D convolution with attention mechanisms

Electroencephalogram (EEG) signal contains important information about abnormal brain activity, which has become an important basis for epilepsy diagnosis. Recently, epilepsy EEG signal classification methods mainly extract features from the perspective of a single domain, which cannot effectively utilize the spatial domain information in EEG signals. The redundant information in EEG signals will affect the learning features with the increase of convolution layer and multi-domain features, resulting in inefficient learning and a lack of distinguishing features. To tackle these issues, we propose an end-to-end 3D convolutional multiband seizure-type classification model based on attention mechanisms. Specifically, to process preprocessed electroencephalogram (EEG) data, a multilevel wavelet decomposition is applied to obtain the joint distribution information in the two-dimensional time-frequency domain across multiple frequency bands. Subsequently, this information is transformed into three-dimensional spatial data based on the electrode configuration. Discriminative joint activity features in the time, frequency, and spatial domains are then extracted by a series of parallel 3D convolutional sub-networks, where 3D channels and spatial attention mechanisms improve the ability to learn critical global and local information. A multi-layer perceptron is finally implemented to integrate the extracted features and further map them to the classification results. Experimental results on the TUSZ dataset, the world's largest publicly available seizure corpus, show that 3D-CBAMNet significantly outperforms the state-of-the-art methods, indicating effectiveness in the seizure type classification task.

Epileptic seizure detection by using interpretable machine learning models

Objective.Accurate detection of epileptic seizures using electroencephalogram (EEG) data is essential for epilepsy diagnosis, but the visual diagnostic process for clinical experts is a time-consuming task. To improve efficiency, some seizure detection methods have been proposed. Regardless of traditional or machine learning methods, the results identify only seizures and non-seizures. Our goal is not only to detect seizures but also to explain the basis for detection and provide reference information to clinical experts.Approach.In this study, we follow the visual diagnosis mechanism used by clinical experts that directly processes plotted EEG image data and apply some commonly used models of LeNet, VGG, deep residual network (ResNet), and vision transformer (ViT) to the EEG image classification task. Before using these models, we propose a data augmentation method using random channel ordering (RCO), which adjusts the channel order to generate new images. The Gradient-weighted class activation mapping (Grad-CAM) and attention layer methods are used to interpret the models.Main results.The RCO method can balance the dataset in seizure and non-seizure classes. The models achieved good performance in the seizure detection task. Moreover, the Grad-CAM and attention layer methods explained the detection basis of the model very well and calculate a value that measures the seizure degree.Significance.Processing EEG data in the form of images can flexibility to use a variety of machine learning models. The imbalance problem that exists widely in clinical practice is well solved by the RCO method. Since the method follows the visual diagnosis mechanism of clinical experts, the model interpretation results can be presented to clinical experts intuitively, and the quantitative information provided by the model is also a good diagnostic reference.

Evaluating the Window Size's Role in Automatic EEG Epilepsy Detection

Electroencephalography is one of the most commonly used methods for extracting information about the brain's condition and can be used for diagnosing epilepsy. The EEG signal's wave shape contains vital information about the brain's state, which can be challenging to analyse and interpret by a human observer. Moreover, the characteristic waveforms of epilepsy (sharp waves, spikes) can occur randomly through time. Considering all the above reasons, automatic EEG signal extraction and analysis using computers can significantly impact the successful diagnosis of epilepsy. This research explores the impact of different window sizes on EEG signals' classification accuracy using four machine learning classifiers. The machine learning methods included a neural network with ten hidden nodes trained using three different training algorithms and the k-nearest neighbours classifier. The neural network training methods included the Broyden-Fletcher-Goldfarb-Shanno algorithm, the multistart method for global optimization problems, and a genetic algorithm. The current research utilized the University of Bonn dataset containing EEG data, divided into epochs having 50% overlap and window lengths ranging from 1 to 24 s. Then, statistical and spectral features were extracted and used to train the above four classifiers. The outcome from the above experiments showed that large window sizes with a length of about 21 s could positively impact the classification accuracy between the compared methods.

On the Use of Wavelet Domain and Machine Learning for the Analysis of Epileptic Seizure Detection from EEG Signals

Epileptic patients suffer from an epileptic brain seizure caused by the temporary and unpredicted electrical interruption. Conventionally, the electroencephalogram (EEG) signals are manually studied by medical practitioners as it records the electrical activities from the brain. This technique consumes a lot of time, and the outputs are unreliable. In a bid to address this problem, a new structure for detecting an epileptic seizure is proposed in this study. The EEG signals obtained from the University of Bonn, Germany, and real-time medical records from the Senthil Multispecialty Hospital, India, were used. These signals were disintegrated into six frequency subbands that employed discrete wavelet transform (DWT) and extracted twelve statistical functions. In particular, seven best features were identified and further fed into k-Nearest Neighbor (kNN), naïve Bayes, Support Vector Machine (SVM), and Decision Tree classifiers for two-type and three-type classifications. Six statistical parameters were employed to measure the performance of these classifications. It has been found that different combinations of features and classifiers produce different results. Overall, the study is a first attempt to find the best combination feature set and classifier for 16 different 2-class and 3-class classification challenges of the Bonn and Senthil real-time clinical dataset.

Comparison of Empirical Mode Decomposition, Wavelets, and Different Machine Learning Approaches for Patient-Specific Seizure Detection Using Signal-Derived Empirical Dictionary Approach

Analysis of long-term multichannel EEG signals for automatic seizure detection is an active area of research that has seen application of methods from different domains of signal processing and machine learning. The majority of approaches developed in this context consist of extraction of hand-crafted features that are used to train a classifier for eventual seizure detection. Approaches that are data-driven, do not use hand-crafted features, and use small amounts of patients' historical EEG data for classifier training are few in number. The approach presented in this paper falls in the latter category, and is based on a signal-derived empirical dictionary approach, which utilizes empirical mode decomposition (EMD) and discrete wavelet transform (DWT) based dictionaries learned using a framework inspired by traditional methods of dictionary learning. Three features associated with traditional dictionary learning approaches, namely projection coefficients, coefficient vector and reconstruction error, are extracted from both EMD and DWT based dictionaries for automated seizure detection. This is the first time these features have been applied for automatic seizure detection using an empirical dictionary approach. Small amounts of patients' historical multi-channel EEG data are used for classifier training, and multiple classifiers are used for seizure detection using newer data. In addition, the seizure detection results are validated using 5-fold cross-validation to rule out any bias in the results. The CHB-MIT benchmark database containing long-term EEG recordings of pediatric patients is used for validation of the approach, and seizure detection performance comparable to the state-of-the-art is obtained. Seizure detection is performed using five classifiers, thereby allowing a comparison of the dictionary approaches, features extracted, and classifiers used. The best seizure detection performance is obtained using EMD based dictionary and reconstruction error feature and support vector machine classifier, with accuracy, sensitivity and specificity values of 88.2, 90.3, and 88.1%, respectively. Comparison is also made with other recent studies using the same database. The methodology presented in this paper is shown to be computationally efficient and robust for patient-specific automatic seizure detection. A data-driven methodology utilizing a small amount of patients' historical data is hence demonstrated as a practical solution for automatic seizure detection.

An empirical comparison of machine learning algorithms for the classification of brain signals to assess the impact of combined yoga and Sudarshan Kriya

Today's fast paced life reports so much stress among people that it may lead to various psychological and physical illnesses. Yoga and meditation are the best strategies to reduce the effect of stress on physical and mental level without any side-effects. In this study, combined yoga and Sudarshan Kriya (SK) has been used as an alternative and complementary therapy for the management of stress. The aim of the study is to find a method to classify the meditator and non-meditator states with the best accuracy. The 50 subjects have been participating in this study and divided into two groups, i.e. study and control group. The subjects with regular practice of Yoga and SK are known as meditators and the ones without any practice of yoga and meditation were known as non-meditators. Electroencephalogram (EEG) signals were acquired from these both groups before and after 3 months. The statistical parameters were computed from these acquired EEG signals using Discrete Wavelet Transform (DWT). These extracted statistical parameters were given as input to the classifiers. The decision tree, discriminant analysis, logistic regression, Support Vector Machine (SVM), Weighted K- Nearest Neighbour (KNN) and ensemble classifiers were used for classification of meditator and non- meditator states from the acquired EEG signals. The results have demonstrated that the SVM method gives the highest classification accuracy as compared to other classifiers. The proposed method can be used as a diagnosis system in clinical practices.

Convolutional neural network based on recurrence plot for EEG recognition

Electroencephalogram (EEG) is a typical physiological signal. The classification of EEG signals is of great significance to human beings. Combining recurrence plot and convolutional neural network (CNN), we develop a novel method for classifying EEG signals. We select two typical EEG signals, namely, epileptic EEG and fatigue driving EEG, to verify the effectiveness of our method. We construct recurrence plots from EEG signals. Then, we build a CNN framework to classify the EEG signals under different brain states. For the classification of epileptic EEG signals, we design three different experiments to evaluate the performance of our method. The results suggest that the proposed framework can accurately distinguish the normal state and the seizure state of epilepsy. Similarly, for the classification of fatigue driving EEG signals, the method also has a good classification accuracy. In addition, we compare with the existing methods, and the results show that our method can significantly improve the detection results.

The Impact of the COVID-19 Pandemic on the Unpredictable Dynamics of the Cryptocurrency Market

The global economy is under great shock again in 2020 due to the COVID-19 pandemic; it has not been long since the global financial crisis in 2008. Therefore, we investigate the evolution of the complexity of the cryptocurrency market and analyze the characteristics from the past bull market in 2017 to the present the COVID-19 pandemic. To confirm the evolutionary complexity of the cryptocurrency market, three general complexity analyses based on nonlinear measures were used: approximate entropy (ApEn), sample entropy (SampEn), and Lempel-Ziv complexity (LZ). We analyzed the market complexity/unpredictability for 43 cryptocurrency prices that have been trading until recently. In addition, three non-parametric tests suitable for non-normal distribution comparison were used to cross-check quantitatively. Finally, using the sliding time window analysis, we observed the change in the complexity of the cryptocurrency market according to events such as the COVID-19 pandemic and vaccination. This study is the first to confirm the complexity/unpredictability of the cryptocurrency market from the bull market to the COVID-19 pandemic outbreak. We find that ApEn, SampEn, and LZ complexity metrics of all markets could not generalize the COVID-19 effect of the complexity due to different patterns. However, market unpredictability is increasing by the ongoing health crisis.

Personalized Real-Time Federated Learning for Epileptic Seizure Detection

Epilepsy is one of the most prevalent paroxystic neurological disorders. It is characterized by the occurrence of spontaneous seizures. About 1 out of 3 patients have drug-resistant epilepsy, thus their seizures cannot be controlled by medication. Automatic detection of epileptic seizures can substantially improve the patient's quality of life. To achieve a high-quality model, we have to collect data from various patients in a central server. However, sending the patient's raw data to this central server puts patient privacy at risk and consumes a significant amount of energy. To address these challenges, in this work, we have designed and evaluated a standard federated learning framework in the context of epileptic seizure detection using a deep learning-based approach, which operates across a cluster of machines. We evaluated the accuracy and performance of our proposed approach on the NVIDIA Jetson Nano Developer Kit based on the EPILEPSIAE database, which is one of the largest public epilepsy datasets for seizure detection. Our proposed framework achieved a sensitivity of 81.25%, a specificity of 82.00%, and a geometric mean of 81.62%. It can be implemented on embedded platforms that complete the entire training process in 1.86 hours using 344.34 mAh energy on a single battery charge. We also studied a personalized variant of the federated learning, where each machine is responsible for training a deep neural network (DNN) to learn the discriminative electrocardiography (ECG) features of the epileptic seizures of the specific person monitored based on its local data. In this context, the DNN benefitted from a well-trained model without sharing the patient's raw data with a server or a central cloud repository. We observe in our results that personalized federated learning provides an increase in all the performance metric, with a sensitivity of 90.24%, a specificity of 91.58%, and a geometric mean of 90.90%.

Classifying epilepsy pragmatically: Past, present, and future

The classification of epilepsy is essential for people with epilepsy and their families, healthcare providers, physicians and researchers. The International League Against Epilepsy proposed updated seizure and epilepsy classifications in 2017, while another four-dimensional epilepsy classification was updated in 2019. An Integrated Epilepsy Classification system was proposed in 2020. Existing classifications, however, lack consideration of important pragmatic factors relevant to the day-to-day life of people with epilepsy and stakeholders. Despite promising developments, consideration of comorbidities in brain development, genetic causes, and environmental triggers of epilepsy remains largely user-dependent in existing classifications. Demographics of epilepsy have changed over time, while existing classification schemes exhibit caveats. A pragmatic classification scheme should incorporate these factors to provide a nuanced classification. Validation across disparate contexts will ensure widespread applicability and ease of use. A team-based approach may simplify communication between healthcare personnel, while an individual-centred perspective may empower people with epilepsy. Together, incorporating these elements into a modern but pragmatic classification scheme may ensure optimal care for people with epilepsy by emphasising cohesiveness among its myriad users. Technological advancements such as 7T MRI, next-generation sequencing, and artificial intelligence may affect future classification efforts.

Graph Attention Network with Focal Loss for Seizure Detection on Electroencephalography Signals

Automatic seizure detection from electroencephalogram (EEG) plays a vital role in accelerating epilepsy diagnosis. Previous researches on seizure detection mainly focused on extracting time-domain and frequency-domain features from single electrodes, while paying little attention to the positional correlations between different EEG channels of the same subject. Moreover, data imbalance is common in seizure detection scenarios where the duration of nonseizure periods is much longer than the duration of seizures. To cope with the two challenges, a novel seizure detection method based on graph attention network (GAT) is presented. The approach acts on graph-structured data and takes the raw EEG data as input. The positional relationship between different EEG signals is exploited by GAT. The loss function of the GAT model is redefined using the focal loss to tackle data imbalance problem. Experiments are conducted on the CHB-MIT dataset. The accuracy, sensitivity and specificity of the proposed method are 98.89[Formula: see text], 97.10[Formula: see text] and 99.63[Formula: see text], respectively.

Automatic identification of epileptic seizures using volume of phase space representation

Epilepsy is a neurological disorder that affects people of any age, which can be detected by Electroencephalogram (EEG) signals. This paper proposes a novel method called Volume of Phase Space Representation (VOPSR) to classify seizure and seizure-free EEG signals automatically. Primarily, the recorded EEG signal is disintegrated into several Intrinsic Mode Functions (IMFs) using the Empirical Mode Decomposition (EMD) method and the three-dimensional phase space have been reconstructed for the obtained IMFs. The volume is measured for the obtained 3D-PSR for different IMFs called VOPSR, which is used as a feature set for the classification of Epileptic seizure EEG signals. Support vector machine (SVM) is used as a classifier for the classification of epileptic and epileptic-free EEG signals. The classification performance of the proposed method is evaluated under different kernels such as Linear, Polynomial and Radial Basis Function (RBF) kernels. Finally, the proposed method outperforms noteworthy state-of-the-art classification methods in the context of epileptic EEG signals, achieving 99.13% accuracy (average) with the Linear, Polynomial, and RBF kernels. The proposed technique can be used to detect epilepsy from the EEG signals automatically without human intervention.

An efficient method for identification of epileptic seizures from EEG signals using Fourier analysis

Epilepsy is a disease recognized as the chronic neurological dysfunction of the human brain which is described by the sudden and excessive electrical discharges of the brain cells. Electroencephalogram (EEG) is a prime tool applied for the diagnosis of epilepsy. In this study, a novel and effective approach is introduced to decompose the non-stationary EEG signals using the Fourier decomposition method. The concept of position, velocity, and acceleration has been employed on the EEG signals for feature extraction using [Formula: see text] norms computed from Fourier intrinsic band functions (FIBFs). The proposed scheme comprises three main sections. In the first section, the EEG signal is decomposed into a finite number of FIBFs. In the second stage, the features are extracted from FIBFs and relevant features are selected by using the Kruskal-Wallis test. In the last stage, the significant features are passed on to the support vector machine (SVM) classifier. By applying 10-fold cross-validation, the proposed method provides better results in comparison to the state-of-the-art methods discussed in the literature, with an average classification accuracy of 99.96% and 99.94% for classification of EEG signals from the BONN dataset and the CHB-MIT dataset, respectively. It can be implemented using the computationally efficient fast Fourier transform (FFT) algorithm.

Carbogen inhalation during non-convulsive status epilepticus: A quantitative exploratory analysis of EEG recordings

Objective

To quantify the effect of inhaled 5% carbon-dioxide/95% oxygen on EEG recordings from patients in non-convulsive status epilepticus (NCSE).

Methods

Five children of mixed aetiology in NCSE were given high flow of inhaled carbogen (5% carbon dioxide/95% oxygen) using a face mask for maximum 120s. EEG was recorded concurrently in all patients. The effects of inhaled carbogen on patient EEG recordings were investigated using band-power, functional connectivity and graph theory measures. Carbogen effect was quantified by measuring effect size (Cohen’s d) between “before”, “during” and “after” carbogen delivery states.

Results

Carbogen’s apparent effect on EEG band-power and network metrics across all patients for “before-during” and “before-after” inhalation comparisons was inconsistent across the five patients.

Conclusion

The changes in different measures suggest a potentially non-homogeneous effect of carbogen on the patients’ EEG. Different aetiology and duration of the inhalation may underlie these non-homogeneous effects. Tuning the carbogen parameters (such as ratio between CO₂ and O₂, duration of inhalation) on a personalised basis may improve seizure suppression in future.

A Review on Machine Learning for EEG Signal Processing in Bioengineering

Electroencephalography (EEG) has been a staple method for identifying certain health conditions in patients since its discovery. Due to the many different types of classifiers available to use, the analysis methods are also equally numerous. In this review, we will be examining specifically machine learning methods that have been developed for EEG analysis with bioengineering applications. We reviewed literature from 1988 to 2018 to capture previous and current classification methods for EEG in multiple applications. From this information, we are able to determine the overall effectiveness of each machine learning method as well as the key characteristics. We have found that all the primary methods used in machine learning have been applied in some form in EEG classification. This ranges from Naive-Bayes to Decision Tree/Random Forest, to Support Vector Machine (SVM). Supervised learning methods are on average of higher accuracy than their unsupervised counterparts. This includes SVM and KNN. While each of the methods individually is limited in their accuracy in their respective applications, there is hope that the combination of methods when implemented properly has a higher overall classification accuracy. This paper provides a comprehensive overview of Machine Learning applications used in EEG analysis. It also gives an overview of each of the methods and general applications that each is best suited to.

Graph Eigen Decomposition-Based Feature-Selection Method for Epileptic Seizure Detection Using Electroencephalography

Epileptic seizure is a sudden alteration of behavior owing to a temporary change in the electrical functioning of the brain. There is an urgent demand for an automatic epilepsy detection system using electroencephalography (EEG) for clinical application. In this paper, the EEG signal is divided into short time frames. Discrete wavelet transform is used to decompose each frame into a number of subbands. Different entropies as well as a group of features with which to characterize the spike events are extracted from each subband signal of an EEG frame. The features extracted from individual subbands are concatenated, yielding a high-dimensional feature vector. A discriminative subset of features is selected from the feature vector using a graph eigen decomposition (GED)-based approach. Thus, the reduced number of features obtained is effective for differentiating the underlying characteristics of EEG signals that indicate seizure events and those that indicate nonseizure events. The GED method ranks the features according to their contribution to correct classification. The selected features are used to classify seizure and nonseizure EEG signals using a feedforward neural network (FfNN). The performance of the proposed method is evaluated by conducting various experiments with a standard dataset obtained from the University of Bonn. The experimental results show that the proposed seizure-detection scheme achieves a classification accuracy of 99.55%, which is higher than that of state-of-the-art methods. The efficiency of FfNN is compared with linear discriminant analysis and support vector machine classifiers, which have classification accuracies of 98.72% and 99.39%, respectively. Hence, the proposed method is confirmed as a potential marker for EEG-based seizure detection.

Epileptic seizure recognition using EEG wavelet decomposition based on nonlinear and statistical features with support vector machine classification

Epileptic seizure (ES) is a neurological brain dysfunction. ES can be detected using the electroencephalogram (EEG) signal. However, visual inspection of ES using long-time EEG recordings is a difficult, time-consuming and a costly procedure. Thus, automatic epilepsy recognition is of primary importance. In this paper, a new method is proposed for automatic ES recognition using short-time EEG recordings. The method is based on first decomposing the EEG signals on sub-signals using discrete wavelet transform. Then, from the obtained sub-signals, different non-linear parameters such as approximate entropy (ApEn), largest Lyapunov exponents (LLE) and statistical parameters are determined. These parameters along with phase entropies, calculated through higher order spectrum analysis, are used as an input vector of a multi-class support vector machine (MSVM) for ES recognition. The proposed method is evaluated using the standard EEG database developed by the Department of Epileptology, University of Bonn, Germany. The evaluation is carried out through a large number of classification experiments. Different statistical metrics namely Sensitivity (Se), Specificity (Sp) and classification accuracy (Ac) are calculated and compared to those obtained in the scientific research literature. The obtained results show that the proposed method achieves high accuracies, which are as good as the best existing state-of-the-art methods studied using the same EEG database.

Ictal quantitative surface electromyography correlates with postictal EEG suppression

OBJECTIVE

To test the hypothesis that neurophysiologic biomarkers of muscle activation during convulsive seizures reveal seizure severity and to determine whether automatically computed surface EMG parameters during seizures can predict postictal generalized EEG suppression (PGES), indicating increased risk for sudden unexpected death in epilepsy. Wearable EMG devices have been clinically validated for automated detection of generalized tonic-clonic seizures. Our goal was to use quantitative EMG measurements for seizure characterization and risk assessment.

METHODS

Quantitative parameters were computed from surface EMGs recorded during convulsive seizures from deltoid and brachial biceps muscles in patients admitted to long-term video-EEG monitoring. Parameters evaluated were the durations of the seizure phases (tonic, clonic), durations of the clonic bursts and silent periods, and the dynamics of their evolution (slope). We compared them with the duration of the PGES.

RESULTS

We found significant correlations between quantitative surface EMG parameters and the duration of PGES (p < 0.001). Stepwise multiple regression analysis identified as independent predictors in deltoid muscle the duration of the clonic phase and in biceps muscle the duration of the tonic-clonic phases, the average silent period, and the slopes of the silent period and clonic bursts. The surface EMG-based algorithm identified seizures at increased risk (PGES ≥20 seconds) with an accuracy of 85%.

CONCLUSIONS

Ictal quantitative surface EMG parameters correlate with PGES and may identify seizures at high risk.

CLASSIFICATION OF EVIDENCE

This study provides Class II evidence that during convulsive seizures, surface EMG parameters are associated with prolonged postictal generalized EEG suppression.

Multiband entropy-based feature-extraction method for automatic identification of epileptic focus based on high-frequency components in interictal iEEG

Presurgical investigations for categorizing focal patterns are crucial, leading to localization and surgical removal of the epileptic focus. This paper presents a machine learning approach using information theoretic features extracted from high-frequency subbands to detect the epileptic focus from interictal intracranial electroencephalogram (iEEG). It is known that high-frequency subbands (>80 Hz) include important biomarkers such as high-frequency oscillations (HFOs) for identifying epileptic focus commonly referred to as the seizure onset zone (SOZ). In this analysis, the multi-channel interictal iEEG signals were splitted into segments and each segment was decomposed into multiple high-frequency subbands. The different types of entropy were calculated for each of the subbands and the sparse linear discriminant analysis (sLDA) was applied to select the prominent entropy features. Due to the imbalance of SOZ and non-SOZ channels in iEEG data, the use of machine learning techniques is always tricky. To deal with the imbalanced learning problem, an adaptive synthetic oversampling approach (ADASYN) with radial basis function kernel-based SVM was used to detect the focal segments. Finally, the epileptic focus was identified based on detection of focal segments on SOZ and non-SOZ channels. Eight patients were examined to observe the efficiency of the automatic detector. The experimental results and statistical tests indicate that the proposed automatic detector can identify the epileptic focus accurately and efficiently.

Epileptic seizure detection on EEG signals using machine learning techniques and advanced preprocessing methods

Electroencephalography (EEG) is a common tool used for the detection of epileptic seizures. However, the visual analysis of long-term EEG recordings is characterized by its subjectivity, time-consuming procedure and its erroneous detection. Various epileptic seizure detection algorithms have been proposed to deal with such issues. In this study, a novel automatic seizure-detection approach is proposed. Three different strategies are suggested to the user whereby he/she could choose the appropriate one for a given classification problem. Indeed, the feature extraction step, including both linear and nonlinear measures, is performed either directly from the EEG signals, or from the derived sub-bands of tunable-Q wavelet transform (TQWT), or even from the intrinsic mode functions (IMFs) of multivariate empirical mode decomposition (MEMD). The classification procedure is executed using a support vector machine (SVM). The performance of the proposed method is evaluated through a publicly available database from which six binary classification cases are formulated to discriminate between healthy, seizure and non-seizure EEG signals. Our results show high performance in terms of accuracy (ACC), sensitivity (SEN) and specificity (SPE) compared to the state-of-the-art approaches. Thus, the proposed approach for automatic seizure detection can be considered as a valuable alternative to existing methods, able to alleviate the overload of visual analysis and accelerate the seizure detection.

Detecting Epileptic Seizures in EEG Signals with Complementary Ensemble Empirical Mode Decomposition and Extreme Gradient Boosting

Epilepsy is a common nervous system disease that is characterized by recurrent seizures. An electroencephalogram (EEG) records neural activity, and it is commonly used for the diagnosis of epilepsy. To achieve accurate detection of epileptic seizures, an automatic detection approach of epileptic seizures, integrating complementary ensemble empirical mode decomposition (CEEMD) and extreme gradient boosting (XGBoost), named CEEMD-XGBoost, is proposed. Firstly, the decomposition method, CEEMD, which is capable of effectively reducing the influence of mode mixing and end effects, was utilized to divide raw EEG signals into a set of intrinsic mode functions (IMFs) and residues. Secondly, the multi-domain features were extracted from raw signals and the decomposed components, and they were further selected according to the importance scores of the extracted features. Finally, XGBoost was applied to develop the epileptic seizure detection model. Experiments were conducted on two benchmark epilepsy EEG datasets, named the Bonn dataset and the CHB-MIT (Children's Hospital Boston and Massachusetts Institute of Technology) dataset, to evaluate the performance of our proposed CEEMD-XGBoost. The extensive experimental results indicated that, compared with some previous EEG classification models, CEEMD-XGBoost can significantly enhance the detection performance of epileptic seizures in terms of sensitivity, specificity, and accuracy.

Comparison of different input modalities and network structures for deep learning-based seizure detection

The manual review of an electroencephalogram (EEG) for seizure detection is a laborious and error-prone process. Thus, automated seizure detection based on machine learning has been studied for decades. Recently, deep learning has been adopted in order to avoid manual feature extraction and selection. In the present study, we systematically compared the performance of different combinations of input modalities and network structures on a fixed window size and dataset to ascertain an optimal combination of input modalities and network structures. The raw time-series EEG, periodogram of the EEG, 2D images of short-time Fourier transform results, and 2D images of raw EEG waveforms were obtained from 5-s segments of intracranial EEGs recorded from a mouse model of epilepsy. A fully connected neural network (FCNN), recurrent neural network (RNN), and convolutional neural network (CNN) were implemented to classify the various inputs. The classification results for the test dataset showed that CNN performed better than FCNN and RNN, with the area under the curve (AUC) for the receiver operating characteristics curves ranging from 0.983 to 0.984, from 0.985 to 0.989, and from 0.989 to 0.993 for FCNN, RNN, and CNN, respectively. As for input modalities, 2D images of raw EEG waveforms yielded the best result with an AUC of 0.993. Thus, CNN can be the most suitable network structure for automated seizure detection when applied to the images of raw EEG waveforms, since CNN can effectively learn a general spatially-invariant representation of seizure patterns in 2D representations of raw EEG.

Deep learning approach to detect seizure using reconstructed phase space images

Epilepsy is a chronic neurological disorder that affects the function of the brain in people of all ages. It manifests in the electroencephalogram (EEG) signal which records the electrical activity of the brain. Various image processing, signal processing, and machine-learning based techniques are employed to analyze epilepsy, using spatial and temporal features. The nervous system that generates the EEG signal is considered nonlinear and the EEG signals exhibit chaotic behavior. In order to capture these nonlinear dynamics, we use reconstructed phase space (RPS) representation of the signal. Earlier studies have primarily addressed seizure detection as a binary classification (normal vs. ictal) problem and rarely as a ternary class (normal vs. interictal vs. ictal) problem. We employ transfer learning on a pre-trained deep neural network model and retrain it using RPS images of the EEG signal. The classification accuracy of the model for the binary classes is (98.5±1.5)% and (95±2)% for the ternary classes. The performance of the convolution neural network (CNN) model is better than the other existing statistical approach for all performance indicators such as accuracy, sensitivity, and specificity. The result of the proposed approach shows the prospect of employing RPS images with CNN for predicting epileptic seizures.

Classification of low-density EEG for epileptic seizures by energy and fractal features based on EMD

We are here to present a new method for the classification of epileptic seizures from electroencephalogram (EEG) signals. It consists of applying empirical mode decomposition (EMD) to extract the most relevant intrinsic mode functions (IMFs) and subsequent computation of the Teager and instantaneous energy, Higuchi and Petrosian fractal dimension, and detrended fluctuation analysis (DFA) for each IMF. We validated the method using a public dataset of 24 subjects with EEG signals from 22 channels and showed that it is possible to classify the epileptic seizures, even with segments of six seconds and a smaller number of channels (e.g., an accuracy of 0.93 using five channels). We were able to create a general machine-learning-based model to detect epileptic seizures of new subjects using epileptic-seizure data from various subjects, after reducing the number of instances, based on the k-means algorithm.

Regression analysis for detecting epileptic seizure with different feature extracting strategies

Due to the excitability of neurons in the brain, a neurological disorder is produced known as epilepsy. The brain activity of patients suffering from epilepsy is monitored through electroencephalography (EEG). The multivariate nature of features from time domain, frequency domain, complexity and wavelet entropy based, and the statistical features were extracted from healthy and epileptic subjects using the Bonn University database and seizure and non-seizure intervals using the CHB MIT database. The robust machine learning regression methods based on regression, support vector regression (SVR), regression tree (RT), ensemble regression, Gaussian process regression (GPR) were employed for detecting and predicting epileptic seizures. Performance was measured in terms of root mean square error (RMSE), squared error, mean square error (MSE) and mean absolute error (MAE). Moreover, detailed optimization was performed using a RT to predict the selected features from each feature category. A deeper analysis was conducted on features and tree regression methods where optimal RMSE and MSE results were obtained. The best optimal performance was obtained using the ensemble boosted regression tree (BRT) and exponential GPR with an RMSE of 0.47, an MSE (0.22), an R Square (RS) (0.25) and an MAE (0.30) using the Bonn University database and support vector machine (SVM) fine Gaussian with RMSE (0.63634), RS (0.03), MSE (0.40493) and MAE (0.31744); squared exponential GPR and rational quadratic GPR with an RMSE of 0.63841, an RS (0.03), an MSE (0.40757) and an MAE (0.3472) was obtained using the CHB MIT database. A further deeper analysis for the prediction of selected features was performed on an RT to compute the optimal feasible point, observed and estimated function values, function evaluation time, objective function evaluation time and overall elapsed time.

A Tunable-Q wavelet transform and quadruple symmetric pattern based EEG signal classification method

Electroencephalography (EEG) signals have been widely used to diagnose brain diseases for instance epilepsy, Parkinson's Disease (PD), Multiple Skleroz (MS), and many machine learning methods have been proposed to develop automated disease diagnosis methods using EEG signals. In this method, a multilevel machine learning method is presented to diagnose epilepsy disease. The proposed multilevel EEG classification method consists of pre-processing, feature extraction, feature concatenation, feature selection and classification phases. In order to create levels, Tunable-Q wavelet transform (TQWT) is chosen and 25 frequency coefficients sub-bands are calculated by using TQWT in the pre-processing. In the feature extraction phase, quadruple symmetric pattern (QSP) is chosen as feature extractor and extracts 256 features from the raw EEG signal and the extracted 25 sub-bands. In the feature selection phase, neighborhood component analysis (NCA) is used. The 128, 256, 512 and 1024 most significant features are selected in this phase. In the classification phase, k nearest neighbors (kNN) classifier is utilized as classifier. The proposed method is tested on seven cases using Bonn EEG dataset. The proposed method achieved 98.4% success rate for 5 classes case. Therefore, our proposed method can be used in bigger datasets for more validation.

Redundancy Removed Dual-Tree Discrete Wavelet Transform to Construct Compact Representations for Automated Seizure Detection

With the development of pervasive sensing and machine learning technologies, automated epileptic seizure detection based on electroencephalogram (EEG) signals has provided tremendous support for the lives of epileptic patients. Discrete wavelet transform (DWT) is an effective method for time-frequency analysis of EEG and has been used for seizure detection in daily healthcare monitoring systems. However, the shift variance, the lack of directionality and the substantial aliasing, limit the effects of DWT in some applications. Dual-tree discrete wavelet transform (DTDWT) can overcome those drawbacks but may increase information redundancy. For classification tasks with small dataset sizes, such redundancy can greatly reduce learning efficiency and model performance. In this work, we proposed a novel redundancy removed DTDWT (RR-DTDWT) framework for automated seizure detection. Energy and modified multi-scale entropy (MMSE) features in a dual tree wavelet domain were extracted to construct a complete picture of mental states. To the best of our knowledge, this is the first study to employ MMSE as an indicator of epileptic seizures. Moreover, a compact EEG representation can be obtained after removing useless information redundancy (redundancy between wavelet trees, adjacent channels and entropy scales) by a general auto-weighted feature selection framework via global redundancy minimization (AGRM). Through validation on Bonn and CHB-MIT databases, the proposed RR-DTDWT method can achieve better performance than previous studies.

Applications of Higher Order Statistics in Electroencephalography Signal Processing: A Comprehensive Survey

Electroencephalography (EEG) is a noninvasive electrophysiological monitoring technique that records the electrical activities of the brain from the scalp using electrodes. EEG is not only an essential tool for diagnosing diseases and disorders affecting the brain, but also helps us to achieve a better understanding of brain's activities and structures. EEG recordings are weak, nonlinear, and nonstationary signals that contain various noise and artifacts. Therefore, for analyzing them, advanced signal processing techniques are required. Second order statistical features are usually sufficient for analyzing most basic signals. However, higher order statistical features possess characteristics that are missing in the second order; characteristics that can be highly beneficial for analysis of more complex signals, such as EEG. The primary goal of this article is to provide a comprehensive survey of the applications of higher order statistics or spectra (HOS) in EEG signal processing. Therefore, we start the survey with a summary of previous studies in EEG analysis followed by a brief mathematical description of HOS. Then, HOS related features and their applications in EEG analysis are presented. These applications are then grouped into three categories, each of which are further explored thoroughly with examples of prior studies. Finally, we provide some specific recommendations based on the literature survey and discuss possible future directions of this field.

Automatic Seizure Detection Based on S-Transform and Deep Convolutional Neural Network

Automatic seizure detection is significant for the diagnosis of epilepsy and reducing the massive workload of reviewing continuous EEGs. In this work, a novel approach, combining Stockwell transform (S-transform) with deep Convolutional Neural Networks (CNN), is proposed to detect seizure onsets in long-term intracranial EEG recordings. Primarily, raw EEG data is filtered with wavelet decomposition. Then, S-transform is used to obtain a proper time-frequency representation of each EEG segment. After that, a 15-layer deep CNN using dropout and batch normalization serves as a robust feature extractor and classifier. Finally, smoothing and collar technique are applied to the outputs of CNN to improve the detection accuracy and reduce the false detection rate (FDR). The segment-based and event-based evaluation assessments and receiver operating characteristic (ROC) curves are employed for the performance evaluation on a public EEG database containing 21 patients. A segment-based sensitivity of 97.01% and a specificity of 98.12% are yielded. For the event-based assessment, this method achieves a sensitivity of 95.45% with an FDR of 0.36/h.