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Miao Y, Iimura Y, Sugano H, Fukumori K, Tanaka T. Seizure onset zone identification using phase-amplitude coupling and multiple machine learning approaches for interictal electrocorticogram. Cogn Neurodyn 2023; 17:1591-1607. [PMID: 37969944 PMCID: PMC10640557 DOI: 10.1007/s11571-022-09915-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 10/26/2022] [Accepted: 11/17/2022] [Indexed: 12/12/2022] Open
Abstract
Automatic seizure onset zone (SOZ) localization using interictal electrocorticogram (ECoG) improves the diagnosis and treatment of patients with medically refractory epilepsy. This study aimed to investigate the characteristics of phase-amplitude coupling (PAC) extracted from interictal ECoG and the feasibility of PAC serving as a promising biomarker for SOZ identification. We employed the mean vector length modulation index approach on the 20-s ECoG window to calculate PAC features between low-frequency rhythms (0.5-24 Hz) and high frequency oscillations (HFOs) (80-560 Hz). We used statistical measures to test the significant difference in PAC between the SOZ and non-seizure onset zone (NSOZ). To overcome the drawback of handcraft feature engineering, we established novel machine learning models to learn automatically the characteristics of the obtained PAC features and classify them to identify the SOZ. Besides, to handle imbalanced dataset classification, we introduced novel feature-wise/class-wise re-weighting strategies in conjunction with classifiers. In addition, we proposed a time-series nest cross-validation to provide more accurate and unbiased evaluations for this model. Seven patients with focal cortical dysplasia were included in this study. The experiment results not only showed that a significant coupling at band pairs of slow waves and HFOs exists in the SOZ when compared with the NSOZ, but also indicated the effectiveness of the PAC features and the proposed models in achieving better classification performance .
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Affiliation(s)
- Yao Miao
- Tokyo University of Agriculture and Technology, Tokyo, Japan
| | - Yasushi Iimura
- Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Hidenori Sugano
- Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Kosuke Fukumori
- Tokyo University of Agriculture and Technology, Tokyo, Japan
| | - Toshihisa Tanaka
- Tokyo University of Agriculture and Technology, Tokyo, Japan
- Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan
- RIKEN Center for Brain Science, Saitama, Japan
- RIKEN Center for Advanced Intelligent Project, Tokyo, Japan
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Rashid S, Raza M, Sharif M, Azam F, Kadry S, Kim J. White blood cell image analysis for infection detection based on virtual hexagonal trellis (VHT) by using deep learning. Sci Rep 2023; 13:17827. [PMID: 37857667 PMCID: PMC10587153 DOI: 10.1038/s41598-023-44352-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 10/06/2023] [Indexed: 10/21/2023] Open
Abstract
White blood cells (WBCs) are an indispensable constituent of the immune system. Efficient and accurate categorization of WBC is a critical task for disease diagnosis by medical experts. This categorization helps in the correct identification of medical problems. In this research work, WBC classes are categorized with the help of a transform learning model in combination with our proposed virtual hexagonal trellis (VHT) structure feature extraction method. The VHT feature extractor is a kernel-based filter model designed over a square lattice. In the first step, Graft Net CNN model is used to extract features of augmented data set images. Later, the VHT base feature extractor extracts useful features. The CNN-extracted features are passed to ant colony optimization (ACO) module for optimal features acquisition. Extracted features from the VHT base filter and ACO are serially merged to create a single feature vector. The merged features are passed to the support vector machine (SVM) variants for optimal classification. Our strategy yields 99.9% accuracy, which outperforms other existing methods.
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Affiliation(s)
- Shahid Rashid
- Department of Computer Science, COMSATS University Islamabad, Wah Campus, Islamabad, 47040, Pakistan
| | - Mudassar Raza
- Department of Computer Science, COMSATS University Islamabad, Wah Campus, Islamabad, 47040, Pakistan.
| | - Muhammad Sharif
- Department of Computer Science, COMSATS University Islamabad, Wah Campus, Islamabad, 47040, Pakistan
| | - Faisal Azam
- Department of Computer Science, COMSATS University Islamabad, Wah Campus, Islamabad, 47040, Pakistan
| | - Seifedine Kadry
- Department of Applied Data Science, Noroff University College, Kristiansand, Norway
- Department of Electrical and Computer Engineering, Lebanese American University, Byblos, Lebanon
- Artificial Intelligence Research Center (AIRC), College of Engineering and Information Technology, Ajman University, Ajman, United Arab Emirates
| | - Jungeun Kim
- Department of Software, Kongju National University, Cheonan, 31080, Korea.
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Automatic Localization of Seizure Onset Zone Based on Multi-Epileptogenic Biomarkers Analysis of Single-Contact from Interictal SEEG. BIOENGINEERING (BASEL, SWITZERLAND) 2022; 9:bioengineering9120769. [PMID: 36550975 PMCID: PMC9774098 DOI: 10.3390/bioengineering9120769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/01/2022] [Accepted: 12/02/2022] [Indexed: 12/12/2022]
Abstract
Successful surgery on drug-resistant epilepsy patients (DRE) needs precise localization of the seizure onset zone (SOZ). Previous studies analyzing this issue still face limitations, such as inadequate analysis of features, low sensitivity and limited generality. Our study proposed an innovative and effective SOZ localization method based on multiple epileptogenic biomarkers (spike and HFOs), and analysis of single-contact (MEBM-SC) to address the above problems. We extracted contacts epileptic features from signal distributions and signal energy based on machine learning and end-to-end deep learning. Among them, a normalized pathological ripple rate was designed to reduce the disturbance of physiological ripple and enhance the performance of SOZ localization. Then, a feature selection algorithm based on Shapley value and hypothetical testing (ShapHT+) was used to limit interference from irrelevant features. Moreover, an attention mechanism and a focal loss algorithm were used on the classifier to learn significant features and overcome the unbalance of SOZ/nSOZ contacts. Finally, we provided an SOZ prediction and visualization on magnetic resonance imaging (MRI). Ten patients with DRE were selected to verify our method. The experiment performed cross-validation and revealed that MEBM-SC obtains higher sensitivity. Additionally, the spike has better sensitivity while HFOs have better specificity, and the combination of these biomarkers can achieve the best performance. The study confirmed that MEBM-SC can increase the sensitivity and accuracy of SOZ localization and help clinicians to perform a precise and reliable preoperative evaluation based on interictal SEEG.
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Mirchi N, Warsi NM, Zhang F, Wong SM, Suresh H, Mithani K, Erdman L, Ibrahim GM. Decoding Intracranial EEG With Machine Learning: A Systematic Review. Front Hum Neurosci 2022; 16:913777. [PMID: 35832872 PMCID: PMC9271576 DOI: 10.3389/fnhum.2022.913777] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 05/31/2022] [Indexed: 11/13/2022] Open
Abstract
Advances in intracranial electroencephalography (iEEG) and neurophysiology have enabled the study of previously inaccessible brain regions with high fidelity temporal and spatial resolution. Studies of iEEG have revealed a rich neural code subserving healthy brain function and which fails in disease states. Machine learning (ML), a form of artificial intelligence, is a modern tool that may be able to better decode complex neural signals and enhance interpretation of these data. To date, a number of publications have applied ML to iEEG, but clinician awareness of these techniques and their relevance to neurosurgery, has been limited. The present work presents a review of existing applications of ML techniques in iEEG data, discusses the relative merits and limitations of the various approaches, and examines potential avenues for clinical translation in neurosurgery. One-hundred-seven articles examining artificial intelligence applications to iEEG were identified from 3 databases. Clinical applications of ML from these articles were categorized into 4 domains: i) seizure analysis, ii) motor tasks, iii) cognitive assessment, and iv) sleep staging. The review revealed that supervised algorithms were most commonly used across studies and often leveraged publicly available timeseries datasets. We conclude with recommendations for future work and potential clinical applications.
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Affiliation(s)
- Nykan Mirchi
- Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Nebras M. Warsi
- Division of Neurosurgery, Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Frederick Zhang
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Simeon M. Wong
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
- Program in Neuroscience and Mental Health, Hospital for Sick Children Research Institute, Toronto, ON, Canada
| | - Hrishikesh Suresh
- Division of Neurosurgery, Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada
| | - Karim Mithani
- Division of Neurosurgery, Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Lauren Erdman
- Vector Institute for Artificial Intelligence, MaRS Centre, Toronto, ON, Canada
- Department of Computer Science, University of Toronto, Toronto, ON, Canada
- Hospital for Sick Children, Toronto, ON, Canada
| | - George M. Ibrahim
- Division of Neurosurgery, Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
- Program in Neuroscience and Mental Health, Hospital for Sick Children Research Institute, Toronto, ON, Canada
- Institute of Medical Science, University of Toronto, Toronto, ON, Canada
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Improved Security of E-Healthcare Images Using Hybridized Robust Zero-Watermarking and Hyper-Chaotic System along with RSA. MATHEMATICS 2022. [DOI: 10.3390/math10071071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
With the rapid advancements of the internet of things (IoT), several applications have evolved with completely dissimilar structures and requirements. However, the fifth generation of mobile cellular networks (5G) is unable to successfully support the dissimilar structures and requirements. The sixth generation of mobile cellular networks (6G) is likely to enable new and unidentified applications with varying requirements. Therefore, 6G not only provides 10 to 100 times the speed of 5G, but 6G can also provide dynamic services for advanced IoT applications. However, providing security to 6G networks is still a significant problem. Therefore, in this paper, a hybrid image encryption technique is proposed to secure multimedia data communication over 6G networks. Initially, multimedia data are encrypted by using the proposed model. Thereafter, the encrypted data are then transferred over the 6G networks. Extensive experiments are conducted by using various attacks and security measures. A comparative analysis reveals that the proposed model achieves remarkably good performance as compared to the existing encryption techniques.
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Computer-Aided Intracranial EEG Signal Identification Method Based on a Multi-Branch Deep Learning Fusion Model and Clinical Validation. Brain Sci 2021; 11:brainsci11050615. [PMID: 34064889 PMCID: PMC8150766 DOI: 10.3390/brainsci11050615] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/04/2021] [Accepted: 05/07/2021] [Indexed: 12/19/2022] Open
Abstract
Surgical intervention or the control of drug-refractory epilepsy requires accurate analysis of invasive inspection intracranial EEG (iEEG) data. A multi-branch deep learning fusion model is proposed to identify epileptogenic signals from the epileptogenic area of the brain. The classical approach extracts multi-domain signal wave features to construct a time-series feature sequence and then abstracts it through the bi-directional long short-term memory attention machine (Bi-LSTM-AM) classifier. The deep learning approach uses raw time-series signals to build a one-dimensional convolutional neural network (1D-CNN) to achieve end-to-end deep feature extraction and signal detection. These two branches are integrated to obtain deep fusion features and results. Resampling is employed to split the imbalanced epileptogenic and non-epileptogenic samples into balanced subsets for clinical validation. The model is validated over two publicly available benchmark iEEG databases to verify its effectiveness on a private, large-scale, clinical stereo EEG database. The model achieves high sensitivity (97.78%), accuracy (97.60%), and specificity (97.42%) on the Bern–Barcelona database, surpassing the performance of existing state-of-the-art techniques. It is then demonstrated on a clinical dataset with an average intra-subject accuracy of 92.53% and cross-subject accuracy of 88.03%. The results suggest that the proposed method is a valuable and extremely robust approach to help researchers and clinicians develop an automated method to identify the source of iEEG signals.
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Entropy Indicators: An Approach for Low-Speed Bearing Diagnosis. SENSORS 2021; 21:s21030849. [PMID: 33513922 PMCID: PMC7865646 DOI: 10.3390/s21030849] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 12/11/2022]
Abstract
To increase the competitiveness of wind energy, the maintenance costs of offshore floating and fixed wind turbines need to be reduced. One strategy is the enhancement of the condition monitoring techniques for pitch bearings, because their low operational speed and the high loads applied to them make their monitoring challenging. Vibration analysis has been widely used for monitoring the bearing condition with good results obtained for regular bearings, but with difficulties when the operational speed decreases. Therefore, new techniques are required to enhance the capabilities of vibration analysis for bearings under such operational conditions. This study proposes the use of indicators based on entropy for monitoring a low-speed bearing condition. The indicators used are approximate, dispersion, singular value decomposition, and spectral entropy of the permutation entropy. This approach has been tested with vibration signals acquired in a test rig with bearings under different health conditions. The results show that entropy indicators (EIs) can discriminate with higher-accuracy damaged bearings for low-speed bearings compared with the regular indicators. Furthermore, it is shown that the combination of regular and entropy-based indicators can also contribute to a more reliable diagnosis.
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Akter MS, Islam MR, Tanaka T, Iimura Y, Mitsuhashi T, Sugano H, Wang D, Molla MKI. Statistical Features in High-Frequency Bands of Interictal iEEG Work Efficiently in Identifying the Seizure Onset Zone in Patients with Focal Epilepsy. ENTROPY 2020; 22:e22121415. [PMID: 33334058 PMCID: PMC7765521 DOI: 10.3390/e22121415] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 12/11/2020] [Accepted: 12/11/2020] [Indexed: 01/22/2023]
Abstract
The design of a computer-aided system for identifying the seizure onset zone (SOZ) from interictal and ictal electroencephalograms (EEGs) is desired by epileptologists. This study aims to introduce the statistical features of high-frequency components (HFCs) in interictal intracranial electroencephalograms (iEEGs) to identify the possible seizure onset zone (SOZ) channels. It is known that the activity of HFCs in interictal iEEGs, including ripple and fast ripple bands, is associated with epileptic seizures. This paper proposes to decompose multi-channel interictal iEEG signals into a number of subbands. For every 20 s segment, twelve features are computed from each subband. A mutual information (MI)-based method with grid search was applied to select the most prominent bands and features. A gradient-boosting decision tree-based algorithm called LightGBM was used to score each segment of the channels and these were averaged together to achieve a final score for each channel. The possible SOZ channels were localized based on the higher value channels. The experimental results with eleven epilepsy patients were tested to observe the efficiency of the proposed design compared to the state-of-the-art methods.
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Affiliation(s)
- Most. Sheuli Akter
- Department of Electronic and Information Engineering, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
| | - Md. Rabiul Islam
- Institute of Global Innovation Research, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
| | - Toshihisa Tanaka
- Department of Electronic and Information Engineering, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
- Institute of Global Innovation Research, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
- Department of Electrical and Electronic Engineering, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
- Department of Neurosurgery, Epilepsy Center, Juntendo University, Tokyo 113-8421, Japan; (Y.I.); (T.M.); (H.S.)
- RIKEN Center for Advanced Intelligence Project, Tokyo 103-0027, Japan
- RIKEN Center for Brain Science, Saitama 351-0106, Japan
- School of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou 310018, China
- Correspondence: ; Tel.: +81-42-388-7123
| | - Yasushi Iimura
- Department of Neurosurgery, Epilepsy Center, Juntendo University, Tokyo 113-8421, Japan; (Y.I.); (T.M.); (H.S.)
| | - Takumi Mitsuhashi
- Department of Neurosurgery, Epilepsy Center, Juntendo University, Tokyo 113-8421, Japan; (Y.I.); (T.M.); (H.S.)
| | - Hidenori Sugano
- Department of Neurosurgery, Epilepsy Center, Juntendo University, Tokyo 113-8421, Japan; (Y.I.); (T.M.); (H.S.)
| | - Duo Wang
- Department of Electrical and Electronic Engineering, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
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Decomposition Methods for Machine Learning with Small, Incomplete or Noisy Datasets. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10238481] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In many machine learning applications, measurements are sometimes incomplete or noisy resulting in missing features. In other cases, and for different reasons, the datasets are originally small, and therefore, more data samples are required to derive useful supervised or unsupervised classification methods. Correct handling of incomplete, noisy or small datasets in machine learning is a fundamental and classic challenge. In this article, we provide a unified review of recently proposed methods based on signal decomposition for missing features imputation (data completion), classification of noisy samples and artificial generation of new data samples (data augmentation). We illustrate the application of these signal decomposition methods in diverse selected practical machine learning examples including: brain computer interface, epileptic intracranial electroencephalogram signals classification, face recognition/verification and water networks data analysis. We show that a signal decomposition approach can provide valuable tools to improve machine learning performance with low quality datasets.
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Ranjandish R, Schmid A. A Review of Microelectronic Systems and Circuit Techniques for Electrical Neural Recording Aimed at Closed-Loop Epilepsy Control. SENSORS (BASEL, SWITZERLAND) 2020; 20:E5716. [PMID: 33050032 PMCID: PMC7583980 DOI: 10.3390/s20195716] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 09/07/2020] [Accepted: 10/02/2020] [Indexed: 12/21/2022]
Abstract
Closed-loop implantable electronics offer a new trend in therapeutic systems aimed at controlling some neurological diseases such as epilepsy. Seizures are detected and electrical stimulation applied to the brain or groups of nerves. To this aim, the signal recording chain must be very carefully designed so as to operate in low-power and low-latency, while enhancing the probability of correct event detection. This paper reviews the electrical characteristics of the target brain signals pertaining to epilepsy detection. Commercial systems are presented and discussed. Finally, the major blocks of the signal acquisition chain are presented with a focus on the circuit architecture and a careful attention to solutions to issues related to data acquisition from multi-channel arrays of cortical sensors.
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Affiliation(s)
- Reza Ranjandish
- Department of Information Technology and Electrical Engineering, ETH Zürich, CH-8092 Zürich, Switzerland;
| | - Alexandre Schmid
- Institute of Electrical Engineering, EPF Lausanne, CH-1015 Lausanne, Switzerland
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Molla MKI, Hassan KM, Islam MR, Tanaka T. Graph Eigen Decomposition-Based Feature-Selection Method for Epileptic Seizure Detection Using Electroencephalography. SENSORS (BASEL, SWITZERLAND) 2020; 20:E4639. [PMID: 32824708 PMCID: PMC7472294 DOI: 10.3390/s20164639] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Revised: 08/14/2020] [Accepted: 08/15/2020] [Indexed: 11/16/2022]
Abstract
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.
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Affiliation(s)
- Md. Khademul Islam Molla
- Department of Computer Science and Engineering, University of Rajshahi, Rajshahi 6205, Bangladesh
| | - Kazi Mahmudul Hassan
- Department of Computer Science and Engineering, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh 2224, Bangladesh;
| | - Md. Rabiul Islam
- Institute of Global Innovation Research, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
| | - Toshihisa Tanaka
- Institute of Global Innovation Research, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
- Department of Electrical and Electronic Engineering, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan
- RIKEN Center for Advanced Intelligence Project, Tokyo 103-0027, Japan
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An S, Kang C, Lee HW. Artificial Intelligence and Computational Approaches for Epilepsy. J Epilepsy Res 2020; 10:8-17. [PMID: 32983950 PMCID: PMC7494883 DOI: 10.14581/jer.20003] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 06/18/2020] [Accepted: 07/14/2020] [Indexed: 12/30/2022] Open
Abstract
Studies on treatment of epilepsy have been actively conducted in multiple avenues, but there are limitations in improving its efficacy due to between-subject variability in which treatment outcomes vary from patient to patient. Accordingly, there is a growing interest in precision medicine that provides accurate diagnosis for seizure types and optimal treatment for an individual epilepsy patient. Among these approaches, computational studies making this feasible are rapidly progressing in particular and have been widely applied in epilepsy. These computational studies are being conducted in two main streams: 1) artificial intelligence-based studies implementing computational machines with specific functions, such as automatic diagnosis and prognosis prediction for an individual patient, using machine learning techniques based on large amounts of data obtained from multiple patients and 2) patient-specific modeling-based studies implementing biophysical in-silico platforms to understand pathological mechanisms and derive the optimal treatment for each patient by reproducing the brain network dynamics of the particular patient per se based on individual patient's data. These computational approaches are important as it can integrate multiple types of data acquired from patients and analysis results into a single platform. If these kinds of methods are efficiently operated, it would suggest a novel paradigm for precision medicine.
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Affiliation(s)
- Sora An
- Department of Neurology, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea.,Department of Medical Science, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea
| | - Chaewon Kang
- Department of Neurology, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea.,Department of Computational Medicine, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea
| | - Hyang Woon Lee
- Department of Neurology, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea.,Department of Medical Science, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea.,Department of Computational Medicine, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, Korea
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Abstract
Objective: To determine if there was a difference in the volatility characteristics of seizure and non-seizure onset channels in the intracranial electroencephalogram (EEG) in a patient with temporal lobe epilepsy. Methods: The half-life of volatility for the different EEG channels was determined using Autoregressive Moving Average–Generalized Autoregressive Conditional Heteroscedasticity (ARMA–GARCH) models; confidence intervals were constructed using the delta method and an asymptotic method for comparing the half-lives. Results: Clinically determined seizure onsets occurred over strip electrodes named RAST (Right Anterior Subtemporal) and RMST (Right Mid Subtemporal), at locations 2, 3 and 4, on the strip electrodes. The half-lives of volatility for two of the three seizure channels, RAST3 and RAST4, were found to be significantly lower the rest of the channels for six one-minute EEG segments prior to seizure onset and nine one-minute EEG segments of an awake state. The half-lives of volatility for RAST3 and RAST4 were not significantly different to the non-seizure channels for ten one-minute segments of sleep and ten one-minute segments of sleep-to-awake states. The estimates for the half-lives were consistent for randomly selected one-minute EEG segments. Conclusions: The use of GARCH models may be a useful tool in determining hidden properties in epileptiform EEGs that may lead to better understanding of the seizure generating process.
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