Neural Memory Networks for Seizure Type Classification

Towards trustworthy seizure onset detection using workflow notes

A major barrier to deploying healthcare AI is trustworthiness. One form of trustworthiness is a model's robustness across subgroups: while models may exhibit expert-level performance on aggregate metrics, they often rely on non-causal features, leading to errors in hidden subgroups. To take a step closer towards trustworthy seizure onset detection from EEG, we propose to leverage annotations that are produced by healthcare personnel in routine clinical workflows-which we refer to as workflow notes-that include multiple event descriptions beyond seizures. Using workflow notes, we first show that by scaling training data to 68,920 EEG hours, seizure onset detection performance significantly improves by 12.3 AUROC (Area Under the Receiver Operating Characteristic) points compared to relying on smaller training sets with gold-standard labels. Second, we reveal that our binary seizure onset detection model underperforms on clinically relevant subgroups (e.g., up to a margin of 6.5 AUROC points between pediatrics and adults), while having significantly higher FPRs (False Positive Rates) on EEG clips showing non-epileptiform abnormalities (+19 FPR points). To improve model robustness to hidden subgroups, we train a multilabel model that classifies 26 attributes other than seizures (e.g., spikes and movement artifacts) and significantly improve overall performance (+5.9 AUROC points) while greatly improving performance among subgroups (up to +8.3 AUROC points) and decreasing false positives on non-epileptiform abnormalities (by 8 FPR points). Finally, we find that our multilabel model improves clinical utility (false positives per 24 EEG hours) by a factor of 2×.

Time-Series Anomaly Detection Based on Dynamic Temporal Graph Convolutional Network for Epilepsy Diagnosis

Electroencephalography (EEG) is typical time-series data. Designing an automatic detection model for EEG is of great significance for disease diagnosis. For example, EEG stands as one of the most potent diagnostic tools for epilepsy detection. A myriad of studies have employed EEG to detect and classify epilepsy, yet these investigations harbor certain limitations. Firstly, most existing research concentrates on the labels of sliced EEG signals, neglecting epilepsy labels associated with each time step in the original EEG signal-what we term fine-grained labels. Secondly, a majority of these studies utilize static graphs to depict EEG's spatial characteristics, thereby disregarding the dynamic interplay among EEG channels. Consequently, the efficient nature of EEG structures may not be captured. In response to these challenges, we propose a novel seizure detection and classification framework-the dynamic temporal graph convolutional network (DTGCN). This method is specifically designed to model the interdependencies in temporal and spatial dimensions within EEG signals. The proposed DTGCN model includes a unique seizure attention layer conceived to capture the distribution and diffusion patterns of epilepsy. Additionally, the model incorporates a graph structure learning layer to represent the dynamically evolving graph structure inherent in the data. We rigorously evaluated the proposed DTGCN model using a substantial publicly available dataset, TUSZ, consisting of 5499 EEGs. The subsequent experimental results convincingly demonstrated that the DTGCN model outperformed the existing state-of-the-art methods in terms of efficiency and accuracy for both seizure detection and classification tasks.

Random Hyperboxes

This article proposes a simple yet powerful ensemble classifier, called Random Hyperboxes, constructed from individual hyperbox-based classifiers trained on the random subsets of sample and feature spaces of the training set. We also show a generalization error bound of the proposed classifier based on the strength of the individual hyperbox-based classifiers as well as the correlation among them. The effectiveness of the proposed classifier is analyzed using a carefully selected illustrative example and compared empirically with other popular single and ensemble classifiers via 20 datasets using statistical testing methods. The experimental results confirmed that our proposed method outperformed other fuzzy min-max neural networks (FMNNs), popular learning algorithms, and is competitive with other ensemble methods. Finally, we identify the existing issues related to the generalization error bounds of the real datasets and inform the potential research directions.

DeepEZ: A Graph Convolutional Network for Automated Epileptogenic Zone Localization From Resting-State fMRI Connectivity

OBJECTIVE

Epileptogenic zone (EZ) localization is a crucial step during diagnostic work up and therapeutic planning in medication refractory epilepsy. In this paper, we present the first deep learning approach to localize the EZ based on resting-state fMRI (rs-fMRI) data.

METHODS

Our network, called DeepEZ, uses a cascade of graph convolutions that emphasize signal propagation along expected anatomical pathways. We also integrate domain-specific information, such as an asymmetry term on the predicted EZ and a learned subject-specific bias to mitigate environmental confounds.

RESULTS

We validate DeepEZ on rs-fMRI collected from 14 patients with focal epilepsy at the University of Wisconsin Madison. Using cross validation, we demonstrate that DeepEZ achieves consistently high EZ localization performance (Accuracy: 0.88 ± 0.03; AUC: 0.73 ± 0.03) that far outstripped any of the baseline methods. This performance is notable given the variability in EZ locations and scanner type across the cohort.

CONCLUSION

Our results highlight the promise of using DeepEZ as an accurate and noninvasive therapeutic planning tool for medication refractory epilepsy.

SIGNIFICANCE

While prior work in EZ localization focused on identifying localized aberrant signatures, there is growing evidence that epileptic seizures affect inter-regional connectivity in the brain. DeepEZ allows clinicians to harness this information from noninvasive imaging that can easily be integrated into the existing clinical workflow.

Graph-generative neural network for EEG-based epileptic seizure detection via discovery of dynamic brain functional connectivity

Dynamic complexity in brain functional connectivity has hindered the effective use of signal processing or machine learning methods to diagnose neurological disorders such as epilepsy. This paper proposed a new graph-generative neural network (GGN) model for the dynamic discovery of brain functional connectivity via deep analysis of scalp electroencephalogram (EEG) signals recorded from various regions of a patient's scalp. Brain functional connectivity graphs are generated for the extraction of spatial-temporal resolution of various onset epilepsy seizure patterns. Our supervised GGN model was substantiated by seizure detection and classification experiments. We train the GGN model using a clinically proven dataset of over 3047 epileptic seizure cases. The GGN model achieved a 91% accuracy in classifying seven types of epileptic seizure attacks, which outperformed the 65%, 74%, and 82% accuracy in using the convolutional neural network (CNN), graph neural networks (GNN), and transformer models, respectively. We present the GGN model architecture and operational steps to assist neuroscientists or brain specialists in using dynamic functional connectivity information to detect neurological disorders. Furthermore, we suggest to merge our spatial-temporal graph generator design in upgrading the conventional CNN and GNN models with dynamic convolutional kernels for accuracy enhancement.