Epileptic Seizure Detection by Cascading Isolation Forest-based Anomaly Screening and EasyEnsemble

Unsupervised EEG-Based Seizure Anomaly Detection with Denoising Diffusion Probabilistic Models

While many seizure detection methods have demonstrated great accuracy, their training necessitates a substantial volume of labeled data. To address this issue, we propose a novel method for unsupervised seizure anomaly detection called SAnoDDPM, which uses denoising diffusion probabilistic models (DDPM). We designed a novel pipeline that uses a variable lower bound on Markov chains to identify potential values that are unlikely to occur in anomalous data. The model is first trained on normal data, then anomalous data is input to the trained model. The model resamples the anomalous data and converts it to normal data. Finally, the presence of seizures can be determined by comparing the before and after data. Moreover, the input 2D spectrograms are encoded into vector-quantized representations, which enables powerful and efficient DDPM while maintaining its quality. Experimental comparisons on the publicly available datasets, CHB-MIT and TUH, show that our method delivers better results, significantly reduces inference time, and is suitable for deployment in a clinical environments. As far as we are aware, this is the first DDPM-based method for seizure anomaly detection. This novel approach significantly contributes to the progression of seizure detection algorithms, thereby augmenting their practicality in clinical settings.

Spatial-Temporal Dynamic Hypergraph Information Bottleneck for Brain Network Classification

Recently, Graph Neural Networks (GNNs) have gained widespread application in automatic brain network classification tasks, owing to their ability to directly capture crucial information in non-Euclidean structures. However, two primary challenges persist in this domain. First, within the realm of clinical neuro-medicine, signals from cerebral regions are inevitably contaminated with noise stemming from physiological or external factors. The construction of brain networks heavily relies on set thresholds and feature information within brain regions, making it susceptible to the incorporation of such noises into the brain topology. Additionally, the static nature of the artificially constructed brain network's adjacent structure restricts real-time changes in brain topology. Second, mainstream GNN-based approaches tend to focus solely on capturing information interactions of nearest neighbor nodes, overlooking high-order topology features. In response to these challenges, we propose an adaptive unsupervised Spatial-Temporal Dynamic Hypergraph Information Bottleneck (ST-DHIB) framework for dynamically optimizing brain networks. Specifically, adopting an information theory perspective, Graph Information Bottleneck (GIB) is employed for purifying graph structure, and dynamically updating the processed input brain signals. From a graph theory standpoint, we utilize the designed Hypergraph Neural Network (HGNN) and Bi-LSTM to capture higher-order spatial-temporal context associations among brain channels. Comprehensive patient-specific and cross-patient experiments have been conducted on two available datasets. The results demonstrate the advancement and generalization of the proposed framework.

Predictive model for totally implanted venous access ports‑related long‑term complications in patients with lung cancer

Totally implanted venous access ports (TIVAPs), which are typically used in oncological chemotherapy and parenteral nutritional support, are convenient and safe, and thus offer patients a higher quality of life. However, insertion or removal of the device requires a minor surgical operation. Long-term complications (>30 days post insertion), such as catheter migration, catheter-related thrombosis and infection, are major reasons for TIVAP removal and are associated with a number of factors such as body mass index and hemoglobin count. Since management of complications is typically time-consuming and costly, a predictive model of such events may be of great value. Therefore, in the present study, a predictive model for long-term complications following TIVAP implantation in patients with lung cancer was developed. After excluding patients with a large amount of missing data, 902 patients admitted to The First Affiliated Hospital with Nanjing Medical University (Nanjing, China) were ultimately included in the present study. Of the included patients, 28 had complications, indicating an incidence rate of 3.1%. Patients were randomly divided into training and test cohorts (7:3), and three machine learning-based anomaly detection algorithms, namely, the Isolation Forest, one-class Support Vector Machines (one-class SVM) and Local Outlier Factor, were used to construct a model. The performance of the model was initially evaluated by the Matthew's correlation coefficient (MCC), area under curve (AUC) and accuracy. The one-class SVM model demonstrated the highest performance in classifying the risk of complications associated with the use of the intracavitary electrocardiogram method for TIVAP implantation in patients with lung cancer (MCC, 0.078; AUC, 0.62; accuracy, 66.0%). In conclusion, the predictive model developed in the present study may be used to improve the early detection of TIVAP-related complications in patients with lung cancer, which could lead to the conservation of medical resources and the promotion of medical advances.

Single-channel seizure detection with clinical confirmation of seizure locations using CHB-MIT dataset

Introduction

Long-term electroencephalography (EEG) monitoring is advised to patients with refractory epilepsy who have a failure of anti-seizure medication and therapy. However, its real-life application is limited mainly due to the use of multiple EEG channels. We proposed a patient-specific deep learning-based single-channel seizure detection approach using the long-term scalp EEG recordings of the Children's Hospital Boston-Massachusetts Institute of Technology (CHB-MIT) dataset, in conjunction with neurologists' confirmation of spatial seizure characteristics of individual patients.

Methods

We constructed 18-, 4-, and single-channel seizure detectors for 13 patients. Neurologists selected a specific channel among four channels, two close to the behind-the-ear and two at the forehead for each patient, after reviewing the patient's distinctive seizure locations with seizure re-annotation.

Results

Our multi- and single-channel detectors achieved an average sensitivity of 97.05-100%, false alarm rate of 0.22-0.40/h, and latency of 2.1-3.4 s for identification of seizures in continuous EEG recordings. The results demonstrated that seizure detection performance of our single-channel approach was comparable to that of our multi-channel ones.

Discussion

We suggest that our single-channel approach in conjunction with clinical designation of the most prominent seizure locations has a high potential for wearable seizure detection on long-term EEG recordings for patients with refractory epilepsy.

Optimization of epilepsy detection method based on dynamic EEG channel screening

To decrease the interference in the process of epileptic feature extraction caused by insufficient detection capability in partial channels of focal epilepsy, this paper proposes a novel epilepsy detection method based on dynamic electroencephalogram (EEG) channel screening. This method not only extracts more effective epilepsy features but also finds common features among different epilepsy subjects, providing an effective approach and theoretical support for across-subject epilepsy detection in clinical scenarios. Firstly, we use the Refine Composite Multiscale Dispersion Entropy (RCMDE) to measure the complexity of EEG signals between normal and seizure states and realize the dynamic EEG channel screening among different subjects, which can enhance the capability of feature extraction and the robustness of epilepsy detection. Subsequently, we discover common epilepsy features in 3-15 Hz among different subjects by the screened EEG channels. By this finding, we construct the Residual Convolutional Long Short-Term Memory (ResCon-LSTM) neural network to accomplish across-subject epilepsy detection. The experiment results on the CHB-MIT dataset indicate that the highest accuracy of epilepsy detection in the single-subject experiment is 98.523 %, improved by 5.298 % compared with non-channel screening. In the across-subject experiment, the average accuracy is 96.596 %. Therefore, this method could be effectively applied to different subjects by dynamically screening optimal channels and keep a good detection performance.

Combined low-frequency brain oscillatory activity and behavior predict future errors in human motor skill

Human skills are composed of sequences of individual actions performed with utmost precision. When occasional errors occur, they may have serious consequences, for example, when pilots are manually landing a plane. In such cases, the ability to predict an error before it occurs would clearly be advantageous. Here, we asked whether it is possible to predict future errors in a keyboard procedural human motor skill. We report that prolonged keypress transition times (KTTs), reflecting slower speed, and anomalous delta-band oscillatory activity in cingulate-entorhinal-precuneus brain regions precede upcoming errors in skill. Combined anomalous low-frequency activity and prolonged KTTs predicted up to 70% of future errors. Decoding strength (posterior probability of error) increased progressively approaching the errors. We conclude that it is possible to predict future individual errors in skill sequential performance.

EEG Authentication System Based on One- and Multi-Class Machine Learning Classifiers

In the current Information Age, it is usual to access our personal and professional information, such as bank account data or private documents, in a telematic manner. To ensure the privacy of this information, user authentication systems should be accurately developed. In this work, we focus on biometric authentication, as it depends on the user's inherent characteristics and, therefore, offers personalized authentication systems. Specifically, we propose an electrocardiogram (EEG)-based user authentication system by employing One-Class and Multi-Class Machine Learning classifiers. In this sense, the main novelty of this article is the introduction of Isolation Forest and Local Outlier Factor classifiers as new tools for user authentication and the investigation of their suitability with EEG data. Additionally, we identify the EEG channels and brainwaves with greater contribution to the authentication and compare them with the traditional dimensionality reduction techniques, Principal Component Analysis, and χ2 statistical test. In our final proposal, we elaborate on a hybrid system resistant to random forgery attacks using an Isolation Forest and a Random Forest classifiers, obtaining a final accuracy of 82.3%, a precision of 91.1% and a recall of 75.3%.

Effects of Data Augmentation with the BNNSMOTE Algorithm in Seizure Detection Using 1D-MobileNet

Automatic seizure detection technology has important implications for reducing the workload of neurologists for epilepsy diagnosis and treatment. Due to the unpredictable nature of seizures, the imbalanced classification of seizure and nonseizure data continues to be challenging. In this work, we first propose a novel algorithm named the borderline nearest neighbor synthetic minority oversampling technique (BNNSMOTE) to address the imbalanced classification problem and improve seizure detection performance. The algorithm uses the nearest neighbor notion to generate nonseizure samples near the boundary, then determines the seizure samples that are difficult to learn at the boundary, and lastly selects seizure samples at random to be used in the synthesis of new samples. In view of the characteristic that electroencephalogram (EEG) signals are one-dimensional signals, we then develop a 1D-MobileNet model to validate the algorithm's performance. Results demonstrate that the proposed algorithm outperforms previous seizure detection methods on the CHB-MIT dataset, achieving an average accuracy of 99.40%, a recall value of 87.46%, a precision of 97.17%, and an F1-score of 91.90%, respectively. We also had considerable success when we used additional datasets for verification at the same time. Our algorithm's data augmentation effects are more pronounced and perform better at seizure detection than the existing imbalanced techniques. Besides, the model's parameters and calculation volume have been significantly reduced, making it more suitable for mobile terminals and embedded devices.

Approximate zero-crossing: a new interpretable, highly discriminative and low-complexity feature for EEG and iEEG seizure detection

Objective. Long-term monitoring of people with epilepsy based on electroencephalography (EEG) and intracranial EEG (iEEG) has the potential to deliver key clinical information for personalised epilepsy treatment. More specifically, in outpatient settings, the available solutions are not satisfactory either due to poor classification performance or high complexity to be executed in resource-constrained devices (e.g. wearable systems). Therefore, we hypothesize that obtaining high discriminative features is the main avenue to improve low-complexity seizure-detection algorithms.Approach. Inspired by how neurologists recognize ictal EEG data, and to tackle this problem by targeting resource-constrained wearable devices, we introduce a new interpretable and highly discriminative feature for EEG and iEEG, namely approximate zero-crossing (AZC). We obtain AZC by applying a polygonal approximation to mimic how our brain selects prominent patterns among noisy data and then using a zero-crossing count as a measure of the dominating frequency. By employing Kullback-Leiber divergence, leveraging CHB-MIT and SWEC-ETHZ iEEG datasets, we compare the AZC discriminative power against a set of 56 classical literature features (CLF). Moreover, we assess the performances of a low-complexity seizure detection method using only AZC features versus employing the CLF set.Main results. Three AZC features obtained with different approximation thresholds are among the five with the highest median discriminative power. Moreover, seizure classification based on only AZC features outperforms an equivalent CLF-based method. The former detects 102 and 194 seizures, against 99 and 161 for the latter (CHB-MIT and SWEC-ETHZ, respectively). Moreover, the AZC-based method keeps a similar false-alarm rate (i.e. an average of 2.1 and 1.0, against 2.0 and 0.5, per day).Significance. We propose a new feature and demonstrate its capability in seizure classification for both scalp and intracranial EEG. We envision the use of such a feature to improve outpatient monitoring with resource-constrained devices.

Classification of EEG Signals for Prediction of Epileptic Seizures

Epilepsy is a common brain disorder that causes patients to face multiple seizures in a single day. Around 65 million people are affected by epilepsy worldwide. Patients with focal epilepsy can be treated with surgery, whereas generalized epileptic seizures can be managed with medications. It has been noted that in more than 30% of cases, these medications fail to control epileptic seizures, resulting in accidents and limiting the patient’s life. Predicting epileptic seizures in such patients prior to the commencement of an oncoming seizure is critical so that the seizure can be treated with preventive medicines before it occurs. Electroencephalogram (EEG) signals of patients recorded to observe brain electrical activity during a seizure can be quite helpful in predicting seizures. Researchers have proposed methods that use machine and/or deep learning techniques to predict epileptic seizures using scalp EEG signals; however, prediction of seizures with increased accuracy is still a challenge. Therefore, we propose a three-step approach. It includes preprocessing of scalp EEG signals with PREP pipeline, which is a more sophisticated alternative to basic notch filtering. This method uses a regression-based technique to further enhance the SNR, with a combination of handcrafted, i.e., statistical features such as temporal mean, variance, and skewness, and automated features using CNN, followed by classification of interictal state and preictal state segments using LSTM to predict seizures. We train and validate our proposed technique on the CHB-MIT scalp EEG dataset and achieve accuracy of 94%, sensitivity of 93.8%, and 91.2% specificity. The proposed technique achieves better sensitivity and specificity than existing methods.