Detection of epileptic seizure based on entropy analysis of short-term EEG

Interictal intracranial EEG asymmetry lateralizes temporal lobe epilepsy

Patients with drug-resistant temporal lobe epilepsy often undergo intracranial EEG recording to capture multiple seizures in order to lateralize the seizure onset zone. This process is associated with morbidity and often ends in postoperative seizure recurrence. Abundant interictal (between-seizure) data are captured during this process, but these data currently play a small role in surgical planning. Our objective was to predict the laterality of the seizure onset zone using interictal intracranial EEG data in patients with temporal lobe epilepsy. We performed a retrospective cohort study (single-centre study for model development; two-centre study for model validation). We studied patients with temporal lobe epilepsy undergoing intracranial EEG at the University of Pennsylvania (internal cohort) and the Medical University of South Carolina (external cohort) between 2015 and 2022. We developed a logistic regression model to predict seizure onset zone laterality using several interictal EEG features derived from recent publications. We compared the concordance between the model-predicted seizure onset zone laterality and the side of surgery between patients with good and poor surgical outcomes. Forty-seven patients (30 female; ages 20-69; 20 left-sided, 10 right-sided and 17 bilateral seizure onsets) were analysed for model development and internal validation. Nineteen patients (10 female; ages 23-73; 5 left-sided, 10 right-sided, 4 bilateral) were analysed for external validation. The internal cohort cross-validated area under the curve for a model trained using spike rates was 0.83 for a model predicting left-sided seizure onset and 0.68 for a model predicting right-sided seizure onset. Balanced accuracies in the external cohort were 79.3% and 78.9% for the left- and right-sided predictions, respectively. The predicted concordance between the laterality of the seizure onset zone and the side of surgery was higher in patients with good surgical outcome. We replicated the finding that right temporal lobe epilepsy was harder to distinguish in a separate modality of resting-state functional MRI. In conclusion, interictal EEG signatures are distinct across seizure onset zone lateralities. Left-sided seizure onsets are easier to distinguish than right-sided onsets. A model trained on spike rates accurately identifies patients with left-sided seizure onset zones and predicts surgical outcome. A potential clinical application of these findings could be to either support or oppose a hypothesis of unilateral temporal lobe epilepsy when deciding to pursue surgical resection or ablation as opposed to device implantation.

Estimating Patient-Level Uncertainty in Seizure Detection Using Group-Specific Out-of-Distribution Detection Technique

Epilepsy is a chronic neurological disorder affecting around 1% of the global population, characterized by recurrent epileptic seizures. Accurate diagnosis and treatment are crucial for reducing mortality rates. Recent advancements in machine learning (ML) algorithms have shown potential in aiding clinicians with seizure detection in electroencephalography (EEG) data. However, these algorithms face significant challenges due to the patient-specific variability in seizure patterns and the limited availability of high-quality EEG data for training, causing erratic predictions. These erratic predictions are harmful, especially for high-stake domains in healthcare, negatively affecting patients. Therefore, ensuring safety in AI is of the utmost importance. In this study, we propose a novel ensemble method for uncertainty quantification to identify patients with low-confidence predictions in ML-based seizure detection algorithms. Our approach aims to mitigate high-risk predictions in previously unseen seizure patients, thereby enhancing the robustness of existing seizure detection algorithms. Additionally, our method can be implemented with most of the deep learning (DL) models. We evaluated the proposed method against established uncertainty detection techniques, demonstrating its effectiveness in identifying patients for whom the model's predictions are less certain. Our proposed method managed to achieve 87%, 89% and 75% in accuracy, specificity and sensitivity, respectively. This study represents a novel attempt to improve the reliability and robustness of DL algorithms in the domain of seizure detection. This study underscores the value of integrating uncertainty quantification into ML algorithms for seizure detection, offering clinicians a practical tool to gauge the applicability of ML models for individual patients.

Chronological changes in phase-amplitude coupling during epileptic seizures in temporal lobe epilepsy

OBJECTIVE

To analyze chronological changes in phase-amplitude coupling (PAC) and verify whether PAC analysis can diagnose epileptogenic zones during seizures.

METHODS

We analyzed 30 seizures in 10 patients with mesial temporal lobe epilepsy who had ictal discharges with preictal spiking followed by low-voltage fast activity patterns on intracranial electroencephalography. We used the amplitude of two high-frequency bands (ripples: 80-200 Hz, fast ripples: 200-300 Hz) and the phase of three slow wave bands (0.5-1 Hz, 3-4 Hz, and 4-8 Hz) for modulation index (MI) calculation from 2 minutes before seizure onset to seizure termination. We evaluated the accuracy of epileptogenic zone detection by MI, in which a combination of MI was better for diagnosis and analyzed patterns of chronological changes in MI during seizures.

RESULTS

MI_{Ripples/3-4 Hz} and MI_{Ripples/4-8 Hz} in the hippocampus were significantly higher than those in the peripheral regions from seizure onset. Corresponding to the phase on intracranial electroencephalography, MI_{Ripples/3-4 Hz} decreased once and subsequently increased again. MI_{Ripples/4-8 Hz} showed continuously high values.

CONCLUSIONS

Continuous measurement of MI_{Ripples/3-4 Hz} and MI_{Ripples/4-8 Hz} could help identify epileptogenic zones.

SIGNIFICANCE

PAC analysis of ictal epileptic discharges can help epileptogenic zone identification.

Is the tendency to maximise energy distribution an optimal collective activity for biological purposes? A proposal for a global principle of biological organization

Our purpose is to address the biological problem of finding foundations of the organization in the collective activity among cell networks in the nervous system, at the meso/macroscale, giving rise to cognition and consciousness. But in doing so, we encounter another problem related to the interpretation of methods to assess the neural interactions and organization of the neurodynamics, because thermodynamic notions, which have precise meaning only under specific conditions, have been widely employed in these studies. The consequence is that apparently contradictory results appear in the literature, but these contradictions diminish upon the considerations of the specific circumstances of each experiment. After clarifying some of these controversial points and surveying some experimental results, we propose that a necessary condition for cognition/consciousness to emerge is to have available enough energy, or cellular activity; and a sufficient condition is the multiplicity of configurations in which cell networks can communicate, resulting in non-uniform energy distribution, the generation and dissipation of energy gradients due to the constant activity. The diversity of sensorimotor processing of higher animals needs a flexible, fluctuating web on neuronal connections, and we review results supporting such multiplicity of configurations among brain regions associated with conscious awareness and healthy brain states. These ideas may reveal possible fundamental principles of brain organization that could be extended to other natural phenomena and how healthy activity may derive to pathological states.

Estimating the Depth of Anesthesia from EEG Signals Based on a Deep Residual Shrinkage Network

The reliable monitoring of the depth of anesthesia (DoA) is essential to control the anesthesia procedure. Electroencephalography (EEG) has been widely used to estimate DoA since EEG could reflect the effect of anesthetic drugs on the central nervous system (CNS). In this study, we propose that a deep learning model consisting mainly of a deep residual shrinkage network (DRSN) and a 1 × 1 convolution network could estimate DoA in terms of patient state index (PSI) values. First, we preprocessed the four raw channels of EEG signals to remove electrical noise and other physiological signals. The proposed model then takes the preprocessed EEG signals as inputs to predict PSI values. Then we extracted 14 features from the preprocessed EEG signals and implemented three conventional feature-based models as comparisons. A dataset of 18 patients was used to evaluate the models' performances. The results of the five-fold cross-validation show that there is a relatively high similarity between the ground-truth PSI values and the predicted PSI values of our proposed model, which outperforms the conventional models, and further, that the Spearman's rank correlation coefficient is 0.9344. In addition, an ablation experiment was conducted to demonstrate the effectiveness of the soft-thresholding module for EEG-signal processing, and a cross-subject validation was implemented to illustrate the robustness of the proposed method. In summary, the procedure is not merely feasible for estimating DoA by mimicking PSI values but also inspired us to develop a precise DoA-estimation system with more convincing assessments of anesthetization levels.

Epileptic seizure prediction and classification based on statistical features using LSTM fully connected neural network

Epilepsy, the most common neurological disorder by which over 65 million people are affected across the world. Recent research has shown a very large interest to predict and diagnose epilepsy well before time. The continuous monitoring of EEG signals for seizure detection in electroencephalogram (EEG) is a very tedious and time taking process and therefore requires a qualified and trained clinical specialist. This paper presents a novel approach to detect and predict the epileptic signal in the recorded electroencephalogram (EEG). There is always a requirement for a nonlinear technique to examine the EEG signals due to the random nature of EEG signals. Therefore, we are providing an alternate method that extracts various entropy measures such Sample Entropy, Spectral Entropy, Permutation Entropy, and Shannon Entropy as statistical features from EEG signal. Based on these extracted features LSTM Fully connected Neural Network is used to classify the EEG signal as Focal and Non-focal. The proposed method gives a new insight into EEG signals by providing sensitivity as an added measure using deep learning along with accuracy and precision.

Supervised Machine Learning and Deep Learning Techniques for Epileptic Seizure Recognition Using EEG Signals-A Systematic Literature Review

Electroencephalography (EEG) is a complicated, non-stationary signal that requires extensive preprocessing and feature extraction approaches to be accurately analyzed. In recent times, Deep learning (DL) has shown great promise in exploiting the characteristics of EEG signals as it can learn relevant features from raw data autonomously. Although studies involving DL have become more common in the last two years, the topic of whether DL truly delivers advantages over conventional Machine learning (ML) methodologies remains unsettled. This study aims to present a detailed overview of the main challenges in the field of seizure detection, prediction, and classification utilizing EEG data, and the approaches taken to solve them using ML and DL methods. A systematic review was conducted surveying peer-reviewed publications published between 2017 and 16 July 2022 using two scientific databases (Web of Science and Scopus) totaling 6822 references after discarding duplicate publications. Whereas 2262 articles were screened based on the title, abstract, and keywords, only 214 were eligible for full-text assessment. A total of 91 papers have been included in this survey after meeting the eligible inclusion and exclusion criteria. The most significant findings from the review are summarized, and several important concepts involving ML and DL for seizure detection, prediction, and classification are discussed in further depth. This review aims to learn more about the different approaches for identifying different types and stages of epileptic seizures, which may then be employed to enhance the lives of epileptic patients in the future, as well as aid experts in the field.

Sparse measures with swarm-based pliable hidden Markov model and deep learning for EEG classification

In comparison to other biomedical signals, electroencephalography (EEG) signals are quite complex in nature, so it requires a versatile model for feature extraction and classification. The structural information that prevails in the originally featured matrix is usually lost when dealing with standard feature extraction and conventional classification techniques. The main intention of this work is to propose a very novel and versatile approach for EEG signal modeling and classification. In this work, a sparse representation model along with the analysis of sparseness measures is done initially for the EEG signals and then a novel convergence of utilizing these sparse representation measures with Swarm Intelligence (SI) techniques based Hidden Markov Model (HMM) is utilized for the classification. The SI techniques utilized to compute the hidden states of the HMM are Particle Swarm Optimization (PSO), Differential Evolution (DE), Whale Optimization Algorithm (WOA), and Backtracking Search Algorithm (BSA), thereby making the HMM more pliable. Later, a deep learning methodology with the help of Convolutional Neural Network (CNN) was also developed with it and the results are compared to the standard pattern recognition classifiers. To validate the efficacy of the proposed methodology, a comprehensive experimental analysis is done over publicly available EEG datasets. The method is supported by strong statistical tests and theoretical analysis and results show that when sparse representation is implemented with deep learning, the highest classification accuracy of 98.94% is obtained and when sparse representation is implemented with SI-based HMM method, a high classification accuracy of 95.70% is obtained.

Epileptic Seizure Detection Using Geometric Features Extracted from SODP Shape of EEG Signals and AsyLnCPSO-GA

Epilepsy is a neurological disorder that is characterized by transient and unexpected electrical disturbance of the brain. Seizure detection by electroencephalogram (EEG) is associated with the primary interest of the evaluation and auxiliary diagnosis of epileptic patients. The aim of this study is to establish a hybrid model with improved particle swarm optimization (PSO) and a genetic algorithm (GA) to determine the optimal combination of features for epileptic seizure detection. First, the second-order difference plot (SODP) method was applied, and ten geometric features of epileptic EEG signals were derived in each frequency band (δ, θ, α and β), forming a high-dimensional feature vector. Secondly, an optimization algorithm, AsyLnCPSO-GA, combining a modified PSO with asynchronous learning factor (AsyLnCPSO) and the genetic algorithm (GA) was proposed for feature selection. Finally, the feature combinations were fed to a naïve Bayesian classifier for epileptic seizure and seizure-free identification. The method proposed in this paper achieved 95.35% classification accuracy with a tenfold cross-validation strategy when the interfrequency bands were crossed, serving as an effective method for epilepsy detection, which could help clinicians to expeditiously diagnose epilepsy based on SODP analysis and an optimization algorithm for feature selection.

Review of Machine and Deep Learning Techniques in Epileptic Seizure Detection using Physiological Signals and Sentiment Analysis

Epilepsy is one of the significant neurological disorders affecting nearly 65 million people worldwide. The repeated seizure is characterized as epilepsy. Different algorithms were proposed for efficient seizure detection using intracranial and surface EEG signals. In the last decade, various machine learning techniques based on seizure detection approaches were proposed. This paper discusses different machine learning and deep learning techniques for seizure detection using intracranial and surface EEG signals. A wide range of machine learning techniques such as support vector machine (SVM) classifiers, artificial neural network (ANN) classifier, and deep learning techniques such as a convolutional neural network (CNN) classifier, long-short term memory (LSTM) network for seizure detection are compared in this paper. The effectiveness of time-domain features, frequency domain features, and time-frequency domain features are discussed along with different machine learning techniques. Along with EEG, other physiological signals such as electrocardiogram are used to enhance seizure detection accuracy which are discussed in this paper. In recent years deep learning techniques based on seizure detection have found good classification accuracy. In this paper, an LSTM deep learning-network-based approach is implemented for seizure detection and compared with state-of-the-art methods. The LSTM based approach achieved 96.5% accuracy in seizure-nonseizure EEG signal classification. Apart from analyzing the physiological signals, sentiment analysis also has potential to detect seizure. Impact Statement- This review paper gives a summary of different research work related to epileptic seizure detection using machine learning and deep learning techniques. Manual seizure detetion is time consuming and requires expertise. So the artificial intelligence techniques such as machine learning and deep learning techniques are used for automatic seizure detection. Different physiological signals are used for seizure detection. Different researchers are working on developing automatic seizure detection using EEG, ECG, accelerometer, sentiment analysis. There is a need for a review paper that can discuss previous techniques and give further research direction. We have discussed different techniques for seizure detection with an accuracy comparison table. It can help the researcher to get an overview of both surface and intracranial EEG-based seizure detection approaches. The new researcher can easily compare different models and decide the model they want to start working on. A deep learning model is discussed to give a practical application of seizure detection. Sentiment analysis is another dimension of seizure detection and summerizing it will give a new prospective to the reader.

Using Constrained Square-Root Cubature Kalman Filter for Quantifying the Severity of Epileptic Activities in Mice

(1) Background: Quantification of severity of epileptic activities, especially during electrical stimulation, is an unmet need for seizure control and evaluation of therapeutic efficacy. In this study, a parameter ratio derived from constrained square-root cubature Kalman filter (CSCKF) was formulated to quantify the excitability of local neural network and compared with three commonly used indicators, namely, band power, Teager energy operator, and sample entropy, to objectively determine their effectiveness in quantifying the severity of epileptiform discharges in mice. (2) Methods: A set of one normal and four types of epileptic EEGs was generated by a mathematical model. EEG data of epileptiform discharges during two types of electrical stimulation were recorded in 20 mice. Then, EEG segments of 5 s in length before, during and after the real and sham stimulation were collected. Both simulated and experimental data were used to compare the consistency and differences among the performance indicators. (3) Results: For the experimental data, the results of the four indicators were inconsistent during both types of electrical stimulation, although there was a trend that seizure severity changed with the indicators. For the simulated data, when the simulated EEG segments were used, the results of all four indicators were similar; however, this trend did not match the trend of excitability of the model network. In the model output which retained the DC component, except for the CSCKF parameter ratio, the results of the other three indicators were almost identical to those using the simulated EEG. For CSCKF, the parameter ratio faithfully reflected the excitability of the neural network. (4) Conclusion: For common EEG, CSCKF did not outperform other commonly used performance indicators. However, for EEG with a preserved DC component, CSCKF had the potential to quantify the excitability of the neural network and the associated severity of epileptiform discharges.

Alpha-power in electroencephalography as good outcome predictor for out-of-hospital cardiac arrest survivors

This study aimed to investigate the utility of quantitative EEG biomarkers for predicting good neurologic outcomes in OHCA survivors treated with targeted temperature management (TTM) using power spectral density (PSD), event-related spectral perturbation (ERSP), and spectral entropy (SE). This observational registry-based study was conducted at a tertiary care hospital in Korea using data of adult nontraumatic comatose OHCA survivors who underwent standard EEG and treated with TTM between 2010 and 2018. Good neurological outcome at 1 month (Cerebral Performance Category scores 1 and 2) was the primary outcome. The linear mixed model analysis was performed for PSD, ESRP, and SE values of all and each frequency band. Thirteen of the 54 comatose OHCA survivors with TTM and EEG were excluded due to poor EEG quality or periodic/rhythmic pattern, and EEG data of 41 patients were used for analysis. The median time to EEG was 21 h, and the rate of the good neurologic outcome at 1 month was 52.5%. The good neurologic outcome group was significantly younger and showed higher PSD and ERSP and lower SE features for each frequency than the poor outcome group. After age adjustment, only the alpha-PSD was significantly higher in the good neurologic outcome group (1.13 ± 1.11 vs. 0.09 ± 0.09, p = 0.031) and had best performance with 0.903 of the area under the curve for predicting good neurologic outcome. Alpha-PSD best predicts good neurologic outcome in OHCA survivors and is an early biomarker for prognostication. Larger studies are needed to conclusively confirm these findings.

Recent Advances in the Use of Focused Ultrasound as a Treatment for Epilepsy

Epilepsy affects about 1% of the population. Approximately one third of patients with epilepsy are drug-resistant (DRE). Resective surgery is an effective treatment for DRE, yet invasive, and not all DRE patients are suitable resective surgery candidates. Focused ultrasound, a novel non-invasive neurointerventional method is currently under investigation as a treatment alternative for DRE. By emitting one or more ultrasound waves, FUS can target structures in the brain at millimeter resolution. High intensity focused ultrasound (HIFU) leads to ablation of tissue and could therefore serve as a non-invasive alternative for resective surgery. It is currently under investigation in clinical trials following the approval of HIFU for essential tremor and Parkinson’s disease. Low intensity focused ultrasound (LIFU) can modulate neuronal activity and could be used to lower cortical neuronal hyper-excitability in epilepsy patients in a non-invasive manner. The seizure-suppressive effect of LIFU has been studied in several preclinical trials, showing promising results. Further investigations are required to demonstrate translation of preclinical results to human subjects.

Entropy and the Emotional Brain: Overview of a Research Field

During the last years, there has been a notable increase in the number of studies focused on the assessment of brain dynamics for the recognition of emotional states by means of nonlinear methodologies. More precisely, different entropy metrics have been applied for the analysis of electroencephalographic recordings for the detection of emotions. In this sense, regularity-based entropy metrics, symbolic predictability-based entropy indices, and different multiscale and multilag variants of the aforementioned methods have been successfully tested in a series of studies for emotion recognition from the EEG recording. This chapter aims to unify all those contributions to this scientific area, summarizing the main discoverings recently achieved in this research field.

Entropy Analysis of Neonatal Electrodermal Activity during the First Three Days after Birth

The entropy-based parameters determined from the electrodermal activity (EDA) biosignal evaluate the complexity within the activity of the sympathetic cholinergic system. We focused on the evaluation of the complex sympathetic cholinergic regulation by assessing EDA using conventional indices (skin conductance level (SCL), non-specific skin conductance responses, spectral EDA indices), and entropy-based parameters (approximate, sample, fuzzy, permutation, Shannon, and symbolic information entropies) in newborns during the first three days of postnatal life. The studied group consisted of 50 healthy newborns (21 boys, average gestational age: 39.0 ± 0.2 weeks). EDA was recorded continuously from the feet at rest for three periods (the first day—2 h after birth, the second day—24 h after birth, and the third day—72 h after birth). Our results revealed higher SCL, spectral EDA index in a very-low frequency band, approximate, sample, fuzzy, and permutation entropy during the first compared to second and third days, while Shannon and symbolic information entropies were lower during the first day compared to other periods. In conclusion, EDA parameters seem to be sensitive in the detection of the sympathetic regulation changes in early postnatal life and which can represent an important step towards a non-invasive early diagnosis of the pathological states linked to autonomic dysmaturation in newborns.

Prediction of autism spectrum disorder diagnosis using nonlinear measures of language-related EEG at 6 and 12 months

BACKGROUND

Early identification of autism spectrum disorder (ASD) provides an opportunity for early intervention and improved developmental outcomes. The use of electroencephalography (EEG) in infancy has shown promise in predicting later ASD diagnoses and in identifying neural mechanisms underlying the disorder. Given the high co-morbidity with language impairment, we and others have speculated that infants who are later diagnosed with ASD have altered language learning, including phoneme discrimination. Phoneme learning occurs rapidly in infancy, so altered neural substrates during the first year of life may serve as early, accurate indicators of later autism diagnosis.

METHODS

Using EEG data collected at two different ages during a passive phoneme task in infants with high familial risk for ASD, we compared the predictive accuracy of a combination of feature selection and machine learning models at 6 months (during native phoneme learning) and 12 months (after native phoneme learning), and we identified a single model with strong predictive accuracy (100%) for both ages. Samples at both ages were matched in size and diagnoses (n = 14 with later ASD; n = 40 without ASD). Features included a combination of power and nonlinear measures across the 10‑20 montage electrodes and 6 frequency bands. Predictive features at each age were compared both by feature characteristics and EEG scalp location. Additional prediction analyses were performed on all EEGs collected at 12 months; this larger sample included 67 HR infants (27 HR-ASD, 40 HR-noASD).

RESULTS

Using a combination of Pearson correlation feature selection and support vector machine classifier, 100% predictive diagnostic accuracy was observed at both 6 and 12 months. Predictive features differed between the models trained on 6- versus 12-month data. At 6 months, predictive features were biased to measures from central electrodes, power measures, and frequencies in the alpha range. At 12 months, predictive features were more distributed between power and nonlinear measures, and biased toward frequencies in the beta range. However, diagnosis prediction accuracy substantially decreased in the larger, more behaviorally heterogeneous 12-month sample.

CONCLUSIONS

These results demonstrate that speech processing EEG measures can facilitate earlier identification of ASD but emphasize the need for age-specific predictive models with large sample sizes to develop clinically relevant classification algorithms.

ScoreNet: A Neural Network-Based Post-Processing Model for Identifying Epileptic Seizure Onset and Offset in EEGs

We design an algorithm to automatically detect epileptic seizure onsets and offsets from scalp electroencephalograms (EEGs). The proposed scheme consists of two sequential steps: detecting seizure episodes from long EEG recordings, and determining seizure onsets and offsets of the detected episodes. We introduce a neural network-based model called ScoreNet to carry out the second step by better predicting the seizure probability of pre-detected seizure epochs to determine seizure onsets and offsets. A cost function called log-dice loss with a similar meaning to the F₁ score is proposed to handle the natural data imbalance inherent in EEG signals signifying seizure events. ScoreNet is then verified on the CHB-MIT Scalp EEG database in combination with several classifiers including random forest, convolutional neural network (CNN), and logistic regression. As a result, ScoreNet improves seizure detection performance over lone epoch-based seizure classification methods; F₁ scores increase significantly from 16-37% to 53-70%, and false positive rates per hour decrease from 0.53-5.24 to 0.05-0.61. This method provides clinically acceptable latencies of detecting seizure onset and offset of less than 10 seconds. In addition, an effective latency index is proposed as a metric for detection latency whose scoring considers undetected events to provide better insight into onset and offset detection than conventional time-based metrics.

Performance Analysis of Entropy Methods in Detecting Epileptic Seizure from Surface Electroencephalograms

Physiological signals like Electrocardiography (ECG) and Electroencephalography (EEG) are complex and nonlinear in nature. To retrieve diagnostic information from these, we need the help of nonlinear methods of analysis. Entropy estimation is a very popular approach in the nonlinear category, where entropy estimates are used as features for signal classification and analysis. In this study, we analyze and compare the performances of four entropy methods; namely Distribution entropy (DistEn), Shannon entropy (ShanEn), Renyi entropy (RenEn) and LempelZiv complexity (LempelZiv) as classification features to detect epileptic seizure (ES) from surface Electroencephalography (sEEG) signal. Experiments were conducted on sEEG data from 23 subjects, obtained from the CHB-MIT database of PhysioNet. ShanEn, RenEn and LempelZiv entropy are found to be potential features for accurate and consistent detection of ES from sEEG, across multiple channels and subjects.

Prediction of epileptic seizures based on multivariate multiscale modified-distribution entropy

Epilepsy is a common neurological disease that affects a wide range of the world population and is not limited by age. Moreover, seizures can occur anytime and anywhere because of the sudden abnormal discharge of brain neurons, leading to malfunction. The seizures of approximately 30% of epilepsy patients cannot be treated with medicines or surgery; hence these patients would benefit from a seizure prediction system to live normal lives. Thus, a system that can predict a seizure before its onset could improve not only these patients' social lives but also their safety. Numerous seizure prediction methods have already been proposed, but the performance measures of these methods are still inadequate for a complete prediction system. Here, a seizure prediction system is proposed by exploring the advantages of multivariate entropy, which can reflect the complexity of multivariate time series over multiple scales (frequencies), called multivariate multiscale modified-distribution entropy (MM-mDistEn), with an artificial neural network (ANN). The phase-space reconstruction and estimation of the probability density between vectors provide hidden complex information. The multivariate time series property of MM-mDistEn provides more understandable information within the multichannel data and makes it possible to predict of epilepsy. Moreover, the proposed method was tested with two different analyses: simulation data analysis proves that the proposed method has strong consistency over the different parameter selections, and the results from experimental data analysis showed that the proposed entropy combined with an ANN obtains performance measures of 98.66% accuracy, 91.82% sensitivity, 99.11% specificity, and 0.84 area under the curve (AUC) value. In addition, the seizure alarm system was applied as a postprocessing step for prediction purposes, and a false alarm rate of 0.014 per hour and an average prediction time of 26.73 min before seizure onset were achieved by the proposed method. Thus, the proposed entropy as a feature extraction method combined with an ANN can predict the ictal state of epilepsy, and the results show great potential for all epilepsy patients.

Assessment of Dispersion and Bubble Entropy Measures for Enhancing Preterm Birth Prediction Based on Electrohysterographic Signals

One of the remaining challenges for the scientific-technical community is predicting preterm births, for which electrohysterography (EHG) has emerged as a highly sensitive prediction technique. Sample and fuzzy entropy have been used to characterize EHG signals, although they require optimizing many internal parameters. Both bubble entropy, which only requires one internal parameter, and dispersion entropy, which can detect any changes in frequency and amplitude, have been proposed to characterize biomedical signals. In this work, we attempted to determine the clinical value of these entropy measures for predicting preterm birth by analyzing their discriminatory capacity as an individual feature and their complementarity to other EHG characteristics by developing six prediction models using obstetrical data, linear and non-linear EHG features, and linear discriminant analysis using a genetic algorithm to select the features. Both dispersion and bubble entropy better discriminated between the preterm and term groups than sample, spectral, and fuzzy entropy. Entropy metrics provided complementary information to linear features, and indeed, the improvement in model performance by including other non-linear features was negligible. The best model performance obtained an F1-score of 90.1 ± 2% for testing the dataset. This model can easily be adapted to real-time applications, thereby contributing to the transferability of the EHG technique to clinical practice.

A Study on Seizure Detection of EEG Signals Represented in 2D

A seizure is a neurological disorder caused by abnormal neuronal discharges in the brain, which severely reduces the quality of life of patients and often endangers their lives. Automatic seizure detection is an important research area in the treatment of seizure and is a prerequisite for seizure intervention. Deep learning has been widely used for automatic detection of seizures, and many related research works decomposed the electroencephalogram (EEG) raw signal with a time window to obtain EEG signal slices, then performed feature extraction on the slices, and represented the obtained features as input data for neural networks. There are various methods for EEG signal decomposition, feature extraction, and representation, and most of the studies have been based on fixed hardware resources for the design of the scheme, which reduces the adaptability of the scheme in different application scenarios and makes it difficult to optimize the algorithms in the scheme. To address the above issues, this paper proposes a deep learning-based model for seizure detection, mainly characterized by the two-dimensional representation of EEG features and the scalability of neural networks. The model modularizes the main steps of seizure detection and improves the adaptability of the model to different hardware resource constraints, in order to increase the convenience of the algorithm optimization or the replacement of each module. The proposed model consists of five parts, and the model was tested using two epilepsy datasets separately. The experimental results showed that the proposed model has strong generality and good classification accuracy for seizure detection.

A Recent Investigation on Detection and Classification of Epileptic Seizure Techniques Using EEG Signal

The benefits of early detection and classification of epileptic seizures in analysis, monitoring and diagnosis for the realization and actualization of computer-aided devices and recent internet of medical things (IoMT) devices can never be overemphasized. The success of these applications largely depends on the accuracy of the detection and classification techniques employed. Several methods have been investigated, proposed and developed over the years. This paper investigates various seizure detection algorithms and classifications in the last decade, including conventional techniques and recent deep learning algorithms. It also discusses epileptiform detection as one of the steps towards advanced diagnoses of disorders of consciousness (DOCs) and their understanding. A performance comparison was carried out on the different algorithms investigated, and their advantages and disadvantages were explored. From our survey, much attention has recently been paid to exploring the efficacy of deep learning algorithms in seizure detection and classification, which are employed in other areas such as image processing and classification. Hybrid deep learning has also been explored, with CNN-RNN being the most popular.

Integrating old and new complexity measures toward automated seizure detection from long-term video EEG recordings

Automated seizure detection in long-term video-EEG recordings is far from being integrated into common clinical practice. Here, we leverage classical and state-of-the-art complexity measures to robustly and automatically detect seizures from scalp recordings. Brain activity is scored through eight features, encompassing traditional time domain and novel measures of recurrence. A binary classification algorithm tailored to treat unbalanced dataset is used to determine whether a time window is ictal or non-ictal from its features. The application of the algorithm on a cohort of ten adult patients with focal refractory epilepsy indicates sensitivity, specificity, and accuracy of 90%, along with a true alarm rate of 95% and less than four false alarms per day. The proposed approach emphasizes ictal patterns against noisy background without the need of data preprocessing. Finally, we benchmark our approach against previous studies on two publicly available datasets, demonstrating the good performance of our algorithm.

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Complexity measures are formulated to enhance classical time-domain statistics of EEG

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The detection algorithm does not need ad-hoc data preprocessing to address artifacts

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Focal seizures are detected 95% of the time with less than four false alarms per day

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The approach offers a visual representation of a seizure as a time-evolving network

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.

Statistical Model-Based Classification to Detect Patient-Specific Spike-and-Wave in EEG Signals

Spike-and-wave discharge (SWD) pattern detection in electroencephalography (EEG) is a crucial signal processing problem in epilepsy applications. It is particularly important for overcoming time-consuming, difficult, and error-prone manual analysis of long-term EEG recordings. This paper presents a new method to detect SWD, with a low computational complexity making it easily trained with data from standard medical protocols. Precisely, EEG signals are divided into time segments for which the continuous Morlet 1-D wavelet decomposition is computed. The generalized Gaussian distribution (GGD) is fitted to the resulting coefficients and their variance and median are calculated. Next, a k-nearest neighbors (k-NN) classifier is trained to detect the spike-and-wave patterns, using the scale parameter of the GGD in addition to the variance and the median. Experiments were conducted using EEG signals from six human patients. Precisely, 106 spike-and-wave and 106 non-spike-and-wave signals were used for training, and 96 other segments for testing. The proposed SWD classification method achieved 95% sensitivity (True positive rate), 87% specificity (True Negative Rate), and 92% accuracy. These promising results set the path for new research to study the causes underlying the so-called absence epilepsy in long-term EEG recordings.

Modified-Distribution Entropy as the Features for the Detection of Epileptic Seizures

Epilepsy is one of the most common chronic neurological disorders, and therefore, diagnosis and treatment methods are urgently needed for these patients. Many methods and algorithms that can detect seizures in epileptic patients have been proposed. Electroencephalogram (EEG) is one of helpful tools for investigating epilepsy forms in patients, however, an expert in the neurological field must perform a visual inspection to identify a seizure. Such analyses require longer time because of the huge dataset recorded from many electrodes which are put on the human scalp. With the non-stationary nature of EEG, especially during the abnormality periods, entropy measures gain more interest in the field. In this work, by exploring the advantages of both reliable state-of-the-art entropies, fuzzy entropy and distribution entropy, a modified-Distribution entropy (mDistEn) for epilepsy detection is proposed. As the results, the proposed mDistEn method can successfully achieve the same consistency and better accuracy than using the state-of-the-art entropies. The mDistEn corresponds to higher Area Under the Curve (AUC) values compared with the fuzzy entropy and the distribution entropy and yields 92% classification accuracy.

Hidden Markov model based epileptic seizure detection using tunable Q wavelet transform

Epilepsy is one of the most prevalent neurological disorders affecting 70 million people worldwide. The present work is focused on designing an efficient algorithm for automatic seizure detection by using electroencephalogram (EEG) as a noninvasive procedure to record neuronal activities in the brain. EEG signals' underlying dynamics are extracted to differentiate healthy and seizure EEG signals. Shannon entropy, collision entropy, transfer entropy, conditional probability, and Hjorth parameter features are extracted from subbands of tunable Q wavelet transform. Efficient decomposition level for different feature vector is selected using the Kruskal-Wallis test to achieve good classification. Different features are combined using the discriminant correlation analysis fusion technique to form a single fused feature vector. The accuracy of the proposed approach is higher for Q=2 and J=10. Transfer entropy is observed to be significant for different class combinations. Proposed approach achieved 100% accuracy in classifying healthy-seizure EEG signal using simple and robust features and hidden Markov model with less computation time. The proposed approach efficiency is evaluated in classifying seizure and non-seizure surface EEG signals. The system has achieved 96.87% accuracy in classifying surface seizure and nonseizure EEG segments using efficient features extracted from different J level.

Statistical-Hypothesis-Aided Tests for Epilepsy Classification

In this paper, an efficient, accurate, and nonparametric epilepsy detection and classification approach based on electroencephalogram (EEG) signals is proposed. The proposed approach mainly depends on a feature extraction process that is conducted using a set of statistical tests. Among the many existing tests, those fit with processed data and for the purpose of the proposed approach were used. From each test, various output scalars were extracted and used as features in the proposed detection and classification task. Experiments that were conducted on the basis of a Bonn University dataset showed that the proposed approach had very accurate results ( 98.4 % ) in the detection task and outperformed state-of-the-art methods in a similar task on the same dataset. The proposed approach also had accurate results ( 94.0 % ) in the classification task, but it did not outperform state-of-the-art methods in a similar task on the same dataset. However, the proposed approach had less time complexity in comparison with those methods that achieved better results.

Interpretation of Entropy Algorithms in the Context of Biomedical Signal Analysis and Their Application to EEG Analysis in Epilepsy

Biomedical signals are measurable time series that describe a physiological state of a biological system. Entropy algorithms have been previously used to quantify the complexity of biomedical signals, but there is a need to understand the relationship of entropy to signal processing concepts. In this study, ten synthetic signals that represent widely encountered signal structures in the field of signal processing were created to interpret permutation, modified permutation, sample, quadratic sample and fuzzy entropies. Subsequently, the entropy algorithms were applied to two different databases containing electroencephalogram (EEG) signals from epilepsy studies. Transitions from randomness to periodicity were successfully detected in the synthetic signals, while significant differences in EEG signals were observed based on different regions and states of the brain. In addition, using results from one entropy algorithm as features and the k-nearest neighbours algorithm, maximum classification accuracies in the first EEG database ranged from 63% to 73.5%, while these values increased by approximately 20% when using two different entropies as features. For the second database, maximum classification accuracy reached 62.5% using one entropy algorithm, while using two algorithms as features further increased that by 10%. Embedding entropies (sample, quadratic sample and fuzzy entropies) are found to outperform the rest of the algorithms in terms of sensitivity and show greater potential by considering the fine-tuning possibilities they offer. On the other hand, permutation and modified permutation entropies are more consistent across different input parameter values and considerably faster to calculate.

Exploration of time-frequency reassignment and homologous inter-hemispheric asymmetry analysis of MCI-AD brain activity

BACKGROUND

In this study, nonlinear based time-frequency (TF) and time domain investigations are employed for the analysis of electroencephalogram (EEG) signals of mild cognitive impairment-Alzheimer's disease (MCI-AD) patients and healthy controls. This study attempts to comprehend the cognitive decline of MCI-AD under both resting and cognitive task conditions.

RESULTS

Wavelet-based synchrosqueezing transform (SST) alleviates the smearing of energy observed in the spectrogram around the central frequencies in short-time Fourier transform (STFT), and continuous wavelet transform (CWT). A precise TF representation is assured due to the reassignment of scale variable to the frequency variable. It is discerned from the studies of time domain measures encompassing fractal dimension (FD) and approximate entropy (ApEn), that the parietal lobe is the most affected in MCI-AD under both resting and cognitive states. Alterations in asymmetry in the brain hemispheres are analysed using the homologous areas inter-hemispheric symmetry (HArS).

CONCLUSION

Time and time-frequency domain analysis of EEG signals have been used for distinguishing various brain states. Therefore, EEG analysis is highly useful for the screening of AD in its prodromal phase.

Low-Intensity Pulsed Ultrasound Stimulation Modulates the Nonlinear Dynamics of Local Field Potentials in Temporal Lobe Epilepsy

Low-intensity pulsed ultrasound stimulation (LIPUS) can inhibit seizures associated with temporal lobe epilepsy (TLE), which is the most common epileptic syndrome in adults and accounts for more than half of the cases of intractable epilepsy. Electroencephalography (EEG) signal analysis is an important method for studying epilepsy. The nonlinear dynamics of epileptic EEG signals can be used as biomarkers for the prediction and diagnosis of epilepsy. However, how ultrasound modulates the nonlinear dynamic characteristics of EEG signals in TLE is still unclear. Here, we used low-intensity pulsed ultrasound to stimulate the CA3 region of kainite (KA)-induced TLE mice, simultaneously recorded local field potentials (LFP) in the stimulation regions before, during, and after LIPUS. The nonlinear characteristics, including complexity, approximate entropy of different frequency bands, and Lyapunov exponent of the LFP, were calculated. Compared with the control group, the experimental group showed that LIPUS inhibited TLE seizure and the complexity, approximate entropy of the delta (0.5–4 Hz) and theta (4–8 Hz) frequency bands, and Lyapunov exponent of the LFP significantly increased in response to ultrasound stimulation. The values before ultrasound stimulation were higher ∼1.87 (complexity), ∼1.39 (approximate entropy of delta frequency bands), ∼1.13 (approximate entropy of theta frequency bands) and ∼1.46 times (Lyapunov exponent) than that after ultrasound stimulation (p < 0.05). The above results demonstrated that LIPUS can alter nonlinear dynamic characteristics and provide a basis for the application of ultrasound stimulation in the treatment of epilepsy.

EZ Entropy: a software application for the entropy analysis of physiological time-series

Background

Entropy analysis has been attracting increasing attentions in the recent two or three decades. It assesses complexity, or irregularity, of time-series which is extraordinarily relevant to physiology and diseases as demonstrated by tremendous studies. However, the complexity can hardly be appreciated by traditional methods including time-, frequency-domain analysis, and time-frequency analysis that are the common built-in options in commercialized measurement and statistical software. To facilitate the entropy analysis of physiological time-series, a new software application, namely EZ Entropy, was developed and introduced in this article.

Results

EZ Entropy was developed in MATLAB^® environment. It was programmed in an object-oriented style and was constructed with a graphical user interface. EZ Entropy is easy to operate through its compact graphical interface, thus allowing researchers without knowledge of programming like clinicians and physiologists to perform such kind of analysis. Besides, it offers various settings to meet different analysis needs including (1) processing single data recording, (2) batch processing multiple data files, (3) sliding window calculations, (4) recall, (5) displaying intermediate data and final results, (6) adjusting input parameters, and (7) exporting calculation results after the run or in real-time during the analysis. The analysis results could be exported, either manually or automatically, to comma-separated ASCII files, thus being compatible to and easily imported into the common statistical analysis software. Code-wise, EZ Entropy is object-oriented, thus being quite easy to maintain and extend.

Conclusions

EZ Entropy is a user-friendly software application to perform the entropy analysis of time-series, as well as to simplify and to speed up this useful analysis.

Electronic supplementary material

The online version of this article (10.1186/s12938-019-0650-5) contains supplementary material, which is available to authorized users.

A NOVEL APPROACH FOR EPILEPSY DETECTION USING TIME–FREQUENCY LOCALIZED BI-ORTHOGONAL WAVELET FILTER

Identification of seizure using electroencephalogram (EEG) signal is crucial to detect diseases like epilepsy. Manual epilepsy detection is time consuming and prone to errors. Various techniques have been developed to get quick and accurate results for epilepsy detection. We propose a novel approach to detect epileptic seizure using bi-orthogonal wavelet filters. The bi-orthogonal wavelet filters divide the EEG signal into different sub-bands. Then different features, i.e., Shannon entropy (ShEn), Renyi entropy (RenEn), fractal dimension (FD), energy and fuzzy entropy (FE) are extracted from the sub-bands. The [Formula: see text]-values of the features are used to evaluate the discriminating ability of the features. These features are given as input to the support vector machine (SVM). The EEG signals are then classified into the following classes: (i) normal versus seizure, (ii) seizure-free versus seizure, (iii) normal versus seizure-free versus seizure, and (iv) normal versus seizure-free. We have used two independent datasets: a public dataset for training and validation of the model, and a private dataset for evaluating the model’s performance. The ten-fold cross-validation method is used here to reduce the chances of over fitting. The SVM classifier yielded 100% accuracy in discriminating both seizure-free and normal patients for public dataset, and inter-ictal and ictal for private dataset. It also gave very good classification accuracies for the other classification problems for both the datasets. The proposed method is ready for the clinical trial to be tested with huge databases before the actual practical usage.

Multiscale entropy analysis of biological signals

Traditional approaches to measuring the complexity of biological signals fail to account for the multiple time scales inherent in such time series. These algorithms have yielded contradictory findings when applied to real-world datasets obtained in health and disease states. We describe in detail the basis and implementation of the multiscale entropy (MSE) method. We extend and elaborate previous findings showing its applicability to the fluctuations of the human heartbeat under physiologic and pathologic conditions. The method consistently indicates a loss of complexity with aging, with an erratic cardiac arrhythmia (atrial fibrillation), and with a life-threatening syndrome (congestive heart failure). Further, these different conditions have distinct MSE curve profiles, suggesting diagnostic uses. The results support a general "complexity-loss" theory of aging and disease. We also apply the method to the analysis of coding and noncoding DNA sequences and find that the latter have higher multiscale entropy, consistent with the emerging view that so-called "junk DNA" sequences contain important biological information.