Seizure lateralization in scalp EEG using Hjorth parameters

Resting-State Electroencephalographic Signatures Predict Treatment Efficacy of tACS for Refractory Auditory Hallucinations in Schizophrenic Patients

Transcranial alternating current stimulation (tACS) has been reported to treat refractory auditory hallucinations in schizophrenia. Despite diligent efforts, it is imperative to underscore that tACS does not uniformly demonstrate efficacy across all patients as with all treatments currently employed in clinical practice. The study aims to find biomarkers predicting individual responses to tACS, guiding treatment decisions, and preventing healthcare resource wastage. We divided 17 schizophrenic patients with refractory auditory hallucinations into responsive(RE) and non-responsive(NR) groups based on their auditory hallucination symptom reduction rates after one month of tACS treatment. The pre-treatment resting-state electroencephalogram(rsEEG) was recorded and then computed absolute power spectral density (PSD), Hjorth parameters (HPs, Hjorth activity (HA), Hjorth mobility (HM), and Hjorth complexity (HC) included) from different frequency bands to portray the brain oscillations. The results demonstrated that statistically significant differences localized within the high gamma frequency bands of the right brain hemisphere. Immediately, we input the significant dissociable features into popular machine learning algorithms, the Cascade Forward Neural Network achieved the best recognition accuracy of 93.87%. These findings preliminarily imply that high gamma oscillations in the right brain hemisphere may be the main influencing factor leading to different responses to tACS treatment, and incorporating rsEEG signatures could improve personalized decisions for integrating tACS in clinical treatment.

Decoded EEG neurofeedback-guided cognitive reappraisal training for emotion regulation

Neurofeedback, when combined with cognitive reappraisal, offers promising potential for emotion regulation training. However, prior studies have predominantly relied on functional magnetic resonance imaging, which could impede its clinical feasibility. Furthermore, these studies have primarily focused on reducing negative emotions while overlooking the importance of enhancing positive emotions. In our current study, we developed a novel electroencephalogram (EEG) neurofeedback-guided cognitive reappraisal training protocol for emotion regulation. We recruited forty-two healthy subjects (20 females; 22.4 ± 2.2 years old) who were randomly assigned to either the neurofeedback group or the control group. We evaluated the efficacy of this newly proposed neurofeedback training approach in regulating emotions evoked by pictures with different valence levels (low positive and high negative). Initially, we trained an EEG-based emotion decoding model for each individual using offline data. During the training process, we calculated the subjects' real-time self-regulation performance based on the decoded emotional states and fed it back to the subjects as feedback signals. Our results indicate that the proposed decoded EEG neurofeedback-guided cognitive reappraisal training protocol significantly enhanced emotion regulation performance for stimuli with low positive valence. Additionally, wavelet energy and differential entropy features in the high-frequency band played a crucial role in emotion classification and were associated with neural plasticity changes induced by emotion regulation. These findings validate the beneficial effects of the proposed EEG neurofeedback protocol and offer insights into the neural mechanisms underlying its training effects. This novel decoded neurofeedback training protocol presents a promising cost-effective and non-invasive treatment technique for emotion-related mental disorders.

EEG signatures of cognitive decline after mild SARS-CoV-2 infection: an age-dependent study

BACKGROUND

Current research on the neurological impact of SARS-CoV-2 primarily focuses on the elderly or severely ill individuals. This study aims to explore the diverse neurological consequences of SARS-CoV-2 infection, with a particular focus on mildly affected children and adolescents.

METHODS

A cohort study was conducted to collect pre- and post-infection resting-state electroencephalogram (EEG) data from 185 participants and 181 structured questionnaires of long-term symptoms across four distinct age groups. The goal was to comprehensively evaluate the impact of SARS-CoV-2 infection on these different age demographics. The study analyzed EEG changes of SARS-CoV-2 by potential biomarkers across age groups using both spatial and temporal approaches.

RESULTS

Spatial analysis indicated that children and adolescents exhibit smaller changes in brain network and microstate patterns post-infection, implying a milder cognitive impact. Sequential linear analyses showed that SARS-CoV-2 infection is associated with a marked rise in low-complexity, synchronized neural activity within low-frequency EEG bands. This is evidenced by a significant increase in Hjorth activity within the theta band and Hjorth mobility in the delta band. Sequential nonlinear analysis indicated a significant reduction in the Hurst exponent across all age groups, pointing to increased chaos and complexity within the cognitive system following infection. Furthermore, linear regression analysis based on questionnaires established a significant positive relationship between the magnitude of changes in these neural indicators and the persistence of long-term symptoms post-infection.

CONCLUSIONS

The findings underscore the enduring neurological impacts of SARS-CoV-2 infection, marked by cognitive decline and increased EEG disarray. Although children and adolescents experienced milder effects, cognitive decline and heightened low-frequency electrical activity were evident. These observations might contribute to understanding potential anxiety, insomnia, and neurodevelopmental implications.

The value of linear and non-linear quantitative EEG analysis in paediatric epilepsy surgery: a machine learning approach

Epilepsy surgery is effective for patients with medication-resistant seizures, however 20-40% of them are not seizure free after surgery. Aim of this study is to evaluate the role of linear and non-linear EEG features to predict post-surgical outcome. We included 123 paediatric patients who underwent epilepsy surgery at Bambino Gesù Children Hospital (January 2009-April 2020). All patients had long term video-EEG monitoring. We analysed 1-min scalp interictal EEG (wakefulness and sleep) and extracted 13 linear and non-linear EEG features (power spectral density (PSD), Hjorth, approximate entropy, permutation entropy, Lyapunov and Hurst value). We used a logistic regression (LR) as feature selection process. To quantify the correlation between EEG features and surgical outcome we used an artificial neural network (ANN) model with 18 architectures. LR revealed a significant correlation between PSD of alpha band (sleep), Mobility index (sleep) and the Hurst value (sleep and awake) with outcome. The fifty-four ANN models gave a range of accuracy (46-65%) in predicting outcome. Within the fifty-four ANN models, we found a higher accuracy (64.8% ± 7.6%) in seizure outcome prediction, using features selected by LR. The combination of PSD of alpha band, mobility and the Hurst value positively correlate with good surgical outcome.

A feature extraction method of rub-impact based on adaptive stochastic resonance and Hjorth parameter

The characteristic frequency of a rub-impact fault is usually very complex and may contain higher harmonics and subharmonics. Due to the uncertainty of harmonic components and the complexity of signal-to-noise ratio (SNR) operation, the general scale transformation stochastic resonance (GSTSR) has certain limitations in the identification of rub-impact faults. To solve this problem, the paper starts with complexity and proposes a rub-impact fault identification method combining a swarm intelligence optimized algorithm (SIOA) with Hjorth parameters and GSTSR. The complexity of vibration signals will change greatly before and after rub-impact faults. The complexity parameter in Hjorth parameters can effectively embody the complexity of signals and is invulnerable to noise interference. Therefore, the complexity parameter in the Hjorth parameters is taken as the objective function of SIOA and combined with GSTSR. Vibration signals from cases are taken as input to adaptive stochastic resonant (ASR) systems, and the system parameters are adaptively and synchronously adjusted to realize the maximal resonant effect. Finally, the spectrum analysis of signals obtained from ASR is used to extract failure features and recognize faults in the rotor-stator rub-impact. The proposed method is verified by comparing it with other schemes under different SIOAs and different operating conditions. The result of the comparison shows that the complexity parameter of the Hjorth parameters can be taken as the objective function of SIOA to accurately identify the rub-impact fault. Meanwhile, the proposed method, compared with the method of taking SNR as an objective function, has a better effect on reducing time costs and strengthening fault characteristics.

Machine learning-based classification of physiological and pathological high-frequency oscillations recorded by stereoelectroencephalography

OBJECTIVE

High-frequency oscillations (HFOs) are an efficient indicator to locate the epileptogenic zone (EZ). However, physiological HFOs produced in the normal brain region may interfere with EZ localization. The present study aimed to build a machine learning-based classifier to distinguish the properties of each HFO event based on features in different domains.

METHODS

HFOs were detected in focal epilepsy patients from two different hospitals who underwent stereoelectroencephalography and subsequent resection surgery. Subsequently, 37 features in four different domains (time, frequency and time-frequency, entropy-based and nonlinear) were extracted for each HFO. After extraction, a fast correlation-based filter (FCBF) algorithm was applied for feature selection. The machine learning classifier was trained on the feature matrix with and without FCBF and then tested on the data set from patients in another hospital.

RESULTS

A dataset was compiled, consisting of 89,844 pathological HFOs and 23,613 physiological HFOs from 17 patients assigned to the training dataset. Additionally, 12,695 pathological HFOs and 5,599 physiological HFOs from 9 patients were assigned to the testing dataset. Four features (ripple band power, arithmetic mean, Petrosian fractal dimension and zero crossings) were obtained for classifier training after FCBF. The classifier showed an area under the curve (AUC) of 0.95/0.98 for FCBF/no FCBF features in the training dataset and AUC of 0.82/0.90 for FCBF/no FCBF features in the testing dataset. Our findings indicated that the classifier utilizing all features demonstrated superior performance compared to the one relying on FCBF-processed features.

CONCLUSION

Our classifier could reliably differentiate pathological HFOs from physiological ones, which could promote the development of HFOs in EZ localization.

Human behavior in free search online shopping scenarios can be predicted from EEG activation using Hjorth parameters

The present work investigates whether and how decisions in real-world online shopping scenarios can be predicted based on brain activation. Potential customers were asked to search through product pages on e-commerce platforms and decide, which products to buy, while their EEG signal was recorded. Machine learning algorithms were then trained to distinguish between EEG activation when viewing products that are later bought or put into the shopping card as opposed to products that are later discarded. We find that Hjorth parameters extracted from the raw EEG can be used to predict purchase choices to a high level of accuracy. Above-chance predictions based on Hjorth parameters are achieved via different standard machine learning methods with random forest models showing the best performance of above 80% prediction accuracy in both 2-class (bought or put into card vs. not bought) and 3-class (bought vs. put into card vs. not bought) classification. While conventional EEG signal analysis commonly employs frequency domain features such as alpha or theta power and phase, Hjorth parameters use time domain signals, which can be calculated rapidly with little computational cost. Given the presented evidence that Hjorth parameters are suitable for the prediction of complex behaviors, their potential and remaining challenges for implementation in real-time applications are discussed.

Does the Potocki-Lupski Syndrome Convey the Autism Spectrum Disorder Phenotype? Case Report and Scoping Review

Potocki-Lupski Syndrome (PTLS) is a rare condition associated with a duplication of 17p11.2 that may underlie a wide range of congenital abnormalities and heterogeneous behavioral phenotypes. Along with developmental delay and intellectual disability, autism-specific traits are often reported to be the most common among patients with PTLS. To contribute to the discussion of the role of autism spectrum disorder (ASD) in the PTLS phenotype, we present a case of a female adolescent with a de novo dup(17) (p11.2p11.2) without ASD features, focusing on in-depth clinical, behavioral, and electrophysiological (EEG) evaluations. Among EEG features, we found the atypical peak-slow wave patterns and a unique saw-like sharp wave of 13 Hz that was not previously described in any other patient. The power spectral density of the resting state EEG was typical in our patient with only the values of non-linear EEG dynamics: Hjorth complexity and fractal dimension were drastically attenuated compared with the patient's neurotypical peers. Here we also summarize results from previously published reports of PTLS that point to the approximately 21% occurrence of ASD in PTLS that might be biased, taking into account methodological limitations. More consistent among PTLS patients were intellectual disability and speech and language disorders.

Decoding the neural signatures of valence and arousal from portable EEG headset

Emotion classification using electroencephalography (EEG) data and machine learning techniques have been on the rise in the recent past. However, past studies use data from medical-grade EEG setups with long set-up times and environment constraints. This paper focuses on classifying emotions on the valence-arousal plane using various feature extraction, feature selection, and machine learning techniques. We evaluate different feature extraction and selection techniques and propose the optimal set of features and electrodes for emotion recognition. The images from the OASIS image dataset were used to elicit valence and arousal emotions, and the EEG data was recorded using the Emotiv Epoc X mobile EEG headset. The analysis is carried out on publicly available datasets: DEAP and DREAMER for benchmarking. We propose a novel feature ranking technique and incremental learning approach to analyze performance dependence on the number of participants. Leave-one-subject-out cross-validation was carried out to identify subject bias in emotion elicitation patterns. The importance of different electrode locations was calculated, which could be used for designing a headset for emotion recognition. The collected dataset and pipeline are also published. Our study achieved a root mean square score (RMSE) of 0.905 on DREAMER, 1.902 on DEAP, and 2.728 on our dataset for valence label and a score of 0.749 on DREAMER, 1.769 on DEAP, and 2.3 on our proposed dataset for arousal label.

Changes in Electrical Brain Activity and Cognitive Functions Following Mild to Moderate COVID-19: A one-Year Prospective Study After Acute Infection

The coronavirus disease 2019 (COVID-19) can disrupt various brain functions. Over a one-year period, we aimed to assess brain activity and cognitive function in 53 COVID-19 patients and 30 individuals without COVID-19 (or asymptomatic). The Montreal Cognitive Assessment, Trail Making Test Parts A and B (TMT-A and B), and Digit Span Test were used to assess cognitive function. Cognitive variables and electroencephalography (EEG) data (activity, mobility, and complexity) were compared between the groups at rest and during cognitive demand (F3-F7, Fz-F3, Fz-F4, and F4-F8). There was a reduction in F3-F7 activity during the TMT-B in the COVID-19 group at 6-12 months compared to the controls (p = 0.01) at baseline (p = 0.03), a reduction in signal complexity at F3-F7 at rest in the COVID-19 group at baseline and 6-12 months compared to the controls (p < 0.001), and a reduction in Fz-F4 activity at rest from 6-12 months in the post-COVID group compared to baseline (p = 0.02) and 3-6 months (p = 0.04). At 6-12 months, there was a time increase in TMT-A in the COVID-19 group compared to that in the controls (p = 0.04). Some correlations were found between EEG data and cognitive test in both groups. In conclusion, there was a reduction in brain activity at rest in the Fz-F4 areas and during high cognitive demands in the F3-F7 areas. A reduction in signal complexity in F3-F7 at rest was found in the COVID-19 group at 6-12 months after acute infection. Furthermore, individuals with COVID-19 experience long-term changes in cognitive function.

Feature extraction of rolling bearing multiple faults based on correlation coefficient and Hjorth parameter

The paper has brought in the Hjorth Complexity parameter and combined it with Intrinsic time decomposition (ITD) algorithm as characteristic parameter index in order to implement accurate identification of multiple faults of rolling bearings. Firstly, concerning about the much uncertainty in manual setting of decomposition layer number in ITD, overdoing of automatic decomposition and the fact that a larger correlation coefficient of signal relates with the greater correlation of signals before and after decomposition and vice versa, the paper has carried out self-adaptive determination of the number of ITD decomposition layers. Secondly, regarding the insensitivity of Hjorth Complexity parameter to noise and the fact that with larger Complexity parameter, signals are simpler and it becomes more available to dig out characteristic information of fault from signals. With Complexity parameter as the index of characteristic parameter, option of optimal Proper rotation component (PRC) is made after ITD. Finally, through the comparison with other methods and the analysis of multiple faults of bearings, it indicates that correlation coefficient can self-adaptively determine the number of ITD decomposition layers and prevent from overdoing and underdoing of decomposition. The Hjorth Complexity parameter can be treated as index parameter to implement optimal PRC option, based on which multiple fault characteristics of bearings can be effectively extracted and the type precisely determined.

The Temporal Lobe as a Symptomatogenic Zone in Medial Parietal Lobe Epilepsy

Some surgical failures after temporal lobe epilepsy surgery may be due to the presence of an extratemporal epileptogenic zone. Of particular interest is the medial parietal lobe due to its robust connectivity with mesial temporal structures. Seizures in that area may be clinically silent before propagating to the symptomatogenic temporal lobe. In this paper, we present an overview of the anatomical connectivity, semiology, radiology, electroencephalography, neuropsychology, and outcomes in medial parietal lobe epilepsy. We also present two illustrative cases of seizures originating from the precuneus and the posterior cingulate cortex. We conclude that the medial parietal lobe should be strongly considered for sampling by intracranial electrodes in individuals with nonlesional temporal lobe epilepsy, especially if scrutinizing the presurgical data produces discordant findings.

Fast and accurate decoding of finger movements from ECoG through Riemannian features and modern machine learning techniques

Objective: Accurate decoding of individual finger movements is crucial for advanced prosthetic control. In this work, we introduce the use of Riemannian-space features and temporal dynamics of electrocorticography (ECoG) signal combined with modern machine learning tools to improve the motor decoding accuracy at the level of individual fingers. Approach: We selected a set of informative biomarkers that correlated with finger movements and evaluated the performance of state-of-the-art machine learning algorithms on the BCI competition IV dataset (ECoG, three subjects) and a second ECoG dataset with a similar recording paradigm (Stanford, 9 subjects). We further explored the temporal concatenation of features to effectively capture the history of ECoG signal, which led to a significant improvement over single-epoch decoding in both classification (p<0.01) and regression tasks (p<0.01). Main results: Using feature concatenation and gradient boosted trees (the top-performing model), we achieved a classification accuracy of 77.0% in detecting individual finger movements (6-class task, including rest state), improving over the state-of-the-art conditional random fields (CRF) by 11.7% on the 3 BCI competition subjects. In continuous decoding of movement trajectory, our approach resulted in an average Pearson's correlation coefficient (r) of 0.537 across subjects and fingers, outperforming both the BCI competition winner and the state-of-the-art approach reported on the same dataset (CNN+LSTM). Furthermore, our proposed method features a low time complexity, with only <17.2s required for training and <50ms for inference. This enables about 250× speed-up in training compared to previously reported deep learning method with state-of-the-art performance. Significance: The proposed techniques enable fast, reliable, and high-performance prosthetic control through minimally-invasive cortical signals.

A Deep Fourier Neural Network for Seizure Prediction Using Convolutional Neural Network and Ratios of Spectral Power

Epileptic seizure prediction is one of the most used therapeutic adjuvant strategies for drug-resistant epilepsy. Conventional methods usually adopt handcrafted features and manual parameter setting. The over-reliance on the expertise of specialists may lead to weak exploitation of features and low popularization of clinical application. This paper proposes a novel parameterless patient-specific method based on Fourier Neural Network (FNN), where the Fourier transform and backpropagation learning are synthesized to make the predictor more efficient and practical. The employment of FNN is the first attempt in the field of seizure prediction due to its automatic extraction of immanent spectra in epileptic signals. Despite the self-adaptive superiority of FNN, we introduce Convolutional Neural Network (CNN) to further improve its search capability in high-dimensional feature spaces. The study also develops a multi-layer module to estimate spectral power ratios of raw recordings, which optimizes the prediction by enhancing feature diversity. Based on these modules, this paper proposes a two-channel deep neural network: Fourier Ratio Convolutional Neural Network (FRCNN). To demonstrate the reliability of the model, we explain the mathematical meaning of hidden-layer neurons in FRCNN theoretically. This approach is evaluated on both intracranial and scalp EEG datasets. It shows that the predictor achieved a sensitivity of 91.2% and a false prediction rate (FPR) of 0.06[Formula: see text]h[Formula: see text] across intracranial subjects and a sensitivity of 85.4% and an FPR of 0.14[Formula: see text]h[Formula: see text] over scalp subjects. The results indicate that FRCNN enables the convenience of epilepsy treatments while preserving a high degree of precision. In the end, a detailed comparison with the previous methods demonstrates that FRCNN has achieved higher performance and generalization ability.

Categorisation of EEG suppression using enhanced feature extraction for SUDEP risk assessment

Background

Sudden Unexpected Death in Epilepsy (SUDEP) has increased in awareness considerably over the last two decades and is acknowledged as a serious problem in epilepsy. However, the scientific community remains unclear on the reason or possible bio markers that can discern potentially fatal seizures from other non-fatal seizures. The duration of postictal generalized EEG suppression (PGES) is a promising candidate to aid in identifying SUDEP risk. The length of time a patient experiences PGES after a seizure may be used to infer the risk a patient may have of SUDEP later in life. However, the problem becomes identifying the duration, or marking the end, of PGES (Tomson et al. in Lancet Neurol 7(11):1021–1031, 2008; Nashef in Epilepsia 38:6–8, 1997).

Methods

This work addresses the problem of marking the end to PGES in EEG data, extracted from patients during a clinically supervised seizure. This work proposes a sensitivity analysis on EEG window size/delay, feature extraction and classifiers along with associated hyperparameters. The resulting sensitivity analysis includes the Gradient Boosted Decision Trees and Random Forest classifiers trained on 10 extracted features rooted in fundamental EEG behavior using an EEG specific feature extraction process (pyEEG) and 5 different window sizes or delays (Bao et al. in Comput Intell Neurosci 2011:1687–5265, 2011).

Results

The machine learning architecture described above scored a maximum AUC score of 76.02% with the Random Forest classifier trained on all extracted features. The highest performing features included SVD Entropy, Petrosan Fractal Dimension and Power Spectral Intensity.

Conclusion

The methods described are effective in automatically marking the end to PGES. Future work should include integration of these methods into the clinical setting and using the results to be able to predict a patient’s SUDEP risk.

A BCI System Based on Motor Imagery for Assisting People with Motor Deficiencies in the Limbs

Motor deficiencies constitute a significant problem affecting millions of people worldwide. Such people suffer from a debility in daily functioning, which may lead to decreased and incoherence in daily routines and deteriorate their quality of life (QoL). Thus, there is an essential need for assistive systems to help those people achieve their daily actions and enhance their overall QoL. This study proposes a novel brain–computer interface (BCI) system for assisting people with limb motor disabilities in performing their daily life activities by using their brain signals to control assistive devices. The extraction of useful features is vital for an efficient BCI system. Therefore, the proposed system consists of a hybrid feature set that feeds into three machine-learning (ML) classifiers to classify motor Imagery (MI) tasks. This hybrid feature selection (FS) system is practical, real-time, and an efficient BCI with low computation cost. We investigate different combinations of channels to select the combination that has the highest impact on performance. The results indicate that the highest achieved accuracies using a support vector machine (SVM) classifier are 93.46% and 86.0% for the BCI competition III–IVa dataset and the autocalibration and recurrent adaptation dataset, respectively. These datasets are used to test the performance of the proposed BCI. Also, we verify the effectiveness of the proposed BCI by comparing its performance with recent studies. We show that the proposed system is accurate and efficient. Future work can apply the proposed system to individuals with limb motor disabilities to assist them and test their capability to improve their QoL. Moreover, the forthcoming work can examine the system’s performance in controlling assistive devices such as wheelchairs or artificial limbs.

Prediction of gait intention from pre-movement EEG signals: a feasibility study

BACKGROUND

Prediction of Gait intention from pre-movement Electroencephalography (EEG) signals is a vital step in developing a real-time Brain-computer Interface (BCI) for a proper neuro-rehabilitation system. In that respect, this paper investigates the feasibility of a fully predictive methodology to detect the intention to start and stop a gait cycle by utilizing EEG signals obtained before the event occurrence.

METHODS

An eight-channel, custom-made, EEG system with electrodes placed around the sensorimotor cortex was used to acquire EEG data from six healthy subjects and two amputees. A discrete wavelet transform-based method was employed to capture event related information in alpha and beta bands in the time-frequency domain. The Hjorth parameters, namely activity, mobility, and complexity, were extracted as features while a two-sample unpaired Wilcoxon test was used to get rid of redundant features for better classification accuracy. The feature set thus obtained was then used to classify between 'walk vs. stop' and 'rest vs. start' classes using support vector machine (SVM) classifier with RBF kernel in a ten-fold cross-validation scheme.

RESULTS

Using a fully predictive intention detection system, 76.41±4.47% accuracy, 72.85±7.48% sensitivity, and 79.93±5.50% specificity were achieved for 'rest vs. start' classification. While for 'walk vs. stop' classification, the obtained mean accuracy, sensitivity, and specificity were 74.12±4.12%, 70.24±6.45%, and 77.78±7.01% respectively. Overall average True Positive Rate achieved by this methodology was 72.06±8.27% with 1.45 False Positives/min.

CONCLUSION

Extensive simulations and resulting classification results show that it is possible to achieve statistically similar intention detection accuracy using either only pre-movement EEG features or trans-movement EEG features. The classifier performance shows the potential of the proposed methodology to predict human movement intention exclusively from the pre-movement EEG signal to be applied in real-life prosthetic and neuro-rehabilitation systems.

Integration of 24 Feature Types to Accurately Detect and Predict Seizures Using Scalp EEG Signals

The neurological disorder epilepsy causes substantial problems to the patients with uncontrolled seizures or even sudden deaths. Accurate detection and prediction of epileptic seizures will significantly improve the life quality of epileptic patients. Various feature extraction algorithms were proposed to describe the EEG signals in frequency or time domains. Both invasive intracranial and non-invasive scalp EEG signals have been screened for the epileptic seizure patterns. This study extracted a comprehensive list of 24 feature types from the scalp EEG signals and found 170 out of the 2794 features for an accurate classification of epileptic seizures. An accuracy (Acc) of 99.40% was optimized for detecting epileptic seizures from the scalp EEG signals. A balanced accuracy (bAcc) was calculated as the average of sensitivity and specificity and our seizure detection model achieved 99.61% in bAcc. The same experimental procedure was applied to predict epileptic seizures in advance, and the model achieved Acc = 99.17% for predicting epileptic seizures 10 s before happening.

Quantitative EEG findings and response to treatment with antiepileptic medications in children with epilepsy

BACKGROUND

Epilepsy is a common chronic disorder in pediatric neurology. Nowadays, a variety of antiepileptic drugs (AEDs) are available. A scientific method designed to evaluate the effectiveness of AEDs in the early stage of treatment has not been reported.

PURPOSE

In this study, we try to use quantitative EEG (QEEG) analysis as a biomarker to evaluate therapeutic effectiveness.

METHODS

20 epileptic children were enrolled in this study. Participants were classified as effective if they achieved a reduction in seizure frequency over 50%. Ineffective was defined as a reduction in seizure frequency less than 50%. Eleven participants were placed in the effective group, the remaining 9 participants were placed in the ineffective group. EEG segments before and after 1-3months of antiepileptic drugs start/change were analyzed and compared by QEEG analysis. The follow-up EEG segments after the 2nd examinations were used to test the accuracy of the analytic results.

RESULTS

Six crucial EEG feature descriptors were selected for classifying the effective and ineffective groups. Significantly increased RelPowAlpha_avg_AVG, RelPowAlpha_snr_AVG, HjorthM_avg_AVG, and DecorrTime_snr_AVG values were found in the effective group as compared to the ineffective group. On the contrary, there were significantly decreases in DecorrTime_std_AVG, and Wavelet_db4_EnergyBand_5_avg_AVG values in the effective group as compared to the ineffective group. The analyses yielded a precision rate of 100%. When the follow-up EEG segments were used to test the analytic results, the accuracy was 83.3%.

CONCLUSION

The developed method is a useful tool in analyzing the effectiveness of antiepileptic drugs. This method may assist pediatric neurologists in evaluating the efficacy of AEDs and making antiepileptic drug adjustments when managing epileptic patients in the early stage.

Attention Recognition in EEG-Based Affective Learning Research Using CFS+KNN Algorithm

The research detailed in this paper focuses on the processing of Electroencephalography (EEG) data to identify attention during the learning process. The identification of affect using our procedures is integrated into a simulated distance learning system that provides feedback to the user with respect to attention and concentration. The authors propose a classification procedure that combines correlation-based feature selection (CFS) and a k-nearest-neighbor (KNN) data mining algorithm. To evaluate the CFS+KNN algorithm, it was test against CFS+C4.5 algorithm and other classification algorithms. The classification performance was measured 10 times with different 3-fold cross validation data. The data was derived from 10 subjects while they were attempting to learn material in a simulated distance learning environment. A self-assessment model of self-report was used with a single valence to evaluate attention on 3 levels (high, neutral, low). It was found that CFS+KNN had a much better performance, giving the highest correct classification rate (CCR) of % for the valence dimension divided into three classes.

A Novel EEG Based Spectral Analysis of Persistent Brain Function Alteration in Athletes with Concussion History

The neurocognitive sequelae of a sport-related concussion and its management are poorly defined. Detecting deficits are vital in making a decision about the treatment plan as it can persist one year or more following a brain injury. The reliability of traditional cognitive assessment tools is debatable, and thus attention has turned to assessments based on electroencephalogram (EEG) to evaluate subtle post-concussive alterations. In this study, we calculated neurocognitive deficits combining EEG analysis with three standard post-concussive assessment tools. Data were collected for all testing modalities from 21 adolescent athletes (seven concussive and fourteen healthy) in three different trials. For EEG assessment, along with linear frequency-based features, we introduced a set of time-frequency (Hjorth Parameters) and nonlinear features (approximate entropy and Hurst exponent) for the first time to explore post-concussive deficits. Besides traditional frequency-band analysis, we also presented a new individual frequency-based approach for EEG assessment. While EEG analysis exhibited significant discrepancies between the groups, none of the cognitive assessment resulted in significant deficits. Therefore, the evidence from the study highlights that our proposed EEG analysis and markers are more efficient at deciphering post-concussion residual neurocognitive deficits and thus has a potential clinical utility of proper concussion assessment and management.

Lateralizing value of semiology in medial temporal lobe epilepsy

OBJECTIVES

Analysing the clinical characteristics of seizures constitutes a fundamental aspect of the presurgical evaluation of patients with medial temporal lobe epilepsy and unilateral hippocampal sclerosis (MTLE-HS), the most frequent form of focal epilepsy accessible to surgery. We sought to retrospectively determine whether objective manifestations could have a reliable lateralizing value in a large population of MTLE-HS patients and if their presence could help to identify those patients who would be seizure free after surgery.

MATERIAL AND METHODS

We analysed the frequency and predictive lateralizing value of objective ictal and postictal signs in 391 patients with MTLE-HS (183 left/208 right). Data were derived from chart review and not from blinded videoEEG analysis. Correlation between the presence of reliable lateralizing signs and postoperative outcome was performed in a subgroup of 302 patients who underwent surgery.

RESULTS

Contralateral dystonic posturing was the most frequent and reliable lateralizing sign that correctly lateralized the focus in 96% of patients. Unilateral head/eye deviation was noted in 42% of the patients and predicted unilateral focus in 67%. Ipsilateral postictal nose wiping, contralateral clonus and hypokinesia correctly lateralized the focus in 75%, 81%, respectively, and 100 of patients but were less frequently depicted. Postictal aphasia was a strong lateralizing sign for left MLE-HS. The presence of reliable lateralizing signs was not a predictor of seizure freedom.

CONCLUSION

Seizure semiology is a simple tool that may permit reliable lateralization of the seizure focus in MTLE-HS. The presence of reliable lateralizing signs is not associated with a better postoperative outcome.

Automatic epileptic seizure detection using scalp EEG and advanced artificial intelligence techniques

The epilepsies are a heterogeneous group of neurological disorders and syndromes characterised by recurrent, involuntary, paroxysmal seizure activity, which is often associated with a clinicoelectrical correlate on the electroencephalogram. The diagnosis of epilepsy is usually made by a neurologist but can be difficult to be made in the early stages. Supporting paraclinical evidence obtained from magnetic resonance imaging and electroencephalography may enable clinicians to make a diagnosis of epilepsy and investigate treatment earlier. However, electroencephalogram capture and interpretation are time consuming and can be expensive due to the need for trained specialists to perform the interpretation. Automated detection of correlates of seizure activity may be a solution. In this paper, we present a supervised machine learning approach that classifies seizure and nonseizure records using an open dataset containing 342 records. Our results show an improvement on existing studies by as much as 10% in most cases with a sensitivity of 93%, specificity of 94%, and area under the curve of 98% with a 6% global error using a k-class nearest neighbour classifier. We propose that such an approach could have clinical applications in the investigation of patients with suspected seizure disorders.

Evaluating dipolar source localization feasibility from intracerebral SEEG recordings

Stereo-electroencephalography (SEEG) is considered as the golden standard for exploring targeted structures during pre-surgical evaluation in drug-resistant partial epilepsy. The depth electrodes, inserted in the brain, consist of several collinear measuring contacts (sensors). Clinical routine analysis of SEEG signals is performed on bipolar montage, providing a focal view of the explored structures, thus eliminating activities of distant sources that propagate through the brain volume. We propose in this paper to exploit the common reference SEEG signals. In this case, the volume propagation information is preserved and electrical source localization (ESL) approaches can be proposed. Current ESL approaches used to localize and estimate the activity of the neural generators are mainly based on surface EEG/MEG signals, but very few studies exist on real SEEG recordings, and the case of equivalent current dipole source localization has not been explored yet in this context. In this study, we investigate the influence of volume conduction model, spatial configuration of SEEG sensors and level of noise on the ESL accuracy, using a realistic simulation setup. Localizations on real SEEG signals recorded during intracerebral electrical stimulations (ICS, known sources) as well as on epileptic interictal spikes are carried out. Our results show that, under certain conditions, a straightforward approach based on an equivalent current dipole model for the source and on simple analytical volume conduction models yields sufficiently precise solutions (below 10mm) of the localization problem. Thus, electrical source imaging using SEEG signals is a promising tool for distant brain source investigation and might be used as a complement to routine visual interpretations.

EEG preprocessing for synchronization estimation and epilepsy lateralization

The global framework of this paper is the synchronization analysis in EEG recordings. Two main objectives are pursued: the evaluation of the synchronization estimation for lateralization purposes in epileptic EEGs and the evaluation of the effect of the preprocessing (artifact and noise cancelling by blind source separation, wavelet denoising and classification) on the synchronization analysis. We propose a new global synchronization index, based on the classical cross power spectrum, estimated for each cerebral hemisphere. After preprocessing, the proposed index is able to correctly lateralize the epileptic zone in over 90% of the cases.