Statistical Complexity Analysis of Sleep Stages

Studying sleep stages is crucial for understanding sleep architecture, which can help identify various health conditions, including insomnia, sleep apnea, and neurodegenerative diseases, allowing for better diagnosis and treatment interventions. In this paper, we explore the effectiveness of generalized weighted permutation entropy (GWPE) in distinguishing between different sleep stages from EEG signals. Using classification algorithms, we evaluate feature sets derived from both standard permutation entropy (PE) and GWPE to determine which set performs better in classifying sleep stages, demonstrating that GWPE significantly enhances sleep stage differentiation, particularly in identifying the transition between N1 and REM sleep. The results highlight the potential of GWPE as a valuable tool for understanding sleep neurophysiology and improving the diagnosis of sleep disorders.

Neural markers of reduced arousal and consciousness in mild cognitive impairment

OBJECTIVES

People with Alzheimer's Disease (AD) experience changes in their level and content of consciousness, but there is little research on biomarkers of consciousness in pre-clinical AD and Mild Cognitive Impairment (MCI). This study investigated whether levels of consciousness are decreased in people with MCI.

METHODS

A multi-site site magnetoencephalography (MEG) dataset, BIOFIND, comprising 83 people with MCI and 83 age matched controls, was analysed. Arousal (and drowsiness) was assessed by computing the theta-alpha ratio (TAR). The Lempel-Ziv algorithm (LZ) was used to quantify the information content of brain activity, with higher LZ values indicating greater complexity and potentially a higher level of consciousness.

RESULTS

LZ was lower in the MCI group versus controls, indicating a reduced level of consciousness in MCI. TAR was higher in the MCI group versus controls, indicating a reduced level of arousal (i.e. increased drowsiness) in MCI. LZ was also found to be correlated with mini-mental state examination (MMSE) scores, suggesting an association between cognitive impairment and level of consciousness in people with MCI.

CONCLUSIONS

A decline in consciousness and arousal can be seen in MCI. As cognitive impairment worsens, measured by MMSE scores, levels of consciousness and arousal decrease. These findings highlight how monitoring consciousness using biomarkers could help understand and manage impairments found at the preclinical stages of AD. Further research is needed to explore markers of consciousness between people who progress from MCI to dementia and those who do not, and in people with moderate and severe AD, to promote person-centred care.

Clinical Implication of Maumgyeol Basic Service-the 2 Channel Electroencephalography and a Photoplethysmogram-based Mental Health Evaluation Software

Objective

Maumgyeol Basic service is a mental health evaluation and grade scoring software using the 2 channels EEG and photoplethysmogram (PPG). This service is supposed to assess potential at-risk groups with mental illness more easily, rapidly, and reliably. This study aimed to evaluate the clinical implication of the Maumgyeol Basic service.

Methods

One hundred one healthy controls and 103 patients with a psychiatric disorder were recruited. Psychological evaluation (Mental Health Screening for Depressive Disorders [MHS-D], Mental Health Screening for Anxiety Disorders [MHS-A], cognitive stress response scale [CSRS], 12-item General Health Questionnaire [GHQ-12], Clinical Global Impression [CGI]) and digit symbol substitution test (DSST) were applied to all participants. Maumgyeol brain health score and Maumgyeol mind health score were calculated from 2 channel frontal EEG and PPG, respectively.

Results

Participants were divided into three groups: Maumgyeol Risky, Maumgyeol Good, and Maumgyeol Usual. The Maumgyeol mind health scores, but not brain health scores, were significantly lower in the patients group compared to healthy controls. Maumgyeol Risky group showed significantly lower psychological and cognitive ability evaluation scores than Maumgyeol Usual and Good groups. Maumgyel brain health score showed significant correlations with CSRS and DSST. Maumgyeol mind health score showed significant correlations with CGI and DSST. About 20.6% of individuals were classified as the No Insight group, who had mental health problems but were unaware of their illnesses.

Conclusion

This study suggests that the Maumgyeol Basic service can provide important clinical information about mental health and be used as a meaningful digital mental healthcare monitoring solution to prevent symptom aggravation.

An automated detection of epileptic seizures EEG using CNN classifier based on feature fusion with high accuracy

BACKGROUND

Epilepsy is a neurological disorder that is usually detected by electroencephalogram (EEG) signals. Since manual examination of epilepsy seizures is a laborious and time-consuming process, lots of automatic epilepsy detection algorithms have been proposed. However, most of the available classification algorithms for epilepsy EEG signals adopted a single feature extraction, in turn to result in low classification accuracy. Although a small account of studies have carried out feature fusion, the computational efficiency is reduced due to too many features, because there are also some poor features that interfere with the classification results.

METHODS

In order to solve the above problems, an automatic recognition method of epilepsy EEG signals based on feature fusion and selection is proposed in this paper. Firstly, the Approximate Entropy (ApEn), Fuzzy Entropy (FuzzyEn), Sample Entropy (SampEn), and Standard Deviation (STD) mixed features of the subband obtained by the Discrete Wavelet Transform (DWT) decomposition of EEG signals are extracted. Secondly, the random forest algorithm is used for feature selection. Finally, the Convolutional Neural Network (CNN) is used to classify epilepsy EEG signals.

RESULTS

The empirical evaluation of the presented algorithm is performed on the benchmark Bonn EEG datasets and New Delhi datasets. In the interictal and ictal classification tasks of Bonn datasets, the proposed model achieves an accuracy of 99.9%, a sensitivity of 100%, a precision of 99.81%, and a specificity of 99.8%. For the interictal-ictal case of New Delhi datasets, the proposed model achieves a classification accuracy of 100%, a sensitivity of 100%, a specificity of 100%, and a precision of 100%.

CONCLUSION

The proposed model can effectively realize the high-precision automatic detection and classification of epilepsy EEG signals. This model can provide high-precision automatic detection capability for clinical epilepsy EEG detection. We hope to provide positive implications for the prediction of seizure EEG.

EEG Microstate Features as an Automatic Recognition Model of High-Density Epileptic EEG Using Support Vector Machine

Epilepsy is one of the most serious nervous system diseases; it can be diagnosed accurately by video electroencephalogram. In this study, we analyzed microstate epileptic electroencephalogram (EEG) to aid in the diagnosis and identification of epilepsy. We recruited patients with focal epilepsy and healthy participants from the Third Xiangya Hospital and recorded their resting EEG data. In this study, the EEG data were analyzed by microstate analysis, and the support vector machine (SVM) classifier was used for automatic epileptic EEG classification based on features of the EEG microstate series, including microstate parameters (duration, occurrence, and coverage), linear features (median, second quartile, mean, kurtosis, and skewness) and non-linear features (Petrosian fractal dimension, approximate entropy, sample entropy, fuzzy entropy, and Lempel-Ziv complexity). In the gamma sub-band, the microstate parameters as a model were the best for interictal epilepsy recognition, with an accuracy of 87.18%, recall of 70.59%, and an area under the curve of 94.52%. There was a recognition effect of interictal epilepsy through the features extracted from the EEG microstate, which varied within the 4~45 Hz band with an accuracy of 79.55%. Based on the SVM classifier, microstate parameters and EEG features can be effectively used to classify epileptic EEG, and microstate parameters can better classify epileptic EEG compared with EEG features.

Temporal complexity of EEG encodes human alertness

OBJECTIVE

Automatic human alertness monitoring has recently become an important research topic with important applications in many areas such as the detection of drivers' fatigue, monitoring of monotonous tasks that require a high level of alertness such as traffic control and nuclear power plant monitoring, and sleep staging. In this study, we propose that balanced dynamics of Electroencephalography (EEG) (so called EEG temporal complexity) is a potentially useful feature for identifying human alertness states. Recently, a new signal entropy measure, called Range Entropy (RangeEn), was proposed to overcome some limitations of two of the most widely used entropy measures, namely Approximate Entropy (ApEn) and Sample Entropy (SampEn), and showed its relevance for the study of time domain EEG complexity. In this paper, we investigated whether the RangeEn holds discriminating information associated with human alertness states, namely Awake, Drowsy, and Sleep and compare its performance against those of SampEn and ApEn.

APPROACH

We used EEG data from 60 healthy subjects of both sexes and different ages acquired during whole night sleeps. Using a 30-second sliding window, we computed the three entropy measures of EEG and performed statistical analyses to evaluate the ability of these entropy measures to discriminate among the different human alertness states.

MAIN RESULTS

Although the three entropy measures contained useful information about human alertness, RangeEn showed a higher discriminative capability compared to ApEn and SampEn especially when using EEG within the Beta frequency band.

SIGNIFICANCE

Our findings highlight the EEG temporal complexity evolution through the human alertness states. This relationship can potentially be exploited for the development of automatic human alertness monitoring systems and diagnostic tools for different neurological and sleep disorders, including insomnia.

EEG-Driven Prediction Model of Oxcarbazepine Treatment Outcomes in Patients With Newly-Diagnosed Focal Epilepsy

Objective: Antiseizure medicine (ASM) is the first choice for patients with epilepsy. The choice of ASM is determined by the type of epilepsy or epileptic syndrome, which may not be suitable for certain patients. This initial choice of a particular drug affects the long-term prognosis of patients, so it is critical to select the appropriate ASMs based on the individual characteristics of a patient at the early stage of the disease. The purpose of this study is to develop a personalized prediction model to predict the probability of achieving seizure control in patients with focal epilepsy, which will help in providing a more precise initial medication to patients.

Methods: Based on response to oxcarbazepine (OXC), enrolled patients were divided into two groups: seizure-free (52 patients), not seizure-free (NSF) (22 patients). We created models to predict patients' response to OXC monotherapy by combining Electroencephalogram (EEG) complexities and 15 clinical features. The prediction models were gradient boosting decision tree-Kolmogorov complexity (GBDT-KC) and gradient boosting decision tree-Lempel-Ziv complexity (GBDT-LZC). We also constructed two additional prediction models, support vector machine-Kolmogorov complexity (SVM-KC) and SVM-LZC, and these two models were compared with the GBDT models. The performance of the models was evaluated by calculating the accuracy, precision, recall, F1-score, sensitivity, specificity, and area under the curve (AUC) of these models.

Results: The mean accuracy, precision, recall, F1-score, sensitivity, specificity, AUC of GBDT-LZC model after five-fold cross-validation were 81%, 84%, 91%, 87%, 91%, 64%, 81%, respectively. The average accuracy, precision, recall, F1-score, sensitivity, specificity, AUC of GBDT-KC model with five-fold cross-validation were 82%, 84%, 92%, 88%, 83%, 92%, 83%, respectively. We used the rank of absolute weights to separately calculate the features that have the most significant impact on the classification of the two models.

Conclusion: (1) The GBDT-KC model has the potential to be used in the clinic to predict seizure-free with OXC monotherapy. (2). Electroencephalogram complexity, especially Kolmogorov complexity (KC) may be a potential biomarker in predicting the treatment efficacy of OXC in newly diagnosed patients with focal epilepsy.

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.

Using complexity-entropy planes to detect Parkinson's disease from short segments of haemodynamic signals

Objective. There is emerging evidence that analysing the entropy and complexity of biomedical signals can detect underlying changes in physiology which may be reflective of disease pathology. This approach can be used even when only short recordings of biomedical signals are available. This study aimed to determine whether entropy and complexity measures can detect differences between subjects with Parkinsons disease and healthy controls (HCs).Approach. A method based on a diagram of entropy versus complexity, named complexity-entropy plane, was used to re-analyse a dataset of cerebral haemodynamic signals from subjects with Parkinsons disease and HCs obtained under poikilocapnic conditions. A probability distribution for a set of ordinal patterns, designed to capture regularities in a time series, was computed from each signal under analysis. Four types of entropy and ten types of complexity measures were estimated from these distributions. Mean values of entropy and complexity were compared and their classification power was assessed by evaluating the best linear separator on the corresponding complexity-entropy planes.Main results. Few linear separators obtained significantly better classification, evaluated as the area under the receiver operating characteristic curve, than signal mean values. However, significant differences in both entropy and complexity were detected between the groups of participants.Significance. Measures of entropy and complexity were able to detect differences between healthy volunteers and subjects with Parkinson's disease, in poikilocapnic conditions, even though only short recordings were available for analysis. Further work is needed to refine this promising approach, and to help understand the findings in the context of specific pathophysiological changes.

Multiscale Permutation Lempel-Ziv Complexity Measure for Biomedical Signal Analysis: Interpretation and Application to Focal EEG Signals

This paper analyses the complexity of electroencephalogram (EEG) signals in different temporal scales for the analysis and classification of focal and non-focal EEG signals. Futures from an original multiscale permutation Lempel–Ziv complexity measure (MPLZC) were obtained. MPLZC measure combines a multiscale structure, ordinal analysis, and permutation Lempel–Ziv complexity for quantifying the dynamic changes of an electroencephalogram (EEG). We also show the dependency of MPLZC on several straight-forward signal processing concepts, which appear in biomedical EEG activity via a set of synthetic signals. The main material of the study consists of EEG signals, which were obtained from the Bern-Barcelona EEG database. The signals were divided into two groups: focal EEG signals (n = 100) and non-focal EEG signals (n = 100); statistical analysis was performed by means of non-parametric Mann–Whitney test. The mean value of MPLZC results in the non-focal group are significantly higher than those in the focal group for scales above 1 (p < 0.05). The result indicates that the non-focal EEG signals are more complex. MPLZC feature sets are used for the least squares support vector machine (LS-SVM) classifier to classify into the focal and non-focal EEG signals. Our experimental results confirmed the usefulness of the MPLZC method for distinguishing focal and non-focal EEG signals with a classification accuracy of 86%.

Brain Entropy During Aging Through a Free Energy Principle Approach

Neural complexity and brain entropy (BEN) have gained greater interest in recent years. The dynamics of neural signals and their relations with information processing continue to be investigated through different measures in a variety of noteworthy studies. The BEN of spontaneous neural activity decreases during states of reduced consciousness. This evidence has been showed in primary consciousness states, such as psychedelic states, under the name of "the entropic brain hypothesis." In this manuscript we propose an extension of this hypothesis to physiological and pathological aging. We review this particular facet of the complexity of the brain, mentioning studies that have investigated BEN in primary consciousness states, and extending this view to the field of neuroaging with a focus on resting-state functional Magnetic Resonance Imaging. We first introduce historic and conceptual ideas about entropy and neural complexity, treating the mindbrain as a complex nonlinear dynamic adaptive system, in light of the free energy principle. Then, we review the studies in this field, analyzing the idea that the aim of the neurocognitive system is to maintain a dynamic state of balance between order and chaos, both in terms of dynamics of neural signals and functional connectivity. In our exploration we will review studies both on acute psychedelic states and more chronic psychotic states and traits, such as those in schizophrenia, in order to show the increase of entropy in those states. Then we extend our exploration to physiological and pathological aging, where BEN is reduced. Finally, we propose an interpretation of these results, defining a general trend of BEN in primary states and cognitive aging.

Anomaly Detection for Individual Sequences with Applications in Identifying Malicious Tools

Anomaly detection refers to the problem of identifying abnormal behaviour within a set of measurements. In many cases, one has some statistical model for normal data, and wishes to identify whether new data fit the model or not. However, in others, while there are normal data to learn from, there is no statistical model for this data, and there is no structured parameter set to estimate. Thus, one is forced to assume an individual sequences setup, where there is no given model or any guarantee that such a model exists. In this work, we propose a universal anomaly detection algorithm for one-dimensional time series that is able to learn the normal behaviour of systems and alert for abnormalities, without assuming anything on the normal data, or anything on the anomalies. The suggested method utilizes new information measures that were derived from the Lempel–Ziv (LZ) compression algorithm in order to optimally and efficiently learn the normal behaviour (during learning), and then estimate the likelihood of new data (during operation) and classify it accordingly. We apply the algorithm to key problems in computer security, as well as a benchmark anomaly detection data set, all using simple, single-feature time-indexed data. The first is detecting Botnets Command and Control (C&C) channels without deep inspection. We then apply it to the problems of malicious tools detection via system calls monitoring and data leakage identification.We conclude with the New York City (NYC) taxi data. Finally, while using information theoretic tools, we show that an attacker’s attempt to maliciously fool the detection system by trying to generate normal data is bound to fail, either due to a high probability of error or because of the need for huge amounts of resources.

Characteristics of globus pallidus internus local field potentials in generalized dystonia patients with TWNK mutation

OBJECTIVE

We focused on a rare gene mutation causing dystonia in two siblings who received globus pallidus internus deep brain stimulation (GPi-DBS). The aim was to characterize the relationship between neuronal activity patterns and clinical syndromes.

METHODS

Whole exome sequencing was applied to identify the TWNK (previous symbol C10orf2) mutation; Two siblings with TWNK mutation presented as generalized dystonia with rigidity and bradykinesia; four other sporadic generalized dystonia patients underwent GPi-DBS and local field potentials (LFPs) were recorded. Oscillatory activities were illustrated with power spectra and temporal dynamics measured by the Lempel-Ziv complexity (LZC).

RESULTS

Normalized power spectra of GPi LFPs differed between patients with TWNK mutation and dystonia over the low beta bands. Patients with TWNK mutation had higher low beta power (15-27 Hz, unpaired t-test, corrected P < 0.0022) and lower LZC (15-27 Hz, unpaired t-test, P < 0.01) than other patients with generalized dystonia. On the other hand, the TWNK mutation patients showed decreased low frequency and beta oscillation in the GPi after DBS, as well as improved movement performance.

CONCLUSION

The LFPs were different in TWNK mutation dystonia siblings than other patients with generalized dystonia, which indicate the abnormal LFPs were related to symptoms rather than specific disease. In addition, the inhibited effect on oscillations also provided a potential evidence for DBS treatment on rare movement disorders.

SIGNIFICANCE

This study could potentially aid in the future development of adaptive DBS via rare disease LFPs comparison.

The application of Lempel-Ziv and Titchener complexity analysis for equine telemetric electrocardiographic recordings

The analysis of equine electrocardiographic (ECG) recordings is complicated by the absence of agreed abnormality classification criteria. We explore the applicability of several complexity analysis methods for characterization of non-linear aspects of electrocardiographic recordings. We here show that complexity estimates provided by Lempel-Ziv ’76, Titchener’s T-complexity and Lempel-Ziv ’78 analysis of ECG recordings of healthy Thoroughbred horses are highly dependent on the duration of analysed ECG fragments and the heart rate. The results provide a methodological basis and a feasible reference point for the complexity analysis of equine telemetric ECG recordings that might be applied to automate detection of equine arrhythmias in equine clinical practice.

Estimation of Complexity of Sampled Biomedical Continuous Time Signals Using Approximate Entropy

Non-linear analysis found many applications in biomedicine. Approximate entropy (ApEn) is a popular index of complexity often applied to biomedical data, as it provides quite stable indications when processing short and noisy epochs. However, ApEn strongly depends on parameters, which were chosen in the literature in wide ranges. This paper points out that ApEn depends on sampling rate of continuous time signals, embedding dimension, tolerance (under which a match is identified), epoch duration and low frequency trends. Moreover, contradicting results can be obtained changing parameters. This was found both in simulations and in experimental EEG. These limitations of ApEn suggest the introduction of an alternative index, here called modified ApEn, which is based on the following principles: oversampling is compensated, self-recurrences are ignored, a fixed percentage of recurrences is selected and low frequency trends are removed. The modified index allows to get more stable measurements of the complexity of the tested simulated data and EEG. The final conclusions are that, in order to get a reliable estimation of complexity using ApEn, parameters should be chosen within specific ranges, data must be sampled close to the Nyquist limit and low frequency trends should be removed. Following these indications, different studies could be more easily compared, interpreted and replicated. Moreover, the modified ApEn can be an interesting alternative, which extends the range of parameters for which stable indications can be achieved.

Comparison of background EEG activity of different groups of patients with idiopathic epilepsy using Shannon spectral entropy and cluster-based permutation statistical testing

Idiopathic epilepsy is characterized by generalized seizures with no apparent cause. One of its main problems is the lack of biomarkers to monitor the evolution of patients. The only tools they can use are limited to inspecting the amount of seizures during previous periods of time and assessing the existence of interictal discharges. As a result, there is a need for improving the tools to assist the diagnosis and follow up of these patients. The goal of the present study is to compare and find a way to differentiate between two groups of patients suffering from idiopathic epilepsy, one group that could be followed-up by means of specific electroencephalographic (EEG) signatures (intercritical activity present), and another one that could not due to the absence of these markers. To do that, we analyzed the background EEG activity of each in the absence of seizures and epileptic intercritical activity. We used the Shannon spectral entropy (SSE) as a metric to discriminate between the two groups and performed permutation-based statistical tests to detect the set of frequencies that show significant differences. By constraining the spectral entropy estimation to the [6.25–12.89) Hz range, we detect statistical differences (at below 0.05 alpha-level) between both types of epileptic patients at all available recording channels. Interestingly, entropy values follow a trend that is inversely related to the elapsed time from the last seizure. Indeed, this trend shows asymptotical convergence to the SSE values measured in a group of healthy subjects, which present SSE values lower than any of the two groups of patients. All these results suggest that the SSE, measured in a specific range of frequencies, could serve to follow up the evolution of patients suffering from idiopathic epilepsy. Future studies remain to be conducted in order to assess the predictive value of this approach for the anticipation of seizures.

EEG analysis via multiscale Lempel-Ziv complexity for seizure detection

Robust seizure detection and seizure prediction continues to be a challenge. Lempel-Ziv Complexity (LZC) is one of the features that has shown to be relevant in seizure detection. Recent work has shown that augmenting LZC can be beneficial to emphasize variations in amplitude or frequency when analyzing biomedical signals. In this paper, we present a first look into evaluating the feasibility of using a recently proposed feature stemmed from LZC, namely the Multiscale Lempel-Ziv Complexity (MLZC) for seizure detection. MLZC does not allow the high-frequency signal components to be overwhelmed by the low frequency signal components when calculating complexity values. We compare MLZC and LZC for identifying seizures for three cases and show MLZC can provide a clear separation between non-ictal and ictal periods for all three cases using a single threshold over 7 recordings and 7 seizures per patient, whereas LZC provided such a clear separation for only one of the patients.

Locomotor Sensory Organization Test: How Sensory Conflict Affects the Temporal Structure of Sway Variability During Gait

When maintaining postural stability temporally under increased sensory conflict, a more rigid response is used where the available degrees of freedom are essentially frozen. The current study investigated if such a strategy is also utilized during more dynamic situations of postural control as is the case with walking. This study attempted to answer this question by using the Locomotor Sensory Organization Test (LSOT). This apparatus incorporates SOT inspired perturbations of the visual and the somatosensory system. Ten healthy young adults performed the six conditions of the traditional SOT and the corresponding six conditions on the LSOT. The temporal structure of sway variability was evaluated from all conditions. The results showed that in the anterior posterior direction somatosensory input is crucial for postural control for both walking and standing; visual input also had an effect but was not as prominent as the somatosensory input. In the medial lateral direction and with respect to walking, visual input has a much larger effect than somatosensory input. This is possibly due to the added contributions by peripheral vision during walking; in standing such contributions may not be as significant for postural control. In sum, as sensory conflict increases more rigid and regular sway patterns are found during standing confirming the previous results presented in the literature, however the opposite was the case with walking where more exploratory and adaptive movement patterns are present.

A boosted cascade for efficient epileptic seizure detection

Seizure detection from electroencephalogram (EEG) plays an important role for epilepsy therapy. Due to the diversity of seizure EEG patterns between different individuals, multiple features are necessary for high accuracy since a single feature could hardly encode all types of epileptiform discharges. However, a large feature set inevitably causes the increase of the computational cost. This paper proposes a boosted cascade chain to obtain both high detection performance and high computational efficiency. Sixteen features that are widely used in seizure detection are implemented. Considering the sequential characteristics of EEG signals, the features are extracted on each 1-second segment and its former three segments. Thus, a total of 64 features are used to construct a feature pool. Based on the feature pool, Real AdaBoost is used to select a group of effective features, on which weak classifiers are learned to assemble a strong classifier. The strong classifier is transformed to a cascade classifier by reordering the weak classifiers and learning a threshold for each weak classifier. The cascade classifier still has the similar classification strength to the original strong classifier. More importantly, it is able to reject easy non-seizure samples by the first a few weak classifiers in the cascade, thus high computational efficiency can be obtained. To evaluate our method, 90.6-hour EEG signals from four patients are tested. The experimental results show that our method can achieve an average accuracy of 95.31% and an average detection rate of 91.29% with the false positive rate of 4.68%. On average, only about 4 features are used. Compared with support vector machine (SVM), our method is much more efficient with the similar detection performance.

Characterization of early partial seizure onset: frequency, complexity and entropy

OBJECTIVE

A clear classification of partial seizures onset features is not yet established. Complexity and entropy have been very widely used to describe dynamical systems, but a systematic evaluation of these measures to characterize partial seizures has never been performed.

METHODS

Eighteen different measures including power in frequency bands up to 300 Hz, Gabor atom density (GAD), Higuchi fractal dimension (HFD), Lempel-Ziv complexity, Shannon entropy, sample entropy, and permutation entropy, were selected to test sensitivity to partial seizure onset. Intracranial recordings from 45 patients with mesial temporal, neocortical temporal and neocortical extratemporal seizure foci were included (331 partial seizures).

RESULTS

GAD, Lempel-Ziv complexity, HFD, high frequency activity, and sample entropy were the most reliable measures to assess early seizure onset.

CONCLUSIONS

Increases in complexity and occurrence of high-frequency components appear to be commonly associated with early stages of partial seizure evolution from all regions. The type of measure (frequency-based, complexity or entropy) does not predict the efficiency of the method to detect seizure onset.

SIGNIFICANCE

Differences between measures such as GAD and HFD highlight the multimodal nature of partial seizure onsets. Improved methods for early seizure detection may be achieved from a better understanding of these underlying dynamics.

An epileptic seizures detection algorithm based on the empirical mode decomposition of EEG

Epilepsy is a neurological disorder that affects around 50 million people worldwide. The seizure detection is an important component in the diagnosis of epilepsy. In this study, the Empirical Mode Decomposition (EMD) method was proposed on the development of an automatic epileptic seizure detection algorithm. The algorithm first computes the Intrinsic Mode Functions (IMFs) of EEG records, then calculates the energy of each IMF and performs the detection based on an energy threshold and a minimum duration decision. The algorithm was tested in 9 invasive EEG records provided and validated by the Epilepsy Center of the University Hospital of Freiburg. In 90 segments analyzed (39 with epileptic seizures) the sensitivity and specificity obtained with the method were of 56.41% and 75.86% respectively. It could be concluded that EMD is a promissory method for epileptic seizure detection in EEG records.

Entropy analysis on EEG signal in a case study of focal myoclonus

Electrophysiological studies provide useful information for diagnosis and classification of myoclonus, and for the investigation of its generative mechanisms, due to association of myoclonus with abnormally increased excitability of cortical structures. In this work we analyzed the polygraphic data of a 7-year old girl affected by continuous partial epilepsy with focal myoclonus both related and not related with epileptiform discharges on EEG. We applied Sample Entropy (SampEn) and Lempel-Ziv complexity (LZ) methods to investigate the regularity and complexity content of EEG recordings and to find possible analogies in the behaviour of non-parametric complexity measures in epilepsy and in myoclonus. Our results show that these algorithms succeeded in finding a significant difference between the hypothesized focus on C3 electrode and the contralateral electrode C4, for EEG correlated myoclonus. A significant difference between the two contralateral electrodes (C3-C4) was also found for non EEG correlated myoclonus, but only by means of SampEn. This preliminary study confirmed the ability of entropic methods in discriminating myoclonic events. Indeed, near the myoclonic focus location both SampEn and LZ methods showed below average values.