Epileptic Seizures Prediction Using Machine Learning Methods

Focality in childhood absence epilepsy

BACKGROUND AND PURPOSE

Childhood absence epilepsy (CAE) has a typical electroencephalography (EEG) pattern of generalized 3 Hz spike and wave discharges (SWD). Focal interictal discharges were also documented in a small number of documents. The aim was to investigate the amplitudes of interictal 3 Hz SWD within the 1st second in drug-naïve CAE patients. In this way, areas with maximal electronegativity at the beginning of clinically generalized discharges will be documented.

METHODS

The EEG records of children with drug-naïve CAE were evaluated retrospectively by two child neurologists first for 3 Hz SWD. Then, a machine-learning model evaluated the amplitudes of 3 Hz in the 1st second of SWD. Maximum electronegativity areas were documented and classified as focal, bilateral, and generalized.

RESULTS

One hundred and twelve 3 Hz SWD were evaluated in 11 patients. Among discharges within the 1st second, maximum electronegativity areas were documented as focal for 44 (39.2%), bilateral for 8 (7.1%), generalized for 60 (53.5%). Among focal electronegativity areas, mostly right central, left occipital and midline parietal areas were documented in 12 (10.7%), 7 (6.2%), and 6 (5.3%), respectively. Eight (7.1%) of the maximum electronegativity areas were detected bilaterally, of which 7 (6.2%) originated from the frontopolar areas.

CONCLUSIONS

Focal maximal electronegativity areas were frequently observed in drug-naïve CAE patients, comprising approximately half of non-generalized discharges. Focal discharges might be misleading in diagnosis. Focal areas within the brain may be responsible for and contribute to absence seizures that appear bilaterally symmetrical and generalized clinically. Although its clinical implication is unknown, this warrants further study.

Calibrating Deep Learning Classifiers for Patient-Independent Electroencephalogram Seizure Forecasting

The recent scientific literature abounds in proposals of seizure forecasting methods that exploit machine learning to automatically analyze electroencephalogram (EEG) signals. Deep learning algorithms seem to achieve a particularly remarkable performance, suggesting that the implementation of clinical devices for seizure prediction might be within reach. However, most of the research evaluated the robustness of automatic forecasting methods through randomized cross-validation techniques, while clinical applications require much more stringent validation based on patient-independent testing. In this study, we show that automatic seizure forecasting can be performed, to some extent, even on independent patients who have never been seen during the training phase, thanks to the implementation of a simple calibration pipeline that can fine-tune deep learning models, even on a single epileptic event recorded from a new patient. We evaluate our calibration procedure using two datasets containing EEG signals recorded from a large cohort of epileptic subjects, demonstrating that the forecast accuracy of deep learning methods can increase on average by more than 20%, and that performance improves systematically in all independent patients. We further show that our calibration procedure works best for deep learning models, but can also be successfully applied to machine learning algorithms based on engineered signal features. Although our method still requires at least one epileptic event per patient to calibrate the forecasting model, we conclude that focusing on realistic validation methods allows to more reliably compare different machine learning approaches for seizure prediction, enabling the implementation of robust and effective forecasting systems that can be used in daily healthcare practice.

Seizure prediction based on improved vision transformer model for EEG channel optimization

Epileptic seizures are unpredictable events caused by abnormal discharges of a patient's brain cells. Extensive research has been conducted to develop seizure prediction algorithms based on long-term continuous electroencephalogram (EEG) signals. This paper describes a patient-specific seizure prediction method that can serve as a basis for the design of lightweight, wearable and effective seizure-prediction devices. We aim to achieve two objectives using this method. The first aim is to extract robust feature representations from multichannel EEG signals, and the second aim is to reduce the number of channels used for prediction by selecting an optimal set of channels from multichannel EEG signals while ensuring good prediction performance. We design a seizure-prediction algorithm based on a vision transformer (ViT) model. The algorithm selects channels that play a key role in seizure prediction from 22 channels of EEG signals. First, we perform a time-frequency analysis of processed time-series signals to obtain EEG spectrograms. We then segment the spectrograms of multiple channels into many non-overlapping patches of the same size, which are input into the channel selection layer of the proposed model, named Sel-JPM-ViT, enabling it to select channels. Application of the Sel-JPM-ViT model to the Boston Children's Hospital-Massachusetts Institute of Technology scalp EEG dataset yields results using only three to six channels of EEG signals that are slightly better that the results obtained using 22 channels of EEG signals. Overall, the Sel-JPM-ViT model exhibits an average classification accuracy of 93.65%, an average sensitivity of 94.70% and an average specificity of 92.78%.

Patient-specific warning of epileptic seizure upon shapelets features

Epilepsy is an intractable chronic neurological disease attached to extensive attention. Due to the fact that unpredictable seizure attacks result in serious physical injuries, early warning before seizure occurrence can help patients to get timely treatment and intervention. This paper presents a novel patient-specific method to predict epileptic seizures by learning shapelets of scalp electroencephalogram (EEG) signals recorded from different channels. In the proposed method, EEG signals are preprocessed to raise the Signal to Noise Rate (SNR). Multichannel shapelets space is constructed by the learning-near-to-optimal shapelets method. EEG signals are converted to distance matrices by projecting them on the shapelets' space. Bi-LSTM, SVM, CNN, and an ensemble of them are used to classify the feature set. Based on the prediction results then raise alarms. The proposed methodology is applied to the CHB-MIT scalp EEG dataset of 10 cases. The proposed method achieves a sensitivity of 91.33% and a false prediction rate of 0.16 h-1.

A self-attention model for cross-subject seizure detection

Epilepsy is a neurological disorder characterized by recurring seizures, detected by electroencephalography (EEG). EEG signals can be detected by manual time-consuming analysis and recently by automatic detection. The latter poses a significant challenge due to the high dimensional and non-stationary nature of EEG signals. Recently, deep learning (DL) techniques have emerged as valuable tools for seizure detection. In this study, a novel data-driven model based on DL, incorporating a self-attention mechanism (SAT), is proposed. One notable advantage of the proposed method is its simplicity in application, as the raw signal data is directly fed into the suggested network without requiring expertise in signal processing. The model leverages a one-dimensional convolutional neural network (CNN) to extract relevant features from EEG signals. These features are then passed through a long short-term memory (LSTM) module to benefit from its memory capabilities, along with a SAT mechanism. The key contribution of this paper lies in the addition of the SAT layer to the LSTM encoder, enabling enhanced exploration of the latent mapping during the encoding step. Cross-subject experiments revealed good performance of this approach with F1-score of 97.8% and 92.7% for binary and five-class epileptic seizure recognition tasks, respectively, on the public UCI dataset, and 97.9% on the CHB-MIT database, surpassing state-of-the-art DL performance. Besides, the proposed method exhibits robustness to inter-subject variability.

Enhancing Performance of Convolutional Neural Network-Based Epileptic Electroencephalogram Diagnosis by Asymmetric Stochastic Resonance

Epilepsy is a chronic disorder that leads to transient neurological dysfunction and is clinically diagnosed primarily by electroencephalography. Several intelligent systems have been proposed to automatically detect seizures, among which deep convolutional neural networks (CNNs) have shown better performance than traditional machine-learning algorithms. Owing to artifacts and noise, the raw electroencephalogram (EEG) must be preprocessed to improve the signal-to-noise ratio prior to being fed into the CNN classifier. However, because of the spectrum overlapping of uncontrollable noise with EEG, traditional filters cause information loss in EEG; thus, the potential of classifiers cannot be fully exploited. In this study, we propose a stochastic resonance-effect-based EEG preprocessing module composed of three asymmetrical overdamped bistable systems in parallel. By setting different asymmetries for the three parallel units, the inherent noise can be transferred to the different spectral components of the EEG through the asymmetric stochastic resonance effect. In this process, the proposed preprocessing module not only avoids the loss of information of EEG but also provides a CNN with high-quality EEG of diversified frequency information to enhance its performance. By combining the proposed preprocessing module with a residual neural network, we developed an intelligent diagnostic system for predicting seizure onset. The developed system achieved an average sensitivity of 98.96% on the CHB-MIT dataset and 95.45% on the Siena dataset, with a false prediction rate of 0.048/h and 0.033/h, respectively. In addition, a comparative analysis demonstrated the superiority of the developed diagnostic system with the proposed preprocessing module over other existing methods.

A novel wearable device for automated real-time detection of epileptic seizures

BACKGROUND

Epilepsy is a neurological disorder that has a variety of origins. It is caused by hyperexcitability and an imbalance between excitation and inhibition, which results in seizures. The World Health Organization (WHO) and its partners have classified epilepsy as a major public health concern. Over 50 million individuals globally are affected by epilepsy which shows that the patient's family, social, educational, and vocational activities are severely limited if seizures are not controlled. Patients who suffer from epileptic seizures have emotional, behavioral, and neurological issues. Alerting systems using a wearable sensor are commonly used to detect epileptic seizures. However, most of the devices have no multimodal systems that increase sensitivity and lower the false discovery rate for screening and intervention of epileptic seizures. Therefore, the objective of this project was, to design and develop an efficient, economical, and automatically detecting epileptic seizure device in real-time.

METHODS

Our design incorporates different sensors to assess the patient's condition such as an accelerometer, pulsoxymeter and vibration sensor which process body movement, heart rate variability, oxygen denaturation, and jerky movement respectively. The algorithm for real-time detection of epileptic seizures is based on the following: acceleration increases to a higher value of 23.4 m/s² or decreases to a lower value of 10 m/s² as energy is absorbed by the body, the heart rate increases by 10 bpm from the normal heart rate, oxygen denaturation is below 90% and vibration should be out of the range of 3 Hz -17 Hz. Then, a pulsoxymeter device was used as a gold standard to compare the heart rate variability and oxygen saturation sensor readings. The accuracy of the accelerometer and vibration sensor was also tested by a fast-moving and vibrating normal person's hand.

RESULTS

The prototype was built and subjected to different tests and iterations. The proposed device was tested for accuracy, cost-effectiveness and ease of use. An acceptable accuracy was achieved for the accelerometer, pulsoxymeter, and vibration sensor measurements, and the prototype was built only with a component cost of less than 40 USD excluding design, manufacturing, and other costs. The design is tested to see if it fits the design criteria; the results of the tests reveal that a large portion of the scientific procedures utilized in this study to identify epileptic seizures is effective.

CONCLUSION

This project is objectively targeted to design a medical device with multimodal systems that enable us to accurately detect epileptic seizures by detecting symptoms commonly associated with an episode of epileptic seizure and notifying a caregiver for immediate assistance. The proposed device has a great impact on reducing epileptic seizer mortality, especially in low-resource settings where both expertise and treatment are scarce.

Automatic Seizure Detection and Prediction Based on Brain Connectivity Features and a CNNs Meet Transformers Classifier

(1) Background: Epilepsy is a neurological disorder that causes repeated seizures. Since electroencephalogram (EEG) patterns differ in different states (inter-ictal, pre-ictal, and ictal), a seizure can be detected and predicted by extracting various features. However, the brain connectivity network, a two-dimensional feature, is rarely studied. We aim to investigate its effectiveness for seizure detection and prediction. (2) Methods: Two time-window lengths, five frequency bands, and five connectivity measures were used to extract image-like features, which were fed into a support vector machine for the subject-specific model (SSM) and a convolutional neural networks meet transformers (CMT) classifier for the subject-independent model (SIM) and cross-subject model (CSM). Finally, feature selection and efficiency analyses were conducted. (3) Results: The classification results on the CHB-MIT dataset showed that a long window indicated better performance. The best detection accuracies of SSM, SIM, and CSM were 100.00, 99.98, and 99.27%, respectively. The highest prediction accuracies were 99.72, 99.38, and 86.17%, respectively. In addition, Pearson Correlation Coefficient and Phase Lock Value connectivity in the β and γ bands showed good performance and high efficiency. (4) Conclusions: The proposed brain connectivity features showed good reliability and practical value for automatic seizure detection and prediction, which expects to develop portable real-time monitoring equipment.

Machine Learning Method for Fatigue Strength Prediction of Nickel-Based Superalloy with Various Influencing Factors

The accurate prediction of fatigue performance is of great engineering significance for the safe and reliable service of components. However, due to the complexity of influencing factors on fatigue behavior and the incomplete understanding of the fatigue failure mechanism, it is difficult to correlate well the influence of various factors on fatigue performance. Machine learning could be used to deal with the association or influence of complex factors due to its good nonlinear approximation and multi-variable learning ability. In this paper, the gradient boosting regression tree model, the long short-term memory model and the polynomial regression model with ridge regularization in machine learning are used to predict the fatigue strength of a nickel-based superalloy GH4169 under different temperatures, stress ratios and fatigue life in the literature. By dividing different training and testing sets, the influence of the composition of data in the training set on the predictive ability of the machine learning method is investigated. The results indicate that the machine learning method shows great potential in the fatigue strength prediction through learning and training limited data, which could provide a new means for the prediction of fatigue performance incorporating complex influencing factors. However, the predicted results are closely related to the data in the training set. More abundant data in the training set is necessary to achieve a better predictive capability of the machine learning model. For example, it is hard to give good predictions for the anomalous data if the anomalous data are absent in the training set.

An Ensemble Learning Method for Emotion Charting Using Multimodal Physiological Signals

Emotion charting using multimodal signals has gained great demand for stroke-affected patients, for psychiatrists while examining patients, and for neuromarketing applications. Multimodal signals for emotion charting include electrocardiogram (ECG) signals, electroencephalogram (EEG) signals, and galvanic skin response (GSR) signals. EEG, ECG, and GSR are also known as physiological signals, which can be used for identification of human emotions. Due to the unbiased nature of physiological signals, this field has become a great motivation in recent research as physiological signals are generated autonomously from human central nervous system. Researchers have developed multiple methods for the classification of these signals for emotion detection. However, due to the non-linear nature of these signals and the inclusion of noise, while recording, accurate classification of physiological signals is a challenge for emotion charting. Valence and arousal are two important states for emotion detection; therefore, this paper presents a novel ensemble learning method based on deep learning for the classification of four different emotional states including high valence and high arousal (HVHA), low valence and low arousal (LVLA), high valence and low arousal (HVLA) and low valence high arousal (LVHA). In the proposed method, multimodal signals (EEG, ECG, and GSR) are preprocessed using bandpass filtering and independent components analysis (ICA) for noise removal in EEG signals followed by discrete wavelet transform for time domain to frequency domain conversion. Discrete wavelet transform results in spectrograms of the physiological signal and then features are extracted using stacked autoencoders from those spectrograms. A feature vector is obtained from the bottleneck layer of the autoencoder and is fed to three classifiers SVM (support vector machine), RF (random forest), and LSTM (long short-term memory) followed by majority voting as ensemble classification. The proposed system is trained and tested on the AMIGOS dataset with k-fold cross-validation. The proposed system obtained the highest accuracy of 94.5% and shows improved results of the proposed method compared with other state-of-the-art methods.

Online Seizure Prediction System: A Novel Probabilistic Approach for Efficient Prediction of Epileptic Seizure with iEEG Signal

Background:

1% of people around the world are suffering from epilepsy. It is, therefore crucial to propose an efficient automated seizure prediction tool implemented in a portable device that uses the electroencephalogram (EEG) signal to enhance epileptic patients’ life quality.

Methods:

In this study, we focused on time-domain features to achieve discriminative information at a low CPU cost extracted from the intracranial electroencephalogram (iEEG) signals of six patients. The probabilistic framework based on XGBoost classifier requires the mean and maximum probability of the non-seizure and the seizure occurrence period segments. Once all these parameters are set for each patient, the medical decision maker can send alarm based on well-defined thresholds.

Results:

While finding a unique model for all patients is really challenging, and our modelling results demonstrated that the proposed algorithm can be an efficient tool for reliable and clinically relevant seizure forecasting. Using iEEG signals, the proposed algorithm can forecast seizures, informing a patient about 75 minutes before a seizure would occur, a period large enough for patients to take practical actions to minimize the potential impacts of the seizure.

Conclusion:

We posit that the ability to distinguish interictal intracranial EEG from pre-ictal signals at some low computational cost may be the first step towards an implanted portable semi-automatic seizure suppression system in the near future. It is believed that our seizure prediction technique can conceivably be coupled with treatment techniques aimed at interrupting the process even prior to a seizure initiates to develop.

Intelligent Epileptic Seizure Detection and Classification Model Using Optimal Deep Canonical Sparse Autoencoder

Epileptic seizures are a chronic and persistent neurological illness that mainly affects the human brain. Electroencephalogram (EEG) is considered an effective tool among neurologists to detect various brain disorders, including epilepsy, owing to its advantages, such as its low cost, simplicity, and availability. In order to reduce the severity of epileptic seizures, it is necessary to design effective techniques to identify the disease at an earlier stage. Since the traditional way of diagnosing epileptic seizures is laborious and time-consuming, automated tools using machine learning (ML) and deep learning (DL) models may be useful. This paper presents an intelligent deep canonical sparse autoencoder-based epileptic seizure detection and classification (DCSAE-ESDC) model using EEG signals. The proposed DCSAE-ESDC technique involves two major processes, namely, feature selection and classification. The DCSAE-ESDC technique designs a novel coyote optimization algorithm (COA)-based feature selection technique for the optimal selection of feature subsets. Moreover, the DCSAE-based classifier is derived for the detection and classification of different kinds of epileptic seizures. Finally, the parameter tuning of the DSCAE model takes place via the krill herd algorithm (KHA). The design of the COA-based feature selection and KHA-based parameter tuning shows the novelty of the work. For examining the enhanced classification performance of the DCSAE-ESDC technique, a detailed experimental analysis was conducted using a benchmark epileptic seizure dataset. The comparative results analysis portrayed the better performance of the DCSAE-ESDC technique over existing techniques, with maximum accuracy of 98.67% and 98.73% under binary and multi-classification, respectively.

Seizure Detection and Prediction by Parallel Memristive Convolutional Neural Networks

During the past two decades, epileptic seizure detection and prediction algorithms have evolved rapidly. However, despite significant performance improvements, their hardware implementation using conventional technologies, such as Complementary Metal-Oxide-Semiconductor (CMOS), in power and area-constrained settings remains a challenging task; especially when many recording channels are used. In this paper, we propose a novel low-latency parallel Convolutional Neural Network (CNN) architecture that has between 2-2,800x fewer network parameters compared to State-Of-The-Art (SOTA) CNN architectures and achieves 5-fold cross validation accuracy of 99.84% for epileptic seizure detection, and 99.01% and 97.54% for epileptic seizure prediction, when evaluated using the University of Bonn Electroencephalogram (EEG), CHB-MIT and SWEC-ETHZ seizure datasets, respectively. We subsequently implement our network onto analog crossbar arrays comprising Resistive Random-Access Memory (RRAM) devices, and provide a comprehensive benchmark by simulating, laying out, and determining hardware requirements of the CNN component of our system. We parallelize the execution of convolution layer kernels on separate analog crossbars to enable 2 orders of magnitude reduction in latency compared to SOTA hybrid Memristive-CMOS Deep Learning (DL) accelerators. Furthermore, we investigate the effects of non-idealities on our system and investigate Quantization Aware Training (QAT) to mitigate the performance degradation due to low Analog-to-Digital Converter (ADC)/Digital-to-Analog Converter (DAC) resolution. Finally, we propose a stuck weight offsetting methodology to mitigate performance degradation due to stuck [Formula: see text] memristor weights, recovering up to 32% accuracy, without requiring retraining. The CNN component of our platform is estimated to consume approximately 2.791 W of power while occupying an area of 31.255 mm² in a 22 nm FDSOI CMOS process.

Classification of EEG Signals for Prediction of Epileptic Seizures

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

Multi-Channel Vision Transformer for Epileptic Seizure Prediction

Epilepsy is a neurological disorder that causes recurrent seizures and sometimes loss of awareness. Around 30% of epileptic patients continue to have seizures despite taking anti-seizure medication. The ability to predict the future occurrence of seizures would enable the patients to take precautions against probable injuries and administer timely treatment to abort or control impending seizures. In this study, we introduce a Transformer-based approach called Multi-channel Vision Transformer (MViT) for automated and simultaneous learning of the spatio-temporal-spectral features in multi-channel EEG data. Continuous wavelet transform, a simple yet efficient pre-processing approach, is first used for turning the time-series EEG signals into image-like time-frequency representations named Scalograms. Each scalogram is split into a sequence of fixed-size non-overlapping patches, which are then fed as inputs to the MViT for EEG classification. Extensive experiments on three benchmark EEG datasets demonstrate the superiority of the proposed MViT algorithm over the state-of-the-art seizure prediction methods, achieving an average prediction sensitivity of 99.80% for surface EEG and 90.28-91.15% for invasive EEG data.

BHI-Net: Brain-Heart Interaction-Based Deep Architectures for Epileptic Seizures and Firing Location Detection

Automatic detection of epileptic seizures is still a challenging problem due to the intolerance of EEG. Introducing ECG can help with EEG for detecting seizures. However, the existing methods depended on fusing either the extracted features or the classification results of EEG-only and ECG-only with ignoring the interaction between them, so the detection rate did not improve much. Also, all EEG channels were considered in a complex manner. Moreover, the detection of epilepsy firing location, which is an important issue for diagnosing epilepsy, is not considered before. Therefore, we propose a new method based on the brain-heart interaction (BHI) for detecting the seizure onset and its firing location in the brain with lower complexity and better performance. BHI allows us to study the nonlinear coupling and variation of phase-synchronization between brain regions and heart activity, which are effective for distinguishing seizures. In our method, the EEG channels are mapped into two surrogate channels to reduce the computational complexity. Moreover, the firing location detector is triggered only once the seizure is detected to save the system's power. Evaluation using different proposed classification networks based on the TUSZ, the largest available EEG/ECG dataset with 315 subjects and 7 seizure types, showed that our BHI method improves the sensitivity by 48% with only 4 false alarms/24h compared to using only EEG. Moreover, it outperforms the performance of the average human detector based on the quantitative EEG tools by achieving a sensitivity of 68.2% with 11.9 false alarms/ 24h and a latency of 11.94 sec.

Two-layer LSTM network-based prediction of epileptic seizures using EEG spectral features

Epilepsy is a chronic nervous disorder, which disturbs the normal daily routine of an epileptic patient due to sudden seizure onset. In this era of smart healthcare, automated seizure prediction techniques could assist the patients, their family, and medical personnel to control and manage these seizures. This paper proposes a spectral feature-based two-layer LSTM network model for automatic prediction of epileptic seizures using long-term multichannel EEG signals. This model makes use of spectral power and mean spectrum amplitude features of delta, theta, alpha, beta, and gamma bands of 23-channel EEG spectrum for this task. Initially, the proposed single-layer and two-layer LSTM models have been evaluated for EEG segments having durations in the range of 5–50 s for 24 epileptic subjects, out of which EEG segments of 30 s duration are found to be useful for accurate seizure prediction using two-layer LSTM model. Afterwards, to validate the performance of this classifier, the spectral features of 30 s duration EEG segments are fed to random forest, decision tree, k-nearest neighbour, support vector machine, and naive Bayes classifiers, which are empowered with grid search-based parameter estimation. Finally, the iterative simulation results and comparison with recently published existing techniques firmly reveal that the proposed two-layer LSTM model with EEG spectral features is an effective technique for accurately predicting seizures in real time with an average classification accuracy of 98.14%, average sensitivity of 98.51%, and average specificity of 97.78%, thereby enabling the epileptic patients to have a better quality of life.

Review on Epileptic Seizure Prediction: Machine Learning and Deep Learning Approaches

Epileptic seizures occur due to brain abnormalities that can indirectly affect patient's health. It occurs abruptly without any symptoms and thus increases the mortality rate of humans. Almost 1% of world's population suffers from epileptic seizures. Prediction of seizures before the beginning of onset is beneficial for preventing seizures by medication. Nowadays, modern computational tools, machine learning, and deep learning methods have been used to predict seizures using EEG. However, EEG signals may get corrupted with background noise, and artifacts such as eye blinks and physical movements of muscles may lead to "pops" in the signal, resulting in electrical interference, which is cumbersome to detect through visual inspection for longer duration recordings. These limitations in automatic detection of interictal spikes and epileptic seizures are preferred, which is an essential tool for examining and scrutinizing the EEG recording more precisely. These restrictions bring our attention to present a review of automated schemes that will help neurologists categorize epileptic and nonepileptic signals. While preparing this review paper, it is observed that feature selection and classification are the main challenges in epilepsy prediction algorithms. This paper presents various techniques depending on various features and classifiers over the last few years. The methods presented will give a detailed understanding and ideas about seizure prediction and future research directions.

Machine Learning in Neuro-Oncology, Epilepsy, Alzheimer's Disease, and Schizophrenia

Applications of machine learning (ML) in translational medicine include therapeutic drug creation, diagnostic development, surgical planning, outcome prediction, and intraoperative assistance. Opportunities in the neurosciences are rich given advancement in our understanding of the brain, expanding indications for intervention, and diagnostic challenges often characterized by multiple clinical and environmental factors. We present a review of ML in neuro-oncology, epilepsy, Alzheimer's disease, and schizophrenia to highlight recent progression in these field, optimizing machine learning capabilities in their current forms. Supervised learning models appear to be the most commonly incorporated algorithm models for machine learning across the reviewed neuroscience disciplines with primary aim of diagnosis. Accuracy ranges are high from 63% to 99% across all algorithms investigated. Machine learning contributions to neurosurgery, neurology, psychiatry, and the clinical and basic science neurosciences may enhance current medical best practices while also broadening our understanding of dynamic neural networks and the brain.

A Smart Integrated Brain-Computer Interaction for Epileptic Seizure Detection

Epilepsy is brain resulted activities which are affected by suddenly seizures which have unpredictable changes affects brain electrical functionalities. Epilepsy has a significant impact on society on the healthcare treatment, cost, responds, and patients behavior. The study has main objectives to propose accurate integrated framework for epileptic seizure detection from the pre-ictal phase of the EEG signal. Locate the connected channel lobe in region where epileptic is expected to occur. Provide automated and real-time monitoring and send warning messages to patient and epileptologist to take accurate actions before ictal occur. Enable future contribution for different Seizure features and impact. Also reduce cost, time and effort. Based on the hypothesis of entropy of EEG signals during seizure has low value if (n) of channels are detected to have seizure, then they are considered as connected neighbors in brain domain mapping, which is clear alert that patient will have a seizure ictal. This end to end framework has modules of data acquisition, pre-processing, feature extraction, pattern-matching, supports vector machines (SVM) classifier for extracted feature, in addition to monitoring and notification. The extracted features includes lower threshold, homogeneity, weighted permutation entropy, power and energy. Also identify the physiological field located inside the brain which the seizure will expected to occur. The final output results have 92% for True positive rate in addition to 95% of F1 and 98.9% of accuracy. This system has proved consistency during all its phases of seizure detection with valuable and effective support to the society.

Detection of preictal state in epileptic seizures using ensemble classifier

OBJECTIVE

Epilepsy affected patient experiences more than one frequency seizures which can not be treated with medication or surgical procedures in 30% of the cases. Therefore, an early prediction of these seizures is inevitable for these cases to control them with therapeutic interventions.

METHODS

In recent years, researchers have proposed multiple deep learning based methods for detection of preictal state in electroencephalogram (EEG) signals, however, accurate detection of start of preictal state remains a challenge. We propose a novel ensemble classifier based method that gets the comprehensive feature set as input and combines three different classifiers to detect the preictal state.

RESULTS

We have applied the proposed method on the publicly available scalp EEG dataset CHBMIT of 22 subjects. An average accuracy of 94.31% with sensitivity and specificity of 94.73% and 93.72% respectively has been achieved with the method proposed in this study.

CONCLUSIONS

Proposed study utilizes the preprocessing techniques for noise removal, combines deep learning based and handcrafted features and an ensemble classifier for detection of start of preictal state. Proposed method gives better results in terms of accuracy, sensitivity, and specificity.

Convolutional neural network based on recurrence plot for EEG recognition

Electroencephalogram (EEG) is a typical physiological signal. The classification of EEG signals is of great significance to human beings. Combining recurrence plot and convolutional neural network (CNN), we develop a novel method for classifying EEG signals. We select two typical EEG signals, namely, epileptic EEG and fatigue driving EEG, to verify the effectiveness of our method. We construct recurrence plots from EEG signals. Then, we build a CNN framework to classify the EEG signals under different brain states. For the classification of epileptic EEG signals, we design three different experiments to evaluate the performance of our method. The results suggest that the proposed framework can accurately distinguish the normal state and the seizure state of epilepsy. Similarly, for the classification of fatigue driving EEG signals, the method also has a good classification accuracy. In addition, we compare with the existing methods, and the results show that our method can significantly improve the detection results.

Neural Decoding of EEG Signals with Machine Learning: A Systematic Review

Electroencephalography (EEG) is a non-invasive technique used to record the brain's evoked and induced electrical activity from the scalp. Artificial intelligence, particularly machine learning (ML) and deep learning (DL) algorithms, are increasingly being applied to EEG data for pattern analysis, group membership classification, and brain-computer interface purposes. This study aimed to systematically review recent advances in ML and DL supervised models for decoding and classifying EEG signals. Moreover, this article provides a comprehensive review of the state-of-the-art techniques used for EEG signal preprocessing and feature extraction. To this end, several academic databases were searched to explore relevant studies from the year 2000 to the present. Our results showed that the application of ML and DL in both mental workload and motor imagery tasks has received substantial attention in recent years. A total of 75% of DL studies applied convolutional neural networks with various learning algorithms, and 36% of ML studies achieved competitive accuracy by using a support vector machine algorithm. Wavelet transform was found to be the most common feature extraction method used for all types of tasks. We further examined the specific feature extraction methods and end classifier recommendations discovered in this systematic review.

An Overview of EEG-based Machine Learning Methods in Seizure Prediction and Opportunities for Neurologists in this Field

The unpredictability of epileptic seizures is one of the most problematic aspects of the field of epilepsy. Methods or devices capable of detecting seizures minutes before they occur may help prevent injury or even death and significantly improve the quality of life. Machine learning (ML) is an emerging technology that can markedly enhance algorithm performance by interpreting data. ML has gained increasing attention from medical researchers in recent years. Its epilepsy applications range from the localization of the epileptic region, predicting the medical or surgical outcome of epilepsy, and automated electroencephalography (EEG) analysis to seizure prediction. While ML has good prospects with regard to detecting epileptic seizures via EEG signals, many clinicians are still unfamiliar with this field. This work briefly summarizes the history and recent significant progress made in this field and clarifies the essential components of the automatic seizure detection system using ML methodologies for clinicians. This review also proposes how neurologists can actively contribute to ensure improvements in seizure prediction using EEG-based ML.

Essentials of Predicting Epileptic Seizures Based on EEG Using Machine Learning: A Review

Objective:

Epilepsy is one of the chronic diseases, which requires exceptional attention. The unpredictability of the seizures makes it worse for a person suffering from epilepsy.

Methods:

The challenge to predict seizures using modern machine learning algorithms and computing resources would be a boon to a person with epilepsy and its caregivers. Researchers have shown great interest in the task of epileptic seizure prediction for a few decades. However, the results obtained have not clinical applicability because of the high false-positive ratio. The lack of standard practices in the field of epileptic seizure prediction makes it challenging for novice ones to follow the research. The chances of reproducibility of the result are negligible due to the unavailability of implementation environment-related details, use of standard datasets, and evaluation parameters.

Results:

Work here presents the essential components required for the prediction of epileptic seizures, which includes the basics of epilepsy, its treatment, and the need for seizure prediction algorithms. It also gives a detailed comparative analysis of datasets used by different researchers, tools and technologies used, different machine learning algorithm considerations, and evaluation parameters.

Conclusion:

The main goal of this paper is to synthesize different methodologies for creating a broad view of the state-of-the-art in the field of seizure prediction.

Deep learning based smart health monitoring for automated prediction of epileptic seizures using spectral analysis of scalp EEG

Being one of the most prevalent neurological disorders, epilepsy affects the lives of patients through the infrequent occurrence of spontaneous seizures. These seizures can result in serious injuries or unexpected deaths in individuals due to accidents. So, there exists a crucial need for an automatic prediction of epileptic seizures to alert the patients well before the onset of seizures, enabling them to have a healthier quality of life. In this era, the Internet of Things (IoT) technologies are being used in a cloud-fog integrated environment to address such healthcare challenges using deep learning approaches. The present paper also proposes a smart health monitoring approach for automated prediction of epileptic seizures using deep learning-based spectral analysis of EEG signals. This approach processes EEG signals using filtering, segmentation into short duration segments and spectral-domain transformation. These signals are then analysed spectrally by separating them into several spectral bands, such as delta, theta, alpha, beta, and sub-bands of gamma. Furthermore, the mean spectral amplitude and spectral power features are retrieved from each spectral band to characterize various seizure states, which are fed to the proposed LSTM and CNN models. The results of the proposed CNN model show a maximum accuracy of 98.3% and 97.4% to obtain a binary classification of preictal and interictal seizure states for two different spectral band combinations respectively. Thus, the proposed CNN architecture accompanied by spectral analysis of EEG signals provides a viable method for reliable and real-time prediction of epileptic seizures.

An epileptic seizure prediction model based on a time-wise attention simulation module and a pretrained ResNet

Epilepsy is a neurological disorder that affects approximately 1% of the world's populations. Epilepsy prediction has been of great interest as it can identify and warn of an upcoming seizure, and to reduce the burden of the unpredictability of seizures. In this paper, we proposed a new seizure prediction model, TASM_ResNet, based on a time-wise attention simulation module and a pre-trained ResNet, using intracranial EEG signals. The simulation module with a time-wise attention was designed to convert EEG data into image like data and extract temporal features from raw data. Pre-trained ResNet was applied to reduce the amount of training data without initial training. Moreover, since the data is extremely imbalanced, we used an improved focal loss (FL) instead of the cross-entropy loss and investigated the optimal parameters for FL. Compared with a state-of-art CNN model, our proposed model achieved a better average AUC of 0.877. Moreover, our results demonstrated that EEG signals can be migrated to the image network which was pre-trained on large data set through a simulation module.

Quantitative analysis of EEG reactivity for neurological prognostication after cardiac arrest

OBJECTIVE

To test whether 1) quantitative analysis of EEG reactivity (EEG-R) using machine learning (ML) is superior to visual analysis, and 2) combining quantitative analyses of EEG-R and EEG background pattern increases prognostic value for prediction of poor outcome after cardiac arrest (CA).

METHODS

Several types of ML models were trained with twelve quantitative features derived from EEG-R and EEG background data of 134 adult CA patients. Poor outcome was a Cerebral Performance Category score of 3-5 within 6 months.

RESULTS

The Random Forest (RF) trained on EEG-R showed the highest AUC of 83% (95-CI 80-86) of tested ML classifiers, predicting poor outcome with 46% sensitivity (95%-CI 40-51) and 89% specificity (95%-CI 86-92). Visual analysis of EEG-R had 80% sensitivity and 65% specificity. The RF was also the best classifier for EEG background (AUC 85%, 95%-CI 83-88) at 24 h after CA, with 62% sensitivity (95%-CI 57-67) and 84% specificity (95%-CI 79-88). Combining EEG-R and EEG background RF classifiers reduced the number of false positives.

CONCLUSIONS

Quantitative EEG-R using ML predicts poor outcome with higher specificity, but lower sensitivity compared to visual analysis of EEG-R, and is of some additional value to ML on EEG background data.

SIGNIFICANCE

Quantitative EEG-R using ML is a promising alternative to visual analysis and of some added value to ML on EEG background data.

Feature Selection Techniques for the Analysis of Discriminative Features in Temporal and Frontal Lobe Epilepsy: A Comparative Study

Background:

Because about 30% of epileptic patients suffer from refractory epilepsy, an efficient automatic seizure prediction tool is in great demand to improve their life quality.

Methods:

In this work, time-domain discriminating preictal and interictal features were efficiently extracted from the intracranial electroencephalogram of twelve patients, i.e., six with temporal and six with frontal lobe epilepsy. The performance of three types of feature selection methods was compared using Matthews’s correlation coefficient (MCC).

Results:

Kruskal Wallis, a non-parametric approach, was found to perform better than the other approaches due to a simple and less resource consuming strategy as well as maintaining the highest MCC score. The impact of dividing the electroencephalogram signals into various sub-bands was investigated as well. The highest performance of Kruskal Wallis may suggest considering the importance of univariate features like complexity and interquartile ratio (IQR), along with autoregressive (AR) model parameters and the maximum (MAX) cross-correlation to efficiently predict epileptic seizures.

Conclusion:

The proposed approach has the potential to be implemented on a low power device by considering a few simple time domain characteristics for a specific sub-band. It should be noted that, as there is not a great deal of literature on frontal lobe epilepsy, the results of this work can be considered promising.

Comparative investigation of machine learning algorithms for detection of epileptic seizures

In modern day Psychiatric analysis, Epileptic Seizures are considered as one of the most dreadful disorders of the human brain that drastically affects the neurological activity of the brain for a short duration of time. Thus, seizure detection before its actual occurrence is quintessential to ensure that the right kind of preventive treatment is given to the patient. The predictive analysis is carried out in the preictal state of the Epileptic Seizure that corresponds to the state that commences a couple of minutes before the onset of the seizure. In this paper, the average value of prediction time is restricted to 23.4 minutes for a total of 23 subjects. This paper intends to compare the accuracy of three different predictive models, namely – Logistic Regression, Decision Trees and XGBoost Classifier based on the study of Electroencephalogram (EEG) signals and determine which model has the highest rate of detection of Epileptic Seizure.

Convolutional neural networks ensemble model for neonatal seizure detection

BACKGROUND

Neonatal seizures are a common occurrence in clinical settings, requiring immediate attention and detection. Previous studies have proposed using manual feature extraction coupled with machine learning, or deep learning to classify between seizure and non-seizure states.

NEW METHOD

In this paper a deep learning based approach is used for neonatal seizure classification using electroencephalogram (EEG) signals. The architecture detects seizure activity in raw EEG signals as opposed to common state-of-art, where manual feature extraction with machine learning algorithms is used. The architecture is a two-dimensional (2D) convolutional neural network (CNN) to classify between seizure/non-seizure states.

RESULTS

The dataset used for this study is annotated by three experts and as such three separate models are trained on individual annotations, resulting in average accuracies (ACC) of 95.6 %, 94.8 % and 90.1 % respectively, and average area under the receiver operating characteristic curve (AUC) of 99.2 %, 98.4 % and 96.7 % respectively. The testing was done using 10-cross fold validation, so that the performance can be an accurate representation of the architectures classification capability in a clinical setting. After training/testing of the three individual models, a final ensemble model is made consisting of the three models. The ensemble model gives an average ACC and AUC of 96.3 % and 99.3 % respectively.

COMPARISON WITH EXISTING METHODS

This study outperforms previous studies, with increased ACC and AUC results coupled with use of small time windows (1 s) used for evaluation.

CONCLUSION

The proposed approach is promising for detecting seizure activity in unseen neonate data in a clinical setting.

Machine Learning for Predicting Epileptic Seizures Using EEG Signals: A Review

With the advancement in artificial intelligence (AI) and machine learning (ML) techniques, researchers are striving towards employing these techniques for advancing clinical practice. One of the key objectives in healthcare is the early detection and prediction of disease to timely provide preventive interventions. This is especially the case for epilepsy, which is characterized by recurrent and unpredictable seizures. Patients can be relieved from the adverse consequences of epileptic seizures if it could somehow be predicted in advance. Despite decades of research, seizure prediction remains an unsolved problem. This is likely to remain at least partly because of the inadequate amount of data to resolve the problem. There have been exciting new developments in ML-based algorithms that have the potential to deliver a paradigm shift in the early and accurate prediction of epileptic seizures. Here we provide a comprehensive review of state-of-the-art ML techniques in early prediction of seizures using EEG signals. We will identify the gaps, challenges, and pitfalls in the current research and recommend future directions.

Research progress on the prediction of post-stroke epilepsy

Epilepsy is a common neurological disease that not only causes difficulties in the work and life activities of patients, but also brings complex social problems. Cerebrovascular disease is currently the main cause of epilepsy in the elderly. With the increased survival rate of patients after stroke, the incidence of epilepsy after stroke has also increased. Effective prediction of epilepsy after stroke is extremely crucial for the prognosis of patients, the initiation of antiepileptic therapy and the reduction of epileptic seizures. In this review, we summarize and compare the current models for the prediction of epilepsy after stroke, including the SeLECT prediction model, Post-Stroke Epilepsy Risk Scale (PoSERS), CAVE score, electroencephalogram (EEG) prediction model, and Scandinavian Stroke Scale (SSS) score, in order to provide reference for clinical practice and future research. Prediction models can be selected based on the clinical classification of cerebrovascular events. The SeLECT score prognostic model is a better choice for ischemic stroke, especially for the exclusive prediction of mild post stroke epilepsy. The CAVE score model is suitable for intra-cerebral hemorrhage patients. It is simple and offers high correlation between the risk factors and epilepsy. The PoSERS score simultaneously predicts ischemic and hemorrhagic stroke, and is superior to other methods in specificity as well as positive and negative prediction rate. The SSS score, which only measures stroke severity, is not strictly considered as a mature predictor, but it can be used as a first step screening tool. A growing number of large studies are under the way to identify risk factors of poststroke epilepsy (PSE) and to improve the inclusion of predictive indicators. New and advanced findings by EEG recordings may further improve the prediction of PSE.

Application of Global Coherence Measure to Characterize Coordinated Neural Activity during Frontal and Temporal Lobe Epilepsy

Time- and frequency-domain studies of EEG signals are most commonly employed to study the electrical activities of the brain in order to diagnose potential neurological disorders. In this work, we applied the global coherence approach to help estimating the neural synchrony across multiple nodes in the brain, prior and during a seizure. The ratio of the largest eigenvalue to the sum of the eigenvalues of the cross spectral matrix at a certain frequency and time allowed detecting a strong coordinated neural activity in alpha sub-band for the frontal lobe epilepsy. Kruskal Wallis test reveals that global coherence is an efficient tool before the seizure for the temporal lobe epilepsy in a wide range of frequencies from Delta to Beta sub-bands.Clinical Relevance-The work introduces global coherence as a new and efficient feature in prediction of seizure and specifically for the frontal lobe epilepsy.

Auto-Weighted Multi-View Discriminative Metric Learning Method With Fisher Discriminative and Global Structure Constraints for Epilepsy EEG Signal Classification

Metric learning is a class of efficient algorithms for EEG signal classification problem. Usually, metric learning method deals with EEG signals in the single view space. To exploit the diversity and complementariness of different feature representations, a new auto-weighted multi-view discriminative metric learning method with Fisher discriminative and global structure constraints for epilepsy EEG signal classification called AMDML is proposed to promote the performance of EEG signal classification. On the one hand, AMDML exploits the multiple features of different views in the scheme of the multi-view feature representation. On the other hand, considering both the Fisher discriminative constraint and global structure constraint, AMDML learns the discriminative metric space, in which the intraclass EEG signals are compact and the interclass EEG signals are separable as much as possible. For better adjusting the weights of constraints and views, instead of manually adjusting, a closed form solution is proposed, which obtain the best values when achieving the optimal model. Experimental results on Bonn EEG dataset show AMDML achieves the satisfactory results.

Machine learning applications for electroencephalograph signals in epilepsy: a quick review

Machine learning (ML) is a fundamental concept in the field of state-of-the-art artificial intelligence (AI). Over the past two decades, it has evolved rapidly and been employed wildly in many fields. In medicine the widespread usage of ML has been observed in recent years. The present review examines various ML approaches for electroencephalograph (EEG) signal procession in epilepsy research, highlighting applications in the aspect of automated seizure detection, prediction and orientation. The present review also presents advantage, challenge and future direction of ML techniques in the analysis of EEG signals in epilepsy.

Health Assessment and Fault Detection System for an Industrial Robot Using the Rotary Encoder Signal

In an industrial robot, rotary encoders have been extensively used for dynamic control and positioning. This study shows that the encoder signal, after appropriate processing, can also be efficiently utilized for the health observation of energy performance of industrial robots system. Singular spectrum analysis (SSA) and Hilbert transform (HT) is proposed in this work, for detecting weak position oscillations to estimate the instantaneous amplitudes (IA) and the instantaneous frequencies (IF) of an industrial robot based on the encoder signal. Compared with empirical mode decomposition (EMD) and HT, the singular spectrum analysis and Hilbert transform (SSAHT) outperforms empirical mode decomposition Hilbert transform (EMDHT) in terms of ability and precision to determine source noise, and it can accurately catch the weak oscillations without signal deformation in both position and speed introduced via mechanical flaws. Combined with SSA, the IA and IF of both oscillations and residual are extracted by HT. They are obtained from the robot arm movement. These features play an important role in improving the performance detecting weak oscillations and the residual, essential information to evaluate the health conditions and fault detection to serve the energy performance for the industrial robot. The efficiency of the proposed system has been verified both numerical simulation and experimental data. The outcomes prove that the proposed SSAHT can detect flaw indications and additionally, it can also identify faulty components. Thus, the study presents a promising tool for the health monitoring of an industrial robot instead of the vibration-based monitoring scheme.

Probabilistic prediction of Epileptic Seizures using SVM

In this paper, an algorithm based on the linear Support Vector Machine (SVM) tool was proposed to classify intracranial electroencephalography (iEEG) signals as ictal or interictal to perform human seizure prediction, efficiently. Various univariate linear measures were extracted, and the developed classifier performed adequately well with numerous performance metrics, especially the dataset was suffering from a significant imbalanced class, with the majority of samples representing non-seizure events. The proposed tool was indeed able to forecast accurately such rare events, seizures, from a large set of EEG dataset. In fact, our model can predict some seizures with up to 0.4 probability and about 30-40 minutes in advance. The proposed work employed intracranial EEG recordings of 6 patients in the Freiburg EEG database, totalling trained and tested on 34 seizures of 140-hour-long. It exhibits a sensitivity of 78% and specificity of 100% employing a 2-second-long window with 10-fold cross-validation.