Electroencephalography (EEG) is among the main tools used for analyzing and diagnosing epilepsy. The manual analysis of EEG must be conducted by highly trained clinicians or neuro-physiologists; a process that is considered to have a comparatively low inter-rater agreement. Furthermore, the new data interpretation consumes an excessive amount of time and resources. Hence, an automatic seizure detection and prediction system can improve the quality of patient care in terms of shortening the diagnosis period, reducing manual errors, and automatically detecting debilitating events. Moreover, for patient treatment, it is important to alert the patients of epilepsy seizures prior to seizure occurrence. Various distinguished studies presented good solutions for two-class seizure detection problems with binary classification scenarios. To deal with these challenges, this paper puts forward effective approaches for EEG signal classification for normal, pre-ictal, and ictal activities. Three models are presented for the classification task. Two of them are patient-specific, while the third one is patient non-specific, which makes it better for the general classification tasks. The two-class classification is implemented between normal and pre-ictal activities for seizure prediction and between normal and ictal activities for seizure detection. A more generalized three-class classification framework is considered to identify all EEG signal activities. The first model depends on a Convolutional Neural Network (CNN) with residual blocks. It contains thirteen layers with four residual learning blocks. It works on spectrograms of EEG signal segments. The second model depends on a CNN with three layers. It also works on spectrograms. On the other hand, the third model depends on Phase Space Reconstruction (PSR) to eliminate the limitations of the spectrograms used in the first models. A five-layer CNN is used with this strategy. The advantage of the PSR is the direct projection from the time domain, which keeps the main trend of different signal activities. The third model deals with all signal activities, and it was tested for all patients of the CHB-MIT dataset. It has a superior performance compared to the first models and the state-of-the-art models.
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http://dx.doi.org/10.1002/cnm.3573 | DOI Listing |
NPJ Digit Med
January 2025
CergenX Ltd, Dublin, Ireland.
Neonatal seizures require urgent treatment, but often go undetected without expert EEG monitoring. We have developed and validated a seizure detection model using retrospective EEG data from 332 neonates. A convolutional neural network was trained and tested on over 50,000 hours (n = 202) of annotated single-channel EEG containing 12,402 seizure events.
View Article and Find Full Text PDFProc Int Brain Comput Interface Conf
September 2024
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
In this study, we developed and validated an online analysis framework in MATLAB Simulink for recording and analysis of intracranial electroencephalography (iEEG). This framework aims to detect interictal spikes in patients with epilepsy as the data is being recorded. An online spike detection was performed over 10-minute interictal iEEG data recorded with Brain Interchange CorTec in three human subjects.
View Article and Find Full Text PDFElife
January 2025
Cardiovascular Research Institute, Weill Cornell Medicine, New York City, United States.
Developmental and epileptic encephalopathies (DEEs), a class of devastating neurological disorders characterized by recurrent seizures and exacerbated by disruptions to excitatory/inhibitory balance in the brain, are commonly caused by mutations in ion channels. Disruption of, or variants in, were implicated as causal for a set of DEEs, but the underlying mechanisms were clouded because is expressed in both excitatory and inhibitory neurons, undergoes extensive alternative splicing producing multiple isoforms with distinct functions, and the overall roles of FGF13 in neurons are incompletely cataloged. To overcome these challenges, we generated a set of novel cell-type-specific conditional knockout mice.
View Article and Find Full Text PDFCrit Care
January 2025
Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Rama VI Road, Rachatevi, Bangkok, 10400, Thailand.
Background: Continuous electroencephalography (cEEG) has been recommended in critically ill patients although its efficacy for improving patients' functional status remains unclear. This study aimed to compare the efficacy of Tele-cEEG with Tele-routine EEG (Tele-rEEG), in terms of seizure detection rate, mortality and functional outcomes.
Methods: This study is a 3-year randomized, controlled, parallel, multicenter trial, conducted in eight regional hospitals across Thailand.
Clin EEG Neurosci
January 2025
Neurophysiology Department, University Hospitals Bristol and Weston NHS Foundation Trust, Upper Maudlin Street, Bristol, BS2 8BJ, UK.
Neurotoxicity, encephalopathy, and seizures can occur following chimeric antigen receptor (CAR)-T cell therapy. Our aim was to assess what value electroencephalography (EEG) offers for people undergoing CAR-T treatment in clinical practice, including possible diagnostic, management, and prognostic roles. All patients developing CAR-T related neurotoxicity referred for EEG were eligible for inclusion.
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