Comparison of EEG based epilepsy diagnosis using neural networks and wavelet transform

Epilepsy is one of the common neurological disorders characterized by recurrent and uncontrollable seizures, which seriously affect the life of patients. In many cases, electroencephalograms signal can provide important physiological information about the activity of the human brain which can be used to diagnose epilepsy. However, visual inspection of a large number of electroencephalogram signals is very time-consuming and can often lead to inconsistencies in physicians' diagnoses. Quantification of abnormalities in brain signals can indicate brain conditions and pathology so the electroencephalogram (EEG) signal plays a key role in the diagnosis of epilepsy. In this article, an attempt has been made to create a single instruction for diagnosing epilepsy, which consists of two steps. In the first step, a low-pass filter was used to preprocess the data and three separate mid-pass filters for different frequency bands and a multilayer neural network were designed. In the second step, the wavelet transform technique was used to process data. In particular, this paper proposes a multilayer perceptron neural network classifier for the diagnosis of epilepsy, that requires normal data and epilepsy data for education, but this classifier can recognize normal disorders, epilepsy, and even other disorders taught in educational examples. Also, the value of using electroencephalogram signal has been evaluated in two ways: using wavelet transform and non-using wavelet transform. Finally, the evaluation results indicate a relatively uniform impact factor on the use or non-use of wavelet transform on the improvement of epilepsy data functions, but in the end, it was shown that the use of perceptron multilayer neural network can provide a higher accuracy coefficient for experts.Comment: 8 pages, 4 tables, 3 figure

Effective early detection of epileptic seizures through EEG signals using classification algorithms based on t-distributed stochastic neighbor embedding and K-means

Epilepsy is a neurological disorder in the activity of brain cells that leads to seizures. An electroencephalogram (EEG) can detect seizures as it contains physiological information of the neural activity of the brain. However, visual examination of EEG by experts is time consuming, and their diagnoses may even contradict each other. Thus, an automated computer-aided diagnosis for EEG diagnostics is necessary. Therefore, this paper proposes an effective approach for the early detection of epilepsy. The proposed approach involves the extraction of important features and classification. First, signal components are decomposed to extract the features via the discrete wavelet transform (DWT) method. Principal component analysis (PCA) and the t-distributed stochastic neighbor embedding (t-SNE) algorithm were applied to reduce the dimensions and focus on the most important features. Subsequently, K-means clustering + PCA and K-means clustering + t-SNE were used to divide the dataset into subgroups to reduce the dimensions and focus on the most important representative features of epilepsy. The features extracted from these steps were fed to extreme gradient boosting, K-nearest neighbors (K-NN), decision tree (DT), random forest (RF) and multilayer perceptron (MLP) classifiers. The experimental results demonstrated that the proposed approach provides superior results to those of existing studies. During the testing phase, the RF classifier with DWT and PCA achieved an accuracy of 97.96%, precision of 99.1%, recall of 94.41% and F1 score of 97.41%. Moreover, the RF classifier with DWT and t-SNE attained an accuracy of 98.09%, precision of 99.1%, recall of 93.9% and F1 score of 96.21%. In comparison, the MLP classifier with PCA + K-means reached an accuracy of 98.98%, precision of 99.16%, recall of 95.69% and F1 score of 97.4%

Towards Accurate Forecasting of Epileptic Seizures: Artificial Intelligence and Effective Connectivity Findings

L’épilepsie est une des maladies neurologiques les plus fréquentes, touchant près d’un pourcent de la population mondiale. De nos jours, bien qu’environ deux tiers des patients épileptiques répondent adéquatement aux traitements pharmacologiques, il reste qu’un tiers des patients doivent vivre avec des crises invalidantes et imprévisibles. Quoique la chirurgie d’épilepsie puisse être une autre option thérapeutique envisageable, le recours à la chirurgie de résection demeure très faible en partie pour des raisons diverses (taux de réussite modeste, peur des complications, perceptions négatives). D’autres avenues de traitement sont donc souhaitables. Une piste actuellement explorée par des groupes de chercheurs est de tenter de prédire les crises à partir d’enregistrements de l’activité cérébrale des patients. La capacité de prédire la survenue de crises permettrait notamment aux patients, aidants naturels ou personnels médical de prendre des mesures de précaution pour éviter les désagréments reliés aux crises voire même instaurer un traitement pour les faire avorter. Au cours des dernières années, d’importants efforts ont été déployés pour développer des algorithmes de prédiction de crises et d’en améliorer les performances. Toutefois, le manque d’enregistrements électroencéphalographiques intracrâniens (iEEG) de longue durée de qualité, la quantité limitée de crises, ainsi que la courte durée des périodes interictales constituaient des obstacles majeurs à une évaluation adéquate de la performance des algorithmes de prédiction de crises. Récemment, la disponibilité en ligne d’enregistrements iEEG continus avec échantillonnage bilatéral (des deux hémisphères) acquis chez des chiens atteints d’épilepsie focale à l’aide du dispositif de surveillance ambulatoire implantable NeuroVista a partiellement facilité cette tâche. Cependant, une des limitations associées à l’utilisation de ces données durant la conception d’un algorithme de prédiction de crises était l’absence d’information concernant la zone exacte de début des crises (information non fournie par les gestionnaires de cette base de données en ligne). Le premier objectif de cette thèse était la mise en oeuvre d’un algorithme précis de prédiction de crises basé sur des enregistrements iEEG canins de longue durée. Les principales contributions à cet égard incluent une localisation quantitative de la zone d’apparition des crises (basée sur la fonction de transfert dirigé –DTF), l’utilisation d’une nouvelle fonction de coût via l’algorithme génétique proposé, ainsi qu’une évaluation quasi-prospective des performances de prédiction (données de test d’un total de 893 jours). Les résultats ont montré une amélioration des performances de prédiction par rapport aux études antérieures, atteignant une sensibilité moyenne de 84.82 % et un temps en avertissement de 10 %. La DTF, utilisée précédemment comme mesure de connectivité pour déterminer le réseau épileptique (objectif 1), a été préalablement validée pour quantifier les relations causales entre les canaux lorsque les exigences de quasi-stationnarité sont satisfaites. Ceci est possible dans le cas des enregistrements canins en raison du nombre relativement faible de canaux. Pour faire face aux exigences de non-stationnarité, la fonction de transfert adaptatif pondérée par le spectre (Spectrum weighted adaptive directed transfer function - swADTF) a été introduit en tant qu’une version variant dans le temps de la DTF. Le second objectif de cette thèse était de valider la possibilité d’identifier les endroits émetteurs (ou sources) et récepteurs d’activité épileptiques en appliquant la swADTF sur des enregistrements iEEG de haute densité provenant de patients admis pour évaluation pré-chirurgicale au CHUM. Les générateurs d’activité épileptique étaient dans le volume réséqué pour les patients ayant des bons résultats post-chirurgicaux alors que différents foyers ont été identifiés chez les patients ayant eu de mauvais résultats postchirurgicaux. Ces résultats démontrent la possibilité d’une identification précise des sources et récepteurs d’activités épileptiques au moyen de la swADTF ouvrant la porte à la possibilité d’une meilleure sélection d’électrodes de manière quantitative dans un contexte de développement d’algorithme de prédiction de crises chez l’humain. Dans le but d’explorer de nouvelles avenues pour la prédiction de crises épileptiques, un nouveau précurseur a aussi été étudié combinant l’analyse des spectres d’ordre supérieur et les réseaux de neurones artificiels (objectif 3). Les résultats ont montré des différences statistiquement significatives (p<0.05) entre l’état préictal et l’état interictal en utilisant chacune des caractéristiques extraites du bi-spectre. Utilisées comme entrées à un perceptron multicouche, l’entropie bispectrale normalisée, l’entropie carré normalisée, et la moyenne ont atteint des précisions respectives de 78.11 %, 72.64% et 73.26%. Les résultats de cette thèse confirment la faisabilité de prédiction de crises à partir d’enregistrements d’électroencéphalographie intracrâniens. Cependant, des efforts supplémentaires en termes de sélection d’électrodes, d’extraction de caractéristiques, d’utilisation des techniques d’apprentissage profond et d’implémentation Hardware, sont nécessaires avant l’intégration de ces approches dans les dispositifs implantables commerciaux.----------ABSTRACT Epilepsy is a chronic condition characterized by recurrent “unpredictable” seizures. While the first line of treatment consists of long-term drug therapy about one-third of patients are said to be pharmacoresistant. In addition, recourse to epilepsy surgery remains low in part due to persisting negative attitudes towards resective surgery, fear of complications and only moderate success rates. An important direction of research is to investigate the possibility of predicting seizures which, if achieved, can lead to novel interventional avenues. The paucity of intracranial electroencephalography (iEEG) recordings, the limited number of ictal events, and the short duration of interictal periods have been important obstacles for an adequate assessment of seizure forecasting. More recently, long-term continuous bilateral iEEG recordings acquired from dogs with naturally occurring focal epilepsy, using the implantable NeuroVista ambulatory monitoring device have been made available on line for the benefit of researchers. Still, an important limitation of these recordings for seizure-prediction studies was that the seizure onset zone was not disclosed/available. The first objective of this thesis was to develop an accurate seizure forecasting algorithm based on these canine ambulatory iEEG recordings. Main contributions include a quantitative, directed transfer function (DTF)-based, localization of the seizure onset zone (electrode selection), a new fitness function for the proposed genetic algorithm (feature selection), and a quasi-prospective assessment of seizure forecasting on long-term continuous iEEG recordings (total of 893 testing days). Results showed performance improvement compared to previous studies, achieving an average sensitivity of 84.82% and a time in warning of 10 %. The DTF has been previously validated for quantifying causal relations when quasistationarity requirements are met. Although such requirements can be fulfilled in the case of canine recordings due to the relatively low number of channels (objective 1), the identification of stationary segments would be more challenging in the case of high density iEEG recordings. To cope with non-stationarity issues, the spectrum weighted adaptive directed transfer function (swADTF) was recently introduced as a time-varying version of the DTF. The second objective of this thesis was to validate the feasibility of identifying sources and sinks of seizure activity based on the swADTF using high-density iEEG recordings of patients admitted for pre-surgical monitoring at the CHUM. Generators of seizure activity were within the resected volume for patients with good post-surgical outcomes, whereas different or additional seizure foci were identified in patients with poor post-surgical outcomes. Results confirmed the possibility of accurate identification of seizure origin and propagation by means of swADTF paving the way for its use in seizure prediction algorithms by allowing a more tailored electrode selection. Finally, in an attempt to explore new avenues for seizure forecasting, we proposed a new precursor of seizure activity by combining higher order spectral analysis and artificial neural networks (objective 3). Results showed statistically significant differences (p<0.05) between preictal and interictal states using all the bispectrum-extracted features. Normalized bispectral entropy, normalized squared entropy and mean of magnitude, when employed as inputs to a multi-layer perceptron classifier, achieved held-out test accuracies of 78.11%, 72.64%, and 73.26%, respectively. Results of this thesis confirm the feasibility of seizure forecasting based on iEEG recordings; the transition into the ictal state is not random and consists of a “build-up”, leading to seizures. However, additional efforts in terms of electrode selection, feature extraction, hardware and deep learning implementation, are required before the translation of current approaches into commercial devices

Electroencephalogram classification of brain states using deep learning approach

The oldest diagnostic method in the field of neurology is electroencephalography (EEG). To grasp the information contained in EEG signals, numerous deep machine learning architectures have been developed recently. In brain computer interface (BCI) systems, classification is crucial. Many recent studies have effectively employed deep learning algorithms to learn features and classify various sorts of data. A systematic review of EEG classification using deep learning was conducted in this research, resulting in 90 studies being discovered from the Web of Science and PubMed databases. Researchers looked at a variety of factors in these studies, including the task type, EEG pre-processing techniques, input type, and the depth of learning. This study summarises the current methodologies and performance results in EEG categorization using deep learning. A series of practical recommendations is provided in the hopes of encouraging or directing future research using EEG datasets to use deep learning

Performance Analysis of Deep-Learning and Explainable AI Techniques for Detecting and Predicting Epileptic Seizures

Epilepsy is one of the most common neurological diseases globally. Notably, people in low to middle-income nations could not get proper epilepsy treatment due to the cost and availability of medical infrastructure. The risk of sudden unpredicted death in Epilepsy is considerably high. Medical statistics reveal that people with Epilepsy die more prematurely than those without the disease. Early and accurately diagnosing diseases in the medical field is challenging due to the complex disease patterns and the need for time-sensitive medical responses to the patients. Even though numerous machine learning and advanced deep learning techniques have been employed for the seizure stages classification and prediction, understanding the causes behind the decision is difficult, termed a black box problem. Hence, doctors and patients are confronted with the black box decision-making to initiate the appropriate treatment and understand the disease patterns respectively. Owing to the scarcity of epileptic Electroencephalography (EEG) data, training the deep learning model with diversified epilepsy knowledge is still critical. Explainable Artificial intelligence has become a potential solution to provide the explanation and result interpretation of the learning models. By applying the explainable AI, there is a higher possibility of examining the features that influence the decision-making that either the patient recorded from epileptic or non-epileptic EEG signals. This paper reviews the various deep learning and Explainable AI techniques used for detecting and predicting epileptic seizures &nbsp;using EEG data. It provides a comparative analysis of the different techniques based on their performance

Intelligent Biosignal Processing in Wearable and Implantable Sensors

This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine

Epileptic multi-seizure type classification using electroencephalogram signals from the Temple University Hospital Seizure Corpus:A review

Epilepsy is one of the most paramount neurological diseases, affecting about 1% of the world's population. Seizure detection and classification are difficult tasks and are ongoing challenges in biomedical signal processing to enhance medical diagnosis. This paper presents and highlights the unique frequency and amplitude information found within multiple seizure types, including their morphologies, to aid the development of future seizure classification algorithms. Whilst many published works in the literature have reported on seizure detection using electroencephalogram (EEG), there has yet to be an exhaustive review detailing multi-seizure type classification using EEG. Therefore, this paper also includes a detailed review of multi-seizure type classification performance based on the Temple University Hospital Seizure Corpus (TUSZ) dataset for focal and generalised classification, and multi-seizure type classification. Deep learning techniques have a higher overall average performance for focal and generalised classification compared to machine learning techniques, whereas hybrid deep learning approaches have the highest overall average performance for multi-seizure type classification. Finally, this paper also highlights the limitations of the TUSZ dataset and suggests some future work, including the curation of a standardised training and testing dataset from the TUSZ that would allow a proper comparison of classification methods and spur advancement in the field.</p

EEG based Major Depressive disorder and Bipolar disorder detection using Neural Networks: A review

Mental disorders represent critical public health challenges as they are leading contributors to the global burden of disease and intensely influence social and financial welfare of individuals. The present comprehensive review concentrate on the two mental disorders: Major depressive Disorder (MDD) and Bipolar Disorder (BD) with noteworthy publications during the last ten years. There is a big need nowadays for phenotypic characterization of psychiatric disorders with biomarkers. Electroencephalography (EEG) signals could offer a rich signature for MDD and BD and then they could improve understanding of pathophysiological mechanisms underling these mental disorders. In this review, we focus on the literature works adopting neural networks fed by EEG signals. Among those studies using EEG and neural networks, we have discussed a variety of EEG based protocols, biomarkers and public datasets for depression and bipolar disorder detection. We conclude with a discussion and valuable recommendations that will help to improve the reliability of developed models and for more accurate and more deterministic computational intelligence based systems in psychiatry. This review will prove to be a structured and valuable initial point for the researchers working on depression and bipolar disorders recognition by using EEG signals.Comment: 29 pages,2 figures and 18 Table

Automatic Diagnosis of Schizophrenia and Attention Deficit Hyperactivity Disorder in rs-fMRI Modality using Convolutional Autoencoder Model and Interval Type-2 Fuzzy Regression

Nowadays, many people worldwide suffer from brain disorders, and their health is in danger. So far, numerous methods have been proposed for the diagnosis of Schizophrenia (SZ) and attention deficit hyperactivity disorder (ADHD), among which functional magnetic resonance imaging (fMRI) modalities are known as a popular method among physicians. This paper presents an SZ and ADHD intelligent detection method of resting-state fMRI (rs-fMRI) modality using a new deep learning method. The University of California Los Angeles dataset, which contains the rs-fMRI modalities of SZ and ADHD patients, has been used for experiments. The FMRIB software library toolbox first performed preprocessing on rs-fMRI data. Then, a convolutional Autoencoder model with the proposed number of layers is used to extract features from rs-fMRI data. In the classification step, a new fuzzy method called interval type-2 fuzzy regression (IT2FR) is introduced and then optimized by genetic algorithm, particle swarm optimization, and gray wolf optimization (GWO) techniques. Also, the results of IT2FR methods are compared with multilayer perceptron, k-nearest neighbors, support vector machine, random forest, and decision tree, and adaptive neuro-fuzzy inference system methods. The experiment results show that the IT2FR method with the GWO optimization algorithm has achieved satisfactory results compared to other classifier methods. Finally, the proposed classification technique was able to provide 72.71% accuracy