Improvements in Neonatal Brain Monitoring after Perinatal Asphyxia

Perinatal hypoxic ischemic encephalopathy (HIE) is a major cause of morbidity and mortality world-wide. Common sequelae in survivors include cerebral palsy (CP), epilepsy and sensory as well as cognitive problems. The consequences of HIE impose significant long-term personal and financial burden on the affected families and the society. The most cost-effective approach to reducing neonatal mortality world-wide would be to improve access to antenatal care4. However, even in developed countries, the exact factors triggering perinatal asphyxia as well as the time of onset of brain injury are often difficult to determine, and it remains a major clinical problem. Seizures commonly occur in the neonate with HIE and are often the only sign of serious underlying brain dysfunction6. Animal studies have shown that neonatal seizures in the context of HIE may cause additional brain injury and that their pharmacological suppression may improve outcome9. Monitoring of brain function using the electroencephalogram (EEG), continuously or by serial EEGs is well-suited to give insight into brain function and its dynamic changes in neonatal HIE and helps to guide treatment as well as prognostication. A good understanding of the pathophysiology of HIE is needed not only in the selection of suitable diagnostic tests and treatment methods, but also to develop new therapeutic strategies

An improved GBSO-TAENN-based EEG signal classification model for epileptic seizure detection.

Detection and classification of epileptic seizures from the EEG signals have gained significant attention in recent decades. Among other signals, EEG signals are extensively used by medical experts for diagnosing purposes. So, most of the existing research works developed automated mechanisms for designing an EEG-based epileptic seizure detection system. Machine learning techniques are highly used for reduced time consumption, high accuracy, and optimal performance. Still, it limits by the issues of high complexity in algorithm design, increased error value, and reduced detection efficacy. Thus, the proposed work intends to develop an automated epileptic seizure detection system with an improved performance rate. Here, the Finite Linear Haar wavelet-based Filtering (FLHF) technique is used to filter the input signals and the relevant set of features are extracted from the normalized output with the help of Fractal Dimension (FD) analysis. Then, the Grasshopper Bio-Inspired Swarm Optimization (GBSO) technique is employed to select the optimal features by computing the best fitness value and the Temporal Activation Expansive Neural Network (TAENN) mechanism is used for classifying the EEG signals to determine whether normal or seizure affected. Numerous intelligence algorithms, such as preprocessing, optimization, and classification, are used in the literature to identify epileptic seizures based on EEG signals. The primary issues facing the majority of optimization approaches are reduced convergence rates and higher computational complexity. Furthermore, the problems with machine learning approaches include a significant method complexity, intricate mathematical calculations, and a decreased training speed. Therefore, the goal of the proposed work is to put into practice efficient algorithms for the recognition and categorization of epileptic seizures based on EEG signals. The combined effect of the proposed FLHF, FD, GBSO, and TAENN models might dramatically improve disease detection accuracy while decreasing complexity of system along with time consumption as compared to the prior techniques. By using the proposed methodology, the overall average epileptic seizure detection performance is increased to 99.6% with f-measure of 99% and G-mean of 98.9% values

C-Trend parameters and possibilities of federated learning

Abstract. In this observational study, federated learning, a cutting-edge approach to machine learning, was applied to one of the parameters provided by C-Trend Technology developed by Cerenion Oy. The aim was to compare the performance of federated learning to that of conventional machine learning. Additionally, the potential of federated learning for resolving the privacy concerns that prevent machine learning from realizing its full potential in the medical field was explored. Federated learning was applied to burst-suppression ratio’s machine learning and it was compared to the conventional machine learning of burst-suppression ratio calculated on the same dataset. A suitable aggregation method was developed and used in the updating of the global model. The performance metrics were compared and a descriptive analysis including box plots and histograms was conducted. As anticipated, towards the end of the training, federated learning’s performance was able to approach that of conventional machine learning. The strategy can be regarded to be valid because the performance metric values remained below the set test criterion levels. With this strategy, we will potentially be able to make use of data that would normally be kept confidential and, as we gain access to more data, eventually develop machine learning models that perform better. Federated learning has some great advantages and utilizing it in the context of qEEGs’ machine learning could potentially lead to models, which reach better performance by receiving data from multiple institutions without the difficulties of privacy restrictions. Some possible future directions include an implementation on heterogeneous data and on larger data volume.C-Trend-teknologian parametrit ja federoidun oppimisen mahdollisuudet. Tiivistelmä. Tässä havainnointitutkimuksessa federoitua oppimista, koneoppimisen huippuluokan lähestymistapaa, sovellettiin yhteen Cerenion Oy:n kehittämään C-Trend-teknologian tarjoamaan parametriin. Tavoitteena oli verrata federoidun oppimisen suorituskykyä perinteisen koneoppimisen suorituskykyyn. Lisäksi tutkittiin federoidun oppimisen mahdollisuuksia ratkaista yksityisyyden suojaan liittyviä rajoitteita, jotka estävät koneoppimista hyödyntämästä täyttä potentiaaliaan lääketieteen alalla. Federoitua oppimista sovellettiin purskevaimentumasuhteen koneoppimiseen ja sitä verrattiin purskevaimentumasuhteen laskemiseen, johon käytettiin perinteistä koneoppimista. Kummankin laskentaan käytettiin samaa dataa. Sopiva aggregointimenetelmä kehitettiin, jota käytettiin globaalin mallin päivittämisessä. Suorituskykymittareiden tuloksia verrattiin keskenään ja tehtiin kuvaileva analyysi, johon sisältyi laatikkokuvioita ja histogrammeja. Odotetusti opetuksen loppupuolella federoidun oppimisen suorituskyky pystyi lähestymään perinteisen koneoppimisen suorituskykyä. Menetelmää voidaan pitää pätevänä, koska suorituskykymittarin arvot pysyivät alle asetettujen testikriteerien tasojen. Tämän menetelmän avulla voimme ehkä hyödyntää dataa, joka normaalisti pidettäisiin salassa, ja kun saamme lisää dataa käyttöömme, voimme lopulta kehittää koneoppimismalleja, jotka saavuttavat paremman suorituskyvyn. Federoidulla oppimisella on joitakin suuria etuja, ja sen hyödyntäminen qEEG:n koneoppimisen yhteydessä voisi mahdollisesti johtaa malleihin, jotka saavuttavat paremman suorituskyvyn saamalla tietoja useista eri lähteistä ilman yksityisyyden suojaan liittyviä rajoituksia. Joitakin mahdollisia tulevia suuntauksia ovat muun muassa heterogeenisen datan ja suurempien tietomäärien käyttö

NOVEL GRAPHICAL MODEL AND NEURAL NETWORK FRAMEWORKS FOR AUTOMATED SEIZURE DETECTION, TRACKING, AND LOCALIZATION IN FOCAL EPILEPSY

Epilepsy is a heterogenous neurological disorder characterized by recurring and unprovoked seizures. It is estimated that 60% of epilepsy patients suffer from focal epilepsy, where seizures originate from one or more discrete locations within the brain. After onset, focal seizure activity spreads, involving more regions in the cortex. Diagnosis and therapeutic planning for patients with focal epilepsy crucially depends on being able to detect epileptic activity as it starts and localize its origin. Due to the subtlety of seizure activity and the complex spatio-temporal propagation patterns of seizure activity, detection and localization of seizure by visual inspection is time-consuming and must be done by highly trained neurologists. In this thesis, we detail modeling approaches to identify and capture the spatio-temporal ictal propagation of focal epileptic seizures. Through novel multi-scale frameworks, information fusion between signal paths, and hybrid architectures, models that capture the underlying seizure propagation phenomena are developed. The first half relies on graphical modeling approaches to detect seizures and track their activity through the space of EEG electrodes. A coupled hidden Markov model approach to seizure propagation is described. This model is subsequently improved through the addition of convolutional neural network based likelihood functions, removing the reliance on hand designed feature extraction. Through the inclusion of a hierarchical switching chain and localization variables, the model is revised to capture multi-scale seizure onset and spreading information. In the second half of this thesis, end-to-end neural network architectures for seizure detection and localization are developed. First, combination convolutional and recurrent neural networks are used to identify seizure activity at the level of individual EEG channels. Through novel aggregation, the network is trained to recognize seizure activity, track its evolution, and coarsely localize seizure onset from lower resolution labels. Next, a multi-scale network capable of analyzing the global and electrode level signals is developed for challenging task of end-to-end seizure localization. Onset location maps are defined for each patient and an ensemble of weakly supervised loss functions are used in a multi-task learning framework to train the architecture

Deep Learning and parallelization of Meta-heuristic Methods for IoT Cloud

Healthcare 4.0 is one of the Fourth Industrial Revolution’s outcomes that make a big revolution in the medical field. Healthcare 4.0 came with more facilities advantages that improved the average life expectancy and reduced population mortality. This paradigm depends on intelligent medical devices (wearable devices, sensors), which are supposed to generate a massive amount of data that need to be analyzed and treated with appropriate data-driven algorithms powered by Artificial Intelligence such as machine learning and deep learning (DL). However, one of the most significant limits of DL techniques is the long time required for the training process. Meanwhile, the realtime application of DL techniques, especially in sensitive domains such as healthcare, is still an open question that needs to be treated. On the other hand, meta-heuristic achieved good results in optimizing machine learning models. The Internet of Things (IoT) integrates billions of smart devices that can communicate with one another with minimal human intervention. IoT technologies are crucial in enhancing several real-life smart applications that can improve life quality. Cloud Computing has emerged as a key enabler for IoT applications because it provides scalable and on-demand, anytime, anywhere access to the computing resources. In this thesis, we are interested in improving the efficacity and performance of Computer-aided diagnosis systems in the medical field by decreasing the complexity of the model and increasing the quality of data. To accomplish this, three contributions have been proposed. First, we proposed a computer aid diagnosis system for neonatal seizures detection using metaheuristics and convolutional neural network (CNN) model to enhance the system’s performance by optimizing the CNN model. Secondly, we focused our interest on the covid-19 pandemic and proposed a computer-aided diagnosis system for its detection. In this contribution, we investigate Marine Predator Algorithm to optimize the configuration of the CNN model that will improve the system’s performance. In the third contribution, we aimed to improve the performance of the computer aid diagnosis system for covid-19. This contribution aims to discover the power of optimizing the data using different AI methods such as Principal Component Analysis (PCA), Discrete wavelet transform (DWT), and Teager Kaiser Energy Operator (TKEO). The proposed methods and the obtained results were validated with comparative studies using benchmark and public medical data