Epilepsy Detection Based on EEG Signals

Epilepsy is a brain neurological disorder in which the brain activity becomes abnormal causing unusual behavior, uncontrollable jerking movements, sensation and sometimes loss of awareness, affecting 71 million people world-wide. ElectroEncephaloGram (EEG) is used to measure the electro-neurological activity of the brain. When the Signal to Noise Ratio (SNR) of the noisy data is lower than 0dB the current seizure detection method can’t maintain a strong performance. The SNR of the noise data is below 0dB or negative means that EEG data is corrupted with serious levels of noise

Multivariate Analysis of MR Images in Temporal Lobe Epilepsy

Epilepsy stands aside from other neurological diseases because clinical patterns of progression are unknown: The etiology of each epilepsy case is unique and so it is the individual prognosis. Temporal lobe epilepsy (TLE) is the most frequent type of focal epilepsy and the surgical excision of the hippocampus and the surrounding tissue is an accepted treatment in refractory cases, specially when seizures become frequent increasingly affecting the performance of daily tasks and significantly decreasing the quality of life of the patient. The sensitivity of clinical imaging is poor for patients with no hippocampal involvement and invasive procedures such as the Wada test and intracranial EEG are required to detect and lateralize epileptogenic tissue. This thesis develops imaging processing techniques using quantitative relaxometry and diffusion tensor imaging with the aiming to provide a less invasive alternative when detectability is low. Chapter 2 develops the concept of individual feature maps on regions of interest. A laterality score on these maps correctly distinguished left TLE from right TLE in 12 out of 15 patients. Chapter 3 explores machine learning models to detect TLE, obtaining perfect classification for left patients, and 88.9% accuracy for right TLE patients. Chapter 4 focuses on temporal lobe asymmetry developing a voxel-based method for assessing asymmetry and verifying its applicability to individual predictions (92% accuracy) and group-wise statistical analyses. Informative ROI and voxel-based informative features are described for each experiment, demonstrating the relative importance of mean diffusivity over other MR imaging alternatives in identification and lateralization of TLE patients. Finally, the conclusion chapter discuss contributions, main limitations and outlining options for future research

Mining Biomarkers Of Epilepsy From Large-Scale Intracranial Electroencephalography

Epilepsy is a chronic neurological disorder characterized by seizures. Affecting over 50 million people worldwide, the quality of life of a patient with uncontrolled epilepsy is degraded by medical, social, cognitive, and psychological dysfunction. Fortunately, two-thirds of these patients can achieve adequate seizure control through medications. Unfortunately, one-third cannot. Improving treatment for this patient population depends upon improving our understanding of the underlying epileptic network. Clinical therapies modulate this network to some degree of success, including surgery to remove the seizure onset zone or neuromodulation to alter the brain\u27s dynamics. High resolution intracranial EEG (iEEG) is often employed to study the dynamics of cortical networks, from interictal patterns to more complex quantitative features. These interictal patterns include epileptiform biomarkers whose detection and mapping, along with seizures and neuroimaging, form the mainstay of data for clinical decision making around drug therapy, surgery, and devices. They are also increasingly important to assess the effects of epileptic physiology on brain functions like behavior and cognition, which are not well characterized. In this work, we investigate the significance and trends of epileptiform biomarkers in animal and human models of epilepsy. We develop reliable methods to quantify interictal patterns, applying state of the art techniques from machine learning, signal processing, and EEG analysis. We then validate these tools in three major applications: 1. We study the effect of interictal spikes on human cognition, 2. We assess trends of interictal epileptiform bursts and their relationship to seizures in prolonged recordings from canines and rats, and 3. We assess the stability of long-term iEEG spanning several years. These findings have two main impacts: (1) they inform the interpretation of interictal iEEG patterns and elucidate the timescale of post-implantation changes. These findings have important implications for research and clinical care, particularly implantable devices and evaluating patients for epilepsy surgery. (2) They provide an analytical framework to enable others to mine large-scale iEEG datasets. In this way we hope to make a lasting contribution to accelerate collaborative research not only in epilepsy, but also in the study of animal and human electrophysiology in acute and chronic conditions

Dynamic Thermal Imaging for Intraoperative Monitoring of Neuronal Activity and Cortical Perfusion

Neurosurgery is a demanding medical discipline that requires a complex interplay of several neuroimaging techniques. This allows structural as well as functional information to be recovered and then visualized to the surgeon. In the case of tumor resections this approach allows more fine-grained differentiation of healthy and pathological tissue which positively influences the postoperative outcome as well as the patient's quality of life. In this work, we will discuss several approaches to establish thermal imaging as a novel neuroimaging technique to primarily visualize neural activity and perfusion state in case of ischaemic stroke. Both applications require novel methods for data-preprocessing, visualization, pattern recognition as well as regression analysis of intraoperative thermal imaging. Online multimodal integration of preoperative and intraoperative data is accomplished by a 2D-3D image registration and image fusion framework with an average accuracy of 2.46 mm. In navigated surgeries, the proposed framework generally provides all necessary tools to project intraoperative 2D imaging data onto preoperative 3D volumetric datasets like 3D MR or CT imaging. Additionally, a fast machine learning framework for the recognition of cortical NaCl rinsings will be discussed throughout this thesis. Hereby, the standardized quantification of tissue perfusion by means of an approximated heating model can be achieved. Classifying the parameters of these models yields a map of connected areas, for which we have shown that these areas correlate with the demarcation caused by an ischaemic stroke segmented in postoperative CT datasets. Finally, a semiparametric regression model has been developed for intraoperative neural activity monitoring of the somatosensory cortex by somatosensory evoked potentials. These results were correlated with neural activity of optical imaging. We found that thermal imaging yields comparable results, yet doesn't share the limitations of optical imaging. In this thesis we would like to emphasize that thermal imaging depicts a novel and valid tool for both intraoperative functional and structural neuroimaging

Paradigm free mapping: detection and characterization of single trial fMRI BOLD responses without prior stimulus information

The increased contrast to noise ratio available at Ultrahigh (7T) Magnetic Resonance Imaging (MRI) allows mapping in space and time the brain's response to single trial events with functional MRI (fMRI) based on the Blood Oxygenation Level Dependent (BOLD) contrast. This thesis primarily concerns with the development of techniques to detect and characterize single trial event-related BOLD responses without prior paradigm information, Paradigm Free Mapping, and assess variations in BOLD sensitivity across brain regions at high field fMRI. Based on a linear haemodynamic response model, Paradigm Free Mapping (PFM) techniques rely on the deconvolution of the neuronal-related signal driving the BOLD effect using regularized least squares estimators. The first approach, named PFM, builds on the ridge regression estimator and spatio-temporal t-statistics to detect statistically significant changes in the deconvolved fMRI signal. The second method, Sparse PFM, benefits from subset selection features of the LASSO and Dantzig Selector estimators that automatically detect the single trial BOLD responses by promoting a sparse deconvolution of the signal. The third technique, Multicomponent PFM, exploits further the benefits of sparse estimation to decompose the fMRI signal into a haemodynamical component and a baseline component using the morphological component analysis algorithm. These techniques were evaluated in simulations and experimental fMRI datasets, and the results were compared with well-established fMRI analysis methods. In particular, the methods developed here enabled the detection of single trial BOLD responses to visually-cued and self-paced finger tapping responses without prior information of the events. The potential application of Sparse PFM to identify interictal discharges in idiopathic generalized epilepsy was also investigated. Furthermore, Multicomponent PFM allowed us to extract cardiac and respiratory fluctuations of the signal without the need of physiological monitoring. To sum up, this work demonstrates the feasibility to do single trial fMRI analysis without prior stimulus or physiological information using PFM techniques

EEG/MEG Sparse Source Imaging and Its Application in Epilepsy

This dissertation is a summary of my Ph.D. work on the development of sparse source imaging technologies based on electroencephalography (EEG) and magneto-encephalography (MEG) and their application to noninvasively reconstruct brain activation from external surface measurements. Conventional sparse source imaging (SSI) methods using the ℓ1-norm regularization to enforce sparseness in the original source domain leads to over-focused solutions and causes bias in estimating spatially extended brain sources. I address the over-focused issue in the ℓ1-norm regularization technique framework by exploring sparseness in the transform domains. First, I apply a SSI method that uses the variation transform, i.e. V-SSI, on clinical MEG interictal recordings from partial epilepsy patients. Estimated epileptic sources by V-SSI are validated using clinical pre-surgical evaluation data and surgical outcomes. Second, I implement a novel face-based wavelet transform, which can efficiently compress brain activation signals into sparse representations on a multi-resolution cortical source model, into the SSI technology framework. The proposed wavelet-based SSI (W-SSI) demonstrates a significantly improved ability in inferring both brain source locations and extents as compared with conventional ℓ2-norm regularizations in obtaining EEG/MEG inverse solutions and other SSI technologies. Furthermore, the face-based wavelet also indicates better performance than a previously reported vertex-based wavelet in W-SSI. I evaluate the W-SSI method and conduct the comparison studies using both simulations and real data collected from partial epilepsy patients. Lastly, I further propose the concept of using multiple transforms in the SSI technology framework and investigated a new SSI method by enforcing sparseness in both variation and face-based wavelet domains, termed as VW-SSI. I conduct simulation studies, which demonstrate that VW-SSI has significantly better detection accuracies in both source locations and extents than conventional ℓ2-norm regularizations and other SSI methods, including SSI, V-SSI, and W-SSI. I further validate the VW-SSI method using clinical MEG data from both language and motor experiments collected from epilepsy patients again to localize their important functional brain areas. The results indicate that VW-SSI provides a performance advantage in detecting neural phenomena that have been extremely difficult to recognize by other EEG/MEG inverse solutions. It thus suggests that the sparse source imaging technique is promising to serve as a non-invasive tool in assisting pre-surgical planning for partial epilepsy patients

Machine Learning for Understanding Focal Epilepsy

The study of neural dysfunctions requires strong prior knowledge on brain physiology combined with expertise on data analysis, signal processing, and machine learning. One of the unsolved issues regarding epilepsy consists in the localization of pathological brain areas causing seizures. Nowadays the analysis of neural activity conducted with this goal still relies on visual inspection by clinicians and is therefore subjected to human error, possibly leading to negative surgical outcome. In absence of any evidence from standard clinical tests, medical experts resort to invasive electrophysiological recordings, such as stereoelectroencephalography to assess the pathological areas. This data is high dimensional, it could suffer from spatial and temporal correlation, as well as be affected by high variability across the population. These aspects make the automatization attempt extremely challenging. In this context, this thesis tackles the problem of characterizing drug resistant focal epilepsy. This work proposes methods to analyze the intracranial electrophysiological recordings during the interictal state, leveraging on the presurgical assessment of the pathological areas. The first contribution of the thesis consists in the design of a support tool for the identification of epileptic zones. This method relies on the multi-decomposition of the signal and similarity metrics. We built personalized models which share common usage of features across patients. The second main contribution aims at understanding if there are particular frequency bands related to the epileptic areas and if it is worthy to focus on shorter periods of time. Here we leverage on the post-surgical outcome deriving from the Engel classification. The last contribution focuses on the characterization of short patterns of activity at specific frequencies. We argue that this effort could be helpful in the clinical routine and at the same time provides useful insight for the understanding of focal epilepsy

Paradigm free mapping: detection and characterization of single trial fMRI BOLD responses without prior stimulus information

The increased contrast to noise ratio available at Ultrahigh (7T) Magnetic Resonance Imaging (MRI) allows mapping in space and time the brain's response to single trial events with functional MRI (fMRI) based on the Blood Oxygenation Level Dependent (BOLD) contrast. This thesis primarily concerns with the development of techniques to detect and characterize single trial event-related BOLD responses without prior paradigm information, Paradigm Free Mapping, and assess variations in BOLD sensitivity across brain regions at high field fMRI. Based on a linear haemodynamic response model, Paradigm Free Mapping (PFM) techniques rely on the deconvolution of the neuronal-related signal driving the BOLD effect using regularized least squares estimators. The first approach, named PFM, builds on the ridge regression estimator and spatio-temporal t-statistics to detect statistically significant changes in the deconvolved fMRI signal. The second method, Sparse PFM, benefits from subset selection features of the LASSO and Dantzig Selector estimators that automatically detect the single trial BOLD responses by promoting a sparse deconvolution of the signal. The third technique, Multicomponent PFM, exploits further the benefits of sparse estimation to decompose the fMRI signal into a haemodynamical component and a baseline component using the morphological component analysis algorithm. These techniques were evaluated in simulations and experimental fMRI datasets, and the results were compared with well-established fMRI analysis methods. In particular, the methods developed here enabled the detection of single trial BOLD responses to visually-cued and self-paced finger tapping responses without prior information of the events. The potential application of Sparse PFM to identify interictal discharges in idiopathic generalized epilepsy was also investigated. Furthermore, Multicomponent PFM allowed us to extract cardiac and respiratory fluctuations of the signal without the need of physiological monitoring. To sum up, this work demonstrates the feasibility to do single trial fMRI analysis without prior stimulus or physiological information using PFM techniques

Improved Motor Imagery Classification Using Adaptive Spatial Filters Based on Particle Swarm Optimization Algorithm

As a typical self-paced brain-computer interface (BCI) system, the motor imagery (MI) BCI has been widely applied in fields such as robot control, stroke rehabilitation, and assistance for patients with stroke or spinal cord injury. Many studies have focused on the traditional spatial filters obtained through the common spatial pattern (CSP) method. However, the CSP method can only obtain fixed spatial filters for specific input signals. Besides, CSP method only focuses on the variance difference of two types of electroencephalogram (EEG) signals, so the decoding ability of EEG signals is limited. To obtain more effective spatial filters for better extraction of spatial features that can improve classification to MI-EEG, this paper proposes an adaptive spatial filter solving method based on particle swarm optimization algorithm (PSO). A training and testing framework based on filter bank and spatial filters (FBCSP-ASP) is designed for MI EEG signal classification. Comparative experiments are conducted on two public datasets (2a and 2b) from BCI competition IV, which show the outstanding average recognition accuracy of FBCSP-ASP. The proposed method has achieved significant performance improvement on MI-BCI. The classification accuracy of the proposed method has reached 74.61% and 81.19% on datasets 2a and 2b, respectively. Compared with the baseline algorithm (FBCSP), the proposed algorithm improves 11.44% and 7.11% on two datasets respectively. Furthermore, the analysis based on mutual information, t-SNE and Shapley values further proves that ASP features have excellent decoding ability for MI-EEG signals, and explains the improvement of classification performance by the introduction of ASP features.Comment: 25 pages, 8 figure