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  using EEG data. It provides a comparative analysis of the different techniques based on their performance

EpilepsyNet: Interpretable Self-Supervised Seizure Detection for Low-Power Wearable Systems

Epilepsy is one of the most common neurological disorders that is characterized by recurrent and unpredictable seizures. Wearable systems can be used to detect the onset of a seizure and notify family members and emergency units for rescue. The majority of state-of-the-art studies in the epilepsy domain currently explore modern machine learning techniques, e.g., deep neural networks, to accurately detect epileptic seizures. However, training deep learning networks requires a large amount of data and computing resources, which is a major challenge for resource-constrained wearable systems. In this paper, we propose EpilepsyNet, the first interpretable self-supervised network tailored to resource-constrained devices without using any seizure data in its initial offline training. At runtime, however, once a seizure is detected, it can be incorporated into our self-supervised technique to improve seizure detection performance, without the need to retrain our learning model, hence incurring no energy overheads. Our self-supervised approach can reach a detection performance of 79.2%, which is on par with the state-of-the-art fully-supervised deep neural networks trained on seizure data. At the same time, our proposed approach can be deployed in resource-constrained wearable devices, reaching up to 1.3 days of battery life on a single charge

Exploring machine learning techniques in epileptic seizure detection and prediction

Epilepsy is the most common neurological disorder, affecting between 0.6% and 0.8% of the global population. Among those affected by epilepsy whose primary method of seizure management is Anti Epileptic Drug therapy (AED), 30% go on to develop resistance to drugs which ultimately leads to poor seizure management. Currently, alternative therapeutic methods with successful outcome and wide applicability to various types of epilepsy are limited. During an epileptic seizure, the onset of which tends to be sudden and without prior warning, sufferers are highly vulnerable to injury, and methods that might accurately predict seizure episodes in advance are clearly of value, particularly to those who are resistant to other forms of therapy. In this thesis, we draw from the body of work behind automatic seizure prediction obtained from digitised Electroencephalography (EEG) data and use a selection of machine learning and data mining algorithms and techniques in an attempt to explore potential directions of improvement for automatic prediction of epileptic seizures. We start by adopting a set of EEG features from previous work in the field (Costa et al. 2008) and exploring these via seizure classification and feature selection studies on a large dataset. Guided by the results of these feature selection studies, we then build on Costa et al's work by presenting an expanded feature-set for EEG studies in this area. Next, we study the predictability of epileptic seizures several minutes (up to 25 minutes) in advance of the physiological onset. Furthermore, we look at the role of the various feature compositions on predicting epileptic seizures well in advance of their occurring. We focus on how predictability varies as a function of how far in advance we are trying to predict the seizure episode and whether the predictive patterns are translated across the entire dataset. Finally, we study epileptic seizure detection from a multiple-patient perspective. This entails conducting a comprehensive analysis of machine learning models trained on multiple patients and then observing how generalisation is affected by the number of patients and the underlying learning algorithm. Moreover, we improve multiple-patient performance by applying two state of the art machine learning algorithms

Towards a data-driven treatment of epilepsy: computational methods to overcome low-data regimes in clinical settings

Epilepsy is the most common neurological disorder, affecting around 1 % of the population. One third of patients with epilepsy are drug-resistant. If the epileptogenic zone can be localized precisely, curative resective surgery may be performed. However, only 40 to 70 % of patients remain seizure-free after surgery. Presurgical evaluation, which in part aims to localize the epileptogenic zone (EZ), is a complex multimodal process that requires subjective clinical decisions, often relying on a multidisciplinary team’s experience. Thus, the clinical pathway could benefit from data-driven methods for clinical decision support. In the last decade, deep learning has seen great advancements due to the improvement of graphics processing units (GPUs), the development of new algorithms and the large amounts of generated data that become available for training. However, using deep learning in clinical settings is challenging as large datasets are rare due to privacy concerns and expensive annotation processes. Methods to overcome the lack of data are especially important in the context of presurgical evaluation of epilepsy, as only a small proportion of patients with epilepsy end up undergoing surgery, which limits the availability of data to learn from. This thesis introduces computational methods that pave the way towards integrating data-driven methods into the clinical pathway for the treatment of epilepsy, overcoming the challenge presented by the relatively small datasets available. We used transfer learning from general-domain human action recognition to characterize epileptic seizures from video–telemetry data. We developed a software framework to predict the location of the epileptogenic zone given seizure semiologies, based on retrospective information from the literature. We trained deep learning models using self-supervised and semi-supervised learning to perform quantitative analysis of resective surgery by segmenting resection cavities on brain magnetic resonance images (MRIs). Throughout our work, we shared datasets and software tools that will accelerate research in medical image computing, particularly in the field of epilepsy

Deep learning approach for epileptic seizure detection

Abstract. Epilepsy is the most common brain disorder that affects approximately fifty million people worldwide, according to the World Health Organization. The diagnosis of epilepsy relies on manual inspection of EEG, which is error-prone and time-consuming. Automated epileptic seizure detection of EEG signal can reduce the diagnosis time and facilitate targeting of treatment for patients. Current detection approaches mainly rely on the features that are designed manually by domain experts. The features are inflexible for the detection of a variety of complex patterns in a large amount of EEG data. Moreover, the EEG is non-stationary signal and seizure patterns vary across patients and recording sessions. EEG data always contain numerous noise types that negatively affect the detection accuracy of epileptic seizures. To address these challenges deep learning approaches are examined in this paper. Deep learning methods were applied to a large publicly available dataset, the Children’s Hospital of Boston-Massachusetts Institute of Technology dataset (CHB-MIT). The present study includes three experimental groups that are grouped based on the pre-processing steps. The experimental groups contain 3–4 experiments that differ between their objectives. The time-series EEG data is first pre-processed by certain filters and normalization techniques, and then the pre-processed signal was segmented into a sequence of non-overlapping epochs. Second, time series data were transformed into different representations of input signals. In this study time-series EEG signal, magnitude spectrograms, 1D-FFT, 2D-FFT, 2D-FFT magnitude spectrum and 2D-FFT phase spectrum were investigated and compared with each other. Third, time-domain or frequency-domain signals were used separately as a representation of input data of VGG or DenseNet 1D. The best result was achieved with magnitude spectrograms used as representation of input data in VGG model: accuracy of 0.98, sensitivity of 0.71 and specificity of 0.998 with subject dependent data. VGG along with magnitude spectrograms produced promising results for building personalized epileptic seizure detector. There was not enough data for VGG and DenseNet 1D to build subject-dependent classifier.Epileptisten kohtausten havaitseminen syväoppimisella lähestymistavalla. Tiivistelmä. Epilepsia on yleisin aivosairaus, joka Maailman terveysjärjestön mukaan vaikuttaa noin viiteenkymmeneen miljoonaan ihmiseen maailmanlaajuisesti. Epilepsian diagnosointi perustuu EEG:n manuaaliseen tarkastamiseen, mikä on virhealtista ja aikaa vievää. Automaattinen epileptisten kohtausten havaitseminen EEG-signaalista voi potentiaalisesti vähentää diagnoosiaikaa ja helpottaa potilaan hoidon kohdentamista. Nykyiset tunnistusmenetelmät tukeutuvat pääasiassa piirteisiin, jotka asiantuntijat ovat määritelleet manuaalisesti, mutta ne ovat joustamattomia monimutkaisten ilmiöiden havaitsemiseksi suuresta määrästä EEG-dataa. Lisäksi, EEG on epästationäärinen signaali ja kohtauspiirteet vaihtelevat potilaiden ja tallennusten välillä ja EEG-data sisältää aina useita kohinatyyppejä, jotka huonontavat epilepsiakohtauksen havaitsemisen tarkkuutta. Näihin haasteisiin vastaamiseksi tässä diplomityössä tarkastellaan soveltuvatko syväoppivat menetelmät epilepsian havaitsemiseen EEG-tallenteista. Aineistona käytettiin suurta julkisesti saatavilla olevaa Bostonin Massachusetts Institute of Technology lastenklinikan tietoaineistoa (CHB-MIT). Tämän työn tutkimus sisältää kolme koeryhmää, jotka eroavat toisistaan esikäsittelyvaiheiden osalta: aikasarja-EEG-data esikäsiteltiin perinteisten suodattimien ja normalisointitekniikoiden avulla, ja näin esikäsitelty signaali segmentoitiin epookkeihin. Kukin koeryhmä sisältää 3–4 koetta, jotka eroavat menetelmiltään ja tavoitteiltaan. Kussakin niistä epookkeihin jaettu aikasarjadata muutettiin syötesignaalien erilaisiksi esitysmuodoiksi. Tässä tutkimuksessa tutkittiin ja verrattiin keskenään EEG-signaalia sellaisenaan, EEG-signaalin amplitudi-spektrogrammeja, 1D-FFT-, 2D-FFT-, 2D-FFT-amplitudi- ja 2D-FFT -vaihespektriä. Näin saatuja aika- ja taajuusalueen signaaleja käytettiin erikseen VGG- tai DenseNet 1D -mallien syötetietoina. Paras tulos saatiin VGG-mallilla kun syötetietona oli amplitudi-spektrogrammi ja tällöin tarkkuus oli 0,98, herkkyys 0,71 ja spesifisyys 0,99 henkilöstä riippuvaisella EEG-datalla. VGG yhdessä amplitudi-spektrogrammien kanssa tuottivat lupaavia tuloksia henkilökohtaisen epilepsiakohtausdetektorin rakentamiselle. VGG- ja DenseNet 1D -malleille ei ollut tarpeeksi EEG-dataa henkilöstä riippumattoman luokittelijan opettamiseksi

Multidimensional CNN and LSTM for Predicting Epilepsy Seizure Activities

Epilepsy is a chronic neurological disease caused by sudden abnormal brain discharges, leading to temporary brain dysfunction. It can manifest in various ways, including paroxysmal movement, sensory, autonomic nerve, awareness, and mental abnormalities. It is now the second largest neurological disorder worldwide, affecting around 70 million people and increasing by approximately 2 million new cases each year. While about 70% of epilepsy patients can control their seizures with regular antiepileptic drugs, surgery, or nerve stimulation treatments, the remaining 30% suffer from intractable epilepsy without effective treatment, causing significant burden and potential danger to their lives. Early prediction and treatment are crucial to prevent harm to patients. Electroencephalogram (EEG) is a valuable tool for diagnosing epilepsy as it records the brain's electrical activity. EEG can be divided into scalp and intracranial types, and doctors typically analyze EEG signals of epileptic patients into four periods

An overview of deep learning techniques for epileptic seizures detection and prediction based on neuroimaging modalities: Methods, challenges, and future works

Epilepsy is a disorder of the brain denoted by frequent seizures. The symptoms of seizure include confusion, abnormal staring, and rapid, sudden, and uncontrollable hand movements. Epileptic seizure detection methods involve neurological exams, blood tests, neuropsychological tests, and neuroimaging modalities. Among these, neuroimaging modalities have received considerable attention from specialist physicians. One method to facilitate the accurate and fast diagnosis of epileptic seizures is to employ computer-aided diagnosis systems (CADS) based on deep learning (DL) and neuroimaging modalities. This paper has studied a comprehensive overview of DL methods employed for epileptic seizures detection and prediction using neuroimaging modalities. First, DLbased CADS for epileptic seizures detection and prediction using neuroimaging modalities are discussed. Also, descriptions of various datasets, preprocessing algorithms, and DL models which have been used for epileptic seizures detection and prediction have been included. Then, research on rehabilitation tools has been presented, which contains brain-computer interface (BCI), cloud computing, internet of things (IoT), hardware implementation of DL techniques on field-programmable gate array (FPGA), etc. In the discussion section, a comparison has been carried out between research on epileptic seizure detection and prediction. The challenges in epileptic seizures detection and prediction using neuroimaging modalities and DL models have been described. In addition, possible directions for future works in this field, specifically for solving challenges in datasets, DL, rehabilitation, and hardware models, have been proposed. The final section is dedicated to the conclusion which summarizes the significant findings of the paper