12 research outputs found
Towards improved design and evaluation of epileptic seizure predictors
AbstractâObjective: Key issues in the epilepsy seizure prediction research are (1) the reproducibility of results (2) the
inability to compare multiple approaches directly. To overcome these problems, the Seizure Prediction Challenge was organized on Kaggle.com. It aimed at establishing benchmarks on a dataset with predefined train, validation and test sets. Our main objective is to analyse the competition format, and to propose improvements, which would facilitate a better comparison of algorithms. The second objective is to present a novel deep learning approach to seizure prediction and compare it to other commonly used methods using patient centered metrics. Methods: We used the competitionâs datasets to illustrate the effects of data contamination. Having better data partitions, we compared three types of models in terms of different objectives. Results: We found that correct selection of test samples is crucial when evaluating
the performance of seizure forecasting models. Moreover, we showed that models, which achieve state-of-the-art performance with respect to commonly used AUC, sensitivity and specificity metrics, may not yet be suitable for practical usage because of low precision scores. Conclusion: Correlation between validation and test datasets used in the competition limited its scientific value. Significance: Our findings provide guidelines which allow for a more objective evaluation of seizure prediction models
Neonatal Seizure Detection using Convolutional Neural Networks
This study presents a novel end-to-end architecture that learns hierarchical
representations from raw EEG data using fully convolutional deep neural
networks for the task of neonatal seizure detection. The deep neural network
acts as both feature extractor and classifier, allowing for end-to-end
optimization of the seizure detector. The designed system is evaluated on a
large dataset of continuous unedited multi-channel neonatal EEG totaling 835
hours and comprising of 1389 seizures. The proposed deep architecture, with
sample-level filters, achieves an accuracy that is comparable to the
state-of-the-art SVM-based neonatal seizure detector, which operates on a set
of carefully designed hand-crafted features. The fully convolutional
architecture allows for the localization of EEG waveforms and patterns that
result in high seizure probabilities for further clinical examination.Comment: IEEE International Workshop on Machine Learning for Signal Processin
Deep Neural Networks for Automatic Classification of Anesthetic-Induced Unconsciousness
Despite the common use of anesthetics to modulate consciousness in the clinic, brain-based monitoring of consciousness is uncommon. We com-bined electroencephalographic measurement of brain activity with deep neural networks to automatically discriminate anesthetic states induced by propofol. Our results with leave-one-participant-out-cross-validation show that convolutional neural networks significantly outperform multilayer perceptrons in discrimination accuracy when working with raw time series. Perceptrons achieved comparable accuracy when provided with power spec-tral densities. These findings highlight the potential of deep convolutional networks for completely automatic extraction of useful spatio-temporo-spectral features from human EEG
Bispectrum and recurrent neural networks: Improved classification of interictal and preictal states
This work proposes a novel approach for the classification of interictal and preictal brain states based on bispectrum analysis and recurrent Long Short-Term Memory (LSTM) neural networks. Two features were first extracted from bilateral intracranial electroencephalography (iEEG) recordings of dogs with naturally occurring focal epilepsy. Single-layer LSTM networks were trained to classify 5-min long feature vectors as preictal or interictal. Classification performances were compared to previous work involving multilayer perceptron networks and higher-order spectral (HOS) features on the same dataset. The proposed LSTM network proved superior to the multilayer perceptron network and achieved an average classification accuracy of 86.29% on held-out data. Results imply the possibility of forecasting epileptic seizures using recurrent neural networks, with minimal feature extraction
Towards Accurate Forecasting of Epileptic Seizures: Artificial Intelligence and Effective Connectivity Findings
LâĂ©pilepsie est une des maladies neurologiques les plus frĂ©quentes, touchant prĂšs dâun
pourcent de la population mondiale. De nos jours, bien quâenviron deux tiers des patients
Ă©pileptiques rĂ©pondent adĂ©quatement aux traitements pharmacologiques, il reste quâun tiers des
patients doivent vivre avec des crises invalidantes et imprévisibles. Quoique la chirurgie
dâĂ©pilepsie puisse ĂȘtre une autre option thĂ©rapeutique envisageable, le recours Ă la chirurgie de
résection demeure trÚs faible en partie pour des raisons diverses (taux de réussite modeste, peur
des complications, perceptions nĂ©gatives). Dâautres avenues de traitement sont donc souhaitables.
Une piste actuellement explorĂ©e par des groupes de chercheurs est de tenter de prĂ©dire les crises Ă
partir dâenregistrements de lâactivitĂ© cĂ©rĂ©brale des patients. La capacitĂ© de prĂ©dire la survenue de
crises permettrait notamment aux patients, aidants naturels ou personnels médical de prendre des
mesures de prĂ©caution pour Ă©viter les dĂ©sagrĂ©ments reliĂ©s aux crises voire mĂȘme instaurer un
traitement pour les faire avorter. Au cours des derniĂšres annĂ©es, dâimportants efforts ont Ă©tĂ©
dĂ©ployĂ©s pour dĂ©velopper des algorithmes de prĂ©diction de crises et dâen amĂ©liorer les
performances.
Toutefois, le manque dâenregistrements Ă©lectroencĂ©phalographiques intracrĂąniens (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 prĂ©diction de crises. RĂ©cemment, la disponibilitĂ© en ligne dâenregistrements iEEG
continus avec échantillonnage bilatéral (des deux hémisphÚres) acquis chez des chiens atteints
dâĂ©pilepsie focale Ă lâaide du dispositif de surveillance ambulatoire implantable NeuroVista a
partiellement facilitĂ© cette tĂąche. Cependant, une des limitations associĂ©es Ă lâutilisation de ces
donnĂ©es durant la conception dâun algorithme de prĂ©diction de crises Ă©tait lâabsence
dâinformation concernant la zone exacte de dĂ©but des crises (information non fournie par les
gestionnaires de cette base de données en ligne). Le premier objectif de cette thÚse était la mise
en oeuvre dâun algorithme prĂ©cis de prĂ©diction de crises basĂ© sur des enregistrements iEEG canins
de longue durée. Les principales contributions à cet égard incluent une localisation quantitative
de la zone dâapparition des crises (basĂ©e sur la fonction de transfert dirigĂ© âDTF), lâutilisation
dâune nouvelle fonction de coĂ»t via lâalgorithme gĂ©nĂ©tique proposĂ©, ainsi quâune Ă©valuation
quasi-prospective des performances de prĂ©diction (donnĂ©es de test dâun total de 893 jours). Les rĂ©sultats ont montrĂ© une amĂ©lioration des performances de prĂ©diction par rapport aux Ă©tudes
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 Ă©tĂ© introduit en tant quâune
version variant dans le temps de la DTF. Le second objectif de cette thĂšse Ă©tait de valider la
possibilitĂ© dâidentifier les endroits Ă©metteurs (ou sources) et rĂ©cepteurs dâactivitĂ© Ă©pileptiques en
appliquant la swADTF sur des enregistrements iEEG de haute densité provenant de patients
admis pour Ă©valuation prĂ©-chirurgicale au CHUM. Les gĂ©nĂ©rateurs dâactivitĂ© Ă©pileptique Ă©taient
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 rĂ©sultats dĂ©montrent la possibilitĂ© dâune identification prĂ©cise des sources et
rĂ©cepteurs dâactivitĂ©s Ă©pileptiques au moyen de la swADTF ouvrant la porte Ă la possibilitĂ© dâune
meilleure sĂ©lection dâĂ©lectrodes de maniĂšre quantitative dans un contexte de dĂ©veloppement
dâalgorithme de prĂ©diction de crises chez lâhumain.
Dans le but dâexplorer de nouvelles avenues pour la prĂ©diction de crises Ă©pileptiques, un
nouveau prĂ©curseur a aussi Ă©tĂ© Ă©tudiĂ© combinant lâanalyse des spectres dâordre supĂ©rieur et les
réseaux de neurones artificiels (objectif 3). Les résultats ont montré des différences
statistiquement significatives (p<0.05) entre lâĂ©tat prĂ©ictal et lâĂ©tat interictal en utilisant chacune
des caractéristiques extraites du bi-spectre. Utilisées comme entrées à un perceptron multicouche,
lâentropie bispectrale normalisĂ©e, lâentropie carrĂ© normalisĂ©e, et la moyenne ont atteint des
précisions respectives de 78.11 %, 72.64% et 73.26%.
Les résultats de cette thÚse confirment la faisabilité de prédiction de crises à partir
dâenregistrements dâĂ©lectroencĂ©phalographie intracrĂąniens. Cependant, des efforts
supplĂ©mentaires en termes de sĂ©lection dâĂ©lectrodes, dâextraction de caractĂ©ristiques, dâutilisation
des techniques dâapprentissage profond et dâimplĂ©mentation Hardware, sont nĂ©cessaires avant
lâintĂ©gration de ces approches dans les dispositifs implantables commerciaux.----------ABSTRACT
Epilepsy is a chronic condition characterized by recurrent âunpredictableâ 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 âbuild-upâ, 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
Intelligent monitoring and interpretation of preterm physiological signals using machine learning
Every year, more than one in ten babies are born prematurely. In Ireland of the 70000 babies delivered every year, 4500 are born too early. Premature babies are at a higher risk of complications, which may lead to both short-term and long-term adverse health outcomes. The neonatal population is especially vulnerable and a delay in the identification of medical conditions, as well as delays in the initiating the correct treatment, may be fatal. After birth, preterms are admitted to the neonatal intensive care unit (NICU), where a continuous flow of information in the form of physiological signals is available. Physiological signals can assist clinicians in decision making related to the diagnosis and treatment of various diseases. This information, however, can be highly complex, and usually requires expert analysis which may not be available at all times. The work conducted in this thesis develops a decision support systems for the intelligent monitoring of preterms in the NICU. This will allow for an accurate estimation of the current health status of the preterm neonate as well as the prediction of possible long-term complications. This thesis is comprised of three main work packages (WP), each addressing health complication of preterm on three different stages of life. At the first 12 hours of life the health status is quantified using the clinical risk index for babies (CRIB). This is followed by the assessment of the pretermâs well-being at discharge from the NICU using the clinical course score (CCS). Finally, the long-term neurodevelopmental follow-up is assessed using the Bayley III scales of development at two years. This is schematically represented in Figure 1 along with the main findings and contributions.
Low blood pressure (BP) or hypotension is a recognised problem in preterm infants particularly during the first 72 hours of life. Hypotension may cause decreased cerebral perfusion, resulting in deprived oxygen delivery to the brain. Deciding when and whether to treat hypotension relies on our understanding of the relation between BP, oxygenation and brain activity. The electroencephalogram (EEG) is the most commonly used technology to assess the âbrain healthâ of a newborn. The first WP investigates the relationship between short-term dynamics in BP and EEG energy in the preterm on a large dataset of continuous multi-channel unedited EEG recordings in the context of the health status measured by the CRIB score. The obtained results indicate that a higher risk of mortality for the preterm is associated with a lower level of nonlinear interaction between EEG and BP. The level of coupling between these two systems can potentially serve as an additional source of information when deciding whether or not to intervene in the preterm. The electrocardiogram (ECG) is also routinely recorded in preterm infants. Analysis of heart rate variability (HRV) provides a non-invasive assessment of both the sympathetic and parasympathetic control of the heart rate. A novel automated objective decision support tool for the prediction of the short-term outcome (CCS) in preterm neonates who may have low BP is proposed in the second WP. Combining multiple HRV features extracted during hypotensive episodes, the classifier achieved an AUC of 0.97 for the task of short-term outcome prediction, using a leave-one-patient-out performance assessment. The developed system is based on the boosted decision tree classifier and allows for the continuous monitoring of the preterm. The proposed system is validated on a large clinically collected dataset of multimodal recordings from preterm neonates.
If the correct treatment is initiated promptly after diagnosis, it can potentially improve the neurodevelopmental outcome of the preterm infant. The third WP presents a pilot study investigating the predictive capability of the early EEG recorded at discharge from the NICU with respect to the 2-year neurodevelopmental outcome using machine learning techniques. Two methods are used: 1) classical feature-based classifier, and 2) end-to-end deep learning. This is a fundamental study in this area, especially in the context of applying end-to-end learning to the preterm EEG for the problem of long-term outcome prediction. It is shown that for the available labelled dataset of 37 preterm neonates, the classical feature-based approach outperformed the end-to-end deep learning technique. A discussion of the obtained result as well as a section highlighting the possible limitations and areas that need to be investigated in the future are provided