On the proper selection of preictal period for seizure prediction.

Supervised machine learning-based seizure prediction methods consider preictal period as an important prerequisite parameter during training. However, the exact length of the preictal state is unclear and varies from seizure to seizure. We propose a novel statistical approach for proper selection of the preictal period, which can also be considered either as a measure of predictability of a seizure or as the prediction capability of an understudy feature. The optimal preictal periods (OPPs) obtained from the training samples can be used for building a more accurate classifier model. The proposed method uses amplitude distribution histograms of features extracted from electroencephalogram (EEG) recordings. To evaluate this method, we extract spectral power features in different frequency bands from monopolar and space-differential EEG signals of 18 patients suffering from pharmacoresistant epilepsy. Furthermore, comparisons among monopolar channels with space-differential channels, as well as intracranial EEG (iEEG) and surface EEG (sEEG) signals, indicate that while monopolar signals perform better in iEEG recordings, no significant difference is noticeable in sEEG recordings.

Generalizable epileptic seizures prediction based on deep transfer learning.

Predicting seizures before they happen can help prevent them through medication. In this research, first, a total of 22 features were extracted from 5-s segmented EEG signals. Second, tensors were developed as inputs for different deep transfer learning models to find the best model for predicting epileptic seizures. The effect of Pre-ictal state duration was also investigated by selecting four different intervals of 10, 20, 30, and 40 min. Then, nine models were created by combining three ImageNet convolutional networks with three classifiers and were examined for predicting seizures patient-dependently. The Xception convolutional network with a Fully Connected (FC) classifier achieved an average sensitivity of 98.47% and a False Prediction Rate (FPR) of 0.031 h-1 in a 40-min Pre-ictal state for ten patients from the European database. The most promising result of this study was the patient-independent prediction of epileptic seizures; the MobileNet-V2 model with an FC classifier was trained with one patient's data and tested on six other patients, achieving a sensitivity rate of 98.39% and an FPR of 0.029 h-1 for a 40-min Pre-ictal scheme.

Epileptic seizure prediction using relative spectral power features.

OBJECTIVE: Prediction of epileptic seizures can improve the living conditions for refractory epilepsy patients. We aimed to improve sensitivity and specificity of prediction methods, and to reduce the number of false alarms. METHODS: Relative combinations of sub-band spectral powers of electroencephalogram (EEG) recordings across all possible channel pairs were utilized for tracking gradual changes preceding seizures. By using a specifically developed feature selection method, a set of best candidate features were fed to support vector machines in order to discriminate cerebral state as preictal or non-preictal. RESULTS: Proposed algorithm was evaluated on continuous long-term multichannel scalp and invasive recordings (183 seizures, 3565 h). The best results demonstrated a sensitivity of 75.8% (66 out of 87 seizures) and a false prediction rate of 0.1h(-1). Performance was validated statistically, and was superior to that of analytical random predictor. CONCLUSION: Applying machine learning methods on a reduced subset of proposed features could predict seizure onsets with high performance. SIGNIFICANCE: Our method was evaluated on long-term continuous recordings of overall about 5 months, contrary to majority of previous studies using short-term fragmented data. It is of very low computational cost, while providing acceptable levels of alarm sensitivity and specificity.

Epileptic Seizure Prediction based on Ratio and Differential Linear Univariate Features.

Bivariate features, obtained from multichannel electroencephalogram recordings, quantify the relation between different brain regions. Studies based on bivariate features have shown optimistic results for tackling epileptic seizure prediction problem in patients suffering from refractory epilepsy. A new bivariate approach using univariate features is proposed here. Differences and ratios of 22 linear univariate features were calculated using pairwise combination of 6 electroencephalograms channels, to create 330 differential, and 330 relative features. The feature subsets were classified using support vector machines separately, as one of the two classes of preictal and nonpreictal. Furthermore, minimum Redundancy Maximum Relevance feature reduction method is employed to improve the predictions and reduce the number of false alarms. The studies were carried out on features obtained from 10 patients. For reduced subset of 30 features and using differential approach, the seizures were on average predicted in 60.9% of the cases (28 out of 46 in 737.9 h of test data), with a low false prediction rate of 0.11 h(-1). Results of bivariate approaches were compared with those achieved from original linear univariate features, extracted from 6 channels. The advantage of proposed bivariate features is the smaller number of false predictions in comparison to the original 22 univariate features. In addition, reduction in feature dimension could provide a less complex and the more cost-effective algorithm. Results indicate that applying machine learning methods on a multidimensional feature space resulting from relative/differential pairwise combination of 22 univariate features could predict seizure onsets with high performance.

Early Seizure Detection Using Neuronal Potential Similarity: A Generalized Low-Complexity and Robust Measure.

A novel approach using neuronal potential similarity (NPS) of two intracranial electroencephalogram (iEEG) electrodes placed over the foci is proposed for automated early seizure detection in patients with refractory partial epilepsy. The NPS measure is obtained from the spectral analysis of space-differential iEEG signals. Ratio between the NPS values obtained from two specific frequency bands is then investigated as a robust generalized measure, and reveals invaluable information about seizure initiation trends. A threshold-based classifier is subsequently applied on the proposed measure to generate alarms. The performance of the method was evaluated using cross-validation on a large clinical dataset, involving 183 seizure onsets in 1785 h of long-term continuous iEEG recordings of 11 patients. On average, the results show a high sensitivity of 86.9% (159 out of 183), a very low false detection rate of 1.4 per day, and a mean detection latency of 13.1 s from electrographic seizure onsets, while in average preceding clinical onsets by 6.3 s. These high performance results, specifically the short detection latency, coupled with the very low computational cost of the proposed method make it adequate for using in implantable closed-loop seizure suppression systems.

Preprocessing effects of 22 linear univariate features on the performance of seizure prediction methods.

Combining multiple linear univariate features in one feature space and classifying the feature space using machine learning methods could predict epileptic seizures in patients suffering from refractory epilepsy. For each patient, a set of twenty-two linear univariate features were extracted from 6 electroencephalogram (EEG) signals to make a 132 dimensional feature space. Preprocessing and normalization methods of the features, which affect the output of the seizure prediction algorithm, were studied in terms of alarm sensitivity and false prediction rate (FPR). The problem of choosing an optimal preictal time was tackled using 4 distinct values of 10, 20, 30, and 40 min. The seizure prediction problem has traditionally been considered a two-class classification problem, which is also exercised here. These studies have been conducted on the features obtained from 10 patients. For each patient, 48 different combinations of methods are compared to find the best configuration. Normalization by dividing by the maximum and smoothing are found to be the best configuration in most of the patients. The results also indicate that applying machine learning methods on a multidimensional feature space of 22 univariate features predicted seizure onsets with high performance. On average, the seizures were predicted in 73.9% of the cases (34 out of 46 in 737.9h of test data), with a FPR of 0.15 h(-1).