Graph Convolutional Networks-Based Noisy Data Imputation in Electronic Health Record.

OBJECTIVES: A deep learning-based early warning system is proposed to predict sepsis prior to its onset. DESIGN: A novel algorithm was devised to detect sepsis 6 hours prior to its onset based on electronic medical records. SETTING: Retrospective cohorts from three separate hospitals are used in this study. Sepsis onset was defined based on Sepsis-3. Algorithms are evaluated based on the score function used in the Physionet Challenge 2019. PATIENTS: Over 60,000 ICU patients with 40 clinical variables (vital signs, laboratory results) for each hour of a patient's ICU stay were used. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The proposed algorithm predicted the onset of sepsis in the preceding n hours (where n = 4, 6, 8, or 12). Furthermore, the proposed method compared how many sepsis patients can be predicted in a short time with other methods. To interpret a given result in a clinical perspective, the relationship between input variables and the probability of the proposed method were presented. The proposed method achieved superior results (area under the receiver operating characteristic curve, area under the precision-recall curve, and score) and predicted more sepsis patients in advance. In official phase, the proposed method showed the utility score of -0.101, area under the receiver operating characteristic curve 0.782, area under the precision-recall curve 0.041, accuracy 0.786, and F-measure 0.046. CONCLUSIONS: Using Physionet Challenge 2019, the proposed method can accurately and early predict the onset of sepsis. The proposed method can be a practical early warning system in the environment of real hospitals.

Subject-Independent Brain-Computer Interfaces Based on Deep Convolutional Neural Networks.

For a brain-computer interface (BCI) system, a calibration procedure is required for each individual user before he/she can use the BCI. This procedure requires approximately 20-30 min to collect enough data to build a reliable decoder. It is, therefore, an interesting topic to build a calibration-free, or subject-independent, BCI. In this article, we construct a large motor imagery (MI)-based electroencephalography (EEG) database and propose a subject-independent framework based on deep convolutional neural networks (CNNs). The database is composed of 54 subjects performing the left- and right-hand MI on two different days, resulting in 21 600 trials for the MI task. In our framework, we formulated the discriminative feature representation as a combination of the spectral-spatial input embedding the diversity of the EEG signals, as well as a feature representation learned from the CNN through a fusion technique that integrates a variety of discriminative brain signal patterns. To generate spectral-spatial inputs, we first consider the discriminative frequency bands in an information-theoretic observation model that measures the power of the features in two classes. From discriminative frequency bands, spectral-spatial inputs that include the unique characteristics of brain signal patterns are generated and then transformed into a covariance matrix as the input to the CNN. In the process of feature representations, spectral-spatial inputs are individually trained through the CNN and then combined by a concatenation fusion technique. In this article, we demonstrate that the classification accuracy of our subject-independent (or calibration-free) model outperforms that of subject-dependent models using various methods [common spatial pattern (CSP), common spatiospectral pattern (CSSP), filter bank CSP (FBCSP), and Bayesian spatio-spectral filter optimization (BSSFO)].

EEG dataset and OpenBMI toolbox for three BCI paradigms: an investigation into BCI illiteracy.

BACKGROUND: Electroencephalography (EEG)-based brain-computer interface (BCI) systems are mainly divided into three major paradigms: motor imagery (MI), event-related potential (ERP), and steady-state visually evoked potential (SSVEP). Here, we present a BCI dataset that includes the three major BCI paradigms with a large number of subjects over multiple sessions. In addition, information about the psychological and physiological conditions of BCI users was obtained using a questionnaire, and task-unrelated parameters such as resting state, artifacts, and electromyography of both arms were also recorded. We evaluated the decoding accuracies for the individual paradigms and determined performance variations across both subjects and sessions. Furthermore, we looked for more general, severe cases of BCI illiteracy than have been previously reported in the literature. RESULTS: Average decoding accuracies across all subjects and sessions were 71.1% (± 0.15), 96.7% (± 0.05), and 95.1% (± 0.09), and rates of BCI illiteracy were 53.7%, 11.1%, and 10.2% for MI, ERP, and SSVEP, respectively. Compared to the ERP and SSVEP paradigms, the MI paradigm exhibited large performance variations between both subjects and sessions. Furthermore, we found that 27.8% (15 out of 54) of users were universally BCI literate, i.e., they were able to proficiently perform all three paradigms. Interestingly, we found no universally illiterate BCI user, i.e., all participants were able to control at least one type of BCI system. CONCLUSIONS: Our EEG dataset can be utilized for a wide range of BCI-related research questions. All methods for the data analysis in this study are supported with fully open-source scripts that can aid in every step of BCI technology. Furthermore, our results support previous but disjointed findings on the phenomenon of BCI illiteracy.