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Artificial Intelligence-based Detection of Epileptic Discharges from Pediatric Scalp Electroencephalograms: A Pilot Study.
Kobayashi, Katsuhiro; Shibata, Takashi; Tsuchiya, Hiroki; Akiyama, Tomoyuki.
Afiliación
  • Kobayashi K; Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  • Shibata T; Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  • Tsuchiya H; Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  • Akiyama T; Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Acta Med Okayama ; 76(6): 617-624, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36549763
We developed an artificial intelligence (AI) technique to identify epileptic discharges (spikes) in pediatric scalp electroencephalograms (EEGs). We built a convolutional neural network (CNN) model to automatically classify steep potential images into spikes and background activity. For the CNN model' training and validation, we examined 100 children with spikes in EEGs and another 100 without spikes. A different group of 20 children with spikes and 20 without spikes were the actual test subjects. All subjects were ≥ 3 to < 18 years old. The accuracy, sensitivity, and specificity of the analysis were >0.97 when referential and combination EEG montages were used, and < 0.97 with a bipolar montage. The correct classification of background activity in individual patients was significantly better with a referential montage than with a bipolar montage (p=0.0107). Receiver operating characteristic curves yielded an area under the curve > 0.99, indicating high performance of the classification method. EEG patterns that interfered with correct classification included vertex sharp transients, sleep spindles, alpha rhythm, and low-amplitude ill-formed spikes in a run. Our results demonstrate that AI is a promising tool for automatically interpreting pediatric EEGs. Some avenues for improving the technique were also indicated by our findings.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Inteligencia Artificial / Epilepsia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Acta Med Okayama Año: 2022 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Inteligencia Artificial / Epilepsia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Acta Med Okayama Año: 2022 Tipo del documento: Article