Approximate zero-crossing: a new interpretable, highly discriminative and low-complexity feature for EEG and iEEG seizure detection.

Objective. Long-term monitoring of people with epilepsy based on electroencephalography (EEG) and intracranial EEG (iEEG) has the potential to deliver key clinical information for personalised epilepsy treatment. More specifically, in outpatient settings, the available solutions are not satisfactory either due to poor classification performance or high complexity to be executed in resource-constrained devices (e.g. wearable systems). Therefore, we hypothesize that obtaining high discriminative features is the main avenue to improve low-complexity seizure-detection algorithms.Approach. Inspired by how neurologists recognize ictal EEG data, and to tackle this problem by targeting resource-constrained wearable devices, we introduce a new interpretable and highly discriminative feature for EEG and iEEG, namely approximate zero-crossing (AZC). We obtain AZC by applying a polygonal approximation to mimic how our brain selects prominent patterns among noisy data and then using a zero-crossing count as a measure of the dominating frequency. By employing Kullback-Leiber divergence, leveraging CHB-MIT and SWEC-ETHZ iEEG datasets, we compare the AZC discriminative power against a set of 56 classical literature features (CLF). Moreover, we assess the performances of a low-complexity seizure detection method using only AZC features versus employing the CLF set.Main results. Three AZC features obtained with different approximation thresholds are among the five with the highest median discriminative power. Moreover, seizure classification based on only AZC features outperforms an equivalent CLF-based method. The former detects 102 and 194 seizures, against 99 and 161 for the latter (CHB-MIT and SWEC-ETHZ, respectively). Moreover, the AZC-based method keeps a similar false-alarm rate (i.e. an average of 2.1 and 1.0, against 2.0 and 0.5, per day).Significance. We propose a new feature and demonstrate its capability in seizure classification for both scalp and intracranial EEG. We envision the use of such a feature to improve outpatient monitoring with resource-constrained devices.

Abductive reasoning as a basis to reproduce expert criteria in ECG atrial fibrillation identification.

OBJECTIVE: This work aims at providing a new method for the automatic detection of atrial fibrillation, other arrhythmia and noise on short single-lead ECG signals, emphasizing the importance of the interpretability of the classification results. APPROACH: A morphological and rhythm description of the cardiac behavior is obtained by a knowledge-based interpretation of the signal using the Construe abductive framework. Then, a set of meaningful features are extracted for each individual heartbeat and as a summary of the full record. The feature distributions can be used to elucidate the expert criteria underlying the labeling of the 2017 PhysioNet/CinC Challenge dataset, enabling a manual partial relabeling to improve the consistency of the training set. Finally, a tree gradient boosting model and a recurrent neural network are combined using the stacking technique to provide an answer on the basis of the feature values. MAIN RESULTS: The proposal was independently validated against the hidden dataset of the Challenge, achieving a combined F 1 score of 0.83 and tying for the first place in the official stage of the Challenge. This result was even improved in the follow-up stage to 0.85 with a significant simplification of the model, attaining the highest score so far reported on the hidden dataset. SIGNIFICANCE: The obtained results demonstrate the potential of Construe to provide robust and valuable descriptions of temporal data, even with the presence of significant amounts of noise. Furthermore, the importance of consistent classification criteria in manually labeled training datasets is emphasized, and the fundamental advantages of knowledge-based approaches to formalize and validate those criteria are discussed.

SERVANDO: an extensible platform for home-care services providing.

This paper presents an extensible distributed platform that aims to speed up the development of personalized telemedicine systems, dealing with a series of recurrent problems in this kind of system, particularly: (1) functionality encapsulation and reuse in a set of services; (2) communications between the patient's home and the hospital, through a flexible scheme for bidirectional message exchange; and (3) the interaction between patients and the system. Home supervision is carried out through last generation smartphones. To date, the platform has been used for the follow-up of patients with COPD and cardiovascular diseases.