No abstract

Brain monitoring combined with automatic analysis of EEGs provides a clinical decision support tool that can reduce time to diagnosis and assist clinicians in real-time monitoring applications (e.g., neurological intensive care units). Clinicians have indicated that a sensitivity of 95% with specificity below 5% was the minimum requirement for clinical acceptance. In this study, a high-performance automated EEG analysis system based on principles of machine learning and big data is proposed. This hybrid architecture integrates hidden Markov models (HMMs) for sequential decoding of EEG events with deep learning-based post-processing that incorporates temporal and spatial context. These algorithms are trained and evaluated using the Temple University Hospital EEG, which is the largest publicly available corpus of clinical EEG recordings in the world. This system automatically processes EEG records and classifies three patterns of clinical interest in brain activity that might be useful in diagnosing brain disorders: (1) spike and/or sharp waves, (2) generalized periodic epileptiform discharges, (3) periodic lateralized epileptiform discharges. It also classifies three patterns used to model the background EEG activity: (1) eye movement, (2) artifacts, and (3) background. Our approach delivers a sensitivity above 90% while maintaining a specificity below 5%. We also demonstrate that this system delivers a low false alarm rate, which is critical for any spike detection application.

Recurrent Neural Networks (RNNs) with sophisticated units that implement a gating mechanism have emerged as powerful technique for modeling sequential signals such as speech or electroencephalography (EEG). The latter is the focus on this paper. A significant big data resource, known as the TUH EEG Corpus (TUEEG), has recently become available for EEG research, creating a unique opportunity to evaluate these recurrent units on the task of seizure detection. In this study, we compare two types of recurrent units: long short-term memory units (LSTM) and gated recurrent units (GRU). These are evaluated using a state of the art hybrid architecture that integrates Convolutional Neural Networks (CNNs) with RNNs. We also investigate a variety of initialization methods and show that initialization is crucial since poorly initialized networks cannot be trained. Furthermore, we explore regularization of these convolutional gated recurrent networks to address the problem of overfitting. Our experiments revealed that convolutional LSTM networks can achieve significantly better performance than convolutional GRU networks. The convolutional LSTM architecture with proper initialization and regularization delivers 30% sensitivity at 6 false alarms per 24 hours.

No abstract

Interpretation of electroencephalogram (EEG) signals can be complicated by obfuscating artifacts. Artifact detection plays an important role in the observation and analysis of EEG signals. Spatial information contained in the placement of the electrodes can be exploited to accurately detect artifacts. However, when fewer electrodes are used, less spatial information is available, making it harder to detect artifacts. In this study, we investigate the performance of a deep learning algorithm, CNN-LSTM, on several channel configurations. Each configuration was designed to minimize the amount of spatial information lost compared to a standard 22-channel EEG. Systems using a reduced number of channels ranging from 8 to 20 achieved sensitivities between 33% and 37% with false alarms in the range of [38, 50] per 24 hours. False alarms increased dramatically (e.g., over 300 per 24 hours) when the number of channels was further reduced. Baseline performance of a system that used all 22 channels was 39% sensitivity with 23 false alarms. Since the 22-channel system was the only system that included referential channels, the rapid increase in the false alarm rate as the number of channels was reduced underscores the importance of retaining referential channels for artifact reduction. This cautionary result is important because one of the biggest differences between various types of EEGs administered is the type of referential channel used.