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      Technological Vanguard: the outstanding performance of the LTY-CNN model for the early prediction of epileptic seizures

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          Abstract

          Background:

          Epilepsy is a common neurological disorder that affects approximately 60 million people worldwide. Characterized by unpredictable neural electrical activity abnormalities, it results in seizures with varying intensity levels. Electroencephalography (EEG), as a crucial technology for monitoring and predicting epileptic seizures, plays an essential role in improving the quality of life for people with epilepsy.

          Method:

          This study introduces an innovative deep learning model, a lightweight triscale yielding convolutional neural network” (LTY-CNN), that is specifically designed for EEG signal analysis. The model integrates a parallel convolutional structure with a multihead attention mechanism to capture complex EEG signal features across multiple scales and enhance the efficiency achieved when processing time series data. The lightweight design of the LTY-CNN enables it to maintain high performance in environments with limited computational resources while preserving the interpretability and maintainability of the model.

          Results:

          In tests conducted on the SWEC-ETHZ and CHB-MIT datasets, the LTY-CNN demonstrated outstanding performance. On the SWEC-ETHZ dataset, the LTY-CNN achieved an accuracy of 99.9%, an area under the receiver operating characteristic curve (AUROC) of 0.99, a sensitivity of 99.9%, and a specificity of 98.8%. Furthermore, on the CHB-MIT dataset, it recorded an accuracy of 99%, an AUROC of 0.932, a sensitivity of 99.1%, and a specificity of 93.2%. These results signify the remarkable ability of the LTY-CNN to distinguish between epileptic seizures and nonseizure events. Compared to other existing epilepsy detection classifiers, the LTY-CNN attained higher accuracy and sensitivity.

          Conclusion:

          The high accuracy and sensitivity of the LTY-CNN model demonstrate its significant potential for epilepsy management, particularly in terms of predicting and mitigating epileptic seizures. Its value in personalized treatments and widespread clinical applications reflects the broad prospects of deep learning in the health care sector. This also highlights the crucial role of technological innovation in enhancing the quality of life experienced by patients.

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          Most cited references30

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          Early identification of refractory epilepsy.

          More than 30 percent of patients with epilepsy have inadequate control of seizures with drug therapy, but why this happens and whether it can be predicted are unknown. We studied the response to antiepileptic drugs in patients with newly diagnosed epilepsy to identify factors associated with subsequent poor control of seizures. We prospectively studied 525 patients (age, 9 to 93 years) who were given a diagnosis, treated, and followed up at a single center between 1984 and 1997. Epilepsy was classified as idiopathic (with a presumed genetic basis), symptomatic (resulting from a structural abnormality), or cryptogenic (resulting from an unknown underlying cause). Patients were considered to be seizure-free if they had not had any seizures for at least one year. Among the 525 patients, 333 (63 percent) remained seizure-free during antiepileptic-drug treatment or after treatment was stopped. The prevalence of persistent seizures was higher in patients with symptomatic or cryptogenic epilepsy than in those with idiopathic epilepsy (40 percent vs. 26 percent, P=0.004) and in patients who had had more than 20 seizures before starting treatment than in those who had had fewer (51 percent vs. 29 percent, P<0.001). The seizure-free rate was similar in patients who were treated with a single established drug (67 percent) and patients who were treated with a single new drug (69 percent). Among 470 previously untreated patients, 222 (47 percent) became seizure-free during treatment with their first antiepileptic drug and 67 (14 percent) became seizure-free during treatment with a second or third drug. In 12 patients (3 percent) epilepsy was controlled by treatment with two drugs. Among patients who had no response to the first drug, the percentage who subsequently became seizure-free was smaller (11 percent) when treatment failure was due to lack of efficacy than when it was due to intolerable side effects (41 percent) or an idiosyncratic reaction (55 percent). Patients who have many seizures before therapy or who have an inadequate response to initial treatment with antiepileptic drugs are likely to have refractory epilepsy.
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            Applying Deep Learning for Epilepsy Seizure Detection and Brain Mapping Visualization

            Deep Convolutional Neural Network (CNN) has achieved remarkable results in computer vision tasks for end-to-end learning. We evaluate here the power of a deep CNN to learn robust features from raw Electroencephalogram (EEG) data to detect seizures. Seizures are hard to detect, as they vary both inter- and intra-patient. In this article, we use a deep CNN model for seizure detection task on an open-access EEG epilepsy dataset collected at the Boston Children's Hospital. Our deep learning model is able to extract spectral, temporal features from EEG epilepsy data and use them to learn the general structure of a seizure that is less sensitive to variations. For cross-patient EEG data, our method produced an overall sensitivity of 90.00%, specificity of 91.65%, and overall accuracy of 98.05% for the whole dataset of 23 patients. The system can detect seizures with an accuracy of 99.46%. Thus, it can be used as an excellent cross-patient seizure classifier. The results show that our model performs better than the previous state-of-the-art models for patient-specific and cross-patient seizure detection task. The method gave an overall accuracy of 99.65% for patient-specific data. The system can also visualize the special orientation of band power features. We use correlation maps to relate spectral amplitude features to the output in the form of images. By using the results from our deep learning model, this visualization method can be used as an effective multimedia tool for producing quick and relevant brain mapping images that can be used by medical experts for further investigation.
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              Deep multi-view feature learning for EEG-based epileptic seizure detection

              Epilepsy is a neurological illness caused by abnormal discharge of brain neurons, where epileptic seizure can lead to life-threatening emergencies. By analyzing the encephalogram (EEG) signals of patients with epilepsy, their conditions can be monitored and seizure can be detected and intervened in time. As the identification of effective features in EEG signals is important for accurate seizure detection, this paper proposes a multi-view deep feature extraction method in attempt to achieve this goal. The method first uses fast Fourier transform (FFT) and wavelet packet decomposition (WPD) to construct the initial multi-view features. Convolutional neural network (CNN) is then used to automatically learn deep features from the initial multi-view features, which reduces the dimensionality and obtain the features with better seizure identification ability. Furthermore, the multi-view Takagi-Sugeno-Kang fuzzy system (MV-TSK-FS), an interpretable rule-based classifier, is used to construct a classification model with strong generalizability based on the deep multi-view features obtained. Experimental studies show that the classification accuracy of the proposed multi-view deep feature extraction method is at least 1% higher than that of common feature extraction methods such as principal component analysis (PCA), FFT and WPD. The classification accuracy is also at least 4% higher than the average accuracy achieved with single-view deep features.
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                Author and article information

                Contributors
                chenxing20231117@126.com
                Journal
                J Transl Med
                J Transl Med
                Journal of Translational Medicine
                BioMed Central (London )
                1479-5876
                16 February 2024
                16 February 2024
                2024
                : 22
                : 162
                Affiliations
                [1 ]School of Electronic Information Engineering, Changchun University of Science and Technology, ( https://ror.org/007mntk44) Changchun, 130022 China
                [2 ]School of Artificial Intelligence, Changchun Information Technology College, Changchun, 130103 China
                [3 ]GRID grid.495319.3, ISNI 0000 0004 1755 3867, Department of Cardiology, , JiLin Province FAW General Hospital, ; Changchun, 130011 Jilin China
                [4 ]School of Artificial Intelligence Industry, Changchun University of Architecture, ( https://ror.org/02an57k10) Changchun, 130607 China
                [5 ]GRID grid.480284.2, ISNI 0000 0004 1792 4517, Nuctech Company Limited, ; Beijing, 100084 China
                [6 ]Jilin Province Advanced Control Technology and Intelligent Automation Equipment R &D Engineering Laboratory, Changchun, 130022 China
                Article
                4945
                10.1186/s12967-024-04945-x
                10870452
                38365732
                80093a0c-a2ae-465a-85b7-49627cbf2bed
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 30 November 2023
                : 1 February 2024
                Funding
                Funded by: the National Natural Science Foundation of China, Ye Qisun Foundation
                Award ID: U2141231
                Funded by: the Fund of Education Department of Jilin Province
                Award ID: JJKH20241673KJ
                Award Recipient :
                Funded by: Jilin Science and Technology Development Program Project
                Award ID: 20230201076GX
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2024

                Medicine
                lty-cnn model,multihead attention mechanism,automated epilepsy detection,quantized neural network,eeg

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