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基于发作期-发作前期脑电图尖峰检测的癫痫发作预测。

Epileptic seizure prediction based on EEG spikes detection of ictal-preictal states.

作者信息

Slimen Itaf Ben, Boubchir Larbi, Seddik Hassene

机构信息

Centre de Recherche et de Production Research Lab., Ecole Nationale Supérieure des Ingénieurs de Tunis, University of Tunis, Tunis 1008, Tunisia.

Laboratoire d'Informatique Avancée de Saint-Denis Research Lab., University of Paris 8, Saint-Denis, Cedex 93526, France.

出版信息

J Biomed Res. 2020 Feb 17;34(3):162-169. doi: 10.7555/JBR.34.20190097.

Abstract

Epileptic seizures are known for their unpredictable nature. However, recent research provides that the transition to seizure event is not random but the result of evidence accumulations. Therefore, a reliable method capable to detect these indications can predict seizures and improve the life quality of epileptic patients. Seizures periods are generally characterized by epileptiform discharges with different changes including spike rate variation according to the shapes, spikes, and the amplitude. In this study, spike rate is used as the indicator to anticipate seizures in electroencephalogram (EEG) signal. Spikes detection step is used in EEG signal during interictal, preictal, and ictal periods followed by a mean filter to smooth the spike number. The maximum spike rate in interictal periods is used as an indicator to predict seizures. When the spike number in the preictal period exceeds the threshold, an alarm is triggered. Using the CHB-MIT database, the proposed approach has ensured 92% accuracy in seizure prediction for all patients.

摘要

癫痫发作以其不可预测性而闻名。然而,最近的研究表明,向癫痫发作事件的转变并非随机的,而是证据积累的结果。因此,一种能够检测这些迹象的可靠方法可以预测癫痫发作并提高癫痫患者的生活质量。癫痫发作期通常以癫痫样放电为特征,伴有不同的变化,包括根据形状、尖峰和幅度的尖峰率变化。在本研究中,尖峰率被用作预测脑电图(EEG)信号中癫痫发作的指标。在发作间期、发作前期和发作期的EEG信号中使用尖峰检测步骤,随后使用均值滤波器对尖峰数量进行平滑处理。发作间期的最大尖峰率用作预测癫痫发作的指标。当发作前期的尖峰数量超过阈值时,触发警报。使用CHB-MIT数据库,所提出的方法确保了对所有患者癫痫发作预测的92%准确率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/138a/7324272/ef7ef9135342/jbr-34-3-162-1.jpg

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