Department of Neurology, Children's Hospital of Fudan University, Shanghai, China.
The Key Laboratory of ASIC and Systems, The Institute of Brain-Inspired Circuits and Systems, Fudan University, Shanghai, China.
Comput Methods Biomech Biomed Engin. 2022 Nov;25(14):1565-1575. doi: 10.1080/10255842.2021.2023809. Epub 2022 Jan 19.
Approximately 65 million people have epilepsy around the world. Recognition of epilepsy types is the basis to determine the treatment method and predict the prognosis in epilepsy patients. Childhood benign epilepsy with centrotemporal spikes (BECTS) or benign Rolandic epilepsy is the most common focal epilepsy in children, accounting for 15-20% of childhood epilepsies. These EEG patterns of individuals usually predict good treatment responses and prognosis. Until now, the interpretation of EEG still depends entirely on experienced neurologists, which may be a lengthy and tedious task. In this article, we proposed a novel machine learning model that efficiently distinguished Rolandic seizures from normal EEG signals. The proposed machine learning model processes the identification procedure in the following order (1) creating preliminary EEG features using signal empirical mode decomposition, (2) applying weighted overlook graph (WOG) to represent the decomposed EMD of IMF, and (3) classifying the results through a two Dimensional Convolutional Neural Network (2DCNN). The performance of our classification model is compared with other representative machine learning models. The model offered in this article gains an accuracy performance exceeding 97.6% in the Rolandic dataset, which is higher than other classification models. The effect of the model on the Bonn public dataset is also comparable to existing methods and even performs better in some subsets. The purpose of this study is to introduce the most common childhood benign epilepsy type and propose a model that meets the real clinical needs to distinguish this Rolandic EEG pattern from normal signals accurately. Future research will optimize the model to categorize other types of epilepsies beyond BECTS and finally implement them in the hospital system.
全世界约有 6500 万人患有癫痫。识别癫痫类型是确定治疗方法和预测癫痫患者预后的基础。儿童良性癫痫伴中央颞区棘波(BECTS)或良性罗兰多癫痫是儿童最常见的局灶性癫痫,占儿童癫痫的 15-20%。这些个体的脑电图模式通常预示着良好的治疗反应和预后。到目前为止,脑电图的解读仍然完全依赖于经验丰富的神经科医生,这可能是一项冗长而乏味的任务。在本文中,我们提出了一种新的机器学习模型,该模型可以有效地将 Rolandic 发作与正常脑电图信号区分开来。所提出的机器学习模型按以下顺序处理识别过程(1)使用信号经验模态分解创建初步脑电图特征,(2)应用加权忽略图(WOG)表示 IMF 的分解 EMD,(3)通过二维卷积神经网络(2DCNN)对结果进行分类。我们的分类模型的性能与其他有代表性的机器学习模型进行了比较。本文提出的模型在 Rolandic 数据集上的分类性能超过 97.6%,高于其他分类模型。该模型在波恩公共数据集上的效果也与现有方法相当,在某些子集上甚至表现更好。本研究的目的是介绍最常见的儿童良性癫痫类型,并提出一种满足实际临床需求的模型,以准确区分这种 Rolandic 脑电图模式与正常信号。未来的研究将优化该模型,以对 BECTS 以外的其他类型的癫痫进行分类,并最终在医院系统中实现。