School of Engineering, Design and Built Environment, Western Sydney University, Penrith, NSW 2751, Australia.
The MARCS Institute, Westmead, NSW 2145, Australia.
Sensors (Basel). 2022 Nov 3;22(21):8444. doi: 10.3390/s22218444.
Epilepsy is a severe neurological disorder that is usually diagnosed by using an electroencephalogram (EEG). However, EEG signals are complex, nonlinear, and dynamic, thus generating large amounts of data polluted by many artefacts, lowering the signal-to-noise ratio, and hampering expert interpretation. The traditional seizure-detection method of professional review of long-term EEG signals is an expensive, time-consuming, and challenging task. To reduce the complexity and cost of the task, researchers have developed several seizure-detection approaches, primarily focusing on classification systems and spectral feature extraction. While these methods can achieve high/optimal performances, the system may require retraining and following up with the feature extraction for each new patient, thus making it impractical for real-world applications. Herein, we present a straightforward manual/automated detection system based on the simple seizure feature amplification analysis to minimize these practical difficulties. Our algorithm (a simplified version is available as additional material), borrowing from the telecommunication discipline, treats the seizure as the carrier of information and tunes filters to this specific bandwidth, yielding a viable, computationally inexpensive solution. Manual tests gave 93% sensitivity and 96% specificity at a false detection rate of 0.04/h. Automated analyses showed 88% and 97% sensitivity and specificity, respectively. Moreover, our proposed method can accurately detect seizure locations within the brain. In summary, the proposed method has excellent potential, does not require training on new patient data, and can aid in the localization of seizure focus/origin.
癫痫是一种严重的神经障碍,通常通过脑电图(EEG)进行诊断。然而,EEG 信号复杂、非线性且动态,会产生大量受多种伪影污染的数据,降低信噪比,并影响专家解读。传统的通过专业人员长期分析 EEG 信号来检测癫痫发作的方法既昂贵又耗时,极具挑战性。为了降低任务的复杂性和成本,研究人员开发了几种癫痫发作检测方法,主要集中在分类系统和频谱特征提取上。虽然这些方法可以达到高/最优的性能,但系统可能需要为每个新患者重新训练和跟进特征提取,因此在实际应用中并不实用。在此,我们提出了一种基于简单癫痫发作特征放大分析的直截了当的手动/自动检测系统,以最小化这些实际困难。我们的算法(简化版本作为附加材料提供)借鉴了电信学科的知识,将癫痫发作视为信息载体,并针对该特定带宽调整滤波器,从而提供了一种可行且计算成本低的解决方案。手动测试的假阳性率为 0.04/h 时,敏感性和特异性分别达到 93%和 96%。自动化分析的敏感性和特异性分别为 88%和 97%。此外,我们提出的方法可以准确检测大脑中的癫痫发作位置。总之,该方法具有很大的应用潜力,不需要对新患者的数据进行训练,可以帮助定位癫痫发作的焦点/起源。