Chambers Jordan D, Cook Mark J, Burkitt Anthony N, Grayden David B
Department of Biomedical Engineering, The University of Melbourne, Melbourne, VIC, Australia.
Seer Medical, Melbourne, VIC, Australia.
Front Neurosci. 2024 Nov 15;18:1472747. doi: 10.3389/fnins.2024.1472747. eCollection 2024.
Seizure prediction could improve quality of life for patients through removing uncertainty and providing an opportunity for acute treatments. Most seizure prediction models use feature engineering to process the EEG recordings. Long-Short Term Memory (LSTM) neural networks are a recurrent neural network architecture that can display temporal dynamics and, therefore, potentially analyze EEG signals without performing feature engineering. In this study, we tested if LSTMs could classify unprocessed EEG recordings to make seizure predictions.
Long-term intracranial EEG data was used from 10 patients. 10-s segments of EEG were input to LSTM models that were trained to classify the EEG signal. The final seizure prediction was generated from 5 outputs of the LSTM model over 50 s and combined with time information to account for seizure cycles.
The LSTM models could make predictions significantly better than a random predictor. When compared to other publications using the same dataset, our model performed better than several others and was comparable to the best models published to date. Furthermore, this framework could still produce predictions significantly better than chance when the experimental paradigm design was altered, without the need to reperform feature engineering.
Removing the need to perform feature engineering is an advancement on previously published models. This framework can be applied to many different patients' needs and a variety of acute interventions. Also, it opens the possibility of personalized seizure predictions that can be altered to meet daily needs.
癫痫发作预测可通过消除不确定性并提供急性治疗机会来改善患者的生活质量。大多数癫痫发作预测模型使用特征工程来处理脑电图记录。长短期记忆(LSTM)神经网络是一种循环神经网络架构,能够展现时间动态,因此有可能在不进行特征工程的情况下分析脑电图信号。在本研究中,我们测试了LSTM是否能够对未处理的脑电图记录进行分类以做出癫痫发作预测。
使用了10名患者的长期颅内脑电图数据。将10秒的脑电图片段输入到经过训练以对脑电图信号进行分类的LSTM模型中。最终的癫痫发作预测由LSTM模型在50秒内的5个输出生成,并结合时间信息以考虑癫痫发作周期。
LSTM模型做出的预测明显优于随机预测器。与使用相同数据集的其他研究相比,我们的模型表现优于其他几个模型,并且与迄今为止发表的最佳模型相当。此外,当实验范式设计改变时,该框架仍能产生明显优于随机的预测,而无需重新进行特征工程。
无需进行特征工程是对先前发表模型的一种改进。该框架可应用于许多不同患者的需求和各种急性干预措施。此外,它开启了个性化癫痫发作预测的可能性,这种预测可根据日常需求进行调整。