EBioMedicine · 2017 · 310 citations · 17 references
ComputingBiomedical EngineeringComputer ScienceArtificial IntelligenceEpilepsyMachine LearningDeep LearningElectroencephalographyElectroencephalography In EpilepsyNeural NetworksSeizure ClassificationAutonomous OperationsIctal ElectroencephalographyNeuromorphic DevicesNeuromorphic HardwarePredictionSeizure ForecastingSeizure PredictionSensitivity
BACKGROUND: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. METHODS: Intracranial electroencephalography (iEEG) data of ten patients obtained from a seizure advisory system were analyzed as part of a pseudoprospective seizure prediction study. First, a deep learning classifier was trained to distinguish between preictal and interictal signals. Second, classifier performance was tested on held-out iEEG data from all patients and benchmarked against the performance of a random predictor. Third, the prediction system was tuned so sensitivity or time in warning could be prioritized by the patient. Finally, a demonstration of the feasibility of deployment of the prediction system onto an ultra-low power neuromorphic chip for autonomous operation on a wearable device is provided. RESULTS: The prediction system achieved mean sensitivity of 69% and mean time in warning of 27%, significantly surpassing an equivalent random predictor for all patients by 42%. CONCLUSION: This study demonstrates that deep learning in combination with neuromorphic hardware can provide the basis for a wearable, real-time, always-on, patient-specific seizure warning system with low power consumption and reliable long-term performance.
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Interictal spikes and epileptic seizures: their relationship and underlying rhythmicity
Philippa J. Karoly, Dean R. Freestone, Ray Boston et al. · Brain · 2016 · 354 citations · Full text
Medicine, Neurology, Neuroscience +17