Learning to detect the onset of slow activity after a generalized tonic-clonic seizure.

Convolutional neural network Data paucity Deep learning Electroencephalogram Generalized tonic–clonic seizure Machine learning Neural network Onset of slow activity Signal detection Sudden death in epilepsy

Journal

BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682

Informations de publication

Date de publication:
24 12 2020
Historique:
entrez: 28 12 2020
pubmed: 29 12 2020
medline: 5 3 2021
Statut: epublish

Résumé

Sudden death in epilepsy (SUDEP) is a rare disease in US, however, they account for 8-17% of deaths in people with epilepsy. This disease involves complicated physiological patterns and it is still not clear what are the physio-/bio-makers that can be used as an indicator to predict SUDEP so that care providers can intervene and treat patients in a timely manner. For this sake, UTHealth School of Biomedical Informatics (SBMI) organized a machine learning Hackathon to call for advanced solutions https://sbmi.uth.edu/hackathon/archive/sept19.htm . In recent years, deep learning has become state of the art for many domains with large amounts data. Although healthcare has accumulated a lot of data, they are often not abundant enough for subpopulation studies where deep learning could be beneficial. Taking these limitations into account, we present a framework to apply deep learning to the detection of the onset of slow activity after a generalized tonic-clonic seizure, as well as other EEG signal detection problems exhibiting data paucity. We conducted ten training runs for our full method and seven model variants, statistically demonstrating the impact of each technique used in our framework with a high degree of confidence. Our findings point toward deep learning being a viable method for detection of the onset of slow activity provided approperiate regularization is performed.

Sections du résumé

BACKGROUND
Sudden death in epilepsy (SUDEP) is a rare disease in US, however, they account for 8-17% of deaths in people with epilepsy. This disease involves complicated physiological patterns and it is still not clear what are the physio-/bio-makers that can be used as an indicator to predict SUDEP so that care providers can intervene and treat patients in a timely manner. For this sake, UTHealth School of Biomedical Informatics (SBMI) organized a machine learning Hackathon to call for advanced solutions https://sbmi.uth.edu/hackathon/archive/sept19.htm .
METHODS
In recent years, deep learning has become state of the art for many domains with large amounts data. Although healthcare has accumulated a lot of data, they are often not abundant enough for subpopulation studies where deep learning could be beneficial. Taking these limitations into account, we present a framework to apply deep learning to the detection of the onset of slow activity after a generalized tonic-clonic seizure, as well as other EEG signal detection problems exhibiting data paucity.
RESULTS
We conducted ten training runs for our full method and seven model variants, statistically demonstrating the impact of each technique used in our framework with a high degree of confidence.
CONCLUSIONS
Our findings point toward deep learning being a viable method for detection of the onset of slow activity provided approperiate regularization is performed.

Identifiants

pubmed: 33357225
doi: 10.1186/s12911-020-01308-6
pii: 10.1186/s12911-020-01308-6
pmc: PMC7758937
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

330

Subventions

Organisme : NINDS NIH HHS
ID : U01 NS090408
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS090405
Pays : United States

Références

J R Soc Interface. 2018 Apr;15(141):
pubmed: 29618526

Auteurs

Carroll Vance (C)

University of Houston, Houston, TX, USA. cs.vance@icloud.com.

Yejin Kim (Y)

School of Biomedical Informatics, UT Health, 7000 Fannin St Suite 600, Houston, TX, USA.

Guoqiang Zhang (G)

School of Biomedical Informatics, UT Health, 7000 Fannin St Suite 600, Houston, TX, USA.
Department of Neurology, McGovern Medical School, UT Health, 6430 Fannin St, Houston, TX, USA.

Samden Lhatoo (S)

Department of Neurology, McGovern Medical School, UT Health, 6430 Fannin St, Houston, TX, USA.

Shiqiang Tao (S)

School of Biomedical Informatics, UT Health, 7000 Fannin St Suite 600, Houston, TX, USA.

Licong Cui (L)

Department of Neurology, McGovern Medical School, UT Health, 6430 Fannin St, Houston, TX, USA.

Xiaojin Li (X)

School of Biomedical Informatics, UT Health, 7000 Fannin St Suite 600, Houston, TX, USA.

Xiaoqian Jiang (X)

School of Biomedical Informatics, UT Health, 7000 Fannin St Suite 600, Houston, TX, USA.

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