Abstract

The use of automatic electrical stimulation in response to early seizure detection has been introduced as a new treatment for intractable epilepsy. For the effective application of this method as a successful treatment, improving the accuracy of the early seizure detection is crucial. In this paper, we proposed the application of a frequency-based algorithm derived from principal component analysis (PCA), and demonstrated improved efficacy for early seizure detection in a pilocarpine-induced epilepsy rat model. A total of 100 ictal electroencephalographs (EEG) during spontaneous recurrent seizures from 11 epileptic rats were finally included for the analysis. PCA was applied to the covariance matrix of a conventional EEG frequency band signal. Two PCA results were compared: one from the initial segment of seizures (5 sec of seizure onset) and the other from the whole segment of seizures. In order to compare the accuracy, we obtained the specific threshold satisfying the target performance from the training set, and compared the False Positive (FP), False Negative (FN), and Latency (Lat) of the PCA based feature derived from the initial segment of seizures to the other six features in the testing set. The PCA based feature derived from the initial segment of seizures performed significantly better than other features with a 1.40% FP, zero FN, and 0.14 s Lat. These results demonstrated that the proposed frequency-based feature from PCA that captures the characteristics of the initial phase of seizure was effective for early detection of seizures. Experiments with rat ictal EEGs showed an improved early seizure detection rate with PCA applied to the covariance of the initial 5 s segment of visual seizure onset instead of using the whole seizure segment or other conventional frequency bands.

Highlights

  • Neuromodulation therapy such as vagus nerve stimulation (VNS), deep brain stimulation (DBS) or responsive neurostimulation (RNS) have recently been applied for patients with intractable epilepsy (Howland, 2014; Lee, 2014)

  • To elucidate whether the size of training dataset had some effects on the proposed algorithm, we compared the principal component analysis (PCA) features derived from the initial seizure and the whole seizure segments using different training dataset of 10, 20, 30, and 50 ictal EEGs

  • The average of the PCAbased eigenvectors showed similar characteristics regardless of the sample size; the standard deviation increased as the sample size decreased

Read more

Summary

Introduction

Neuromodulation therapy such as vagus nerve stimulation (VNS), deep brain stimulation (DBS) or responsive neurostimulation (RNS) have recently been applied for patients with intractable epilepsy (Howland, 2014; Lee, 2014). Various methods for early seizure detection have been introduced, based on electroencephalographic (EEG) features such as frequency bands or magnitude variation (Guo et al, 2010; Howbert et al, 2014; Moghim and Corne, 2014). The selection of discriminative features is imperative for improving the accuracy and reliability of a seizure detection algorithm (Liang et al, 2010b). To select discriminative features for accurate and reliable seizure detection, understanding of characteristics of seizure by phase change is a critical issue on early seizure detection. The epileptiform discharges and ictal rhythms were identified and analyzed over several window representatives of relevant time intervals during seizures. In a more recent study, with the concept that the characteristics of epileptiform discharges could be distinguished even within several seconds during a seizure, the seizure dynamics was defined as the pre-seizure, the early seizure, the middle seizure, and the late seizure windows (Martinet et al, 2017)

Objectives
Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call