Abstract

Many outstanding studies have reported promising results in seizure forecasting, one of the most challenging predictive data analysis problems. This is mainly because electroencephalogram (EEG) bio-signal intensity is very small, in $\mu \text{V}$ range, and there are significant sensing difficulties given physiological and non-physiological artifacts. Today the process of accurate epileptic seizure identification and data labeling is done by neurologists. The current unpredictability of epileptic seizure activities together with the lack of reliable treatment for patients living with drug resistant forms of epilepsy creates an urgency for research into accurate, sensitive and patient-specific seizure forecasting. Most seizure forecasting algorithms use only labeled data for training purposes. As the seizure data is labeled manually by neurologists, preparing the labeled data is expensive and time consuming, making the best use of the data critical. In this article, we propose an approach that can make use of not only labeled EEG signals but also the unlabeled ones which are more accessible. We use the short-time Fourier transform on 28-s EEG windows as a pre-processing step. A generative adversarial network (GAN) is trained in an unsupervised manner where information of seizure onset is disregarded. The trained Discriminator of the GAN is then used as a feature extractor. Features generated by the feature extractor are classified by two fully-connected layers (can be replaced by any classifier) for the labeled EEG signals. This semi-supervised patient-specific seizure forecasting method achieves an out-of-sample testing area under the operating characteristic curve (AUC) of 77.68%, 75.47% and 65.05% for the CHB-MIT scalp EEG dataset, the Freiburg Hospital intracranial EEG dataset and the EPILEPSIAE dataset, respectively. Unsupervised training without the need for labeling is important because not only it can be performed in real-time during EEG signal recording, but also it does not require feature engineering effort for each patient. To the best of our knowledge, this is the first application of GAN to seizure forecasting.

Highlights

  • Epilepsy affects almost 1% of the global population and considerably impacts the quality of life of those patientsThe associate editor coordinating the review of this manuscript and approving it for publication was Venkata Rajesh Pamula .diagnosed with the disease [1]–[3]

  • An early approach based on similarity, correlation, and energy of EEG signals achieved a modest sensitivity of 42% and a false prediction rate (FPR) less than 0.15/h tested

  • RESULTS we test our approach with three datasets: the CHB-MIT scalp EEG (sEEG) dataset, the Freiburg Hospital intracranial EEG (iEEG) dataset, and the EPILEPSIAE sEEG dataset

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Summary

Introduction

Epilepsy affects almost 1% of the global population and considerably impacts the quality of life of those patientsThe associate editor coordinating the review of this manuscript and approving it for publication was Venkata Rajesh Pamula .diagnosed with the disease [1]–[3]. An early approach based on similarity, correlation, and energy of EEG signals achieved a modest sensitivity of 42% and a false prediction rate (FPR) less than 0.15/h tested. The performance improved with the use phase coherence and synchronization information in EEG signals, resulting in sensitivity 60% and FPR of 0.15/h in [5] and 95.4% and FPR of 0.36/h in [6]. Different from the methods above, the authors in [8] used Bayesian inversion of power spectral density and applied a rule-based decision. Their method achieved a sensitivity of 87.07% and FPR of 0.2/h on the Freiburg Hospital dataset

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