Abstract

As a long-standing chronic disease, Temporal Lobe Epilepsy (TLE), resulting from abnormal discharges of neurons and characterized by recurrent episodic central nervous system dysfunctions, has affected more than 70% of drug-resistant epilepsy patients across the world. As the etiology and clinical symptoms are complicated, differential diagnosis of TLE mainly relies on experienced clinicians, and specific diagnostic biomarkers remain unclear. Though great effort has been made regarding the genetics, pathology, and neuroimaging of TLE, an accurate and effective diagnosis of TLE, especially the TLE subtypes, remains an open problem. It is of a great importance to explore the brain network of TLE, since it can provide the basis for diagnoses and treatments of TLE. To this end, in this paper, we proposed a multi-head self-attention model (MSAM). By integrating the self-attention mechanism and multilayer perceptron method, the MSAM offers a promising tool to enhance the classification of TLE subtypes. In comparison with other approaches, including convolutional neural network (CNN), support vector machine (SVM), and random forest (RF), experimental results on our collected MEG dataset show that the MSAM achieves a supreme performance of 83.6% on accuracy, 90.9% on recall, 90.7% on precision, and 83.4% on F1-score, which outperforms its counterparts. Furthermore, effectiveness of varying head numbers of multi-head self-attention is assessed, which helps select the optimal number of multi-head. The self-attention aspect learns the weights of different signal locations which can effectively improve classification accuracy. In addition, the robustness of MSAM is extensively assessed with various ablation tests, which demonstrates the effectiveness and generalizability of the proposed approach.

Highlights

  • Epilepsy, a chronic central nervous system disease, is typically caused by the repeated abnormal discharge of neurons and is characterized by symptoms that are sudden, periodic, and short-term

  • We investigate the classification of Temporal Lobe Epilepsy (TLE) subtypes by integrating the self-attention mechanism and multilayer perceptron based method on our collected MEG dataset, aiming to find out the functional connection and pathogenesis of the brain network related to the seizure of these two subtypes

  • As can be seen from the table, the performance of our proposed multi-head self-attention model (MSAM) takes a lead position in comparison with others

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Summary

Introduction

A chronic central nervous system disease, is typically caused by the repeated abnormal discharge of neurons and is characterized by symptoms that are sudden, periodic, and short-term. The ones who fail to take control of epilepsy after drug treatments are known as drug-resistant epilepsy (DRE) (Wiebe, 2013), among which, temporal lobe epilepsy (TLE), a common type of epilepsy widely existing in young and elderly patients, accounts for around 70% (Mariani et al, 2019). It is urgent to identify the subtype, cause, and inducement in the treatment of TLE. Though progress has been made through subjective analysis, traditional methods for imaging and clinical symptom assessment heavily rely on human experts, leading to a long diagnostic time. Subjective diagnostic results are often made from different experts, even for the same patient (Siuly and Li, 2015).

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