Abstract

Seizure detection algorithms are often optimized to detect seizures from the epileptogenic cortex. However, in non-localizable epilepsies, the thalamus is frequently targeted for neuromodulation. Developing a reliable seizure detection algorithm from thalamic SEEG may facilitate the translation of closed-loop neuromodulation. Deep learning algorithms promise reliable seizure detectors, but the major impediment is the lack of larger samples of curated ictal thalamic SEEG needed for training classifiers. We aimed to investigate if synthetic data generated by temporal Generative Adversarial Networks (TGAN) can inflate the sample size to improve the performance of a deep learning classifier of ictal and interictal states from limited samples of thalamic SEEG. Thalamic SEEG from 13 patients (84 seizures) was obtained during stereo EEG evaluation for epilepsy surgery. Overall, TGAN generated synthetic data augmented the performance of the bidirectional Long-Short Term Memory (BiLSTM) performance in classifying thalamic ictal and baseline states. Adding synthetic data improved the accuracy of the detection model by 18.5%. Importantly, this approach can be applied to classify electrographic seizure onset patterns or develop patient-specific seizure detectors from implanted neuromodulation devices.

Highlights

  • Despite significant advances in diagnostic and therapeutic technologies, over 30 million people worldwide have drug-resistant epilepsy (DRE) [1]

  • Patients diagnosed with drug-refractory temporal lobe epilepsy (TLE) who underwent stereoelectroencephalography (SEEG) for localization of seizure focus were included in the study

  • Thirteen subjects were included in the study, with 10 had electrodes localized to the anterior nucleus of the thalamus (ANT) and 3 in the centrolateral thalamic nuclei (Table 1, Figure 4)

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Summary

Introduction

Despite significant advances in diagnostic and therapeutic technologies, over 30 million people worldwide have drug-resistant epilepsy (DRE) [1]. Increased seizure burden plays a central role in morbidity and mortality, thereby emphasizing the need for seizure preventative therapies [2]. Surgical resection of the seizure focus may yield seizure freedom and remains the first line of treatment in DRE. In many patients, resection or ablation is not an option if the seizure foci are widespread involving multiple regions or are non-localizable [3, 4]. Neuromodulation of the epileptogenic circuit remotely via a central hub like the thalami is often the treatment of choice in this cohort [5]. Accurate and timely detection of seizures is clinically necessary for

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