Model Parameter Estimation As Features to Predict the Duration of Epileptic Seizures From Onset.

Yueyang Liu, Siqi Xia, Artemio Soto-Breceda, Philippa Karoly, Mark J Cook, David B Grayden, Daniel Schmidt, Levin Kuhlmann
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Abstract

The durations of epileptic seizures are linked to severity and risk for patients. It is unclear if the spatiotemporal evolution of a seizure has any relationship with its duration. Understanding such mechanisms may help reveal treatments for reducing the duration of a seizure. Here, we present a novel method to predict whether a seizure is going to be short or long at its onset using features that can be interpreted in the parameter space of a brain model. The parameters of a Jansen-Rit neural mass model were tracked given intracranial electroencephalography (iEEG) signals, and were processed as time series features using MINIROCKET. By analysing 2954 seizures from 10 patients, patient-specific classifiers were built to predict if a seizure would be short or long given 7 s of iEEG at seizure onset. The method achieved an area under the receiver operating characteristic curve (AUC) greater than 0.6 for five of 10 patients. The behaviour in the parameter space has shown different mechanisms are associated with short/long seizures.Clinical relevance-This shows that it is possible to classify whether a seizure will be short or long based on its early characteristics. Timely interventions and treatments can be applied if the duration of the seizures can be predicted.

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模型参数估计作为预测癫痫发作持续时间的特征。
癫痫发作的持续时间与严重程度和患者面临的风险有关。目前尚不清楚癫痫发作的时空演变是否与持续时间有关。了解这种机制可能有助于找到缩短癫痫发作持续时间的治疗方法。在此,我们提出了一种新方法,利用可在脑模型参数空间中解释的特征来预测癫痫发作开始时是短还是长。我们利用颅内脑电图(iEEG)信号跟踪詹森-里特(Jansen-Rit)神经质量模型的参数,并使用 MINIROCKET 将其处理为时间序列特征。通过分析 10 名患者的 2954 次癫痫发作,建立了针对患者的分类器,以预测在发作开始时 7 秒的 iEEG 信号下癫痫发作是短时间还是长时间。在 10 名患者中,有 5 名患者的接收器操作特征曲线下面积 (AUC) 大于 0.6。参数空间中的行为表明,不同的机制与短/长癫痫发作有关。如果能预测癫痫发作的持续时间,就能及时进行干预和治疗。
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