Error-aware CNN improves automatic epileptic seizure detection

Vadim Grubov, Sergei Nazarikov, Nikita Utyashev, Oleg E. Karpov
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Abstract

Automated seizure detection is a major challenge in the context of epilepsy diagnostics. There are numerous approaches to this task, but most of them share the same problem—the trade-off between recall and precision, i.e. decent recall is often accompanied by low precision. This ultimately leads to a high number of false positive seizure detections, which in its turn impede automated diagnostics. The purpose of this study is to develop a method to lower the number of false positive predictions in seizure detection task when applied to real EEG recordings. We propose the cascade approach which combines the idea of iterative refinement algorithms and powerful neural networks. The method is tested on unrefined dataset, that includes EEG recordings of epileptic patients from the hospital. Time-frequency analysis based on continuous wavelet transform is used for EEG preprocessing and feature extraction. To provide predictions the approach implements convolutional neural networks. The proposed approach consists of two steps: in the first step a model is trained to provide initial predictions and then in the second step another model is trained with the knowledge of the first model’s errors. We evaluate the performance of the approach with the confusion matrix metrics adjusted to the specifics of the epilepsy diagnostics task. We show that the number of false positive predictions decreases by an order of magnitude with the use of the proposed method. We theorize about possible application of this approach within a clinical decision support system.

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误差感知 CNN 提高了癫痫发作自动检测能力
癫痫发作自动检测是癫痫诊断中的一大挑战。有许多方法可以完成这项任务,但大多数方法都有一个共同的问题--召回率和精确度之间的权衡,即召回率高的同时精确度往往很低。这最终导致大量假阳性癫痫发作检测,反过来又阻碍了自动诊断。本研究的目的是开发一种方法,在应用于真实脑电图记录时,降低癫痫发作检测任务中的假阳性预测数量。我们提出的级联方法结合了迭代改进算法和强大神经网络的理念。该方法在未经改进的数据集上进行了测试,该数据集包括医院癫痫患者的脑电图记录。基于连续小波变换的时频分析用于脑电图预处理和特征提取。为了提供预测,该方法采用了卷积神经网络。建议的方法包括两个步骤:第一步是训练一个模型以提供初始预测,第二步是利用第一个模型的误差知识训练另一个模型。我们根据癫痫诊断任务的具体情况调整了混淆矩阵指标,以此评估该方法的性能。我们发现,使用所提出的方法后,假阳性预测的数量减少了一个数量级。我们从理论上探讨了这种方法在临床决策支持系统中的可能应用。
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