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Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System

BACKGROUND: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. METHODS: Intracranial el...

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Autores principales: Kiral-Kornek, Isabell, Roy, Subhrajit, Nurse, Ewan, Mashford, Benjamin, Karoly, Philippa, Carroll, Thomas, Payne, Daniel, Saha, Susmita, Baldassano, Steven, O'Brien, Terence, Grayden, David, Cook, Mark, Freestone, Dean, Harrer, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828366/
https://www.ncbi.nlm.nih.gov/pubmed/29262989
http://dx.doi.org/10.1016/j.ebiom.2017.11.032
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author Kiral-Kornek, Isabell
Roy, Subhrajit
Nurse, Ewan
Mashford, Benjamin
Karoly, Philippa
Carroll, Thomas
Payne, Daniel
Saha, Susmita
Baldassano, Steven
O'Brien, Terence
Grayden, David
Cook, Mark
Freestone, Dean
Harrer, Stefan
author_facet Kiral-Kornek, Isabell
Roy, Subhrajit
Nurse, Ewan
Mashford, Benjamin
Karoly, Philippa
Carroll, Thomas
Payne, Daniel
Saha, Susmita
Baldassano, Steven
O'Brien, Terence
Grayden, David
Cook, Mark
Freestone, Dean
Harrer, Stefan
author_sort Kiral-Kornek, Isabell
collection PubMed
description BACKGROUND: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. METHODS: Intracranial electroencephalography (iEEG) data of ten patients obtained from a seizure advisory system were analyzed as part of a pseudoprospective seizure prediction study. First, a deep learning classifier was trained to distinguish between preictal and interictal signals. Second, classifier performance was tested on held-out iEEG data from all patients and benchmarked against the performance of a random predictor. Third, the prediction system was tuned so sensitivity or time in warning could be prioritized by the patient. Finally, a demonstration of the feasibility of deployment of the prediction system onto an ultra-low power neuromorphic chip for autonomous operation on a wearable device is provided. RESULTS: The prediction system achieved mean sensitivity of 69% and mean time in warning of 27%, significantly surpassing an equivalent random predictor for all patients by 42%. CONCLUSION: This study demonstrates that deep learning in combination with neuromorphic hardware can provide the basis for a wearable, real-time, always-on, patient-specific seizure warning system with low power consumption and reliable long-term performance.
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spelling pubmed-58283662018-02-28 Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System Kiral-Kornek, Isabell Roy, Subhrajit Nurse, Ewan Mashford, Benjamin Karoly, Philippa Carroll, Thomas Payne, Daniel Saha, Susmita Baldassano, Steven O'Brien, Terence Grayden, David Cook, Mark Freestone, Dean Harrer, Stefan EBioMedicine Research Paper BACKGROUND: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. METHODS: Intracranial electroencephalography (iEEG) data of ten patients obtained from a seizure advisory system were analyzed as part of a pseudoprospective seizure prediction study. First, a deep learning classifier was trained to distinguish between preictal and interictal signals. Second, classifier performance was tested on held-out iEEG data from all patients and benchmarked against the performance of a random predictor. Third, the prediction system was tuned so sensitivity or time in warning could be prioritized by the patient. Finally, a demonstration of the feasibility of deployment of the prediction system onto an ultra-low power neuromorphic chip for autonomous operation on a wearable device is provided. RESULTS: The prediction system achieved mean sensitivity of 69% and mean time in warning of 27%, significantly surpassing an equivalent random predictor for all patients by 42%. CONCLUSION: This study demonstrates that deep learning in combination with neuromorphic hardware can provide the basis for a wearable, real-time, always-on, patient-specific seizure warning system with low power consumption and reliable long-term performance. Elsevier 2017-12-12 /pmc/articles/PMC5828366/ /pubmed/29262989 http://dx.doi.org/10.1016/j.ebiom.2017.11.032 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Kiral-Kornek, Isabell
Roy, Subhrajit
Nurse, Ewan
Mashford, Benjamin
Karoly, Philippa
Carroll, Thomas
Payne, Daniel
Saha, Susmita
Baldassano, Steven
O'Brien, Terence
Grayden, David
Cook, Mark
Freestone, Dean
Harrer, Stefan
Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title_full Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title_fullStr Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title_full_unstemmed Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title_short Epileptic Seizure Prediction Using Big Data and Deep Learning: Toward a Mobile System
title_sort epileptic seizure prediction using big data and deep learning: toward a mobile system
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828366/
https://www.ncbi.nlm.nih.gov/pubmed/29262989
http://dx.doi.org/10.1016/j.ebiom.2017.11.032
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