Why the study?
Does a patient-specific transfer learning algorithm improve false alarm rate and sensitivity for heart rate-based seizure detection in pediatric patients compared to a patient-independent algorithm?
Does a patient-specific transfer learning algorithm improve false alarm rate and sensitivity for heart rate-based seizure detection in pediatric patients compared to a patient-independent algorithm?
A semi-supervised transfer learning approach using just one night of unannotated data significantly reduces false alarms in heart rate-based nocturnal seizure detection.
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May reduce false alarms in pediatric nocturnal seizure detection with minimal data; leaves open larger prospective validation.
Automated epileptic seizure detection in a home environment has been a topic of great interest during the last decade. Normally patient-independent heart rate based seizure detection algorithms are used in practice to avoid the necessity of patient-specific data. They, however, lead to mediocre performance due to the large inter-patient heart rate variability. Therefore these algorithms should be adapted to each patient in an efficient way. In this study, a patient-specific algorithm is constructed with only 1 night of not-annotated patient-specific data by using a transfer learning approach. The algorithm was evaluated on 8 pediatric patients with 25 strong nocturnal convulsive seizures. By using only 1 night of patient-specific data, the false alarm rate dropped by a factor of 4 compared to the patient-independent algorithm, leading to on average 0.76 false alarms per night and 88% sensitivity. The results show that the proposed method can quickly adapt to patient characteristics without the requirement of seizure annotations.
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Cooman et al. (2017) studied this question.
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