Key result
A personalized semi-supervised neonatal seizure detection system maintained a 70% detection rate while halving false detections from 0.4 to 0.2 per hour.
Why the study?
Does a personalized seizure detection algorithm improve seizure detection rate and reduce false detections in newborns compared to a generic detector?
Does a personalized seizure detection algorithm improve seizure detection rate and reduce false detections in newborns compared to a generic detector?
Absolute Event Rate: 0.2% vs 0.4%
A personalized, semi-supervised EEG algorithm for neonatal seizure detection halves false detection rates while maintaining a 70% detection rate.
May lessen alarm fatigue in neonatal monitoring; leaves open generalizability in larger prospective studies.
The problem of creating a personalized seizure detection algorithm for newborns is tackled in this paper. A probabilistic framework for semi-supervised adaptation of a generic patient-independent neonatal seizure detector is proposed. A system that is based on a combination of patient-adaptive (generative) and patient-independent (discriminative) classifiers is designed and evaluated on a large database of unedited continuous multichannel neonatal EEG recordings of over 800 h in duration. It is shown that an improvement in the detection of neonatal seizures over the course of long EEG recordings is achievable with on-the-fly incorporation of patient-specific EEG characteristics. In the clinical setting, the employment of the developed system will maintain a seizure detection rate at 70% while halving the number of false detections per hour, from 0.4 to 0.2 FD/h. This is the first study to propose the use of online adaptation without clinical labels, to build a personalized diagnostic system for the detection of neonatal seizures.
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Temko et al. (2017) studied Neonatal seizures. Personalized semi-supervised neonatal seizure detection system vs. Generic patient-independent neonatal seizure detector was evaluated on False detections per hour (FD/h) while maintaining a 70% seizure detection rate. A personalized semi-supervised neonatal seizure detection system maintained a 70% detection rate while halving false detections from 0.4 to 0.2 per hour.
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