Key result
Novel ICA-based automated method detects cardiac and pulse interferences with ~99% accuracy vs expert labeling.
Why the study?
Electrical cardiac and pulsatile interferences are difficult to remove from neonatal EEG signals due to the small number of channels used.
An optimized ICA-based algorithm utilizing real ECG features can automatically detect and remove both electrical cardiac and pulsatile interferences from neonatal EEG while preserving true brain activity.
May support automated neonatal EEG artifact removal in research; leaves open clinical adoption or outcome impact pending larger validation.
Electrical cardiac and pulsatile interference is very difficult to remove from electroencephalographic (EEG) signals, especially if recorded in neonates, for which a small number of EEG channels is used. Several methods were proposed, including Blind Source Separation (BSS) methods that required the use of artificial cardiac-related signals to improve the separation of artefactual components. To optimize the separation of cardiac-related artefactual components, we propose a method based on Independent Component Analysis (ICA) that exploits specific features of the real electrocardiographic (ECG) signals that were simultaneously recorded with the neonatal EEG. A total of forty EEG segments from 19-channel neonatal EEG recordings with and without seizures were used to test and validate the performance of our method. We observed a significant reduction in the number of independent components (ICs) containing cardiac-related interferences, with a consequent improvement in the automated classification of the separated ICs. The comparison with the expert labeling of the ICs separately containing electrical cardiac and pulsatile interference led to an accuracy = 0.99, a false omission rate = 0.01 and a sensitivity = 0.93, outperforming existing methods. Furthermore, we verified that true brain activity was preserved in neonatal EEG signals reconstructed after the removal of artefactual ICs, demonstrating the effectiveness of our method and its safe applicability in a clinical context.
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Tamburro et al. (2021) studied Neonatal seizures / EEG monitoring (n=18). Automated ICA-based method (SOBI) using real ECG and artificial pulse signals vs. Decomposition methods without nECG/nAPS and expert labeling was evaluated on Accuracy of automated classification of artefactual Independent Components compared to expert labeling (accuracy = 0.99). The proposed ICA-based automated method utilizing real ECG signals achieved an accuracy of 0.99, false omission rate of 0.01, and sensitivity of 0.93 in detecting cardiac and pulse interferences compared to expert labeling.
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