Why the study?
The sensitivity of expert visual diagnosis using scalp-EEGs remains at ~50%, highlighting a need for advanced methodology to reduce the false negative rate.
Does EEG-GCNN improve the diagnosis of neurological diseases from scalp-EEGs compared to human and classical ML baselines?
Does EEG-GCNN improve the diagnosis of neurological diseases from scalp-EEGs compared to human and classical ML baselines?
EEG-GCNN, a novel graph convolutional neural network, improves the detection of abnormal EEGs in neurological patients that were missed by expert visual diagnosis, achieving an AUC of 0.90.
May reduce EEG false negatives in neurological diagnosis; leaves open prospective validation before clinical use.
This paper presents a novel graph convolutional neural network (GCNN)-based approach for improving the diagnosis of neurological diseases using scalp-electroencephalograms (EEGs). Although EEG is one of the main tests used for neurological-disease diagnosis, the sensitivity of EEG-based expert visual diagnosis remains at ~50%. This indicates a clear need for advanced methodology to reduce the false negative rate in detecting abnormal scalp-EEGs. In that context, we focus on the problem of distinguishing the abnormal scalp EEGs of patients with neurological diseases, which were originally classified as 'normal' by experts, from the scalp EEGs of healthy individuals. The contributions of this paper are three-fold: 1) we present EEG-GCNN, a novel GCNN model for EEG data that captures both the spatial and functional connectivity between the scalp electrodes, 2) using EEG-GCNN, we perform the first large-scale evaluation of the aforementioned hypothesis, and 3) using two large scalp-EEG databases, we demonstrate that EEG-GCNN significantly outperforms the human baseline and classical machine learning (ML) baselines, with an AUC of 0.90.
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Wagh et al. (2020) studied this question.
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