Key result
The CNN model based on adjusted smoothed pseudo Wigner-Ville distribution (ASPWVD) images successfully distinguished epileptogenic from non-epileptogenic high-frequency oscillations with accuracies of 80.89% for ripples and 77.85% for fast ripples.
Why the study?
Accurately identifying the epileptogenic zone using high-frequency oscillations remains a challenge that must be overcome to translate high-frequency oscillations into clinical use.
Does a CNN model using ASPWVD transformation images accurately distinguish epileptogenic zone (EZ) from non-EZ high-frequency oscillations in patients with intractable epilepsy?
Observational (n=19)
No
Does a CNN model using ASPWVD transformation images accurately distinguish epileptogenic zone (EZ) from non-EZ high-frequency oscillations in patients with intractable epilepsy?
p-value: p=<0.05
A CNN model using ASPWVD transformation images can effectively classify epileptogenic and non-epileptogenic high-frequency oscillations, potentially aiding in the clinical identification of the epileptogenic zone.
May support AI-assisted HFO classification in epilepsy; leaves open prospective outcome validation before clinical adoption.
Accurately identifying epileptogenic zone (EZ) using high-frequency oscillations (HFOs) is a challenge that must be mastered to transfer HFOs into clinical use. We analyzed the ability of a convolutional neural network (CNN) model to distinguish EZ and non-EZ HFOs. Nineteen medically intractable epilepsy patients with good surgical outcomes 2 years after surgery were studied. Five-minute interictal intracranial electroencephalogram epochs of slow-wave sleep were selected randomly. Then 5 s segments of ripples (80–200 Hz) and fast ripples (FRs, 200–500 Hz) were detected automatically. The EZs and non-EZs were identified using the surgery resection range. We innovatively converted all epochs into four types of images using two scales: original waveforms, filtered waveforms, wavelet spectrum images, and smoothed pseudo Wigner–Ville distribution (SPWVD) spectrum images. Two scales were fixed and fitted scales. We then used a CNN model to classify the HFOs into EZ and non-EZ categories. As a result, 7,000 epochs of ripples and 2,000 epochs of FRs were randomly selected from the EZ and non-EZ data for analysis. Our CNN model can distinguish EZ and non-EZ HFOs successfully. Except for original ripple waveforms, the results from CNN models that are trained using fixed-scale images are significantly better than those from models trained using fitted-scale images ( p < 0.05). Of the four fixed-scale transformations, the CNN based on the adjusted SPWVD (ASPWVD) produced the best accuracies (80.89 ± 1.43% and 77.85 ± 1.61% for ripples and FRs, respectively, p < 0.05). The CNN using ASPWVD transformation images is an effective deep learning method that can be used to classify EZ and non-EZ HFOs.
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Ren et al. (2021) conducted an observational in Medically intractable focal epilepsy (n=19). Convolutional Neural Network (CNN) using adjusted smoothed pseudo Wigner-Ville distribution (ASPWVD) images vs. Other image transformation methods (original waveforms, filtered waveforms, wavelet spectrum images) and fitted scales was evaluated on Accuracy of classifying epileptogenic zone (EZ) and non-EZ high-frequency oscillations (p=<0.05). The CNN model based on adjusted smoothed pseudo Wigner-Ville distribution (ASPWVD) images successfully distinguished epileptogenic from non-epileptogenic high-frequency oscillations with accuracies of 80.89% for ripples and 77.85% for fast ripples.
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