Key result
The proposed multiband entropy-based feature-extraction method accurately identified the epileptic focus from 30 minutes of interictal iEEG with an average AUC of 0.86.
Why the study?
Presurgical investigations for categorizing focal patterns are crucial for localizing and surgically removing the epileptic focus, but imbalanced SOZ and non-SOZ channels make machine learning techniques challenging.
A machine learning approach using multiband entropy-based features from high-frequency iEEG subbands can accurately identify the epileptic focus in patients with focal cortical dysplasia.
May support automated focus localization in epilepsy; hypothesis-generating and requires prospective validation before clinical use.
Presurgical investigations for categorizing focal patterns are crucial, leading to localization and surgical removal of the epileptic focus. This paper presents a machine learning approach using information theoretic features extracted from high-frequency subbands to detect the epileptic focus from interictal intracranial electroencephalogram (iEEG). It is known that high-frequency subbands (>80 Hz) include important biomarkers such as high-frequency oscillations (HFOs) for identifying epileptic focus commonly referred to as the seizure on-set zone (SOZ). In this analysis, the multi-channel interictal iEEG signals were splitted into segments and each segment was decomposed into multiple high-frequency subbands. The different types of entropy were calculated for each of the subbands and the sparse linear discriminant analysis (sLDA) was applied to select the prominent entropy features. Due to the imbalance of SOZ and non-SOZ channels in iEEG data, the use of machine learning techniques is always tricky. To deal with the imbalanced learning problem, an adaptive synthetic oversampling approach (ADASYN) with radial basis function kernel-based SVM was used to detect the focal segments. Finally, the epileptic focus was identified based on detection of focal segments on SOZ and non-SOZ channels. Eight patients were examined to observe the efficiency of the automatic detector. The experimental results and statistical tests indicate that the proposed automatic detector can identify the epileptic focus accurately and efficiently.
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Akter et al. (2020) studied Epilepsy (n=8). Multiband entropy-based feature-extraction method with ADASYN and SVM (FbA/FS/ADA) vs. Standard filter-bank approach (FbA) and FbA with ADASYN (FbA/ADA) was evaluated on Area under the ROC curve (AUC) for identifying epileptic focus (p=<0.001). The proposed multiband entropy-based feature-extraction method accurately identified the epileptic focus from 30 minutes of interictal iEEG with an average AUC of 0.86.
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