TY - JOUR
T1 - Epileptic Seizure Prediction Using Big Data and Deep Learning
T2 - Toward a Mobile System
AU - Kiral-Kornek, Isabell
AU - Roy, Subhrajit
AU - Nurse, Ewan
AU - Mashford, Benjamin
AU - Karoly, Philippa
AU - Carroll, Thomas
AU - Payne, Daniel
AU - Saha, Susmita
AU - Baldassano, Steven
AU - O'Brien, Terence
AU - Grayden, David
AU - Cook, Mark
AU - Freestone, Dean
AU - Harrer, Stefan
PY - 2018/1
Y1 - 2018/1
N2 - Background: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. Methods: Intracranial electroencephalography (iEEG) data of ten patients obtained from a seizure advisory system were analyzed as part of a pseudoprospective seizure prediction study. First, a deep learning classifier was trained to distinguish between preictal and interictal signals. Second, classifier performance was tested on held-out iEEG data from all patients and benchmarked against the performance of a random predictor. Third, the prediction system was tuned so sensitivity or time in warning could be prioritized by the patient. Finally, a demonstration of the feasibility of deployment of the prediction system onto an ultra-low power neuromorphic chip for autonomous operation on a wearable device is provided. Results: The prediction system achieved mean sensitivity of 69% and mean time in warning of 27%, significantly surpassing an equivalent random predictor for all patients by 42%. Conclusion: This study demonstrates that deep learning in combination with neuromorphic hardware can provide the basis for a wearable, real-time, always-on, patient-specific seizure warning system with low power consumption and reliable long-term performance.
AB - Background: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy. We present a proof-of-concept for a seizure prediction system that is accurate, fully automated, patient-specific, and tunable to an individual's needs. Methods: Intracranial electroencephalography (iEEG) data of ten patients obtained from a seizure advisory system were analyzed as part of a pseudoprospective seizure prediction study. First, a deep learning classifier was trained to distinguish between preictal and interictal signals. Second, classifier performance was tested on held-out iEEG data from all patients and benchmarked against the performance of a random predictor. Third, the prediction system was tuned so sensitivity or time in warning could be prioritized by the patient. Finally, a demonstration of the feasibility of deployment of the prediction system onto an ultra-low power neuromorphic chip for autonomous operation on a wearable device is provided. Results: The prediction system achieved mean sensitivity of 69% and mean time in warning of 27%, significantly surpassing an equivalent random predictor for all patients by 42%. Conclusion: This study demonstrates that deep learning in combination with neuromorphic hardware can provide the basis for a wearable, real-time, always-on, patient-specific seizure warning system with low power consumption and reliable long-term performance.
KW - Artificial intelligence
KW - Deep neural networks
KW - Epilepsy
KW - Mobile medical devices
KW - Precision medicine
KW - Seizure prediction
UR - https://www.scopus.com/pages/publications/85037980011
U2 - 10.1016/j.ebiom.2017.11.032
DO - 10.1016/j.ebiom.2017.11.032
M3 - Article
AN - SCOPUS:85037980011
SN - 2352-3964
VL - 27
SP - 103
EP - 111
JO - EBioMedicine
JF - EBioMedicine
ER -