A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy

Abstract Background Convolutional neural network (CNN) has achieved state-of-art performance in many electroencephalogram (EEG) related studies. However, the application of CNN in prediction of risk factors for sudden unexpected death in epilepsy (SUDEP) remains as an underexplored area. It is uncle...

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Main Authors: Cong Zhu, Yejin Kim, Xiaoqian Jiang, Samden Lhatoo, Hampson Jaison, Guo-Qiang Zhang
Format: Article
Language:English
Published: BMC 2020-12-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-020-01310-y
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author Cong Zhu
Yejin Kim
Xiaoqian Jiang
Samden Lhatoo
Hampson Jaison
Guo-Qiang Zhang
author_facet Cong Zhu
Yejin Kim
Xiaoqian Jiang
Samden Lhatoo
Hampson Jaison
Guo-Qiang Zhang
author_sort Cong Zhu
collection DOAJ
description Abstract Background Convolutional neural network (CNN) has achieved state-of-art performance in many electroencephalogram (EEG) related studies. However, the application of CNN in prediction of risk factors for sudden unexpected death in epilepsy (SUDEP) remains as an underexplored area. It is unclear how the trade-off between computation cost and prediction power varies with changes in the complexity and depth of neural nets. Methods The purpose of this study was to explore the feasibility of using a lightweight CNN to predict SUDEP. A total of 170 patients were included in the analyses. The CNN model was trained using clips with 10-s signals sampled from the original EEG. We implemented Hann function to smooth the raw EEG signal and evaluated its effect by choosing different strength of denoising filter. In addition, we experimented two variations of the proposed model: (1) converting EEG input into an “RGB” format to address EEG channels underlying spatial correlation and (2) incorporating residual network (ResNet) into the bottle neck position of the proposed structure of baseline CNN. Results The proposed baseline CNN model with lightweight architecture achieved the best AUC of 0.72. A moderate noise removal step facilitated the training of CNN model by ensuring stability of performance. We did not observe further improvement in model’s accuracy by increasing the strength of denoising filter. Conclusion Post-seizure slow activity in EEG is a potential marker for SUDEP, our proposed lightweight architecture of CNN achieved satisfying trade-off between efficiently identifying such biomarker and computational cost. It also has a flexible interface to be integrated with different variations in structure leaving room for further improvement of the model’s performance in automating EEG signal annotation.
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spelling doaj.art-84d322a0bbca4ed090163da50fbe6be82022-12-21T17:14:44ZengBMCBMC Medical Informatics and Decision Making1472-69472020-12-0120S121810.1186/s12911-020-01310-yA lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsyCong Zhu0Yejin Kim1Xiaoqian Jiang2Samden Lhatoo3Hampson Jaison4Guo-Qiang Zhang5Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at HoustonSchool of Biomedical Informatics, University of Texas Health Science Center at HoustonSchool of Biomedical Informatics, University of Texas Health Science Center at HoustonDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at HoustonDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at HoustonDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at HoustonAbstract Background Convolutional neural network (CNN) has achieved state-of-art performance in many electroencephalogram (EEG) related studies. However, the application of CNN in prediction of risk factors for sudden unexpected death in epilepsy (SUDEP) remains as an underexplored area. It is unclear how the trade-off between computation cost and prediction power varies with changes in the complexity and depth of neural nets. Methods The purpose of this study was to explore the feasibility of using a lightweight CNN to predict SUDEP. A total of 170 patients were included in the analyses. The CNN model was trained using clips with 10-s signals sampled from the original EEG. We implemented Hann function to smooth the raw EEG signal and evaluated its effect by choosing different strength of denoising filter. In addition, we experimented two variations of the proposed model: (1) converting EEG input into an “RGB” format to address EEG channels underlying spatial correlation and (2) incorporating residual network (ResNet) into the bottle neck position of the proposed structure of baseline CNN. Results The proposed baseline CNN model with lightweight architecture achieved the best AUC of 0.72. A moderate noise removal step facilitated the training of CNN model by ensuring stability of performance. We did not observe further improvement in model’s accuracy by increasing the strength of denoising filter. Conclusion Post-seizure slow activity in EEG is a potential marker for SUDEP, our proposed lightweight architecture of CNN achieved satisfying trade-off between efficiently identifying such biomarker and computational cost. It also has a flexible interface to be integrated with different variations in structure leaving room for further improvement of the model’s performance in automating EEG signal annotation.https://doi.org/10.1186/s12911-020-01310-yConvolutional neural networkSudden death in epilepsyPGESEEG suppressionDeep learning
spellingShingle Cong Zhu
Yejin Kim
Xiaoqian Jiang
Samden Lhatoo
Hampson Jaison
Guo-Qiang Zhang
A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
BMC Medical Informatics and Decision Making
Convolutional neural network
Sudden death in epilepsy
PGES
EEG suppression
Deep learning
title A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
title_full A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
title_fullStr A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
title_full_unstemmed A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
title_short A lightweight convolutional neural network for assessing an EEG risk marker for sudden unexpected death in epilepsy
title_sort lightweight convolutional neural network for assessing an eeg risk marker for sudden unexpected death in epilepsy
topic Convolutional neural network
Sudden death in epilepsy
PGES
EEG suppression
Deep learning
url https://doi.org/10.1186/s12911-020-01310-y
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