Machine-learning-based diagnostics of EEG pathology

Machine learning (ML) methods have the potential to automate clinical EEG analysis. They can be categorized into feature-based (with handcrafted features), and end-to-end approaches (with learned features). Previous studies on EEG pathology decoding have typically analyzed a limited number of featur...

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Main Authors: Lukas A.W. Gemein, Robin T. Schirrmeister, Patryk Chrabąszcz, Daniel Wilson, Joschka Boedecker, Andreas Schulze-Bonhage, Frank Hutter, Tonio Ball
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811920305073
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author Lukas A.W. Gemein
Robin T. Schirrmeister
Patryk Chrabąszcz
Daniel Wilson
Joschka Boedecker
Andreas Schulze-Bonhage
Frank Hutter
Tonio Ball
author_facet Lukas A.W. Gemein
Robin T. Schirrmeister
Patryk Chrabąszcz
Daniel Wilson
Joschka Boedecker
Andreas Schulze-Bonhage
Frank Hutter
Tonio Ball
author_sort Lukas A.W. Gemein
collection DOAJ
description Machine learning (ML) methods have the potential to automate clinical EEG analysis. They can be categorized into feature-based (with handcrafted features), and end-to-end approaches (with learned features). Previous studies on EEG pathology decoding have typically analyzed a limited number of features, decoders, or both. For a I) more elaborate feature-based EEG analysis, and II) in-depth comparisons of both approaches, here we first develop a comprehensive feature-based framework, and then compare this framework to state-of-the-art end-to-end methods. To this aim, we apply the proposed feature-based framework and deep neural networks including an EEG-optimized temporal convolutional network (TCN) to the task of pathological versus non-pathological EEG classification. For a robust comparison, we chose the Temple University Hospital (TUH) Abnormal EEG Corpus (v2.0.0), which contains approximately 3000 EEG recordings. The results demonstrate that the proposed feature-based decoding framework can achieve accuracies on the same level as state-of-the-art deep neural networks. We find accuracies across both approaches in an astonishingly narrow range from 81 to 86%. Moreover, visualizations and analyses indicated that both approaches used similar aspects of the data, e.g., delta and theta band power at temporal electrode locations. We argue that the accuracies of current binary EEG pathology decoders could saturate near 90% due to the imperfect inter-rater agreement of the clinical labels, and that such decoders are already clinically useful, such as in areas where clinical EEG experts are rare. We make the proposed feature-based framework available open source and thus offer a new tool for EEG machine learning research.
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spelling doaj.art-d80c6bedfe70459f9cd1de26304083472022-12-21T23:40:11ZengElsevierNeuroImage1095-95722020-10-01220117021Machine-learning-based diagnostics of EEG pathologyLukas A.W. Gemein0Robin T. Schirrmeister1Patryk Chrabąszcz2Daniel Wilson3Joschka Boedecker4Andreas Schulze-Bonhage5Frank Hutter6Tonio Ball7Neuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, Germany; Machine Learning Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 74, 79110, Freiburg, Germany; Neurorobotics Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 80, 79110, Freiburg, Germany; Corresponding author. Neuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, Germany.Neuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, Germany; Machine Learning Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 74, 79110, Freiburg, GermanyNeuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, Germany; Machine Learning Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 74, 79110, Freiburg, GermanyNeuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, GermanyNeurorobotics Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 80, 79110, Freiburg, GermanyFreiburg Epilepsy Center, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, GermanyMachine Learning Lab, Computer Science Department – University of Freiburg, Faculty of Engineering, University of Freiburg, Georges-Köhler-Allee 74, 79110, Freiburg, GermanyNeuromedical AI Lab, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Engelbergerstr. 21, 79106, Freiburg, Germany; Freiburg Epilepsy Center, Department of Neurosurgery, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, GermanyMachine learning (ML) methods have the potential to automate clinical EEG analysis. They can be categorized into feature-based (with handcrafted features), and end-to-end approaches (with learned features). Previous studies on EEG pathology decoding have typically analyzed a limited number of features, decoders, or both. For a I) more elaborate feature-based EEG analysis, and II) in-depth comparisons of both approaches, here we first develop a comprehensive feature-based framework, and then compare this framework to state-of-the-art end-to-end methods. To this aim, we apply the proposed feature-based framework and deep neural networks including an EEG-optimized temporal convolutional network (TCN) to the task of pathological versus non-pathological EEG classification. For a robust comparison, we chose the Temple University Hospital (TUH) Abnormal EEG Corpus (v2.0.0), which contains approximately 3000 EEG recordings. The results demonstrate that the proposed feature-based decoding framework can achieve accuracies on the same level as state-of-the-art deep neural networks. We find accuracies across both approaches in an astonishingly narrow range from 81 to 86%. Moreover, visualizations and analyses indicated that both approaches used similar aspects of the data, e.g., delta and theta band power at temporal electrode locations. We argue that the accuracies of current binary EEG pathology decoders could saturate near 90% due to the imperfect inter-rater agreement of the clinical labels, and that such decoders are already clinically useful, such as in areas where clinical EEG experts are rare. We make the proposed feature-based framework available open source and thus offer a new tool for EEG machine learning research.http://www.sciencedirect.com/science/article/pii/S1053811920305073Machine learningDeep learningElectroencephalographyEEGDiagnosticsPathology
spellingShingle Lukas A.W. Gemein
Robin T. Schirrmeister
Patryk Chrabąszcz
Daniel Wilson
Joschka Boedecker
Andreas Schulze-Bonhage
Frank Hutter
Tonio Ball
Machine-learning-based diagnostics of EEG pathology
NeuroImage
Machine learning
Deep learning
Electroencephalography
EEG
Diagnostics
Pathology
title Machine-learning-based diagnostics of EEG pathology
title_full Machine-learning-based diagnostics of EEG pathology
title_fullStr Machine-learning-based diagnostics of EEG pathology
title_full_unstemmed Machine-learning-based diagnostics of EEG pathology
title_short Machine-learning-based diagnostics of EEG pathology
title_sort machine learning based diagnostics of eeg pathology
topic Machine learning
Deep learning
Electroencephalography
EEG
Diagnostics
Pathology
url http://www.sciencedirect.com/science/article/pii/S1053811920305073
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