Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability

A warning prior to seizure onset can help improve the quality of life for epilepsy patients. The feasibility of a wearable system for predicting epileptic seizures using anomaly detection based on machine learning is evaluated. An original telemeter is developed for continuous measurement of R-R int...

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Main Authors: Toshitaka Yamakawa, Miho Miyajima, Koichi Fujiwara, Manabu Kano, Yoko Suzuki, Yutaka Watanabe, Satsuki Watanabe, Tohru Hoshida, Motoki Inaji, Taketoshi Maehara
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/20/14/3987
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author Toshitaka Yamakawa
Miho Miyajima
Koichi Fujiwara
Manabu Kano
Yoko Suzuki
Yutaka Watanabe
Satsuki Watanabe
Tohru Hoshida
Motoki Inaji
Taketoshi Maehara
author_facet Toshitaka Yamakawa
Miho Miyajima
Koichi Fujiwara
Manabu Kano
Yoko Suzuki
Yutaka Watanabe
Satsuki Watanabe
Tohru Hoshida
Motoki Inaji
Taketoshi Maehara
author_sort Toshitaka Yamakawa
collection DOAJ
description A warning prior to seizure onset can help improve the quality of life for epilepsy patients. The feasibility of a wearable system for predicting epileptic seizures using anomaly detection based on machine learning is evaluated. An original telemeter is developed for continuous measurement of R-R intervals derived from an electrocardiogram. A bespoke smartphone app calculates the indices of heart rate variability in real time from the R-R intervals, and the indices are monitored using multivariate statistical process control by the smartphone app. The proposed system was evaluated on seven epilepsy patients. The accuracy and reliability of the R-R interval measurement, which was examined in comparison with the reference electrocardiogram, showed sufficient performance for heart rate variability analysis. The results obtained using the proposed system were compared with those obtained using the existing video and electroencephalogram assessments; it was noted that the proposed method has a sensitivity of 85.7% in detecting heart rate variability change prior to seizures. The false positive rate of 0.62 times/h was not significantly different from the healthy controls. The prediction performance and practical advantages of portability and real-time operation are demonstrated in this study.
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spelling doaj.art-ec3d80e4324642cbbe1c9431955c706e2023-11-20T07:07:28ZengMDPI AGSensors1424-82202020-07-012014398710.3390/s20143987Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate VariabilityToshitaka Yamakawa0Miho Miyajima1Koichi Fujiwara2Manabu Kano3Yoko Suzuki4Yutaka Watanabe5Satsuki Watanabe6Tohru Hoshida7Motoki Inaji8Taketoshi Maehara9Division of Informatics and Energy, Faculty of Advanced Science and Technology, Kumamoto University, Kumamoto 860-8555, JapanSection of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, JapanGraduate School of Engineering, Nagoya University, Nagoya 464-8603, JapanGraduate School of Informatics, Kyoto University, Kyoto 606-8501, JapanSection of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, JapanAmekudai Hospital, Naha 900-0005, JapanDepartment of Psychiatry, National Center Hospital of Neurology and Psychiatry, Kodaira 187-8553, JapanNational Hospital Organization Nara Medical Center, Nara 619-1124, JapanDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Neurosurgery, Tokyo Medical and Dental University, Tokyo 113-8510, JapanA warning prior to seizure onset can help improve the quality of life for epilepsy patients. The feasibility of a wearable system for predicting epileptic seizures using anomaly detection based on machine learning is evaluated. An original telemeter is developed for continuous measurement of R-R intervals derived from an electrocardiogram. A bespoke smartphone app calculates the indices of heart rate variability in real time from the R-R intervals, and the indices are monitored using multivariate statistical process control by the smartphone app. The proposed system was evaluated on seven epilepsy patients. The accuracy and reliability of the R-R interval measurement, which was examined in comparison with the reference electrocardiogram, showed sufficient performance for heart rate variability analysis. The results obtained using the proposed system were compared with those obtained using the existing video and electroencephalogram assessments; it was noted that the proposed method has a sensitivity of 85.7% in detecting heart rate variability change prior to seizures. The false positive rate of 0.62 times/h was not significantly different from the healthy controls. The prediction performance and practical advantages of portability and real-time operation are demonstrated in this study.https://www.mdpi.com/1424-8220/20/14/3987epilepsyelectrocardiographyheart rate variabilitymultivariate statistical process controlwearable systemmachine learning
spellingShingle Toshitaka Yamakawa
Miho Miyajima
Koichi Fujiwara
Manabu Kano
Yoko Suzuki
Yutaka Watanabe
Satsuki Watanabe
Tohru Hoshida
Motoki Inaji
Taketoshi Maehara
Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
Sensors
epilepsy
electrocardiography
heart rate variability
multivariate statistical process control
wearable system
machine learning
title Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
title_full Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
title_fullStr Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
title_full_unstemmed Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
title_short Wearable Epileptic Seizure Prediction System with Machine-Learning-Based Anomaly Detection of Heart Rate Variability
title_sort wearable epileptic seizure prediction system with machine learning based anomaly detection of heart rate variability
topic epilepsy
electrocardiography
heart rate variability
multivariate statistical process control
wearable system
machine learning
url https://www.mdpi.com/1424-8220/20/14/3987
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