Six-Center Assessment of CNN-Transformer with Belief Matching Loss for Patient-Independent Seizure Detection in EEG
Bibliographic record
Abstract
Neurologists typically identify epileptic seizures from electroencephalograms (EEGs) by visual inspection. This process is often time-consuming, especially for EEG recordings that last hours or days. To expedite the process, a reliable, automated, and patient-independent seizure detector is essential. However, developing a patient-independent seizure detector is challenging as seizures exhibit diverse characteristics across patients and recording devices. In this study, we propose a patient-independent seizure detector to automatically detect seizures in both scalp EEG and intracranial EEG (iEEG). First, we deploy a convolutional neural network with transformers and belief matching loss to detect seizures in single-channel EEG segments. Next, we extract regional features from the channel-level outputs to detect seizures in multi-channel EEG segments. At last, we apply post-processing filters to the segment-level outputs to determine seizures' start and end points in multi-channel EEGs. Finally, we introduce the minimum overlap evaluation scoring as an evaluation metric that accounts for minimum overlap between the detection and seizure, improving upon existing assessment metrics. We trained the seizure detector on the Temple University Hospital Seizure (TUH-SZ) dataset and evaluated it on five independent EEG datasets. We evaluate the systems with the following metrics: sensitivity (SEN), precision (PRE), and average and median false positive rate per hour (aFPR/h and mFPR/h). Across four adult scalp EEG and iEEG datasets, we obtained SEN of 0.617-1.00, PRE of 0.534-1.00, aFPR/h of 0.425-2.002, and mFPR/h of 0-1.003. The proposed seizure detector can detect seizures in adult EEGs and takes less than 15[Formula: see text]s for a 30[Formula: see text]min EEG. Hence, this system could aid clinicians in reliably identifying seizures expeditiously, allocating more time for devising proper treatment.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.012 |
| Meta-epidemiology (narrow) | 0.002 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".