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  4. Automatic detection of generalized paroxysmal fast activity in interictal EEG using time-frequency analysis
 
research article

Automatic detection of generalized paroxysmal fast activity in interictal EEG using time-frequency analysis

Omidvarnia, Amir  
•
Warren, Aaron E. L.
•
Dalic, Linda J.
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June 1, 2021
Computers in Biology and Medicine

Objective: Markup of generalized interictal epileptiform discharges (IEDs) on EEG is an important step in the diagnosis and characterization of epilepsy. However, manual EEG markup is a time-consuming, subjective, and the specialized task where the human reviewer needs to visually inspect a large amount of data to facilitate accurate clinical decisions. In this study, we aimed to develop a framework for automated detection of generalized paroxysmal fast activity (GPFA), a generalized IED seen in scalp EEG recordings of patients with the severe epilepsy of Lennox-Gastaut syndrome (LGS). Methods: We studied 13 children with LGS who had GPFA events in their interictal EEG recordings. Timefrequency information derived from manually marked IEDs across multiple EEG channels was used to automatically detect similar events in each patient's interictal EEG. We validated true positives and false positives of the proposed spike detection approach using both standalone scalp EEG and simultaneous EEG-functional MRI (EEG-fMRI) recordings. Results: GPFA events displayed a consistent low-high frequency arrangement in the time-frequency domain. This 'bimodal' spectral feature was most prominent over frontal EEG channels. Our automatic detection approach using this feature identified EEG events with similar time-frequency properties to the manually marked GPFAs. Brain maps of EEG-fMRI signal change during these automatically detected IEDs were comparable to the EEGfMRI brain maps derived from manual IED markup. Conclusion: GPFA events have a characteristic bimodal time-frequency feature that can be automatically detected from scalp EEG recordings in patients with LGS. The validity of this time-frequency feature is demonstrated by EEG-fMRI analysis of automatically detected events, which recapitulates the brain maps we have previously shown to underlie generalized IEDs in LGS. Significance: This study provides a novel methodology that enables a fast, automated, and objective inspection of generalized IEDs in LGS. The proposed framework may be extendable to a wider range of epilepsy syndromes in which monitoring the burden of epileptic activity can aid clinical decision-making and faster assessment of treatment response and estimation of future seizure risk.

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Type
research article
DOI
10.1016/j.compbiomed.2021.104287
Web of Science ID

WOS:000663504000004

Author(s)
Omidvarnia, Amir  
Warren, Aaron E. L.
Dalic, Linda J.
Pedersen, Mangor
Jackson, Graeme
Date Issued

2021-06-01

Published in
Computers in Biology and Medicine
Volume

133

Article Number

104287

Subjects

Biology

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Computer Science, Interdisciplinary Applications

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Engineering, Biomedical

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Mathematical & Computational Biology

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Life Sciences & Biomedicine - Other Topics

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Computer Science

•

Engineering

•

eeg

•

fmri

•

epilepsy

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automatic spike detection

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interictal epileptiform discharge

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time-frequency analysis

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lennox-gastaut syndrome

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generalized paroxysmal fast activity

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general linear modelling

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spike detection

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epileptic activity

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classification

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localization

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recognition

Note

This is an Open Access article under the terms of the Creative Commons Attribution License

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
MIPLAB  
Available on Infoscience
July 3, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/179729
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