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research article

Interpreting deep learning models for epileptic seizure detection on EEG signals

Gabeff, Valentin
•
Teijeiro, Tomas  
•
Zapater, Marina  
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May 1, 2021
Artificial Intelligence in Medicine

While Deep Learning (DL) is often considered the state-of-the art for Artificial Intelligence-based medical decision support, it remains sparsely implemented in clinical practice and poorly trusted by clinicians due to insufficient interpretability of neural network models. We have tackled this issue by developing interpretable DL models in the context of online detection of epileptic seizure, based on EEG signal. This has conditioned the preparation of the input signals, the network architecture, and the post-processing of the output in line with the domain knowledge. Specifically, we focused the discussion on three main aspects: 1) how to aggregate the classification results on signal segments provided by the DL model into a larger time scale, at the seizure-level; 2) what are the relevant frequency patterns learned in the first convolutional layer of different models, and their relation with the delta, theta, alpha, beta and gamma frequency bands on which the visual interpretation of EEG is based; and 3) the identification of the signal waveforms with larger contribution towards the ictal class, according to the activation differences highlighted using the DeepLIFT method. Results show that the kernel size in the first layer determines the interpretability of the extracted features and the sensitivity of the trained models, even though the final performance is very similar after post-processing. Also, we found that amplitude is the main feature leading to an ictal prediction, suggesting that a larger patient population would be required to learn more complex frequency patterns. Still, our methodology was successfully able to generalize patient inter-variability for the majority of the studied population with a classification F1-score of 0.873 and detecting 90% of the seizures.

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Type
research article
DOI
10.1016/j.artmed.2021.102084
Author(s)
Gabeff, Valentin
Teijeiro, Tomas  
Zapater, Marina  
Cammoun, Leila
Rheims, Sylvain
Ryvlin, Philippe
Atienza, David  
Date Issued

2021-05-01

Published in
Artificial Intelligence in Medicine
Volume

117

Article Number

102084

Subjects

Epilepsy

•

EEG Seizure detection

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Interpretable deep learning

•

Convolutional neural networks

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
ESL  
Available on Infoscience
May 28, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/178403
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