The sudden and apparently unpredictable nature of seizures is one of the most disabling aspects of the disease epilepsy. A method capable of predicting the occurrence of seizures from the electroencephalogram (EEG) of epilepsy patients would open new therapeutic possibilities. Since the 1970s investigations on the predictability of seizures have advanced from preliminary descriptions of seizure precursors to controlled studies applying prediction algorithms to continuous multi-day EEG recordings. While most of the studies published in the 1990s and around the turn of the millennium yielded rather promising results, more recent evaluations could not reproduce these optimistic findings, thus raising a debate about the validity and reliability of previous investigations. In this review, we will critically discuss the literature on seizure prediction and address some of the problems and pitfalls involved in the designing and testing of seizure-prediction algorithms. We will give an account of the current state of this research field, point towards possible future developments and propose methodological guidelines for future studies on seizure prediction.

Seizure prediction: the long and winding road.

In this work, we proposed a versatile signal processing and analysis framework for Electroencephalogram (EEG). Within this framework the signals were decomposed into the frequency sub-bands using DWT and a set of statistical features was extracted from the sub-bands to represent the distribution of wavelet coefficients. Principal components analysis (PCA), independent components analysis (ICA) and linear discriminant analysis (LDA) is used to reduce the dimension of data. Then these features were used as an input to a support vector machine (SVM) with two discrete outputs: epileptic seizure or not. The performance of classification process due to different methods is presented and compared to show the excellent of classification process. These findings are presented as an example of a method for training, and testing a seizure prediction method on data from individual petit mal epileptic patients. Given the heterogeneity of epilepsy, it is likely that methods of this type will be required to configure intelligent devices for treating epilepsy to each individual's neurophysiology prior to clinical operation.

EEG signal classification using PCA, ICA, LDA and support vector machines

A neurological control system for modulating activity of any component or structure comprising the entirety or portion of the nervous system, or any structure interfaced thereto, generally referred to herein as a “nervous system component.” The neurological control system generates neural modulation signals delivered to a nervous system component through one or more neuromodulators, comprising intracranial (IC) stimulating electrodes and other actuators, in accordance with treatment parameters. Such treatment parameters may be derived from a neural response to previously delivered neural modulation signals sensed by one or more sensors, each configured to sense a particular characteristic indicative of a neurological or psychiatric condition.

Closed-loop feedback-driven neuromodulation

Summary For almost 40 years, neuroscientists thought that epileptic seizures began abruptly, just a few seconds before clinical attacks. There is now mounting evidence that seizures develop minutes to hours before clinical onset. This change in thinking is based on quantitative studies of long digital intracranial electroencephalographic (EEG) recordings from patients being evaluated for epilepsy surgery. Evidence that seizures can be predicted is spread over diverse sources in medical, engineering, and patent publications. Techniques used to forecast seizures include frequency-based methods, statistical analysis of EEG signals, non-linear dynamics (chaos), and intelligent engineered systems. Advances in seizure prediction promise to give rise to implantable devices able to warn of impending seizures and to trigger therapy to prevent clinical epileptic attacks. Treatments such as electrical stimulation or focal drug infusion could be given on demand and might eliminate side-effects in some patients taking antiepileptic drugs long term. Whether closed-loop seizure-prediction and treatment devices will have the profound clinical effect of their cardiological predecessors will depend on our ability to perfect these techniques. Their clinical efficacy must be validated in large-scale, prospective, controlled trials.

https://www.thelancet.com/pdfs/journals/laneur/PIIS1474-4422(02)00003-0.pdf

Prediction of epileptic seizures

http://www.cs.tau.ac.il/~nin/Courses/Seminar14a/Epilepsy.pdf

Classification of patterns of EEG synchronization for seizure prediction

Epileptic seizure prediction has steadily evolved from its conception in the 1970s, to proof-of-principle experiments in the late 1980s and 1990s, to its current place as an area of vigorous, clinical and laboratory investigation. As a step toward practical implementation of this technology in humans, we present an individualized method for selecting electroencephalogram (EEG) features and electrode locations for seizure prediction focused on precursors that occur within ten minutes of electrographic seizure onset. This method applies an intelligent genetic search process to EEG signals simultaneously collected from multiple intracranial electrode contacts and multiple quantitative features derived from these signals. The algorithm is trained on a series of baseline and preseizure records and then validated on other, previously unseen data using split sample validation techniques. The performance of this method is demonstrated on multiday recordings obtained from four patients implanted with intracranial electrodes during evaluation for epilepsy surgery. An average probability of prediction (or block sensitivity) of 62.5% was achieved in this group, with an average block false positive (FP) rate of 0.2775 FP predictions/h, corresponding to 90.47% specificity. These findings are presented as an example of a method for training, testing and validating a seizure prediction system on data from individual patients. Given the heterogeneity of epilepsy, it is likely that methods of this type will be required to configure intelligent devices for treating epilepsy to each individual's neurophysiology prior to clinical deployment.

/pdf/epileptic-seizure-prediction-using-hybrid-feature-selection-2iuxj834pj.pdf

Epileptic seizure prediction using hybrid feature selection over multiple intracranial EEG electrode contacts: a report of four patients

The objective of this study is to (1) develop and apply efficient algorithms to simultaneous intracranial electroencephalographic signals recorded from multiple implanted electrode sites to evaluate the spatial and temporal behavior of seizure precursors and (2) to demonstrate the utility of multiple feature and channel synergy for predicting epileptic seizures in patients with mesial temporal lobe epilepsy. Short-term seizure precursors within a 10-minute time period are investigated. The method consists of preprocessing, processing, feature selection, classification, and validation steps. The preprocessing step removes extraneous data and captures the salient signal attributes while maintaining the integrity of the signal. Processing is a three-step approach that includes first-level features extracted from the raw data, second-level features extracted from first level features, and third-level features extracted from second-level features. A genetic algorithm selects the optimal features off-line from a preselected group of features to serve as the input to the classifier.

http://ieeexplore.ieee.org/iel5/7934/21958/01020544.pdf

A. Hinson

Papers

Epileptic seizure prediction using hybrid feature selection over multiple intracranial EEG electrode contacts: a report of four patients

A genetic approach to selecting the optimal feature for epileptic seizure prediction