Wenjie Ming

Yankun Xu, Junzhe Wang, Yun-Hsuan Chen et al.

An accurate and efficient epileptic seizure onset detection can significantly benefit patients. Traditional diagnostic methods, primarily relying on electroencephalograms (EEGs), often result in cumbersome and non-portable solutions, making continuous patient monitoring challenging. The video-based seizure detection system is expected to free patients from the constraints of scalp or implanted EEG devices and enable remote monitoring in residential settings. Previous video-based methods neither enable all-day monitoring nor provide short detection latency due to insufficient resources and ineffective patient action recognition techniques. Additionally, skeleton-based action recognition approaches remain limitations in identifying subtle seizure-related actions. To address these challenges, we propose a novel Video-based Seizure detection model via a skeleton-based spatiotemporal Vision Graph neural network (VSViG) for its efficient, accurate and timely purpose in real-time scenarios. Our experimental results indicate VSViG outperforms previous state-of-the-art action recognition models on our collected patients' video data with higher accuracy (5.9% error), lower FLOPs (0.4G), and smaller model size (1.4M). Furthermore, by integrating a decision-making rule that combines output probabilities and an accumulative function, we achieve a 5.1 s detection latency after EEG onset, a 13.1 s detection advance before clinical onset, and a zero false detection rate. The project homepage is available at: https://github.com/xuyankun/VSViG/

Yankun Xu, Jie Yang, Wenjie Ming et al.

Although recent studies have proposed seizure detection algorithms with good sensitivity performance, there is a remained challenge that they were hard to achieve significantly short detection latency in real-time scenarios. In this manuscript, we propose a novel deep learning framework intended for shortening epileptic seizure detection latency via probabilistic prediction. We are the first to convert the seizure detection task from traditional binary classification to probabilistic prediction by introducing a crossing period from seizure-oriented EEG recording and proposing a labeling rule using soft-label for crossing period samples. And, a novel multiscale STFT-based feature extraction method combined with 3D-CNN architecture is proposed to accurately capture predictive probabilities of samples. Furthermore, we also propose rectified weighting strategy to enhance predictive probabilities, and accumulative decision-making rule to achieve significantly shorter detection latency. We implement the proposed framework on two prevalent datasets -- CHB-MIT scalp EEG dataset and SWEC-ETHZ intracranial EEG dataset in patient-specific leave-one-seizure-out cross-validation scheme. Eventually, the proposed algorithm successfully detected 94 out of 99 seizures during crossing period and 100% seizures detected after EEG onset, averaged 14.84% rectified predictive ictal probability (RPIP) errors of crossing samples, 2.3 s detection latency, 0.08/h false detection rate (FDR) on CHB-MIT dataset. Meanwhile, 84 out of 89 detected seizures during crossing period, 100% detected seizures after EEG onset, 16.17% RPIP errors, 4.7 s detection latency, and 0.08/h FDR are achieved on SWEC-ETHZ dataset. The obtained detection latencies are at least 50% shorter than state-of-the-art results reported in previous studies.