Naimahmed Nesaragi

Hemin Ali Qadir, Naimahmed Nesaragi, Per Steiner Halvorsen et al.

This work investigates the predictive potential of bipolar electroencephalogram (EEG) recordings towards efficient prediction of poor neurological outcomes. A retrospective design using a hybrid deep learning approach is utilized to optimize an objective function aiming for high specificity, i.e., true positive rate (TPR) with reduced false positives (< 0.05). A multi-channel EEG array of 18 bipolar channel pairs from a randomly selected 5-minute segment in an hour is kept. In order to determine the outcome prediction, a combination of a feature encoder with 1-D convolutional layers, learnable position encoding, a context network with attention mechanisms, and finally, a regressor and classifier blocks are used. The feature encoder extricates local temporal and spatial features, while the following position encoding and attention mechanisms attempt to capture global temporal dependencies. Results: The proposed framework by our team, OUS IVS, when validated on the challenge hidden validation data, exhibited a score of 0.57.

Naimahmed Nesaragi, Lars Øivind Høiseth, Hemin Ali Qadir et al.

The extent to which advanced waveform analysis of non-invasive physiological signals can diagnose levels of hypovolemia remains insufficiently explored. The present study explores the discriminative ability of a deep learning (DL) framework to classify levels of ongoing hypovolemia, simulated via novel dynamic lower body negative pressure (LBNP) model among healthy volunteers. We used a dynamic LBNP protocol as opposed to the traditional model, where LBNP is applied in a predictable step-wise, progressively descending manner. This dynamic LBNP version assists in circumventing the problem posed in terms of time dependency, as in real-life pre-hospital settings, intravascular blood volume may fluctuate due to volume resuscitation. A supervised DL-based framework for ternary classification was realized by segmenting the underlying noninvasive signal and labeling segments with corresponding LBNP target levels. The proposed DL model with two inputs was trained with respective time-frequency representations extracted on waveform segments to classify each of them into blood volume loss: Class 1 (mild); Class 2 (moderate); or Class 3 (severe). At the outset, the latent space derived at the end of the DL model via late fusion among both inputs assists in enhanced classification performance. When evaluated in a 3-fold cross-validation setup with stratified subjects, the experimental findings demonstrated PPG to be a potential surrogate for variations in blood volume with average classification performance, AUROC: 0.8861, AUPRC: 0.8141, $F1$-score:72.16%, Sensitivity:79.06 %, and Specificity:89.21 %. Our proposed DL algorithm on PPG signal demonstrates the possibility of capturing the complex interplay in physiological responses related to both bleeding and fluid resuscitation using this challenging LBNP setup.

Naimahmed Nesaragi, Hemin Ali Qadir, Per Steiner Halvorsen et al.

Accurate decoding of EEG signals requires comprehensive modeling of both temporal dynamics within individual channels and spatial dependencies across channels. While Transformer-based models utilizing channel-independence (CI) strategies have demonstrated strong performance in various time series tasks, they often overlook the inter-channel correlations that are critical in multivariate EEG signals. This omission can lead to information degradation and reduced prediction accuracy, particularly in complex tasks such as neurological outcome prediction. To address these challenges, we propose Biaxialformer, characterized by a meticulously engineered two-stage attention-based framework. This model independently captures both sequence-specific (temporal) and channel-specific (spatial) EEG information, promoting synergy and mutual reinforcement across channels without sacrificing CI. By employing joint learning of positional encodings, Biaxialformer preserves both temporal and spatial relationships in EEG data, mitigating the interchannel correlation forgetting problem common in traditional CI models. Additionally, a tokenization module with variable receptive fields balance the extraction of fine-grained, localized features and broader temporal dependencies. To enhance spatial feature extraction, we leverage bipolar EEG signals, which capture inter-hemispheric brain interactions, a critical but often overlooked aspect in EEG analysis. Our study broadens the use of Transformer-based models by addressing the challenge of predicting neurological outcomes in comatose patients. Using the multicenter I-CARE data from five hospitals, we validate the robustness and generalizability of Biaxialformer with an average AUC 0.7688, AUPRC 0.8643, and F1 0.6518 in a cross-hospital scenario.