Wesley D. Gifford

Zan Li, Kyongmin Yeo, Wesley Gifford et al.

Forecasting epileptic seizures from multivariate EEG signals represents a critical challenge in healthcare time series prediction, requiring high sensitivity, low false alarm rates, and subject-specific adaptability. We present STAN, an Adversarial Spatio-Temporal Attention Network that jointly models spatial brain connectivity and temporal neural dynamics through cascaded attention blocks with alternating spatial and temporal modules. Unlike existing approaches that assume fixed preictal durations or separately process spatial and temporal features, STAN captures bidirectional dependencies between spatial and temporal patterns through a unified cascaded architecture. Adversarial training with gradient penalty enables robust discrimination between interictal and preictal states learned from clearly defined 15-minute preictal windows. Continuous 90-minute pre-seizure monitoring reveals that the learned spatio-temporal attention patterns enable early detection: reliable alarms trigger at subject-specific times (typically 15-45 minutes before onset), reflecting the model's capacity to capture subtle preictal dynamics without requiring individualized training. Experiments on two benchmark EEG datasets (CHB-MIT scalp: 8 subjects, 46 events; MSSM intracranial: 4 subjects, 14 events) demonstrate state-of-the-art performance: 96.6% sensitivity with 0.011 false detections per hour and 94.2% sensitivity with 0.063 false detections per hour, respectively, while maintaining computational efficiency (2.3M parameters, 45 ms latency, 180 MB memory) for real-time edge deployment. Beyond epilepsy, the proposed framework provides a general paradigm for spatio-temporal forecasting in healthcare and other time series domains where individual heterogeneity and interpretability are crucial.

Zan Li, Kyongmin Yeo, Wesley Gifford et al.

In this study, we present a deep learning framework that learns complex spatio-temporal correlation structures of EEG signals through a Spatio-Temporal Attention Network (STAN) for accurate predictions of onset of seizures for Epilepsy patients. Unlike existing methods, which rely on feature engineering and/or assume fixed preictal durations, our approach simultaneously models spatio-temporal correlations through STAN and employs an adversarial discriminator to distinguish preictal from interictal attention patterns, enabling patient-specific learning. Evaluation on CHB-MIT and MSSM datasets demonstrates 96.6\% sensitivity with 0.011/h false detection rate on CHB-MIT, and 94.2% sensitivity with 0.063/h FDR on MSSM, significantly outperforming state-of-the-art methods. The framework reliably detects preictal states at least 15 minutes before an onset, with patient-specific windows extending to 45 minutes, providing sufficient intervention time for clinical applications.