Mehdi Zekriyapanah Gashti

Mostafa Mohammadpour, Mehdi Zekriyapanah Gashti, Yusif S. Gasimov

High-frequency oscillations (HFOs) are a new biomarker for identifying the epileptogenic zone. Mapping HFO-generating regions can improve the precision of resection sites in patients with refractory epilepsy. However, detecting HFOs remains challenging, and their clinical features are not yet fully defined. Visual identification of HFOs is time-consuming, labor-intensive, and subjective. As a result, developing automated methods to detect HFOs is critical for research and clinical use. In this study, we developed a novel method for detecting HFOs in the ripple and fast ripple frequency bands (80-500 Hz). We validated it using both controlled datasets and data from epilepsy patients. Our method employs an unsupervised clustering technique to categorize events extracted from the time-frequency domain using the S-transform. The proposed detector differentiates HFOs events from spikes, background activity, and artifacts. Compared to existing detectors, our method achieved a sensitivity of 97.67%, a precision of 98.57%, and an F-score of 97.78% on the controlled dataset. In epilepsy patients, our results showed a stronger correlation with surgical outcomes, with a ratio of 0.73 between HFOs rates in resected versus non-resected contacts. The study confirmed previous findings that HFOs are promising biomarkers of epileptogenicity in epileptic patients. Removing HFOs, especially fast ripple, leads to seizure freedom, while remaining HFOs lead to seizure recurrence.

Mehdi Zekriyapanah Gashti, Ghasem Farjamnia

Accurate classification of sleep stages is crucial for the diagnosis and management of sleep disorders. Conventional approaches for sleep scoring rely on manual annotation or features extracted from EEG signals in the time or frequency domain. This study proposes a novel framework for automated sleep stage scoring using time-frequency analysis based on the wavelet transform. The Sleep-EDF Expanded Database (sleep-cassette recordings) was used for evaluation. The continuous wavelet transform (CWT) generated time-frequency maps that capture both transient and oscillatory patterns across frequency bands relevant to sleep staging. Experimental results demonstrate that the proposed wavelet-based representation, combined with ensemble learning, achieves an overall accuracy of 88.37 percent and a macro-averaged F1 score of 73.15, outperforming conventional machine learning methods and exhibiting comparable or superior performance to recent deep learning approaches. These findings highlight the potential of wavelet analysis for robust, interpretable, and clinically applicable sleep stage classification.