Evidence map›Paper›PMID 19731397›Full record

ArticleInternational journal of neural systems2009

Treating epilepsy via adaptive neurostimulation: a reinforcement learning approach.

Joelle Pineau, Arthur Guez, Robert Vincent, Gabriella Panuccio, Massimo Avoli

Abstract read
In one paragraph

Article in International journal of neural systems, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Multi-disease Deep Brain Stimulation.IEEE access : practical innovations, open solutions · 2020
    Article
  15. Deep Reinforcement Learning in Medicine.Kidney diseases (Basel, Switzerland) · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joelle PineauSchool of Computer Science, McGill University, Montreal, QC, Canada. jpineau@cs.mcgill.ca
Arthur Guez
Robert Vincent
Gabriella Panuccio
Massimo Avoli

Funding

CIHR 80091-1CIHR 8109-4CIHR 8109-5
6 · The paper itself

Abstract

This paper presents a new methodology for automatically learning an optimal neurostimulation strategy for the treatment of epilepsy. The technical challenge is to automatically modulate neurostimulation parameters, as a function of the observed EEG signal, so as to minimize the frequency and duration of seizures. The methodology leverages recent techniques from the machine learning literature, in particular the reinforcement learning paradigm, to formalize this optimization problem. We present an algorithm which is able to automatically learn an adaptive neurostimulation strategy directly from labeled training data acquired from animal brain tissues. Our results suggest that this methodology can be used to automatically find a stimulation strategy which effectively reduces the incidence of seizures, while also minimizing the amount of stimulation applied. This work highlights the crucial role that modern machine learning techniques can play in the optimization of treatment strategies for patients with chronic disorders such as epilepsy.

Indexed as

Reinforcement, Psychology4-AminopyridineAlgorithmsAnimalsBiophysicsDisease Models, AnimalElectric Stimulation TherapyElectroencephalographyEntorhinal CortexEpilepsyIn Vitro TechniquesLearningMaleMan-Machine SystemsPotassium Channel BlockersRats4-AminopyridinePotassium Channel Blockers

Identifiers

PMID19731397
PMCPMC4884089

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.