Evidence map›Paper›PMID 26055336›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2016

Validation of an automated seizure detection algorithm for term neonates.

Sean R Mathieson, Nathan J Stevenson, Evonne Low, William P Marnane, Janet M Rennie, Andrey Temko, Gordon Lightbody, Geraldine B Boylan

Abstract readValidation Study
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Trial
  2. Validation of a novel Bayesian predictive algorithm for detection of carbon dioxide retention using retrospective neonatal ICU data.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Transforming neonatal care with artificial intelligence: challenges, ethical consideration, and opportunities.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Review
  7. Quantifying Sharpness and Nonlinearity in Neonatal Seizure Dynamics.Cyborg and bionic systems (Washington, D.C.) · 2024
    Article
  8. Questions and Controversies in Neonatal Seizures.Children (Basel, Switzerland) · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Attention-Based Network for Weak Labels in Neonatal Seizure Detection.Proceedings of machine learning research · 2020
    Article
  15. Article
  16. Article
  17. Network dynamics in the healthy and epileptic developing brain.Network neuroscience (Cambridge, Mass.) · 2018
    Article
  18. Toward a Personalized Real-Time Diagnosis in Neonatal Seizure Detection.IEEE journal of translational engineering in health and medicine · 2017
    Article
  19. Phenobarbital reduces EEG amplitude and propagation of neonatal seizures but does not alter performance of automated seizure detection.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2016
    Article
  20. Monitoring of newborns at high risk for brain injury.Italian journal of pediatrics · 2016
    Review
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

8 authors.

Sean R MathiesonAcademic Research Department of Neonatology, Institute for Women's Health, University College London, London, United Kingdom.
Nathan J StevensonNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Evonne LowNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
William P MarnaneNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Janet M RennieAcademic Research Department of Neonatology, Institute for Women's Health, University College London, London, United Kingdom.
Andrey TemkoNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Gordon LightbodyNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Geraldine B BoylanNeonatal Brain Research Group, Irish Centre for Fetal and Neonatal Translational Research, Department of Paediatrics and Child Health, University College Cork, Cork, Ireland. Electronic address: g.boylan@ucc.ie.

Funding

Wellcome Trust 098983
6 · The paper itself

Abstract

objectiveThe objective of this study was to validate the performance of a seizure detection algorithm (SDA) developed by our group, on previously unseen, prolonged, unedited EEG recordings from 70 babies from 2 centres.

methodsEEGs of 70 babies (35 seizure, 35 non-seizure) were annotated for seizures by experts as the gold standard. The SDA was tested on the EEGs at a range of sensitivity settings. Annotations from the expert and SDA were compared using event and epoch based metrics. The effect of seizure duration on SDA performance was also analysed.

resultsBetween sensitivity settings of 0.5 and 0.3, the algorithm achieved seizure detection rates of 52.6-75.0%, with false detection (FD) rates of 0.04-0.36FD/h for event based analysis, which was deemed to be acceptable in a clinical environment. Time based comparison of expert and SDA annotations using Cohen's Kappa Index revealed a best performing SDA threshold of 0.4 (Kappa 0.630). The SDA showed improved detection performance with longer seizures.

conclusionThe SDA achieved promising performance and warrants further testing in a live clinical evaluation. SIGNIFICANCE: The SDA has the potential to improve seizure detection and provide a robust tool for comparing treatment regimens.

Indexed as

AlgorithmsElectroencephalographyFemaleHumansInfant, NewbornMaleSeizuresAutomated seizure detectionHypoxic-ischaemic encephalopathyNeonatal EEGNeonatal neurologyNeonatal seizures

Identifiers

PMID26055336
PMCPMC4727504

What OpenQuestion holds

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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.