Evidence map›Paper›PMID 32812468›Full record

ArticleInternational journal of neural systems2020

Automated Detection of Interictal Epileptiform Discharges from Scalp Electroencephalograms by Convolutional Neural Networks.

John Thomas, Jing Jin, Prasanth Thangavel, Elham Bagheri, Rajamanickam Yuvaraj, Justin Dauwels, Rahul Rathakrishnan, Jonathan J Halford, Sydney S Cash, Brandon Westover

Abstract read
In one paragraph

Article in International journal of neural systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  18. Deep Learning for Interictal Epileptiform Spike Detection from scalp EEG frequency sub bands.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
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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

10 authors.

John ThomasSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Jing JinSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Prasanth ThangavelSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Elham BagheriSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Rajamanickam YuvarajSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Justin DauwelsSchool of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
Rahul RathakrishnanDivision of Neurology, National University Hospital, Singapore 119074, Singapore.
Jonathan J HalfordDepartment of Neurology, Medical University of South Carolina, Charleston, SC 29425, USA.
Sydney S CashDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Brandon WestoverDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.

Funding

Investigation of Sleep in the Intensive Care Unit (ICU-SLEEP)R01NS102190 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2018 to 2022
$3.2M
Big Data and Deep Learning for the Interictal-Ictal-Injury ContiuumR01NS107291 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2018 to 2022
$2.8M
NINDS NIH HHS R01 NS102190NINDS NIH HHS R01 NS107291
6 · The paper itself

Abstract

Visual evaluation of electroencephalogram (EEG) for Interictal Epileptiform Discharges (IEDs) as distinctive biomarkers of epilepsy has various limitations, including time-consuming reviews, steep learning curves, interobserver variability, and the need for specialized experts. The development of an automated IED detector is necessary to provide a faster and reliable diagnosis of epilepsy. In this paper, we propose an automated IED detector based on Convolutional Neural Networks (CNNs). We have evaluated the proposed IED detector on a sizable database of 554 scalp EEG recordings (84 epileptic patients and 461 nonepileptic subjects) recorded at Massachusetts General Hospital (MGH), Boston. The proposed CNN IED detector has achieved superior performance in comparison with conventional methods with a mean cross-validation area under the precision-recall curve (AUPRC) of 0.838[Formula: see text]±[Formula: see text]0.040 and false detection rate of 0.2[Formula: see text]±[Formula: see text]0.11 per minute for a sensitivity of 80%. We demonstrated the proposed system to be noninferior to 30 neurologists on a dataset from the Medical University of South Carolina (MUSC). Further, we clinically validated the system at National University Hospital (NUH), Singapore, with an agreement accuracy of 81.41% with a clinical expert. Moreover, the proposed system can be applied to EEG recordings with any arbitrary number of channels.

Indexed as

EpilepsyScalpArea Under CurveElectroencephalographyHumansNeural Networks, Computerclinical validationconvolutional neural networksdeep learningelectroencephalogramEpilepsyinterictal epileptiform dischargesmulti-center studyspike detection

Identifiers

PMID32812468
PMCPMC7606586

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Registered trials

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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.