Evidence map›Paper›PMID 33099261›Full record

ArticleJournal of neuroscience methods2021

Rapid annotation of seizures and interictal-ictal-injury continuum EEG patterns.

Jin Jing, Emile d'Angremont, Senan Ebrahim, Mohammad Tabaeizadeh, Marcus Ng, Aline Herlopian, Justin Dauwels, M Brandon Westover

Abstract read
In one paragraph

Article in Journal of neuroscience methods, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

8 authors.

Jin JingMassachusetts General Hospital, Boston, MA, United States; Nanyang Technological University, Singapore, Singapore.
Emile d'AngremontUniversity Medical Center Groningen, The Netherlands.
Senan EbrahimMassachusetts General Hospital, Boston, MA, United States.
Mohammad TabaeizadehMassachusetts General Hospital, Boston, MA, United States.
Marcus NgUniversity of Manitoba, Winnipeg, MB, Canada.
Aline HerlopianYale University School of Medicine, New Haven, CT, United States.
Justin DauwelsNanyang Technological University, Singapore, Singapore.
M Brandon WestoverMassachusetts General Hospital, Boston, MA, United States. Electronic address: mwestover@mgh.harvard.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
PHD TRAINING IN NEUROSCIENCET32MH020017 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI JOHN ASSAD · 1997 to 2026
$15.8M
Multimodal Network Connectivity Architecture (MOCA) of the Brain and its Role in the Recovery of Consciousness in Comatose Cardiac Arrest PatientsR01NS102574 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GREER, DAVID MATTHEW, WU, ONA · 2018 to 2022
$3.4M
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
Quantitative Monitoring and Control of Sedation and Pain in the ICU EnvironmentK23NS090900 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WESTOVER, MICHAEL BRANDON · 2014 to 2018
$988k
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
Seizure Prediction in a Rodent Model of Focal EpilepsyF31NS105161 · NINDS · HARVARD MEDICAL SCHOOL · PI EBRAHIM, SENAN · 2018 to 2018
$38k
NCATS NIH HHS UL1 TR001863NIGMS NIH HHS T32 GM007753NIMH NIH HHS T32 MH020017NINDS NIH HHS F31 NS105161NINDS NIH HHS K23 NS090900NINDS NIH HHS K24 NS088568NINDS NIH HHS R01 NS102190NINDS NIH HHS R01 NS102574NINDS NIH HHS R01 NS107291
6 · The paper itself

Abstract

backgroundManual annotation of seizures and interictal-ictal-injury continuum (IIIC) patterns in continuous EEG (cEEG) recorded from critically ill patients is a time-intensive process for clinicians and researchers. In this study, we evaluated the accuracy and efficiency of an automated clustering method to accelerate expert annotation of cEEG. NEW

methodWe learned a local dictionary from 97 ICU patients by applying k-medoids clustering to 592 features in the time and frequency domains. We utilized changepoint detection (CPD) to segment the cEEG recordings. We then computed a bag-of-words (BoW) representation for each segment. We further clustered the segments by affinity propagation. EEG experts scored the resulting clusters for each patient by labeling only the cluster medoids. We trained a random forest classifier to assess validity of the clusters.

resultsMean pairwise agreement of 62.6% using this automated method was not significantly different from interrater agreements using manual labeling (63.8%), demonstrating the validity of the method. We also found that it takes experts using our method 5.31 ± 4.44 min to label the 30.19 ± 3.84 h of cEEG data, more than 45 times faster than unaided manual review, demonstrating efficiency. COMPARISON WITH EXISTING

methodsPrevious studies of EEG data labeling have generally yielded similar human expert interrater agreements, and lower agreements with automated methods.

conclusionsOur results suggest that long EEG recordings can be rapidly annotated by experts many times faster than unaided manual review through the use of an advanced clustering method.

Indexed as

ElectroencephalographySeizuresCritical IllnessHumansClusteringCritical careEEGIctcal-interictal continuumUnsupervised learning

Identifiers

PMID33099261
PMCPMC7744406

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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.