Evidence map›Paper›PMID 34490891›Full record

ArticleEpilepsia2021

Accurate detection of typical absence seizures in adults and children using a two-channel electroencephalographic wearable behind the ears.

Lauren Swinnen, Christos Chatzichristos, Katrien Jansen, Lieven Lagae, Chantal Depondt, Laura Seynaeve, Evelien Vancaester, Annelies Van Dycke, Jaiver Macea, Kaat Vandecasteele and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05738226 (Validation Study for Monitoring of Focal Onset Epileptic Seizures With a Wearable Seizure Monitoring Device, EpiCare@Home), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 2% of its field
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.

NCT05738226 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

Validation Study for Monitoring of Focal Onset Epileptic Seizures With a Wearable Seizure Monitoring Device, EpiCare@Home

TypeinterventionalSponsorBytefliesRan2023 to 2023Enrolled0ConditionsEpilepsy, Seizures, Seizures, Focal, Seizure, RefractoryArmsEpiCare@Home, wearable multimodal seizure monitoring system
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
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  10. Wearable sensors in paediatric neurology.Developmental medicine and child neurology · 2025
    Review
  11. Article
  12. Seizure Detection Devices.Journal of clinical medicine · 2025
    Review
  13. Article
  14. Article
  15. 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

13 authors at 6 institutions in 1 country.

Lauren SwinnenLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals, Leuven, Belgium.ORCID 0000-0003-0531-9101
Christos ChatzichristosDepartment of Electrical Engineering, STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Leuven, Belgium.
Katrien JansenDepartment Development and Regeneration, KU Leuven, Leuven, Belgium.
Lieven LagaeDepartment Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID 0000-0002-7118-0139
Chantal DepondtDepartment of Neurology, Hôpital Erasme, Université Libre de Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0002-8452-5319
Laura SeynaeveDepartment of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Evelien VancaesterDepartment of Neurology, General Hospital Groeninge, Kortrijk, Belgium.
Annelies Van DyckeDepartment of Neurology, General Hospital Sint-Jan, Brugge, Belgium.
Jaiver MaceaLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals, Leuven, Belgium.ORCID 0000-0002-7645-897X
Kaat VandecasteeleDepartment of Electrical Engineering, STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Leuven, Belgium.ORCID 0000-0002-9888-577X
Victoria BrouxLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals, Leuven, Belgium.
Maarten De VosDepartment of Electrical Engineering, STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Leuven, Belgium.
Wim Van PaesschenLaboratory for Epilepsy Research, KU Leuven and Department of Neurology, University Hospitals, Leuven, Belgium.ORCID 0000-0002-8535-1699
KU Leuven · BERega Institute for Medical Research · BEAZ Groeninge · BEAZ Sint-Jan · BEUniversité Libre de Bruxelles · BEVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with absence epilepsy sensitivity <10% of their absences. The clinical gold standard to assess absence epilepsy is a 24-h electroencephalographic (EEG) recording, which is expensive, obtrusive, and time-consuming to review. We aimed to (1) investigate the performance of an unobtrusive, two-channel behind-the-ear EEG-based wearable, the Sensor Dot (SD), to detect typical absences in adults and children; and (2) develop a sensitive patient-specific absence seizure detection algorithm to reduce the review time of the recordings.

methodsWe recruited 12 patients (median age = 21 years, range = 8-50; seven female) who were admitted to the epilepsy monitoring units of University Hospitals Leuven for a 24-h 25-channel video-EEG recording to assess their refractory typical absences. Four additional behind-the-ear electrodes were attached for concomitant recording with the SD. Typical absences were defined as 3-Hz spike-and-wave discharges on EEG, lasting 3 s or longer. Seizures on SD were blindly annotated on the full recording and on the algorithm-labeled file and consequently compared to 25-channel EEG annotations. Patients or caregivers were asked to keep a seizure diary. Performance of the SD and seizure diary were measured using the F1 score.

resultsWe concomitantly recorded 284 absences on video-EEG and SD. Our absence detection algorithm had a sensitivity of .983 and false positives per hour rate of .9138. Blind reading of full SD data resulted in sensitivity of .81, precision of .89, and F1 score of .73, whereas review of the algorithm-labeled files resulted in scores of .83, .89, and .87, respectively. Patient self-reporting gave sensitivity of .08, precision of 1.00, and F1 score of .15. SIGNIFICANCE: Using the wearable SD, epileptologists were able to reliably detect typical absence seizures. Our automated absence detection algorithm reduced the review time of a 24-h recording from 1-2 h to around 5-10 min.

Indexed as

Epilepsy, AbsenceWearable Electronic DevicesAdolescentAdultAlgorithmsChildElectroencephalographyFemaleHumansMaleMiddle AgedSeizuresYoung Adultepilepsyseizure detection algorithmseizure underreportingtypical absence seizureswearable seizure detection

Identifiers

PMID34490891
PMCPMC9292701
OpenAlexW3198264607

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.