Evidence map›Paper›PMID 34754043›Full record

ArticleScientific reports2021

Ambulatory seizure forecasting with a wrist-worn device using long-short term memory deep learning.

Mona Nasseri, Tal Pal Attia, Boney Joseph, Nicholas M Gregg, Ewan S Nurse, Pedro F Viana, Gregory Worrell, Matthias Dümpelmann, Mark P Richardson, Dean R Freestone and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06593951 (Registry and Natural History Study for Progressive Myoclonus Epilepsy Type 1), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.5field-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.

NCT06593951 recruitingnot on this mapstarted 2024, after this paper: background citation

Registry and Natural History Study for Progressive Myoclonus Epilepsy Type 1 (EPM1)

Typeobservational_patient_registrySponsorBoston Children's HospitalRan2024 to 2030Enrolled200ConditionsProgressive Myoclonus Epilepsy Type 1, EPM1, CSTB-related Disease, Myoclonus Epilepsies, Progressive
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Wearable Artificial Intelligence for Epilepsy: Scoping Review.Journal of medical Internet research · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Seizure prediction and forecasting: a scoping review.Current opinion in neurology · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

11 authors at 6 institutions in 5 countries.

Mona NasseriDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA.
Tal Pal AttiaDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA.
Boney JosephDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA.
Nicholas M GreggDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA.
Ewan S NurseSeer Medical Inc., Melbourne, VIC, Australia.
Pedro F VianaInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Gregory WorrellDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA.
Matthias DümpelmannDepartment of Neurosurgery, Epilepsy Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Mark P RichardsonInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Dean R FreestoneSeer Medical Inc., Melbourne, VIC, Australia.
Benjamin H BrinkmannDepartments of Neurology and Biomedical Engineering, Mayo Foundation, Rochester, MN, USA. brinkmann.benjamin@mayo.edu.
Mayo Clinic · USKing's College London · GBUniversity of Freiburg · DEUniversity of Lisbon · PTUniversity of Melbourne · AUUniversity of North Florida · US

Funding

Epilepsy Foundation My Seizure GaugeMayo Clinic Neurology AI Program
6 · The paper itself

Abstract

The ability to forecast seizures minutes to hours in advance of an event has been verified using invasive EEG devices, but has not been previously demonstrated using noninvasive wearable devices over long durations in an ambulatory setting. In this study we developed a seizure forecasting system with a long short-term memory (LSTM) recurrent neural network (RNN) algorithm, using a noninvasive wrist-worn research-grade physiological sensor device, and tested the system in patients with epilepsy in the field, with concurrent invasive EEG confirmation of seizures via an implanted recording device. The system achieved forecasting performance significantly better than a random predictor for 5 of 6 patients studied, with mean AUC-ROC of 0.80 (range 0.72-0.92). These results provide the first clear evidence that direct seizure forecasts are possible using wearable devices in the ambulatory setting for many patients with epilepsy.

Indexed as

Deep LearningMemoryWearable Electronic DevicesAdultCohort StudiesElectroencephalographyFemaleForecastingHumansMaleMiddle AgedSeizuresWristYoung Adult

Identifiers

PMID34754043
PMCPMC8578354
OpenAlexW3211751723

What OpenQuestion holds

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LicenceCC BY
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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.