Evidence map›Paper›PMID 35591007›Full record

ArticleSensors (Basel, Switzerland)2022

Intra- and Inter-Subject Perspectives on the Detection of Focal Onset Motor Seizures in Epilepsy Patients.

Sebastian Böttcher, Elisa Bruno, Nino Epitashvili, Matthias Dümpelmann, Nicolas Zabler, Martin Glasstetter, Valentina Ticcinelli, Sarah Thorpe, Simon Lees, Kristof Van Laerhoven and 2 more

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Wearable Artificial Intelligence for Epilepsy: Scoping Review.Journal of medical Internet research · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. 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

12 authors.

Sebastian BöttcherEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0002-3407-8290
Elisa BrunoThe RADAR-CNS Consortium, London WC2R 2LS, UK.ORCID 0000-0001-8166-1190
Nino EpitashviliEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0003-2765-8286
Matthias DümpelmannEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0002-1476-7777
Nicolas ZablerEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0002-4406-1863
Martin GlasstetterEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0002-4929-4332
Valentina TiccinelliThe RADAR-CNS Consortium, London WC2R 2LS, UK.ORCID 0000-0002-5345-1898
Sarah ThorpeThe RADAR-CNS Consortium, London WC2R 2LS, UK.ORCID 0000-0001-8973-3777
Simon LeesThe RADAR-CNS Consortium, London WC2R 2LS, UK.ORCID 0000-0001-5140-7394
Kristof Van LaerhovenUbiquitous Computing, Department of Electrical Engineering and Computer Science, University of Siegen, 57076 Siegen, Germany.ORCID 0000-0001-5296-5347
Mark P RichardsonThe RADAR-CNS Consortium, London WC2R 2LS, UK.ORCID 0000-0001-8925-3140
Andreas Schulze-BonhageEpilepsy Center, Department of Neurosurgery, Medical Center-University of Freiburg, 79106 Freiburg im Breisgau, Germany.ORCID 0000-0003-2382-0506

Funding

Innovative Medicines Initiative 2 115902
6 · The paper itself

Abstract

Focal onset epileptic seizures are highly heterogeneous in their clinical manifestations, and a robust seizure detection across patient cohorts has to date not been achieved. Here, we assess and discuss the potential of supervised machine learning models for the detection of focal onset motor seizures by means of a wrist-worn wearable device, both in a personalized context as well as across patients. Wearable data were recorded in-hospital from patients with epilepsy at two epilepsy centers. Accelerometry, electrodermal activity, and blood volume pulse data were processed and features for each of the biosignal modalities were calculated. Following a leave-one-out approach, a gradient tree boosting machine learning model was optimized and tested in an intra-subject and inter-subject evaluation. In total, 20 seizures from 9 patients were included and we report sensitivities of 67% to 100% and false alarm rates of down to 0.85 per 24 h in the individualized assessment. Conversely, for an inter-subject seizure detection methodology tested on an out-of-sample data set, an optimized model could only achieve a sensitivity of 75% at a false alarm rate of 13.4 per 24 h. We demonstrate that robustly detecting focal onset motor seizures with tonic or clonic movements from wearable data may be possible for individuals, depending on specific seizure manifestations.

Indexed as

Epilepsies, PartialEpilepsyWearable Electronic DevicesAccelerometryElectroencephalographyHumansSeizuresdigital healtheHealthepilepsymHealthmobile healthmultimodalseizure detectionwearables

Identifiers

PMID35591007
PMCPMC9105312

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.