Evidence map›Paper›PMID 37106678›Full record

ArticleBioengineering (Basel, Switzerland)2023

The Power of ECG in Semi-Automated Seizure Detection in Addition to Two-Channel behind-the-Ear EEG.

Miguel Bhagubai, Kaat Vandecasteele, Lauren Swinnen, Jaiver Macea, Christos Chatzichristos, Maarten De Vos, Wim Van Paesschen

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Seizure Detection Devices.Journal of clinical medicine · 2025
    Review
  9. 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

7 authors at 1 institution in 1 country.

Miguel BhagubaiDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, 3001 Leuven, Belgium.ORCID 0000-0002-2436-1738
Kaat VandecasteeleDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, 3001 Leuven, Belgium.
Lauren SwinnenLaboratory for Epilepsy Research, University Hospital Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-0531-9101
Jaiver MaceaLaboratory for Epilepsy Research, University Hospital Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-7645-897X
Christos ChatzichristosDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, 3001 Leuven, Belgium.
Maarten De VosDepartment of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, 3001 Leuven, Belgium.
Wim Van PaesschenLaboratory for Epilepsy Research, University Hospital Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-8535-1699
KU Leuven · BE

Funding

Bijzonder Onderzoeksfonds (BOF) KU Leuven: "Prevalence of Epilepsy and Sleep Disturbances in Alzheimer Disease" C24/18/097EIT Health: SeizeIT2, "Discreet Personalized Epileptic Seizure Detection Device" 19263Research Foundation - Flanders 1SB5922N
6 · The paper itself

Abstract

Long-term home monitoring of people living with epilepsy cannot be achieved using the standard full-scalp electroencephalography (EEG) coupled with video. Wearable seizure detection devices, such as behind-the-ear EEG (bte-EEG), offer an unobtrusive method for ambulatory follow-up of this population. Combining bte-EEG with electrocardiography (ECG) can enhance automated seizure detection performance. However, such frameworks produce high false alarm rates, making visual review necessary. This study aimed to evaluate a semi-automated multimodal wearable seizure detection framework using bte-EEG and ECG. Using the SeizeIT1 dataset of 42 patients with focal epilepsy, an automated multimodal seizure detection algorithm was used to produce seizure alarms. Two reviewers evaluated the algorithm's detections twice: (1) using only bte-EEG data and (2) using bte-EEG, ECG, and heart rate signals. The readers achieved a mean sensitivity of 59.1% in the bte-EEG visual experiment, with a false detection rate of 6.5 false detections per day. Adding ECG resulted in a higher mean sensitivity (62.2%) and a largely reduced false detection rate (mean of 2.4 false detections per day), as well as an increased inter-rater agreement. The multimodal framework allows for efficient review time, making it beneficial for both clinicians and patients.

Indexed as

behind-the-ear EEGECGepilepsyictal heart ratemultimodalseizure detection

Identifiers

PMID37106678
PMCPMC10136326
OpenAlexW4366548657

What OpenQuestion holds

Textmetadata
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.