Evidence map›Paper›PMID 37542101›Full record

ArticleScientific reports2023

Machine-learning for the prediction of one-year seizure recurrence based on routine electroencephalography.

Émile Lemoine, Denahin Toffa, Geneviève Pelletier-Mc Duff, An Qi Xu, Mezen Jemel, Jean-Daniel Tessier, Frédéric Lesage, Dang K Nguyen, Elie Bou Assi

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Émile LemoineDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.ORCID http://orcid.org/0000-0002-8977-3186
Denahin ToffaDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.
Geneviève Pelletier-Mc DuffDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.
An Qi XuCentre de Recherche du CHUM (CRCHUM), Montréal, Qc, Canada.
Mezen JemelDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.
Jean-Daniel TessierDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.
Frédéric LesageInstitute of Biomedical Engineering, École Polytechnique de Montréal, Montréal, Qc, Canada.
Dang K NguyenDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada.
Elie Bou AssiDepartment of Neurosciences, Université de Montréal, Montréal, Qc, Canada. elie.bou.assi.chum@ssss.gouv.qc.ca.ORCID http://orcid.org/0000-0001-8248-2565
Centre Hospitalier de l’Université de Montréal · CAMontreal Heart Institute · CA

Funding

CIHR
6 · The paper itself

Abstract

Predicting seizure recurrence risk is critical to the diagnosis and management of epilepsy. Routine electroencephalography (EEG) is a cornerstone of the estimation of seizure recurrence risk. However, EEG interpretation relies on the visual identification of interictal epileptiform discharges (IEDs) by neurologists, with limited sensitivity. Automated processing of EEG could increase its diagnostic yield and accessibility. The main objective was to develop a prediction model based on automated EEG processing to predict one-year seizure recurrence in patients undergoing routine EEG. We retrospectively selected a consecutive cohort of 517 patients undergoing routine EEG at our institution (training set) and a separate, temporally shifted cohort of 261 patients (testing set). We developed an automated processing pipeline to extract linear and non-linear features from the EEGs. We trained machine learning algorithms on multichannel EEG segments to predict one-year seizure recurrence. We evaluated the impact of IEDs and clinical confounders on performances and validated the performances on the testing set. The receiver operating characteristic area-under-the-curve for seizure recurrence after EEG in the testing set was 0.63 (95% CI 0.55-0.71). Predictions were still significantly above chance in EEGs with no IEDs. Our findings suggest that there are changes other than IEDs in the EEG signal embodying seizure propensity.

Indexed as

EpilepsySeizuresElectroencephalographyHumansMachine LearningRetrospective Studies

Identifiers

PMID37542101
PMCPMC10403587
OpenAlexW4385584115

What OpenQuestion holds

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LicenceCC BY
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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.