Evidence map›Paper›PMID 40411751›Full record

ArticleEpilepsia2025

Forecasting epileptic seizures with wearable devices: A hybrid short- and long-horizon pseudo-prospective approach.

Mona Nasseri, Rachel E Stirling, Pedro F Viana, Jie Cui, Ewan Nurse, Philippa J Karoly, Vaclav Kremen, Matthias Dümpelmann, Gregory A Worrell, Dean R Freestone and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07012148 (FORESITE), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

NCT07012148 narecruitingnot on this mapstarted 2026, after this paper: background citation

FORESITE (FOREcasting Seizures to Initiate ThErapy): Optimizing Management of Drug-Resistant Epilepsy Using Seizure Forecasts Via Subscalp EEG and Wearables

TypeinterventionalSponsorMayo ClinicRan2026 to 2029Enrolled12ConditionsFocal Epilepsy, Generalized Seizure, Drug Refractory EpilepsyArmsUNEEG SubQ device
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Rhythms in Longitudinal Thalamic Recordings are Linked to Seizure Risk.medRxiv : the preprint server for health sciences · 2025
    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.

Mona NasseriDepartments of Neurology and Physiology and Biomedical Engineering, Mayo Foundation, Rochester, Minnesota, USA.
Rachel E StirlingDepartment of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia.
Pedro F VianaInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0003-0861-8705
Jie CuiDepartments of Neurology and Physiology and Biomedical Engineering, Mayo Foundation, Rochester, Minnesota, USA.
Ewan NurseGraeme Clark Institute, University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-8981-0074
Philippa J KarolyDepartment of Biomedical Engineering, University of Melbourne, Melbourne, Victoria, Australia.
Vaclav KremenDepartments of Neurology and Physiology and Biomedical Engineering, Mayo Foundation, Rochester, Minnesota, USA.
Matthias DümpelmannDepartment of Neurosurgery, Epilepsy Center, Medical Center, University of Freiburg, Freiburg, Germany.ORCID https://orcid.org/0000-0002-1476-7777
Gregory A WorrellDepartments of Neurology and Physiology and Biomedical Engineering, Mayo Foundation, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0003-2916-0553
Dean R FreestoneGraeme Clark Institute, University of Melbourne, Melbourne, Victoria, Australia.
Mark P RichardsonInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Benjamin H BrinkmannDepartments of Neurology and Physiology and Biomedical Engineering, Mayo Foundation, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0002-2392-8608

Funding

Reliable Seizure Prediction Using Physiological Signals and Machine LearningR01NS092882 · NINDS · MAYO CLINIC ROCHESTER · PI Gregory A Worrell · 2015 to 2026
$5.7M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH2NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2015 to 2018
$4.2M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH3NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2019 to 2021
$2.8M
Optimizing Pharmacotherapy with Noninvasive Wearable Sensors and Subscalp EEGUH3NS123066 · NINDS · MAYO CLINIC ROCHESTER · PI Benjamin H Brinkmann, Gregory A Worrell · 2025 to 2026
$1.4M
Optimizing Pharmacotherapy with Noninvasive Wearable Sensors and Subscalp EEGUG3NS123066 · NINDS · MAYO CLINIC ROCHESTER · PI BRINKMANN, BENJAMIN H, WORRELL, GREGORY A · 2022 to 2024
$1.2M
Epilepsy FoundationNIH HHS NS123066NINDS NIH HHS R01 NS092882NINDS NIH HHS UG3 NS123066NINDS NIH HHS UH2 NS095495NINDS NIH HHS UH3 NS095495NINDS NIH HHS UH3 NS123066
6 · The paper itself

Abstract

objectiveSeizure unpredictability can be debilitating and dangerous for people with epilepsy. Accurate seizure forecasters could improve quality of life for those with epilepsy but must be practical for long-term use. This study presents the first validation of a seizure-forecasting system using ultra-long-term, non-invasive wearable data.

methodsEleven participants with epilepsy were recruited for continuous monitoring, capturing heart rate and step count via wrist-worn devices and seizures via electroencephalography (average recording duration of 337 days). Two hybrid models-combining machine learning and cycle-based methods-were proposed to forecast seizures at both short (minutes) and long (up to 44 days) horizons.

resultsThe Seizure Warning System (SWS), designed for forecasting near-term seizures, and the Seizure Risk System (SRS), designed for forecasting long-term risk, both outperformed traditional models. In addition, the SRS reduced high-risk time by 29% while increasing sensitivity by 11%. SIGNIFICANCE: These improvements mark a significant advancement in making seizure forecasting more practical and effective.

Indexed as

EpilepsySeizuresWearable Electronic DevicesAdultElectroencephalographyFemaleForecastingHeart RateHumansMachine LearningMaleMiddle AgedProspective StudiesYoung Adultepilepsyforecastingmachine learningseizurewearable

Identifiers

PMID40411751
PMCPMC12344589

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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.