Nonconvulsive status epilepticus is a condition where the patient is exposed to abnormally prolonged epileptic seizures without evident physical symptoms. Since these continuous seizures may cause permanent brain damage, it constitutes a medical emergency. This paper proposes a method to detect nonconvulsive seizures for a further nonconvulsive status epilepticus diagnosis. To differentiate between the normal and seizure electroencephalogram (EEG), a K-Nearest Neighbor, a Radial Basis Support Vector Machine, and a Linear Discriminant Analysis classifier are used. The classifier features are obtained from the Canonical Polyadic Decomposition (CPD) and Block Term Decomposition (BTD) of the EEG data represented as third order tensor. To expand the EEG into a tensor, Wavelet or Hilbert-Huang transform are used. The algorithm is tested on a scalp EEG database of 139 seizures of different duration. The experimental results suggest that a Hilbert-Huang tensor representation and the CPD analysis provide the most suitable framework for nonconvulsive seizure detection. The Radial Basis Support Vector Machine classifier shows the best performance with sensitivity, specificity, and accuracy values over 98%. A rough comparison with other methods proposed in the literature shows the superior performance of the proposed method for nonconvulsive epileptic seizure detection.
Nonconvulsive epileptic seizures (NCSz) and nonconvulsive status epilepticus (NCSE) are two neurological entities associated with increment in morbidity and mortality in critically ill patients. In a previous work, we introduced a method which accurately detected NCSz in EEG data (referred here as 'Batch method'). However, this approach was less effective when the EEG features identified at the beginning of the recording changed over time. Such pattern drift is an issue that causes failures of automated seizure detection methods. This paper presents a support vector machine (SVM)-based incremental learning method for NCSz detection that for the first time addresses the seizure evolution in EEG records from patients with epileptic disorders and from ICU having NCSz. To implement the incremental learning SVM, three methodologies are tested. These approaches differ in the way they reduce the set of This work has been supported by the Belgian foreign Affairs-Development Cooperation through VLIR-UOS (2013-2019) (Flemish Interuniversity Council-University Cooperation for Development) in the context of the
Abstract-Nonconvulsive status epilepticus (NCSE) is observed when the patient undergoes a persistent electroencephalographic epileptic episode without physical symptoms. This condition is commonly found in critically ill patients from intensive care units and constitutes a medical emergency. This paper proposes a method to detect nonconvulsive epileptic seizures (NCES). To perform the NCES detection the electroencephalogram (EEG) is represented as a third order tensor with axes f requency × time × channels using Wavelet or Hilbert-Huang transform. The signatures obtained from the tensor decomposition are used to train five classifiers to separate between the normal and seizure EEG. Classification is performed in two ways: (1) with each signature of the different modes separately, (2) with all signatures assembled. The algorithm is tested on a database containing 139 nonconvulsive seizures. From all performed analysis, Hilbert-Huang Tensors Space and assembled signatures demonstrate to be the best features to classify between seizure and non-seizure EEG.
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