Accurate estimation of the epileptogenic zone is critical for surgical treatment of drug-resistant epilepsy. While epilepsy biomarkers detection for epileptogenic zone localization has traditionally relied on expert clinician knowledge, the use of deep learning in this context has recently gained appeal for objective diagnosis and reducing clinician burden. However, previously proposed classifiers for electrocorticogram data focused on only single biomarkers among many types, requiring separate models and large datasets for each. To minimize clinicians’ workload and patients’ sufferings, innovative methods to classify multiple biomarkers using small training datasets and minimal computation time is required. This research marks the first implementation of multi-modal multitask learning in epilepsy biomarker classification, proposing a model to automatically classify two biomarkers—high-frequency oscillations (HFO) and interictal epileptiform discharges (IED)—from separate datasets simultaneously. We validated the proposed model on 1500 annotated HFO and IED candidate signals each, obtained from 5 patients. Our proposed model can perform both HFO and IED classification simultaneously, with cross-validation accuracies of 90.99% and 93.99%; F1 scores were reported as 0.80 and 0.82, respectively. Our leave-one-patient-out experiments achieved 78.03% and 81.19% accuracy for HFO and IED classification, respectively. Compared to existing state-of-the-art classification architectures, our model is shown to be efficient and robust, yet simple and lightweight. The usefulness of sharing parameters between the two classifiers was confirmed in this practical clinical setting of epileptic biomarker detection, potentially contributing to minimizing the number of annotated datasets and realizing robust, accurate, and simultaneous identification of two biomarkers.

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Multi-modal Multitask Learning Model for Simultaneous Classification of Two Epilepsy Biomarkers

  • Nawara Mahmood Broti,
  • Masaki Sawada,
  • Yutaro Takayama,
  • Keiya Iijima,
  • Masaki Iwasaki,
  • Yumie Ono

摘要

Accurate estimation of the epileptogenic zone is critical for surgical treatment of drug-resistant epilepsy. While epilepsy biomarkers detection for epileptogenic zone localization has traditionally relied on expert clinician knowledge, the use of deep learning in this context has recently gained appeal for objective diagnosis and reducing clinician burden. However, previously proposed classifiers for electrocorticogram data focused on only single biomarkers among many types, requiring separate models and large datasets for each. To minimize clinicians’ workload and patients’ sufferings, innovative methods to classify multiple biomarkers using small training datasets and minimal computation time is required. This research marks the first implementation of multi-modal multitask learning in epilepsy biomarker classification, proposing a model to automatically classify two biomarkers—high-frequency oscillations (HFO) and interictal epileptiform discharges (IED)—from separate datasets simultaneously. We validated the proposed model on 1500 annotated HFO and IED candidate signals each, obtained from 5 patients. Our proposed model can perform both HFO and IED classification simultaneously, with cross-validation accuracies of 90.99% and 93.99%; F1 scores were reported as 0.80 and 0.82, respectively. Our leave-one-patient-out experiments achieved 78.03% and 81.19% accuracy for HFO and IED classification, respectively. Compared to existing state-of-the-art classification architectures, our model is shown to be efficient and robust, yet simple and lightweight. The usefulness of sharing parameters between the two classifiers was confirmed in this practical clinical setting of epileptic biomarker detection, potentially contributing to minimizing the number of annotated datasets and realizing robust, accurate, and simultaneous identification of two biomarkers.