Weak supervision as an efficient approach for automated seizure detection in electroencephalography

Abstract Automated seizure detection from electroencephalography (EEG) would improve the quality of patient care while reducing medical costs, but achieving reliably high performance across patients has proven difficult. Convolutional Neural Networks (CNNs) show promise in addressing this problem, b...

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Autores principales: Khaled Saab, Jared Dunnmon, Christopher Ré, Daniel Rubin, Christopher Lee-Messer
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/ff53b21a684b46adb56f53e342154ca4
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spelling oai:doaj.org-article:ff53b21a684b46adb56f53e342154ca42021-12-02T13:39:29ZWeak supervision as an efficient approach for automated seizure detection in electroencephalography10.1038/s41746-020-0264-02398-6352https://doaj.org/article/ff53b21a684b46adb56f53e342154ca42020-04-01T00:00:00Zhttps://doi.org/10.1038/s41746-020-0264-0https://doaj.org/toc/2398-6352Abstract Automated seizure detection from electroencephalography (EEG) would improve the quality of patient care while reducing medical costs, but achieving reliably high performance across patients has proven difficult. Convolutional Neural Networks (CNNs) show promise in addressing this problem, but they are limited by a lack of large labeled training datasets. We propose using imperfect but plentiful archived annotations to train CNNs for automated, real-time EEG seizure detection across patients. While these weak annotations indicate possible seizures with precision scores as low as 0.37, they are commonly produced in large volumes within existing clinical workflows by a mixed group of technicians, fellows, students, and board-certified epileptologists. We find that CNNs trained using such weak annotations achieve Area Under the Receiver Operating Characteristic curve (AUROC) values of 0.93 and 0.94 for pediatric and adult seizure onset detection, respectively. Compared to currently deployed clinical software, our model provides a 31% increase (18 points) in F1-score for pediatric patients and a 17% increase (11 points) for adult patients. These results demonstrate that weak annotations, which are sustainably collected via existing clinical workflows, can be leveraged to produce clinically useful seizure detection models.Khaled SaabJared DunnmonChristopher RéDaniel RubinChristopher Lee-MesserNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-12 (2020)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
spellingShingle Computer applications to medicine. Medical informatics
R858-859.7
Khaled Saab
Jared Dunnmon
Christopher Ré
Daniel Rubin
Christopher Lee-Messer
Weak supervision as an efficient approach for automated seizure detection in electroencephalography
description Abstract Automated seizure detection from electroencephalography (EEG) would improve the quality of patient care while reducing medical costs, but achieving reliably high performance across patients has proven difficult. Convolutional Neural Networks (CNNs) show promise in addressing this problem, but they are limited by a lack of large labeled training datasets. We propose using imperfect but plentiful archived annotations to train CNNs for automated, real-time EEG seizure detection across patients. While these weak annotations indicate possible seizures with precision scores as low as 0.37, they are commonly produced in large volumes within existing clinical workflows by a mixed group of technicians, fellows, students, and board-certified epileptologists. We find that CNNs trained using such weak annotations achieve Area Under the Receiver Operating Characteristic curve (AUROC) values of 0.93 and 0.94 for pediatric and adult seizure onset detection, respectively. Compared to currently deployed clinical software, our model provides a 31% increase (18 points) in F1-score for pediatric patients and a 17% increase (11 points) for adult patients. These results demonstrate that weak annotations, which are sustainably collected via existing clinical workflows, can be leveraged to produce clinically useful seizure detection models.
format article
author Khaled Saab
Jared Dunnmon
Christopher Ré
Daniel Rubin
Christopher Lee-Messer
author_facet Khaled Saab
Jared Dunnmon
Christopher Ré
Daniel Rubin
Christopher Lee-Messer
author_sort Khaled Saab
title Weak supervision as an efficient approach for automated seizure detection in electroencephalography
title_short Weak supervision as an efficient approach for automated seizure detection in electroencephalography
title_full Weak supervision as an efficient approach for automated seizure detection in electroencephalography
title_fullStr Weak supervision as an efficient approach for automated seizure detection in electroencephalography
title_full_unstemmed Weak supervision as an efficient approach for automated seizure detection in electroencephalography
title_sort weak supervision as an efficient approach for automated seizure detection in electroencephalography
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/ff53b21a684b46adb56f53e342154ca4
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AT christopherre weaksupervisionasanefficientapproachforautomatedseizuredetectioninelectroencephalography
AT danielrubin weaksupervisionasanefficientapproachforautomatedseizuredetectioninelectroencephalography
AT christopherleemesser weaksupervisionasanefficientapproachforautomatedseizuredetectioninelectroencephalography
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