PySeizure: A single machine learning classifier framework to detect seizures in diverse datasets

Reliable seizure detection is critical for diagnosing and managing epilepsy, yet clinical workflows remain dependent on time-consuming manual EEG interpretation. While machine learning has shown promise, existing approaches often rely on dataset-specific optimisations, limiting their real-world applicability and reproducibility. Here, we introduce an innovative, open-source machine-learning framework that enables robust and generalisable seizure detection across varied clinical datasets. We evaluate our approach on two publicly available EEG datasets that differ in patient populations and electrode configurations. To enhance robustness, the framework incorporates an automated pre-processing pipeline to standardise data and a majority voting mechanism, in which multiple models independently assess each second of EEG before reaching a final decision. We train, tune, and evaluate models within each dataset, assessing their cross-dataset transferability. Our models achieve high within-dataset performance (AUC 0.904+/-0.059 for CHB-MIT and 0.864+/-0.060 for TUSZ) and demonstrate strong generalisation across datasets despite differences in EEG setups and populations (AUC 0.615+/-0.039 for models trained on CHB-MIT and tested on TUSZ and 0.762+/-0.175 in the reverse case) without any post-processing. Furthermore, a mild post-processing improved the within-dataset results to 0.913+/-0.064 and 0.867+/-0.058 and cross-dataset results to 0.619+/-0.036 and 0.768+/-0.172. These results underscore the potential of, and essential considerations for, deploying our framework in diverse clinical settings. By making our methodology fully reproducible, we provide a foundation for advancing clinically viable, dataset-agnostic seizure detection systems. This approach has the potential for widespread adoption, complementing rather than replacing expert interpretation, and accelerating clinical integration.

Preictal Period Optimization for Deep Learning-Based Epileptic Seizure Prediction

Accurate prediction of epileptic seizures could prove critical for improving patient safety and quality of life in drug-resistant epilepsy. Although deep learning-based approaches have shown promising seizure prediction performance using scalp electroencephalogram (EEG) signals, substantial limitations still impede their clinical adoption. Furthermore, identifying the optimal preictal period (OPP) for labeling EEG segments remains a challenge. Here, we not only develop a competitive deep learning model for seizure prediction but, more importantly, leverage it to demonstrate a methodology to comprehensively evaluate the predictive performance in the seizure prediction task. For this, we introduce a CNN-Transformer deep learning model to detect preictal spatiotemporal dynamics, alongside a novel Continuous Input-Output Performance Ratio (CIOPR) metric to determine the OPP. We trained and evaluated our model on 19 pediatric patients of the open-access CHB-MIT dataset in a subject-specific manner. Using the OPP of each patient, preictal and interictal segments were correctly identified with an average sensitivity of 99.31%, specificity of 95.34%, AUC of 99.35%, and F1- score of 97.46%, while prediction time averaged 76.8 minutes before onset. Notably, our novel CIOPR metric allowed outlining the impact of different preictal period definitions on prediction time, accuracy, output stability, and transition time between interictal and preictal states in a comprehensive and quantitative way and highlighted the importance of considering both inter- and intra-patient variability in seizure prediction.