Semantic segmentation for recognition of epileptiform patterns recorded via Microelectrode Arrays in vitro

Epilepsy is a prevalent neurological disorder that affects approximately 1% of the global population. Around 30-40% of patients do not respond to pharmacological treatment, leading to a significant negative impact on their quality of life. Closed-loop deep brain stimulation (DBS) is a promising treatment for individuals who do not respond to medical therapy. To achieve effective seizure control, algorithms play an important role in identifying relevant electrographic biomarkers from local field potentials (LFPs) to determine the optimal stimulation timing. In this regard, the detection and classification of events from ongoing brain activity, while achieving low power through computationally unexpensive implementations, represents a major challenge in the field. To address this challenge, we here present two lightweight algorithms, the ZdensityRODE and the AMPDE, for identifying relevant events from LFPs by utilizing semantic segmentation, which involves extracting different levels of information from the LFP and relevant events from it. The algorithms performance was validated against epileptiform activity induced by 4-minopyridine in mouse hippocampus-cortex (CTX) slices and recorded via microelectrode array, as a case study. The ZdensityRODE algorithm showcased a precision and recall of 93% for ictal event detection and 42% precision for interictal event detection, while the AMPDE algorithm attained a precision of 96% and recall of 90% for ictal event detection and 54% precision for interictal event detection. While initially trained specifically for detection of ictal activity, these algorithms can be fine-tuned for improved interictal detection, aiming at seizure prediction. Our results suggest that these algorithms can effectively capture epileptiform activity; their light weight opens new possibilities for real-time seizure detection and seizure prediction and control.