DANCE: Detect and Classify Events in EEG

Event identification in continuous neural recordings is a critical task in neuroscience. Decoding in EEG is dominated by classifying windows aligned to known event onsets. However, while available in controlled experiments, such onsets are absent in continuous real-world monitoring. Here, we introduce DANCE, a deep learning pipeline that frames neural decoding as a set-prediction problem and jointly detects and classifies events directly from raw, unaligned signals. Evaluated separately on ten datasets curated from the literature with a wide variety of event types (ranging from milliseconds to minutes in duration), our model outperforms existing methods on a broad range of cognitive, clinical and BCI tasks. This single architecture establishes a new state of the art in the competitive task of seizure monitoring and matches the accuracy of onset-informed models for BCI tasks. Overall, our method marks a step towards end-to-end asynchronous neural decoding models

Classification of Epileptic iEEG using Topological Machine Learning

Epileptic seizure detection from EEG signals remains challenging due to the high dimensionality and nonlinear, potentially stochastic, dynamics of neural activity. In this work, we investigate whether features derived from topological data analysis (TDA) can improve the classification of brain states in preictal, ictal and interictal iEEG recordings from epilepsy patients using multichannel data. We analyze data from 55 patients, significantly larger than many previous studies that rely on patient-specific models. Persistence diagrams derived from iEEG signals are vectorized using several TDA representations, including Carlsson coordinates, persistence images, and template functions. To understand how topological representations interact with modern machine learning pipelines, we conduct a large-scale ablation study across multiple iEEG frequency bands, dimensionality reduction techniques, feature representations, and classifier architectures. Our experiments show that dimension-reduced topological representations achieve up to 80\% balanced accuracy for three-class classification. Interestingly, classical machine learning models perform comparably to deep learning models, achieving up to 79.17\% balanced accuracy, suggesting that carefully designed topological features can substantially reduce model complexity requirements. In contrast, pipelines preserving the full multichannel feature structure exhibit severe overfitting due to the high-dimensional feature space. These findings highlight the importance of structure-preserving dimensionality reduction when applying topology-based representations to multichannel neural data.

Optimizing EEG Graph Structure for Seizure Detection: An Information Bottleneck and Self-Supervised Learning Approach

Seizure detection from EEG signals is highly challenging due to complex spatiotemporal dynamics and extreme inter-patient variability. To model them, recent methods construct dynamic graphs via statistical correlations, predefined similarity measures, or implicit learning, yet rarely account for EEG's noisy nature. Consequently, these graphs usually contain redundant or task-irrelevant connections, undermining model performance even with state-of-the-art architectures. In this paper, we present a new perspective for EEG seizure detection: jointly learning denoised dynamic graph structures and informative spatial-temporal representations guided by the Information Bottleneck (IB). Unlike prior approaches, our graph constructor explicitly accounts for the noisy characteristics of EEG data, producing compact and reliable connectivity patterns that better support downstream seizure detection. To further enhance representation learning, we employ a self-supervised Graph Masked AutoEncoder that reconstructs masked EEG signals based on dynamic graph context, promoting structure-aware and compact representations aligned with the IB principle. Bringing things together, we introduce Information Bottleneck-guided EEG SeizuRE DetectioN via SElf-Supervised Learning (IRENE), which explicitly learns dynamic graph structures and interpretable spatial-temporal EEG representations. IRENE addresses three core challenges: (i) Identifying the most informative nodes and edges; (ii) Explaining seizure propagation in the brain network; and (iii) Enhancing robustness against label scarcity and inter-patient variability. Extensive experiments on benchmark EEG datasets demonstrate that our method outperforms state-of-the-art baselines in seizure detection and provides clinically meaningful insights into seizure dynamics. The source code is available at https://github.com/LabRAI/IRENE.

Epileptic Seizure Detection in Separate Frequency Bands Using Feature Analysis and Graph Convolutional Neural Network (GCN) from Electroencephalogram (EEG) Signals

Epileptic seizures are neurological disorders characterized by abnormal and excessive electrical activity in the brain, resulting in recurrent seizure events. Electroencephalogram (EEG) signals are widely used for seizure diagnosis due to their ability to capture temporal and spatial neural dynamics. While recent deep learning methods have achieved high detection accuracy, they often lack interpretability and neurophysiological relevance. This study presents a frequency-aware framework for epileptic seizure detection based on ictal-phase EEG analysis. The raw EEG signals are decomposed into five frequency bands (delta, theta, alpha, lower beta, and higher beta), and eleven discriminative features are extracted from each band. A graph convolutional neural network (GCN) is then employed to model spatial dependencies among EEG electrodes, represented as graph nodes. Experiments on the CHB-MIT scalp EEG dataset demonstrate high detection performance, achieving accuracies of 97.1%, 97.13%, 99.5%, 99.7%, and 51.4% across the respective frequency bands, with an overall broadband accuracy of 99.01%. The results highlight the strong discriminative capability of mid-frequency bands and reveal frequency-specific seizure patterns. The proposed approach improves interpretability and diagnostic precision compared to conventional broadband EEG-based methods.

Learning Cross-Joint Attention for Generalizable Video-Based Seizure Detection

Automated seizure detection from long-term clinical videos can substantially reduce manual review time and enable real-time monitoring. However, existing video-based methods often struggle to generalize to unseen subjects due to background bias and reliance on subject-specific appearance cues. We propose a joint-centric attention model that focuses exclusively on body dynamics to improve cross-subject generalization. For each video segment, body joints are detected and joint-centered clips are extracted, suppressing background context. These joint-centered clips are tokenized using a Video Vision Transformer (ViViT), and cross-joint attention is learned to model spatial and temporal interactions between body parts, capturing coordinated movement patterns characteristic of seizure semiology. Extensive cross-subject experiments show that the proposed method consistently outperforms state-of-the-art CNN-, graph-, and transformer-based approaches on unseen subjects.

EpiScreen: Early Epilepsy Detection from Electronic Health Records with Large Language Models

Epilepsy and psychogenic non-epileptic seizures often present with similar seizure-like manifestations but require fundamentally different management strategies. Misdiagnosis is common and can lead to prolonged diagnostic delays, unnecessary treatments, and substantial patient morbidity. Although prolonged video-electroencephalography is the diagnostic gold standard, its high cost and limited accessibility hinder timely diagnosis. Here, we developed a low-cost, effective approach, EpiScreen, for early epilepsy detection by utilizing routinely collected clinical notes from electronic health records. Through fine-tuning large language models on labeled notes, EpiScreen achieved an AUC of up to 0.875 on the MIMIC-IV dataset and 0.980 on a private cohort of the University of Minnesota. In a clinician-AI collaboration setting, EpiScreen-assisted neurologists outperformed unaided experts by up to 10.9%. Overall, this study demonstrates that EpiScreen supports early epilepsy detection, facilitating timely and cost-effective screening that may reduce diagnostic delays and avoid unnecessary interventions, particularly in resource-limited regions.

Forecasting Epileptic Seizures from Contactless Camera via Cross-Species Transfer Learning

Epileptic seizure forecasting is a clinically important yet challenging problem in epilepsy research. Existing approaches predominantly rely on neural signals such as electroencephalography (EEG), which require specialized equipment and limit long-term deployment in real-world settings. In contrast, video data provide a non-invasive and accessible alternative, yet existing video-based studies mainly focus on post-onset seizure detection, leaving seizure forecasting largely unexplored. In this work, we formulate a novel task of video-based epileptic seizure forecasting, where short pre-ictal video segments (3-10 seconds) are used to predict whether a seizure will occur within the subsequent 5 seconds. To address the scarcity of annotated human epilepsy videos, we propose a cross-species transfer learning framework that leverages large-scale rodent video data for auxiliary pretraining. This enables the model to capture seizure-related behavioral dynamics that generalize across species. Experimental results demonstrate that our approach achieves over 70% prediction accuracy under a strictly video-only setting and outperforms existing baselines. These findings highlight the potential of cross-species learning for building non-invasive, scalable early-warning systems for epilepsy.

Explainable AI Using Inherently Interpretable Components for Wearable-based Health Monitoring

The use of wearables in medicine and wellness, enabled by AI-based models, offers tremendous potential for real-time monitoring and interpretable event detection. Explainable AI (XAI) is required to assess what models have learned and build trust in model outputs, for patients, healthcare professionals, model developers, and domain experts alike. Explaining AI decisions made on time-series data recorded by wearables is especially challenging due to the data's complex nature and temporal dependencies. Too often, explainability using interpretable features leads to performance loss. We propose a novel XAI method that combines explanation spaces and concept-based explanations to explain AI predictions on time-series data. By using Inherently Interpretable Components (IICs), which encapsulate domain-specific, interpretable concepts within a custom explanation space, we preserve the performance of models trained on time series while achieving the interpretability of concept-based explanations based on extracted features. Furthermore, we define a domain-specific set of IICs for wearable-based health monitoring and demonstrate their usability in real applications, including state assessment and epileptic seizure detection.

Human Knowledge Integrated Multi-modal Learning for Single Source Domain Generalization

Generalizing image classification across domains remains challenging in critical tasks such as fundus image-based diabetic retinopathy (DR) grading and resting-state fMRI seizure onset zone (SOZ) detection. When domains differ in unknown causal factors, achieving cross-domain generalization is difficult, and there is no established methodology to objectively assess such differences without direct metadata or protocol-level information from data collectors, which is typically inaccessible. We first introduce domain conformal bounds (DCB), a theoretical framework to evaluate whether domains diverge in unknown causal factors. Building on this, we propose GenEval, a multimodal Vision Language Models (VLM) approach that combines foundational models (e.g., MedGemma-4B) with human knowledge via Low-Rank Adaptation (LoRA) to bridge causal gaps and enhance single-source domain generalization (SDG). Across eight DR and two SOZ datasets, GenEval achieves superior SDG performance, with average accuracy of 69.2% (DR) and 81% (SOZ), outperforming the strongest baselines by 9.4% and 1.8%, respectively.

NeuroCanvas: VLLM-Powered Robust Seizure Detection by Reformulating Multichannel EEG as Image

Accurate and timely seizure detection from Electroencephalography (EEG) is critical for clinical intervention, yet manual review of long-term recordings is labor-intensive. Recent efforts to encode EEG signals into large language models (LLMs) show promise in handling neural signals across diverse patients, but two significant challenges remain: (1) multi-channel heterogeneity, as seizure-relevant information varies substantially across EEG channels, and (2) computing inefficiency, as the EEG signals need to be encoded into a massive number of tokens for the prediction. To address these issues, we draw the EEG signal and propose the novel NeuroCanvas framework. Specifically, NeuroCanvas consists of two modules: (i) The Entropy-guided Channel Selector (ECS) selects the seizure-relevant channels input to LLM and (ii) the following Canvas of Neuron Signal (CNS) converts selected multi-channel heterogeneous EEG signals into structured visual representations. The ECS module alleviates the multi-channel heterogeneity issue, and the CNS uses compact visual tokens to represent the EEG signals that improve the computing efficiency. We evaluate NeuroCanvas across multiple seizure detection datasets, demonstrating a significant improvement of $20\%$ in F1 score and reductions of $88\%$ in inference latency. These results highlight NeuroCanvas as a scalable and effective solution for real-time and resource-efficient seizure detection in clinical practice.The code will be released at https://github.com/Yanchen30247/seizure_detect.