Focal Cortical Dysplasia Type II Detection Using Cross Modality Transfer Learning and Grad-CAM in 3D-CNNs for MRI Analysis

Focal cortical dysplasia (FCD) type II is a major cause of drug-resistant epilepsy, often curable only by surgery. Despite its clinical importance, the diagnosis of FCD is very difficult in MRI because of subtle abnormalities, leading to misdiagnosis. This study investigates the use of 3D convolutional neural networks (3D-CNNs) for FCD detection, using a dataset of 170 subjects (85 FCD patients and 85 controls) composed of T1-weighted and FLAIR MRI scans. In particular, it investigates the benefits obtained from cross-modality transfer learning and explainable artificial intelligence (XAI) techniques, in particular Gradient-weighted Class Activation Mapping (Grad-CAM). ResNet architectures (ResNet-18, -34, and -50) were implemented, employing transfer learning strategies that used pre-trained weights from segmentation tasks. Results indicate that transfer learning significantly enhances classification accuracy (up to 80.3%) and interpretability, as measured by a novel Heat-Score metric, which evaluates the model's focus on clinically relevant regions. Improvements in the Heat-Score metric underscore the model's seizure zone localization capabilities, bringing AI predictions and clinical insights closer together. These results highlight the importance of transfer learning, including cross-modality, and XAI in advancing AI-based medical diagnostics, especially for difficult-to-diagnose pathologies such as FCD.

MT-NAM: An Efficient and Adaptive Model for Epileptic Seizure Detection

Enhancing the accuracy and efficiency of machine learning algorithms employed in neural interface systems is crucial for advancing next-generation intelligent therapeutic devices. However, current systems often utilize basic machine learning models that do not fully exploit the natural structure of brain signals. Additionally, existing learning models used for neural signal processing often demonstrate low speed and efficiency during inference. To address these challenges, this study introduces Micro Tree-based NAM (MT-NAM), a distilled model based on the recently proposed Neural Additive Models (NAM). The MT-NAM achieves a remarkable 100$\times$ improvement in inference speed compared to standard NAM, without compromising accuracy. We evaluate our approach on the CHB-MIT scalp EEG dataset, which includes recordings from 24 patients with varying numbers of sessions and seizures. NAM achieves an 85.3\% window-based sensitivity and 95\% specificity. Interestingly, our proposed MT-NAM shows only a 2\% reduction in sensitivity compared to the original NAM. To regain this sensitivity, we utilize a test-time template adjuster (T3A) as an update mechanism, enabling our model to achieve higher sensitivity during test time by accommodating transient shifts in neural signals. With this online update approach, MT-NAM achieves the same sensitivity as the standard NAM while achieving approximately 50$\times$ acceleration in inference speed.

BioSerenity-E1: a self-supervised EEG model for medical applications

Electroencephalography (EEG) serves as an essential diagnostic tool in neurology; however, its accurate manual interpretation is a time-intensive process that demands highly specialized expertise, which remains relatively scarce and not consistently accessible. To address these limitations, the implementation of automated pre-screening and analysis systems for EEG data holds considerable promise. Advances in self-supervised learning made it possible to pre-train complex deep learning architectures on large volumes of unlabeled EEG data to learn generalizable representations, that can later be used to enhance performance on multiple tasks while needing less downstream data. In the present paper, we introduce BioSerenity-E1, the first of a family of self-supervised foundation models for clinical EEG applications that combines spectral tokenization with masked prediction to achieve state-of-the-art performance across relevant diagnostic tasks. The two-phase self-supervised pretraining framework initially acquires compressed EEG representations via a transformer-based VQ-VAE architecture designed to reconstruct log-multitaper spectral projections, then implements extensive (70% block) masked token prediction to force the model to learn complex spatiotemporal dependencies in EEG signals. BioSerenity-E1 achieves strong performance across three clinical tasks, either in line or above state-of-the-art methods: seizure detection (AUROC = 0.926, Sensitivity = 0.909), normal/abnormal classification (AUPRC = 0.970 on proprietary data; 0.910 on TUH-Abnormal), and multiclass pathology differentiation on unbalanced data (Weighted F1 = 0.730). The utility of BioSerenity-E1 is further confirmed in low-data regimes scenarios, showing clear improvements in AUPRC (from +2% to 17%) when trained on less than 10% of the available data.

Are foundation models useful feature extractors for electroencephalography analysis?

The success of foundation models in natural language processing and computer vision has motivated similar approaches for general time series analysis. While these models are effective for a variety of tasks, their applicability in medical domains with limited data remains largely unexplored. To address this, we investigate the effectiveness of foundation models in medical time series analysis involving electroencephalography (EEG). Through extensive experiments on tasks such as age prediction, seizure detection, and the classification of clinically relevant EEG events, we compare their diagnostic accuracy with that of specialised EEG models. Our analysis shows that foundation models extract meaningful EEG features, outperform specialised models even without domain adaptation, and localise task-specific biomarkers. Moreover, we demonstrate that diagnostic accuracy is substantially influenced by architectural choices such as context length. Overall, our study reveals that foundation models with general time series understanding eliminate the dependency on large domain-specific datasets, making them valuable tools for clinical practice.

SeizeIT2: Wearable Dataset Of Patients With Focal Epilepsy

The increasing technological advancements towards miniaturized physiological measuring devices have enabled continuous monitoring of epileptic patients outside of specialized environments. The large amounts of data that can be recorded with such devices holds significant potential for developing automated seizure detection frameworks. In this work, we present SeizeIT2, the first open dataset of wearable data recorded in patients with focal epilepsy. The dataset comprises more than 11,000 hours of multimodal data, including behind-the-ear electroencephalography, electrocardiography, electromyography and movement (accelerometer and gyroscope) data. The dataset contains 886 focal seizures recorded from 125 patients across five different European Epileptic Monitoring Centers. We present a suggestive training/validation split to propel the development of AI methodologies for seizure detection, as well as two benchmark approaches and evaluation metrics. The dataset can be accessed on OpenNeuro and is stored in Brain Imaging Data Structure (BIDS) format.

FEMBA: Efficient and Scalable EEG Analysis with a Bidirectional Mamba Foundation Model

Accurate and efficient electroencephalography (EEG) analysis is essential for detecting seizures and artifacts in long-term monitoring, with applications spanning hospital diagnostics to wearable health devices. Robust EEG analytics have the potential to greatly improve patient care. However, traditional deep learning models, especially Transformer-based architectures, are hindered by their quadratic time and memory complexity, making them less suitable for resource-constrained environments. To address these challenges, we present FEMBA (Foundational EEG Mamba + Bidirectional Architecture), a novel self-supervised framework that establishes new efficiency benchmarks for EEG analysis through bidirectional state-space modeling. Unlike Transformer-based models, which incur quadratic time and memory complexity, FEMBA scales linearly with sequence length, enabling more scalable and efficient processing of extended EEG recordings. Trained on over 21,000 hours of unlabeled EEG and fine-tuned on three downstream tasks, FEMBA achieves competitive performance in comparison with transformer models, with significantly lower computational cost. Specifically, it reaches 81.82% balanced accuracy (0.8921 AUROC) on TUAB and 0.949 AUROC on TUAR, while a tiny 7.8M-parameter variant demonstrates viability for resource-constrained devices. These results pave the way for scalable, general-purpose EEG analytics in both clinical and highlight FEMBA as a promising candidate for wearable applications.

CEReBrO: Compact Encoder for Representations of Brain Oscillations Using Efficient Alternating Attention

Electroencephalograph (EEG) is a crucial tool for studying brain activity. Recently, self-supervised learning methods leveraging large unlabeled datasets have emerged as a potential solution to the scarcity of widely available annotated EEG data. However, current methods suffer from at least one of the following limitations: i) sub-optimal EEG signal modeling, ii) model sizes in the hundreds of millions of trainable parameters, and iii) reliance on private datasets and/or inconsistent public benchmarks, hindering reproducibility. To address these challenges, we introduce a Compact Encoder for Representations of Brain Oscillations using alternating attention (CEReBrO), a new small EEG foundation model. Our tokenization scheme represents EEG signals at a per-channel patch granularity. We propose an alternating attention mechanism that jointly models intra-channel temporal dynamics and inter-channel spatial correlations, achieving 2x speed improvement with 6x less memory required compared to standard self-attention. We present several model sizes ranging from 3.6 million to 85 million parameters. Pre-trained on over 20,000 hours of publicly available scalp EEG recordings with diverse channel configurations, our models set new benchmarks in emotion detection and seizure detection tasks, with competitive performance in anomaly classification and gait prediction. This validates our models' effectiveness and effictiveness.

Cross-Species and Cross-Modality Epileptic Seizure Detection via Multi-Space Alignment

Epilepsy significantly impacts global health, affecting about 65 million people worldwide, along with various animal species. The diagnostic processes of epilepsy are often hindered by the transient and unpredictable nature of seizures. Here we propose a multi-space alignment approach based on cross-species and cross-modality electroencephalogram (EEG) data to enhance the detection capabilities and understanding of epileptic seizures. By employing deep learning techniques, including domain adaptation and knowledge distillation, our framework aligns cross-species and cross-modality EEG signals to enhance the detection capability beyond traditional within-species and with-modality models. Experiments on multiple surface and intracranial EEG datasets of humans and canines demonstrated substantial improvements in the detection accuracy, achieving over 90% AUC scores for cross-species and cross-modality seizure detection with extremely limited labeled data from the target species/modality. To our knowledge, this is the first study that demonstrates the effectiveness of integrating heterogeneous data from different species and modalities to improve EEG-based seizure detection performance. The approach may also be generalizable to different brain-computer interface paradigms, and suggests the possibility to combine data from different species/modalities to increase the amount of training data for large EEG models.

SODor: Long-Term EEG Partitioning for Seizure Onset Detection

Deep learning models have recently shown great success in classifying epileptic patients using EEG recordings. Unfortunately, classification-based methods lack a sound mechanism to detect the onset of seizure events. In this work, we propose a two-stage framework, \method, that explicitly models seizure onset through a novel task formulation of subsequence clustering. Given an EEG sequence, the framework first learns a set of second-level embeddings with label supervision. It then employs model-based clustering to explicitly capture long-term temporal dependencies in EEG sequences and identify meaningful subsequences. Epochs within a subsequence share a common cluster assignment (normal or seizure), with cluster or state transitions representing successful onset detections. Extensive experiments on three datasets demonstrate that our method can correct misclassifications, achieving 5%-11% classification improvements over other baselines and accurately detecting seizure onsets.

SCC-YOLO: An Improved Object Detector for Assisting in Brain Tumor Diagnosis

Brain tumors can result in neurological dysfunction, alterations in cognitive and psychological states, increased intracranial pressure, and the occurrence of seizures, thereby presenting a substantial risk to human life and health. The You Only Look Once(YOLO) series models have demonstrated superior accuracy in object detection for medical imaging. In this paper, we develop a novel SCC-YOLO architecture by integrating the SCConv attention mechanism into YOLOv9. The SCConv module reconstructs an efficient convolutional module by reducing spatial and channel redundancy among features, thereby enhancing the learning of image features. We investigate the impact of intergrating different attention mechanisms with the YOLOv9 model on brain tumor image detection using both the Br35H dataset and our self-made dataset(Brain_Tumor_Dataset). Experimental results show that on the Br35H dataset, SCC-YOLO achieved a 0.3% improvement in mAp50 compared to YOLOv9, while on our self-made dataset, SCC-YOLO exhibited a 0.5% improvement over YOLOv9. SCC-YOLO has reached state-of-the-art performance in brain tumor detection. Source code is available at : https://jihulab.com/healthcare-information-studio/SCC-YOLO/-/tree/master