基于细胞神经网络(CNN)的癫痫发作自动预测装置

G. Geis, F. Gollas, R. Tetzlaff
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摘要

早在公元前一千年中期的巴比伦文献中就提到了癫痫症,如今人们认为它是神经系统最常见的慢性疾病。癫痫发作是神经活动异常同步的现象,具有抽搐等症状,通常无预警发作。癫痫药物作为最重要的治疗手段,具有不良反应和可能习惯性的缺点。一个可靠的、自动化的癫痫预警系统不仅可以为患者提供有价值的信息,还可以实现有效的、针对特定事件的治疗。从脑电图(EEG)信号中检测癫痫可能的发作前状态的问题,在过去的几十年里已经被许多作者解决了,但仍然没有解决。如果间歇状态和临界事件之间的过渡不是一个突然的现象,而是一个渐进的动力学变化[1],[2],那么可以通过分析脑电活动来检测前体。一些出版物报道有证据表明,通过考虑多变量测量方法可以检测局灶性癫痫的前兆状态[3],[4],[5],[6],[7],[8],[9],尽管到目前为止还不能以必要的敏感性和特异性预测癫痫发作。在本文中,考虑相邻电极信号之间的相互依赖性,采用基于CNN的贡献模型来分析颅内脑电图信号。由于其固有的并行计算模式和实时条件下的高处理速度以及低功耗,CNN在很大程度上适合处理多维生物电活动,并且是未来植入式癫痫预警和预防设备的有希望的候选设备。在第一种算法中,使用反应扩散CNN (RD-CNN)模型的解来近似脑电图信号的短段。在第二种算法中,使用离散时间CNN (DT-CNN)表示的线性时空系统的行为来预测颅内脑电图的信号。对颞叶癫痫术前诊断期间获得的长时间记录的分析结果给出了两种算法,并对即将发生的癫痫发作进行了统计评估。此外,上述第二种算法已在Eyes-RIS 1.1系统上实现[10],[11]。本文给出了在该系统上进行的颅内长时间记录分析的初步结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Towards an automated seizure anticipation device based on Cellular Neural Networks (CNN)
The epileptic disorder, already mentioned in a Babylonian text dated from the middle of the first millenium BC, nowadays is known to be the most common chronical disorder of the nervous system. Epileptic seizures are phenonema of abnormal synchronization of neural activity with symptoms like convulsions and generally strike without warning. Epileptic drugs, taken in the most important therapy, have the disadvantage of adverse effects and possible habituation. A reliably, automated seizure warning system would not only provide valuable information to the patient, but also enable an efficient, event specific therapy. The problem of detecting a possible pre-seizure state in epilepsy from electroencephalogram (EEG) signals, has been addressed by many authors over the past decades but still remains unsolved. Provided that the transition between interictal state and the ictal event is not an abrupt phenomenon but a gradual change in dynamics [1], [2], precursors could be detected by analyzing brain electrical activity. Several publications report evidence that a preictal state can be detected in focal epilepsy by considering multi-variate measures [3], [4], [5], [6], [7], [8], [9] in particular, although seizures cannot be anticipated with necessary sensitivity and specificity up to now. In this contribution models based on CNN are considered in order to analyze signals from intracranial EEG, taking into account mutual dependencies between signals of neighboring electrodes. Due to their inherently parallel paradigm of computation and their high processing speed under real-time conditions combined with low power consumption, CNN are well suited to a great extent for the processing of multi-dimensional bio-electrical activity and a promising candidate for a future implantable seizure warning and preventing device. In the first proposed algorithm, solutions of Reaction-Diffusion CNN (RD-CNN) models are used in order to approximate short segments of EEG-signals. In a second algorithm, the behavior of linear spatio-temporal systems represented by discrete-time CNN (DT-CNN), are used for signal prediction of intracranial EEG. Results for the analysis of long-time recordings gained during presurgical diagnostics in temporal lobe epilepsy are given regardimg both algorithms and their predictive performance with respect to impending epileptic seizures is evaluated statistically. Additionally, the second above mentioned algorithm has been implemented on the Eyes-RIS 1.1 system [10], [11]. First results for the analysis of intracranial long-time recordings carried out on this system are given.
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