用可穿戴设备数据提前两小时预测癫痫发作,个性化模型准确率达97%。
Pre-Ictal Seizure Prediction Using Personalized Deep Learning
- 结合1D CNN与双向LSTM,用转移学习个性化建模
- 通用模型准确率91.94%,个性化后最高达97%
- 适合药物难治性癫痫患者日常非侵入式监测
全球约2300万癫痫患者(占30%)患有药物难治性癫痫(DRE),发作不可预测严重影响生活。现有手术及脑电图方案成本高、不实用。本研究利用可穿戴设备采集九名患者的生理数据(含54次发作),包括心率、血容量脉搏、加速度、体温和皮电活动,持续3至5天。采用基于一维卷积神经网络的双向长短期记忆网络,并引入迁移学习进行个体化优化。通用模型在随机测试数据上准确率为91.94%,但对未见患者表现不一;经患者特异性数据微调后,个性化模型准确率提升至97%。结果表明,个性化深度学习方法有望实现低成本、非侵入式癫痫发作预测,改善患者生活质量。
原文摘要 · Abstract (English)
Introduction: Approximately 23 million or 30% of epilepsy patients worldwide suffer from drug-resistant epilepsy (DRE). The unpredictability of seizure occurrences, which causes safety issues as well as social concerns, restrict the lifestyles of DRE patients. Surgical solutions and EEG-based solutions are very expensive, unreliable, invasive or impractical. The goal of this research was to employ improved technologies and methods to epilepsy patient physiological data and predict seizures up to two hours before onset, enabling non-invasive, affordable seizure prediction for DRE patients. Methods: This research used a 1D Convolutional Neural Network-Based Bidirectional Long Short-Term Memory network that was trained on a diverse set of epileptic patient physiological data to predict seizures. Transfer learning was further utilized to personalize and optimize predictions for specific patients. Clinical data was retrospectively obtained for nine epilepsy patients via wearable devices over a period of about three to five days from a prospectively maintained database. The physiological data included 54 seizure occurrences and included heart rate, blood volume pulse, accelerometry, body temperature, and electrodermal activity. Results and Conclusion: A general deep-learning model trained on the physiological data with randomly sampled test data achieved an accuracy of 91.94%. However, such a generalized deep learning model had varied performances on data from unseen patients. When the general model was personalized (further trained) with patient-specific data, the personalized model achieved significantly improved performance with accuracies as high as 97%. This preliminary research shows that patient-specific personalization may be a viable approach to achieve affordable, non-invasive seizure prediction that can improve the quality of life for DRE patients.
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