用更长时间窗口提升脑电癫痫检测准确率,更贴近临床医生判读习惯。
LookAroundNet: Extending Temporal Context with Transformers for Clinically Viable EEG Seizure Detection
- 基于Transformer设计,融合目标段前后更长时间的脑电数据
- 跨多种数据集表现稳定,新场景下泛化能力强
- 适合追求临床落地的癫痫监测系统研发者
自动化脑电(EEG)癫痫检测因患者间、记录条件和临床环境差异大而困难。本文提出LookAroundNet,一种基于Transformer的癫痫检测模型,通过扩展时间窗口,整合目标段前后脑电信号,模拟临床医生判读时对上下文的依赖。在涵盖常规临床脑电与长期居家监测的多类数据集上评估,包括公开数据集及大规模私有家庭脑电数据集,验证其在不同数据分布下的性能。结果表明,该方法在多个数据集上均表现优异,对未见过的记录条件具有强泛化能力,且计算开销适合真实临床部署。关键因素包括扩展时间上下文、训练数据多样性增强及模型集成。本研究推动自动癫痫检测向临床可用方向迈进。
原文摘要 · Abstract (English)
Automated seizure detection from electroencephalography (EEG) remains difficult due to the large variability of seizure dynamics across patients, recording conditions, and clinical settings. We introduce LookAroundNet, a transformer-based seizure detector that uses a wider temporal window of EEG data to model seizure activity. The seizure detector incorporates EEG signals before and after the segment of interest, reflecting how clinicians use surrounding context when interpreting EEG recordings. We evaluate the proposed method on multiple EEG datasets spanning diverse clinical environments, patient populations, and recording modalities, including routine clinical EEG and long-term ambulatory recordings, in order to study performance across varying data distributions. The evaluation includes publicly available datasets as well as a large proprietary collection of home EEG recordings, providing complementary views of controlled clinical data and unconstrained home-monitoring conditions. Our results show that LookAroundNet achieves strong performance across datasets, generalizes well to previously unseen recording conditions, and operates with computational costs compatible with real-world clinical deployment. The results indicate that extended temporal context, increased training data diversity, and model ensembling are key factors for improving performance. This work contributes to moving automatic seizure detection models toward clinically viable solutions.
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