arXiv:2608.18887cs.LG2026-08中稿 · the Proceedings of…

用图模型分析脑电数据,提升癫痫病灶定位精度。

Graph-Based Approaches to Learning Epileptogenic Zone Localization Using Stereo-EEG Recordings

论文配图:Graph-Based Approaches to Learning Epileptogenic Zone Localization Using Stereo-EEG Recordings
图 1 · 摘自论文原文
  • 构建不同拓扑结构的脑功能连接图,比较其对病灶定位的影响。
  • 提出区域桥接-$c$图在保留30%边时达到最优准确率(PR-AUC 0.371)。
  • 方法适用于个性化医疗,尤其适合癫痫手术前评估。

癫痫灶是引发癫痫发作的脑区,为手术目标。基于立体脑电(sEEG)记录定位癫痫灶可辅助手术规划,但人工解读耗时且仅依赖发作期数据。利用静息态功能连接的图学习模型是可行替代方案,但其性能高度依赖图拓扑结构。本文在40名患者中系统比较了多种图构建方法:密集图、基于解剖与几何先验的图、预算稀疏化、以及新提出的区域桥接-$c$拓扑。采用相同简单可学习模型和留一患者交叉验证,在每节点入度一致条件下调整图稀疏度。在约30%边保留率下,区域桥接-$c$获得最高均值PR-AUC(0.371±0.015),ROC-AUC为0.743±0.010,相比密集图减少约69%边数(PR-AUC 0.349±0.014)。空间-$k$表现良好,随机剪枝需接近稠密结构。学习式稀疏化虽利用解剖元数据,但平均未超越最优固定先验。各患者最佳拓扑各异,提示图构造应作为可调模块而非固定预处理。

原文摘要 · Abstract (English)

The epileptogenic zone (EZ) is the brain region that generates seizures in an individual, and is the target of epilepsy surgery. Localizing the EZ from stereo-EEG (sEEG) recordings supports surgical planning, but manual interpretation is time-consuming and focuses on seizure recordings. Graphical learning models of resting-state functional connectivity among the recorded brain regions are an attractive alternative, but depend crucially on the network topology chosen for the model. We present a controlled study of graph-based models to explore how graph topology affects EZ localization from resting-state sEEG in 40 patients. Using the same simple learnable model and leave-one-patient-out evaluation, we compare dense graphs, anatomy- and geometry-informed priors, budgeted sparsification methods, and learned sparsification, including the proposed Region-Bridge-$c$ topology. To compare graph constructions fairly, we control the number of incoming edges per node and vary graph sparsity. At $\approx 30\%$ edge retention, Region-Bridge-$c$ achieves the highest observed mean PR-AUC ($0.371\pm0.015$; ROC-AUC $0.743\pm0.010$) while using $\approx 69\%$ fewer edges than Dense (PR-AUC $0.349\pm0.014$). Spatial-$k$ is competitive, whereas random pruning requires near-dense retention. Learned sparsification benefits from anatomical node metadata but, on average, does not surpass the best fixed prior. Across all topologies, the best choice varies by patient. These results suggest that graph construction should be evaluated explicitly rather than treated as fixed preprocessing.

癫痫定位图神经网络脑电分析

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