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Wei Yan Peh

Publications and source records attributed to Wei Yan Peh.

3 recordsLinked to original sources

Six-center Assessment of CNN-Transformer with Belief Matching Loss for Patient-independent Seizure Detection in EEG

Neurologists typically identify epileptic seizures from electroencephalograms (EEGs) by visual inspection. This process is often time-consuming, especially for EEG recordings that last hours or days. To expedite the process, a reliable, automated, and patient-independent seizure detector is essential. However, developing a patient-independent seizure detector is challenging as seizures exhibit diverse characteristics across patients and recording devices. In this study, we propose a patient-independent seizure detector to automatically detect seizures in both scalp EEG and intracranial EEG (iEEG). First, we deploy a convolutional neural network with transformers and belief matching loss to detect seizures in single-channel EEG segments. Next, we extract regional features from the channel-level outputs to detect seizures in multi-channel EEG segments. At last, we apply postprocessing filters to the segment-level outputs to determine seizures' start and end points in multi-channel EEGs. Finally, we introduce the minimum overlap evaluation scoring as an evaluation metric that accounts for minimum overlap between the detection and seizure, improving upon existing assessment metrics. We trained the seizure detector on the Temple University Hospital Seizure (TUH-SZ) dataset and evaluated it on five independent EEG datasets. We evaluate the systems with the following metrics: sensitivity (SEN), precision (PRE), and average and median false positive rate per hour (aFPR/h and mFPR/h). Across four adult scalp EEG and iEEG datasets, we obtained SEN of 0.617-1.00, PRE of 0.534-1.00, aFPR/h of 0.425-2.002, and mFPR/h of 0-1.003. The proposed seizure detector can detect seizures in adult EEGs and takes less than 15s for a 30 minutes EEG. Hence, this system could aid clinicians in reliably identifying seizures expeditiously, allocating more time for devising proper treatment.

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Transformer Convolutional Neural Networks for Automated Artifact Detection in Scalp EEG

It is well known that electroencephalograms (EEGs) often contain artifacts due to muscle activity, eye blinks, and various other causes. Detecting such artifacts is an essential first step toward a correct interpretation of EEGs. Although much effort has been devoted to semi-automated and automated artifact detection in EEG, the problem of artifact detection remains challenging. In this paper, we propose a convolutional neural network (CNN) enhanced by transformers using belief matching (BM) loss for automated detection of five types of artifacts: chewing, electrode pop, eye movement, muscle, and shiver. Specifically, we apply these five detectors at individual EEG channels to distinguish artifacts from background EEG. Next, for each of these five types of artifacts, we combine the output of these channel-wise detectors to detect artifacts in multi-channel EEG segments. These segment-level classifiers can detect specific artifacts with a balanced accuracy (BAC) of 0.947, 0.735, 0.826, 0.857, and 0.655 for chewing, electrode pop, eye movement, muscle, and shiver artifacts, respectively. Finally, we combine the outputs of the five segment-level detectors to perform a combined binary classification (any artifact vs. background). The resulting detector achieves a sensitivity (SEN) of 60.4%, 51.8%, and 35.5%, at a specificity (SPE) of 95%, 97%, and 99%, respectively. This artifact detection module can reject artifact segments while only removing a small fraction of the background EEG, leading to a cleaner EEG for further analysis.

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Multi-center validation study of automated classification of pathological slowing in adult scalp electroencephalograms via frequency features

Pathological slowing in the electroencephalogram (EEG) is widely investigated for the diagnosis of neurological disorders. Currently, the gold standard for slowing detection is the visual inspection of the EEG by experts, which is time-consuming and subjective. To address those issues, we propose three automated approaches to detect slowing in EEG: Threshold-based Detecting System (TDS), Shallow Learning-based Detecting System (SLDS), and Deep Learning-based Detecting System (DLDS). These systems are evaluated on channel-, segment- and EEG-level. The TDS, SLDS, and DLDS performs prediction via detecting slowing at individual channels, and those detections are arranged in histograms for detection of slowing at the segment- and EEG-level. We evaluate the systems through Leave-One-Subject-Out (LOSO) cross-validation (CV) and Leave-One-Institution-Out (LOIO) CV on four datasets from the US, Singapore, and India. The DLDS achieved the best overall results: LOIO CV mean balanced accuracy (BAC) of 71.9%, 75.5%, and 82.0% at channel-, segment- and EEG-level, and LOSO CV mean BAC of 73.6%, 77.2%, and 81.8% at channel-, segment-, and EEG-level. The channel- and segment-level performance is comparable to the intra-rater agreement (IRA) of an expert of 72.4% and 82%. The DLDS can process a 30-minutes EEG in 4 seconds and can be deployed to assist clinicians in interpreting EEGs.

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