Epilepsy is one of the most prevalent neurological diseases among humans and can lead to severe brain injuries, strokes, and brain tumors. Early detection of seizures can help to mitigate injuries, and can be used to aid the treatment of patients with epilepsy. The purpose of a seizure prediction system is to successfully identify the preictal brain stage, which occurs before a seizure event. Patient-independent seizure prediction models are designed to offer accurate performance across multiple subjects within a dataset, and have been identified as a real-world solution to the seizure prediction problem. However, little attention has been given for designing such models to adapt to the high inter-subject variability in EEG data. We propose two patient-independent deep learning architectures with different learning strategies that can learn a global function utilizing data from multiple subjects. Proposed models achieve state-of-the-art performance for seizure prediction on the CHB-MIT-EEG dataset, demonstrating 88.81% and 91.54% accuracy respectively. In conclusion, the Siamese model trained on the proposed learning strategy is able to learn patterns related to patient variations in data while predicting seizures. Our models show superior performance for patient-independent seizure prediction, and the same architecture can be used as a patient-specific classifier after model adaptation. We are the first study that employs model interpretation to understand classifier behavior for the task for seizure prediction, and we also show that the MFCC feature map utilized by our models contains predictive biomarkers related to interictal and pre-ictal brain states.
27 July 2021 in IEEE Journal of Biomedical and Health Informatics
Recently, researchers in the biomedical community have introduced deep learning-based epileptic seizure prediction models using electroencephalograms (EEGs) that can anticipate an epileptic seizure by differentiating between the pre-ictal and interictal stages of the subjects brain. Despite having the appearance of a typical anomaly detection task, this problem is complicated by subject-specific characteristics in EEG data. Therefore, studies that investigate seizure prediction widely employ subject-specific models. However, this approach is not suitable in situations where a target subject has limited (or no) data for training. Subject-independent models can address this issue by learning to predict seizures from multiple subjects, and therefore are of greater value in practice. In this study, we propose a subject-independent seizure predictor using Geometric Deep Learning (GDL). In the first stage of our GDL-based method we use graphs derived from physical connections in the EEG grid. We subsequently seek to synthesize subject-specific graphs using deep learning. The models proposed in both stages achieve state-of-the-art performance using a one-hour early seizure prediction window on two benchmark datasets (CHB-MIT-EEG: 95.38% with 23 subjects and Siena-EEG: 96.05% with 15 subjects). To the best of our knowledge, this is the first study that proposes synthesizing subject-specific graphs for seizure prediction. Furthermore, through model interpretation we outline how this method can potentially contribute towards Scalp EEG-based seizure localization.
30 September 2020 in IEEE Journal of Biomedical and Health Informatics
Traditionally, abnormal heart sound classification is framed as a three-stage process. The first stage involves segmenting the phonocardiogram to detect fundamental heart sounds; after which features are extracted and classification is performed. Some researchers in the field argue the segmentation step is an unwanted computational burden, whereas others embrace it as a prior step to feature extraction. When comparing accuracies achieved by studies that have segmented heart sounds before analysis with those who have overlooked that step, the question of\textit{ whether to segment heart sounds before feature extraction} is still open. In this study, we explicitly examine the importance of heart sound segmentation as a prior step for heart sound classification and then seek to apply the obtained insights to propose a robust classifier for abnormal heart sound detection. Furthermore, recognizing the pressing need for explainable Artificial Intelligence (AI) models in the medical domain, we also unveil hidden representations learned by the classifier using model interpretation techniques. Experimental results demonstrate that the segmentation which can be learned by the model plays an essential role in abnormal heart sound classification. Our new classifier is also shown to be robust, stable, and most importantly, explainable, with an accuracy of almost 100% on the widely used PhysioNet dataset.
Recently, researchers in the area of biosensor based human emotion recognition have used different types of machine learning models for recognizing human emotions. However, most of them still lack the ability to recognize human emotions with higher classification accuracy incorporating a limited number of bio-sensors. In the domain of machine learning, ensemble learning methods have been successfully applied to solve different types of real-world machine learning problems which require improved classification accuracies. Emphasising on that, this research suggests an ensemble learning approach for developing a machine learning model that can recognize four major human emotions namely: anger; sadness; joy; and pleasure incorporating electrocardiogram (ECG) signals. As feature extraction methods, this analysis combines four ECG signal based techniques, namely: heart rate variability; empirical mode decomposition; with-in beat analysis; and frequency spectrum analysis. The first three feature extraction methods are well-known ECG based feature extraction techniques mentioned in the literature, and the fourth technique is a novel method proposed in this study. The machine learning procedure of this investigation evaluates the performance of a set of well-known ensemble learners for emotion classification and further improves the classification results using feature selection as a prior step to ensemble model training. Compared to the best performing single biosensor based model in the literature, the developed ensemble learner has the accuracy gain of 10.77%. Furthermore, the developed model outperforms most of the multiple biosensor based emotion recognition models with a significantly higher classification accuracy gain.
18 December 2020 in IEEE Transactions on Biomedical Engineering
Objective: When training machine learning models, we often assume that the training data and evaluation data are sampled from the same distribution. However, this assumption is violated when the model is evaluated on another unseen but similar database, even if that database contains the same classes. This problem is caused by domain-shift and can be solved using two approaches: domain adaptation and domain generalization. Simply, domain adaptation methods can access data from unseen domains during training; whereas in domain generalization, the unseen data is not available during training. Hence, domain generalization concerns models that perform well on inaccessible, domain-shifted data. Method: Our proposed domain generalization method represents an unseen domain using a set of known basis domains, afterwhich we classify the unseen domain using classifier fusion. To demonstrate our system, we employ a collection of heart sound databases that contain normal and abnormal sounds (classes). Results: Our proposed classifier fusion method achieves accuracy gains of up to 16% for four completely unseen domains. Conclusion: Recognizing the complexity induced by the inherent temporal nature of biosignal data, the two-stage method proposed in this study is able to effectively simplify the whole process of domain generalization while demonstrating good results on unseen domains and the adopted basis domains. Significance: To our best knowledge, this is the first study that investigates domain generalization for biosignal data. Our proposed learning strategy can be used to effectively learn domain-relevant features while being aware of the class differences in the data.
Medical image segmentation plays a crucial role in assisting clinicians with diagnosing critical medical conditions. In deep learning, few-shot learning methods aim to replicate human learning by leveraging fewer examples for determining a prediction for a novel class. Researchers in the medical imaging community have also explored novel methods for few-shot medical image segmentation, leveraging meta-learning, foundation models and self-supervised learning (SSL). Acknowledging this growing interest, we review the literature on few-shot medical image segmentation from 2020 to early 2025, focusing on architectural modifications, loss-inspired learning strategies, and meta-learning frameworks. We further divide each category into fine-grained deep learning-oriented solutions, including self-supervised learning, contrastive learning, regularization, and foundation models providing in-depth discussions on architectural improvements and representation learning strategies. Additionally, we present preliminary results from several few-shot segmentation models across both medical and computer vision domains, evaluating their strengths and limitations for medical image applications. Finally, based on the limitations observed, advancements from the natural image domain, and empirical findings, we outline future research directions, providing specific insights into data-efficient learning, rapid adaptation of foundation models and generalization. The code is available here.