In current clinical practice, electroencephalograms (EEG) are reviewed and analyzed by well-trained neurologists to provide supports for therapeutic decisions. The way of manual reviewing is labor-intensive and error prone. Automatic and accurate seizure nonseizure classification methods are needed. One major problem is that the EEG signals for seizure state and nonseizure state exhibit considerable variations. In order to capture essential seizure features, this paper integrates an emerging deep learning model, the independently recurrent neural network (IndRNN), with a dense structure and an attention mechanism to exploit temporal and spatial discriminating features and overcome seizure variabilities. The dense structure is to ensure maximum information flow between layers. The attention mechanism is to capture spatial features. Evaluations are performed in cross-validation experiments over the noisy CHB-MIT data set. The obtained average sensitivity, specificity and precision of 88.80 , 88.60 and 88.69 are better than using the current state-of-the-art methods. In addition, we explore how the segment length affects the classification performance. Thirteen different segment lengths are assessed, showing that the classification performance varies over the segment lengths, and the maximal fluctuating margin is more than 4 . Thus, the segment length is an important factor influencing the classification performance.
@cite_18: 
@cite_3: A novel wavelet-based algorithm for real-time detection of epileptic seizures using scalp EEG is proposed. In a moving-window analysis, the EEG from each channel is decomposed by wavelet packet transform. Using wavelet coefficients from seizure and nonseizure references, a patient-specific measure is developed to quantify the separation between seizure and nonseizure states for the frequency range of 1-30 Hz. Utilizing this measure, a frequency band representing the maximum separation between the two states is determined and employed to develop a normalized index, called combined seizure index (CSI). CSI is derived for each epoch of every EEG channel based on both rhythmicity and relative energy of that epoch as well as consistency among different channels. Increasing significantly during ictal states, CSI is inspected using one-sided cumulative sum test to generate proper channel alarms. Analyzing alarms from all channels, a seizure alarm is finally generated. The algorithm was tested on scalp EEG recordings from 14 patients, totaling 75.8 h with 63 seizures. Results revealed a high sensitivity of 90.5 , a false detection rate of 0.51 h-1 and a median detection delay of 7 s. The algorithm could also lateralize the focus side for patients with temporal lobe epilepsy.
@cite_24: Objective: Synchronization phenomena of epileptic electroencephalography (EEG) have long been studied. In this study, we aim at investigating the spatial-temporal synchronization pattern in epileptic human brains using the spectral graph theoretic features extracted from scalp EEG and developing an efficient multivariate approach for detecting seizure onsets in real time. Methods: A complex network model is used for representing the recurrence pattern of EEG signals, based on which the temporal synchronization patterns are quantified using the spectral graph theoretic features. Furthermore, a statistical control chart is applied to the extracted features overtime for monitoring the transits from normal to epileptic states in multivariate EEG systems. Results: Our method is tested on 23 patients from CHB-MIT Scalp EEG database. The results show that the graph theoretic feature yields a high sensitivity ( @math 98 ) and low latency ( @math 6 s) on average, and seizure onsets in 18 patients are 100 detected. Conclusion: Our approach validates the increased temporal synchronization in epileptic EEG and achieves a comparable detection performance to previous studies. Significance: We characterize the temporal synchronization patterns of epileptic EEG using spectral network metrics. In addition, we found significant changes in temporal synchronization in epileptic EEG, which enable a patient-specific approach for real-time seizure detection for personalized diagnosis and treatment.
@cite_19: Abstract Epilepsy is a neurological disorder characterized by the presence of recurring seizures. Like many other neurological disorders, epilepsy can be assessed by the electroencephalogram (EEG). The EEG signal is highly non-linear and non-stationary, and hence, it is difficult to characterize and interpret it. However, it is a well-established clinical technique with low associated costs. In this work, we propose a methodology for the automatic detection of normal , pre-ictal , and ictal conditions from recorded EEG signals. Four entropy features namely Approximate Entropy ( ApEn ), Sample Entropy ( SampEn ), Phase Entropy 1 ( S1 ), and Phase Entropy 2 ( S2 ) were extracted from the collected EEG signals. These features were fed to seven different classifiers: Fuzzy Sugeno Classifier (FSC), Support Vector Machine (SVM), K-Nearest Neighbour (KNN), Probabilistic Neural Network (PNN), Decision Tree (DT), Gaussian Mixture Model (GMM), and Naive Bayes Classifier (NBC). Our results show that the Fuzzy classifier was able to differentiate the three classes with a high accuracy of 98.1 . Overall, compared to previous techniques, our proposed strategy is more suitable for diagnosis of epilepsy with higher accuracy.
@cite_27: Automatic seizure detection plays an important role in long-term epilepsy monitoring, and seizure detection algorithms have been intensively investigated over the years. This paper proposes an algorithm for seizure detection using lacunarity and Bayesian linear discriminant analysis (BLDA) in long-term intracranial EEG. Lacunarity is a measure of heterogeneity for a fractal. The proposed method first conducts wavelet decomposition on EEGs with five scales, and selects the wavelet coefficients at scale 3, 4, and 5 for subsequent processing. Effective features including lacunarity and fluctuation index are extracted from the selected three scales, and then sent into the BLDA for training and classification. Finally, postprocessing which includes smoothing, threshold judgment, multichannels integration, and collar technique is applied to obtain high sensitivity and low false detection rate. The proposed algorithm is evaluated on 289.14 h intracranial EEG data from 21-patient Freiburg dataset and yields a sensitivity of 96.25 and a false detection rate of 0.13 h with a mean delay time of 13.8 s.
@cite_11: 
designed a seizure detection algorithm based on lacunarity and Bayesian linear discriminant analysis (BLDA) @cite_27 . The critical step in the algorithm was feature extraction. Firstly, EEGs were performed wavelet decomposition with five scales, and the wavelet coefficients at scales 3, 4, and 5 were selected. At the three scales, features including lacunarity and fluctuation index were extracted. Then they were passed on to the BLDA for training and classification. Over intracranial EEG data from the Epilepsy Center of the University Hospital of Freiburg, the obtained average sensitivity was 96.25 Fan and Chou leveraged a complex network model to represent EEG signals, and integrated it with spectral graph theory to extract spectral graph theoretic features for detecting seizure onsets in real-time @cite_24 . The method was evaluated over the CHB-MIT data set. The resulting patient-specific average sensitivity was 98 The methods developed in @cite_3 @cite_18 @cite_11 @cite_19 @cite_27 @cite_24 are mostly based on signal processing methods and traditional machine learning methods. They often need crafted features, which may not be optimal.