Real-time non-invasive imaging and detection of spreading depolarizations through EEG: an ultra-light explainable deep learning approach
File(s)JBHI_CSD_19022024.pdf (2.04 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
A core aim of neurocritical care is to prevent secondary brain injury. Spreading depolarizations (SDs) have been identified as an important independent cause of secondary brain injury. SDs are usually detected using invasive electrocorticography recorded at high sampling frequency. Recent pilot studies suggest a possible utility of scalp electrodes generated electroencephalogram (EEG) for non-invasive SD detection. However, noise and attenuation of EEG signals makes this detection task extremely challenging. Previous methods focus on detecting temporal power change of EEG over a fixed high-density map of scalp electrodes, which is not always clinically feasible. Having a specialized spectrogram as an input to the automatic SD detection model, this study is the first to transform SD identification problem from a detection task on a 1-D time-series wave to a task on a sequential 2-D rendered imaging. This study presented a novel ultra-light-weight multi-modal deep-learning network to fuse EEG spectrogram imaging and temporal power vectors to enhance SD identification accuracy over each single electrode, allowing flexible EEG map and paving the way for SD detection on ultra-low-density EEG with variable electrode positioning. Our proposed model has an ultra-fast processing speed (<0.3 sec). Compared to the conventional methods (2 hours), this is a huge advancement towards early SD detection and to facilitate instant brain injury prognosis. Seeing SDs with a new dimension – frequency on spectrograms, we demonstrated that such additional dimension could improve SD detection accuracy, providing preliminary evidence to support the hypothesis that SDs may show implicit features over the frequency profile.
Date Issued
2024-10-01
Date Acceptance
2024-02-19
Citation
IEEE Journal of Biomedical and Health Informatics, 2024, 28 (10), pp.5780-5791
ISSN
2168-2208
Publisher
Institute of Electrical and Electronics Engineers
Start Page
5780
End Page
5791
Journal / Book Title
IEEE Journal of Biomedical and Health Informatics
Volume
28
Issue
10
Copyright Statement
Copyright © 2024 IEEE. This is the author’s accepted manuscript made available under a CC-BY licence in accordance with Imperial’s Research Publications Open Access policy (www.imperial.ac.uk/oa-policy)
License URL
Identifier
http://dx.doi.org/10.1109/jbhi.2024.3370502
Publication Status
Published
Date Publish Online
2024-02-27