Automatic Analysis of EEGs Using Big Data and Hybrid Deep Learning Architectures

Objective: A clinical decision support tool that automatically interprets EEGs can reduce time to diagnosis and enhance real-time applications such as ICU monitoring. Clinicians have indicated that a sensitivity of 95% with a specificity below 5% was the minimum requirement for clinical acceptance. We propose a highperformance classification system based on principles of big data and machine learning. Methods: A hybrid machine learning system that uses hidden Markov models (HMM) for sequential decoding and deep learning networks for postprocessing is proposed. These algorithms were trained and evaluated using the TUH EEG Corpus, which is the world's largest publicly available database of clinical EEG data. Results: Our approach delivers a sensitivity above 90% while maintaining a specificity below 5%. This system detects three events of clinical interest: (1) spike and/or sharp waves, (2) periodic lateralized epileptiform discharges, (3) generalized periodic epileptiform discharges. It also detects three events used to model background noise: (1) artifacts, (2) eye movement (3) background. Conclusions: A hybrid HMM/deep learning system can deliver a low false alarm rate on EEG event detection, making automated analysis a viable option for clinicians. Significance: The TUH EEG Corpus enables application of highly data consumptive machine learning algorithms to EEG analysis. Performance is approaching clinical acceptance for real-time applications.