Short-horizon neonatal seizure prediction using EEG-based deep learning.

Strategies to predict neonatal seizure risk have typically focused on long-term static predictions with prediction horizons spanning days during the acute postnatal period. Higher temporal resolution or short-horizon neonatal seizure prediction, on the time-frame of minutes, remains unexplored. Here...

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Main Authors: Jonathan Kim, Edilberto Amorim, Vikram R Rao, Hannah C Glass, Danilo Bernardo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-07-01
Series:PLOS Digital Health
Online Access:https://doi.org/10.1371/journal.pdig.0000890
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author Jonathan Kim
Edilberto Amorim
Vikram R Rao
Hannah C Glass
Danilo Bernardo
author_facet Jonathan Kim
Edilberto Amorim
Vikram R Rao
Hannah C Glass
Danilo Bernardo
author_sort Jonathan Kim
collection DOAJ
description Strategies to predict neonatal seizure risk have typically focused on long-term static predictions with prediction horizons spanning days during the acute postnatal period. Higher temporal resolution or short-horizon neonatal seizure prediction, on the time-frame of minutes, remains unexplored. Here, we investigated quantitative electroencephalography (QEEG) based deep learning (DL) for short-horizon seizure prediction. We used two publicly available EEG seizure datasets with a total of 132 neonates containing a total of 281 hours of EEG data. We benchmarked current state-of-the-art time-series DL methods for seizure prediction, identifying convolutional LSTM (ConvLSTM) as having the strongest performance at preictal state classification. We assessed ConvLSTM performance in a seizure alarm system over varying short-range (1-7 minutes) seizure prediction horizons (SPH) and seizure occurrence periods (SOP) and identified optimal performance at SPH 3 min and SOP 7 min, with AUROC 0.8. At 80% sensitivity, false detection rate was 0.68 events/hour with time-in-warning of 0.36. Model calibration was moderate, with an expected calibration error of 0.106. These findings establish the feasibility of short-horizon neonatal seizure prediction and warrant the need for further validation.
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spelling doaj-art-51610a119aac42ff8094690cbff10fdb2025-08-20T02:40:27ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702025-07-0147e000089010.1371/journal.pdig.0000890Short-horizon neonatal seizure prediction using EEG-based deep learning.Jonathan KimEdilberto AmorimVikram R RaoHannah C GlassDanilo BernardoStrategies to predict neonatal seizure risk have typically focused on long-term static predictions with prediction horizons spanning days during the acute postnatal period. Higher temporal resolution or short-horizon neonatal seizure prediction, on the time-frame of minutes, remains unexplored. Here, we investigated quantitative electroencephalography (QEEG) based deep learning (DL) for short-horizon seizure prediction. We used two publicly available EEG seizure datasets with a total of 132 neonates containing a total of 281 hours of EEG data. We benchmarked current state-of-the-art time-series DL methods for seizure prediction, identifying convolutional LSTM (ConvLSTM) as having the strongest performance at preictal state classification. We assessed ConvLSTM performance in a seizure alarm system over varying short-range (1-7 minutes) seizure prediction horizons (SPH) and seizure occurrence periods (SOP) and identified optimal performance at SPH 3 min and SOP 7 min, with AUROC 0.8. At 80% sensitivity, false detection rate was 0.68 events/hour with time-in-warning of 0.36. Model calibration was moderate, with an expected calibration error of 0.106. These findings establish the feasibility of short-horizon neonatal seizure prediction and warrant the need for further validation.https://doi.org/10.1371/journal.pdig.0000890
spellingShingle Jonathan Kim
Edilberto Amorim
Vikram R Rao
Hannah C Glass
Danilo Bernardo
Short-horizon neonatal seizure prediction using EEG-based deep learning.
PLOS Digital Health
title Short-horizon neonatal seizure prediction using EEG-based deep learning.
title_full Short-horizon neonatal seizure prediction using EEG-based deep learning.
title_fullStr Short-horizon neonatal seizure prediction using EEG-based deep learning.
title_full_unstemmed Short-horizon neonatal seizure prediction using EEG-based deep learning.
title_short Short-horizon neonatal seizure prediction using EEG-based deep learning.
title_sort short horizon neonatal seizure prediction using eeg based deep learning
url https://doi.org/10.1371/journal.pdig.0000890
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AT hannahcglass shorthorizonneonatalseizurepredictionusingeegbaseddeeplearning
AT danilobernardo shorthorizonneonatalseizurepredictionusingeegbaseddeeplearning