Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading

Hypoxic-ischemic encephalopathy (HIE) is a brain injury condition that poses a significant risk to newborns, potentially causing varying degrees of damage to the central nervous system. Its clinical manifestations include respiratory distress, cardiac dysfunction, hypotension, muscle weakness, seizu...

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Main Authors: Dong-Her Shih, Feng-I Chung, Ting-Wei Wu, Shuo-Yu Huang, Ming-Hung Shih
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Mathematics
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Online Access:https://www.mdpi.com/2227-7390/12/24/3915
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author Dong-Her Shih
Feng-I Chung
Ting-Wei Wu
Shuo-Yu Huang
Ming-Hung Shih
author_facet Dong-Her Shih
Feng-I Chung
Ting-Wei Wu
Shuo-Yu Huang
Ming-Hung Shih
author_sort Dong-Her Shih
collection DOAJ
description Hypoxic-ischemic encephalopathy (HIE) is a brain injury condition that poses a significant risk to newborns, potentially causing varying degrees of damage to the central nervous system. Its clinical manifestations include respiratory distress, cardiac dysfunction, hypotension, muscle weakness, seizures, and coma. As HIE represents a progressive brain injury, early identification of the extent of the damage and the implementation of appropriate treatment are crucial for reducing mortality and improving outcomes. HIE patients may face long-term complications such as cerebral palsy, epilepsy, vision loss, and developmental delays. Therefore, prompt identification and treatment of hypoxic-ischemic symptoms can help reduce the risk of severe sequelae in patients. Currently, hypothermia therapy is one of the most effective treatments for HIE patients. However, not all newborns with HIE are suitable for this therapy, making rapid and accurate assessment of the extent of brain injury critical for treatment. Among HIE patients, hypothermia therapy has shown better efficacy in those diagnosed with moderate to severe HIE within 6 h of birth, establishing this time frame as the golden period for treatment. During this golden period, an accurate assessment of HIE severity is essential for formulating appropriate treatment strategies and predicting long-term outcomes for the affected infants. This study proposes a method for addressing data imbalance and noise interference through data preprocessing techniques, including filtering and SMOTE. It then employs EEGNet, a deep learning model specifically designed for EEG classification, combined with a Transformer model featuring an attention mechanism that excels at capturing long-term sequential features to construct the Trans-EEGNet model. This model outperforms previous methods in computation time and feature extraction, enabling rapid classification and assessment of HIE severity in newborns.
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spelling doaj-art-c3be61d89dd6444fbb6ca57405e1af692025-08-20T02:56:52ZengMDPI AGMathematics2227-73902024-12-011224391510.3390/math12243915Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity GradingDong-Her Shih0Feng-I Chung1Ting-Wei Wu2Shuo-Yu Huang3Ming-Hung Shih4Department of Information Management, National Yunlin University of Science and Technology, Douliu 64002, TaiwanCenter for General Education, National Chung Cheng University, Chiayi 621301, TaiwanDepartment of Information Management, National Yunlin University of Science and Technology, Douliu 64002, TaiwanDepartment of Information Management, National Yunlin University of Science and Technology, Douliu 64002, TaiwanDepartment of Electrical and Computer Engineering, Iowa State University, 2520 Osborn Drive, Ames, IA 50011, USAHypoxic-ischemic encephalopathy (HIE) is a brain injury condition that poses a significant risk to newborns, potentially causing varying degrees of damage to the central nervous system. Its clinical manifestations include respiratory distress, cardiac dysfunction, hypotension, muscle weakness, seizures, and coma. As HIE represents a progressive brain injury, early identification of the extent of the damage and the implementation of appropriate treatment are crucial for reducing mortality and improving outcomes. HIE patients may face long-term complications such as cerebral palsy, epilepsy, vision loss, and developmental delays. Therefore, prompt identification and treatment of hypoxic-ischemic symptoms can help reduce the risk of severe sequelae in patients. Currently, hypothermia therapy is one of the most effective treatments for HIE patients. However, not all newborns with HIE are suitable for this therapy, making rapid and accurate assessment of the extent of brain injury critical for treatment. Among HIE patients, hypothermia therapy has shown better efficacy in those diagnosed with moderate to severe HIE within 6 h of birth, establishing this time frame as the golden period for treatment. During this golden period, an accurate assessment of HIE severity is essential for formulating appropriate treatment strategies and predicting long-term outcomes for the affected infants. This study proposes a method for addressing data imbalance and noise interference through data preprocessing techniques, including filtering and SMOTE. It then employs EEGNet, a deep learning model specifically designed for EEG classification, combined with a Transformer model featuring an attention mechanism that excels at capturing long-term sequential features to construct the Trans-EEGNet model. This model outperforms previous methods in computation time and feature extraction, enabling rapid classification and assessment of HIE severity in newborns.https://www.mdpi.com/2227-7390/12/24/3915neonatal hypoxic-ischemic encephalopathy (HIE)transformerelectroencephalogram (EEG)deep learning
spellingShingle Dong-Her Shih
Feng-I Chung
Ting-Wei Wu
Shuo-Yu Huang
Ming-Hung Shih
Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
Mathematics
neonatal hypoxic-ischemic encephalopathy (HIE)
transformer
electroencephalogram (EEG)
deep learning
title Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
title_full Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
title_fullStr Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
title_full_unstemmed Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
title_short Advanced Trans-EEGNet Deep Learning Model for Hypoxic-Ischemic Encephalopathy Severity Grading
title_sort advanced trans eegnet deep learning model for hypoxic ischemic encephalopathy severity grading
topic neonatal hypoxic-ischemic encephalopathy (HIE)
transformer
electroencephalogram (EEG)
deep learning
url https://www.mdpi.com/2227-7390/12/24/3915
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