LV-CadeNet: Long View Feature Convolution-Attention Fusion Encoder-Decoder Network for Clinical MEG Spike Detection

📅 2024-12-12
🏛️ arXiv.org
📈 Citations: 0
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🤖 AI Summary
Existing automated interictal epileptiform discharge (IED) detection methods suffer from two key limitations: (1) insufficient modeling of long-range temporal context for clinical significance assessment, and (2) neglect of dipole potential distribution across adjacent sensors—a critical diagnostic feature. To address challenges inherent in clinical magnetoencephalography (MEG) data—including severe class imbalance, scarce expert annotations, and poor generalizability—we propose the Long View Morphological Modeling framework. Our approach introduces a novel encoder-decoder architecture that jointly integrates spatiotemporal convolution and self-attention mechanisms, and incorporates semi-supervised learning to mitigate domain shift between synthetic and real clinical data distributions. Evaluated on a real-world MEG dataset from Sanbo Brain Hospital, Capital Medical University, our method achieves an IED detection accuracy of 54.88%, substantially improving upon the prior state-of-the-art (42.31%). This work establishes a new paradigm for clinically interpretable and robust automated IED identification.

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📝 Abstract
It is widely acknowledged that the epileptic foci can be pinpointed by source localizing interictal epileptic discharges (IEDs) via Magnetoencephalography (MEG). However, manual detection of IEDs, which appear as spikes in MEG data, is extremely labor intensive and requires considerable professional expertise, limiting the broader adoption of MEG technology. Numerous studies have focused on automatic detection of MEG spikes to overcome this challenge, but these efforts often validate their models on synthetic datasets with balanced positive and negative samples. In contrast, clinical MEG data is highly imbalanced, raising doubts on the real-world efficacy of these models. To address this issue, we introduce LV-CadeNet, a Long View feature Convolution-Attention fusion Encoder-Decoder Network, designed for automatic MEG spike detection in real-world clinical scenarios. Beyond addressing the disparity between training data distribution and clinical test data through semi-supervised learning, our approach also mimics human specialists by constructing long view morphological input data. Moreover, we propose an advanced convolution-attention module to extract temporal and spatial features from the input data. LV-CadeNet significantly improves the accuracy of MEG spike detection, boosting it from 42.31% to 54.88% on a novel clinical dataset sourced from Sanbo Brain Hospital Capital Medical University. This dataset, characterized by a highly imbalanced distribution of positive and negative samples, accurately represents real-world clinical scenarios.
Problem

Research questions and friction points this paper is trying to address.

Automating EEG/MEG spike analysis to reduce manual labor and expertise dependency
Capturing long-view contextual patterns missed by short-window automated methods
Detecting dipole patterns across sensors that experts use for diagnosis
Innovation

Methods, ideas, or system contributions that make the work stand out.

Long-View morphological feature representation
Hierarchical Encoder-Decoder network architecture
Convolution-Attention blocks for spatiotemporal learning
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Kuntao Xiao
the Anhui Province Key Laboratory of Biomedical Imaging and Intelligent Processing, Institute of Artificial Intelligence, Hefei Comprehensive National Science Center, Hefei, China
Xiongfei Wang
Xiongfei Wang
Chair Professor, Tsinghua University, China
StabilityPower QualityPower ElectronicsPower Systems
P
P. Teng
the Department of Neurosurgery, Beijing Key Laboratory of Epilepsy, Sanbo Brain Hospital Capital Medical University, Beijing, China
Y
Yi Sun
the Anhui Province Key Laboratory of Biomedical Imaging and Intelligent Processing, Institute of Artificial Intelligence, Hefei Comprehensive National Science Center, Hefei, China
Wanli Yang
Wanli Yang
Institute of Computing Technology, Chinese Academy of Sciences
Natural Language ProcessingMachine LearningArtificial Intelligence
L
Liang Zhang
the AHU-IAI AI Joint Lab, School of Artificial Intelligence, Anhui University, Hefei, China
H
Hanyang Dong
the AHU-IAI AI Joint Lab, School of Artificial Intelligence, Anhui University, Hefei, China
G
G. Luan
the Department of Neurosurgery, Beijing Key Laboratory of Epilepsy, Sanbo Brain Hospital Capital Medical University, Beijing, China
S
Shurong Sheng
the Anhui Province Key Laboratory of Biomedical Imaging and Intelligent Processing, Institute of Artificial Intelligence, Hefei Comprehensive National Science Center, Hefei, China