Staging Epileptogenesis with Deep Neural Networks

Epilepsy is a common neurological disorder characterized by recurrent seizures accompanied by excessive synchronous brain activity. The process of structural and functional brain alterations leading to increased seizure susceptibility and eventually spontaneous seizures is called epileptogenesis (EPG) and can span months or even years. Detecting and monitoring the progression of EPG could allow for targeted early interventions that could slow down disease progression or even halt its development. Here, we propose an approach for staging EPG using deep neural networks and identify potential electroencephalography (EEG) biomarkers to distinguish different phases of EPG. Specifically, continuous intracranial EEG recordings were collected from a rodent model where epilepsy is induced by electrical perforant pathway stimulation (PPS). A deep neural network (DNN) is trained to distinguish EEG signals from before stimulation (baseline), shortly after the PPS and long after the PPS but before the first spontaneous seizure (FSS). Experimental results show that our proposed method can classify EEG signals from the three phases with an average area under the curve (AUC) of 0.93, 0.89, and 0.86. To the best of our knowledge, this represents the first successful attempt to stage EPG prior to the FSS using DNNs.