<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neurosci.</journal-id>
<journal-title>Frontiers in Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-453X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnins.2024.1539580</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Application of deconvolutional networks for feature interpretability in epilepsy detection</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Shao</surname> <given-names>Sihao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2913294/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" corresp="yes" equal-contrib="yes">
<name><surname>Zhou</surname> <given-names>Yu</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2287701/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname> <given-names>Ruiheng</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2865536/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname> <given-names>Aiping</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Li</surname> <given-names>Qiang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2343092/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>School of Microelectronics, Tianjin University</institution>, <addr-line>Tianjin</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>College of Medical Technology and Engineering, Henan University of Science and Technology</institution>, <addr-line>Luoyang</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Electronic and Electrical Engineering, Brunel University London</institution>, <addr-line>Uxbridge</addr-line>, <country>United Kingdom</country></aff>
<aff id="aff4"><sup>4</sup><institution>School of Electrical and Information Engineering, Tianjin University</institution>, <addr-line>Tianjin</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Mei Liu, Multi-Scale Medical Robotics Center Limited, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Vibha Patel, Uka Tarsadia University, India</p><p>Jinfei Hu, The Chinese University of Hong Kong, China</p><p>Dhouha Sagga, University of Sfax, Tunisia</p></fn>
<corresp id="c001">&#x002A;Correspondence: Yu Zhou, <email>yuzhou@haust.edu.cn</email></corresp>
<corresp id="c002">Qiang Li, <email>liqiang@tju.edu.cn</email></corresp>
<fn fn-type="equal" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>18</volume>
<elocation-id>1539580</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>12</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Shao, Zhou, Wu, Yang and Li.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Shao, Zhou, Wu, Yang and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Scalp electroencephalography (EEG) is commonly used to assist in epilepsy detection. Even automated detection algorithms are already available to assist clinicians in reviewing EEG data, many algorithms used for seizure detection in epilepsy fail to account for the contributions of different channels. The Fully Convolutional Network (FCN) can provide the model&#x2019;s interpretability but has not been applied in seizure detection.</p>
</sec>
<sec>
<title>Methods</title>
<p>To address these challenges, a novel convolutional neural network (CNN) model, combining SE (Squeeze-and-Excitation) modules, was proposed on top of the FCN. The epilepsy detection performance for patient-independent was evaluated on the CHB-MIT dataset. Then, the SE module was removed from the model and integrated the model with Inception, ResNet, and CBAM modules separately.</p>
</sec>
<sec>
<title>Results</title>
<p>The method showed superior advancement, stability, and reliability compared to the other three methods. The method demonstrated a G-Mean of 82.7% for sensitivity (SEN) and specificity (SPE) on the CHB-MIT dataset. In addition, The contributions of each channel to the seizure detection task have also been quantified, which led us to find that the FZ, CZ, PZ, FT9, FT10, and T8 brain regions have a more pronounced impact on epileptic seizures.</p>
</sec>
<sec>
<title>Discussion</title>
<p>This article presents a novel algorithm for epilepsy detection that accurately identifies seizures in different patients and enhances the model&#x2019;s interpretability.</p>
</sec>
</abstract>
<kwd-group>
<kwd>seizure detection</kwd>
<kwd>EEG</kwd>
<kwd>deconvolution network</kwd>
<kwd>interpretability analysis</kwd>
<kwd>deep learning</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="6"/>
<equation-count count="9"/>
<ref-count count="49"/>
<page-count count="13"/>
<word-count count="7595"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Neuroscience Methods and Techniques</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>1 Introduction</title>
<p>Epilepsy is a neurological disorder affecting the brain, with a lifetime prevalence of 7.6&#x2030;. It is characterized by recurrent and unprovoked epileptic seizures, making it a chronic condition (<xref ref-type="bibr" rid="B15">Fiest et al., 2017</xref>; <xref ref-type="bibr" rid="B49">Zhang et al., 2020</xref>). Based on the estimated figures by the World Health Organization, around 50 million individuals worldwide are impacted by epilepsy, which is categorized as a disorder affecting the central nervous system (<xref ref-type="bibr" rid="B6">Chakrabarti et al., 2021</xref>). Epileptic seizures, marked by spontaneous and irregular electrical activity in the brain, can cause profound and temporary changes in a person&#x2019;s behavior, movement, sensory experience, and awareness of their surroundings (<xref ref-type="bibr" rid="B34">Nasiri and Clifford, 2021</xref>).</p>
<p>Identifying and treating epilepsy in its early stages can make a critical and valuable difference for individuals with this condition. Scalp electroencephalogram (EEG) is a non-intrusive technique for measuring the electrical activity in the brain and is a widely employed supplementary examination in diagnosing epilepsy (<xref ref-type="bibr" rid="B28">Liang et al., 2020</xref>). During a seizure episode, the patient&#x2019;s EEG will exhibit significant abnormal patterns (<xref ref-type="bibr" rid="B45">Staba et al., 2014</xref>). Doctors can use the examination of an EEG to help determine if epilepsy is occurring. However, reviewing long-term EEG requires doctors to invest much time and effort. Therefore, developing automated epilepsy detection algorithms is crucial (<xref ref-type="bibr" rid="B42">Si et al., 2023</xref>).</p>
<p>Researchers are actively working toward the development of automated detection of epileptic seizures using EEG data. From the initial attempts using hardware circuits to later utilizing time-domain information and threshold-based methods for seizure detection. The subsequent development involves using frequency-domain features and extracting time-frequency characteristics (<xref ref-type="bibr" rid="B47">Xia et al., 2015</xref>) for seizure detection.</p>
<p>Deep learning models are more resilient in computer vision tasks compared to features extracted manually since their introduction (<xref ref-type="bibr" rid="B8">Chen et al., 2024</xref>), speech recognition (<xref ref-type="bibr" rid="B14">Eris and Akbal, 2024</xref>), and natural language processing (<xref ref-type="bibr" rid="B32">Luo et al., 2024</xref>). Therefore, utilizing deep learning techniques to detect epileptic seizures using EEG signals automatically has shown significant prospects in making the most suitable and fastest clinical decisions (<xref ref-type="bibr" rid="B3">Ahmad et al., 2023</xref>). In the last few years, various deep learning models have been utilized for epileptic seizure detection, including recurrent neural networks (<xref ref-type="bibr" rid="B46">Tuncer and Bolat, 2022</xref>), generative adversarial networks (<xref ref-type="bibr" rid="B39">Rasheed et al., 2021</xref>), deep neural networks (<xref ref-type="bibr" rid="B31">Liu and Richardson, 2021</xref>), hierarchical neural networks (<xref ref-type="bibr" rid="B16">Hu et al., 2021</xref>), and convolutional neural networks. These models have achieved promising results (<xref ref-type="bibr" rid="B22">Kaur et al., 2022</xref>).</p>
<p>Convolutional networks have shown further improvements in performance after being trained end-to-end, pixel by pixel. With the introduction of a Fully Convolutional Network (FCN), the neural network design could handle inputs of varying sizes and produce correspondingly-sized outputs through highly effective inference and learning mechanisms (<xref ref-type="bibr" rid="B9">Chou et al., 2023</xref>). However, FCN has not yet been widely applied in seizure detection. Meanwhile, previous deep learning algorithms often neglected the contributions of different channels to the classification task, resulting in models with limited interpretability.</p>
<p>To overcome the problem above, an independent epilepsy detection algorithm based on deep learning was introduced. algorithm can autonomously extract temporal and spatial information from multi-channel EEG data, enabling precise identification of seizure events across diverse patients. This paper makes several key contributions, including:</p>
<p>&#x03BB; A CNN model detection algorithm incorporating the SE (Squeeze-and-Excitation) module was proposed. This method has been evaluated on the CHB-MIT dataset and has achieved excellent performance.</p>
<p>&#x03BB; For the first time, the upsampling method in the FCN model was applied to seizure detection, achieved through the utilization of deconvolution, which upscales the downscaled images from the convolutional layers back to their original size, allowing for the visualization of the processed EEG.</p>
<p>&#x03BB; The EEG data was subjected to weight normalization to quantify the varying contributions of each channel to seizure detection. Then, the brain regions FZ, CZ, PZ, FT9, FT10, and T8 were explored for their more significant influence on epileptogenesis. As a result, the interpretability of the model was enhanced.</p>
<p>The remaining section are as follows. Section &#x201C;2 Deep learning&#x201D; analyzes related methods for epilepsy detection using deep learning, including CNNs, LSTM and Transformer networks. Subsequently, FCN was introduced. Section &#x201C;3 Materials and methods&#x201D; outlines the approach employed in this study, encompassing the dataset, enhanced seizure detection models, and the training methodology. Section &#x201C;4 Results&#x201D; showcases the experimental results, featuring a comparison with the baseline model and a visual examination of the EEG channel weights. Section &#x201C;5 Discussion&#x201D; evaluates the paper by examining its performance and the interpretability of the proposed model. Section &#x201C;6 Conclusion&#x201D; provides a comprehensive summary of the research in this paper, presents the obtained results, and discusses the existing limitations and future prospects.</p>
</sec>
<sec id="S2">
<title>2 Related work</title>
<sec id="S2.SS1">
<title>2.1 Deep learning</title>
<p>With the advancement of theoretical principles of computer science and the availability of computational resources, deep learning has outperformed conventional machine learning and achieved better results in many fields (<xref ref-type="bibr" rid="B43">Si et al., 2021</xref>). Deep learning algorithms can extract data features that are automated and robust without the biases and complexities involved in feature engineering by hand (<xref ref-type="bibr" rid="B26">LeCun et al., 2015</xref>). As a result, some deep learning methods have been used for detecting epileptic seizures, including CNN (<xref ref-type="bibr" rid="B12">Du and Liu, 2022</xref>; <xref ref-type="bibr" rid="B35">O&#x2019;Shea et al., 2020</xref>; <xref ref-type="bibr" rid="B2">Abdulwahhab et al., 2024</xref>),Long Short-Term Memory (LSTM) (<xref ref-type="bibr" rid="B5">Alharbi et al., 2024</xref>; <xref ref-type="bibr" rid="B44">Singh and Malhotra, 2022</xref>), Transformer models (<xref ref-type="bibr" rid="B18">Hu et al., 2023</xref>), and so on.</p>
<p><xref ref-type="bibr" rid="B36">Ozdemir et al. (2021)</xref> introduced a novel approach that utilizes the Short-Time Fourier Transform (SST) and CNN to detect and forecast epileptic seizure episodes. The proposed method was evaluated on the IKCU and CHB-MIT datasets and achieved high accuracy and precision in detecting seizure episodes based on segments. <xref ref-type="bibr" rid="B4">Albaqami et al. (2023)</xref> proposed a novel deep learning network called Multi-Path Seizure Classification Network (MP-SeizNet), which consists of a CNN and a Bidirectional Long Short-Term Memory Neural Network (Bi-LSTM). The proposed method was evaluated on the EEG epilepsy database from the Temple University Hospital and achieved an F1 score of 87.6%. Li suggested a method for predicting seizures in EEG data, which involves using a Transformer-guided CNN (TGCNN) to extract both local and global characteristics efficiently (<xref ref-type="bibr" rid="B27">Li et al., 2022</xref>). This method combined different benefits of both CNN and Transformer models. It achieved a sensitivity of 82.2%, an FPR (False Positive Rate) of 0.06/h, and an AUC (Area Under the Curve) of 83.5% on the Kaggle database.</p>
<p>Since <xref ref-type="bibr" rid="B40">Shelhamer et al. (2017)</xref> proposed the FCN, it has found diverse applications across multiple domains, such as image segmentation and hyperspectral image classification, achieving excellent results. Jiang introduced a new end-to-end, pixel-level Fully Convolutional Spatial Propagation Network (FCSPN), consisting of a 3D-fully convolutional network (3D-FCN) and a convolutional spatial propagation network (CSPN) (<xref ref-type="bibr" rid="B21">Jiang et al., 2021</xref>). This method has achieved advanced performance in hyperspectral image (HSI) classification. <xref ref-type="bibr" rid="B41">Shen et al. (2021)</xref> proposed a method that combines a deep FCN with an effective non-local module (ENL-FCN) for hyperspectral HSI classification. The FCN takes the entire HSI as input in the proposed framework and extracts spectral-spatial information within local receptive fields (<xref ref-type="bibr" rid="B41">Shen et al., 2021</xref>). The proposed method achieved excellent classification performance while maintaining lower computational costs.</p>
</sec>
<sec id="S2.SS2">
<title>2.2 Explainable deep learning architecture</title>
<p>In recent years, FCN has also been applied in medical image processing. For example, Qiu has suggested a hybrid framework that merges FCN and Multi-Layer Perceptron (MLP) to generate high-resolution probability maps of diseases using local brain structures. And generate precise and intuitive individual Alzheimer&#x2019;s disease risk visualization maps to achieve accurate diagnosis. The diagnostic accuracy achieved by this framework is comparable to that of neurologists (<xref ref-type="bibr" rid="B38">Qiu et al., 2020</xref>).</p>
<p>However, FCN has not yet been applied in seizure detection. Meanwhile, Due to the opaque nature of deep learning models, interpreting and comprehending the learned models in an intuitive manner remains a significant challenge (<xref ref-type="bibr" rid="B23">Khan et al., 2024</xref>). In particular, different channels of EEG signals contribute differently to seizure detection and the impact of different brain regions on seizure occurrence in the brain. Therefore, a CNN detection algorithm that combines an SE module on top of the FCN was proposed. The SE module offers the advantage of being easily pluggable and has not been previously applied to EEG-based seizure detection algorithms using deep learning. The algorithm not only performs epilepsy detection but also obtains the weights of each EEG signal channel, after which the corresponding brain regions can be found according to the cascade system correspondence. It enhances the model&#x2019;s performance and interpretability.</p>
</sec>
</sec>
<sec id="S3" sec-type="materials|methods">
<title>3 Materials and methods</title>
<sec id="S3.SS1">
<title>3.1 EEG data</title>
<p>The CHB-MIT database was utilized as the EEG database in this research. The details are as follows (<xref ref-type="table" rid="T1">Table 1</xref>). Records from 22 patients were available for this study, including 5 boys aged between 3 and 22 and 17 girls aged between 1.5 and 19. These records were divided into 23 individual cases, with one (chb21) belonging to the same patient as the case chb01 but collected 1.5 years later. The specific details of each subject can be found in <xref ref-type="table" rid="T2">Table 2</xref>. The chb24 case was included in the dataset in December 2010. However, the exact age and gender of this individual are not accurate. Each patient has between 9 and 42 consecutive.edf files, with the majority of these files containing precise one-hour signals. Each patient has an average of 5.75 seizure episodes of varying durations. In this database, the EEG signals were universally sampled at 256 Hz with a 16-bit resolution. Most EEG recordings include 18&#x2013;23 bipolar EEG electrodes arranged according to the international 10&#x2013;20 system (<xref ref-type="bibr" rid="B1">Abdallah et al., 2023</xref>; <xref ref-type="bibr" rid="B29">Liu et al., 2022</xref>).</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>CHB-MIT dataset details.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Dataset</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">CHB-MIT</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Type</td>
<td valign="top" align="center">Scalp EEG</td>
</tr>
<tr>
<td valign="top" align="left">Subjects</td>
<td valign="top" align="center">23</td>
</tr>
<tr>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">5</td>
</tr>
<tr>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">17</td>
</tr>
<tr>
<td valign="top" align="left">Age</td>
<td valign="top" align="center">Between 1.5 and 22</td>
</tr>
<tr>
<td valign="top" align="left">Electrodes</td>
<td valign="top" align="center">23</td>
</tr>
<tr>
<td valign="top" align="left">Sampling rate</td>
<td valign="top" align="center">256 Hz</td>
</tr>
<tr>
<td valign="top" align="left">EDF file for each patient</td>
<td valign="top" align="center">Between 9 and 42</td>
</tr>
<tr>
<td valign="top" align="left">Average number of seizures per Patient</td>
<td valign="top" align="center">5.75</td>
</tr>
<tr>
<td valign="top" align="left">Electrode positions</td>
<td valign="top" align="center">The international 10&#x2013;20 method</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Specifics of each subject.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">No.</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Sex</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Age</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Number of used seizures</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Total duration (h)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Mean seizure duration(s)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">40.55</td>
<td valign="top" align="center">63.15</td>
</tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">M</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">35.27</td>
<td valign="top" align="center">57.34</td>
</tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">38.00</td>
<td valign="top" align="center">57.43</td>
</tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">M</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">156.07</td>
<td valign="top" align="center">94.50</td>
</tr>
<tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">39.00</td>
<td valign="top" align="center">111.60</td>
</tr>
<tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">1.5</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">66.74</td>
<td valign="top" align="center">15.30</td>
</tr>
<tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">14.5</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">67.05</td>
<td valign="top" align="center">108.34</td>
</tr>
<tr>
<td valign="top" align="left">8</td>
<td valign="top" align="center">M</td>
<td valign="top" align="center">3.5</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">20.01</td>
<td valign="top" align="center">183.80</td>
</tr>
<tr>
<td valign="top" align="left">9</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">67.87</td>
<td valign="top" align="center">69.00</td>
</tr>
<tr>
<td valign="top" align="left">10</td>
<td valign="top" align="center">M</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">50.02</td>
<td valign="top" align="center">65.50</td>
</tr>
<tr>
<td valign="top" align="left">11</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">34.79</td>
<td valign="top" align="center">268.67</td>
</tr>
<tr>
<td valign="top" align="left">12</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">20.69</td>
<td valign="top" align="center">36.63</td>
</tr>
<tr>
<td valign="top" align="left">13</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">33.00</td>
<td valign="top" align="center">44.59</td>
</tr>
<tr>
<td valign="top" align="left">14</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">26.00</td>
<td valign="top" align="center">22.13</td>
</tr>
<tr>
<td valign="top" align="left">15</td>
<td valign="top" align="center">M</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">40.01</td>
<td valign="top" align="center">99.60</td>
</tr>
<tr>
<td valign="top" align="left">16</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">19.00</td>
<td valign="top" align="center">8.40</td>
</tr>
<tr>
<td valign="top" align="left">17</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">21.01</td>
<td valign="top" align="center">97.67</td>
</tr>
<tr>
<td valign="top" align="left">18</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">18</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">35.63</td>
<td valign="top" align="center">52.84</td>
</tr>
<tr>
<td valign="top" align="left">19</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">29.93</td>
<td valign="top" align="center">78.67</td>
</tr>
<tr>
<td valign="top" align="left">20</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">27.60</td>
<td valign="top" align="center">36.75</td>
</tr>
<tr>
<td valign="top" align="left">21</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">32.83</td>
<td valign="top" align="center">49.75</td>
</tr>
<tr>
<td valign="top" align="left">22</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">31.00</td>
<td valign="top" align="center">68.00</td>
</tr>
<tr>
<td valign="top" align="left">23</td>
<td valign="top" align="center">F</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">26.56</td>
<td valign="top" align="center">60.58</td>
</tr>
<tr>
<td valign="top" align="left">24</td>
<td valign="top" align="center">N/A</td>
<td valign="top" align="center">N/A</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">21.30</td>
<td valign="top" align="center">31.94</td>
</tr>
<tr>
<td valign="top" align="left">Summary</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">9.98</td>
<td valign="top" align="center">184</td>
<td valign="top" align="center">979.93</td>
<td valign="top" align="center">74.22</td>
</tr>
</tbody>
</table></table-wrap>
</sec>
<sec id="S3.SS2">
<title>3.2 Data preprocessing</title>
<p>The processed data was passed through a sixth-order Butterworth bandpass filter from 1 to 60 Hz to eliminate baseline noise and high-frequency interference. The raw EEG signals were resampled to a frequency of 128 Hz to reduce the data in the deep learning model. Because epileptic seizures have an intermittent nature, during seizures, EEG recordings are usually of shorter duration compared to non-seizure periods. Therefore, following previous research, the filtered EEG data was segmented into 2-s epochs using a sliding window analysis (<xref ref-type="bibr" rid="B37">Park et al., 2020</xref>). All the operations above were performed using the MNE-Python library in Python (<xref ref-type="bibr" rid="B20">Jaiswal et al., 2020</xref>).</p>
</sec>
<sec id="S3.SS3">
<title>3.3 Proposed method</title>
<p>A lightweight CNN combined with an SE module was used to build a seizure detection algorithm. <xref ref-type="fig" rid="F1">Figure 1</xref> shows a schematic representation of the proposed method&#x2019;s framework, which draws inspiration from the FCN architecture for the model design, mainly utilizing its skip connections and deconvolution (upsampling) approach.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>The architecture and flow diagram of the proposed method. Conv Transposed: deconvolution.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g001.tif"/>
</fig>
<p>The EEG segment was initially configured with 32 channels. Due to each component containing 2 s of EEG data with a sampling rate of 128 Hz, the shape of the input EEG segment would be (32, 256). The data segment is passed through a two-dimensional convolutional layer in the next step. This layer consists of 32 filters with a kernel size of (1, 4) and a stride of (1, 2). Batch normalization and ReLU activation extract low-level features and minimize data superfluity. Following that, the data is passed through a convolutional layer with 64 filters, a kernel size of (1, 4), and a stride of (1, 2). Batch normalization and ReLU activation are applied again. The core idea of batch normalization is to perform standardization on the inputs of each layer in the network. Batch normalization layers can maintain the stability of the input data distribution while preserving the network&#x2019;s nonlinear expressive power. The data is then passed through another convolutional layer with 128 filters, a kernel size of (1, 4), and a stride of (1, 2). At this stage, the output feature map shape would be (32 &#x00D7; 32 &#x00D7; 128). The output features are passed through the SE module, which focuses on channel relationships. The goal of the SE module is to enable the model to learn the relative significance of diverse channel features automatically (<xref ref-type="bibr" rid="B17">Hu et al., 2020</xref>).</p>
<p>The feature maps are then passed through a convolutional layer with two filters, a kernel size of (1, 1) and a stride of (1, 1). Next, they enter the first deconvolutional layer with two filters, a kernel size of (1, 4) and a stride of (1, 2). At this stage, the output feature map shape would be (32 &#x00D7; 64 &#x00D7; 2). The second convolutional layer has two filters, a kernel size of (1, 1) and a stride of (1, 1). The output features from the first convolutional layer are simultaneously fed into a deconvolutional layer with two filters, a kernel size of (1, 4), and a stride of (1, 2). At this stage, the output feature map shape would be (32 &#x00D7; 128 &#x00D7; 2). The output features from the first convolutional layer are passed through a convolutional layer with two filters, a kernel size of (1, 1), and a stride of (1, 1). Simultaneously, the second deconvolutional layer&#x2019;s output features are fed into a deconvolutional layer with two filters, a kernel size of (1, 4), and a stride of (1, 2). At this stage, the output feature map shape would be (32 &#x00D7; 256 &#x00D7; 2). Finally, the output features are passed through a flattened layer and a Multilayer Perceptron (MLP) to output probabilities of epileptic and non-epileptic seizures (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>The number of parameters in each layer of the network.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Layer (type)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Output shape</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Input</td>
<td valign="top" align="center">32 &#x00D7; 256</td>
</tr>
<tr>
<td valign="top" align="left">CNN_1</td>
<td valign="top" align="center">32 &#x00D7; 128 &#x00D7; 32</td>
</tr>
<tr>
<td valign="top" align="left">Batch_Normalization_1</td>
<td valign="top" align="center">32 &#x00D7; 128 &#x00D7; 32</td>
</tr>
<tr>
<td valign="top" align="left">CNN_2</td>
<td valign="top" align="center">32 &#x00D7; 64 &#x00D7; 64</td>
</tr>
<tr>
<td valign="top" align="left">Batch_Normalization_2</td>
<td valign="top" align="center">32 &#x00D7; 64 &#x00D7; 64</td>
</tr>
<tr>
<td valign="top" align="left">CNN_3</td>
<td valign="top" align="center">32 &#x00D7; 32 &#x00D7; 128</td>
</tr>
<tr>
<td valign="top" align="left">SE module</td>
<td valign="top" align="center">32 &#x00D7; 32 &#x00D7; 128</td>
</tr>
<tr>
<td valign="top" align="left">CNN_4</td>
<td valign="top" align="center">32 &#x00D7; 32 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">CNN_Transposed_1</td>
<td valign="top" align="center">32 &#x00D7; 64 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">CNN_Transposed_2</td>
<td valign="top" align="center">32 &#x00D7; 128 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">CNN_Transposed_3</td>
<td valign="top" align="center">32 &#x00D7; 256 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">CNN_1_1</td>
<td valign="top" align="center">32 &#x00D7; 128 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">CNN_2_1</td>
<td valign="top" align="center">32 &#x00D7; 64 &#x00D7; 2</td>
</tr>
<tr>
<td valign="top" align="left">Flatten</td>
<td valign="top" align="center">16,384</td>
</tr>
<tr>
<td valign="top" align="left">MLP head</td>
<td valign="top" align="center">2</td>
</tr>
</tbody>
</table></table-wrap>
<p>The details of SE are shown in <xref ref-type="fig" rid="F2">Figure 2A</xref>. In SE, the first step is to perform a Squeeze operation (<italic>F</italic><sub><italic>sq</italic></sub>(&#x22C5;)) on the input feature U, resulting in <italic>z<sub>c</sub></italic>. This operation (1) decreases the number of dimensions in the feature map by taking the average value and extracting global feature information.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Improved module: <bold>(A)</bold> the detailed architecture of SE (Squeeze and Excitation). <bold>(B)</bold> the detailed architecture of Inception. <bold>(C)</bold> the detailed architecture of Resnet. <bold>(D)</bold> the detailed architecture of CBAM.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g002.tif"/>
</fig>
<disp-formula id="S3.E1">
<label>(1)</label>
<mml:math id="M1">
<mml:mrow>
<mml:msub>
<mml:mi>z</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>q</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:msub>
<mml:mi>u</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mrow>
<mml:mfrac>
<mml:mn>1</mml:mn>
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>&#x00D7;</mml:mo>
<mml:mi>W</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:munderover>
<mml:mo largeop="true" movablelimits="false" symmetric="true">&#x2211;</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>=</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mi>H</mml:mi>
</mml:munderover>
<mml:mrow>
<mml:munderover>
<mml:mo largeop="true" movablelimits="false" symmetric="true">&#x2211;</mml:mo>
<mml:mrow>
<mml:mi>j</mml:mi>
<mml:mo>=</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mi>W</mml:mi>
</mml:munderover>
<mml:mrow>
<mml:msub>
<mml:mi>u</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>j</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Next, the Excitation operation (<italic>F</italic><sub><italic>ex</italic></sub>(&#x22C5;)) is performed, where z represents the previous step&#x2019;s output, and W1 and W2 denote linear layers. The computed s (2) in this step is the module&#x2019;s core, meaning the weights for each channel.</p>
<disp-formula id="S3.E2">
<label>(2)</label>
<mml:math id="M2">
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mo>=</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>e</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>x</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>z</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>W</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mrow>
<mml:mi mathvariant="normal">&#x03C3;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>z</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>W</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mrow>
<mml:mi mathvariant="normal">&#x03C3;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>W</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mi mathvariant="normal">&#x03B4;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>W</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>z</mml:mi>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Finally, the Scale operation [<italic>F</italic><sub><italic>scale</italic></sub>(&#x22C5;)] is performed. This results in the final output <inline-formula><mml:math id="INEQ1"><mml:mover accent="true"><mml:mi>X</mml:mi><mml:mo stretchy="false">&#x02C7;</mml:mo></mml:mover></mml:math></inline-formula> of the SE module.</p>
<disp-formula id="S3.E3">
<label>(3)</label>
<mml:math id="M3">
<mml:mrow>
<mml:mpadded width="+3.3pt">
<mml:mover accent="true">
<mml:mi>X</mml:mi>
<mml:mo stretchy="false">&#x02C7;</mml:mo>
</mml:mover>
</mml:mpadded>
<mml:mo rspace="5.8pt">=</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>c</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>a</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>l</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>e</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:msub>
<mml:mi>u</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>s</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
<mml:mo rspace="5.8pt" stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo rspace="5.8pt">=</mml:mo>
<mml:msub>
<mml:mi>s</mml:mi>
<mml:mi>c</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Where <italic>u<sub>c</sub></italic> represents a channel in U, and <italic>s<sub>c</sub></italic> means the weight of the channel. Therefore, it is equivalent to multiplying the value of each channel by its weight.</p>
</sec>
<sec id="S3.SS4">
<title>3.4 Training and testing strategy</title>
<p>A leave-one-patient-out cross-validation approach was implemented to assess the effectiveness of the method, specifically designed for medical utilization. In the dataset of N patients, one patient&#x2019;s data served as the test set, while the data from the remaining N-1 patients were employed as the training and validation sets. Each patient&#x2019;s data was sequentially utilized as the test set, repeating this process N times to ensure comprehensive coverage (<xref ref-type="bibr" rid="B37">Park et al., 2020</xref>). Within the data of N-1 patients, 20% was arbitrarily picked as the validation set, while the remaining 80% was utilized for training the model.</p>
<p>The specifics of the training and testing approach are illustrated in <xref ref-type="fig" rid="F3">Figure 3</xref>. During the training process, a batch size of 32 was utilized, and the model was trained for 100 epochs. The model that achieved the highest validation accuracy was chosen for the testing stage. The model was developed using Python 3.10 and Keras 2.4.3, and it is configured to operate on an NVIDIA GeForce RTX 3080 Ti GPU.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>The diagram of leave-one-patient-out cross-validation.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g003.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="results">
<title>4 Results</title>
<p>Several metrics were presented for each technique to thoroughly and fairly assess their results. These metrics include sensitivity (SEN), specificity (SPE), geometric mean (G-Mean), and the area under the receiver operating curve (AUC). Sensitivity refers to the proportion of all actual epileptic samples that are correctly classified as epileptic. High sensitivity means that the model is capable of accurately identifying most epileptic seizures. Specificity refers to the proportion of all actual non-epileptic samples that are correctly classified as non-epileptic. High specificity means that the model is capable of accurately identifying most non-epileptic situations. The geometric mean is the geometric mean of sensitivity and specificity, used to balance the model&#x2019;s sensitivity and specificity. A high AUC value indicates that the model has a high level of accuracy in distinguishing between epileptic and non-epileptic samples. The expressions for SEN, SPE, ACC, and G-Mean are as follows:</p>
<disp-formula id="S4.E4">
<label>(4)</label>
<mml:math id="M4">
<mml:mrow>
<mml:mrow>
<mml:mtext>S</mml:mtext>
<mml:mo>&#x2062;</mml:mo>
<mml:mi>EN</mml:mi>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mtext>TP</mml:mtext>
<mml:mrow>
<mml:mi>TP</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>FN</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.E5">
<label>(5)</label>
<mml:math id="M5">
<mml:mrow>
<mml:mi>SPE</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mtext>TN</mml:mtext>
<mml:mrow>
<mml:mi>TN</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>FP</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.E6">
<label>(6)</label>
<mml:math id="M6">
<mml:mrow>
<mml:mrow>
<mml:mtext>G</mml:mtext>
<mml:mo>-</mml:mo>
<mml:mi>Mean</mml:mi>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:msqrt>
<mml:mrow>
<mml:mi>SEN</mml:mi>
<mml:mo>&#x00D7;</mml:mo>
<mml:mi>SPE</mml:mi>
</mml:mrow>
</mml:msqrt>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.E7">
<label>(7)</label>
<mml:math id="M7">
<mml:mrow>
<mml:mi>Accuracy</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>TP</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>TN</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>TP</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>TN</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>FP</mml:mi>
<mml:mo>+</mml:mo>
<mml:mi>FN</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</disp-formula>
<p>FP, TP, FN, and TN denote false positive, true positive, false negative, and true negative.</p>
<p>(1) Evaluation and comparison</p>
<p><xref ref-type="table" rid="T4">Table 4</xref> summarizes the detection evaluation results of the SE model on the CHB-MIT dataset. For instance, the results obtained from chb02 indicate that the model was trained using data from 22 patients, excluding chb02, and chb02&#x2019;s data was used solely for testing the model&#x2019;s performance. The SE model achieved 79.6% SEN, 86.0% SPE, 82.7% G-Mean, and 0.89 AUC.</p>
<table-wrap position="float" id="T4">
<label>TABLE 4</label>
<caption><p>The performance of the SE model on the CHB-MIT dataset.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">ID</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Sen (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Spe (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">G-Mean (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Acc</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Auc</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">chb01</td>
<td valign="top" align="center">96.8%</td>
<td valign="top" align="center">93.6%</td>
<td valign="top" align="center">95.2%</td>
<td valign="top" align="center">0.94</td>
<td valign="top" align="center">0.99</td>
</tr>
<tr>
<td valign="top" align="left">chb02</td>
<td valign="top" align="center">80.8%</td>
<td valign="top" align="center">92.9%</td>
<td valign="top" align="center">86.7%</td>
<td valign="top" align="center">0.93</td>
<td valign="top" align="center">0.96</td>
</tr>
<tr>
<td valign="top" align="left">chb03</td>
<td valign="top" align="center">99.5%</td>
<td valign="top" align="center">79.9%</td>
<td valign="top" align="center">89.2%</td>
<td valign="top" align="center">0.90</td>
<td valign="top" align="center">0.99</td>
</tr>
<tr>
<td valign="top" align="left">chb04</td>
<td valign="top" align="center">77.2%</td>
<td valign="top" align="center">88.0%</td>
<td valign="top" align="center">82.4%</td>
<td valign="top" align="center">0.88</td>
<td valign="top" align="center">0.89</td>
</tr>
<tr>
<td valign="top" align="left">chb05</td>
<td valign="top" align="center">96.1%</td>
<td valign="top" align="center">82.7%</td>
<td valign="top" align="center">89.1%</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="center">0.98</td>
</tr>
<tr>
<td valign="top" align="left">chb06</td>
<td valign="top" align="center">56.5%</td>
<td valign="top" align="center">75.7%</td>
<td valign="top" align="center">65.4%</td>
<td valign="top" align="center">0.75</td>
<td valign="top" align="center">0.51</td>
</tr>
<tr>
<td valign="top" align="left">chb07</td>
<td valign="top" align="center">92.6%</td>
<td valign="top" align="center">87.8%</td>
<td valign="top" align="center">90.2%</td>
<td valign="top" align="center">0.88</td>
<td valign="top" align="center">0.94</td>
</tr>
<tr>
<td valign="top" align="left">chb08</td>
<td valign="top" align="center">64.5%</td>
<td valign="top" align="center">92.8%</td>
<td valign="top" align="center">77.4%</td>
<td valign="top" align="center">0.92</td>
<td valign="top" align="center">0.86</td>
</tr>
<tr>
<td valign="top" align="left">chb09</td>
<td valign="top" align="center">99.3%</td>
<td valign="top" align="center">61.3%</td>
<td valign="top" align="center">78.0%</td>
<td valign="top" align="center">0.62</td>
<td valign="top" align="center">0.99</td>
</tr>
<tr>
<td valign="top" align="left">chb10</td>
<td valign="top" align="center">95.7%</td>
<td valign="top" align="center">77.6%</td>
<td valign="top" align="center">86.2%</td>
<td valign="top" align="center">0.78</td>
<td valign="top" align="center">0.97</td>
</tr>
<tr>
<td valign="top" align="left">chb11</td>
<td valign="top" align="center">56.9%</td>
<td valign="top" align="center">96.0%</td>
<td valign="top" align="center">73.9%</td>
<td valign="top" align="center">0.95</td>
<td valign="top" align="center">0.82</td>
</tr>
<tr>
<td valign="top" align="left">chb12</td>
<td valign="top" align="center">53.6%</td>
<td valign="top" align="center">86.0%</td>
<td valign="top" align="center">67.9%</td>
<td valign="top" align="center">0.85</td>
<td valign="top" align="center">0.89</td>
</tr>
<tr>
<td valign="top" align="left">chb13</td>
<td valign="top" align="center">57.4%</td>
<td valign="top" align="center">92.3%</td>
<td valign="top" align="center">72.8%</td>
<td valign="top" align="center">0.91</td>
<td valign="top" align="center">0.80</td>
</tr>
<tr>
<td valign="top" align="left">chb14</td>
<td valign="top" align="center">55.7%</td>
<td valign="top" align="center">87.4%</td>
<td valign="top" align="center">69.8%</td>
<td valign="top" align="center">0.87</td>
<td valign="top" align="center">0.73</td>
</tr>
<tr>
<td valign="top" align="left">chb15</td>
<td valign="top" align="center">78.7%</td>
<td valign="top" align="center">94.2%</td>
<td valign="top" align="center">86.1%</td>
<td valign="top" align="center">0.92</td>
<td valign="top" align="center">0.88</td>
</tr>
<tr>
<td valign="top" align="left">chb16</td>
<td valign="top" align="center">66.0%</td>
<td valign="top" align="center">84.6%</td>
<td valign="top" align="center">74.7%</td>
<td valign="top" align="center">0.85</td>
<td valign="top" align="center">0.79</td>
</tr>
<tr>
<td valign="top" align="left">chb17</td>
<td valign="top" align="center">94.2%</td>
<td valign="top" align="center">82.3%</td>
<td valign="top" align="center">88.0%</td>
<td valign="top" align="center">0.82</td>
<td valign="top" align="center">0.96</td>
</tr>
<tr>
<td valign="top" align="left">chb18</td>
<td valign="top" align="center">72.0%</td>
<td valign="top" align="center">79.5%</td>
<td valign="top" align="center">75.7%</td>
<td valign="top" align="center">0.79</td>
<td valign="top" align="center">0.88</td>
</tr>
<tr>
<td valign="top" align="left">chb19</td>
<td valign="top" align="center">81.9%</td>
<td valign="top" align="center">88.1%</td>
<td valign="top" align="center">84.9%</td>
<td valign="top" align="center">0.88</td>
<td valign="top" align="center">0.93</td>
</tr>
<tr>
<td valign="top" align="left">chb20</td>
<td valign="top" align="center">76.2%</td>
<td valign="top" align="center">79.4%</td>
<td valign="top" align="center">77.8%</td>
<td valign="top" align="center">0.90</td>
<td valign="top" align="center">0.84</td>
</tr>
<tr>
<td valign="top" align="left">chb21</td>
<td valign="top" align="center">82.4%</td>
<td valign="top" align="center">89.7%</td>
<td valign="top" align="center">86.0%</td>
<td valign="top" align="center">0.90</td>
<td valign="top" align="center">0.94</td>
</tr>
<tr>
<td valign="top" align="left">chb22</td>
<td valign="top" align="center">98.5%</td>
<td valign="top" align="center">95.4%</td>
<td valign="top" align="center">97.0%</td>
<td valign="top" align="center">0.95</td>
<td valign="top" align="center">1.00</td>
</tr>
<tr>
<td valign="top" align="left">chb23</td>
<td valign="top" align="center">97.2%</td>
<td valign="top" align="center">91.7%</td>
<td valign="top" align="center">94.4%</td>
<td valign="top" align="center">0.92</td>
<td valign="top" align="center">0.98</td>
</tr>
<tr>
<td valign="top" align="left">(Mean &#x00B1; SEM)</td>
<td valign="top" align="center">79.6% &#x00B1; 0.91%</td>
<td valign="top" align="center">86.0% &#x00B1; 0.57%</td>
<td valign="top" align="center">82.7% &#x00B1; 0.23%</td>
<td valign="top" align="center">0.87 &#x00B1; 0.009</td>
<td valign="top" align="center">0.89 &#x00B1; 0.006</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>SEM: standard error of mean.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>To further showcase the efficacy of the FCN architecture, three new networks were constructed by removing the SE module from the proposed network and incorporating Inception (<xref ref-type="fig" rid="F2">Figure 2B</xref>), Resnet (<xref ref-type="fig" rid="F2">Figure 2C</xref>), and CBAM (<xref ref-type="fig" rid="F2">Figure 2D</xref>) modules. Please refer to the <xref ref-type="supplementary-material" rid="DS1">Supplementary material</xref> for more details. In addition, to demonstrate the excellence of the approach, it is crucial to compare it with other excellent seizure detection methods, including EEGNet (<xref ref-type="bibr" rid="B25">Lawhern et al., 2018</xref>), CNN+LSTM (<xref ref-type="bibr" rid="B48">Xu et al., 2020</xref>), and Wei-CNN (<xref ref-type="bibr" rid="B10">Craley et al., 2021</xref>). <xref ref-type="table" rid="T5">Table 5</xref> provides a summary of the result comparison of each technique on the CHB-MIT datasets.</p>
<table-wrap position="float" id="T5">
<label>TABLE 5</label>
<caption><p>G-mean, Acc, Auc and Lat of each method.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Method</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">G-mean (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Acc</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Auc</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Lat(s)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">EEGNet</td>
<td valign="top" align="center">81.3</td>
<td valign="top" align="center">0.84</td>
<td valign="top" align="center">0.85</td>
<td valign="top" align="center">13.9</td>
</tr>
<tr>
<td valign="top" align="left">CNN+LSTM</td>
<td valign="top" align="center">81.2</td>
<td valign="top" align="center">0.84</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="center">16.2</td>
</tr>
<tr>
<td valign="top" align="left">Wei-CNN</td>
<td valign="top" align="center">79.7</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="center">0.77</td>
<td valign="top" align="center">18.7</td>
</tr>
<tr>
<td valign="top" align="left">SE model</td>
<td valign="top" align="center">82.7</td>
<td valign="top" align="center">0.87</td>
<td valign="top" align="center">0.89</td>
<td valign="top" align="center">6.1</td>
</tr>
<tr>
<td valign="top" align="left">Inception</td>
<td valign="top" align="center">83.4</td>
<td valign="top" align="center">0.87</td>
<td valign="top" align="center">0.88</td>
<td valign="top" align="center">8.9</td>
</tr>
<tr>
<td valign="top" align="left">ResNet</td>
<td valign="top" align="center">84.6</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="center">0.87</td>
<td valign="top" align="center">7.3</td>
</tr>
<tr>
<td valign="top" align="left">CBAM</td>
<td valign="top" align="center">84.3</td>
<td valign="top" align="center">0.85</td>
<td valign="top" align="center">0.84</td>
<td valign="top" align="center">7.0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Lat: latency.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>The methods mentioned above were experimented on the CHBMIT dataset, and ROC curves (<xref ref-type="fig" rid="F4">Figure 4</xref>) and performance boxplots (<xref ref-type="fig" rid="F5">Figure 5</xref>) were generated to compare the proposed methods with the baseline methods. It can be observed that the method achieves higher G-Mean, ACC, and AUC, indicating superior performance.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>The receiver operating characteristic curves (ROC) illustrate the performance of each network. <bold>(A)</bold> baseline methods <bold>(B)</bold> the proposed methods.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g004.tif"/>
</fig>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Box plot of the methods&#x2019; and baseline methods&#x2019; performance on the CHB-MIT dataset.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g005.tif"/>
</fig>
<p>To evaluate the contribution of the SE module to the performance improvement of the proposed epilepsy detection model, an ablation experiment was conducted on the proposed method. <xref ref-type="table" rid="T6">Table 6</xref> summarizes the results of the ablation experiments conducted on the CHB-MIT dataset. The results show that the SE module enhances the model&#x2019;s performance across all five evaluation metrics. Compared to other metrics, the SE module demonstrates the greatest improvement in the model&#x2019;s Spe.</p>
<table-wrap position="float" id="T6">
<label>TABLE 6</label>
<caption><p>The results of the ablation experiments on the CHB-MIT dataset.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Dataset</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">SE module</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Sen (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Spe (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">G-Mean (%)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Acc</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Auc</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">CHB-MIT</td>
<td valign="top" align="center">&#x00D7;</td>
<td valign="top" align="center">76.2%</td>
<td valign="top" align="center">81.8%</td>
<td valign="top" align="center">79.0%</td>
<td valign="top" align="center">0.84</td>
<td valign="top" align="center">0.85</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">&#x221A;</td>
<td valign="top" align="center">79.6%</td>
<td valign="top" align="center"><bold>86.0%</bold></td>
<td valign="top" align="center"><bold>82.7%</bold></td>
<td valign="top" align="center"><bold>0.87</bold></td>
<td valign="top" align="center"><bold>0.89</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Bold values means effective.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>(2) Explainability analysis</p>
<p>The main innovation of the proposed method is inspired by the FCN architecture, specifically utilizing skip connections and deconvolution (upsampling) techniques. The size of feature maps decreases after the preceding convolutional operations, and the deconvolution restores the reduced feature maps to their original size. After the final deconvolution, the original feature map was extracted. This layer was removed and processed into a 2560 &#x00D7; 32 feature matrix in the main program. Since the sampling frequency is 128, 2560 represents a 20-s EEG feature map, and 32 represents 32 channels, including zero-padding channels.</p>
<p>Perform the following operations on the feature matrix:</p>
<disp-formula id="S4.Ex1">
<label>(8)</label>
<mml:math id="M8">
<mml:mrow>
<mml:mrow>
<mml:mpadded width="+3.3pt">
<mml:mtext>A</mml:mtext>
</mml:mpadded>
<mml:mo rspace="5.8pt">=</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">[</mml:mo>
<mml:msub>
<mml:mtext>a</mml:mtext>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mtext>a</mml:mtext>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2062;</mml:mo>
<mml:msub>
<mml:mtext>a</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo rspace="5.8pt" stretchy="false">]</mml:mo>
</mml:mrow>
<mml:mo rspace="5.8pt">=</mml:mo>
<mml:mrow>
<mml:mpadded width="+3.3pt">
<mml:mtext>Max</mml:mtext>
</mml:mpadded>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
<mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:mo>&#x2062;</mml:mo>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mi mathvariant="normal">t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.Ex2">
<mml:math id="M9">
<mml:mrow>
<mml:mpadded width="+3.3pt">
<mml:mtext>Max</mml:mtext>
</mml:mpadded>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
<mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:mo>&#x2062;</mml:mo>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mi mathvariant="normal">t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.E8">
<mml:math id="M10">
<mml:mrow>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mpadded width="+3.3pt">
<mml:mtext>Max</mml:mtext>
</mml:mpadded>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
<mml:mo>,</mml:mo>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mtext>b</mml:mtext>
<mml:mrow>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi mathvariant="normal">t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo stretchy="false">]</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.Ex3">
<label>(9)</label>
<mml:math id="M11">
<mml:mrow>
<mml:mpadded width="+3.3pt">
<mml:mi>C</mml:mi>
</mml:mpadded>
<mml:mo rspace="5.8pt">=</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">[</mml:mo>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo>,</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.Ex4">
<mml:math id="M12">
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo>,</mml:mo>
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo>&#x2062;</mml:mo>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mo>&#x2062;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="S4.E9">
<mml:math id="M13">
<mml:mrow>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo>,</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mi mathvariant="normal">&#x2026;</mml:mi>
<mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">|</mml:mo>
<mml:msub>
<mml:mi>b</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">|</mml:mo>
</mml:mrow>
<mml:msub>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mo>,</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mfrac>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo stretchy="false">]</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Where matrix b &#x2208; R^(n &#x00D7; t). Took the absolute value of each value in the feature matrix and normalized each row by dividing it by the maximum value of that row. Mapped the data of each pixel to the range of 0 to 1, resulting in the weight matrix.</p>
<p>The diagram below shows the weights of each channel in the model during the first seizure of patient CHB04 (<xref ref-type="fig" rid="F6">Figure 6</xref>). The weight matrix was visualized by naming the rows of channels as the names of the corresponding brain regions. The channels corresponding to FP1-F7, F7-T7, T7-P7, P7-O1, FP1-F3, FZ-CZ, CZ-PZ, FT9-FT10, and FT10-T8 were filtered out. It can be observed that during the first 20 s of the seizure, the brain regions FZ-CZ, FT9-FT10, and FT10-T8 have a significant impact on the onset of epilepsy. For the weight diagrams of the Inception, Resnet, and CBAM modules (<xref ref-type="fig" rid="F6">Figure 6</xref>), in addition to observing that the channels corresponding to the brain regions FZ-CZ, FT9-FT10, and FT10-T8 have relatively large weights, the channels corresponding to the CZ-PZ brain region have significant weights. A brain region map can be generated based on the channel diagram and mark the corresponding brain regions (<xref ref-type="fig" rid="F7">Figure 7</xref>). Indeed, this further enhanced the interpretability of the FCN structure.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>The weight distribution of each channel in each model during the first 20 s before the initial seizure in patient chb04. The channel weights corresponding to the brain regions FZ-CZ, FT9-FT10, FT10-T8, and CZ-PZ are comparatively higher.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g006.tif"/>
</fig>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>According to the international 10&#x2013;20 electrode placement system, the brain regions FZ, CZ, PZ, FT9, FT10, and T8 are marked. The BrainViewer is used to visualize the brain atlas, labeling the corresponding areas and establishing functional connections at those positions.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnins-18-1539580-g007.tif"/>
</fig>
</sec>
<sec id="S5" sec-type="discussion">
<title>5 Discussion</title>
<sec id="S5.SS1">
<title>5.1 CNN algorithm and model benefits</title>
<p>The EEG is an often utilized medical technique for diagnosing epilepsy (<xref ref-type="bibr" rid="B13">Duan et al., 2022</xref>). In the past few years, extensive interest has been in seizure detection based on EEG. EEGNet, proposed by Lawhern, is a compact CNN used for brain-computer interface based on EEG (<xref ref-type="bibr" rid="B25">Lawhern et al., 2018</xref>). <xref ref-type="bibr" rid="B48">Xu et al. (2020)</xref> proposed a 1D CNN-LSTM model for automatically identifying and Detecting epileptic seizures by analyzing EEG signals. Zuochen Wei proposed a CNN method for automatically detecting epileptic EEG signal segments and seizure events (<xref ref-type="bibr" rid="B10">Craley et al., 2021</xref>). These methods have demonstrated excellent performance.</p>
<p>However, the comparative results on the CHB-MIT dataset between the approach and these methods indicate that the designed CNN-based epileptic seizure detection algorithm exhibits superior advancement, stability, and reliability. This is because their CNN algorithms overlooked the importance of different channels in the feature maps during the convolution and pooling processes, leading to a performance loss. The approach incorporated the SE module, which helps reduce this loss by considering the significance of different channels. The SE module explicitly models interdependencies among convolutional feature channels to enhance the network&#x2019;s representation capability, allowing feature recalibration to be performed (<xref ref-type="bibr" rid="B17">Hu et al., 2020</xref>). With this mechanism, global information can selectively emphasize enlightening characteristics and constrain usefulness (<xref ref-type="bibr" rid="B7">Chen et al., 2022</xref>). Therefore, introducing the SE module can improve performance metrics such as accuracy (<xref ref-type="bibr" rid="B24">Khan et al., 2022</xref>).</p>
<p>Moreover, skip connections were adopted from the FCN architecture, involving the connection of fundamental and advanced attributes. This enables the model better to capture crucial elements at different scales (<xref ref-type="bibr" rid="B30">Liu et al., 2021</xref>). Enhancing discriminating epileptic abnormal signals improves classification accuracy, ensuring the model&#x2019;s robustness and precision. The skip connections facilitate the gradient propagation of shallow features to deeper layers, thereby accelerating the network&#x2019;s training, learning, and convergence speed (<xref ref-type="bibr" rid="B19">Huang et al., 2022</xref>). It helps reduce training time and enhance the training and testing efficacy of the model. Indeed, the CNN model detection algorithm, which combines the SE module with the FCN base, enables more accurate identification of epileptic seizures in different patients. This approach effectively addresses the issue of doctors having to spend significant time and effort reviewing long-term EEG recordings.</p>
</sec>
<sec id="S5.SS2">
<title>5.2 Brain area exploration and weighted significance</title>
<p>In addition, the seizure onset zone of epilepsy can be further explored. <xref ref-type="bibr" rid="B11">Dissanayake et al. (2022)</xref> proposed two geometric deep learning (GDL) techniques. One approach involved utilizing graphs generated from the physical connections in the electroencephalogram (EEG) grid, while the other employed deep neural network-synthesized diagrams for predicting seizures in epilepsy. This method aids in the localization of epileptic seizures based on scalp EEG (<xref ref-type="bibr" rid="B11">Dissanayake et al., 2022</xref>). <xref ref-type="bibr" rid="B33">Narasimhan et al. (2020)</xref> utilized non-directional resting-state connectivity measurements to evaluate the connectivity between brain regions in patients and discovered that areas with increased epileptogenicity exhibited higher functional connectivity.</p>
<p>Similarly, the approach identifies seizures in different patients and considers the impact of brain regions on seizure occurrence. The system utilizes the FCN architecture with skip connections and deconvolution (upsampling) method. Deconvolution (upsampling) enlarges the shrunken feature maps to their original dimensions. If upsampling is only applied to the final layer&#x2019;s feature map to obtain the actual image size, the results are often unsatisfactory. This is because the last layer&#x2019;s feature map is too small, resulting in the loss of a significant amount of detail. Therefore, global and local effects can be balanced by combining the final layer (which contains global information) with shallower layers (which contain local information) through skip connections.</p>
<p>Visualizing the upsampled feature map of the last layer and normalizing it helps us obtain a weight matrix. In this weight matrix, the value at each position represents the importance of that position for epileptic seizures. By doing this, the classification can be extended from the image-level to the pixel-level. Each row of pixels forms a channel, allowing us to examine each row channel&#x2019;s weight distribution, thus quantifying each row channel&#x2019;s contribution to the occurrence of epileptic seizures. Each channel can correspond to specific brain regions using the international 10&#x2013;20 electrode placement system. This allows us to investigate the significant impact of brain regions such as FZ, CZ, PZ, FT9, FT10, and T8 on the occurrence of epileptic seizures.</p>
</sec>
<sec id="S5.SS3">
<title>5.3 Limitations and future work</title>
<p>This paper proposes a compact CNN model on top of the FCN architecture for epileptic seizure detection, integrating the SE module. This algorithm is a method for independent epileptic seizure detection within the same dataset. Nevertheless, building an epileptic seizure detection algorithm that can generalize across different datasets is a more significant challenge. Developing an advanced algorithm for cross-dataset epileptic seizure detection is the next objective, demanding enhanced generalization capabilities from the algorithm.</p>
<p>In addition, while the contribution of EEG channel weights to epileptic seizure detection has been quantified, it is also being explored which brain regions play a significant role in the onset of epileptic seizures. However, the contrast of the weights in the EEG channel map needs to be more evident. Therefore, the algorithm still needs improvement to achieve better visualization and enhance the interpretability of the model.</p>
<p>It has been observed that effective channels are not the same across subjects and they may vary. In order to explore the variation in effective channels and to make the proposed model more generalizable, In the future, a dedicated dataset will be utilized for multicenter cross-validation.</p>
</sec>
</sec>
<sec id="S6" sec-type="conclusion">
<title>6 Conclusion</title>
<p>In this study, a lightweight CNN model incorporating skip connections and deconvolution operations from the FCN architecture was designed. The model was developed explicitly for independent seizure detection in patients. To enhance the model&#x2019;s ability to recognize seizures, the SE module was introduced, which focuses on channel relationships and automatically helps the model learn the importance of different channel features. The method was evaluated on the CHB-MIT dataset, which consists of long-term continuous EEG data. The approach demonstrated higher G-Mean, ACC, and AUC scores than the baseline methods, indicating superior advancement, stability, and reliability. The contributions of each channel to the seizure detection task have also been quantified, which led us to find that the FZ, CZ, PZ, FT9, FT10, and T8 brain regions have a more pronounced impact on epileptic seizures. This analysis improves the interpretability of the model. In summary, the approach holds great promise in significantly reducing the workload for EEG examinations of epileptic seizures, thus aiding the future clinical application of seizure detection algorithms.</p>
</sec>
</body>
<back>
<sec id="S10" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in this study are included in this article/<xref ref-type="supplementary-material" rid="DS1">Supplementary material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="S11" sec-type="author-contributions">
<title>Author contributions</title>
<p>SS: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Visualization, Writing &#x2013; original draft. YZ: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Visualization, Writing &#x2013; original draft. RW: Writing &#x2013; review and editing. AY: Writing &#x2013; review and editing. QL: Writing &#x2013; review and editing, Conceptualization, Supervision.</p>
</sec>
<sec id="S12" sec-type="funding-information">
<title>Funding</title>
<p>The authors declare that no financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Key Specialized Research and Development Breakthrough of Henan Province (Grant No. 232102210030 to YZ); Foundation of State Key Laboratory of Ultrasound in Medicine and Engineering (Grant No. 2022KFKT004 to QL); and National Natural Science Foundation of China (Grant No. 62071323 to AY).</p>
</sec>
<ack><p>The authors would like to thank all the subjects.</p>
</ack>
<sec id="S13" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="S8">
<title>Generative AI Statement</title>
<p>The authors declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="S14" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="S15" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fnins.2024.1539580/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fnins.2024.1539580/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.docx" id="DS1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdallah</surname> <given-names>T.</given-names></name> <name><surname>Jrad</surname> <given-names>N.</given-names></name> <name><surname>Abdallah</surname> <given-names>F.</given-names></name> <name><surname>Humeau-Heurtier</surname> <given-names>A.</given-names></name> <name><surname>Van Bogaert</surname> <given-names>P.</given-names></name></person-group> (<year>2023</year>). <article-title>A self-attention model for cross-subject seizure detection.</article-title> <source><italic>Comput. Biol. Med.</italic></source> <volume>165</volume>:<issue>107427</issue>. <pub-id pub-id-type="doi">10.1016/j.compbiomed.2023.107427</pub-id> <pub-id pub-id-type="pmid">37683531</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdulwahhab</surname> <given-names>A. H.</given-names></name> <name><surname>Abdulaal</surname> <given-names>A. H.</given-names></name> <name><surname>Al-Ghrairi</surname> <given-names>A. H. T.</given-names></name> <name><surname>Mohammed</surname> <given-names>A. A.</given-names></name> <name><surname>Valizadeh</surname> <given-names>M.</given-names></name></person-group> (<year>2024</year>). <article-title>Detection of epileptic seizure using EEG signals analysis based on deep learning techniques.</article-title> <source><italic>Chaos Solitons Fractals</italic></source> <volume>181</volume>:<issue>114700</issue>. <pub-id pub-id-type="doi">10.1016/j.chaos.2024.114700</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ahmad</surname> <given-names>I.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name> <name><surname>Javeed</surname> <given-names>D.</given-names></name> <name><surname>Kumar</surname> <given-names>P.</given-names></name> <name><surname>Samuel</surname> <given-names>O. W.</given-names></name> <name><surname>Chen</surname> <given-names>S.</given-names></name></person-group> (<year>2023</year>). <article-title>A hybrid deep learning approach for epileptic seizure detection in EEG SIGNALS.</article-title> <source><italic>IEEE J. Biomed. Health Inform.</italic></source> <pub-id pub-id-type="doi">10.1109/jbhi.2023.3265983</pub-id> <pub-id pub-id-type="pmid">37037252</pub-id> <comment>[Epub ahead of print]</comment>.</citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Albaqami</surname> <given-names>H.</given-names></name> <name><surname>Hassan</surname> <given-names>G. M.</given-names></name> <name><surname>Datta</surname> <given-names>A.</given-names></name></person-group> (<year>2023</year>). <article-title>MP-SeizNet: a multi-path CNN Bi-LSTM Network for seizure-type classification using EEG.</article-title> <source><italic>Biomed. Signal Process. Control</italic></source> <volume>84</volume>:<issue>104780</issue>. <pub-id pub-id-type="doi">10.1016/j.bspc.2023.104780</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alharbi</surname> <given-names>N. S.</given-names></name> <name><surname>Bekiros</surname> <given-names>S.</given-names></name> <name><surname>Jahanshahi</surname> <given-names>H.</given-names></name> <name><surname>Mou</surname> <given-names>J.</given-names></name> <name><surname>Yao</surname> <given-names>Q. J.</given-names></name></person-group> (<year>2024</year>). <article-title>Spatiotemporal wavelet-domain neuroimaging of chaotic EEG seizure signals in epilepsy diagnosis and prognosis with the use of graph convolutional LSTM networks.</article-title> <source><italic>Chaos Solitons Fractals</italic></source> <volume>181</volume>:<issue>114675</issue>. <pub-id pub-id-type="doi">10.1016/j.chaos.2024.114675</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chakrabarti</surname> <given-names>S.</given-names></name> <name><surname>Swetapadma</surname> <given-names>A.</given-names></name> <name><surname>Pattnaik</surname> <given-names>P. K.</given-names></name></person-group> (<year>2021</year>). <article-title>A channel independent generalized seizure detection method for pediatric epileptic seizures.</article-title> <source><italic>Comput. Methods Programs Biomed.</italic></source> <volume>209</volume>:<issue>106335</issue>. <pub-id pub-id-type="doi">10.1016/j.cmpb.2021.106335</pub-id> <pub-id pub-id-type="pmid">34390934</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>G.</given-names></name> <name><surname>Yin</surname> <given-names>J.</given-names></name> <name><surname>Dai</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Yin</surname> <given-names>X.</given-names></name> <name><surname>Cui</surname> <given-names>L.</given-names></name></person-group> (<year>2022</year>). <article-title>A novel convolutional neural network for kidney ultrasound images segmentation.</article-title> <source><italic>Comput. Methods Programs Biomed.</italic></source> <volume>218</volume>:<issue>106712</issue>. <pub-id pub-id-type="doi">10.1016/j.cmpb.2022.106712</pub-id> <pub-id pub-id-type="pmid">35248816</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>Y. B.</given-names></name> <name><surname>Mancini</surname> <given-names>M.</given-names></name> <name><surname>Zhu</surname> <given-names>X. T.</given-names></name> <name><surname>Akata</surname> <given-names>Z.</given-names></name></person-group> (<year>2024</year>). <article-title>Semi-supervised and unsupervised deep visual learning: a survey.</article-title> <source><italic>IEEE Trans. Pattern Anal. Mach. Intellig.</italic></source> <volume>46</volume> <fpage>1327</fpage>&#x2013;<lpage>1347</lpage>. <pub-id pub-id-type="doi">10.1109/tpami.2022.3201576</pub-id> <pub-id pub-id-type="pmid">36006881</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chou</surname> <given-names>C. H.</given-names></name> <name><surname>Shen</surname> <given-names>T. W.</given-names></name> <name><surname>Tung</surname> <given-names>H.</given-names></name> <name><surname>Hsieh</surname> <given-names>P. F.</given-names></name> <name><surname>Kuo</surname> <given-names>C. E.</given-names></name> <name><surname>Chen</surname> <given-names>T. M.</given-names></name><etal/></person-group> (<year>2023</year>). <article-title>Convolutional neural network-based fast seizure detection from video electroencephalograms.</article-title> <source><italic>Biomed. Signal Process. Control</italic></source> <volume>80</volume>:<issue>104380</issue>. <pub-id pub-id-type="doi">10.1016/j.bspc.2022.104380</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Craley</surname> <given-names>J.</given-names></name> <name><surname>Johnson</surname> <given-names>E.</given-names></name> <name><surname>Jouny</surname> <given-names>C.</given-names></name> <name><surname>Venkataraman</surname> <given-names>A.</given-names></name></person-group> (<year>2021</year>). <article-title>Automated inter-patient seizure detection using multichannel Convolutional and Recurrent Neural Networks.</article-title> <source><italic>Biomed. Signal Process. Control</italic></source> <volume>64</volume>:<issue>102360</issue>. <pub-id pub-id-type="doi">10.1016/j.bspc.2020.102360</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dissanayake</surname> <given-names>T.</given-names></name> <name><surname>Fernando</surname> <given-names>T.</given-names></name> <name><surname>Denman</surname> <given-names>S.</given-names></name> <name><surname>Sridharan</surname> <given-names>S.</given-names></name> <name><surname>Fookes</surname> <given-names>C.</given-names></name></person-group> (<year>2022</year>). <article-title>Geometric deep learning for subject independent epileptic seizure prediction using scalp EEG signals.</article-title> <source><italic>IEEE J. Biomed. Health Inform.</italic></source> <volume>26</volume> <fpage>527</fpage>&#x2013;<lpage>538</lpage>. <pub-id pub-id-type="doi">10.1109/jbhi.2021.3100297</pub-id> <pub-id pub-id-type="pmid">34314363</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Du</surname> <given-names>Y. P.</given-names></name> <name><surname>Liu</surname> <given-names>J.</given-names></name></person-group> (<year>2022</year>). <article-title>IENet: a robust convolutional neural network for EEG based brain-computer interfaces.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>19</volume> <issue>036031</issue>. <pub-id pub-id-type="doi">10.1088/1741-2552/ac7257</pub-id> <pub-id pub-id-type="pmid">35605585</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duan</surname> <given-names>L. J.</given-names></name> <name><surname>Wang</surname> <given-names>Z. Y.</given-names></name> <name><surname>Qiao</surname> <given-names>Y. H.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Huang</surname> <given-names>Z. Y.</given-names></name> <name><surname>Zhang</surname> <given-names>B. C.</given-names></name></person-group> (<year>2022</year>). <article-title>An automatic method for epileptic seizure detection based on deep metric learning.</article-title> <source><italic>IEEE J. Biomed. Health Inform.</italic></source> <volume>26</volume> <fpage>2147</fpage>&#x2013;<lpage>2157</lpage>. <pub-id pub-id-type="doi">10.1109/jbhi.2021.3138852</pub-id> <pub-id pub-id-type="pmid">34962890</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eris</surname> <given-names>F. G.</given-names></name> <name><surname>Akbal</surname> <given-names>E.</given-names></name></person-group> (<year>2024</year>). <article-title>Enhancing speech emotion recognition through deep learning and handcrafted feature fusion.</article-title> <source><italic>Appl. Acoust.</italic></source> <volume>222</volume>:<issue>110070</issue>. <pub-id pub-id-type="doi">10.1016/j.apacoust.2024.110070</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fiest</surname> <given-names>K. M.</given-names></name> <name><surname>Sauro</surname> <given-names>K. M.</given-names></name> <name><surname>Wiebe</surname> <given-names>S.</given-names></name> <name><surname>Patten</surname> <given-names>S. B.</given-names></name> <name><surname>Kwon</surname> <given-names>C. S.</given-names></name> <name><surname>Dykeman</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Prevalence and incidence of epilepsy: a systematic review and meta-analysis of international studies.</article-title> <source><italic>Neurology</italic></source> <volume>88</volume> <fpage>296</fpage>&#x2013;<lpage>303</lpage>. <pub-id pub-id-type="doi">10.1212/wnl.0000000000003509</pub-id> <pub-id pub-id-type="pmid">27986877</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>D. H.</given-names></name> <name><surname>Cao</surname> <given-names>J. W.</given-names></name> <name><surname>Lai</surname> <given-names>X. P.</given-names></name> <name><surname>Wang</surname> <given-names>Y. M.</given-names></name> <name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Ding</surname> <given-names>Y.</given-names></name></person-group> (<year>2021</year>). <article-title>Epileptic state classification by fusing hand-crafted and deep learning EEG features.</article-title> <source><italic>IEEE Trans. Circ. Syst. II Express Briefs</italic></source> <volume>68</volume> <fpage>1542</fpage>&#x2013;<lpage>1546</lpage>. <pub-id pub-id-type="doi">10.1109/tcsii.2020.3031399</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>J.</given-names></name> <name><surname>Shen</surname> <given-names>L.</given-names></name> <name><surname>Albanie</surname> <given-names>S.</given-names></name> <name><surname>Sun</surname> <given-names>G.</given-names></name> <name><surname>Wu</surname> <given-names>E.</given-names></name></person-group> (<year>2020</year>). <article-title>Squeeze-and-excitation networks.</article-title> <source><italic>IEEE Trans. Pattern Anal. Mach. Intell.</italic></source> <volume>42</volume> <fpage>2011</fpage>&#x2013;<lpage>2023</lpage>. <pub-id pub-id-type="doi">10.1109/tpami.2019.2913372</pub-id> <pub-id pub-id-type="pmid">31034408</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>S. C.</given-names></name> <name><surname>Liu</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>R.</given-names></name> <name><surname>Wang</surname> <given-names>Y. N.</given-names></name> <name><surname>Wang</surname> <given-names>A. G.</given-names></name> <name><surname>Li</surname> <given-names>K. Z.</given-names></name><etal/></person-group> (<year>2023</year>). <article-title>Exploring the applicability of transfer learning and feature engineering in epilepsy prediction using hybrid transformer model.</article-title> <source><italic>IEEE Trans. Neural Syst. Rehabil. Eng.</italic></source> <volume>31</volume> <fpage>1321</fpage>&#x2013;<lpage>1332</lpage>. <pub-id pub-id-type="doi">10.1109/tnsre.2023.3244045</pub-id> <pub-id pub-id-type="pmid">37027542</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname> <given-names>G.</given-names></name> <name><surname>Liu</surname> <given-names>Z.</given-names></name> <name><surname>Pleiss</surname> <given-names>G.</given-names></name> <name><surname>Maaten</surname> <given-names>L. V.</given-names></name> <name><surname>Weinberger</surname> <given-names>K. Q.</given-names></name></person-group> (<year>2022</year>). <article-title>Convolutional networks with dense connectivity.</article-title> <source><italic>IEEE Trans. Pattern Anal. Mach. Intell.</italic></source> <volume>44</volume> <fpage>8704</fpage>&#x2013;<lpage>8716</lpage>. <pub-id pub-id-type="doi">10.1109/tpami.2019.2918284</pub-id> <pub-id pub-id-type="pmid">31135351</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jaiswal</surname> <given-names>A.</given-names></name> <name><surname>Nenonen</surname> <given-names>J.</given-names></name> <name><surname>Stenroos</surname> <given-names>M.</given-names></name> <name><surname>Gramfort</surname> <given-names>A.</given-names></name> <name><surname>Dalal</surname> <given-names>S. S.</given-names></name> <name><surname>Westner</surname> <given-names>B. U.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Comparison of beamformer implementations for MEG source localization.</article-title> <source><italic>Neuroimage</italic></source> <volume>216</volume>:<issue>116797</issue>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2020.116797</pub-id> <pub-id pub-id-type="pmid">32278091</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname> <given-names>Y. A.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name> <name><surname>Zou</surname> <given-names>S. R.</given-names></name> <name><surname>Zhang</surname> <given-names>H. K.</given-names></name> <name><surname>Bai</surname> <given-names>Y. P.</given-names></name></person-group> (<year>2021</year>). <article-title>Hyperspectral image classification with spatial consistence using fully convolutional spatial propagation network.</article-title> <source><italic>IEEE Trans. Geosci. Remote Sens.</italic></source> <volume>59</volume> <fpage>10425</fpage>&#x2013;<lpage>10437</lpage>. <pub-id pub-id-type="doi">10.1109/tgrs.2021.3049282</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaur</surname> <given-names>A.</given-names></name> <name><surname>Puri</surname> <given-names>V.</given-names></name> <name><surname>Shashvat</surname> <given-names>K.</given-names></name> <name><surname>Maurya</surname> <given-names>A. K.</given-names></name></person-group> (<year>2022</year>). <article-title>Automated identification of inter-ictal discharges using residual deep learning neural network amidst of various artefacts.</article-title> <source><italic>Chaos Solitons Fractals</italic></source> <volume>156</volume>:<issue>111886</issue>. <pub-id pub-id-type="doi">10.1016/j.chaos.2022.111886</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khan</surname> <given-names>F. A.</given-names></name> <name><surname>Umar</surname> <given-names>Z.</given-names></name> <name><surname>Jolfaei</surname> <given-names>A.</given-names></name> <name><surname>Tariq</surname> <given-names>M.</given-names></name></person-group> (<year>2024</year>). <article-title>Explainable fuzzy deep learning for prediction of epileptic seizures using EEG.</article-title> <source><italic>IEEE Trans. Fuzzy Syst.</italic></source> <volume>32</volume> <fpage>5428</fpage>&#x2013;<lpage>5437</lpage>. <pub-id pub-id-type="doi">10.1109/tfuzz.2024.3434709</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khan</surname> <given-names>M. M.</given-names></name> <name><surname>Uddin</surname> <given-names>M. S.</given-names></name> <name><surname>Parvez</surname> <given-names>M. Z.</given-names></name> <name><surname>Nahar</surname> <given-names>L.</given-names></name></person-group> (<year>2022</year>). <article-title>A squeeze and excitation ResNeXt-based deep learning model for Bangla handwritten compound character recognition.</article-title> <source><italic>J. King Saud Univ. Comput. Inform. Sci.</italic></source> <volume>34</volume> <fpage>3356</fpage>&#x2013;<lpage>3364</lpage>. <pub-id pub-id-type="doi">10.1016/j.jksuci.2021.01.021</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lawhern</surname> <given-names>V. J.</given-names></name> <name><surname>Solon</surname> <given-names>A. J.</given-names></name> <name><surname>Waytowich</surname> <given-names>N. R.</given-names></name> <name><surname>Gordon</surname> <given-names>S. M.</given-names></name> <name><surname>Hung</surname> <given-names>C. P.</given-names></name> <name><surname>Lance</surname> <given-names>B. J.</given-names></name></person-group> (<year>2018</year>). <article-title>EEGNet: a compact convolutional neural network for EEG-based brain-computer interfaces.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>15</volume>:<issue>056013</issue>. <pub-id pub-id-type="doi">10.1088/1741-2552/aace8c</pub-id> <pub-id pub-id-type="pmid">29932424</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>LeCun</surname> <given-names>Y.</given-names></name> <name><surname>Bengio</surname> <given-names>Y.</given-names></name> <name><surname>Hinton</surname> <given-names>G.</given-names></name></person-group> (<year>2015</year>). <article-title>Deep learning.</article-title> <source><italic>Nature</italic></source> <volume>521</volume> <fpage>436</fpage>&#x2013;<lpage>444</lpage>. <pub-id pub-id-type="doi">10.1038/nature14539</pub-id> <pub-id pub-id-type="pmid">26017442</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>C.</given-names></name> <name><surname>Huang</surname> <given-names>X. Y.</given-names></name> <name><surname>Song</surname> <given-names>R. C.</given-names></name> <name><surname>Qian</surname> <given-names>R. B.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name></person-group> (<year>2022</year>). <article-title>EEG-based seizure prediction via transformer guided CNN.</article-title> <source><italic>Measurement</italic></source> <volume>203</volume>:<issue>111948</issue>. <pub-id pub-id-type="doi">10.1016/j.measurement.2022.111948</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname> <given-names>W. X.</given-names></name> <name><surname>Pei</surname> <given-names>H. J.</given-names></name> <name><surname>Cai</surname> <given-names>Q. L.</given-names></name> <name><surname>Wang</surname> <given-names>Y. H.</given-names></name></person-group> (<year>2020</year>). <article-title>Scalp EEG epileptogenic zone recognition and localization based on long-term recurrent convolutional network.</article-title> <source><italic>Neurocomputing</italic></source> <volume>396</volume> <fpage>569</fpage>&#x2013;<lpage>576</lpage>. <pub-id pub-id-type="doi">10.1016/j.neucom.2018.10.108</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>G.</given-names></name> <name><surname>Tian</surname> <given-names>L.</given-names></name> <name><surname>Zhou</surname> <given-names>W.</given-names></name></person-group> (<year>2022</year>). <article-title>Patient-independent seizure detection based on channel-perturbation convolutional neural network and bidirectional long short-term memory.</article-title> <source><italic>Int. J. Neural Syst.</italic></source> <volume>32</volume>:<issue>2150051</issue>. <pub-id pub-id-type="doi">10.1142/s0129065721500519</pub-id> <pub-id pub-id-type="pmid">34781854</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Q.</given-names></name> <name><surname>Wu</surname> <given-names>Z. B.</given-names></name> <name><surname>Jia</surname> <given-names>X. P.</given-names></name> <name><surname>Xu</surname> <given-names>Y.</given-names></name> <name><surname>Wei</surname> <given-names>Z. H.</given-names></name></person-group> (<year>2021</year>). <article-title>From local to global: class feature fused fully convolutional network for hyperspectral image classification.</article-title> <source><italic>Remote Sens.</italic></source> <volume>13</volume>:<issue>5043</issue>. <pub-id pub-id-type="doi">10.3390/rs13245043</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X. L.</given-names></name> <name><surname>Richardson</surname> <given-names>A. G.</given-names></name></person-group> (<year>2021</year>). <article-title>Edge deep learning for neural implants: a case study of seizure detection and prediction.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>18</volume>:<issue>046034</issue>. <pub-id pub-id-type="doi">10.1088/1741-2552/abf473</pub-id> <pub-id pub-id-type="pmid">33794507</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>S. W.</given-names></name> <name><surname>Ivison</surname> <given-names>H.</given-names></name> <name><surname>Han</surname> <given-names>S. C.</given-names></name> <name><surname>Poon</surname> <given-names>J.</given-names></name></person-group> (<year>2024</year>). <article-title>Local interpretations for explainable natural language processing: a survey.</article-title> <source><italic>ACM Comput. Surv.</italic></source> <volume>56</volume>:<issue>232</issue>. <pub-id pub-id-type="doi">10.1145/3649450</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Narasimhan</surname> <given-names>S.</given-names></name> <name><surname>Kundassery</surname> <given-names>K. B.</given-names></name> <name><surname>Gupta</surname> <given-names>K.</given-names></name> <name><surname>Johnson</surname> <given-names>G. W.</given-names></name> <name><surname>Wills</surname> <given-names>K. E.</given-names></name> <name><surname>Goodale</surname> <given-names>S. E.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Seizure-onset regions demonstrate high inward directed connectivity during resting-state: an SEEG study in focal epilepsy.</article-title> <source><italic>Epilepsia</italic></source> <volume>61</volume> <fpage>2534</fpage>&#x2013;<lpage>2544</lpage>. <pub-id pub-id-type="doi">10.1111/epi.16686</pub-id> <pub-id pub-id-type="pmid">32944945</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nasiri</surname> <given-names>S.</given-names></name> <name><surname>Clifford</surname> <given-names>G. D.</given-names></name></person-group> (<year>2021</year>). <article-title>Generalizable seizure detection model using generating transferable adversarial features.</article-title> <source><italic>IEEE Signal Process. Lett.</italic></source> <volume>28</volume> <fpage>568</fpage>&#x2013;<lpage>572</lpage>. <pub-id pub-id-type="doi">10.1109/lsp.2021.3060967</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>O&#x2019;Shea</surname> <given-names>A.</given-names></name> <name><surname>Lightbody</surname> <given-names>G.</given-names></name> <name><surname>Boylan</surname> <given-names>G.</given-names></name> <name><surname>Temko</surname> <given-names>A.</given-names></name></person-group> (<year>2020</year>). <article-title>Neonatal seizure detection from raw multi-channel EEG using a fully convolutional architecture.</article-title> <source><italic>Neural Netw.</italic></source> <volume>123</volume> <fpage>12</fpage>&#x2013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1016/j.neunet.2019.11.023</pub-id> <pub-id pub-id-type="pmid">31821947</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ozdemir</surname> <given-names>M. A.</given-names></name> <name><surname>Cura</surname> <given-names>O. K.</given-names></name> <name><surname>Akan</surname> <given-names>A.</given-names></name></person-group> (<year>2021</year>). <article-title>Epileptic EEG classification by using time-frequency images for deep learning.</article-title> <source><italic>Int. J. Neural Syst.</italic></source> <volume>31</volume>:<issue>2150026</issue>. <pub-id pub-id-type="doi">10.1142/s012906572150026x</pub-id> <pub-id pub-id-type="pmid">34039254</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Park</surname> <given-names>Y. S.</given-names></name> <name><surname>Cosgrove</surname> <given-names>G. R.</given-names></name> <name><surname>Madsen</surname> <given-names>J. R.</given-names></name> <name><surname>Eskandar</surname> <given-names>E. N.</given-names></name> <name><surname>Hochberg</surname> <given-names>L. R.</given-names></name> <name><surname>Cash</surname> <given-names>S. S.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Early detection of human epileptic seizures based on intracortical microelectrode array signals.</article-title> <source><italic>IEEE Trans. Biomed. Eng.</italic></source> <volume>67</volume> <fpage>817</fpage>&#x2013;<lpage>831</lpage>. <pub-id pub-id-type="doi">10.1109/tbme.2019.2921448</pub-id> <pub-id pub-id-type="pmid">31180831</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Qiu</surname> <given-names>S.</given-names></name> <name><surname>Joshi</surname> <given-names>P. S.</given-names></name> <name><surname>Miller</surname> <given-names>M. I.</given-names></name> <name><surname>Xue</surname> <given-names>C.</given-names></name> <name><surname>Zhou</surname> <given-names>X.</given-names></name> <name><surname>Karjadi</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Development and validation of an interpretable deep learning framework for Alzheimer&#x2019;s disease classification.</article-title> <source><italic>Brain</italic></source> <volume>143</volume> <fpage>1920</fpage>&#x2013;<lpage>1933</lpage>. <pub-id pub-id-type="doi">10.1093/brain/awaa137</pub-id> <pub-id pub-id-type="pmid">32357201</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rasheed</surname> <given-names>K.</given-names></name> <name><surname>Qadir</surname> <given-names>J.</given-names></name> <name><surname>O&#x2019;Brien</surname> <given-names>T. J.</given-names></name> <name><surname>Kuhlmann</surname> <given-names>L.</given-names></name> <name><surname>Razi</surname> <given-names>A.</given-names></name></person-group> (<year>2021</year>). <article-title>A generative model to synthesize EEG data for epileptic seizure prediction.</article-title> <source><italic>IEEE Trans. Neural Syst. Rehabil. Eng.</italic></source> <volume>29</volume> <fpage>2322</fpage>&#x2013;<lpage>2332</lpage>. <pub-id pub-id-type="doi">10.1109/tnsre.2021.3125023</pub-id> <pub-id pub-id-type="pmid">34727036</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shelhamer</surname> <given-names>E.</given-names></name> <name><surname>Long</surname> <given-names>J.</given-names></name> <name><surname>Darrell</surname> <given-names>T.</given-names></name></person-group> (<year>2017</year>). <article-title>Fully convolutional networks for semantic segmentation.</article-title> <source><italic>IEEE Trans. Pattern Anal. Mach. Intell.</italic></source> <volume>39</volume> <fpage>640</fpage>&#x2013;<lpage>651</lpage>. <pub-id pub-id-type="doi">10.1109/tpami.2016.2572683</pub-id> <pub-id pub-id-type="pmid">27244717</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shen</surname> <given-names>Y.</given-names></name> <name><surname>Zhu</surname> <given-names>S. J.</given-names></name> <name><surname>Chen</surname> <given-names>C.</given-names></name> <name><surname>Du</surname> <given-names>Q.</given-names></name> <name><surname>Xiao</surname> <given-names>L.</given-names></name> <name><surname>Chen</surname> <given-names>J. Y.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Efficient deep learning of nonlocal features for hyperspectral image classification.</article-title> <source><italic>IEEE Trans. Geosci. Remote Sens.</italic></source> <volume>59</volume> <fpage>6029</fpage>&#x2013;<lpage>6043</lpage>. <pub-id pub-id-type="doi">10.1109/tgrs.2020.3014286</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Si</surname> <given-names>X. P.</given-names></name> <name><surname>Yang</surname> <given-names>Z. B.</given-names></name> <name><surname>Zhang</surname> <given-names>X. J.</given-names></name> <name><surname>Sun</surname> <given-names>Y. L.</given-names></name> <name><surname>Jin</surname> <given-names>W. P.</given-names></name> <name><surname>Wang</surname> <given-names>L.</given-names></name><etal/></person-group> (<year>2023</year>). <article-title>Patient-independent seizure detection based on long-term iEEG and a novel lightweight CNN.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>20</volume>:<issue>016037</issue>. <pub-id pub-id-type="doi">10.1088/1741-2552/acb1d9</pub-id> <pub-id pub-id-type="pmid">36626831</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Si</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name> <name><surname>Zhou</surname> <given-names>Y.</given-names></name> <name><surname>Chao</surname> <given-names>Y.</given-names></name> <name><surname>Lim</surname> <given-names>S. N.</given-names></name> <name><surname>Sun</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>White matter structural connectivity as a biomarker for detecting juvenile myoclonic epilepsy by transferred deep convolutional neural networks with varying transfer rates.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>18</volume> <pub-id pub-id-type="doi">10.1088/1741-2552/ac25d8</pub-id> <pub-id pub-id-type="pmid">34507303</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Singh</surname> <given-names>K.</given-names></name> <name><surname>Malhotra</surname> <given-names>J.</given-names></name></person-group> (<year>2022</year>). <article-title>Two-layer LSTM network-based prediction of epileptic seizures using EEG spectral features.</article-title> <source><italic>Complex Intellig. Syst.</italic></source> <volume>8</volume> <fpage>2405</fpage>&#x2013;<lpage>2418</lpage>. <pub-id pub-id-type="doi">10.1007/s40747-021-00627-z</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Staba</surname> <given-names>R. J.</given-names></name> <name><surname>Stead</surname> <given-names>M.</given-names></name> <name><surname>Worrell</surname> <given-names>G. A.</given-names></name></person-group> (<year>2014</year>). <article-title>Electrophysiological biomarkers of epilepsy.</article-title> <source><italic>Neurotherapeutics</italic></source> <volume>11</volume> <fpage>334</fpage>&#x2013;<lpage>346</lpage>. <pub-id pub-id-type="doi">10.1007/s13311-014-0259-0</pub-id> <pub-id pub-id-type="pmid">24519238</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tuncer</surname> <given-names>E.</given-names></name> <name><surname>Bolat</surname> <given-names>E. D.</given-names></name></person-group> (<year>2022</year>). <article-title>Classification of epileptic seizures from electroencephalogram (EEG) data using bidirectional short-term memory (Bi-LSTM) network architecture.</article-title> <source><italic>Biomed. Signal Process. Control</italic></source> <volume>73</volume>:<issue>103462</issue>. <pub-id pub-id-type="doi">10.1016/j.bspc.2021.103462</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname> <given-names>Y.</given-names></name> <name><surname>Zhou</surname> <given-names>W.</given-names></name> <name><surname>Li</surname> <given-names>C.</given-names></name> <name><surname>Yuan</surname> <given-names>Q.</given-names></name> <name><surname>Geng</surname> <given-names>S.</given-names></name></person-group> (<year>2015</year>). <article-title>Seizure detection approach using S-transform and singular value decomposition.</article-title> <source><italic>Epilepsy Behav.</italic></source> <volume>52(Pt. A)</volume> <fpage>187</fpage>&#x2013;<lpage>193</lpage>. <pub-id pub-id-type="doi">10.1016/j.yebeh.2015.07.043</pub-id> <pub-id pub-id-type="pmid">26439656</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>G.</given-names></name> <name><surname>Ren</surname> <given-names>T.</given-names></name> <name><surname>Chen</surname> <given-names>Y.</given-names></name> <name><surname>Che</surname> <given-names>W.</given-names></name></person-group> (<year>2020</year>). <article-title>A one-dimensional CNN-LSTM model for epileptic seizure recognition using EEG signal analysis.</article-title> <source><italic>Front. Neurosci.</italic></source> <volume>14</volume>:<issue>578126</issue>. <pub-id pub-id-type="doi">10.3389/fnins.2020.578126</pub-id> <pub-id pub-id-type="pmid">33390878</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>X.</given-names></name> <name><surname>Yao</surname> <given-names>L.</given-names></name> <name><surname>Dong</surname> <given-names>M.</given-names></name> <name><surname>Liu</surname> <given-names>Z.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name></person-group> (<year>2020</year>). <article-title>Adversarial representation learning for robust patient-independent epileptic seizure detection.</article-title> <source><italic>IEEE J. Biomed. Health Inform.</italic></source> <volume>24</volume> <fpage>2852</fpage>&#x2013;<lpage>2859</lpage>. <pub-id pub-id-type="doi">10.1109/jbhi.2020.2971610</pub-id> <pub-id pub-id-type="pmid">32071011</pub-id></citation></ref>
</ref-list>
</back>
</article>