Skip to main navigation Skip to search Skip to main content

A novel scheme for the validation of an automated classification method for epileptic spikes by comparison with multiple observers.

Niraj K. Sharma*, Carlos Pedreira, Maria Centeno, Umair J. Chaudhary, Tim Wehner, Lucas G.S. França, Tinonkorn Yadee, Teresa Murta, Marco Leite, Sjoerd B. Vos, Sebastien Ourselin, Beate Diehl, Louis Lemieux

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)
5 Downloads (Pure)

Abstract

Objective
To validate the application of an automated neuronal spike classification algorithm, Wave_clus (WC), on interictal epileptiform discharges (IED) obtained from human intracranial EEG (icEEG) data.

Method
Five 10-min segments of icEEG recorded in 5 patients were used. WC and three expert EEG reviewers independently classified one hundred IED events into IED classes or non-IEDs. First, we determined whether WC-human agreement variability falls within inter-reviewer agreement variability by calculating the variation of information for each classifier pair and quantifying the overlap between all WC-reviewer and all reviewer-reviewer pairs. Second, we compared WC and EEG reviewers’ spike identification and individual spike class labels visually and quantitatively.

Results
The overlap between all WC-human pairs and all human pairs was >80% for 3/5 patients and >58% for the other 2 patients demonstrating WC falling within inter-human variation. The average sensitivity of spike marking for WC was 91% and >87% for all three EEG reviewers. Finally, there was a strong visual and quantitative similarity between WC and EEG reviewers.

Conclusions
WC performance is indistinguishable to that of EEG reviewers’ suggesting it could be a valid clinical tool for the assessment of IEDs.

Significance
WC can be used to provide quantitative analysis of epileptic spikes.
Original languageEnglish
Pages (from-to)1246-1254
Number of pages9
JournalClinical Neurophysiology
Early online date4 May 2017
DOIs
Publication statusPublished - 1 Jul 2017
Externally publishedYes

Keywords

  • Interictal spike classification
  • Intracranial EEG
  • Automated spike classification
  • Information theory

Cite this