Prediction of PTZ-induced seizures using wavelet-based residual entropy of cortical and subcortical field potentials

Our proposed algorithm for seizure prediction is based on the principle that seizure build-up is always preceded by constantly changing bursting levels. We use a novel measure of residual subband wavelet entropy (RSWE) to directly estimate the entropy of bursts, which is otherwise obscured by the ongoing background activity. Our results are obtained using a slow infusion anesthetized pentylenetetrazol (PTZ) rat model in which we record field potentials (FPs) from frontal cortex and two thalamic areas (anterior and posterior nuclei). In each frequency band, except for the theta-delta frequency bands, we observed a significant build-up of RSWE from the preictal period to the first ictal event (p/spl les/0.05) in cortex. Significant differences were observed between cortical and thalamic RSWE (p/spl les/0.05) subsequent to seizure development. A key observation is the twofold increase in mean cortical RSWE from the preictal to interictal period. Exploiting this increase, we develop a slope change detector to discern early acceleration of entropy and predict the approaching seizure. We use multiple observations through sequential detection of slope changes to enhance the sensitivity of our prediction. Using the proposed method applied to a cohort of four rats subjected to PTZ infusion, we were able to predict the first seizure episode 28 min prior to its occurrence.

[1]  M. Mirski,et al.  Interruption of the connections of the mammillary bodies protects against generalized pentylenetetrazol seizures in guinea pigs , 1987, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[2]  J Gotman,et al.  Automatic EEG analysis during long-term monitoring in the ICU. , 1998, Electroencephalography and clinical neurophysiology.

[3]  Robert S Fisher,et al.  Anticonvulsant effect of anterior thalamic high frequency electrical stimulation in the rat , 1997, Epilepsy Research.

[4]  Richard D. Jones,et al.  Continuous wavelet transform for the detection and classification of epileptiform activity in the EEG , 1999, Proceedings of the First Joint BMES/EMBS Conference. 1999 IEEE Engineering in Medicine and Biology 21st Annual Conference and the 1999 Annual Fall Meeting of the Biomedical Engineering Society (Cat. N.

[5]  E. Basar,et al.  Wavelet entropy: a new tool for analysis of short duration brain electrical signals , 2001, Journal of Neuroscience Methods.

[6]  R. Quiroga,et al.  Kulback-Leibler and renormalized entropies: applications to electroencephalograms of epilepsy patients. , 1999, Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics.

[7]  G. Vachtsevanos,et al.  Epileptic Seizures May Begin Hours in Advance of Clinical Onset A Report of Five Patients , 2001, Neuron.

[8]  G McCarthy,et al.  Does interictal spiking change prior to seizures? , 1991, Electroencephalography and clinical neurophysiology.

[9]  Melvin J. Hinich,et al.  A Test for a Shifting Slope Coefficient in a Linear Model , 1970 .

[10]  I. Daubechies Orthonormal bases of compactly supported wavelets , 1988 .

[11]  W. Spencer,et al.  Penicillin-induced interictal discharges from the cat hippocampus. II. Mechanisms underlying origin and restriction. , 1969, Journal of neurophysiology.

[12]  N. Thakor,et al.  Spectral analysis of a thalamus-to-cortex seizure pathway , 1997, IEEE Transactions on Biomedical Engineering.

[13]  J. Gotman Automatic recognition of epileptic seizures in the EEG. , 1982, Electroencephalography and clinical neurophysiology.

[14]  N. Thakor,et al.  Detecting EEG bursts after hypoxic-ischemic injury using energy operators , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[15]  Robert S. Fisher,et al.  Animal models of the epilepsies , 1989, Brain Research Reviews.

[16]  S. Mallat A wavelet tour of signal processing , 1998 .

[17]  W. Spencer,et al.  Penicillin-induced interictal discharges from the cat hippocampus. I. Characteristics and topographical features. , 1969, Journal of neurophysiology.

[18]  B L RALSTON,et al.  The mechanism of transition of interictal spiking foci into ictal seizure discharges. , 1958, Electroencephalography and clinical neurophysiology.

[19]  Charles K. Chui,et al.  An Introduction to Wavelets , 1992 .

[20]  Amara Lynn Graps,et al.  An introduction to wavelets , 1995 .

[21]  R S Fisher,et al.  Electrical Stimulation of the Mammillary Nuclei Increases Seizure Threshold to Pentylenetetrazol in Rats , 1994, Epilepsia.

[22]  J Gotman,et al.  Correlations between EEG changes induced by diazepam and the localization of epileptic spikes and seizures. , 1982, Electroencephalography and clinical neurophysiology.

[23]  Marek A. Mirski,et al.  Anterior thalamic mediation of generalized pentylenetetrazol seizures , 1986, Brain Research.

[24]  Nitish V. Thakor,et al.  Diagnostic instrumentation for neurological injury , 2002 .

[25]  J P Lieb,et al.  Temporo-spatial patterns of pre-ictal spike activity in human temporal lobe epilepsy. , 1983, Electroencephalography and clinical neurophysiology.

[26]  L Leistritz,et al.  [Burst detection in EEG monitoring of intensive care patients]. , 1997, Biomedizinische Technik. Biomedical engineering.