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		<title>Classification of Inter-Ictal Epileptic Seizure using combined Machine Learning and Deep Learning Approach</title>
		<link>https://innohealthmagazine.com/2022/research/classification-of-inter-ictal-epileptic-seizure-using-combined-machine-learning-and-deep-learning-approach/</link>
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		<dc:creator><![CDATA[InnoHEALTH magazine digital team]]></dc:creator>
		<pubDate>Fri, 24 Jun 2022 08:45:25 +0000</pubDate>
				<category><![CDATA[Research]]></category>
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					<description><![CDATA[<p>Epilepsy is the most rarely recognizable neurological disorder characterized by an enduring predisposition to exaggerate recurrent seizures and that fatally affects the individual. Prediction of Epileptic seizure is recently blooming...</p>
<p>The post <a href="https://innohealthmagazine.com/2022/research/classification-of-inter-ictal-epileptic-seizure-using-combined-machine-learning-and-deep-learning-approach/">Classification of Inter-Ictal Epileptic Seizure using combined Machine Learning and Deep Learning Approach</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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										<content:encoded><![CDATA[
<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color:#566b1c; font-size: 22px; line-height: 1.7;"><strong><em>Epilepsy is the most rarely recognizable neurological disorder characterized by an enduring predisposition to exaggerate recurrent seizures and that fatally affects the individual.
</em></strong></h2>



<p>Prediction of Epileptic seizure is recently blooming as the most challenging task in order to amend the life of a patient. Specially, the inter-ictal state of Epilepsy needs more diagnostics attention for its unpredictable interrupted properties.<strong> </strong>In order to analyze the EEG recordings, various machine learning techniques have been implemented but many of them lack in bringing the brain network analysis into account which is the most vital way to predict, diagnose and detect the neural disorder with its level best accuracy. In this paper, EEG signals are collected from an open source and preprocessed by using Discrete Wavelet Transform where the features are extracted. In the next step, the features are transformed into a robust multi-dimensional array retaining its spatial properties. In the succeeding step, the array sequence is fed to a Deep Convolutional Neural Network to classify the disease using the training data.</p>



<p style="font-size:22px"><strong>A Detailed Description on Epileptic Seizure</strong></p>



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<figure class="wp-block-image size-large is-style-default"><img fetchpriority="high" decoding="async" width="1024" height="538" src="//i3.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Classification-of-Inter-Ictal-Epileptic-Seizure-1024x538.png" alt="Classification of Inter-Ictal Epileptic Seizure" class="wp-image-14316" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Classification-of-Inter-Ictal-Epileptic-Seizure-1024x538.png 1024w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Classification-of-Inter-Ictal-Epileptic-Seizure-300x158.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Classification-of-Inter-Ictal-Epileptic-Seizure-768x403.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Classification-of-Inter-Ictal-Epileptic-Seizure.png 1200w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure>
</div>
</div>



<p>Epilepsy is the most rarely recognizable neurological disorder characterized by an enduring predisposition to exaggerate recurrent seizures and that fatally affects the individual. Any abnormal neural activity localized in the cerebral cortex is called epileptic seizure (ES). The seizure causes the normal brain network to evoke neurons in a self-sustained hyper-synchronized manner and ultimately affects cognitive function. According to a survey of World Health Organization (WHO), 70 million people worldwide are suffering from epilepsy trails, however recognized as most rarely detected brain dysfunction. The task of detecting or predicting ES is still a concerned research since the past three decades. Inter-ictal ES emerges from random spikes, slow yet sharp complex neuro waves which is different from clinically observed ES and mostly the symptoms are observed in children. However, the automated detection and prediction algorithms depending on electroencephalographic (EEG) measurements are characterized for the transition of signals from the inter-ictal to the ictal state by identifying the image patterns significantly. Therefore, the baseline inter-ictal properties are vital. However, many inherent assumptions are commonly implicated to monitor the EEG activity during this inter-ictal state which is relatively constant and interrupted during seizure occurrence.</p>



<p>&nbsp;To determine the type of seizure and brain areas involved, an Electroencephalogram (EEG) is performed. EEG has various unparalleled properties for its immense usages to study ES such as signals are recorded with high temporal resolution and low cost, and systems are capable of both long term and portable monitoring. Capitalizing on the specific properties of EEG, a number of EEG based approaches have been developed for the automatic prediction of epileptic activity. The analysis of EEG signals for the purpose of ES detection and prediction have been advanced with the help of the most efficient machine learning technique such as Brain Network analysis. Networks in a regular, lattice-like configuration are characterized by high clustering and a long average path length. In recent longitudinal studies, we are more concerned about graph-based brain network analysis, in which the nodes in the graph are represented by the electrodes while the links are defined by the measure of association between the nodes. Accordingly, we found increases in average clustering and path length and decreased weight dispersion indicating that normal brain maturation is characterized by a shift from random to more organized small-world functional networks. However, this analysis is receded for the reason that it required the entire graphical data to be processed simultaneously which is less effective for the graphs with billions of nodes and edges.&nbsp;</p>



<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #566b1c; font-size: 22px; line-height: 1.7;"><strong><em>To address the above challenges, the present investigation has sought to develop a novel prediction strategy for seizure detection based on Neural Network (NN) analysis during inter-ictal state of seizure.</em></strong></h2>



<p>To address the above challenges, the present investigation has sought to develop a novel prediction strategy for seizure detection based on Neural Network (NN) analysis during inter-ictal state of seizure. We have considered the ES data, remove the random noises from the data by using Discrete Wavelet Transform (DWT) and then convert them into more robust multi-dimensional array tensors and obtain a sequence whose topology retains spatial information. Once all the frameworks of sequences are gathered, they are fed into D-CNN for classification. ES is predicted by inter- and intra- individual generalized properties.</p>



<p style="font-size:22px"><strong>1. </strong> <strong><strong>Preprocessing of Data</strong></strong></p>



<p>The dataset being used in this paper are imported from CHB-MIT open source contains scalp EEG data of 23 patients recording 844 hours of seizure occurrence facing total 163 seizures.</p>



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<figure class="wp-block-image size-full is-style-default"><img decoding="async" width="575" height="430" src="//i1.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-1.png" alt="" class="wp-image-14216" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-1.png 575w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-1-300x224.png 300w" sizes="(max-width: 575px) 100vw, 575px" /><figcaption><strong>Fig. 1</strong> Data captured using 22 electrodes at sampling rate of 256 Hz.</figcaption></figure>
</div>



<div class="wp-block-column is-layout-flow wp-block-column-is-layout-flow">
<figure class="wp-block-image size-full is-style-default"><img decoding="async" width="553" height="431" src="//i1.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-2.png" alt="" class="wp-image-14217" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-2.png 553w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-2-300x234.png 300w" sizes="(max-width: 553px) 100vw, 553px" /></figure>
</div>



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<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="1024" height="946" src="//i0.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-3-1024x946.png" alt="" class="wp-image-14218" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-3-1024x946.png 1024w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-3-300x277.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-3-768x710.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Preprocessing-of-Data-3.png 1040w" sizes="(max-width: 1024px) 100vw, 1024px" /><figcaption><strong>Fig. 2</strong> Tree structure of DWT<br></figcaption></figure>
</div>
</div>



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<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="1024" height="902" src="//i1.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-3-Framework-of-the-proposed-system-1024x902.png" alt="Fig. 3 Framework of the proposed system
" class="wp-image-14222" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-3-Framework-of-the-proposed-system-1024x902.png 1024w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-3-Framework-of-the-proposed-system-300x264.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-3-Framework-of-the-proposed-system-768x676.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-3-Framework-of-the-proposed-system.png 1065w" sizes="(max-width: 1024px) 100vw, 1024px" /><figcaption><strong>Fig. 3 </strong>Framework of the proposed system<br></figcaption></figure>
</div>



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<p><strong>In Fig. 2</strong> the tree structure of DWT is shown where the original image is decomposed in time domain using a high pass filter (HPF) and a low pass filter (LPF) sequentially. Later on, it is down sampled by 2 to calculate each level using the coefficient values.&nbsp;</p>



<p>This experiment follows two major steps; primarily data processing and followed by a classifier. In data processing, the original images obtained from patients are extracted using DWT. In the second step, the preprocessed data is fed to D-CNN for the prediction of epilepsy.</p>
</div>
</div>



<p><strong>The proposed technique</strong></p>



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<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="1024" height="397" src="//i2.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model-1024x397.png" alt="" class="wp-image-14227" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model-1024x397.png 1024w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model-300x116.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model-768x298.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model-1536x596.png 1536w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-4b-2-DCNN-Model.png 1600w" sizes="(max-width: 1024px) 100vw, 1024px" /><figcaption><strong>Fig. 4(a)</strong> 2-DCNN Model<br></figcaption></figure>
</div>



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<p>The architecture of D-CNN was predominantly developed in 80’s. The technique is updated and refined periodically and becomes the most improved deep learning method during the 21st century.&nbsp; The latest version of D-CNN is unwrapped as compared to earlier known neural networks. The trending technique occupies a multi-layered architecture well compatible in the domain of digital image processing, computer interfaced medical imaging and medical image analysis. It commands significantly with high resolution spatial image approachable for prediction, classification and segmentation problems. The&nbsp; block of D-CNN has multiple Convolutional layers, pooling layers and one fully connected layer as shown in figure 4 (a) and (b) depicting two different layered CNN models such as 2-DCNN and 4-DCNN respectively.</p>
</div>
</div>



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<p>Architecture of 2-DCNN model is the combination of two similar types of DCNN models comprises of a kernel size (3×3) with 32 filters each. The pooling layer has a pool size of (2×2). Its activation function is known as softmax activation function.</p>



<p>The 4-DCNN model is the combination done by a simple concatenation of the two similar 2-DCNN models with softmax as activation function.&nbsp;</p>



<p>To validate the efficacy of the classifier, four types of desire classes are distinguished such as True Positive (TP), False Positive (FP), True Negative (TN) and False Negative (FN).&nbsp;</p>
</div>



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<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="1024" height="721" src="//i0.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/The-proposed-technique-1024x721.png" alt="" class="wp-image-14229" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/The-proposed-technique-1024x721.png 1024w, https://innohealthmagazine.com/wp-content/uploads/2022/06/The-proposed-technique-300x211.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/06/The-proposed-technique-768x541.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/The-proposed-technique.png 1191w" sizes="(max-width: 1024px) 100vw, 1024px" /><figcaption><strong>Fig. 4(b)</strong> 4-DCNN Model<br></figcaption></figure>
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<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="871" height="1024" src="//i3.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-5-Confusion-Matrix-to-classify-the-seizure-871x1024.png" alt="" class="wp-image-14232" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-5-Confusion-Matrix-to-classify-the-seizure-871x1024.png 871w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-5-Confusion-Matrix-to-classify-the-seizure-255x300.png 255w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-5-Confusion-Matrix-to-classify-the-seizure-768x903.png 768w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Fig.-5-Confusion-Matrix-to-classify-the-seizure.png 922w" sizes="(max-width: 871px) 100vw, 871px" /><figcaption><strong>Fig. 5 </strong>Confusion Matrix to classify the seizure<br></figcaption></figure>
</div>



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<p>Performance index of the classifier is validated by considering the values of confusion matrix.</p>



<ul class="wp-block-list"><li>TP: These are the accurately predicted positive values interpreting the actual class to be true and the predicted class to be true.</li><li>TN: These are the accurately predicted negative values interpreting the actual class to be false and the predicted class to be false.</li><li>FP: When the actual class is false and the predicted class is true.</li><li>FN: When the actual class is true but the predicted class is false.&nbsp;</li></ul>



<p>Further analysis on the matrix is performed by <strong>the following formulas such as:</strong></p>



<figure class="wp-block-image size-full is-style-default"><img decoding="async" width="355" height="222" src="//i2.wp.com/innohealthmagazine.com/wp-content/uploads/2022/06/Confusion-Matrix-to-classify-the-seizure.png" alt="" class="wp-image-14235" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/06/Confusion-Matrix-to-classify-the-seizure.png 355w, https://innohealthmagazine.com/wp-content/uploads/2022/06/Confusion-Matrix-to-classify-the-seizure-300x188.png 300w" sizes="(max-width: 355px) 100vw, 355px" /></figure>
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<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color:#566b1c; font-size: 22px; line-height: 1.7;"><strong><em>In the future, predicting onset seizures can be further improved by reducing the training time and thereby, allowing doctors to diagnose the disease more quickly in an organized manner.</em></strong></h2>



<p>In the future, predicting onset seizures can be further improved by reducing the training time and thereby, allowing doctors to diagnose the disease more quickly in an organized manner. Therefore, future research should be conducted to reduce the number of parameters available in the model. This research work needs to be extended by adding Electromyogram (EMG) Electrocardiogram (ECG) data, implicating simplified feature extraction techniques and improving the number of supervised and unsupervised classifiers.&nbsp;</p>



<p style="color: #a13621;"><em><strong>Composed by: &#8220;Prateek Pratyasha is presently pursuing Ph.D. under the department of Biomedical Engineering at National Institute of Technology Raipur. Her areas of research are cognitive recognition, neural plasticity, artificial intelligence and Optogenetics.&#8221;</strong></em></p>



<p style="color: #a13621;"><em><strong>&#8220;Dr. Saurabh Gupta is an Assistant Professor of Biomedical Engineering, at National Institute of Technology Raipur. His primary areas of research are inverse problems, medical imaging and stochastic optimization, to develop technologies for community medicine and public health. 
&#8220;</strong></em></p>
<p>The post <a href="https://innohealthmagazine.com/2022/research/classification-of-inter-ictal-epileptic-seizure-using-combined-machine-learning-and-deep-learning-approach/">Classification of Inter-Ictal Epileptic Seizure using combined Machine Learning and Deep Learning Approach</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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		<item>
		<title>Epilepsy is the Fourth Most Common Neurological Disorder</title>
		<link>https://innohealthmagazine.com/2019/in-focus/theme/ai-can-help-decode-epileptic-brain/</link>
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		<dc:creator><![CDATA[InnoHEALTH Magazine]]></dc:creator>
		<pubDate>Wed, 23 Oct 2019 11:04:03 +0000</pubDate>
				<category><![CDATA[Theme]]></category>
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					<description><![CDATA[<p>Artificial Intelligence can help decode epileptic brains. Epilepsy is the fourth most common neurological disorder affecting nearly 65 million people worldwide. </p>
<p>The post <a href="https://innohealthmagazine.com/2019/in-focus/theme/ai-can-help-decode-epileptic-brain/">Epilepsy is the Fourth Most Common Neurological Disorder</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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	<p style="text-align: justify !important;">Artificial Intelligence can help decode epileptic brains. Epilepsy is the fourth most common neurological disorder affecting nearly 65 million people worldwide. The seizures or ‘fits’ as is commonly known, arise due to unusual electrical activity in the brain and is the chief symptom of epilepsy. Neither dependent on age or gender, the onset of the seizure is unpredictable without a set pattern of frequency of occurrence or severity, often posing a challenge to the caregiver.</p>
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<p style="text-align: justify !important;">Although epilepsy can be related to previous brain injuries or genetic factors, neurologists have found unprovoked, recurrent seizures in healthy individuals too. How and why these seizures occur remains a mystery. However, research has found that the source of seizures is within the brain. In other words, the brain itself is the generator of epilepsy.</p>
<p style="text-align: justify !important;">Spatial maps of top 10 networks: If the origin is within the brain, then are there any fingerprints that can be detected? Does the brain often tell-tale signs which can be mapped to predict the tendency of epilepsy?</p>
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<p style="text-align: justify !important;">Seeking answers to these questions, a team of interdisciplinary researchers conducted a study to peep inside epileptic brains. The results indicate that there exist independent neural networks that can carry disease sensitive information about the anomaly. With the help of machine learning models and artificial intelligence, researchers were able to detect and reveal the hidden patterns.</p>
<p style="text-align: justify !important;">“Epilepsy is not a disorder but the manifesting of something from within the brain’s electrical activity. Interestingly, each one of us has the neural map of epilepsy within our brain. It is only when the network gets fired and manifests externally, in a recurrent manner, it becomes disorder or epilepsy,” explained Dr. Tapan Kumar Gandhi, lead researcher of the study from Indian Institute of TechnologyDelhi, while speaking to India Science Wire.</p>
<p style="text-align: justify !important;">The usual diagnosing tool for epilepsy is by EEG (Electroencephalography) readings of epileptic patterns and visible symptoms like convulsions, loss of consciousness or sensory disturbances.</p>
<p style="text-align: justify !important;">Existing studies reveal specific patterns that represent synchronous activities of sensory, auditory, cognitive and other functions. These activities are indicated by the change in blood flow to the brain and seen as BOLD signals or changes in the Blood-Oxygen-Level-Dependent output.</p>
<p style="text-align: justify !important;">Recent developments in Magnetic Resonance Imaging or MRI help picture these activities in the brain and detect the cause of seizures such as a lesion or scar. However, MRI is not very useful when a seizure flares up. Whereas, functional MRI — another scanning method — can record regional interactions in the brain when a particular task is being performed.</p>
<p style="text-align: justify !important;">In 1995, Indian researchers had found that the brain shows prominent neural network connections even in its resting state. Termed as resting-state functional MRI or rsfMRI, the images from this scanning indicate neural patterns in an individual’s brain even when no action is performed.</p>
<p style="text-align: justify !important;">In the present study, the team utilized rsfMRI technique and performed brain scans on individuals with Temporal Lobe Epilepsy (TLE), which is the most common form of epilepsy.</p>
<p style="text-align: justify !important;">Dr. Gandhi said, “We hypothesized that there could be ‘disease-specific networks’ in epilepsy prone brain that can be identified with the help of the machine learning model.” Machine learning involves artificial intelligence to read live data instead of pre-programmed information. Such a building block of a machine is analogous to a neuron cell in the brain.</p>
<p style="text-align: justify !important;">Researchers used a tool called Support Vector Machine (SVM) to deal with the complex and non-linear data obtained from the scans. By using another algorithm called Elastic-net based ranking, the relevant features of the neuroimaging data were extracted. The signals were integrated to reveal the patterns.</p>
<p style="text-align: justify !important;">The team conducted a pilot study on 132 subjects &#8211; 42 with epilepsy, and the rest with healthy individuals. Parameters like age, gender, history of epilepsy, genetic predisposition, incidents of injuries, medications and more, were taken into account. The epilepsy patients underwent three rsfMRI while those in the healthy group were scanned once.</p>
<p style="text-align: justify !important;">In all, 88 independent components or networks were obtained from the whole brain imaging data and fed as input to the SVM. From the patterns, top 10 strong networks were correlated with clinical features using another standard method called Pearson’s Correlation to generate the rsfMRI epileptic neural networks.</p>
<p style="text-align: justify !important;">From the pattern inputs, the SVM could identify epileptic individuals to an accuracy of 97.5% and specific lobes in the brain responsible for the condition. The model also revealed correlations such as the age of onset, frequency of seizures, or duration of illness.</p>
<p style="text-align: justify !important;">By this, researchers concluded that the independently derived rsfMRI contains epilepsy-related networks. ‘Our research establishes that with the help of machine learning methods, we can identify these networks, as we had hypothesized. Increased strength in these networks indicates the possibility of a progressing Temporal Lobe Epilepsy’, explained Dr.Gandhi.</p>
<p style="text-align: justify !important;">The team included Rose Dawn Bharath, Sujas Bharadwaj, Sanjib Sinha, Kenchaiah Raghavendra, Ravindranadh C. Mundlamuri, Arivazhagan Arimappamagan, Malla Bhaskara Rao, Jamuna Rajeshwaran, Kandavel Thennarasu and Parthasarathy Satishchandra (National Institute of Mental Health and Neurosciences, Bengaluru); Tapan K. Gandhi and Jeetu Raj (IIT, Delhi); Rajanikant Panda (Universitè de Liège, Belgium); Ganne Chaitanya (Thomas Jefferson University, USA) and Kaushik K. Majumdar (Indian Statistical Institute, Bengaluru). The study results have been published in the journal European Radiology.</p>
<p style="text-align: right;"><strong><em>Credits: India Science Wire</em></strong></p>
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<p>The post <a href="https://innohealthmagazine.com/2019/in-focus/theme/ai-can-help-decode-epileptic-brain/">Epilepsy is the Fourth Most Common Neurological Disorder</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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