Academic Journal
Ambulatory seizure detection
| Τίτλος: | Ambulatory seizure detection |
|---|---|
| Συγγραφείς: | Bernini, A., Dan, J., Ryvlin, P. |
| Πηγή: | Current opinion in neurology, vol. 37, no. 2, pp. 99-104 |
| Στοιχεία εκδότη: | Ovid Technologies (Wolters Kluwer Health), 2024. |
| Έτος έκδοσης: | 2024 |
| Θεματικοί όροι: | Machine Learning, Epilepsy, Seizures, Humans, Electroencephalography, Seizures/diagnosis, Algorithms, 3. Good health |
| Περιγραφή: | Purpose of review To review recent advances in the field of seizure detection in ambulatory patients with epilepsy. Recent findings Recent studies have shown that wrist or arm wearable sensors, using 3D-accelerometry, electrodermal activity or photoplethysmography, in isolation or in combination, can reliably detect focal-to-bilateral and generalized tonic-clonic seizures (GTCS), with a sensitivity over 90%, and false alarm rates varying from 0.1 to 1.2 per day. A headband EEG has also demonstrated a high sensitivity for detecting and help monitoring generalized absence seizures. In contrast, no appropriate solution is yet available to detect focal seizures, though some promising findings were reported using ECG-based heart rate variability biomarkers and subcutaneous EEG. Summary Several FDA and/or EU-certified solutions are available to detect GTCS and trigger an alarm with acceptable rates of false alarms. However, data are still missing regarding the impact of such intervention on patients’ safety. Noninvasive solutions to reliably detect focal seizures in ambulatory patients, based on either EEG or non-EEG biosignals, remain to be developed. To this end, a number of challenges need to be addressed, including the performance, but also the transparency and interpretability of machine learning algorithms. |
| Τύπος εγγράφου: | Article |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 1473-6551 1350-7540 |
| DOI: | 10.1097/wco.0000000000001248 |
| Σύνδεσμος πρόσβασης: | https://pubmed.ncbi.nlm.nih.gov/38328946 https://serval.unil.ch/resource/serval:BIB_124B9EC42341.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_124B9EC423410 https://serval.unil.ch/notice/serval:BIB_124B9EC42341 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....7753c6b6ca6ba4b9331b930ed02e8648 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 14736551 13507540 |
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| DOI: | 10.1097/wco.0000000000001248 |