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Epilepsy is a disease in which patients undergo seizures caused by brain functionality disorder. Clinically, it is usually diagnosed by experienced clinicians according to continuous electroencephalography (cEEG), which is time consuming even for experienced doctors. Meanwhile, amplitude integrated electroencephalography (aEEG) has shown potential to detect epileptic seizures. Therefore, the paper proposes a hybrid seizure detection algorithm by combining cEEG-based seizure detection algorithm and aEEG-based seizure detection algorithm to detect seizures. In cEEG-based seizure detection algorithm, cEEG signals are divided into 5 s epoch with 4 s overlap and multi-domain features are extracted from each epoch. Then random forest classification is applied to do seizure detection. In aEEG-based seizure detection algorithm, morphological filter is applied to do spike detection and determine whether there are seizures after transforming the cEEG signals into aEEG signals. In order to evaluate the generality of the proposed method, experiments are performed on two independent datasets, including a publicly available EEG dataset (CHB-MIT) and an epileptic dataset collected by using the EEG device developed by the Hangzhou Neuro Science and Technology Co., Ltd. In the CHB-MIT dataset, the accuracy (AC), specificity (SP), sensitivity based on the event (SE), and false positive ratio based on the event (FPRE) obtained by the hybrid method are 99.36%, 82.98%, 99.41%, and 0.57 times/h, respectively. In the dataset we collected, the AC, SP, SE, and FPRE obtained by the hybrid method are 99.23%, 89.47%, 99.23%, and 0.71 times/h, respectively. The experimental results show that the performance of the proposed method is competitive with state-of-the-art methods and results. Furthermore, basing on the hybrid method, this paper has developed a portable automatic seizure detection system, which can reduce the burden of clinicians in processing the large amounts of cEEG signals by detecting seizure automatically.

Automatic Epileptic Seizures Joint Detection Algorithm Based on Improved Multi-Domain Feature of cEEG and Spike Feature of aEEG