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Assessing expert reliability in determining intracranial EEG channel quality and introducing the automated bad channel detection algorithm

Tariq Hattab, Seth D König, Danielle C Carlson, Rebecca F Hayes, Zhiyi Sha, Michael C Park, Lora Kahn, Sima Patel, Robert A McGovern, Thomas Henry, Fawad Khan, Alexander B Herman and David P Darrow (July 26th, 2024)

Objective. To evaluate the inter- and intra-rater reliability for the identification of bad channels among neurologists, EEG Technologists, and naïve research personnel, and to compare their performance with the automated bad channel detection (ABCD) algorithm for detecting bad channels. Approach. Six Neurologists, ten EEG Technologists, and six naïve research personnel (22 raters in total) were asked to rate 1440 real intracranial EEG channels as good or bad. Intra- and interrater kappa statistics were calculated for each group. We then compared each group to the ABCD algorithm which uses spectral and temporal domain features to classify channels as good or bad. Main results. Analysis of channel ratings from our participants revealed variable intra-rater reliability within each group, with no significant differences across groups. Inter-rater reliability was moderate among neurologists and EEG Technologists but minimal among naïve participants. Neurologists demonstrated a slightly higher consistency in ratings than EEG Technologists. Both groups occasionally misclassified flat channels as good, and participants generally focused on low-frequency content for their assessments. The ABCD algorithm, in contrast, relied more on high-frequency content. A logistic regression model showed a linear relationship between the algorithm's ratings and user responses for predominantly good channels, but less so for channels rated as bad. Sensitivity and specificity analyses further highlighted differences in rating patterns among the groups, with neurologists showing higher sensitivity and naïve personnel higher specificity. Significance. Our study reveals the bias in human assessments of intracranial electroencephalography (iEEG) data quality and the tendency of even experienced professionals to overlook certain bad channels, highlighting the need for standardized, unbiased methods. The ABCD algorithm, outperforming human raters, suggests the potential of automated solutions for more reliable iEEG interpretation and seizure characterization, offering a reliable approach free from human biases.

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Flexible multi-step hypothesis testing of human ECoG data using cluster-based permutation tests with GLMEs

  • Combining CBPT with GLMEs allows statistical analysis to match experimental design.

  • CBPT with GLMEs accounts for subject variability and hierarchical random effects.

  • The proposed method maintains control of type I error, type II error, and FWER.

  • CBPT with GLMEs can be applied to individual channels and pseudo-population data.

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Reliability of visual review of intracranial electroencephalogram in identifying the seizure onset zone: A systematic review and implications for the accuracy of automated methods

Our new paper was published on October 27th, 2022, in the Official Journal of the International League Against Epilepsy after much collaboration between multiple departments at the University of Minnesota and UMMC - East Bank.

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New England Journal

Injuries from Less-Lethal Weapons During the George Floyd Protests in Minneapolis Paper

Our new paper "Injuries from Less-Lethal Weapons During the George Floyd Protests in Minneapolis" was just published on The New England Journal of Medicine. It details several instances when protesters sustained severe injuries from non-lethal weapons, revealing that projectiles are not appropriate for crowd control.

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Publications

Researchers Say The Purpose of Sleep Shifts During the "Terrible Twos" 

Smithsonian Magazine

September 2020

Dr. Alexander Herman and Corryn Wetzel

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A multidisciplinary team offers up an exact age when REM sleep decreases

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Journal of Neurology

Protective Effect of Stem Cells from Toxicity Induced by Gulf War Illness Serum in N2A Neuroblastoma Cells

Danielle Carlson's Paper entitled "Protective Effect of Stem Cells from Toxicity Induced by Gulf War Illness (GWI) Serum in N2A Neuroblastoma Cells" was recently published in the Journal of Neurology and Neuromedicine. 

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