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Advanced Neurology                                                  Artificial intelligence in epilepsy education



            Meanwhile, Harvard Medical School is working on LSTM-  sensitivity.  This model reduced false positives, thus
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            based models for real-time seizure prediction, which are   aiding accurate early diagnosis.  Similarly, Altaheri et al.
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            vital tools for mitigating risks associated with SUDEP and   applied a deep learning-based EEG analysis method that
            enhancing patient safety.  Collectively, these institutions   enhanced detection rates and simplified the identification
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            are shaping the future of epilepsy care by creating accessible,   of complex seizure patterns, improving real-time clinical
            accurate diagnostic tools that significantly improve patient   interventions.  Another study that incorporated predictive
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            outcomes globally. 58-61  Table 3 highlights the contributions   models using EEG and electrocardiogram (ECG) data
            of these institutions in advancing AI’s role in epilepsy   achieved  high  performance  in  seizure  prediction,
            management.                                        facilitating timely interventions and comprehensive patient
                                                               monitoring.  These examples illustrate the advancement
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            9. Case studies and practical                      of engineering science in utilizing AI to enhance epilepsy
            implementations                                    diagnosis, streamline clinical workflows, and support
            Various research efforts have underscored the utility of AI   informed decision-making in patient care. 60-63
            in epilepsy outreach and the central goals within this field.    10. Barriers to AI adoption in healthcare
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            AI models for detecting and forecasting epileptiform EEG
            patterns and seizures have yielded significant outcomes in   and education
            clinical applications.  For instance, the AI-based model   Despite the need to integrate AI into teaching, learning,
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            mjn-SERAS exhibits notable sensitivity and specificity in   and healthcare, several challenges must be addressed
            early seizure detection using customized mathematical   to facilitate better integration. 54,55  Concerns include a
            models for individualized patient care through EEG   lack of technical proficiency in medical schools, often
            analysis.   Research  highlights  specific  AI  applications   stemming  from  inaccurate  descriptions  and  volunteered
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            in epilepsy, focusing on seizure detection, prediction,   information given by generative intelligence models.
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            and localization.  Jeon  et al.  demonstrated a deep-  In addition, issues related to data privacy, moral and
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            learning  model  for  identifying  epileptiform  discharges   legal aspects, compatibility issues, and complexities in
            in self-limited epilepsy, achieving high specificity and   human-AI communication hinder the integration of AI in
            Table 2. Key findings of machine learning models for detecting epileptic seizures based on electroencephalogram

            Authors            Year                    Type of study                    Results (Statistical values)
            Hannun et al. 47   2019      Deep neural network for arrhythmia detection  ROC AUC: 0.97, F1 Score: 0.837
            Zhou et al. 48     2024      Heartbeat classification using CNNs and transformer  Accuracy: 99.4%
            Siddiqui et al. 49  2020     Review of machine learning classifiers for seizure detection  Overview of classifiers and features
            Yang et al. 50     2022      An AI system for clinical seizure recognition  High sensitivity and specificity
            Mirowski et al. 51  2019     Comparison of SVM and CNN for seizure prediction  High accuracy, CNN slightly better
            Abbreviations: AUC: Area under the curve; CNN: Convolutional neural network; LSTM: Long short-term memory; RNN: Recurrent neural network;
            ROC: Receiver operating characteristic; SVM: Support vector machine.
            Table 3. Contributions of different institutions in advancing artificial intelligence in epilepsy management

            Institution           Location            Key focus areas in epilepsy AI      Selected contributions
            Mayo Clinic         USA       EEG signal analysis, seizure prediction, patient monitoring  Mayo Clinic AI Lab on Epilepsy
            Boston Children’s Hospital  USA  Pediatric epilepsy, EEG monitoring, and AI-driven educational   AI-EEG study for early seizure
                                          resources                                   diagnosis
            University College London   UK  EEG and MRI imaging analysis, epilepsy surgery decision support  UCL AI for epilepsy diagnostics
            Seoul National University  South Korea  Machine learning for seizure classification, patient adherence   Epilepsy AI Lab, Seoul National
                                          strategies                                  University
            Indian Institute of Science   India  Deep learning for EEG analysis and epilepsy care in low-resource   Epilepsy AI in developing regions
                                          settings
            WHO Collaborating Centre   International Ethical and social aspects of AI in epilepsy global access to AI   WHO Report on AI in Epilepsy 62
            on Epilepsy                   diagnostics
            Abbreviations: AI: Artificial intelligence; EEG: Electroencephalography; MRI: Magnetic resonance imaging; UCL: University College London;
            UK: United Kingdom, USA: United States of America; WHO: World Health Organization.


            Volume 4 Issue 3 (2025)                         22                               doi: 10.36922/an.4777
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