Can AI read EEGs better than humans for diagnosing epilepsy? Not yet. But we are getting closer. Despite decades of effort, the dream of automated diagnosis of epilepsy from routine EEG without relying on human interpretation of seizure spikes is still out of reach. A sweeping systematic 𝐫𝐞𝐯𝐢𝐞𝐰 𝐨𝐟 37 𝐬𝐭𝐮𝐝𝐢𝐞𝐬 shows that AI-based tools can reach up to 100% accuracy… But there’s a catch. Here’s what’s really going on: ➤ 𝐌𝐨𝐬𝐭 𝐬𝐭𝐮𝐝𝐢𝐞𝐬 𝐬𝐮𝐟𝐟𝐞𝐫 𝐟𝐫𝐨𝐦 𝐡𝐢𝐠𝐡 𝐫𝐢𝐬𝐤 𝐨𝐟 𝐛𝐢𝐚𝐬, especially in patient selection and data validation. Think: comparing seizure patients to healthy controls, not real-world clinical uncertainty. ➤ ⚠️ 𝐃𝐚𝐭𝐚 𝐥𝐞𝐚𝐤𝐚𝐠𝐞 𝐰𝐚𝐬 𝐫𝐚𝐦𝐩𝐚𝐧𝐭: training and testing on overlapping EEG data segments inflates accuracy. Only 22% of studies avoided this error. ➤ 𝐓𝐡𝐞 𝐚𝐯𝐞𝐫𝐚𝐠𝐞 𝐬𝐭𝐮𝐝𝐲 𝐢𝐧𝐜𝐥𝐮𝐝𝐞𝐝 𝐣𝐮𝐬𝐭 54 𝐩𝐞𝐨𝐩𝐥𝐞. Only 6 had more than 100. That’s nowhere near enough for reliable machine learning—especially deep learning. 𝐒𝐨 𝐰𝐡𝐚𝐭 𝐝𝐨𝐞𝐬 𝐭𝐡𝐢𝐬 𝐭𝐞𝐥𝐥 𝐮𝐬? Real-world epilepsy diagnosis is messy. Patients don’t walk in as textbook cases. AI must be tested in these gray zones, not on cherry-picked datasets. EEG is still a goldmine of latent biomarkers, but to strike gold, we need rigorous pipelines, standardized data, and reproducible code. #Deep #learning might scale better, but only with thousands of high-quality EEGs and methods to prevent overfitting and leakage. Criticisms of the current literature: ❌ Study design doesn’t mirror clinical settings ❌ Manual EEG segment selection introduces subjective artifacts ❌ Lack of external validation means findings might not generalize Instead of chasing flashy accuracy numbers, this review calls for clinical realism, transparency, and methodological rigor. And that’s a good thing. 🧠 At DeepPsy AG, we are decoding the brain’s electrical signals to uncover who responds to which psychiatric treatments. 🧠 We use cutting-edge software to bring precision to mental health care. 🧠 Our platform analyzes electrophysiological signatures to identify predictive biomarkers of treatment response - across interventions like: • SSRIs & SNRIs • rTMS • Ketamine • ECT We're bringing explainable AI and neural biomarkers into clinical practice, to help physicians not just treat, but tailor care based on the brain itself. Let’s connect if you're working on the future of psychiatry, EEG or neuro-AI. Follow DeepPsy AG for insights at the intersection of neuroscience, data, and compassionate care. #EEG #Biomarkers #prediction #psychiatry #health #precision #depression #epilepsy
AI and epilepsy diagnosis: a review of the challenges
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      From Crisis to Capability: AI Steps In Where Experts Are Scarce In 2020, the Association of British Neurologists raised the alarm: a severe shortage of EEG interpreters was hindering care for patients with epilepsy, sleep disorders, and brain injuries. These essential scans were accumulating, awaiting review by trained professionals. Patients experienced delays of weeks or months for results that could influence their treatment plans. Now, a team at UWE Bristol is turning the tide. Their project, MED-SHED, has developed AI models that interpret EEGs with accuracy matching or exceeding that of human experts, achieving over 90% accuracy in clinical validation. Supported by UKRI's Proof of Concept programme, the team is transitioning from laboratory to clinical settings, validating their models on real NHS data. What distinguishes this is the deployment approach. Instead of rushing to market, the team is considering a Community Interest Company structure to guarantee public benefit and transparency. This approach ensures the technology is developed with patient outcomes and equity embedded from the outset, not added later. This is more than just technical progress. It is a blueprint for trustworthy clinical AI that prioritises validation, responsible deployment, and accessible care. As Dr David Western puts it: "By focusing on validation and establishing a trustworthy route to market, this project will de-risk the clinical translation of our innovative AI technology." Practically, this means the AI will undergo thorough testing before reaching patients, lowering the chance of mistakes and increasing trust among clinicians who will use it. Faster diagnoses. Improved treatment choices. Greater access to healthcare. Read more: https://lnkd.in/eNt25dq8 #AIinHealthcare #EEG #ResponsibleAI #UKHealthTech #NeuroInnovation #DigitalHealth #NHSInnovation #HealthEquity #TrustworthyAI To view or add a comment, sign in 
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      𝐀𝐥𝐳𝐡𝐞𝐢𝐦𝐞𝐫’𝐬 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐮𝐬𝐢𝐧𝐠 𝐚 𝐡𝐲𝐛𝐫𝐢𝐝 𝐝𝐞𝐞𝐩 𝐥𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐚𝐩𝐩𝐫𝐨𝐚𝐜𝐡 𝐰𝐢𝐭𝐡 𝐦𝐮𝐥𝐭𝐢-𝐥𝐚𝐲𝐞𝐫 𝐔-𝐧𝐞𝐭 𝐬𝐞𝐠𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐗𝐀𝐈 𝐝𝐫𝐢𝐯𝐞𝐧 𝐚𝐧𝐚𝐥𝐲𝐬𝐢𝐬 𝐀𝐛𝐬𝐭𝐫𝐚𝐜𝐭: Alzheimer’s disease (AD) is a neurodegenerative illness causing a significant decrease in cognitive function, and early, accurate diagnosis is of great therapeutic and diagnostic value. Currently, there is promising potential for applying various types of artificial intelligence techniques, such as enhanced models of deep learning, for classifying Alzheimer’s disease. Therefore, this study proposes an Outline of deep learning to classify Alzheimer’s disease with segmentation using the Multi-Layer U-Net and a hybrid classification approach combining multi-scale EfficientNet with SVM. The proposed methodology consists of a four-phase process: (1) Whole brain segmentation, (2) Gray matter segmentation using multi-layer U-Net segmentation, (3) Feature extraction using Multi-Scale Efficient Net with SVM for classification, and (4) XAI (explainable AI) techniques by integrating Saliency Map Quantitative Analysis for increased clinical trustworthiness and model interpretability. It is found that the experiment results provide promising classification performance for three classes – Alzheimer’s Disease (AD), Mild Cognitive Impairment (MCI) and Cognitively Normal (CN) with an overall accuracy of 97.78% ± 0.54%, precision of 97.18% ± 1.14% (AD), 97.78% ± 0.29% (CN) and 97.03% ± 1.10% (MCI), recall of 97.90% ± 0.77% (AD), 97.49% ± 1.34% (CN) and 97.25% ± 0.99% (MCI), and F1 score of 97.74% ± 0.63% (AD), 97.78% ± 0.79% (CN), and 97.54% ± 0.69%(MCI). The results obtained underscore the elegance of the proposed approach in correctly classifying Alzheimer’s disease stages. Future work will evaluate the model on publicly accessible Alzheimer’s disease MRI datasets and incorporate advanced XAI techniques for increased interpretability and diagnostic reliability. The work focuses on Human Health. 𝐀𝐮𝐭𝐡𝐨𝐫𝐬: Muhammad Zubair, Arfan Jaffar, Dr. Sadaf Hussain, @sheeraz Akra https://lnkd.in/duwBcpTu To view or add a comment, sign in 
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