AI and epilepsy diagnosis: a review of the challenges

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

To view or add a comment, sign in

Explore content categories