A Machine Learning Framework for Space Medicine
Predictive Diagnostics with Physiological Signals
Ning Wang, Michael R. Lyu
Dept. of Computer Science & Engineering, Chinese University of Hong Kong, Hong Kong
Chenguang Yang
School of Computing and Mathematics, Plymouth University, United Kingdom
Outline
Introduction
Electroencephalogram (EEG) in Aerospace Medicine
Amplitude and Frequency Properties in EEG
Predictive Diagnostics Framework
Case study: Epileptic Seizure Prediction with EEG
Discussion & Conclusion
2
Prognostics and health management (PHM)
3
For space missions
Focuses on fundamental issues of system failures
To predict when failures may occur
For healthcare in space
Preventive, occupational
To predict and prevent health problems timely
Subjects are pilots, astronauts, or persons involved in spaceflight
Critical to aviation safety
Aerospace medicine
4
Predictive diagnostics
Autonomously predict, prevent and manage potential health problems
Identify negative health trends with concerned premonitory symptoms.
Predict future health condition.
Raise alarms in case of emergency.
Disease prediction & health monitoring
Computer-based, self-diagnosis, and self-directed treatment programs
Forecast acute disease onset.
Monitor health condition.
Patient-specific.
EEG in aerospace medicine
5
Long been employed in crew selection andtraining.
Considered as an essential health metric of people involved in
space missions.
Diagnosis for neurologic events.
Help in determining an acute cardiovascular disease, etc.
How to acquire EEG data?
Data recording
Noninvasive electrodes uniformly arrayed on the scalp.
Channel signal = difference between potentials measured at two
electrodes.
Annotated to be clinical events or not by medical experts.
Scalp EEG
6
EEG signal’s rhythmic pattern
7
Amplitude and frequency properties in EEG
An EEG signal is typically described in terms of rhythmic
activities.
Contains multiple frequency components.
Differs in structure among subjects.
A band-limited signal that describes the kthEEG rhythm
is characterized by two sequences:
--amplitudeof rhythm;
--phaseof rhythm.
8
Extract dominant amplitude and phase components as signal descriptors,
i.e., physiological cues!
Observations
9
Inclusive EEG
rhythms
Estimated
frequency
components
Predictive Diagnostics Framework
10
Physiological signal analysis algorithm
Identify primary components
Disease prediction and health monitoring architecture
Machine learning based, subject-specific
Machine learning
11
“… a computer program that can learn from experiencewith
respect to some class of tasksand performancemeasure …”
(Mitchell, 1997)
“Machine learning, a branch of artificial intelligence, is about
the construction and study of systems that can learnfrom data.
For example, a machine learning system could be trained on
email messages to learn to distinguish between spam and
non-spam messages. After learning, it can then be used to
classify new email messages into spam and non-spam
folders. …”
(from Wikipedia)
About support vector machine (SVM)
12
Linear discriminant function
Maximal margin best hyperplane.
Support vectors: data points closest to the hyperplane.
Case study: epileptic seizure prediction
13
Epilepsy diagnosis
EEG with epileptic seizure
Prediction system specification
Performance
Epilepsy
14
Neurological disorder characterized by
sudden recurringseizures.
Affecting 1% of world’s population.
Second only to stroke.
Frequently encountered in-flight
medical events
Unpredictable time and occasions.
Second only to dizziness.
What happens today?
15
Diagnosis using electroencephalogram (EEG)
Recording electrical activity of brain using multiple electrodes
Machine learning techniques applied to classify EEG data
Restricted to clinical environment
EEG with epileptic seizure
16
Preictal–the period before seizure onset occurs.
Ictal–the period during which seizure takes place.
Postictal–the period after the seizure ends.
Interictal–the time between seizures.
Seizure diagnosis tasks
17
Task Requirements Application scenarios
Seizure event
detection
greatest possible accuracy,
not necessarily shortest delay.
Apps. requiring an accurate account of
seizure activity over a period of time.
Seizure onset
detection
shortest possible delay,
not necessarily highest accuracy.
Apps. requiring a rapid response to a seizure.
e.g.,initiating functional neuro-imaging studies to
localize cerebral origin of a seizure.
Seizure
prediction
highest possible sensitivity,
lowest possible false alarms,
actionable warning time.
Apps. requiring quickreaction to a seizure by
delivering therapy or notifying a caregiver,
before seizure onset.
Current approaches
Pattern recognition issue
Two-step processing strategy
Feature extraction front-end
Usually computationally expensive.
Standard machine learning techniques
Artificial neural networks;
Decision trees;
Mixture Gaussian models;
Support vector machine (SVM).
18
Efficient signal analysis method that can produce physically meaningful
and effective features is highly desirable!
Freiburg EEG database
19
Epilepsy Center, the University Hospital of Freiburg, Germany.
IntracranialEEG data:
recorded during invasivepresurgical epilepsy monitoring.
21 patients:
8 males, 13 females.
For each patient:
at least 100 min preictaldata + approximately 24 hrinterictaldata.
Stage Parameter Description
Data
At least 24 hrDuration of interictalrecord
At least 150 minDuration of preictalrecord
Feature extraction
5 sec EEG epoch length
6 Number of EEG channels
Training 5 fold Cross validation
SVM classification
log2γ~ [-10, 10]SVM radial basis function kernel parameter
log2C~ [-10, 10]Cost parameter
20
Classification
Sensitivity
95.2%: 79 out of 83
seizures predicted
successfully;
Perfect results for 16
out of 19 patients.
Specificity
0.144 FAs per hour;
Two-in-a-row post-
processing: filtering
out single positive
detection.
21
Performance
22
Detailed results
EMG with proposed framework
23
Neuromuscular abnormality detectionand muscular fatigue
prediction.
Long-duration spaceflight and absence of gravity greatly impacts
astronauts’ neural-muscular system.
Diagnosis using electromyogram (EMG).
Indicate human’s physical status.
Reflect electrical activity produced by skeletal muscles.
Amplitude is closely related to muscle force.
Conclusion
24
Physiological cues as physical indicators in aerospace medicine
predictive diagnostics has been investigated.
Primary amplitude and frequency components.
A new framework for improved medical operation autonomy
during space missions has been developed.
With state-of-the-art machine learning techniques.
For disease prediction and health monitoring proposes.
On a subject-by-subject basis.
Promising epileptic seizure prediction performancein case
study has been achieved.