Automated seizure detection is of great importance to epilepsy diagnosis and treatment. An emerging method used in seizure detection, stereoelectroencephalography (SEEG), can provide detailed and stereoscopic brainwave information. However, modeling SEEG in clinical scenarios will face challenges like huge domain shift between different patients and dramatic pattern evolution among different brain areas. In this study, we propose a Pretraining-based model for Patient-independent seizure detection (PPi) to address these challenges. Firstly, we design two novel self-supervised tasks which can extract rich information from abundant SEEG data while preserving the unique characteristics between brain signals recorded from different brain areas. Then two techniques, channel background subtraction and brain region enhancement, are proposed to effectively tackle the domain shift problem. Extensive experiments show that PPi outperforms the SOTA baselines on two public datasets and a real-world clinical dataset collected by us, which demonstrates the effectiveness and practicability of PPi. Finally, visualization analysis illustrates the rationality of the two domain generalization techniques.

ARIA has a billion-dollar budget and big aspirations for tackling everything from epilepsy to Alzheimer's. The UK's Advanced Research and Innovation Agency (ARIA) was established in 2023 with the goal of pursuing "high-risk, high-reward" moonshots in sectors ranging from bolstering food security to new ways of ramping up human immunity . With more than £1 billion (about $1.3 billion) worth of government funding earmarked between now and 2030, one of ARIA's most ambitious programs is a £69 million initiative that aims to develop more tailored ways of modulating the human brain. The hope is to eventually address an entire range of disorders, from epilepsy to Alzheimer's. Reports have previously estimated that this suite of neurological conditions costs the UK economy tens of billions of dollars each year.

This paper presents a probabilistic-graphical model that can be used to infer characteristics of instantaneous brain activity by jointly analyzing spatial and temporal dependencies observed in electroencephalograms (EEG). Specifically, we describe a factor-graph-based model with customized factor-functions defined based on domain knowledge, to infer pathologic brain activity with the goal of identifying seizure-generating brain regions in epilepsy patients. We utilize an inference technique based on the graph-cut algorithm to exactly solve graph inference in polynomial time. We validate the model by using clinically collected intracranial EEG data from 29 epilepsy patients to show that the model correctly identifies seizure-generating brain regions. Our results indicate that our model outperforms two conventional approaches used for seizure-onset localization (5-7% better AUC: 0.72, 0.67, 0.65) and that the proposed inference technique provides 3-10% gain in AUC (0.72, 0.62, 0.69) compared to sampling-based alternatives.

Automated seizure detection is of great importance to epilepsy diagnosis and treatment.

Predicting critical transitions in complex systems, such as epileptic seizures in the brain, represents a major challenge in scientific research. The high-dimensional characteristics and hidden critical signals further complicate early-warning tasks. This study proposes a novel early-warning framework that integrates manifold learning with stochastic dynamical system modeling. Through systematic comparison, six methods including diffusion maps (DM) are selected to construct low-dimensional representations. Based on these, a data-driven stochastic differential equation model is established to robustly estimate the probability evolution scoring function of the system. Building on this, a new Score Function (SF) indicator is defined by incorporating Schrödinger bridge theory to quantify the likelihood of significant state transitions in the system. Experiments demonstrate that this indicator exhibits higher sensitivity and robustness in epilepsy prediction, enables earlier identification of critical points, and clearly captures dynamic features across various stages before and after seizure onset. This work provides a systematic theoretical framework and practical methodology for extracting early-warning signals from high-dimensional data.

Pathophysiolpgical modelling of brain systems from microscale to macroscale remains difficult in group comparisons partly because of the infeasibility of modelling the interactions of thousands of neurons at the scales involved. Here, to address the challenge, we present a novel approach to construct differential causal networks directly from electroencephalogram (EEG) data. The proposed network is based on conditionally coupled neuronal circuits which describe the average behaviour of interacting neuron populations that contribute to observed EEG data. In the network, each node represents a parameterised local neural system while directed edges stand for node-wise connections with transmission parameters. The network is hierarchically structured in the sense that node and edge parameters are varying in subjects but follow a mixed-effects model. A novel evolutionary optimisation algorithm for parameter inference in the proposed method is developed using a loss function derived from Chen-Fliess expansions of stochastic differential equations. The method is demonstrated by application to the fitting of coupled Jansen-Rit local models. The performance of the proposed method is evaluated on both synthetic and real EEG data. In the real EEG data analysis, we track changes in the parameters that characterise dynamic causality within brains that demonstrate epileptic activity. We show evidence of network functional disruptions, due to imbalance of excitatory-inhibitory interneurons and altered epileptic brain connectivity, before and during seizure periods.

Emergent phenomena -- onset of epileptic seizures, sudden customer churn, or pandemic outbreaks -- often arise from hidden causal interactions in complex systems. We propose a machine learning method for their early detection that addresses a core challenge: unveiling and harnessing a system's latent causal structure despite the data-generating process being unknown and partially observed. The method learns an optimal feature representation from a one-parameter family of estimators -- powers of the empirical covariance or precision matrix -- offering a principled way to tune in to the underlying structure driving the emergence of critical events. A supervised learning module then classifies the learned representation. We prove structural consistency of the family and demonstrate the empirical soundness of our approach on seizure detection and churn prediction, attaining competitive results in both. Beyond prediction, and toward explainability, we ascertain that the optimal covariance power exhibits evidence of good identifiability while capturing structural signatures, thus reconciling predictive performance with interpretable statistical structure.

Automated seizure detection (ASD) using intracranial electroencephalography (iEEG) is critical for effective epilepsy treatment. However, the significant domain shift of iEEG signals across subjects poses a major challenge, limiting their applicability in real-world clinical scenarios. In this paper, we address this issue by analyzing the primary cause behind the failure of existing iEEG models for subject-independent seizure detection, and identify a critical universal seizure pattern: seizure events consistently exhibit higher average amplitude compared to adjacent normal events. To mitigate the domain shifts and preserve the universal seizure patterns, we propose a novel self-comparison mechanism.

We introduce a unified benchmarking framework focused on evaluating EEG-based foundation models in clinical applications. The benchmark spans 11 well-defined diagnostic tasks across 14 publicly available EEG datasets, including epilepsy, schizophrenia, Parkinson's disease, OCD, and mild traumatic brain injury. It features minimal preprocessing, standardized evaluation protocols, and enables side-by-side comparisons of classical baselines and modern foundation models. Our results show that while foundation models achieve strong performance in certain settings, simpler models often remain competitive, particularly under clinical distribution shifts. To facilitate reproducibility and adoption, we release all prepared data and code in an accessible and extensible format.