Further, we clarify that the term 'self-supervised' has different meanings in DA and in pretraining [S23, S24, S25, S26]. Problem definitions for both papers are different.

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.

In the past 20 years, mice with glowing cables sprouting from their heads have become a staple of neuroscience. They reflect the rise of optogenetics, in which neurons are engineered to contain light-sensitive proteins called opsins, allowing pulses of light to turn them on or off. The method has powered thousands of basic experiments into the brain circuits that drive behavior and underlie disease. As this research tool matured, hopes arose for using it as a treatment, too. Compared with the electrical or magnetic brain stimulation approaches already in use, optogenetics offers a way to more precisely target and manipulate the exact cell types underlying brain disorders.

Complex spatial connectivity patterns, such as interictal suppression and ictal propagation, complicate accurate drug-resistant epilepsy (DRE) seizure detection using stereotactic electroencephalography (SEEG) and traditional machine learning methods. Two critical challenges remain:(1)a low signal-to-noise ratio in functional connectivity estimates, making it difficult to learn seizure-related interactions; and (2)expert labels for spatial pathological connectivity patterns are difficult to obtain, meanwhile lacking the patterns' representation to improve seizure detection. To address these issues, we propose a novel node-graph dual contrastive learning framework, Seizure-NGCLNet, to learn SEEG interictal suppression and ictal propagation patterns for detecting DRE seizures with high precision. First, an adaptive graph augmentation strategy guided by centrality metrics is developed to generate seizure-related brain networks. Second, a dual-contrastive learning approach is integrated, combining global graph-level contrast with local node-graph contrast, to encode both spatial structural and semantic epileptogenic features. Third, the pretrained embeddings are fine-tuned via a top-k localized graph attention network to perform the final classification. Extensive experiments on a large-scale public SEEG dataset from 33 DRE patients demonstrate that Seizure-NGCLNet achieves state-of-the-art performance, with an average accuracy of 95.93%, sensitivity of 96.25%, and specificity of 94.12%. Visualizations confirm that the learned embeddings clearly separate ictal from interictal states, reflecting suppression and propagation patterns that correspond to the clinical mechanisms. These results highlight Seizure-NGCLNet's ability to learn interpretable spatial pathological patterns, enhancing both seizure detection and seizure onset zone localization.

In recent years, machine learning has become an increasingly powerful tool for supporting seizure detection and monitoring in epilepsy care. Traditional approaches focus on identifying seizures only after they begin, which limits the opportunity for early intervention and proactive treatment. In this study, we propose a novel approach that integrates both real-time seizure detection and prediction, aiming to capture subtle temporal patterns in EEG data that may indicate an upcoming seizure. Our approach was evaluated using the CHB-MIT Scalp EEG Database, which includes 969 hours of recordings and 173 seizures collected from 23 pediatric and young adult patients with drug-resistant epilepsy. To support seizure detection, we implemented a range of supervised machine learning algorithms, including K-Nearest Neighbors, Logistic Regression, Random Forest, and Support Vector Machine. The Logistic Regression achieved 90.9% detection accuracy with 89.6% recall, demonstrating balanced performance suitable for clinical screening. Random Forest and Support Vector Machine models achieved higher accuracy (94.0%) but with 0% recall, failing to detect any seizures, illustrating that accuracy alone is insufficient for evaluating medical ML models with class imbalance. For seizure prediction, we employed Long Short-Term Memory (LSTM) networks, which use deep learning to model temporal dependencies in EEG data. The LSTM model achieved 89.26% prediction accuracy. These results highlight the potential of developing accessible, real-time monitoring tools that not only detect seizures as traditionally done, but also predict them before they occur. This ability to predict seizures marks a significant shift from reactive seizure management to a more proactive approach, allowing patients to anticipate seizures and take precautionary measures to reduce the risk of injury or other complications.

Epilepsy is a chronic neurological condition characterized by recurrent seizures, with global prevalence estimated at 50 million people worldwide. While progress in high-throughput sequencing has allowed for broad-based transcriptomic profiling of brain tissues, the deciphering of these highly complex datasets remains one of the challenges. To address this issue, in this paper we propose a new analysis pipeline that integrates the power of deep learning strategies with GPU-acceleration computation for investigating Gene expression patterns in epilepsy. Specifically, our proposed approach employs GPT-2 XL, a transformer-based Large Language Model (LLM) with 1.5 billion parameters for genomic sequence analysis over the latest NVIDIA H100 Tensor Core GPUs based on Hopper architecture. Our proposed method enables efficient preprocessing of RNA sequence data, gene sequence encoding, and subsequent pattern identification. We conducted experiments on two epilepsy datasets including GEO accession GSE264537 and GSE275235. The obtained results reveal several significant transcriptomic modifications, including reduced hippocampal astrogliosis after ketogenic diet treatment as well as restored excitatory-inhibitory signaling equilibrium in zebrafish epilepsy model. Moreover, our results highlight the effectiveness of leveraging LLMs in combination with advanced hardware acceleration for transcriptomic characterization in neurological diseases.

Despite the impressive performance of LLM-powered agents, their adoption for Electronic Health Record (EHR) data access remains limited by the absence of benchmarks that adequately capture real-world clinical data access flows. In practice, two core challenges hinder deployment: query ambiguity from vague user questions and value mismatch between user terminology and database entries. To address this, we introduce EHR-ChatQA an interactive database question answering benchmark that evaluates the end-to-end workflow of database agents: clarifying user questions, using tools to resolve value mismatches, and generating correct SQL to deliver accurate answers. To cover diverse patterns of query ambiguity and value mismatch, EHR-ChatQA assesses agents in a simulated environment with an LLM-based user across two interaction flows: Incremental Query Refinement (IncreQA), where users add constraints to existing queries, and Adaptive Query Refinement (AdaptQA), where users adjust their search goals mid-conversation. Experiments with state-of-the-art LLMs (e.g., o4-mini and Gemini-2.5-Flash) over five i.i.d. trials show that while agents achieve high Pass@5 of 90-95% (at least one of five trials) on IncreQA and 60-80% on AdaptQA, their Pass^5 (consistent success across all five trials) is substantially lower by 35-60%. These results underscore the need to build agents that are not only performant but also robust for the safety-critical EHR domain. Finally, we provide diagnostic insights into common failure modes to guide future agent development.

Closed -loop brain stimulation holds potential as personalized treatment for drug-resistant epilepsy (DRE) but still suffers from limitations that result in highly variable efficacy. First, stimulation is typically delivered upon detection of the seizure to abort rather than prevent it; second, the stimulation parameters are established by trial and error, requiring lengthy rounds of fine -tuning, which delay steady-state therapeutic efficacy. Here, we address these limitations by leveraging the potential of neuromorphic computing. We present a neuromorphic reservoir computing hardware system capable of driving real - time personalized free-run stimulations based on seizure forecasting, wherein each forecast triggers an electrical pulse rather than an arbitrarily predefined fixed -frequency stimulus train. The system achieves 83.33% accuracy in forecasting seizure occurrences during the training phase. We validate the system using hippocampal spheroids coupled to 3D microelectrode array as a simplified testbed, achieving seizure reduction >97% during the real -time processing while primarily using instantaneous stimulation frequencies within 20 Hz, well below what typically used in clinical practice. Our work demonstrates the potential of neuromorphic systems as a next -generation neuromodulation strategy for personalized DRE treatment, leveraging their sparse and event-driven processing for real -time applications. Keywords: Neuromorphic system, drug-resistant epilepsy, seizure forecasting, neuromodulation, closed -loop stimulation, edge-devices.

Spike-and-wave discharges (SWDs) are the electroencephalographic hallmark of absence epilepsy, yet their manual identification in multi-day recordings remains labour-intensive and error-prone. We present a lightweight hybrid pipeline that couples analytical features with a shallow artificial neural network (ANN) for accurate, patient-specific SWD detection in long-term, monopolar EEG. A two-sided moving-average (MA) filter first suppresses the high-frequency components of normal background activity. The residual signal is then summarised by the mean and the standard deviation of its normally distributed samples, yielding a compact, two-dimensional feature vector for every 20s window. These features are fed to a single-hidden-layer ANN trained via back-propagation to classify each window as SWD or non-SWD. The method was evaluated on 780 channels sampled at 256 Hz from 12 patients, comprising 392 annotated SWD events. It correctly detected 384 events (sensitivity: 98%) while achieving a specificity of 96.2 % and an overall accuracy of 97.2%. Because feature extraction is analytic, and the classifier is small, the pipeline runs in real-time and requires no manual threshold tuning. These results indicate that normal-distribution descriptors combined with a modest ANN provide an effective and computationally inexpensive solution for automated SWD screening in extended EEG recordings.

Adapting machine learning models to medical time series across different domains remains a challenge due to complex temporal dependencies and dynamic distribution shifts. Current approaches often focus on isolated feature representations, limiting their ability to fully capture the intricate temporal dynamics necessary for robust domain adaptation. In this work, we propose a novel framework leveraging multi-view contrastive learning to integrate temporal patterns, derivative-based dynamics, and frequency-domain features. Our method employs independent encoders and a hierarchical fusion mechanism to learn feature-invariant representations that are transferable across domains while preserving temporal coherence. Extensive experiments on diverse medical datasets, including electroencephalogram (EEG), electrocardiogram (ECG), and electromyography (EMG) demonstrate that our approach significantly outperforms state-of-the-art methods in transfer learning tasks. By advancing the robustness and generalizability of machine learning models, our framework offers a practical pathway for deploying reliable AI systems in diverse healthcare settings. Data and Code Availability This study uses publicly available datasets in medical and healthcare domains, including SleepEEG (Kemp et al., 2000) and ECG (Clifford et al., 2017) for pre-training, and Epilepsy (Andrzejak et al., 2001), FD (Less-meier et al., 2016), Gesture (Liu et al., 2009), and EMG (Goldberger et al., 2000) for fine-tuning. The datasets used in this study are publicly accessible via their respective repositories, with detailed documentation included in the supplementary material.