Abstract—Penicillin-induced focal epilepsy is a well-known
model in epilepsy research. In this model, epileptic activity is
generated by delivering penicillin focally to the cortex. The
drug induces interictal electroencephalographic (EEG) spikes
which evolve in time and may later change to ictal discharges.
This paper proposes a method for automatic classification of
these interictal epileptic spikes using iterative K-means
clustering. The method is shown to be able to detect different
spike waveforms and describe their characteristic occurrence in
time during penicillin-induced focal epilepsy. The study offers
potential for future research by providing a method to
objectively and quantitatively analyze the time sequence of
interictal epileptic activity.
I. INTRODUCTION
PILEPSY is a chronic neurological disorder
characterized by recurrent interruptions of normal brain
function called epileptic seizures [1]. These are abnormal
hypersynchronous electrical discharges of the brain
accompanied by behavioral manifestations such as altered
awareness, generalized tonic–clonic movements, and manual
automatisms [2]. About 50 million people worldwide suffer
from epilepsy [3].
Even though significant progression has lately been made
in the brain imaging technologies, electroencephalogram
(EEG) still has an essential role in the diagnosis of epilepsy.
Characteristic EEG changes, such as generalized spike-wave
discharges, can be seen during epileptic seizures [4]. In
addition to ictal activity, patients with epilepsy usually have
abnormal EEG changes also between seizures. These
interictal epileptiform discharges (IED) can be divided
morphologically into sharp waves, spikes, spike-wave
complexes, and polyspike-wave complexes [5]. IEDs are
considered to contain valuable information related to the
Manuscript received June 22, 2010. This work was supported in part by
the GETA Graduate School, Walter Ahlström Foundation, Tauno Tönning
Foundation, Finnish Foundation for Economic and Technology Sciences –
KAUTE, The Finnish Medical Foundation, and Orion-Farmos Research
Foundation.
J. Kortelainen is with the Department of Electrical and Information
Engineering, BOX 4500, FIN-90014 University of Oulu, Finland (e-mail:
jukka.kortelainen@ee.oulu.fi).
M. Silfverhuth and T. Seppänen are with the Department of Electrical
and Information Engineering, University of Oulu, Finland.
K. Suominen is with the Department of Clinical Neurophysiology, Oulu
University Hospital, Finland.
E. Sonkajärvi and S. Alahuhta are with the Department of
Anesthesiology, University of Oulu, Finland.
V. Jäntti is with the Department of Biomedical Engineering, Tampere
University of Technology and Department of Clinical Neurophysiology,
Seinäjoki Central Hospital, Finland.
diagnosis, treatment, and prognosis of the disease [6], [7].
Penicillin-induced focal epilepsy is a well-known model in
the epilepsy research. In this model, epileptic activity is
generated in the brain of an animal by delivering penicillin
focally to the cortex. The drug prevents GABA-mediated
inhibitory control of the main population of pyramidal
neurons by blocking the GABA
A
receptors [8], [9]. The
impaired inhibition induces epileptic EEG spikes which
evolve in time and may later change to ictal discharges [10].
Experimental focal epilepsy is widely used to dissect various
cellular and synaptic processes and thereby to explain the
mechanisms of epileptic activity [9].
In this paper, a method for the classification of EEG
spikes during induced focal epilepsy is proposed. The
purpose is to be able to detect automatically different spike
waveforms and describe their characteristic occurrence in
time after delivering penicillin to the cortex. The proposed
method is tested with data from a previous experimental
EEG/fMRI series of a focal epilepsy model [11]. The
clustering algorithm, spike classification, and data
acquisition procedure are explained in Section II. Section III
presents the results. In Section IV, the paper is concluded
and a short discussion about the results and future work is
given.
II. MATERIALS AND METHODS
A. Clustering Algorithm and Spike Classification
The clustering algorithm and spike classification were
implemented using the Matlab technical computing language
(The MathWorks Inc., Natick, MA).
A schematic representation of the clustering algorithm is
given in Fig. 1. The algorithm is based on iterative K-means
clustering and can be divided into four parts:
1) Sequence extraction
2) Spike extraction
3) K-means clustering
4) Centroid comparison
In sequence extraction, the data sequences containing an
epileptic spike are extracted from the EEG recording. The
spike positions are roughly determined by amplitude
thresholding. A proper threshold value is approximated using
visual inspection of the EEG amplitude changes after
penicillin administration and the position of the first epileptic
spike. The data sequences of predefined length are then
extracted around the positions in which this threshold value
Automatic Classification of Penicillin-induced Epileptic EEG Spikes
Jukka Kortelainen, Student Member, IEEE, Minna Silfverhuth, Kalervo Suominen, Eila Sonkajärvi,
Seppo Alahuhta, Ville Jäntti, and Tapio Seppänen
E
32nd Annual International Conference of the IEEE EMBS
Buenos Aires, Argentina, August 31 - September 4, 2010
978-1-4244-4124-2/10/$25.00 ©2010 IEEE 6674