Annotating neurophysiologic data at scale with optimized human input.

Journal: Journal of neural engineering
Published Date:

Abstract

Neuroscience experiments and devices are generating unprecedented volumes of data, but analyzing and validating them presents practical challenges, particularly in annotation. While expert annotation remains the gold standard, it is time consuming to obtain and often poorly reproducible. Although automated annotation approaches exist, they rely on labeled data first to train machine learning algorithms, which limits their scalability. A semi-automated annotation approach that integrates human expertise while optimizing efficiency at scale is critically needed. To address this, we present Annotation Co-pilot, a human-in-the-loop solution that leverages deep active learning (AL) and self-supervised learning (SSL) to improve intracranial EEG (iEEG) annotation, significantly reducing the amount of human annotations.We automatically annotated iEEG recordings from 28 humans and 4 dogs with epilepsy implanted with two neurodevices that telemetered data to the cloud for analysis. We processed 1500 h of unlabeled iEEG recordings to train a deep neural network using a SSL method Swapping Assignments between View to generate robust, dataset-specific feature embeddings for the purpose of seizure detection. AL was used to select only the most informative data epochs for expert review. We benchmarked this strategy against standard methods.Over 80 000 iEEG clips, totaling 1176 h of recordings were analyzed. The algorithm matched the best published seizure detectors on two datasets (NeuroVista and NeuroPace responsive neurostimulation) but required, on average, only 1/6 of the human annotations to achieve similar accuracy (area under the ROC curve of 0.9628 ± 0.015) and demonstrated better consistency than human annotators (Cohen's Kappa of 0.95 ± 0.04).. 'Annotation Co-pilot' demonstrated expert-level performance, robustness, and generalizability across two disparate iEEG datasets while reducing annotation time by an average of 83%. This method holds great promise for accelerating basic and translational research in electrophysiology, and potentially accelerating the pathway to clinical translation for AI-based algorithms and devices.

Authors

  • Zhongchuan Xu
    Department of Bioengineering, University of Pennsylvania, 210 South 33rd Street, Philadelphia, Pennsylvania, 19104-6321, UNITED STATES.
  • Brittany H Scheid
    Department of Bioengineering, School of Engineering and Applied Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Erin C Conrad
    Department of Neurology, Penn Epilepsy Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Erin Conrad
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • Kathryn A Davis
    Penn Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104; Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.
  • Taneeta Ganguly
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • Michael A Gelfand
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • James J Gugger
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • Xiangyu Jiang
    Department of Bioengineering, University of Pennsylvania, 210 South 33rd Street, Philadelphia, Pennsylvania, 19104-6321, UNITED STATES.
  • Joshua J LaRocque
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • William K S Ojemann
    Department of Bioengineering, University of Pennsylvania, 210 South 33rd Street, Philadelphia, Pennsylvania, 19104-6321, UNITED STATES.
  • Saurabh R Sinha
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • Genna J Waldman
    Department of Neurology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania, 19104-4306, UNITED STATES.
  • Joost Wagenaar
    Department of Biostatistics, Epidemiology & Informatics, University of Pennsylvania, 423 Guardian Drive, Blockley Hall, Philadelphia, Pennsylvania, 19104-6243, UNITED STATES.
  • Nishant Sinha
    From the Translational and Clinical Research Institute (N.S.), Faculty of Medical Sciences, and Computational Neuroscience, Neurology, and Psychiatry Lab (N.S., Y.W., N.M.d.S., P.N.T.), Interdisciplinary Computing and Complex BioSystems Group, School of Computing, Newcastle University, Newcastle Upon Tyne; NIHR University College London Hospitals Biomedical Research Centre (Y.W., A.M., A.W.M., J.d.T., S.B.V., G.P.W., J.S.D., P.N.T.), UCL Institute of Neurology, Queen Square; Centre for Medical Image Computing (S.B.V.), University College London; Epilepsy Society MRI Unit (S.B.V., G.P.W., J.S.D), Chalfont St Peter, UK; and Department of Medicine (G.P.W.,), Division of Neurology, Queen's University, Kingston, Ontario, Canada. nishant.sinha89@gmail.com Peter.taylor@newcastle.ac.uk.
  • Brian Litt
    Penn Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA, United States of America.