DELMEP: a deep learning algorithm for automated annotation of motor evoked potential latencies.

Journal: Scientific reports
PMID:

Abstract

The analysis of motor evoked potentials (MEPs) generated by transcranial magnetic stimulation (TMS) is crucial in research and clinical medical practice. MEPs are characterized by their latency and the treatment of a single patient may require the characterization of thousands of MEPs. Given the difficulty of developing reliable and accurate algorithms, currently the assessment of MEPs is performed with visual inspection and manual annotation by a medical expert; making it a time-consuming, inaccurate, and error-prone process. In this study, we developed DELMEP, a deep learning-based algorithm to automate the estimation of MEP latency. Our algorithm resulted in a mean absolute error of about 0.5 ms and an accuracy that was practically independent of the MEP amplitude. The low computational cost of the DELMEP algorithm allows employing it in on-the-fly characterization of MEPs for brain-state-dependent and closed-loop brain stimulation protocols. Moreover, its learning ability makes it a particularly promising option for artificial-intelligence-based personalized clinical applications.

Authors

  • Diego Milardovich
    Institute for Microelectronics, Technische Universität Wien, Gußhausstraße 27-29/E360, 1040, Vienna, Austria. milardovich@iue.tuwien.ac.at.
  • Victor H Souza
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
  • Ivan Zubarev
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, FI-00076, Aalto, Finland. Electronic address: ivan.zubarev@aalto.fi.
  • Sergei Tugin
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
  • Jaakko O Nieminen
    Wisconsin Institute for Sleep and Consciousness, Department of Psychiatry, University of Wisconsin, Madison, USA.
  • Claudia Bigoni
    Defitech Chair of Clinical Neuroengineering, Neuro-X Institute (INX) and Brain Mind Institute (BMI), École Polytechnique Fédérale de Lausanne (EPFL), 1202, Geneva, Switzerland.
  • Friedhelm C Hummel
  • Juuso T Korhonen
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
  • Dogu B Aydogan
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
  • Pantelis Lioumis
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
  • Nima Taherinejad
    Institute for Computer Technology, Technische Universität Wien, Vienna, Austria.
  • Tibor Grasser
    Institute for Microelectronics, Technische Universität Wien, Gußhausstraße 27-29/E360, 1040, Vienna, Austria.
  • Risto J Ilmoniemi
    Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.