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. 2021 Jun 22;21(13):4269.
doi: 10.3390/s21134269.

Deep Learning-Based Stroke Disease Prediction System Using Real-Time Bio Signals

Affiliations

Deep Learning-Based Stroke Disease Prediction System Using Real-Time Bio Signals

Yoon-A Choi et al. Sensors (Basel). .

Abstract

The emergence of an aging society is inevitable due to the continued increases in life expectancy and decreases in birth rate. These social changes require new smart healthcare services for use in daily life, and COVID-19 has also led to a contactless trend necessitating more non-face-to-face health services. Due to the improvements that have been achieved in healthcare technologies, an increasing number of studies have attempted to predict and analyze certain diseases in advance. Research on stroke diseases is actively underway, particularly with the aging population. Stroke, which is fatal to the elderly, is a disease that requires continuous medical observation and monitoring, as its recurrence rate and mortality rate are very high. Most studies examining stroke disease to date have used MRI or CT images for simple classification. This clinical approach (imaging) is expensive and time-consuming while requiring bulky equipment. Recently, there has been increasing interest in using non-invasive measurable EEGs to compensate for these shortcomings. However, the prediction algorithms and processing procedures are both time-consuming because the raw data needs to be separated before the specific attributes can be obtained. Therefore, in this paper, we propose a new methodology that allows for the immediate application of deep learning models on raw EEG data without using the frequency properties of EEG. This proposed deep learning-based stroke disease prediction model was developed and trained with data collected from real-time EEG sensors. We implemented and compared different deep-learning models (LSTM, Bidirectional LSTM, CNN-LSTM, and CNN-Bidirectional LSTM) that are specialized in time series data classification and prediction. The experimental results confirmed that the raw EEG data, when wielded by the CNN-bidirectional LSTM model, can predict stroke with 94.0% accuracy with low FPR (6.0%) and FNR (5.7%), thus showing high confidence in our system. These experimental results demonstrate the feasibility of non-invasive methods that can easily measure brain waves alone to predict and monitor stroke diseases in real time during daily life. These findings are expected to lead to significant improvements for early stroke detection with reduced cost and discomfort compared to other measuring techniques.

Keywords: bidirectional; convolutional neural network (CNN); deep learning; electroencephalography (EEG); ensemble; long short-term memory (LSTM); stroke disease analysis; stroke prediction.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Elderly stroke monitoring system based on deep learning using bio signals (* MVCU: multi vital-signals collector units).
Figure 2
Figure 2
Six-channel measurement and collection locations of EEG vital-signals.
Figure 3
Figure 3
Raw EEG signal samples: (a) Raw EEG signals from elderly stroke patients; (b) Raw EEG signal samples from control group.
Figure 3
Figure 3
Raw EEG signal samples: (a) Raw EEG signals from elderly stroke patients; (b) Raw EEG signal samples from control group.
Figure 4
Figure 4
Stroke prediction module structure based on deep learning.
Figure 5
Figure 5
The architecture of the four deep learning models used in the experiment: (a) LSTM; (b) Bidirectional LSTM; (c) CNN–LSTM; (d) CNN-Bidirectional LSTM.
Figure 6
Figure 6
The ROC curve of the CNN-bidirectional LSTM model using raw EEG bio signals.

References

    1. Mendelow A.D. Stroke: Pathophysiology, diagnosis, and management. Elsevier Health Sci. 2000;56:275–286.
    1. Global Health Estimates Geneva: World Health Organization. [(accessed on 1 June 2016)];2012 Available online: http://www.who.int/healthinfo/global_burden_disease/en.
    1. Feigin V.L., Forouzanfar M.H., Krishnamurthi R., Mensah G.A., Connor M., Bennett D.A., Murray C. Global and re-gional burden of stroke during 1990–2010: Findings from the Global Burden of Disease Study 2010. Lancet. 2014;383:245–255. doi: 10.1016/S0140-6736(13)61953-4. - DOI - PMC - PubMed
    1. Roth G.A., Mensah G.A., Johnson C.O., Addolorato G., Ammirati E., Baddour L.M., Barengo N.C., Beaton A.Z., Benjamin E.J., Benziger C.P., et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update from the GBD 2019 Study. J. Am. Coll. Cardiol. 2020;76:2982–3021. doi: 10.1016/j.jacc.2020.11.010. - DOI - PMC - PubMed
    1. Hier D.B., Foulkes M.A., Swiontoniowski M., Sacco R.L., Gorelick P.B., Mohr J.P., Price T.R., Wolf P.A. Stroke recurrence within 2 years after ischemic infarction. Stroke. 1991;22:155–161. doi: 10.1161/01.STR.22.2.155. - DOI - PubMed