Preventing Data Leakage in EEG-Based Survival Prediction: A Two-Stage Embedding and Transformer Framework

Electroencephalography (EEG) is a widely used tool for studying brain function, with applications in clinical neuroscience, diagnosis, and brain-computer interfaces (BCIs). Recent EEG foundation models trained on large unlabeled corpora aim to learn transferable representations, but their effectiveness remains unclear; reported improvements over smaller task-specific models are often modest, sensitive to downstream adaptation and fine-tuning strategies, and limited under linear probing. We hypothesize that one contributing factor is the reliance on signal reconstruction as the primary self-supervised learning (SSL) objective, which biases representations toward high-variance artifacts rather than task-relevant neural structure. To address this limitation, we explore an SSL paradigm based on Joint Embedding Predictive Architectures (JEPA), which learn by predicting latent representations instead of reconstructing raw signals. We introduce Laya, the first EEG foundation model based on LeJEPA. We show that latent prediction yields representations that encode semantic structure in EEG: Laya embeddings track clinically meaningful state changes such as seizure onset, are resilient to noise, and achieve the strongest mean clinical accuracy under frozen linear probing, with particular gains on tasks where relevant neural patterns are subtle and easily obscured by artifacts. Controlled ablations against matched MAE variants confirm that the choice of pretraining objective, rather than architecture or data, is the primary driver of these gains.

Epileptic seizure prediction from electroencephalographic (EEG) recordings remains challenging due to strong inter-patient variability and the complex temporal structure of neural signals. This paper presents a patient-adaptive transformer framework for short-horizon seizure forecasting. The proposed approach employs a two-stage training strategy: self-supervised pretraining is first used to learn general EEG temporal representations through autoregressive sequence modeling, followed by patient-specific fine-tuning for binary prediction of seizure onset within a 30-second horizon. To enable transformer-based sequence learning, multichannel EEG signals are processed using noise-aware preprocessing and discretized into tokenized temporal sequences. Experiments conducted on subjects from the TUH EEG dataset demonstrate that the proposed method achieves validation accuracies above 90% and F1 scores exceeding 0.80 across evaluated patients, supporting the effectiveness of combining self-supervised representation learning with patient-specific adaptation for individualized seizure prediction.

Electroencephalography (EEG) is a cornerstone of brain-computer interfaces and clinical neuroscience, yet deep learning models are typically trained and evaluated under a single, unreported preprocessing pipeline. We formalize preprocessing choices as a counterfactual intervention space and show that EEG predictions are surprisingly unstable under this space: across six datasets spanning four paradigms, up to 42% of trial-level predictions flip when only the preprocessing changes, a variability that standard uncertainty methods do not explicitly quantify because they condition on a fixed preprocessing pipeline. We provide three tools to make this instability measurable, decomposable, and reducible. First, a Walsh-Hadamard decomposition of the 2^7 pipeline space reveals that sensitivity is near-additive in practice under the binary intervention design, enabling efficient step-by-step optimization. Second, we introduce Preprocessing Uncertainty (PU), a per-trial diagnostic that captures a dimension of instability complementary to model-based confidence. Third, we study Normalized Adaptive PGI (NA-PGI), a graph-structured regularizer that exploits the compositional structure of preprocessing interventions as one mitigation strategy with clear scope conditions.