Optimizing EEG Graph Structure for Seizure Detection: An Information Bottleneck and Self-Supervised Learning Approach

Electroencephalogram (EEG) signals are vital for automated seizure detection, but their inherent noise makes robust representation learning challenging. Existing graph construction methods, whether correlation-based or learning-based, often generate redundant or irrelevant edges due to the noisy nature of EEG data. This significantly impairs the quality of graph representation and limits downstream task performance. Motivated by the remarkable reasoning and contextual understanding capabilities of large language models (LLMs), we explore the idea of using LLMs as graph edge refiners. Specifically, we propose a two-stage framework: we first verify that LLM-based edge refinement can effectively identify and remove redundant connections, leading to significant improvements in seizure detection accuracy and more meaningful graph structures. Building on this insight, we further develop a robust solution where the initial graph is constructed using a Transformer-based edge predictor and multilayer perceptron, assigning probability scores to potential edges and applying a threshold to determine their existence. The LLM then acts as an edge set refiner, making informed decisions based on both textual and statistical features of node pairs to validate the remaining connections. Extensive experiments on TUSZ dataset demonstrate that our LLM-refined graph learning framework not only enhances task performance but also yields cleaner and more interpretable graph representations.

Seizure detection and prediction from EEG are clinically important but challenging because seizures are rare, temporally localized, and propagate as coordinated events across multiple channels. Recent dynamic graph neural networks model this by running a temporal model over a sequence of per-time-step pairwise channel edges. However, this pairwise construction misses the spatiotemporal coupling that constitutes a seizure, at substantial training cost. We propose HyBrain, which summarizes spatiotemporal EEG evidence through a small set of soft hyperedges rather than pairwise edges. A per-channel Mamba backbone produces one token per (channel, second), and a spatiotemporal hyperedge block pools these tokens into E_h shared group embeddings through soft memberships and broadcasts them back. The same encoder serves three downstream tasks: window-based detection, one-second point-wise detection, and preictal seizure prediction. On TUSZ and CHB-MIT, HyBrain achieves the best AUROC on every reported setting against ten baselines, with the largest gap on long-clip preictal prediction. It also matches the most efficient baselines in training time and peak GPU memory. A qualitative analysis shows that even a single learned hyperedge cleanly captures the preictal -> ictal -> postictal trajectory on a real seizure clip.

Seizure diagnosis from EEG signals is a critical yet persistently challenging task, due to the complicated neural dynamics and the spurious connections in inter-channel modeling. While spatial-temporal graph neural networks (STGNNs) have advanced EEG brain network representation learning, the resulting graph structures suffer from low clinical plausibility and limited interpretability due to their purely data-driven nature. To this end, we introduce NeuroGRIP, a retrieval-augmented graph refinement framework that incorporates external medical knowledge to calibrate noisy EEG graphs. We first construct a large-scale, domain-specific knowledge base derived from authoritative clinical guidelines. Leveraging large language models, we extract structured biomedical entities and relations to form a textual knowledge graph (KG), which serves as external knowledge source of clinical priors. Our framework performs alignment-aware query construction by projecting STGNN-generated EEG node embeddings into the semantic space of KG. Semantic queries are then executed via FAISS-based similarity search over knowledge triplets to retrieve relation evidence. Each predicted edge is assigned a confidence score based on retrieved similarity, relation type, and source reliability, enabling us to prune medically implausible edges from the originally predicted graph. Extensive experiments on TUSZ and CHB-MIT demonstrate that NeuroGRIP not only improves seizure detection accuracy but also enhances interpretability by grounding each prediction in clinically validated knowledge. This work provides the first unified framework that tightly couples brain dynamics with external medical expertise via retrieval-augmented reasoning, paving the way for knowledge-enhanced, explainable clinical diagnosis. The code is available at: https://github.com/LincanLi-X/NeuroGRIP.