Organizations: Department of Kinesiology, Faculty of Science, McMaster University, Hamilton, ON, Canada · W Booth School of Engineering Practice and Technology, Faculty of Engineering, McMaster University, Hamilton, ON, Canada
Chronic neck pain is a leading cause of disability worldwide, and current treatment selection remains largely trial and error. We present a machine learning framework that uses electroencephalography to predict treatment efficacy in patients with chronic neck pain, with the goal of supporting individualized therapy and reducing the burden on healthcare systems. The framework centers on a rigorous data preprocessing stage tailored to the characteristics of each EEG recording type. For resting-state EEG, the preprocessing pipeline comprises baseline signal removal, bad channel identification and exclusion, re-referencing, bandpass and notch filtering, Independent Component Analysis, and power spectral density analysis. For motor execution and motor imagery recordings, the same initial steps are applied, after which signals are aligned to trigger events so that event-related desynchronization (ERD) and event-related synchronization (ERS) can be quantified. Synchronously recorded electromyography data are bandpass filtered and smoothed with a moving average, then correlated with the corresponding EEG channels to characterize the EEG EMG relationship during attempted movement. In parallel, we performed an extensive literature review of machine learning models applied to clinical EEG (763 records initially screened, 16 patient and 47 healthy-control studies retained), to inform the post-processing strategy. Through this combined preprocessing and review effort, we aim to develop a robust predictive model that can support personalized healthcare strategies in chronic pain management.
Foundation models (FMs) promise to extract unified representations that generalize across downstream tasks. They have emerged across fields, including electroencephalography (EEG), but it is less clear how effective they are in this particular field. Published evaluations differ in datasets, in the EEG-specific preprocessing that might influence reported results, and in the reported metrics, frequently obscuring the clinical relevance in EEG. We introduce NeuroAtlas, the largest EEG benchmark to date: 42 datasets and 260k hours covering clinical EEG (epilepsy, sleep medicine, brain age estimation) and brain-computer interfaces, and include multiple datasets per task along with bespoke clinical evaluation metrics. Besides evaluating EEG-FMs with respect to supervised baselines, we present results from generic time-series FMs. We report three findings. First, EEG-specific FMs do not consistently outperform time-series FMs, which have neither EEG-focused architectures nor been pretrained on EEG. Second, standard machine learning metrics are insufficient to assess clinical utility: thus, we thoroughly evaluate more appropriate measures such as the quality of event-level decision-making, hypnogram-derived features, and the brain-age gap in the domains of epilepsy, sleep, and brain age, respectively. Third, model rankings and performance can vary substantially within domains. We conclude that pretrained models perform largely on par, with only narrow advantages for a few, and that current models do not yet deliver on the promise of an out-of-the-box unified EEG model. NeuroAtlas exposes this gap and provides the datasets and metrics for the next generation of unified EEG FMs.
Konstantinos Kontras, Trui Osselaer, Stylianos G. Mouslech +12
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.
Continuous electroencephalography (EEG) emotion prediction aims to model the temporal evolution of human emotional states from EEG signals. Unlike conventional discrete emotion recognition, continuous prediction requires capturing long-range temporal dependencies and coherent emotional dynamics. However, existing methods mainly rely on point-wise regression and directly model noisy high-dimensional EEG features, limiting their ability to characterize continuous emotional evolution.To address these challenges, we propose EEGDancer, a dynamic emotional latent space learning framework for continuous EEG emotion prediction. The framework integrates vector-quantized representation learning, masked temporal modeling, and reinforcement learning-based trajectory optimization into a unified architecture.Specifically, a causal spatiotemporal Vector-Quantization Variational Autoencoder (VQ-VAE) is designed to learn structured emotional prototypes and construct a discrete-continuous emotional latent space from EEG signals. Based on the learned latent representations, a Transformer-based masked dynamic modeling strategy captures long-range emotional dependencies and temporal evolution patterns. Furthermore, continuous emotion prediction is formulated as a sequential decision-making problem, and a Soft Actor-Critic (SAC) framework is introduced to optimize emotional prediction trajectories at the sequence level instead of frame-wise local fitting.Extensive experiments on the SEED, SEED-IV, and Long-Term Naturalistic Emotion datasets demonstrate that EEGDancer consistently outperforms existing machine learning and deep learning methods. Ablation studies further verify the effectiveness of the proposed latent space and reinforcement learning-based trajectory optimization for modeling continuous EEG emotional dynamics.