Abstract
Electroencephalography (EEG) models used for epilepsy are often limited to specific datasets and tasks. This limited approach can make it challenging to apply these models across different datasets or in various situations. However, recent studies in foundation models and self-supervised learning suggest that an adaptable EEG backbone could support a range of EEG related tasks. In this study, we have developed a multimodal EEG foundation model that combines a raw signal encoder based on the Mamba architecture, a Vision Transformer (ViT)-style encoder for time-frequency data, and a lightweight encoder for text, all within a shared embedding space. The pretraining process relies on several innovative techniques, such as masked modeling, cross-view contrastive alignment, and temporal consistency losses. These methods are designed to create rich, seizure-relevant representations without requiring labeled data. To assess the efficacy and generalization of our pretrained model, we fine-tuned it on the canonical CHB-MIT seizure detection benchmark and additional seizure detection datasets, and conducted extensive experiments comparing different model variants. On the standard CHB-MIT split, our best single model achieved an AUROC of 0.874, and an ensemble variant reached 0.878 AUROC, representing state-of-the-art performance on this benchmark. In addition to standard train-test splits, we evaluated performance under a leave-one-subject-out (LOSO) protocol, which is rarely reported in prior EEG seizure modeling work and highlights the difficulty of patient-independent seizure detection, with a mean LOSO balanced accuracy of 0.558 across 19 subjects. Across datasets and evaluation settings, our multimodal foundation model enabled robust seizure detection and straightforward adaptation to new seizure detection scenarios, while also supporting interpretable seizure localization.
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Self-supervised foundation models have recently shown strong potential for electroencephalogram (EEG)-based analysis. However, existing approaches struggle to capture the inherently multi-scale temporal structure of EEG signals, where local neural patterns and long-range dependencies jointly encode task-relevant information. This limitation hampers cross-scale representation learning and generalization across diverse downstream tasks. To address this challenge, we propose MSBraM, a Multi-Scale self-supervised Brain foundation Model designed to learn hierarchical EEG representations. MSBraM follows a two-stage pretraining framework. First, a multi-scale neural tokenizer discretizes raw EEG signals into semantic codes at different temporal resolutions via vector-quantized reconstruction. Second, the model is pretrained to predict masked codes using a curriculum multi-scale masking strategy, progressively integrating fine-grained local patterns with global temporal context. We pretrain MSBraM on over 2,400 hours of EEG data and evaluate it across 10 downstream tasks on 12 public datasets. Extensive experiments show that MSBraM achieves superior performance on other state-of-the-art pretrained models, demonstrating strong generalization and transferability. These results indicate that explicitly modeling multi-scale temporal dynamics is critical for effective EEG foundation models.
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