Attention-Enhanced Dual-Branch ConvNeXt-BiLSTM Network for Subject-Independent EEG Seizure Detection

Deep learning for EEG-based seizure detection faces critical challenges: severe annotation scarcity and extreme class imbalance, where ictal events comprise less than 10% of clinical recordings. We present DiffEEG, a 9.6M-parameter self-supervised foundation model that addresses both limitations through denoising diffusion pre-training and reinforcement learning (RL)-based fine-tuning. Pre-trained on 1.3M unlabeled segments from the Temple University Hospital Seizure Corpus (TUHSZ), DiffEEG learns generic neural representations via a 1D U-Net with multi-head self-attention. For downstream adaptation, a reinforced decision layer employs policy gradient optimization to directly maximize F1-score, prioritizing sensitivity to rare seizure events over overall accuracy. Under strict patient-wise evaluation (279 patients, Leave-One-Fold-Out), DiffEEG achieves 61% accuracy and 59% F1 for 4-class seizure subtyping, and 81% accuracy with 85% weighted F1 for binary detection, maintaining clinically viable seizure recall (59%) despite extreme imbalance (6.7% prevalence). Segment-level evaluation establishes an upper bound of 97.6% accuracy, confirming strong architectural capacity. DiffEEG demonstrates that diffusion-based pre-training combined with metric-aware reinforcement learning enables clinically deployable seizure monitoring with minimal labeled data requirements.

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.

Automated seizure detection from electroencephalography (EEG) is essential for continuous neurological monitoring, particularly for subclinical epileptic seizures that may exhibit only subtle electrographic changes. Existing time-series methods are often designed for fixed EEG channel configurations, thereby limiting their applicability to heterogeneous EEG recordings with irregular channel layouts. Although visual and language modeling offer promising alternatives, aligning heterogeneous EEG representations with clinical semantics remains challenging. We introduce ViTexSZ, a heterogeneous Vision-Text knowledge distillation framework for EEG seizure detection. ViTexSZ converts EEG recordings into structured waveform images and introduces a query-based multi-channel alignment module that maps source-dependent visual features into a unified token space. A heterogeneous teacher further integrates the aligned EEG representations with clinical prompts through a multimodal large language model, associating high-level clinical semantics with seizure-related evidence. Vision-text knowledge distillation then transfers the teacher representations to a lightweight student during detection. Experiments on four EEG seizure datasets demonstrate the generalizability of ViTexSZ across both subclinical and general seizure detection scenarios, achieving the highest accuracy on all datasets and relative improvements of up to 12.9% over the second-best baselines, showing its effectiveness.