Best Practices in EEG Analysis: Preprocessing, Modeling, and Machine Learning

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.

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.

Recent self-supervised pre-training methods for electroencephalogram (EEG) have shown promising results. However, the pre-trained models typically require full fine-tuning on each downstream task individually to achieve good performance. In practical applications involving multiple tasks, utilizing a separate model for each task is not ideal regarding computational and spatial cost. In this study, we go one step further and explore the simultaneous adaptation of a pre-trained model to multiple different tasks. The EEG signals exhibit significant heterogeneity due to their collection from various subjects using diverse devices and experimental setups, resulting in potential conflicts among different tasks that impede joint optimization. To tackle this challenge, we propose MTEEG, a multi-task EEG analysis framework which incorporates task-specific low-rank adaptation (LoRA) modules to disentangle the parameter space and alleviate task conflicts. To investigate the trade-off between task specification and interaction, we propose three variants of MTEEG that integrate the LoRA modules in different ways and evaluate them on six downstream tasks, demonstrating that MTEEG can surpass state-of-the-art single-task methods on the majority of metrics. MTEEG shows the potential of multi-task EEG analysis and promotes the development of general-purpose brain-computer interfaces in the future.