 J. Biomedical Science and Engineering, 2011, 4, 788-796                                            doi:10.4236/jbise.2011.412097 Published Online December 2011 (http://www.SciRP.org/journal/jbise/ JBiSE  ).        Published Online December 2011 in SciRes. http://www.scirp.org/journal/JBiSE A review of developments of EEG-based automatic medical  support systems for epilepsy diagnosis and seizure detection    Yuedong Song    Computer Laboratory, University of Cambridge, Cambridge, United Kingdom.  E-mail: ys340@cam.ac.uk    Received 21 October 2011; revised 15 November 2011; accepted 5 December 2011.    ABSTRACT  Epilepsy is one of the most common neurological  disorders-approximately one in every 100 people  worldwide are suffering from it. The electroencepha- logram (EEG) is the most common source of infor- mation used to monitor, diagnose and manage neu- rological disorders related to epilepsy. Large amounts  of data are produced by EEG monitoring devices,  and analysis by visual inspection of long recordings  of EEG in order to find traces of epilepsy is not rou- tinely possible. Therefore, automated detection of  epilepsy has been a goal of many researchers for a  long time. Until now, reviews of epileptic seizure de- tection have been published but none of them has  specifically reviewed developments of automatic  medical support systems utilized for EEG-based epi- leptic seizure detection. This review aims at filling  this lack. The main objective of this review will be to  briefly discuss different methods used in this research  field and describe their critical properties.    Keywords: Electroencephalo gram; Epileptic  Seizure; Au-  tomatic Diagnostic Systems; Feature Analysis; Recogni-  tion    1. INTRODUCTION  Epilepsy is a neurological disorder affecting around 1%  of the world’s population (about 50 million people) [1].  An epileptic seizure can be characterized by means of  paroxysmal occurrence of synchronous oscillations. This  kind of seizures can mainly be divided into two classes  in terms of the extent of connection of different brain  fields: partial seizures and generalized seizures. Partial  seizures begin from a circumscribed field of the brain,  usually called epileptic foci. Determined by their type,  they may or may not impair consciousness. Generalized  seizures involve most fields of the brain and may cause  loss of consciousness and muscle contractions or stiff- ness. Electroencephalography (EEG) is an important  clinical tool, monitoring, diagnosing and managing neu- rological disorders related to epilepsy. In comparison  with other approaches such as Magnetoencephalography  (MEG) and functional Magnetic Resonance Imaging  (fMRI), EEG is a clean, cost effective and safe technique  for monitoring brain activity.  In spite of available dietary, drug and surgical treat- ment options, currently nearly one out of three epilepsy  patients cannot be treated. They are completely subject  to the sudden and unforeseen seizures which have a  great effect on their daily life, with temporary impair- ments of perception, speech, motor control, memory  and/or consciousness. Many new therapies are being  investigated and among them the most promising are  implantable devices that deliver direct electrical stimula- tion to affected areas of the brain. These treatments will  greatly depend on robust algorithms for seizure detection  to perform effectively. Because the onset of the seizures  cannot be predicted in a short period, a continuous re- cording of the EEG is required to detect epilepsy. How- ever, analysis by visual inspection of long recordings of  EEG, in order to find traces of epilepsy, is tedious,  time-consuming and high-cost. Therefore, automated  detection of epilepsy has been a goal of many research- ers for a long time. Computers have long been suggested  for handling this problem and thus, automatic medical  support systems for identifying electroencephalographic  changes have been under study for many years. The  whole procedure can be divided into two modules: fea- ture extraction and classification (shown in Figure 1).  The performance of automatic diagnosis systems de- pends on both the feature extraction methods and the  classification algorithms applied. Until now, although  many methodologies have been developed for automatic  epileptic seizure detection, there is no literature specifi- cally contributing to the review of development of  automatic medical support systems utilized for EEG-  based epileptic seizure detection. In this review, we  briefly investigate different approaches used in this re- search field and describe their critical properties.     
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796 789   EEG d ata acq uisition  Feature extraction (SampEn)  Classification models  Diagnosis decision by the neurologist    Figure 1. Schematics of the proposed di- agnostic expert system: the whole system  can be mainly divided into two modules,  namely developing feature extraction meth-  ods and developing classification models .    The review is organized as follows: Section 2 de- scribes the EEG database launched b y [2] which is wide-  ly used in epileptic seizure detection . Section 3 discusses  the characteristics of differen t feature extraction and clas-  sification methods for automatic epileptic seizure diag- nosis and detection. Section 4 presents some results of  studies on automatic epileptic seizure diagnosis and de- tection using EEG databases except for EEG database  described in [2]. Section 5 discusses predictability of  epileptic seizure from human EEGs. Section 6 concludes  the paper.  2. EEG DATABASE  In The most popular and widely used database for the  study of EEG-based epileptic seizure detection was  launched by University of Bonn [2] which is described  as follows:  The whole EEG data is composed of five sets (de- noted A-E), each containing 100 single-channel EEG  data of 23.6 s duration. Sets A and B were taken from  surface EEG recordings of five healthy volunteers with  eyes open and closed, respectively. Sets C, D and E  originated from the EEG archive of presurgical diagno- sis. Signals in Set C were recorded from the hippocam- pal formation of the opposite hemisphere of the brain,  and signals in Set D were recorded from within the epi- leptogenic zone. While Sets C and D contain only brain  activity measured during seizure free intervals, Set E  contains only seizure activity. All EEG signals were  recorded with the same 128-channel amplifier. The data  were digitized at 173.6 samples per second at 12-bit  resolution. Band pass filter was set to 0.53 - 40 Hz. Fig- ure 2 describes the electrode placement for recording of  EEG signals. Figure 3 describes examples of EEG sig- nals of Set A, Set D and Set E, where the difference can  be seen in terms of the value of amplitudes and waveform.  A summary of the EEG data set is shown in Table 1.  3. DEVELOPMENT OF   METHODOLOGIES FOR   AUTOMATIC EPILEPTIC SEIZURE  DIAGNOSIS AND DETECTION  Development of EEG signal processing techniques is  closely related to its characteristics. EEG is a random  and unstable signal. Abnormal EEG recordings can be  divided into EEGs with non-paroxysmal abnormality  and EEGs with paroxysmal abnormality according to  their appearance form [3]. EEGs with paroxysmal ab- normality are composed of spike wave, spike-and-slow-  wave and sharp wave. Spike wave is the basic form of  EEGs with paroxysmal abnormality and its time length  is 20 ms ~ 70 ms. Most spike wave appears with nega- tive phase but sometimes it appears with positive phase,  diphasic waveform and triphasic waveform [3]. Spike-  and-slow-wave which has duration of 200 ms ~ 500 ms  appears after spike wave. Sharp wave is similar with  spike wave but its duration (generally 70 ms ~ 200 ms)  is longer than that of spike wave. The extraction of epi- leptic characteristic wave is of great importance in epi- leptic diagnosis, localization and epileptic seizure detec- tion. In order to choose the most suitable methods for an  automatic epileptic seizure detection system, it is neces- sary to understand what features are employed and their  corresponding properties. Next, several feature extrac- tion methods widely used in epileptic seizure detection  are described.       Figure 2. Scheme of the locations of surface electrodes in  terms of the international 10 - 20 systems for recording EEG  patterns. Names of the electrode are derived from their ana- omical locations [2]. t       C opyright © 2011 SciRes.                                                                             JBiSE   
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796  Copyright © 2011 SciRes.                                                                              790       (a)    (b)    (c)  Figure 3. Sample EEG recordings. (a) Normal EEG; (b) Interictal EEG; (c) Ictal EEG.  JBiSE   
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796 791 Table 1. Summary of the clinical data: The whole EEG data is composed of five sets (denoted A-E), each containing 100 sin- gle-channel EEG data of 23.6 s duration. Sets A and B were taken from surface EEG recordings of five healthy volunteers with eyes  open and closed, respectively. Sets C D, and E originated from the EEG archive of presurgical diagnosis. Signals in Set C were re- corded from the hippocampal formation of the opposite hemisphere of the brain, and signals in Set D were recorded from within the  epileptogenic zone. While Sets C and D contain only brain activity measured during seizure free intervals, Set E contains only sei- zure activity.   Data Set A Data Set B Data Set C Data Set D Data Set E  Subjects Five healthy subjects Five healthy subjectsFive epileptic patientsFive epileptic patients Five epileptic patients Electrode type Surface Surface Intracranial Intracranial Intracranial  Electrode-placement International 10 - 20  system International 10 - 20  system Opposite to   epileptogenic zone Within epileptogenic  zone Within epileptogenic  zone  Patient’s state Awake and eyes open  (Normal) Awake and eyes closed  (Normal) Seizure-free   (Interictal) Seizure-free   (Interictal) Seizure activity   (Ictal)  Number of epochs 100 100 100 100 100  Epoch duration (s) 23.6 23.6 23.6 23.6 23.6    3.1. Frequency Domain Analysis and  Time-Frequency Domain Analysis  Frequency domain analysis is based on Fourier trans- form which decomposes EEG signals into different fre- quency domains. Epileptic EEG recordings can be de- tected in terms of the difference between epileptic EEG  data and normal EEG d ata in frequency domain [4,5]. In  most cases slow wave appears in epileptic patients’ EEG  recordings, hence epileptic abnormality which cannot be  detected in time domain is revealed by means of fre- quency analysis. However the weakness of frequency  analysis is that by means of Fourier analysis, the ob- tained signals is its total spectrum and it cannot be used  for local analysis. Furthermore, since methods based on  Fourier transform cannot provide important EEG dy- namic information in time domain and frequency do- main simultaneously, it is not suitab le for analyzing time  series signals like EEG signals which have characteris- tics of instability and randomness. In recent years,  time-frequency domain analysis has been increasingly  used for feature extraction of epileptic EEG. The most  widely-used approach is Wavelet Transform [6-8].  Wavelet transform can be utilized for analyzing signals  in different sub-bands in a selective way, which is suit- able for extracting  epileptic characteristics and increases  detection performance of the system. Contrary to Fourier  transform, wavelet transform supplies a more flexible  approach of time-frequency representation of a signal by  means of using analysis windows with varied size. The  important characteristic of wavelet transform is that it  supplies precise time information at high frequencies  and precise frequency information at low frequencies.  This characteristic is of great importance, since signals  in biomedical applications  usually include low frequency  information with long time duration and high frequency   information with short time duration. By means of wav-  elet transform, transient characteristics are accurately  captured and it is localized in both time and frequency  domain. In [9], wavelet transform was employed for  detecting and characterizing epileptiform discharges in  the form of 3-Hz spike and wave complex in patients  with absence seizure. [10] extracted features in time-  domain as well as frequency-domain of the EEG re- cordings and fed them into a recurrent neural network.  [11] developed a system on the basis of deciding the  seizure probability of a set of EEG recordings; wavelet  decomposition and data segmentation were integrated  for calculating a priori probabilities required for the  Bayesian formulation applied in training and testing op- eration. On the whole, for the feature analysis using  wavelet transform-based methods, the main problem lies  in the choice of mother wavelet. The general choice is  Daubechies wavelets which have similar waveform with  spike wave [12].   3.2. Complex Analysis  After EEG signals are analyzed in time-frequency do- main, nonlinear measures such as largest Lyapunov ex- ponent [13,14] and entro py [15-17] are utilized for quan- tifying the degree of complexity within a time series.  When utilized with EEG, those measures help compre- hending EEG dynamics and underlying chaos in the  brain. Lyapunov exponents are a quantitative measure  for differentiating among different kinds of orbits on the  basis of their sensitive dependence on the initial condi- tions, and are employed for deciding the stability of any  steady-state behaviour. Entropy is a concept handling  predictability and randomness, with higher values of  entropy always related to less system order and more  randomness. In [15], different entropy-based features   C opyright © 2011 SciRes.                                                                             JBiSE   
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796  792  that are utilized to normal and epileptic electroencepha- logram recordings were compared and then were tested  by applying the adaptive neuro-fuzzy inference systems.  The above-mentioned feature extraction methods used  for EEG signal analysis include an assumption that the  underlying signal dynamic mechanism is composed of a  linear superposition of complex exponentials. But the  intrinsic basis functions are usually presumed a priori  rather than extracted from the EEG recordings in an  adaptive way. The obtained power spectrum derived  from the analysis involves spu rious power readings if the  EEG time series signals we are interested in include  more than pure low frequency functions, and contain  energy that always stands for nonlinearities in the ana- lyzed EEG recordings. Th e reason is that nonlinearity in  the EEG data will be stand for within the power spec- trum as higher-order harmonics because the transform  itself employs an accumulation of trigonometric func- tions. As long as the signal transform is formed, it is  hard to discriminate true power-frequency EEG signals  from spurious energy representation because of nonlin- earities. Hence every time-varying frequen cy representa- tion will be averaged out within the power spectrum.  Therefore some novel signal decomposition approaches  are required to obtain underlying oscillators originated  from a seizure signal without any assumptions of the  underlying waveform or specific time-scales of the os- cillatiors, which is capable of presenting the dynamic of  EEG signals in an adaptive way.  3.3. Classification Models  After features in EEG signals are extracted utilizing the  above-mentioned signal processing methods, different  techniques based on pattern recognition are then devel- oped for classifying these obtained feature vectors. In  order to select the most suitable classifier for a set of  features, the properties of the available classifiers have  to be understood. In recent years, several classification  models have been developed for handling EEG signals  classification for epileptic seizure detection, and among  these methods, Neural Network-based methods and  Support Vector Machine-based methods (SVM) are two  widely-used classification paradigms. Artificial Neural  Networks (ANN) has been widely used in pattern recog- nition, signal prediction and feature extraction due to its  excellent self-learning capability, self-adaptive capabil- ity and strong parallel processing mechanism. A variety  of algorithms on the basis of ANN have been employed  in EEG signal classification and epileptic seizure detec- tion [18-22]. The learning mechanism of neural net- works can be mainly divided into two categories, namely  supervised learning and unsupervised learning. Super- vised learning needs prior knowledge of the analysed  data and the back-propagation methods are implemented  for the training of weights in neural networks. The un- supervised learning paradigm, on the contrary, has fewer  requirements for the prior knowledge of data, and pat- terns with similar characteristics are clustered together  by systems. Initial EEG data points and some extracted  features using other methods such as waveform charac- teristic parameters detected by utilizing time domain  analysis, results of wavelet decomposition, etc., can be- come inputs of neural networks. However the use of  neural network refers to many parameters and options  such as training parameters, network structures and ini- tial weights and so on, which may have great impact on  the training procedure of neural networks. A large num- ber of experiments are thus required to choose optimal  parameter sets and a large amount of data is also needed  for testing performance of neural networks. The conflict  between performance and computation complexity in  artificial neural networks is usually figured out by means  of trial and the problem regarding how to select optimal  number of hidden nodes in neural networks still remains  unsolved. In [23], a method based on iteration was de- veloped to handle EEG signals piecewise, which reduces  the computation time and cost of neural networks.   The Support Vector Machine (SVM) is a supervised  machine learning paradigm capable of solving linear and  non-linear classification and regression problems [23].  SVM paradigm was first proposed in [24] based on the  ideas of statistical learning theory and structural risk  minimization.  Due to its accuracy and capabilit y of han- dling a great number of predictors, it has been widely  used in EEG signal classification and epileptic seizure  detection [25-29]. Most of classification models divide  categories utilizing hyperplanes which separate the  categories by means of a flat plane in the predictor space.  Support vector machines expand the concept of hyper- plane separation to data which cannot be divided linearly,  through mapping the predictors into a higher-dimen-  sional space where data can be divided linearly. SVM  classification models have many advantages. A special  global optimum for its parameters, such as the degree d  of the kernel function and misclassification trade-off  factor c controling the trade-off between the maximum  margin and the minimum training error, can be found by  means of quadratic programming optimization. Nonlin- ear boundaries are able to be utilized without much extra  computational effort. Furthermore the performance of  SVM is very competitive with other classification mod- els. A weakness SVM has is that the problem complexity  is related to the order of the number of patterns rather  than the order of the dimension of the patterns. The gen- eral quadratic programming algorithm will usually fail  and unique-purpose optimizers employing problem-  C opyright © 2011 SciRes.                                                                             JBiSE   
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796 793 specific speedups need to be utilized for resolving the  optim i z ation problems.  The above-mentioned methods for automatic epileptic  seizure detection have their own characteristic; the per- formance of detecting epileptic seizure using these de- veloped systems will be increased if we can integrate  these methods for enhancing their self- adaptive capabil- ity. In order to obtain power spectra in patients with sei- zures, multiple signal classification methods were de- veloped in [30]. Methodologies on the basis of the com- bination of statistical time series analysis, k-nearest  neighbour clustering and chaos theory were proposed in  [31]. Although many methods for EEG-based epileptic  seizure detection have been developed recently and have  shown good experimental results, there are still some  problems which need to be solved when applied in  clinical settings. In the study of EEG-based epileptic  seizure detection, due to the lack of publically available  EEG databases and the limitation of clinical data sam- ples, most proposed methods were developed using only  EEG databases with small number of data samples and it  is very likely that they are not applicable in real situa- tions, which makes it difficult to conduct an in-depth  investigation of adaptive methodologies for clinical ap- plication. In addition, the EEG data compression is also  a problem in this research field. In clinical epileptic sei- zure detection from human Electroencephalograms, the  systems used usually have 8, 16, 32 or more electrode  channels and the duration of EEG recordings are very  long. Huge number of data processing tasks will have  direct impact on the applicability of the developed algo- rithms, making it difficult to detect epileptic seizures in a  real-time situation efficiently.  4. STUDIES ON EPILEPTIC SEIZURE  DIAGNOSIS AND DETECTION USING  OTHER EEG   Most studies about developing epileptic seizure diagno- sis and detection systems that were mentioned above are  mainly based on the EEG database described in [2]. In  addition to this EEG database, some studies are also  conducted using other EEG resources. [32] developed a  fuzzy rule-based seizure detection system on the basis of  knowledge from experts’ reasoning. A total of 302.7  hours of intracranial EEG data recordings obtained from  21 patients with 78 seizures was employed for assessing  the system. Spectral, temporal and complexity features  were extracted from IEEG recordings and joined by  utilizing the fuzzy rule-based system in a spatio-tempo-  ral way for detecting epileptic seizures. The system  showed an excellent performance with a sensitivity of  98.7%, an average detection latency of 11 seconds and a  false detection rate of 0.27/h. [33] defined a generalized  nonlinear method for identifying seizure EEG segments  from non-seizure segments using nonlinear decision  functions with the flexibility in selecting any degree of  complexity and with any number of dimensions. A per- formance assessment of the correlation sum according to  sensitivity, specificity and accuracy in its capability of  discriminating seizure signals from non-seizure signals  was supplied. A total of 126 EEG signals from 11 se- quential patients were handled and the correlation sum  was calculated from non-overlapping scrolling windows  with 1 second duration. The experimental observations  showed a significant decrease in the amplitude of the  correlation sum prior to the onset of seizures. The ap- proach with k-fold cross validation conducted with a  sensitivity of 92.31%, a specificity of 91.67% and an  accuracy of 91.84%, which shows its suitability for off- line seizure detection. [34] tried to identify the seizure  onset patterns by using an evolutionary scheme which  searches for optimal kernel types and parameters for  support vector machine. They considered the fractal di- mension, Lyapunov exponent and wavelet entropy for  feature extraction and the classification accuracy of this  method was evaluated using the CHB-MIT dataset. A  comparison of experimental results revealed that the  proposed approach outperformed that of general support  vector machine, and the accuracy rate achieved 96.29%  for sensitivity and 100% for specificity. In [35], a novel  algorithm based on wavelet analysis was proposed for  detecting epileptic seizures from scalp EEG signals.  They used wavelet packet transform to decompose the  EEG data from each channel. In terms of the obtained  wavelet coefficients, a patient-specific measure was de- veloped for quantifying the separation between non-  seizure and seizure sign als within the frequency ra nge of  1 - 30 Hz. The measure was utilized for determining a  normalized index called combined seizure index which  is obtained for each EEG channel. Significant increase  during seizure on set is observed using  combined seizure  index and channel alarms were then generated by one-  sided cumulative sum test on the basis of this normalized  index. The approach was evaluated on EEG recordings  originated from fourteen patients with sixty-three sei- zures during 75.8 hours. The results showed a low false  detection rate of 0.51/h, a high sensitivity of 90.5% and  a median detection delay of seven seconds.  5. PREDICTABILITY OF EPILEPTIC  SEIZURES FROM HUMAN EEGS   The human brain is considered as a dynamic system,  because epileptic networks in human beings are compli- cated nonlinear architectures and the interactions are  supposed to reveal nonlinear behaviour. These ap- proaches support the point that quantification of changes  C opyright © 2011 SciRes.                                                                             JBiSE   
 Y. D. Song / J. Biomedical Science and Engineering 4 (2011) 788-796  794  in the human brain originating from EEG may predict  epileptic seizures, but conventional approaches are not  able to identify particular change before seizure happens.  [36] utilized nonlinear dynamics methods into clinical  epilepsy analysis and their point is that seizure can be  thought of as a change of the brain with epilepsy from  chaotic to a more regular circumstances. Hence the spa- tial-temporal characteristics of the brain with epilepsy  are not the same for various clinical circumstances. They  conduct more investigations on the basis of temporary  evolution of a nonlinear dynamic analysis method called  the largest Lyapunov exponent for patients having tem- porary lobe epilepsy [37] and concluded that the EEG  action is growingly less chaotic when the seizure moves  towards. Because of these pioneering researches, non-  linear approaches originated from dynamical system the-  ory have been used for quantifying the transitions of  human brain dynamics prior to the beginning of seizures.  [38] performed investigation on the increase of non linear  complexity from human neuronal networks before sei- zure happens on the basis of the information from  changes in the neuron al complexity lo ss, wh ich ou tlin ing  the complicated content of the correlation dimension.  [39] noticed that the alterations in the correlation integral  can be utilized for pursuing precisely the beginning of  seizure for a patient with temporal lobe epilepsy, where-  as [40] showed that by means of changes of the fre- quency and amplitude, those alterations in the correla- tion integral can be fully explained. In [41], a sudden  decrease in the dynamical similarity during the period  before seizur e happens w as observed and that action was  getting more and more noticeable when the beg inning of  seizure moved forwards. [42] found that the energy in  human EEG signals raises before seizure happens, and in  their following studies the pro of of epileptic seizure pre- dictability on the basis of the choice of diverse of nonlin- ear and linear characteristics of the EEG was supplied  [43,44] made use of 4 different nonlinear quantification  approaches under the framework of the Lyapunov theory  and observed important preictal changes. Most of the  above-mentioned researches in epilepsy prediction are  conducted on the basis of intracranial EEG recordings.  However two problems need to be considered and solved  when it comes to the study of scalp EEG recordings. 1)  scalp EEG data are more subject to eye and muscle arte- facts as well as environmental noise than the intracranial  EEG data; 2) the significant information in EEG signals  are weakened and mixed in the propagation by means of  soft bone and tissue. Conventional nonlinear analysis  approaches like sample entropy or the Lyapunov expo- nents are influenced by the above-mentioned two prob- lems and hence they cannot be used to discriminate be- tween slightly different chaotic rules in the scalp EEG  [45]. One method for handling those problems is to de- fine various nonlinear measures generating better results  in comparison with the conventional nonlinear analysis  methods for the scalp EEG recordings. [46] followed  this method for analyzing scalp EEGs and developed an  approach on the basis of the phase-space dissimilarity  measures to predict epileptic events from human scalp  EEG recordings. The method developed on the basis of  dynamical entrainment has revealed good results as well  on human scalp EEG recordings for epileptic seizure  predictability [47,48].  6. CONCLUSIONS   Diagnosing epilepsy needs acquisition of patients’ EEG  recording and collecting additional clinical information.  Large amounts of data are produced by EEG monitoring  devices and analysis by visual inspection of long re- cordings of EEG in order to find traces of epilepsy is not  routinely possible. Research into automatic detection  systems for epilepsy has been increasingly popular dur- ing these years. The problem of signal classification for  epileptic seizure detection  is considered as a typical pat- tern-recognition problem which includes feature extrac- tion and classification. In this paper, we briefly reviewed  different methods developed for automatic epileptic sei- zure detection and describe their critical properties.  Various feature extraction techniques on the basis of  frequency domain analysis, time-frequency domain ana-  lysis and complex analysis were discussed; respectively  and classification models employed for designing medi-  cal support systems of auto matic epileptic seizur e detec-  tion were also discussed. On the other hand, although  predictability of epileptic seizure originating from hu- man intracranial and scalp EEGs has been approved,  more studies need to be conducted for increasing the  accuracy of prediction.   REFERENCES  [1] Iasemidis, L.D., Shiau, D.S., Chaovalitwongse, W., Sac-  kellares, J.C., Parda los, P.M., Principe, J.C., Ca rney, P. R.,  Prasad, A., Veeramani, B. and Tsakalis, K. (2003) Adap-  tive epileptic seizure prediction system. 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