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ORIGINAL RESEARCH article

Front. Med.

Sec. Precision Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1566870

This article is part of the Research TopicIntegrating AI and Machine Learning in Advancing Patient Care: Bridging Innovations in Mental Health and Cognitive NeuroscienceView all 10 articles

Feature Fusion Ensemble Classification Approach for Epileptic Seizure Prediction using Electroencephalographic Bio-signals

Provisionally accepted
  • 1Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia
  • 2King Salman Center for Disability Research, Riyadh, Saudi Arabia
  • 3Bahria University, Islamabad, Islamabad, Pakistan
  • 4King Fahd University of Petroleum and Minerals, Dhahran, Ash Sharqiyah, Saudi Arabia
  • 5College of Science and Humanities, Imam Abdulrahman Bin Faisal University, Damam, Saudi Arabia
  • 6Department of Computer Science, University of Portsmouth, London Campus,, London, United Kingdom
  • 7College of Engineering, King Faisal University, Al Ahsa, Eastern Province, Saudi Arabia

The final, formatted version of the article will be published soon.

Epilepsy is a neurological disorder in which patients experience recurrent seizures, with the frequency of occurrence more than twice a day, which highly affects a patient's life. In recent years, multiple researchers have proposed multiple machine learning and deep learning-based methods to predict the onset of seizures using electroencephalogram (EEG) signals before they occur; however, robust preprocessing to mitigate the effect of noise, channel selection to reduce dimensionality, and effective feature extraction remain challenges in accurate prediction. This study proposes a novel method for accurately predicting epileptic seizures. In the first step, a Butterworth filter is applied, followed by a wavelet and a Fourier transform for the denoising of EEG signals. A non-overlapping window of 15 seconds is selected to segment the EEG signals, and an optimal spatial filter is applied to reduce the dimensionality. Handcrafted features, including both time and frequency domains, have been extracted and concatenated with the customized one-dimensional convolutional neural network-based features to form a comprehensive feature vector. It is then fed into three classifiers, including support vector machines, random forest, and long short-term memory (LSTM) units. The output of these classifiers is then fed into the model-agnostic meta learner ensemble classifier with LSTM as the base classifier for the final prediction of interictal and preictal states. The proposed methodology is trained and tested on the publicly available CHB-MIT dataset while achieving 99.34% sensitivity, 98.67% specificity, and a false positive alarm rate of 0.039. The proposed method not only outperforms the existing methods in terms of sensitivity and specificity but is also computationally efficient, making it suitable for real-time epileptic seizure prediction systems.

Keywords: AI in healthcare, Epilepsy, Electroencephalogram, Epileptic seizure prediction, signal quality index, optimal spatial filter, 1DCNN, Ensemble classifier

Received: 25 Jan 2025; Accepted: 04 Jul 2025.

Copyright: © 2025 Alkhrijah, Khalid, Usman, Jameel, Zubair, Aldossary, Anwar and Arif. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Syed Muhammad Usman, Bahria University, Islamabad, 44000, Islamabad, Pakistan
Saad Arif, College of Engineering, King Faisal University, Al Ahsa, 31982, Eastern Province, Saudi Arabia

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