Machine-Learning-Based Elderly Stroke Monitoring System Using Electroencephalography Vital Signals

• Published in: Applied sciences Vol. 11; no. 4; p. 1761
• Main Authors: Choi, Yoon-A, Park, Sejin, Jun, Jong-Arm, Ho, Chee Meng Benjamin, Pyo, Cheol-Sig, Lee, Hansung, Yu, Jaehak
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 01.02.2021
• Subjects: Aging; Blood pressure; Brain diseases; Brain research; Cardiovascular diseases; Coronary artery disease; Disability; Disease detection; EEG; Electroencephalography; Epilepsy; Experiments; Fast Fourier transformations; Fourier transforms; Geriatrics; Health care; Heart diseases; Hemorrhage; Imaging techniques; Learning algorithms; machine learning; Magnetic resonance imaging; Medical imaging; Monitoring systems; Older people; Patients; Precursors; Predictions; Real time; real-time health monitoring; Risk factors; Signs and symptoms; Stroke; stroke disease analysis; stroke prediction; Telemedicine; Testing time
• DOI: 10.3390/app11041761
• ISSN: 2076-3417

Stroke is the third highest cause of death worldwide after cancer and heart disease, and the number of stroke diseases due to aging is set to at least triple by 2030. As the top three causes of death worldwide are all related to chronic disease, the importance of healthcare is increasing even more. Models that can predict real-time health conditions and diseases using various healthcare services are attracting increasing attention. Most diagnosis and prediction methods of stroke for the elderly involve imaging techniques such as magnetic resonance imaging (MRI). It is difficult to rapidly and accurately diagnose and predict stroke diseases due to the long testing times and high costs associated with MRI. Thus, in this paper, we design and implement a health monitoring system that can predict the precursors of stroke diseases in the elderly in real time during daily walking. First, raw electroencephalography (EEG) data from six channels were preprocessed via Fast Fourier Transform (FFT). The raw EEG power values were then extracted from the raw spectra: alpha (α), beta (β), gamma (γ), delta (δ), and theta (θ) as well as the low β, high β, and θ to β ratio, respectively. The experiments in this paper confirm that the important features of EEG biometric signals alone during walking can accurately determine stroke precursors and occurrence in the elderly with more than 90% accuracy. Further, the Random Forest algorithm with quartiles and Z-score normalization validates the clinical significance and performance of the system proposed in this paper with a 92.51% stroke prediction accuracy. The proposed system can be implemented at a low cost, and it can be applied for early disease detection and prediction using the precursor symptoms of real-time stroke. Furthermore, it is expected that it will be able to detect other diseases such as cancer and heart disease in the future.