Unleashing the Power of AI for Intraoperative Neuromonitoring During Carotid Endarterectomy

Abstract

This research investigates the use of a 1D Convolutional Neural Network (CNN) to classify electroencephalography (EEG) signals into four categories of ischemia severity: normal, mild, moderate, and severe. The model’s accuracy was lower in moderate instances (75%) and severe cases (65%) compared to normal cases (95%) and mild cases (85%). The preprocessing pipeline now incorporates Power Spectral Density (PSD) analysis, and segment lengths of 32, 64, and 128 s are thoroughly examined. The work highlights the potential of the model to identify ischemia in real time during carotid endarterectomy (CEA) to prevent perioperative stroke. The 1D-CNN effectively captures both temporal and spatial EEG signals, providing a combination of processing efficiency and accuracy when compared to existing approaches. In order to enhance the identification of moderate and severe instances of ischemia, future studies should prioritize the integration of more complex datasets, specifically for severe ischemia, as well as increasing the current dataset. Our contributions in this study are implementing a novel 1D-CNN model to achieve a classification accuracy of over 93%, improving feature extraction by utilizing Power Spectral Density (PSD), automating the ischemia detection procedure, and enhancing model performance using a well-balanced dataset.