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Brain Research Bulletin 200 (2023) 110684

Contents lists available at ScienceDirect

Brain Research Bulletin


journal homepage: www.elsevier.com/locate/brainresbull

Research report

Distance to criticality undergoes critical transition before epileptic


seizure attacks☆
Shun Liu a, b, c, Fali Li a, d, e, Feng Wan a, b, c, *
a
The Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, Macau
b
The Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macau
c
The Centre for Artificial Intelligence and Robotics, Institute of Collaborative Innovation, University of Macau, Macau
d
The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuro-information, University of Electronic Science and Technology of China, Chengdu,
China
e
School of Life Science and Technology, the Center for Information in Bio-Medicine, University of Electronic Science and Technology of China, Chengdu, China

A R T I C L E I N F O A B S T R A C T

Keywords: Epilepsy is a common neurological disorder characterized by recurring seizures, but its underlying mechanisms
Epileptic seizures remain poorly understood. Despite extensive research, there are still gaps in our knowledge about the rela­
Electroencephalogram (EEG) tionship between brain dynamics and seizures. In this study, our aim is to address these gaps by proposing a
Brain network
novel approach to assess the role of brain network dynamics in the onset of seizures. Specifically, we investigate
Criticality
the relationship between brain dynamics and seizures by tracking the distance to criticality. Our hypothesis is
that this distance plays a crucial role in brain state changes and that seizures may be related to critical transitions
of this distance. To test this hypothesis, we develop a method to measure the evolution of the brain network’s
distance to the critical dynamic systems (i.e., the distance to the tipping point, DTP) using dynamic network
biomarker theory and random matrix theory. The results show that the DTP of the brain decreases significantly
immediately after onset of an epileptic seizure, suggesting that the brain loses its well-defined quasi-critical state
during seizures. We refer to this phenomenon as the “criticality of the criticality” (COC). Furthermore, we
observe that DTP exhibits a shape transition before and after the onset of the seizures. This phenomenon suggests
the possibility of early warning signal (EWS) identification in the dynamic sequence of DTP, which could be
utilized for seizure prediction. Our results show that the Hurst exponent, skewness, kurtosis, autocorrelation, and
variance of the DTP sequence are potential EWS features. This study advances our understanding of the rela­
tionship between brain dynamics and seizures and highlights the potential for using criticality-based measures to
predict and prevent seizures.

1. Introduction decipher the irregular patterns of seizure dynamics, researchers have


examined brain signals within the context of nonlinear systems and
Epilepsy is a pervasive neurological disorder characterized pre­ utilized analytical methods from the field of nonlinear science.
dominantly by the occurrence of spontaneous seizures, which result (Maturana et al., 2020). Despite significant advancements in research in
from synchronized and uncontrolled neural activity within extensive this area, the specific mechanisms that lead to the transition from a
regions of the brain (Maturana et al., 2020). These seizures, among the normal brain state into a seizure activity still represent a significant
most frequent forms of neuronal abnormalities, can propagate to sur­ challenge (Kuhlmann et al., 2018; Freestone et al., 2017, 2015).
rounding tissue, disrupting normal brain function (Moshé et al., 2015; The perspective of nonlinear science suggests that abrupt state
Fisher et al., 2005). The mechanisms underlying seizure initiation, changes may be indicative of critical transitions, with the system
however, remain elusive despite the high prevalence of epilepsy. To approaching tipping points. Mathematical (Brock and Carpenter, 2006;


This work was supported in part by The Science and Technology Development Fund, Macau SAR (File no. 0045/2019/AFJ and 0018/2019/AKP), The University
of Macau Research Committee (MYRG projects 2017-00207-FST and 2022-00197-FST), The Natural Science Foundation of Guangdong Province, China (Grant No.
2023A1515010844), Macau Young Scholars Program (No. AM2022025).
* Corresponding author at: The Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, Macau.
E-mail address: fwan@um.edu.mo (F. Wan).

https://doi.org/10.1016/j.brainresbull.2023.110684
Received 15 May 2023; Received in revised form 3 June 2023; Accepted 10 June 2023
Available online 22 June 2023
0361-9230/© 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-
nc-nd/4.0/).
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

Biggs et al., 2009; Guttal and Jayaprakash, 2008) and experimental gauging the brain’s position within the critical zone. This approach
(Carpenter et al., 2011; Drake and Griffen, 2010; Veraart et al., 2012; recognizes the brain’s intricate nature as a highly efficient and adaptable
Dai et al., 2012) studies have explored critical transitions and developed organ, operating in a broad phase space. Specifically, it postulates that
methods to predict tipping points or critical transitions in various healthy brain dynamics operate at the boundary of a critical transition
real-world systems, including financial markets (McSharry et al., 2003; between ordered and disordered phases (O’Byrne and Jerbi, 2022), and
Lenton et al., 2008; Scheffer et al., 2001), cell population collapse in a ideal measurement for distance to tipping points should directly show
bacterial cultures (Dai et al., 2012), and ecosystems (Scheffer et al., how the system transitions between these two phases. Moreover, it is
2009). These prediction methods hinge on the hypothesis that as a crucial for this indicator to discern informative structures from noise is
system nears a bifurcation point, the system’s state experiences a crucial due to inherent EEG signal noise.
delayed return to its stable attractor following a perturbation, a phe­ To solve these complex issues, we present a network-based criticality
nomenon referred to as critical slowing down, causes a system to switch analysis that employs the dynamical network biomarker (DNB) theory
back and forth between alternative states in response to relatively large and utilizes random matrix theory (RMT) to extract informative struc­
impacts. (Scheffer et al., 2009). tures from complex and noisy data. This approach forms a novel index
In neuroscience, critical dynamics have emerged as a potential called DTP, which measures the distance of high-dimensional dynamical
mechanism underlying normal brain functioning, given the brain’s systems to critical dynamical systems. Rather than utilizing univariate
remarkable information processing and computational capabilities. This variable analysis, DNB theory investigates the spatio-temporal evolving
concept, known as the “critical brain hypothesis” (CBH), posits that characteristics of the brain network to determine the presence of sig­
human brain dynamics may be situated at a phase transition between nificant differences. The DNB theory, introduced by (Chen et al., 2012),
ordered and disordered activity (Cocchi et al., 2017). Theoretical and aims to quantitatively identify the tipping point or critical state during
simulation-based research has proposed that neural networks at a crit­ the high-dimensional dynamic evolution of a complex system, based on
ical point exhibit optimal information transmission (Beggs and Plenz, observed data. DNB is mathematically derived from the premise that
2003), storage (Haldeman and Beggs, 2005; Chen et al., 2010), when a complex system approaches the tipping point, a dominant group
computational power (Bertschinger and Natschläger, 2004; Gollo et al., of variables or members emerges. This dominant group satisfies the
2013), dynamic range (Gollo et al., 2013; Kinouchi and Copelli, 2006; following three necessary conditions, based on the observed data: a) The
Larremore et al., 2011; Publio et al., 2012; Manchanda et al., 2013; internal correlation (PCCin) between any pair of members within the
Mosqueiro and Maia, 2013; Williams-García et al., 2014; Pei et al., DNB group rapidly increases; b) The external correlation (PCCout) be­
2012), and learning capabilities (de Arcangelis and Herrmann, 2010), tween one member of the DNB group and any other non-DNB member
while maintaining flexible yet stable dynamics (Haldeman and Beggs, rapidly decreases; c) The standard deviation (SDin) or the coefficient of
2005; Magnasco et al., 2009). This theory predicts that individuals with variation for any member in the DNB group drastically increases. The
stronger cognitive abilities should have neural dynamics that are closer original indicator integrating these features (Chen et al., 2012) was
to criticality when compared to individuals with weaker cognitive defined as an early warning signal (EWS) and has been used to detect the
abilities (Ezaki et al., 2020). Some researchers have found that the brain onset of diseases (Chen et al., 2012; Liu et al., 2013), abrupt changes in
operates as a “quasicritical” system, optimizing its receptiveness to exchange markets (Oya et al., 2014), and other phenomena (Lesterhuis
stimuli to interpret information, rather than operating at a strictly crit­ et al., 2017; Yang et al., 2018). By integrating the DNB theory and
ical point due to the constant influx of external stimuli (Fosque et al., Random Matrix Theory, we devise an indicator to explore how the dis­
2021). tance to criticality varies across distinct stages and evaluate the brain
Critical transitions have been employed to describe various aspects networks’ transition between random and order.
of neural systems, such as the onset of depression (van de Leemput et al., The remainder of this paper is organized as follows: in Section 2, we
2014), pharmacologically induced cortical state changes (Gautam et al., explain the theoretical background of the proposed indicator; in Section
2015; Beggs and Plenz, 2003; Shew et al., 2009), the onset of spiking in 3, we demonstrate the results of the spatiotemporal evolution of the
neurons (Meisel et al., 2015), and the termination of epileptic seizures brain network and DTP, and identify the EWS in the DTP sequence; and
(Kramer et al., 2012). A key question is how the critical brain hypothesis in Section 4-5, we discuss the results with our main findings and give a
relates to pathological conditions, given its crucial role in normal brain conclusion.
functioning. Some studies have suggested that epileptic seizures may
result from the failure of adaptive self-organized criticality (Meisel et al., 2. Materials and methods
2012). Therefore, the seizing brain, which alternates between normal
and seizure states, offers a unique living system for investigating the 2.1. Data
signatures of impending critical transitions, as well as a system where
interventions can have substantial practical implications (Kramer et al., We assess the efficacy of our proposed method using the CHB-MIT
2012). Although extensive research has been conducted on this topic, Scalp EEG Database, which comprises long-duration EEG signal re­
the debate continues as to whether epileptic seizures represent bi­ cords collected at the Children’s Hospital Boston (Goldberger et al.,
furcations in the neural system. For instance, a recent study by (Mila­ 2000. This database represents the largest freely accessible dataset of its
nowski and Suffczynski, 2016) examined the application of critical kind, forming part of the PhysioBank—a comprehensive online resource
slowing down indicators and discovered that only 8% of nearly 300 offering a growing collection of digitized physiological signals and
epileptic patients exhibited evidence of critical slowing down before related data for the biomedical research community. The CHB-MIT
seizures. In contrast, Maturana et al. provided robust validation of dataset comprises recordings from 23 patients (5 males aged 3–22; 17
theoretical models and demonstrated that critical slowing down can females aged 1.5–19) diagnosed with intractable seizures, yielding a
serve as a biomarker for seizure susceptibility (Maturana et al., 2020). total of 24 cases due to one patient having two separate recordings taken
In this study, we present an alternative view by investigating the 1.5 years apart. Each subject features between 9 and 42 continuous
position of the brain’s position relative to a critical dynamical system, sessions, some of which include one or more seizure events. Annotations
rather than adopting a binary classification of “yes” or “no” at a perfect for the beginning and endpoints of each seizure have been provided.
tipping point to determine whether the brain is in a pathological state. Non-seizure records are those without any seizure events, while seizure
We hypothesize that a healthy brain consistently resides within a well- records contain one or more seizures. Overall, the dataset encompasses
defined quasi-critical state zone, maintaining proximity to a critical 916 h of continuous scalp EEG data, sampled at 256 Hz with 16-bit
point, while diseased brains may be out of this region. Consequently, the recording precision. The EEG signals were obtained using 23 standard
distance of criticality serves as a valuable preliminary indicator for EEG channels (FP1-F7, F7-T7, T7-P7, P7-O1, FP1-F3, F3-C3, C3-P3,

2
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

P3-O1, FP2-F4, F4-C4, C4-P4, P4-O2, FP2-F8, F8-T8, T8-P8, P8-O2,


FZ-CZ, CZ-PZ, P7-T7, T7-FT9, FT9-FT10, FT10-T8, and T8-P8)
following the international 10–20 system of electrode placement. In
our study, we focus on sessions containing one seizure event for testing
purposes.

2.2. EEG pre-processing

In this study, we analyzed EEG signals of epilepsy and divided them


into three sub-datasets: normal/interictal, pre-seizure/preictal, and
seizure/ictal phases. To facilitate analysis and comparison, we extracted
3-minute EEG time series from each recording. This included 1 min of
EEG data before the seizure onset, 1 min of EEG data after the seizure
onset, and 1 min of EEG data as far away from the onset point as possible
in each trial. These three segments were concatenated to form a com­
plete EEG signal for analysis. A 3-minute EEG time series is sufficient to
capture all three stages of brain seizure activity (Li et al., 2014). Fig. 1
presents representative examples of 23-channel EEG recordings during
(A) interictal, (B) preictal, and (C) ictal phases, respectively. The
mathematical analysis was conducted using MATLAB software version
R2017a. Prior to analysis, the EEG data underwent several
pre-processing steps. Firstly, a 50 Hz notch filter was applied to remove
line noise, which is considered noise induced by the power supply.
Secondly, a band-pass filter with a frequency range of 0–60 Hz was used
to retain relevant frequency components. Additionally, the EEG data
was standardized by setting the mean of each time series to zero and the Fig. 2. The decision tree describes how the CBH and QCBH theories are asso­
variance to 1, i.e., Σxl (t) = 0; Σxl (t)2 = 1, with l representing the ciated with clinical diseases and how they can be utilized for disease detection.
channel index and t denoting the sampling time. This step ensured that
all measures were on the same scale, facilitating comparison across criticality, it may be more fitting to discuss computational trade-offs
channels and time points. associated with proximity to criticality. Different tunings along these
trade-offs could correspond to various cognitive profiles. By considering
these computational properties and trade-offs intrinsic to shifts in crit­
2.3. Criticality and brain states
icality, the distance to criticality emerges as a crucial biological variable
for understanding both healthy and pathological changes in cognition
The critical brain hypothesis (CBH) suggests that the brain leverages
and behavior, forging a direct mechanistic link between neurons and
a critical phase transition to optimize its adaptive computational prop­
neuronal ensembles at the micro-scale and computation at the macro
erties (Cocchi et al., 2017). Consequently, any loss or attenuation of
scale.
criticality in brain dynamics could lead to a decline in these properties.
This underlines the significance of the distance to the critical point/­
2.4. The dynamic network biomarker theory
tipping point (DTP) as a biological parameter for understanding cogni­
tive differences within individuals concerning brain states, between
The brain’s complexity requires the distance measures that extend
individuals with regard to psychological traits, and in relation to mental
beyond univariate variables for analyzing high-dimensional dynamical
illness (O’Byrne and Jerbi, 2022; Fosque et al., 2021). Recent findings
systems transitions. Chen et al. proposed a dynamical network
reveal that a healthy brain operates in a state of near-criticality as
biomarker (DNB) indicator, which uses fluctuations and correlations
opposed to being precisely critical and shares similar computational
between variables to identify critical points in systems across various
characteristics as the critical point, albeit with reduced intensity (Ma
fields, such as gene expression, Raman spectra, and disease progression
et al., 2019; Hahn et al., 2017; Toker et al., 2022. This hypothesis
(Chen et al., 2012). However, the original DNB calculation is chal­
sometimes is called the quasi-critical brain hypothesis (QCBH). In Fig. 2,
lenging due to the involvement of the unknown Jacobian matrix. To
we have depicted how the CBH and QCBH theories are associated with
address this, Kamal et al. (2019) proposed a modified indicator using
clinical diseases and how they can be utilized for disease detection,
only standard deviations and Pearson correlation coefficients of the
using a decision tree format Fig. 3.
DNB. Furthermore, Oku and Aihara (2018) introduced a novel
The phenomenon of near-criticality can be rationalized from a
DNB-based indicator focusing on the relationship between the Jacobian
normative perspective through several explanations as described in
matrix and the sample covariance matrix concerning eigenvalues and
O’Byrne and Jerbi (2022). Firstly, near-criticality may serve as a buffer
eigenvectors. This allows the DNB selection based on the dominant
that prevents an excessive build-up of activity from incoming inputs,
eigenvector of a sample covariance matrix (Matsumori et al., 2019).
which could otherwise drive global dynamics into the supercritical
The eigenvalues and corresponding eigenvectors has the following
phase. Secondly, since not all computational tasks are optimized at
relations:

σ2
= λCi (c)(i = 1, 2, …, n) (1)
1 − λAi (c)2

where λAi(c) is the largest eigenvalue of Jacobian matrix at c, λCi is the


eigenvalue of covariance matrix. (Oku and Aihara, 2018). Matsumori
et al. (2019) define an indicator CD(c) for detecting a transition using the
average of Cij(c) in JD as follows:
Fig. 1. An example seizure.

3
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

Fig. 3. Flowchart of the study. a) The Quasi-critical brain hypothesis suggests that the brain resides in a well-defined region near the critical point. Brain states that
exceed this region can lead to brain pathology. b) Large-distance communication emerges at critical points (Beggs and Timme, 2012). c) Critical transitions are
sudden shifts triggered by small forces, which correspond to catastrophic bifurcations mathematically. These abrupt changes occur at specific thresholds in external
conditions and arise in systems with alternative stable states, where one system can have more than one possible configuration under the same external conditions. d)
We can reconstruct the dynamic brain network and identify biomarkers for detecting changes in brain connectivity over time. We divided the time course of each
subject into multiple time-windows with a one-step forward sliding window. In each window, we reconstructed the functional brain connectivity using methods such
as Pearson’s correlation coefficient computation, forming the dynamical functional connectivity (dFC). This resulted in a series of dFC matrices that capture the
dynamic changes in brain connectivity over time. The trajectory of network system’s states traditionally can be tracked by the network structures. The Jacobian
matrix of the original system, which is traditionally used to identify the transition, can be approximated by the sample covariance matrix from observed data. To
assess the dynamical properties of the dFC matrices, we compared them to a random network with a random adjacency matrix. Specifically, we calculated the
eigenvalue of the system by comparing it to the random network/random matrix. The informative eigenvalues and eigenspaces can be identified by Random Matrix
Theory (RMT) prediction. If the brain system transitions from a normal to a pathological state, it may undergo a sudden change in distance to criticality. To detect
early warning signals of these sudden changes, we can use indicators such as critical slowing down.

⃒ ⃒
1 ∑ ⃒⃒ ⃒
⃒ distance to tipping points should directly show how the system transi­
CD (c) = 2 ⃒Cij (c)⃒. (2) tions between these two areas. Moreover, due to the presence of inherent
m i,j∈JD ⃒ ⃒
noise in EEG signals, it is crucial for this indicator to effectively
discriminate informative structures from the noise. In order to achieve
where Cij(c) = vi1(c)vj1(c)λC1(c). This indicator has been successfully
this, we have utilized random matrix theory (RMT) to extract informa­
used to predict transitions in a complex network-based harvesting
tive structures from complex and noisy data.
model.
The RMT was initially introduced in the field of quantum physics by
Wigner (1955). Recently, various studies have shown that filtering the
2.5. Random matrix theory and scaled distance to criticality empirical covariance matrices can reveal the actual statistical structure
underlying data (El Karoui et al., 2008; Laloux et al., 1999; Plerou et al.,
This section introduces a novel index called DTP, which we develop 1999). If the covariance matrix C is from time series with random en­
to measure the distance to tipping points. As previously discussed, brain tries, under the restriction L → ∞, N → ∞ with fixed Q ≡ L∕N ≥ 1, the
states exist between order and disorder. An ideal measurement for the

4
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

probability density ρ of eigenvalues λ of C is analytically given by the signals in the sequence to predict epileptic seizures. To explore early
√̅̅̅̅̅̅̅̅√̅̅̅̅̅̅̅̅
Q warning signals in the DTP sequence, we investigate two perspectives:
Marchenko-Pastur distribution, ρ(λ) = 2πσ where is the
λ+ − λ λ− λ−
critical slowing down-related indicators and multi-fractal indicators.
2 σ2
variance of the time series (unit in this case, i.e., σ2 = 1) and λ± are the
The critical slowing down-related indicators are based on the observa­
upper bound and lower bound of eigenvalues, respectively, given by λ±
( √̅̅̅ ) tion that the dynamics of a system near a critical point become slower as
= σ 2 1 + Q1 ± 2 Q1 . the system approaches the critical point. The fractal indicators are based
Building on the eigenvalues of EEG covariance and random matrix as on the observation that the DTP sequence may exhibit fractal behavior
well as eigenvector-based DNB’s index, we can define a distance to near the critical point. By combining these two perspectives, we aim to
tipping points as: identify reliable early warning signals for epileptic seizures.
( ∑ )
DTP(c) = exp
− (Δλ) ∗ i,j∈JD vi1 (c)vj1 (c)
(3) 2.6.1. Critical slowing down
When it is close to a bifurcation or phase transition, the recovery
m 2

{ speed from small disturbance becomes slower and slower, resulting in


0 if λC1 (c) ≤ λ+ critical slowing down (Wissel, 1984). The approach of critical slowing
where Δλ = , and λ+ is the upper bound
λC1 (c) − λ+
otherwise
( √̅̅̅ ) down of the dynamics of complex systems as control parameters
of the eigenvalue of a random matrix, given by: λ+ = δ2 1 + Q1 + 2 Q1 . approach critical values is used to extract early warning signals from
The operation in the formula scales the DTP values between 0 and 1. univariate time series in real datasets.
When the signals consist predominantly of white noise, their covariance When a system loses resilience, in other words, it approaches bifur­
matrix can be accurately characterized by RMT, yielding a DTP value of cation or phase transition, the speed of system recovery from distur­
1. As the system approaches a tipping point, the dominant eigenvalue of bance will gradually slow down. Therefore, systems that lose resilience
the covariance matrix tends toward infinity, causing the DTP value to will show high autocorrelation and fluctuations after small disturbance.
approach zero. By leveraging RMT, the DTP indicator provides a Recently, some indexes, such as variance, skewness, autocorrelation and
powerful means to assess a system’s proximity to critical transitions, kusisto, have been proposed to detect critical slowing down. The method
offering valuable insights into the underlying dynamics. As the DTP based on critical slowing down has attracted wide attention and has
value transitions from 1 to 0, it indicates that the underlying system been widely used in different complex systems, such as the earth system
shifts from a completely random to an ordered system. Systems posi­ (Kleinen et al., 2003, climate system (Dakos and Bascompte, 2014),
tioned between order and randomness, i.e., within the range (0,1), are financial system (Diks et al., 2019) and neural system (Pavithran and
considered to exhibit complexity, which is described as the “edge of Sujith, 2021). In this paper, we use autocorrelation, variance, skewness
chaos” (Bak, 2013). and kurtosis as the characteristics of a critical transition to explore the
Based on the calculation process, the brain system states are pro­ phenomenon of critical slowing down. These indicators are defined as
jected onto a position between randomness (DTP = 1) and order (DTP = follows.
0) in the phase diagram, which appears to be closely related to
complexity metrics. Consequently, we are interested in exploring the a. Autocorrelation. Autocorrelation describes the correlation between
relationship between our method and specific complexity measures, the original signal, p(t), and its time delayed signal, p(i− τ):
such as entropy. In thermodynamics, it is well-established that entropy ∑N
p(i)p(i − τ)
and rate functions derived from large deviations often serve as in­ AC(τ) = i=1 2
σ
dicators that a system is approaching a critical transition. In the field of
evolutionary biology, entropy has been found to be closely related to In this paper, τ is set as 1, considering the factor that low lags the
network topology, as demonstrated by Demetrius and Manke (2005). In system’s short-term memory increase caused by the critical slowing
the current study, we will examine the relationship between DTP and down.
network entropy (West et al., 2012), a widely accepted measure b. Variance. Variance (VAR) is defined as the expectation of the
employed to quantify network functionality and fragility. Network en­ squared differences from its mean. It is a measure of the degree of a
tropy appears to be particularly well-suited for brain network system data set spread out.
analysis and comparison with dynamic network biomarkers introduced
in this paper. We also present a comparison between distance to criti­ 1 ∑N
VAR = (pi − p)2
cality index and network entropy. Consider a stochastic matrix ϕ = (ηky), N i=1
which describes a Markov chain that characterizes transition rates from

state x to state y with ηxy≥ 0 and yηxy = 1, along with its invariant where p is the mean value and N is the number of sampled data
distribution π = πϕ. Network entropy can then be defined as follows: points.
∑ ∑ c. Skewness. Skewness measures the symmetry degree of a probability
Se = π(x)S(x) with S(x) = − ηxy logηxy . distribution. A symmetric distribution has similar left and right parts,
x y
and has zero skewness. The skewness of X is defined as follows.
∑N
In the above definition, nodal entropy S(x) is the summation only over (pi − p)3 ∕N
edges y adjacent to x, effectively discounting information from nonad­ Skew = i=1
σ 3

jacent vertices.
where p presents the mean, σ presents the standard deviation, and N
presents data points’ number. When the system approaches to a
2.6. Early warning signatures
tipping point, the skewness value will be non-zero because of the
asymmetric probability distributions.
In this study, we introduce a novel approach to forecast epileptic
d. Kurtosis. Kurtosis (K) provides information about whether the data
seizures by investigating phase transitions in the distance to criticality
has a heavy tail distribution. The kurtosis of the normal distribution
sequence at seizure onset points. Unlike previous studies that directly
is 3, and the higher the kurtosis is, the more abnormal values or
detect phase transitions in the raw signal, we hypothesize that DTP
heavy tails are found in the data. Kurtosis is the fourth standard
undergoes a sudden change when the brain transitions from a healthy to
moment, defined as follows:
a pathological state. If there is a phase transition in the DTP sequence, it
is possible to apply early warning indicators to identify early warning

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S. Liu et al. Brain Research Bulletin 200 (2023) 110684

∑N
i=1 (pi − p)4 ∕N [ ]
K= 1 ∑w
σ4 F 2 (w, i) = (Yi (t) − Pi )2 .
w t=1
where p is the mean, σ presents the standard deviation and N rep­
resents the number of data points. The order 2 structure function and span w, F2w is defined as:
[ ]1∕2
2.6.2. Multifractal detrended fluctuation analysis 1 ∑ Nw

Multifractal detrended fluctuation analysis (MF-DFA) was used to F 2w = F2 (w, i)


Nw i=1
study the scaling behavior of time series. The Hurst exponent (H) related
to the fractal dimension (D) can be obtained as D = 2-H, using the MF- The step is repeated with different time scales or span w. Then we plot
DFA algorithm. The indicator could also be a potential early warning
the variation of F2w in the logarithm scale. The slope is the Hurst expo­
sign of a key shift (Stošić et al., 2015). MF-DFA has been applied in
nent (H).
various cases such as financial markets (Zorick and Mandelkern, 2013)
and neuroscience (Pavithran and Sujith, 2021).
2.7. Statistical analyses
The calculation process of MF-DFA method applying to a time series
x(t) of length N as follows: First, the mean subtracted cumulative deviate
We used the Mann-Whitney U Test (Mann and Whitney, 1947) to
series Y(k) can be defined as,
compare mean differences between different periods. This nonpara­

k metric test is appropriate for variables that are either ordinal or
Y(k) = [xt − x], k = 1, 2, …, N continuous but not normally distributed. Specifically, we used the
Mann-Whitney U Test to examine differences in several early warning
t=1

where x represents the mean value. Secondly, divide Y(k) into Nw signal indicators during interictal, preictal, and ictal periods. We report
= [N∕w] non-overlapping segments of length w, where [N∕w] is the the results as significant, with an associated p-value less than 0.05. All
analyses were conducted using Matlab.
biggest integer function. Thirdly, a first order polynomial to fit (Yi ).
Then, subtract the polynomial fit from (Yi) to obtain the fluctuations.
The variance of fluctuations is defined as,

Fig. 4. Spatiotemporal evolution of the brain network during interictal, preictal, and ictal periods for a representative subject (subject 1). The first row displays the
covariance matrices for each period, while the second row shows the corresponding dynamical network biomarker (DNB) values.

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S. Liu et al. Brain Research Bulletin 200 (2023) 110684

3. Results hypothesis that seizures cause the brain loses its well-defined quasi-
critical state exhibited during the interictal period.
3.1. Spatial-temporal evolution of EEG signal
3.3. Critical slowing down analysis of DTP
We conducted a comprehensive analysis of EEG records obtained
from 111 measurements containing epileptic seizures in the CHB-MIT We performed a detailed analysis of critical slowing down (CSD) and
Scalp EEG Database. The data used here are preprocessed according to multifractal features within DTP sequences (Fig. 6). In Fig. 7, our results
the description in the method section. Our approach involved reveal a decrease in autocorrelation across the interictal (0.980
computing the DNB sequence within each window consisting of 256 ± 0.001), preictal (0.975 ± 0.017), and ictal periods (0.939 ± 0.026).
samples, corresponding to a duration of one second, and forming the During the preictal period, the relative variance of DTP decreased to
sliding moving windows with one sample forward. This process resulted 0.789 compared to the interictal period, and during the ictal period, it
in the creation of approximately 7000 overlapping near stationary increased to 3.096 compared to the interictal period’s DTP. Although the
windows for every measurement. The DNB was initially applied to difference in autocorrelation and variance between periods is significant
monitor state transitions in brain networks across different periods, (p < 0.001), these typical CSD indicators cannot be directly identified as
based on their respective covariance matrices (Fig. 4(a)). Our findings a CSD phenomenon, as one would expect these indicators to increase
reveal that the mean DNB remains relatively stable when transitioning during the preictal period. Further research is necessary to investigate
from the seizure-free/interictal to the pre-seizure/preictal phase, but the underlying mechanisms. Fig. 6 also shows kurtosis and skewness
exhibits a noticeable increase from the preictal to the seizure/ictal phase values for the DTP exhibited a consistent pattern of increase from the
(Fig. 4(b)). interictal period (2.459 ± 1.087, − 0.182 ± 0.411, respectively) to the
Fig. 5 illustrates the statistical comparison of mean DTP values across preictal period (2.598 ± 2.645, − 0.136 ± 0.528, respectively), fol­
three distinct periods. Our results show a significant decrease in the DNB lowed by a decrease during the ictal period (2.542 ± 0.850, − 0.172
index during the pre-ictal period ((0.057 ± 0.139) × 1011, mean ± std) ± 0.310, respectively). The statistical tests confirmed that changes in
compared to the inter-ictal period ((0.904 ± 1.126) × 1011, p < 0.001). these indicators across different periods were significant (p < 0.001).
Additionally, we observed a notable elevation in DNB during the ictal
period ((3.560 ± 2.621) × 1011, p < 0.001). The observation made 3.4. Multifractal analysis and Hurst exponent of DTP sequence
during the pre-ictal period seems to be correlated with the desynchro­
nization that occurs during this period, which aligns with the findings The multifractal analysis (Fig. 8) indicates a significant decrease in
presented in Schindler et al. (2007). the Hurst exponent, as it declined from the interictal state (0.673
± 0.010) to the preictal state (0.660 ± 0.014), eventually reaching a
considerably lower value (0.453 ± 0.008) during the ictal state. The
3.2. The dynamics of distance to criticality
Mann-Whitney U test verifies that all of these changes during different
periods are statistically significant (p < 0.001). The considerable
Fig. 6 shows the mean DTP evolution during three periods. DTP does
decrease in the Hurst exponent shortly before and after the onset of a
not change significantly from the interictal period to the preictal period,
seizure provides further quantitative evidence supporting its effective­
however, shortly after the seizure onset, it drops sharply afterward,
ness as a potential early warning signal for epileptic seizures.
suggesting that brain network systems may closely resemble critical
dynamic systems. Fig. 6 demonstrates a substantial change in DTP after
3.5. Correlation between network entropy and DTP
the onset of the seizure, with mean DTP values decreasing from 0.993 in
interictal period and 0.994 in the preictal period to 0.967 (p < 0.001) in
Although the primary objective of this work is to examine criticality
the ictal period. Furthermore, it can be observed that there are signifi­
levels in various epileptic seizure phases, our introduced metric seems to
cant differences between normal states and epileptic seizure states,
belong to the category of complexity indicators, such as network en­
which are accompanied by alterations in the brain’s spatiotemporal
tropy, which is well utilized as a measurement of network functionality
network structure. This phenomenon may suggest that shifts in the brain
and fragility. We determined the Spearman correlation between the two
networks’ positions within the phase diagram may be a possible driver
time series, which yielded a correlation coefficient of − 0.35
of the observed differences, with brain networks gravitating toward
(p = 0.0008). The findings demonstrate that a higher DTP corresponds
much more ordered systems during the seizure state. This supports the
to an increase in the network entropy, suggesting that the brain system
becomes more fragile and less functional. Furthermore, it is evident that
DTP offers substantial benefits in distinguishing seizure phases.

4. Discussion

The investigation of the relationship between brain dynamics and


epileptic seizures is of paramount importance, as it has the potential to
considerably enhance our comprehension of seizure prediction, pre­
vention, and management strategies. In this study, we introduced a
novel approach to explore the relationship between brain dynamics and
seizures by examining the distance to the criticality of brain networks.
Our methodology combines dynamic network biomarker theory and
random matrix theory to quantify the trajectory of the brain network’s
DTP, with a focus on the dynamics during epileptic seizures. The results
demonstrated a significant decrease in DTP immediately after seizure
onset, suggesting that the brain loses its quasi-critical state during sei­
zures. Furthermore, we identified several early warning signals in the
DTP sequences as potential biomarkers for predicting seizure onset. Our
Fig. 5. Statistical comparison of DNB values across interictal, preictal, and ictal analysis offers valuable insights into the underlying mechanisms gov­
periods. All differences are significant (p < 0.0001). erning brain network systems during various seizure periods and holds

7
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

Fig. 6. The mean DTP calculated using dynamical biomarker theory and random matrix theory. The sliding window size is 1 s (256 sample points) and shifts by one
point each time, resulting in 45,569 overlapping windows per three-minute EEG. The figure illustrates a significant change in DTP values following seizure onset.

Fig. 7. The four subplots display the average values for each CSD measure, including autocorrelation, variance, kurtosis, and skewness, across these distinct periods,
i.e., interictal, preictal, and ictal periods.

promise for the development of sophisticated seizure prediction tools preictal period, followed by a sharp increase during the ictal period. This
such as the potential of criticality-based measures for seizure prediction suggests that the brain undergoes a brief period of inhibition before
and prevention. becoming excessively excited prior to the onset of a seizure. Tradition­
Figs. 4 and 5 illustrate a decrease in DNB from the interictal to the ally, hypersynchrony covering large brain regions is considered a

8
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

investigate this issue and explore the full implications of our findings for
seizure prediction and prevention (Medeiros et al., 2014).
Our multifractal analysis (Fig. 8) showed a significant decrease in the
Hurst exponent from the interictal to ictal state, supporting its potential
as an early warning signal for epileptic seizures. The negative correla­
tion between network entropy and DTP was also significant, indicating
that as the system approach to more order (higher DTP), it becomes
more fragile, highlighting DTP’s potential as a complexity indicator and
its ability to distinguish between different seizure phases. Further
research is required to explore the efficacy of these measures in real-time
seizure prediction.
The study discussed in the text has several limitations that must be
acknowledged. Firstly, the data used in the analysis is obtained from the
CHB-MIT Scalp EEG Database, which may not fully represent diverse
epilepsy phenotypes. Future research should consider various types of
epilepsy and incorporate data from other sources to ensure broader
applicability. Secondly, the study focused on analyzing scalp EEG data,
Fig. 8. Multifractal analysis of Hurst exponent values during interictal, pre­ which may suffer from limitations such as low spatial resolution and
ictal, and ictal periods. The figure highlights a significant decrease in Hurst signal attenuation. Therefore, intracranial EEG data could provide
values before and after the epileptic seizure phase, as well as between the higher-resolution insights into brain dynamics during seizures. Thirdly,
seizure-free phase and the pre-epileptic seizure phase, suggesting its potential the choice of parameters such as the window length for calculating DTP
as an early warning signal for seizure prediction. may impact the results, and a comprehensive exploration of parameter
sensitivity and optimization is required to improve the robustness of the
hallmark of generalized seizures. Previous studies have identified hy­ findings. Fourthly, the limited sample size of patients may affect the
perexcitability and hypersynchrony as the two hallmarks of seizure statistical power of the findings, and a larger cohort of patients is
generation. However, recent research suggests an initial stage of required for more accurate estimations of the relationship between
desynchronization followed by synchronization towards seizure termi­ criticality and seizures. Lastly, the study focused on identifying early
nation Schindler et al. (2007). It aligns with our observations. Con­ warning signals based on the mean DTP sequences, and the results may
flicting views may arise due to differences in datasets, recording not be universally applicable across individual patients. A more
techniques, and computational measures used to construct connectivity personalized approach to seizure prediction and prevention may be
maps across a broad frequency range (Jiruska et al., 2013). required for the development of effective clinical interventions.
Additionally, Fig. 6 shows a significant decrease in DTP post-seizure
onset, indicating a shift in the brain networks’ position within the phase 5. Conclusion
diagram, moving towards a more ordered system during the seizure
state. This finding supports the hypothesis that the brain, which typi­ In summary, our analysis of the EEG records demonstrates a strong
cally operates within a quasi-critical state during the interictal period, relationship between brain network dynamics and seizure evolutions by
deviates from this state during seizures. This deviation resonates with tracking the distance of criticality. The observed changes in the DTP
Williams et al.’s findings, suggesting that deviations from the quasi- values across different seizure periods highlight the potential of
critical region could signify or cause certain pathologies (Wil­ criticality-based measures for predicting and preventing epileptic sei­
liams-García et al., 2014). This finding potentially leads to the devel­ zures. Furthermore, the examination of early warning signals (EWS)
opment of novel diagnostics and treatments. For example, Ezaki et al. reveals the presence of statistically significant changes in CSD and
(2020) demonstrated that resting-state neural dynamics deviating from multifractal features, despite not conforming entirely to the expected
criticality resulted in lower fluid intelligence. From a complexity patterns of the previous theory. This suggests that further research into
perspective, our results can be linked to the Fluctuation Theorem and these indicators may yield valuable insights into seizure prediction and
the theory of large deviations (Varadhan, 1984). The proximity to a underlying mechanisms. The substantial decrease in the Hurst exponent
critical transition results in a lower recovery rate from deviations, at the onset of a seizure further validates its potential as an early
establishing a connection between entropy and DTP (Demetrius, 2013). warning signal for epileptic seizures. Overall, our results emphasize the
The correlation of activities among various elements within a network importance of studying brain network criticality-based measures in
determines its ability to maintain functionality in the face of perturba­ understanding and predicting epileptic seizures.
tions (Demetrius et al., 2004).
Our analysis of CSD indicators in DTP sequences revealed an unusual CRediT authorship contribution statement
trend. The decrease in autocorrelation and relative variance during the
preictal phase, followed by an increase in the ictal phase, challenges Shun Liu: Conceptualization, Methodology, Software, Writing –
traditional expectations of CSD phenomena, suggesting more complex original draft. Fali Li: Writing – review & editing. Feng Wan: Super­
underlying mechanisms. Previous experimental studies have reported vision, Writing – review & editing.
critical slowing down before and after seizures in humans (Kramer et al.,
2012; Negahbani et al., 2015; Chang et al., 2018; Medeiros et al., 2014),
supporting the idea of seizures as critical transitions. Our approach, Declaration of Competing Interest
focused on identifying criticality signatures in the DTP sequence, simi­
larly suggests that certain critical slowing down measures can serve as None.
early warning signals for seizures (Chang et al., 2018). However, some
recent studies have found limited evidence of critical slowing down Data Availability
before seizures (Milanowski and Suffczynski, 2016; Wilkat et al., 2019),
potentially due to varying rates of control parameter changes among The dataset used in this article is a publicly available dataset with a
individuals. Rapid changes could result in a pre-seizure phase that is too detailed description provided in the Method section. It can be obtained
short for detecting warning signals. Further research is needed to from the corresponding website.

9
S. Liu et al. Brain Research Bulletin 200 (2023) 110684

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