EEG-ChiMamba: Towards a Robust Mamba-Based Architecture for Dementia Detection from Resting State Electroencephalography

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The paper studies whether a Mamba-based state space model architecture (EEG-ChiMamba) can classify mild cognitive impairment and dementia versus normal controls using resting-state EEG, leveraging raw channel-independent signals to address challenges posed by long, multichannel recordings. Using the CAUEEG dataset with 1,155 subjects and a strict subject-wise split, the authors report a 3-class accuracy of 57.65%. They also perform feature occlusion-based explainability to relate task-specific learned features to clinical literature, while the main limitation is the modest achieved accuracy on the dataset. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Resting-state electroencephalography (rs-EEG) offers a cost effective and portable alternative to conventional neuroimaging for dementia screening, yet the lengthy, multichannel nature of rs-EEG makes learning robust representations challenging. Convolutional and Transformer based architectures dominate current deep learning based approaches, but often struggle with long-range dependencies and may not properly preserve channel-dependent features. In this work, we propose EEG-SSFormer, a state space model based architecture designed for the classification of mild cognitive impairment (MCI) and dementia from normal controls using raw rs-EEG signals. Our method decouples channel-wise representation learning from modeling cross-channel interactions and leverages Mamba layers for effective long-sequence modeling. We evaluate our method on the Chung-Ang University EEG dataset (CAUEEG) with 1,155 subjects, the largest public rs-EEG dataset for challenging MCI and dementia differential diagnosis. We achieve a 3-class accuracy of 57.65% using a strict subject-wise split, and relate task-specific features learned by our model as revealed by feature occlusion-based explainability techniques to clinical literature, highlighting that state space models can facilitate interpretable and scalable clinical rs-EEG screening tools for cognitive degeneration. The code for the study is publicly available at: https://github.com/HealthX-Lab/EEG-ChiMamba.
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Abstract Resting-state electroencephalography (rs-EEG) offers a cost effective and portable alternative to conventional neuroimaging for dementia screening, yet the lengthy, multichannel nature of rs-EEG makes learning robust representations challenging. Convolutional and Transformer based architectures dominate current deep learning based approaches, but often struggle with long-range dependencies and may not properly preserve channel-dependent features. In this work, we propose EEG-ChiMamba, a state space model based architecture designed for the classification of mild cognitive impairment (MCI) and dementia from normal controls using raw channel-independent rs-EEG signals. Our method decouples channel-wise representation learning from modeling cross-channel interactions and leverages Mamba layers for effective long-sequence modeling. We evaluate our method on the Chung-Ang University EEG dataset (CAUEEG) with 1,155 subjects, the largest public rs-EEG dataset for challenging MCI and dementia differential diagnosis. We achieve a 3-class accuracy of 57.65% using a strict subject-wise split, and relate task-specific features learned by our model as revealed by feature occlusion-based explainability techniques to clinical literature, highlighting that state space models can facilitate interpretable and scalable clinical rs-EEG screening tools for cognitive degeneration. The code for the study is publicly available at: https://github.com/HealthX-Lab/EEG-ChiMamba Competing Interest Statement The authors have declared no competing interest. Footnotes The GitHub link and the deep learning model name are updated.

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License: CC-BY-NC-ND-4.0