NeuroCanvas: VLLM-Powered Robust Seizure Detection by Reformulating Multichannel EEG as Image

Accurate and timely seizure detection from Electroencephalography (EEG) is critical for clinical intervention, yet manual review of long-term recordings is labor-intensive. Recent efforts to encode EEG signals into large language models (LLMs) show promise in handling neural signals across diverse patients, but two significant challenges remain: (1) multi-channel heterogeneity, as seizure-relevant information varies substantially across EEG channels, and (2) computing inefficiency, as the EEG signals need to be encoded into a massive number of tokens for the prediction. To address these issues, we draw the EEG signal and propose the novel NeuroCanvas framework. Specifically, NeuroCanvas consists of two modules: (i) The Entropy-guided Channel Selector (ECS) selects the seizure-relevant channels input to LLM and (ii) the following Canvas of Neuron Signal (CNS) converts selected multi-channel heterogeneous EEG signals into structured visual representations. The ECS module alleviates the multi-channel heterogeneity issue, and the CNS uses compact visual tokens to represent the EEG signals that improve the computing efficiency. We evaluate NeuroCanvas across multiple seizure detection datasets, demonstrating a significant improvement of $20\%$ in F1 score and reductions of $88\%$ in inference latency. These results highlight NeuroCanvas as a scalable and effective solution for real-time and resource-efficient seizure detection in clinical practice.The code will be released at https://github.com/Yanchen30247/seizure_detect.