Inter- and Intra-Subject Variability in EEG: A Systematic Survey

Electroencephalography (EEG) underpins neuroscience, clinical neurophysiology, and brain-computer interfaces (BCIs), yet pronounced inter- and intra-subject variability limits reliability, reproducibility, and translation. This systematic review studies that quantified or modeled EEG variability across resting-state, event-related potentials (ERPs), and task-related/BCI paradigms (including motor imagery and SSVEP) in healthy and clinical cohorts. Across paradigms, inter-subject differences are typically larger than within-subject fluctuations, but both affect inference and model generalization. Stability is feature-dependent: alpha-band measures and individual alpha peak frequency are often relatively reliable, whereas higher-frequency and many connectivity-derived metrics show more heterogeneous reliability; ERP reliability varies by component, with P300 measures frequently showing moderate-to-good stability. We summarize major sources of variability (biological, state-related, technical, and analytical), review common quantification and modeling approaches (e.g., ICC, CV, SNR, generalizability theory, and multivariate/learning-based methods), and provide recommendations for study design, reporting, and harmonization. Overall, EEG variability should be treated as both a practical constraint to manage and a meaningful signal to leverage for precision neuroscience and robust neurotechnology.

EEG-Titans: Long-Horizon Seizure Forecasting via Dual-Branch Attention and Neural Memory

Accurate epileptic seizure prediction from electroencephalography (EEG) remains challenging because pre-ictal dynamics may span long time horizons while clinically relevant signatures can be subtle and transient. Many deep learning models face a persistent trade-off between capturing local spatiotemporal patterns and maintaining informative long-range context when operating on ultralong sequences. We propose EEG-Titans, a dualbranch architecture that incorporates a modern neural memory mechanism for long-context modeling. The model combines sliding-window attention to capture short-term anomalies with a recurrent memory pathway that summarizes slower, progressive trends over time. On the CHB-MIT scalp EEG dataset, evaluated under a chronological holdout protocol, EEG-Titans achieves 99.46% average segment-level sensitivity across 18 subjects. We further analyze safety-first operating points on artifact-prone recordings and show that a hierarchical context strategy extending the receptive field for high-noise subjects can markedly reduce false alarms (down to 0.00 FPR/h in an extreme outlier) without sacrificing sensitivity. These results indicate that memory-augmented long-context modeling can provide robust seizure forecasting under clinically constrained evaluation

ECG-RAMBA: Zero-Shot ECG Generalization by Morphology-Rhythm Disentanglement and Long-Range Modeling

Deep learning has achieved strong performance for electrocardiogram (ECG) classification within individual datasets, yet dependable generalization across heterogeneous acquisition settings remains a major obstacle to clinical deployment and longitudinal monitoring. A key limitation of many model architectures is the implicit entanglement of morphological waveform patterns and rhythm dynamics, which can promote shortcut learning and amplify sensitivity to distribution shifts. We propose ECG-RAMBA, a framework that separates morphology and rhythm and then re-integrates them through context-aware fusion. ECG-RAMBA combines: (i) deterministic morphological features extracted by MiniRocket, (ii) global rhythm descriptors computed from heart-rate variability (HRV), and (iii) long-range contextual modeling via a bi-directional Mamba backbone. To improve sensitivity to transient abnormalities under windowed inference, we introduce a numerically stable Power Mean pooling operator ($Q=3$) that emphasizes high-evidence segments while avoiding the brittleness of max pooling and the dilution of averaging. We evaluate under a protocol-faithful setting with subject-level cross-validation, a fixed decision threshold, and no test-time adaptation. On the Chapman--Shaoxing dataset, ECG-RAMBA achieves a macro ROC-AUC $\approx 0.85$. In zero-shot transfer, it attains PR-AUC $=0.708$ for atrial fibrillation detection on the external CPSC-2021 dataset, substantially outperforming a comparable raw-signal Mamba baseline, and shows consistent cross-dataset performance on PTB-XL. Ablation studies indicate that deterministic morphology provides a strong foundation, while explicit rhythm modeling and long-range context are critical drivers of cross-domain robustness.

Can ChatGPT Diagnose Alzheimer's Disease?

Can ChatGPT diagnose Alzheimer's Disease (AD)? AD is a devastating neurodegenerative condition that affects approximately 1 in 9 individuals aged 65 and older, profoundly impairing memory and cognitive function. This paper utilises 9300 electronic health records (EHRs) with data from Magnetic Resonance Imaging (MRI) and cognitive tests to address an intriguing question: As a general-purpose task solver, can ChatGPT accurately detect AD using EHRs? We present an in-depth evaluation of ChatGPT using a black-box approach with zero-shot and multi-shot methods. This study unlocks ChatGPT's capability to analyse MRI and cognitive test results, as well as its potential as a diagnostic tool for AD. By automating aspects of the diagnostic process, this research opens a transformative approach for the healthcare system, particularly in addressing disparities in resource-limited regions where AD specialists are scarce. Hence, it offers a foundation for a promising method for early detection, supporting individuals with timely interventions, which is paramount for Quality of Life (QoL).

EEG-SSM: Leveraging State-Space Model for Dementia Detection

State-space models (SSMs) have garnered attention for effectively processing long data sequences, reducing the need to segment time series into shorter intervals for model training and inference. Traditionally, SSMs capture only the temporal dynamics of time series data, omitting the equally critical spectral features. This study introduces EEG-SSM, a novel state-space model-based approach for dementia classification using EEG data. Our model features two primary innovations: EEG-SSM temporal and EEG-SSM spectral components. The temporal component is designed to efficiently process EEG sequences of varying lengths, while the spectral component enhances the model by integrating frequency-domain information from EEG signals. The synergy of these components allows EEG-SSM to adeptly manage the complexities of multivariate EEG data, significantly improving accuracy and stability across different temporal resolutions. Demonstrating a remarkable 91.0 percent accuracy in classifying Healthy Control (HC), Frontotemporal Dementia (FTD), and Alzheimer's Disease (AD) groups, EEG-SSM outperforms existing models on the same dataset. The development of EEG-SSM represents an improvement in the use of state-space models for screening dementia, offering more precise and cost-effective tools for clinical neuroscience.