EEG-Language Modeling for Pathology Detection

Multimodal language modeling constitutes a recent breakthrough which leverages advances in large language models to pretrain capable multimodal models. The integration of natural language during pretraining has been shown to significantly improve learned representations, particularly in computer vision. However, the efficacy of multimodal language modeling in the realm of functional brain data, specifically for advancing pathology detection, remains unexplored. This study pioneers EEG-language models trained on clinical reports and 15000 EEGs. We extend methods for multimodal alignment to this novel domain and investigate which textual information in reports is useful for training EEG-language models. Our results indicate that models learn richer representations from being exposed to a variety of report segments, including the patient's clinical history, description of the EEG, and the physician's interpretation. Compared to models exposed to narrower clinical text information, we find such models to retrieve EEGs based on clinical reports (and vice versa) with substantially higher accuracy. Yet, this is only observed when using a contrastive learning approach. Particularly in regimes with few annotations, we observe that representations of EEG-language models can significantly improve pathology detection compared to those of EEG-only models, as demonstrated by both zero-shot classification and linear probes. In sum, these results highlight the potential of integrating brain activity data with clinical text, suggesting that EEG-language models represent significant progress for clinical applications.