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Stress-Testing EEG Foundation Models for Clinical Decoding: Dataset Identity and Targeted Negative Controls

Research Medical/Healthcare AI

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TL;DR - A benchmark of six EEG foundation models finds that clinical decoding performance is highly sensitive to dataset identity, evaluation splits, baselines, and negative controls. Pretraining showed a clear benefit mainly for cross-subject seizure detection.

  • Classical EEG features substantially outperformed frozen REVE embeddings on Korean dementia classification.
  • Frozen embeddings identified datasets almost perfectly but weakly decoded Korean diagnoses, indicating strong dataset-specific signals.
  • Random initialization, random projections, and PCA sometimes matched or exceeded pretrained representations.
  • On CHB-MIT ictal detection, REVE achieved 0.793 AUROC, beating a randomly initialized encoder by 9.2 percentage points.

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Stress-Testing EEG Foundation Models for Clinical Decoding: Dataset Identity and Targeted Negative Controls

arXiv cs.LG Marzieh Zare 2026-07-27 arXiv:2607.24519
Public signals Semantic Scholar citations 0 · Semantic Scholar influential citations 0
Providers: Hugging Face · N/A OpenAlex · N/A Publisher · N/A Semantic Scholar · Citations 0 · Influential citations 0 X · N/A Fetched 2026-07-31 06:58:10.700312 UTC

TL;DR - A benchmark of six EEG foundation models finds that clinical decoding performance is highly sensitive to dataset identity, evaluation splits, baselines, and negative controls. Pretraining showed a clear benefit mainly for cross-subject seizure detection.

  • Classical EEG features substantially outperformed frozen REVE embeddings on Korean dementia classification.
  • Frozen embeddings identified datasets almost perfectly but weakly decoded Korean diagnoses, indicating strong dataset-specific signals.
  • Random initialization, random projections, and PCA sometimes matched or exceeded pretrained representations.
  • On CHB-MIT ictal detection, REVE achieved 0.793 AUROC, beating a randomly initialized encoder by 9.2 percentage points.
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