University College London

The researchers developed a deep learning architecture that analyzes multichannel interictal intracranial EEG to localize epileptogenic zones without requiring seizure-period recordings or manual annotation. The model combines a Morlet-wavelet temporal Transformer with a spatial attention encoder. It was evaluated with 50.5 hours of recordings from 161 patients and 17,012 channels at 7 independent centers. Leave-one-center-out validation produced a pooled AUROC of 0.778 with a 95% confidence interval of 0.748 to 0.808, and discrimination remained above chance at every held-out center. The results indicate performance comparable to established electrophysiological baselines across centers and implantation modalities, but prospective clinical validation is still needed. This medRxiv preprint has not been peer reviewed.