Ioannis Kakkos

dblp:204/8428 · DBLP profile ↗
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9ranked-venue papers
1as first author
7since 2021 · last 2025
0000-0001-8365-2140ORCID · verified

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Applied, interdisciplinary, general and emerging computing · 8 · 1 first-author · 7 since 2021Artificial intelligence and machine learning · 3 · 1 since 2021Databases, data management, data science and information retrieval · 2 · 1 since 2021
YearPublicationVenuePosition
2025 Feature-Level Explainability in EEG-Based Fatigue Detection Using LASSO and Functional Connectivity
Stavros Theofanis Miloulis, Ioannis Kakkos, Christina Kaliampakou, Ioannis Zorzos, Georgios N. Dimitrakopoulos, Ioannis A. Vezakis, Ioannis N. Kouris, Athanasios Anastasiou, George K. Matsopoulos
IEEE Big Data2
2025 Explaining E/MEG Source Imaging and Beyond: An Updated Review
abstract
E/MEG source imaging (ESI) provides non-invasive measurements of brain activity with high spatial and temporal resolution. In particular, the wearability and portability of EEG make it an attractive area of research beyond the biomedical communities, especially given the broad application prospects including brain-computer interface (BCI), neuromarketing and neuroergonomics. Although existing reviews offer valuable insights, they often present ESI models in a relatively isolated manner and may not encompass the most recent advancements in the field. In this work, we aim to: 1) provide a timely in-depth review of the widely-explored and state-of-the-art ESI models, including their underlying neurophysiological assumptions and mathematical derivations; 2) list the primary applications of ESI and highlight crucial steps regarding its implementations; 3) discuss current challenges in ESI and propose future research prospects; 4) demonstrate practical usage and implementation details of various representative ESI models. As a rapidly expanding field, ESI is continuously developing and evolving to integrate new technologies. We believe the widespread applications of ESI is happening, and it will dramatically expand our understanding of brain dynamics.
Ioannis Kakkos, George K. Matsopoulos, Cuntai Guan, Yu Sun 0014
IEEE J. Biomed. Health Informatics2
2025 Rad-EfficientNet: Improving Breast MRI Diagnosis Through Integration of Radiomics and Deep Learning
abstract
Breast cancer stands as the most prevalent cancer in women globally, with its worldwide escalating incidence and mortality rates underscoring the necessity of improving upon current non-invasive diagnostic methodologies for early-stage detection. This study introduces Rad-EfficientNet, a convolutional neural network (CNN) that incorporates radiomic features in its training pipeline to differentiate benign from malignant breast tumors in multiparametric 3 T breast magnetic resonance imaging (MRI). To this end, a dataset of 104 cases, including 45 benign and 59 malignant instances, was collected, and radiomic features were extracted from the 3D bounding boxes of each of the tumors. The Pearson's correlation coefficient and the Variance Inflation Factor were employed to reduce the radiomic features to a subset of 25. Rad-EfficientNet was then trained on both image and radiomics data. Based on the EfficientNet network family, the proposed Rad-EfficientNet architecture builds upon it by introducing a radiomics fusion layer consisting of a feature reduction operation, radiomic feature concatenation with the learned features, and finally a dropout layer. Rad-EfficientNet achieved an accuracy score of 82%, outperforming conventional classifiers trained solely on radiomic features, as well as hybrid models that combine learned and radiomic features post-training. These results indicate that by incorporating radiomics directly into the CNN training pipeline, complementary features are learned, thereby offering a way to improve current diagnostic deep learning techniques for breast lesion diagnosis.
Konstantinos Georgas, Ioannis A. Vezakis, Ioannis Kakkos, Anastasia Natalia Douma, Evangelia Panourgias, Lia A. Moulopoulos, George K. Matsopoulos
IEEE J. Biomed. Health Informatics3
2025 FBCPM: A Filter Bank Connectome-Based Predictive Modeling Framework for EEG Signals
abstract
The human brain connectome has long been recognized as a crucial component for various cognitive functions. While connectome-based predictive modeling (CPM) has been extensively explored for predicting behavior outcomes at the individual-level, its application to electroencephalogram (EEG) remains limited due to the inherent diversity and complexity of EEG frequency information. In the present work, we aim to address this issue by developing a filter bank CPM (FBCPM) framework that leverages narrowband EEG functional connectivity (FC) for individual prediction. Four independent datasets comprising 280 healthy subjects with 392 EEG recordings during the psychomotor vigilance test (PVT), were adopted here. Using the discovery dataset (i.e., Dataset 1) with 137 recordings, the feasibility of FBCPM was evaluated via predicting mean reaction time (RT) measures within a 15-min PVT task. The results showed that FBCPM framework achieved notable prediction accuracy and outperformed four benchmark approaches. Subsequent comprehensive internal and external validation analyses further affirmed its robustness across various hyper-parameters and generalizability to another three independent datasets (i.e., Dataset 2 to Dataset 4) with divergent recording or preprocessing settings. Moreover, the FBCPM framework exhibited satisfactory performance when generalized to time-on-task (TOT) effect measures (i.e., $\mathit {\Delta RT}$ and $\mathit {TOT_{slope}}$). Further investigation of contributing features to mean RT prediction indicated the remarkable predictive ability of negative features, manifesting as a pattern of low-frequency (below 8 Hz) predominance and complex topological distributions. Overall, these findings indicated that FBCPM provided a significant methodological advance in EEG-based individual prediction approaches, moving a step forward towards practical application in cognitive neuroscience.
Linze Qian, Sujie Wang, Ioannis Kakkos, Mengru Xu, George K. Matsopoulos, Yi Sun 0008, Chuantao Li, Yu Sun 0014
IEEE J. Biomed. Health Informatics3
2023 Individualized Prediction of Task Performance Decline Using Pre-Task Resting-State Functional Connectivity
abstract
As a common complaint in contemporary society, mental fatigue is a key element in the deterioration of the daily activities known as time-on-task (TOT) effect, making the prediction of fatigue-related performance decline exceedingly important. However, conventional group-level brain-behavioral correlation analysis has the limitation of generalizability to unseen individuals and fatigue prediction at individual-level is challenging due to the significant differences between individuals both in task performance efficiency and brain activities. Here, we introduced a cross-validated data-driven analysis framework to explore, for the first time, the feasibility of utilizing pre-task idiosyncratic resting-state functional connectivity (FC) on the prediction of fatigue-related task performance degradation at individual level. Specifically, two behavioral metrics, namely$\Delta$RT (between the most vigilant and fatigued states) and$TOT_{slope}$over the course of the 15-min sustained attention task, were estimated among three sessions from 37 healthy subjects to represent fatigue-related individual behavioral impairment. Then, a connectome-based prediction model was employed on pre-task resting-state FC features, identifying the network-related differences that contributed to the prediction of performance deterioration. As expected, prominent populational TOT-related performance declines were revealed across three sessions accompanied with substantial inter-individual differences. More importantly, we achieved significantly high accuracies for individualized prediction of both TOT-related behavioral impairment metrics using pre-task neuroimaging features. Despite the distinct patterns between both behavioral metrics, the identified top FC features contributing to the individualized predictions were mainly resided within/between frontal, temporal and parietal areas. Overall, our results of individualized prediction framework extended conventional correlation/classification analysis and may represent a promising avenue for the development of applicable techniques that allow precaution of the TOT-related performance declines in real-world scenarios.
Peng Qi 0001, Ioannis Kakkos, Kuijun Wu, Sujie Wang, Jingjia Yuan, Lingyun Gao, George K. Matsopoulos, Yu Sun 0014
IEEE J. Biomed. Health Informatics3
2022 Inferring the Individual Psychopathologic Deficits With Structural Connectivity in a Longitudinal Cohort of Schizophrenia
abstract
The prediction of schizophrenia-related psychopathologic deficits is exceedingly important in the fields of psychiatry and clinical practice. However, objective association of the brain structure alterations to the illness clinical symptoms is challenging. Although, schizophrenia has been characterized as a brain dysconnectivity syndrome, evidence accounting for neuroanatomical network alterations remain scarce. Moreover, the absence of generalized connectome biomarkers for the assessment of illness progression further perplexes the prediction of long-term symptom severity. In this paper, a combination of individualized prediction models with quantitative graph theoretical analysis was adopted, providing a comprehensive appreciation of the extent to which the brain network properties are affected over time in schizophrenia. Specifically, Connectome-based Prediction Models were employed on Structural Connectivity (SC) features, efficiently capturing individual network-related differences, while identifying the anatomical connectivity disturbances contributing to the prediction of psychopathological deficits. Our results demonstrated distinctions among widespread cortical circuits responsible for different domains of symptoms, indicating the complex neural mechanisms underlying schizophrenia. Furthermore, the generated models were able to significantly predict changes of symptoms using SC features at follow-up, while the preserved SC features suggested an association with improved positive and overall symptoms. Moreover, cross-sectional significant deficits were observed in network efficiency and a progressive aberration of global integration in patients compared to healthy controls, representing a group-consensus pathological map, while supporting the dysconnectivity hypothesis.
Yi Sun 0008, Zhe Zhang 0029, Ioannis Kakkos, George K. Matsopoulos, Jingjia Yuan, John Suckling, Luoyi Xu, Shuxia Cao, Wenjuan Chen, Xingyue Hu, Kang Sim, Peng Qi 0001, Yu Sun 0014
IEEE J. Biomed. Health Informatics3
2021 EEG Fingerprints of Task-Independent Mental Workload Discrimination
abstract
In the nascent field of neuroergonomics, mental workload assessment is one of the most important issues and has an apparent significance in real-world applications. Although prior research has achieved efficient single-task classification, scatted studies on cross-task mental workload assessment usually result in unsatisfactory performance. Here, we introduce a data-driven analysis framework to overcome the challenges regarding task-independent workload assessment using a fusion of EEG spectral characteristics and unveil the common neural mechanisms underlying mental workload. Specifically, multi-frequency power spectrum and functional connectivity (FC) were estimated for two workload levels in two working-memory tasks performed by 40 healthy participants, subsequently being fed into a machine learning approach to obtain the importance of each feature vector and evaluate classification performance in a cross-task fashion. Our framework achieved a classification accuracy of 0.94 for task-independent mental workload discrimination. Further investigation of the designated features in terms of their spectral and localization properties revealed task-independent common patterns in the neural mechanisms governing workload. In particular, increased workload was associated with elevated frontal delta and theta power but reduced parietal alpha power, whereas FC exhibited complex frequency- and region-dependent alterations. By implication, the employment of the EEG feature fusion emphasized their utility in serving as promising indicators for different workload conditions applications.
Ioannis Kakkos, Georgios N. Dimitrakopoulos, Yi Sun 0008, Jingjia Yuan, George K. Matsopoulos, Anastasios Bezerianos, Yu Sun 0014
IEEE J. Biomed. Health Informatics1
2020 A Machine Learning fMRI Approach in the Diagnosis of Autism
abstract
Diagnosis of Autism Spectrum Disorder (ASD) is a complex task that typically relies on the expertise of the clinician due to the lack of specific quantitative biomarkers. As a consequence, automatic categorization of an individual within the ASD taxonomy poses many challenges, usually with controversial results. The implementation of Machine Learning approaches as a diagnostic tool for ASD classification is rapidly growing in the field of neuroscience, holding the potential to enhance discrimination validity among ASD and Typically Developed (TD) individuals, while providing indications in regard to ASD differentiating factors. In this study, various feature selection and classification techniques were employed in order to successfully discern between ASD and TD, using data from large resting-state functional Magnetic Resonance Imaging (rs-fMRI) database. Moreover, we adopt novel features, namely the Haralick texture features and the Kullback-Leibler divergence, combined with already established ones (i.e. static Functional Connectivity and demographics), assessing the most informative global attributes. Our framework succeeded in the identification of a small number of discriminative features, leading to high performance relative to previous works with optimal classification accuracy of 0.725.
Aikaterini Karampasi, Ioannis Kakkos, Stavros Theofanis Miloulis, Ioannis Zorzos, Georgios N. Dimitrakopoulos, Kostakis Gkiatis, George K. Matsopoulos
IEEE BigData2
2017 Driving Mental Fatigue Classification Based on Brain Functional Connectivity
Georgios N. Dimitrakopoulos, Ioannis Kakkos, Aristidis G. Vrahatis, Kyriakos N. Sgarbas, Yu Sun 0014, Anastasios Bezerianos
EANN2