A scalable neuroinformatics pipeline for harmonizing routine clinical electroencephalograms across public hospitals

We propose a study protocol for routine clinical electroencephalograms (EEGs) from public hospitals, which represents a vast resource for neuroscience research. These non-invasive measures of brain function, paired with rich clinical annotations from large and diverse patient populations, are critical for developing robust artificial intelligence (AI) models and conducting population-level studies. This protocol presents a scalable methodology for curating and harmonizing extensive clinical EEG datasets, encompassing over 40,000 individual studies, to facilitate research applications. Key steps include: (i) integration of raw EEG recordings with corresponding clinical records, including neurological reports, diagnostic codes, and potentially medication data; and (ii) spatial standardization of EEG signals by mapping them to a common brain space defined by functional and anatomical landmarks. The resulting harmonized datasets enable the development of large-scale EEG foundation models, the discovery of novel EEG waveform representations, and the creation of normative "brain charts" for electrophysiological assessment across the lifespan. By enabling standardised, large-scale analyses of real-world clinical EEG data, this protocol supports data-intensive solutions for EEG applications and addresses the challenge of generalising AI models. Our approach promotes the translation of AI tools from research to diverse patient populations, advancing population neuroscience.