ALARM-Net: An Event-Level False-Alarm Suppression Framework for Clinical EEG Seizure Detection on TUSZ v2.0.6

Automated electroencephalography (EEG) seizure detection systems support clinical monitoring through alarm-driven workflows, in which the practical utility of a detector is determined by its event-level false-alarm rate. We examine the false-alarm structure produced by a strong window-level seizure detector on the Temple University Hospital Seizure Corpus (TUSZ) v2.0.6 and find that the false-alarm burden is unevenly distributed across subjects, with worst-decile subjects carrying substantially higher FA/24h than the cohort median. We propose ALARM-Net (Alarm-Level Adaptive Rejection Module), a detector-agnostic event-level alarm-suppression framework. ALARM-Net treats the window-level detector as a frozen black box, generates high-recall event proposals from its per-second probability timeline, and applies a regularized CatBoost classifier over 14 causal features summarizing each proposal's probability morphology, local pre-context, and alarm history. Operating-point selection is gove