EEGDM: Label-Efficient EEG Representation Learning with Generative Diffusion Model

Electroencephalography (EEG) is a critical tool for monitoring brain activity and diagnosing neurological disorders such as epilepsy. However, learning meaningful representations from raw EEG signals remains challenging due to limited annotations, substantial inter-subject variability, and complex temporal dynamics. Recent EEG foundation models (FMs) have demonstrated promising performance through transformer-based architectures and large-scale self-supervised pretraining, yet they often incur substantial computational costs and exhibit diminishing returns with increasing model and dataset scale, limiting their practicality in clinical settings. To address these challenges, we propose EEGDM, a diffusion-based EEG representation learning framework. Specifically, EEGDM introduces a Structured State-Space Model for Diffusion Pretraining (SSMDP) that effectively captures long-range temporal dependencies through generative diffusion training on unlabeled EEG data. The representations are subsequently leveraged for downstream tasks via our Latent Fusion Module (LFM), which integrates multi-layer latent features of SSMDP. We evaluate EEGDM on three EEG benchmarks spanning EEG event classification (TUEV), seizure detection (CHB-MIT), and seizure classification (IIIC). Compared with existing state-of-the-art methods, including EEG FMs, EEGDM achieves competitive performance across diverse tasks and datasets, exceeding existing methods in most cases while requiring substantially fewer samples for both pretraining and downstream adaptation. These results demonstrate that diffusion-based learning can unlock more discriminative EEG representations, with direct implications for epilepsy diagnosis and management.