An Open-Source End-to-End Pipeline for Large-Scale EEG-Based Brain Age Modelling

Abstract

Aging affects individuals at varying biological rates, prompting the development of the Brain Age Index (BAI) to quantify neurobiological health relative to chronological age and disease risk. While structural MRI has dominated brain age prediction, its high cost, immobility, and low temporal resolution restrict its clinical scalability and responsiveness to transient neurophysiological changes. Electroencephalography (EEG) offers a highly scalable, portable, and temporally precise alternative capable of capturing dynamic brain states. However, the transition of EEG-based models to clinical biomarkers is impeded by methodological limitations, including small or biased datasets, inconsistent preprocessing pipelines, and a distinct lack of interpretable machine learning approaches. To address these persistent challenges, this paper presents a comprehensive, open-source, end-to-end pipeline for large-scale EEG-based brain age modeling. Developed using the Temple University Hospital EEG Corpus (TUEG) the largest publicly available resting-state EEG dataset. The pipeline encompasses rigorous data engineering, reproducible preprocessing, and robust feature extraction. Following quality control and subject-level dataset partitioning to definitively prevent data leakage, exactly 41,181 recordings were successfully retained. Two independent feature sets were extracted: the Catch22 time-series characteristics and a comprehensive set of spectral, aperiodic, and non-linear dynamics from the CCS toolbox. The methodology evaluates seven regression models, optimized via Optuna for hyperparameter tuning, and integrates SHAP (SHapley Additive exPlanations) for transparent feature importance analysis. By making this infrastructure publicly available, this work lowers the barrier to entry for large-cohort studies, fostering reproducible development and clinical validation of dynamic brain age biomarkers.