A 27B model reads whole EEG recordings locally: ERIA tunes only its prompt policy, lifting protected-test report scores from 0.5052 to 0.6024
Clinical EEG interpretation must cover technical quality, background and sleep states, interictal and ictal abnormalities across a whole recording, then synthesize a report, so event detection alone is not enough. ERIA has a locally deployed 27B language-model controller call deterministic signal analyses, learned clinical models and local knowledge retrieval, while controller weights, tools and safety constraints stay fixed and only the natural-language analysis policy is rewritten by GEPA using feedback from expert reports. On 200 paired clinical EEGs, the physician-aligned report score on the protected test set rose from 0.5052 to 0.6024, and the policy still performed on CerebraGloss-Bench and BrainBench Foundational Analysis.