Scalp EEG Signals Research Articles

Robust EEG-Based Decoding of Auditory Attention With High-RMS-Level Speech Segments in Noisy Conditions

The attended speech stream can be detected robustly, even in adverse auditory scenarios with auditory attentional modulation, and can be decoded using electroencephalographic (EEG) data. Speech segmentation based on the relative root-mean-square (RMS) intensity can be used to estimate segmental contributions to perception in noisy conditions. High-RMS-level segments contain crucial information for speech perception. Hence, this study aimed to investigate the effect of high-RMS-level speech segments on auditory attention decoding performance under various signal-to-noise ratio (SNR) conditions. Scalp EEG signals were recorded when subjects listened to the attended speech stream in the mixed speech narrated concurrently by two Mandarin speakers. The temporal response function was used to identify the attended speech from EEG responses of tracking to the temporal envelopes of intact speech and high-RMS-level speech segments alone, respectively. Auditory decoding performance was then analyzed under various SNR conditions by comparing EEG correlations to the attended and ignored speech streams. The accuracy of auditory attention decoding based on the temporal envelope with high-RMS-level speech segments was not inferior to that based on the temporal envelope of intact speech. Cortical activity correlated more strongly with attended than with ignored speech under different SNR conditions. These results suggest that EEG recordings corresponding to high-RMS-level speech segments carry crucial information for the identification and tracking of attended speech in the presence of background noise. This study also showed that with the modulation of auditory attention, attended speech can be decoded more robustly from neural activity than from behavioral measures under a wide range of SNR.

Scalp electroencephalograms over ipsilateral sensorimotor cortex reflect contraction patterns of unilateral finger muscles

A variety of neural substrates are implicated in the initiation, coordination, and stabilization of voluntary movements underpinned by adaptive contraction and relaxation of agonist and antagonist muscles. To achieve such flexible and purposeful control of the human body, brain systems exhibit extensive modulation during the transition from resting state to motor execution and to maintain proper joint impedance. However, the neural structures contributing to such sensorimotor control under unconstrained and naturalistic conditions are not fully characterized. To elucidate which brain regions are implicated in generating and coordinating voluntary movements, we employed a physiologically inspired, two-stage method to decode relaxation and three patterns of contraction in unilateral finger muscles (i.e., extension, flexion, and co-contraction) from high-density scalp electroencephalograms (EEG). The decoder consisted of two parts employed in series. The first discriminated between relaxation and contraction. If the EEG data were discriminated as contraction, the second stage then discriminated among the three contraction patterns. Despite the difficulty in dissociating detailed contraction patterns of muscles within a limb from scalp EEG signals, the decoder performance was higher than chance-level by 2-fold in the four-class classification. Moreover, weighted features in the trained decoders revealed EEG features differentially contributing to decoding performance. During the first stage, consistent with previous reports, weighted features were localized around sensorimotor cortex (SM1) contralateral to the activated fingers, while those during the second stage were localized around ipsilateral SM1. The loci of these weighted features suggested that the coordination of unilateral finger muscles induced different signaling patterns in ipsilateral SM1 contributing to motor control. Weighted EEG features enabled a deeper understanding of human sensorimotor processing as well as of a more naturalistic control of brain-computer interfaces.

Distinguishing Epileptiform Discharges From Normal Electroencephalograms Using Adaptive Fractal and Network Analysis: A Clinical Perspective.

Epilepsy is one of the most common disorders of the brain. Clinically, to corroborate an epileptic seizure-like symptom and to find the seizure localization, electroencephalogram (EEG) data are often visually examined by a clinical doctor to detect the presence of epileptiform discharges. Epileptiform discharges are transient waveforms lasting for several tens to hundreds of milliseconds and are mainly divided into seven types. It is important to develop systematic approaches to accurately distinguish these waveforms from normal control ones. This is a difficult task if one wishes to develop first principle rather than black-box based approaches, since clinically used scalp EEGs usually contain a lot of noise and artifacts. To solve this problem, we analyzed 640 multi-channel EEG segments, each 4s long. Among these segments, 540 are short epileptiform discharges, and 100 are from healthy controls. We have proposed two approaches for distinguishing epileptiform discharges from normal EEGs. The first method is based on Signal Range and EEGs' long range correlation properties characterized by the Hurst parameter H extracted by applying adaptive fractal analysis (AFA), which can also maximally suppress the effects of noise and various kinds of artifacts. Our second method is based on networks constructed from three aspects of the scalp EEG signals, the Signal Range, the energy of the alpha wave component, and EEG's long range correlation properties. The networks are further analyzed using singular value decomposition (SVD). The square of the first singular value from SVD is used to construct features to distinguish epileptiform discharges from normal controls. Using Random Forest Classifier (RF), our approaches can achieve very high accuracy in distinguishing epileptiform discharges from normal control ones, and thus are very promising to be used clinically. The network-based approach is also used to infer the localizations of each type of epileptiform discharges, and it is found that the sub-networks representing the most likely location of each type of epileptiform discharges are different among the seven types of epileptiform discharges.

Sleep Electroencephalographic Response to Respiratory Events in Patients With Moderate Sleep Apnea-Hypopnea Syndrome.

Sleep apnea–hypopnea syndrome is a common breathing disorder that can lead to organic brain injury, prevent memory consolidation, and cause other adverse mental-related complications. Brain activity while sleeping during respiratory events is related to these dysfunctions. In this study, we analyzed variations in electroencephalography (EEG) signals before, during, and after such events. Absolute and relative powers, as well as symbolic transfer entropy (STE) of scalp EEG signals, were calculated to unveil the activity of brain regions and information interactions between them, respectively. During the respiratory events, only low-frequency power increased during rapid eye movement (REM) stage (δ-band absolute and relative power) and N1 (δ- and θ-band absolute power, δ-band relative power) sleep. But absolute power increased in low- and medium-frequency bands (δ, θ, α, and σ bands), and relative power increased mainly in the medium-frequency band (α and σ bands) during stage N2 sleep. After the respiratory events, absolute power increased in all frequency bands and sleep stages, but relative power increased in medium and high frequencies. Regarding information interactions, the β-band STE decreased during and after events. In the γ band, the intrahemispheric STE increased during events and decreased afterward. Moreover, the interhemisphere STE increased after events during REM and stage N1 sleep. The EEG changes throughout respiratory events are supporting evidence for previous EEG knowledge of the impact of sleep apnea on the brain. These findings may provide insights into the influence of the sleep apnea–hypopnea syndrome on cognitive function and neuropsychiatric defects.

Selection of features for patient-independent detection of seizure events using scalp EEG signals

Epilepsy involves brain abnormalities that may cause sudden seizures or other uncontrollable body activities. Epilepsy may have substantial impacts on the patient's quality of life, and its detection heavily relies on tedious and time-consuming manual curation by experienced clinicians, based on EEG signals. Most existing EEG-based seizure detection algorithms are patient-dependent and train a detection model for each patient. A new patient can only be monitored effectively after several episodes of epileptic seizures. This study investigates the patient-independent detection of seizure events using the open dataset CHB-MIT Scalp EEG. First, a novel feature extraction algorithm called MinMaxHist is proposed to measure the topological patterns of the EEG signals. Following this, MinMaxHist and several other feature extraction algorithms are applied to parameterize the EEG signals. Next, a comprehensive series of feature screening and classification optimization experiments are conducted, and finally, an optimized EEG-based seizure detection model is presented that can achieve overall values for accuracy, sensitivity, specificity, Matthews correlation coefficient, and Kappa of 0.8627, 0.8032, 0.9222, 0.7504 and 0.7254, respectively, with only 30 features. The classification accuracy of the method with MinMaxHist features was 0.0464 higher than that without MinMaxHist features. Compared with existing methods, the proposed algorithm achieved higher accuracy and sensitivity, as shown in the experimental results.

Functional brain networks of patients with epilepsy exhibit pronounced multiscale periodicities, which correlate with seizure onset

Epileptic seizure detection and prediction by using noninvasive measurements such as scalp EEG signals or invasive, intracranial recordings, has been at the heart of epilepsy studies for at least three decades. To this end, the most common approach has been to consider short‐length recordings (several seconds to a few minutes) around a seizure, aiming to identify significant changes that occur before or during seizures. An inherent assumption in this approach is the presence of a relatively constant EEG activity in the interictal period, which is interrupted by seizure occurrence. Here, we examine this assumption by using long‐duration scalp EEG data (21–94 hr) in nine patients with epilepsy, based on which we construct functional brain networks. Our results reveal that these networks vary over time in a periodic fashion, exhibiting multiple peaks at periods ranging between 1 and 24 hr. The effects of seizure onset on the functional brain network properties were found to be considerably smaller in magnitude compared to the changes due to these inherent periodic cycles. Importantly, the properties of the identified network periodic components (instantaneous phase) were found to be strongly correlated to seizure onset, especially for the periodicities around 3 and 5 hr. These correlations were found to be largely absent between EEG signal periodicities and seizure onset, suggesting that higher specificity may be achieved by using network‐based metrics. In turn, this implies that more robust seizure detection and prediction can be achieved if longer term underlying functional brain network periodic variations are taken into account.

Dataset of human medial temporal lobe neurons, scalp and intracranial EEG during a verbal working memory task

We present an electrophysiological dataset recorded from nine subjects during a verbal working memory task. Subjects were epilepsy patients undergoing intracranial monitoring for the localization of epileptic seizures. Subjects performed a modified Sternberg task in which the encoding of memory items, maintenance, and recall were temporally separated. The dataset includes simultaneously recorded scalp EEG with the 10–20 system, intracranial EEG (iEEG) recorded with depth electrodes, waveforms and spike times of neurons recorded in the medial temporal lobe, and localization information on the depth electrodes. Subject characteristics and information on each trial (set size, match/mismatch, correct/incorrect, response, and response time) are given. For technical validation of data, we provide spike sorting quality metrics and the spectra of iEEG and scalp EEG signals. This dataset enables the investigation of working memory by providing simultaneous scalp EEG and iEEG recordings, which can be used for connectivity analysis, along with hard-to-obtain neuronal recordings from humans.

Epileptic Seizures Prediction Using Deep Learning Techniques

Epilepsy is a very common neurological disease that has affected more than 65 million people worldwide. In more than 30 % of the cases, people affected by this disease cannot be cured with medicines or surgery. However, predicting a seizure before it actually occurs can help in its prevention; through therapeutic intervention. Studies have observed that abnormal activity inside the brain begins a few minutes before the start of a seizure, which is known as preictal state. Many researchers have tried to find a way for predicting this preictal state of a seizure but an effective prediction in terms of high sensitivity and specificity still remains a challenge. The current study, proposes a seizure prediction system that employs deep learning methods. This method includes preprocessing of scalp EEG signals, automated features extraction; using convolution neural network and classification with the support of vector machines. The proposed method has been applied on 24 subjects of scalp EEG dataset of CHBMIT resulting in successfully achieving an average sensitivity and specificity of 92.7% and 90.8% respectively.

Patient-Specific Epileptic Seizure Prediction in Long-Term Scalp EEG Signal Using Multivariate Statistical Process Control

An accurate epileptic seizure prediction algorithm can alleviate the problem and reduce risks in the life of a patient suffering from epilepsy. The main motive of this work is to propose a model which can predict seizures well in advance of its occurrence. Multivariate statistical process control (MSPC) has been used for seizure predictions in long-term scalp EEG signal. It has been observed that excessive neuronal activity in the preictal period of seizure changes the electrical characteristic from chaotic to rhythmic behavior. These changes have been utilized for prediction. Eight temporal based features are used for predicting the seizures by using multivariate statistical process control, which is widely known as an anomaly monitoring method. 90 seizures from the CHB-MIT EEG data of ten patients are analyzed. ResultThe results of the proposed method demonstrated that 80 seizures out of 90 in preictal period were correctly predicted prior to the seizure onset, thereby giving a sensitivity of 88.89%. The false positive rate is observed to 0.39 per hour. ConclusionThis study proposed a temporal based patient-specific epileptic seizure prediction method using MSPC in long-term scalp EEG signals. It also provides the possibility of realizing an EEG-based epileptic seizure prediction system which requires less computational power. SignificanceThe proposed method does not require preictal data for modeling. The extracted features are computationally easy. The tested result shows good accuracy on the CHB-MIT data base.

A Postdecisional Neural Marker of Confidence Predicts Information-Seeking in Decision-Making.

Theoretical work predicts that decisions made with low confidence should lead to increased information-seeking. This is an adaptive strategy because it can increase the quality of a decision, and previous behavioral work has shown that decision-makers engage in such confidence-driven information-seeking. The present study aimed to characterize the neural markers that mediate the relationship between confidence and information-seeking. A paradigm was used in which 17 human participants (9 male) made an initial perceptual decision, and then decided whether or not they wanted to sample more evidence before committing to a final decision and confidence judgment. Predecisional and postdecisional event-related potential components were similarly modulated by the level of confidence and by information-seeking choices. Time-resolved multivariate decoding of scalp EEG signals first revealed that both information-seeking choices and decision confidence could be decoded from the time of the initial decision to the time of the subsequent information-seeking choice (within-condition decoding). No above-chance decoding was visible in the preresponse time window. Crucially, a classifier trained to decode high versus low confidence predicted information-seeking choices after the initial perceptual decision (across-condition decoding). This time window corresponds to that of a postdecisional neural marker of confidence. Collectively, our findings demonstrate, for the first time, that neural indices of confidence are functionally involved in information-seeking decisions.SIGNIFICANCE STATEMENT Despite substantial current interest in neural signatures of our sense of confidence, it remains largely unknown how confidence is used to regulate behavior. Here, we devised a task in which human participants could decide whether or not to sample additional decision-relevant information at a small monetary cost. Using neural recordings, we could predict such information-seeking choices based on a neural signature of decision confidence. Our study illuminates a neural link between decision confidence and adaptive behavioral control.

A Multi-View Deep Learning Framework for EEG Seizure Detection.

The recent advances in pervasive sensing technologies have enabled us to monitor and analyze the multi-channel electroencephalogram (EEG) signals of epilepsy patients to prevent serious outcomes caused by epileptic seizures. To avoid manual visual inspection from long-term EEG readings, automatic EEG seizure detection has garnered increasing attention among researchers. In this paper, we present a unified multi-view deep learning framework to capture brain abnormalities associated with seizures based on multi-channel scalp EEG signals. The proposed approach is an end-to-end model that is able to jointly learn multi-view features from both unsupervised multi-channel EEG reconstruction and supervised seizure detection via spectrogram representation. We construct a new autoencoder-based multi-view learning model by incorporating both inter and intra correlations of EEG channels to unleash the power of multi-channel information. By adding a channel-wise competition mechanism in the training phase, we propose a channel-aware seizure detection module to guide our multi-view structure to focus on important and relevant EEG channels. To validate the effectiveness of the proposed framework, extensive experiments against nine baselines, including both traditional handcrafted feature extraction and conventional deep learning methods, are carried out on a benchmark scalp EEG dataset. Experimental results show that the proposed model is able to achieve higher average accuracy and f1-score at 94.37% and 85.34%, respectively, using 5-fold subject-independent cross validation, demonstrating a powerful and effective method in the task of EEG seizure detection.

Characteristic Fluctuations Around Stable Attractor Dynamics Extracted from Highly Nonstationary Electroencephalographic Recordings.

Since the discovery of electrical activity of the brain, electroencephalographic (EEG) recordings constitute one of the most popular techniques of brain research. However, EEG signals are highly nonstationary and one should expect that averages of the cross-correlation coefficient, which may take positive and negative values with equal probability, (almost) vanish when estimated over long data segments. Instead, we found that the average zero-lag cross-correlation matrix estimated with a running window over the whole night of sleep EEGs, or of resting state during eyes-open and eyes-closed conditions of healthy subjects shows a characteristic correlation pattern containing pronounced nonzero values. A similar correlation structure has already been encountered in scalp EEG signals containing focal onset seizures. Therefore, we conclude that this structure is independent of the physiological state. Because of its pronounced similarity across subjects, we believe that it depicts a generic feature of the brain dynamics. Namely, we interpret this pattern as a manifestation of a dynamical ground state of the brain activity, necessary to preserve an efficient operational mode, or, expressed in terms of dynamical system theory, we interpret it as a "shadow" of the evolution on (or close to) an attractor in phase space. Nonstationary dynamical aspects of higher cerebral processes should manifest in deviations from this stable pattern. We confirm this hypothesis through a correlation analysis of EEG recordings of 10 healthy subjects during night sleep, 20 recordings of 9 epilepsy patients, and 42 recordings of 21 healthy subjects in resting state during eyes-open and eyes-closed conditions. In particular, we show that the estimation of deviations from the stationary correlation structures provides a more significant differentiation of physiological states and more homogeneous results across subjects.

An Algorithm for Automated, Noninvasive Detection of Cortical Spreading Depolarizations Based on EEG Simulations.

We present a novel signal processing algorithm for automated, noninvasive detection of cortical spreading depolarizations (CSDs) using electroencephalography (EEG) signals and validate the algorithm on simulated EEG signals. CSDs are waves of neurochemical changes that suppress the neuronal activity as they propagate across the brain's cortical surface. CSDs are believed to mediate secondary brain damage after brain trauma and cerebrovascular diseases like stroke. We address the following two key challenges in detecting CSDs from EEG signals: i) attenuation and loss of high spatial resolution information; and ii) cortical folds, which complicate tracking CSD waves. Our algorithm detects and tracks "wavefronts" of a CSD wave, and stitch together data across space and time to make a detection. To test our algorithm, we provide different models of CSD waves, including different widths of CSD suppressions and different patterns, and use them to simulate scalp EEG signals using head models of four subjects. Our results suggest that low-density EEG grids (40 electrodes) can detect CSD widths of 1.1cm on average, while higher density EEG grids (340 electrodes) can detect CSD patterns as thin as 0.43cm (less than minimum widths reported in prior works), among which single-gyrus CSDs are the hardest to detect because of their small suppression area. The proposed algorithm is a first step toward noninvasive, automated detection of CSDs, which can help in reducing secondary brain damages.

Neural Activity Is Dynamically Modulated by Memory Load During the Maintenance of Spatial Objects.

Visuospatial working memory (WM) is a fundamental but severely limited ability to temporarily remember selected stimuli. Several studies have investigated the underlying neural mechanisms of maintaining various visuospatial stimuli simultaneously (i.e., WM load, the number of representations that need to be maintained in WM). However, two confounding factors, namely verbal representation and encoding load (the number of items that need to be encoded into WM), have not been well controlled in previous studies. In this study, we developed a novel delayed-match-to-sample task (DMST) controlling for these two confounding factors and recorded scalp EEG signals during the task. We found that behavioral performance deteriorated severely as memory load increased. Neural activity was modulated by WM load in a dynamic manner. Specifically, higher memory load induced stronger amplitude in occipital and central channel-clusters during the early delay period, while the inverse trend was observed in central and frontal channel-clusters during late delay. In addition, the same inverse memory load effect, that was lower memory load induced stronger amplitude, was observed in occipital channel-cluster alpha power during late delay. Finally, significant correlations between neural activity and individual reaction time showed a role of late-delay central and frontal channel-cluster amplitude in predicting behavioral performance. Because the occipital cortex is important for visual information maintenance, the decrease in alpha oscillation was consistent with the cognitive role that is “gating by inhibition.” Together, our results from a well-controlled DMST suggest that WM load not exerted constant but dynamic effect on neural activity during maintenance of visuospatial objects.

Integration of 24 Feature Types to Accurately Detect and Predict Seizures Using Scalp EEG Signals.

The neurological disorder epilepsy causes substantial problems to the patients with uncontrolled seizures or even sudden deaths. Accurate detection and prediction of epileptic seizures will significantly improve the life quality of epileptic patients. Various feature extraction algorithms were proposed to describe the EEG signals in frequency or time domains. Both invasive intracranial and non-invasive scalp EEG signals have been screened for the epileptic seizure patterns. This study extracted a comprehensive list of 24 feature types from the scalp EEG signals and found 170 out of the 2794 features for an accurate classification of epileptic seizures. An accuracy (Acc) of 99.40% was optimized for detecting epileptic seizures from the scalp EEG signals. A balanced accuracy (bAcc) was calculated as the average of sensitivity and specificity and our seizure detection model achieved 99.61% in bAcc. The same experimental procedure was applied to predict epileptic seizures in advance, and the model achieved Acc = 99.17% for predicting epileptic seizures 10 s before happening.

Cognitive Behavior Classification From Scalp EEG Signals.

Electroencephalography (EEG) has become increasingly valuable outside of its traditional use in neurology. EEG is now used for neuropsychiatric diagnosis, neurological evaluation of traumatic brain injury, neurotherapy, gaming, neurofeedback, mindfulness, and cognitive enhancement training. The trend to increase the number of EEG electrodes, the development of novel analytical methods, and the availability of large data sets has created a data analysis challenge to find the "signal of interest" that conveys the most information about ongoing cognitive effort. Accordingly, we compare three common types of neural synchrony measures that are applied to EEG-power analysis, phase locking, and phase-amplitude coupling to assess which analytical measure provides the best separation between EEG signals that were recorded, while healthy subjects performed eight cognitive tasks-Hopkins Verbal Learning Test and its delayed version, Stroop Test, Symbol Digit Modality Test, Controlled Oral Word Association Test, Trail Marking Test, Digit Span Test, and Benton Visual Retention Test. We find that of the three analytical methods, phase-amplitude coupling, specifically theta (4-7 Hz)-high gamma (70-90 Hz) obtained from frontal and parietal EEG electrodes provides both the largest separation between the EEG during cognitive tasks and also the highest classification accuracy between pairs of tasks. We also find that phase-locking analysis provides the most distinct clustering of tasks based on their utilization of long-term memory. Finally, we show that phase-amplitude coupling is the least sensitive to contamination by intense jaw-clenching muscle artifact.

Corrigendum to “Sparse asynchronous cortical generators can produce measurable scalp EEG signals” [Neuroimage 138 (2016) 123–133

Corrigendum to “Sparse asynchronous cortical generators can produce measurable scalp EEG signals” [Neuroimage 138 (2016) 123–133

White Matter Connectivity Pattern Associate with Characteristics of Scalp EEG Signals.

The rhythm of electroencephalogram (EEG) depends on the neuroanatomical-based parameters such as white matter (WM) connectivity. However, the impacts of these parameters on the specific characteristics of EEG have not been clearly understood. Previous studies demonstrated that, these parameters contribute the inter-subject differences of EEG during performance of specific task such as motor imagery (MI). Though researchers have worked on this phenomenon, the idea is yet to be understood in terms of the mechanism that underlies such differences. Here, to tackle this issue, we began our investigations by first examining the structural features related to scalp EEG characteristics, which are event-related desynchronizations (ERDs), during MI using diffusion MRI. Twenty-four right-handed subjects were recruited to accomplish MI tasks and MRI scans. Based on the high spatial resolution of the structural and diffusion images, the motor-related WM links, such as basal ganglia (BG)-primary somatosensory cortex (SM1) pathway and supplementary motor area (SMA)-SM1 connection, were reconstructed by using probabilistic white matter tractography. Subsequently, the relationships of WM characteristics with EEG signals were investigated. These analyses demonstrated that WM pathway characteristics, including the connectivity strength and the positional characteristics of WM connectivity on SM1 (defined by the gyrus-sulcus ratio of connectivity, GSR), have a significant impact on ERDs when doing MI. Interestingly, the high GSR of WM connections between SM1 and BG were linked to the better ERDs. These results therefore, indicated that the connectivity in the gyrus of SM1 interacted with MI network which played the critical role for the scalp EEG signal extraction of MI to a great extent. The study provided the coupling mechanism between structural and dynamic physiological features of human brain, which would also contribute to understanding individual differences of EEG in MI-brain computer interface.

Propofol-induced sedation diminishes the strength of frontal-parietal-occipital EEG network.

The level of conscious experience can be effectively and reversibly altered by the administration of sedative agents. Several studies attempted to explore the variations in frontal-parietal network during propofol-induced sedation. However, contradictory outcomes warrant further investigations. In this study, we implemented the Neural Gas algorithm-based delay symbolic transfer entropy (NG-dSTE) for investigation of frontal-parietal-occipital (F-P-O) network using scalp EEG signals recorded during altered levels of consciousness. Our results show significant disruption of the F-P-O network during mild and moderate levels of propofol sedation. In particular, the interaction between frontal and parietal-occipital region is highly disturbed. Moreover, we found measurable effect of sedation on local interactions in the frontal network whereas parietal-occipital network experienced least variations. The results support the conclusion that the connectivity based features can be utilized as reliable biomarker for assessment of sedation levels effectively.

An Ultralow-Power Sleep Spindle Detection System on Chip.

This paper describes a full system-on-chip to automatically detect sleep spindle events from scalp EEG signals. These events, which are known to play an important role on memory consolidation during sleep, are also characteristic of a number of neurological diseases. The operation of the system is based on a previously reported algorithm, which used the Teager energy operator, together with the Spectral Edge Frequency (SEF50) achieving more than 70% sensitivity and 98% specificity. The algorithm is now converted into a hardware analog based customized implementation in order to achieve extremely low levels of power. Experimental results prove that the system, which is fabricated in a 0.18 μm CMOS technology, is able to operate from a 1.25 V power supply consuming only 515 nW, with an accuracy that is comparable to its software counterpart.