Seizure Detection System Research Articles

An improved GBSO-TAENN-based EEG signal classification model for epileptic seizure detection

Detection and classification of epileptic seizures from the EEG signals have gained significant attention in recent decades. Among other signals, EEG signals are extensively used by medical experts for diagnosing purposes. So, most of the existing research works developed automated mechanisms for designing an EEG-based epileptic seizure detection system. Machine learning techniques are highly used for reduced time consumption, high accuracy, and optimal performance. Still, it limits by the issues of high complexity in algorithm design, increased error value, and reduced detection efficacy. Thus, the proposed work intends to develop an automated epileptic seizure detection system with an improved performance rate. Here, the Finite Linear Haar wavelet-based Filtering (FLHF) technique is used to filter the input signals and the relevant set of features are extracted from the normalized output with the help of Fractal Dimension (FD) analysis. Then, the Grasshopper Bio-Inspired Swarm Optimization (GBSO) technique is employed to select the optimal features by computing the best fitness value and the Temporal Activation Expansive Neural Network (TAENN) mechanism is used for classifying the EEG signals to determine whether normal or seizure affected. Numerous intelligence algorithms, such as preprocessing, optimization, and classification, are used in the literature to identify epileptic seizures based on EEG signals. The primary issues facing the majority of optimization approaches are reduced convergence rates and higher computational complexity. Furthermore, the problems with machine learning approaches include a significant method complexity, intricate mathematical calculations, and a decreased training speed. Therefore, the goal of the proposed work is to put into practice efficient algorithms for the recognition and categorization of epileptic seizures based on EEG signals. The combined effect of the proposed FLHF, FD, GBSO, and TAENN models might dramatically improve disease detection accuracy while decreasing complexity of system along with time consumption as compared to the prior techniques. By using the proposed methodology, the overall average epileptic seizure detection performance is increased to 99.6% with f-measure of 99% and G-mean of 98.9% values.

Implementation of a non-linear SVM classification for seizure EEG signal analysis on FPGA

An automatic detection method for disease diagnosis plays an important role in the medical field. A computer-aided diagnosis (CAD) system for seizure detection using electroencephalogram (EEG) data is significant in protecting patients' lives. This paper presents machine learning algorithm-based seizure detection approach implemented in both software and hardware using EEG recordings. The input EEG signal is subjected to pre-processing, decomposition using wavelet transform and classification by a support vector machine (SVM) classifier. The maximum and variance statistical values of the decomposed EEG sub-bands are computed to generate a feature vector, while classification accuracy and computational complexity are taken into account. Gaussian Radial Basis Function (RBF) kernel based Non-Linear SVM (NLSVM) is used in this proposed approach to solve both two-class and three-class classification problems. In three-class classification, the one-against-one (OAO) technique is used. The competency of the proposed technique is evaluated using two distinct datasets provided by Bonn University, Germany & Neurology and Sleep Centre, New Delhi. The adequate parameters of the NLSVM classifier model are determined by using MATLAB software in the training phase and the best performing NLSVM model is selected for implementation on the Field-Programmable Gate Array (FPGA). The proposed seizure detection method is implemented with Verilog code and examined on a Xilinx Zynq-7000 XC7Z020 FPGA board to evaluate its performance. The experimental results show that the proposed method with a minimal number of features achieved a good performance metric for seizure detection and is comparable with that of the state-of-the-art methods.

Automatic epileptic seizure detection based on EEG using a moth-flame optimization of one-dimensional convolutional neural networks.

Frequent epileptic seizures can cause irreversible damage to the brains of patients. A potential therapeutic approach is to detect epileptic seizures early and provide artificial intervention to the patient. Currently, extracting electroencephalogram (EEG) features to detect epileptic seizures often requires tedious methods or the repeated adjustment of neural network hyperparameters, which can be time- consuming and demanding for researchers. This study proposes an automatic detection model for an EEG based on moth-flame optimization (MFO) optimized one-dimensional convolutional neural networks (1D-CNN). First, according to the characteristics and need for early epileptic seizure detection, a data augmentation method for dividing an EEG into small samples is proposed. Second, the hyperparameters are tuned based on MFO and trained for an EEG. Finally, the softmax classifier is used to output EEG classification from a small-sample and single channel. The proposed model is evaluated with the Bonn EEG dataset, which verifies the feasibility of EEG classification problems that involve up to five classes, including healthy, preictal, and ictal EEG from various brain regions and individuals. Compared with existing advanced optimization algorithms, such as particle swarm optimization, genetic algorithm, and grey wolf optimizer, the superiority of the proposed model is further verified. The proposed model can be implemented into an automatic epileptic seizure detection system to detect seizures in clinical applications.

Seizure detection using dynamic memristor-based reservoir computing and leaky integrate-and-fire neuron for post-processing

Epilepsy is a prevalent neurological disorder, rendering the development of automated seizure detection systems imperative. While complex machine learning models are powerful, their training and hardware deployment remain challenging. The reservoir computing system offers a low-cost solution in terms of both hardware requirements and training. In this paper, we introduce a compact reservoir computing system for seizure detection, based on the α-In2Se3 dynamic memristors. Leaky integrate-and-fire neurons are used for post-processing the output of the system, and experimental results indicate their effectiveness in suppressing erroneous outputs, where both accuracy and specificity are enhanced by over 2.5%. The optimized compact reservoir system achieves 96.40% accuracy, 86.34% sensitivity, and 96.56% specificity in seizure detection tasks. This work demonstrates the feasibility of using reservoir computing for seizure detection and shows its potential for future application in extreme edge devices.

Field programmable gate array‐based energy‐efficient and fast epileptic seizure detection using support vector machine and quadratic discriminant analysis classifier

AbstractEpilepsy is a serious neurological disorder that results in seizures. It can be diagnosed by analyzing the brain's electrical activity using an electroencephalogram (EEG). However, the detection of seizures from massive EEG datasets is a challenging task. To address this challenge, researchers have developed several machine‐learning classifiers and feature extraction techniques for detecting seizures. This paper proposes an energy‐efficient and fast field programmable gate array (FPGA) architecture for detecting epileptic seizures using minimal computational resources. The seizure detection system uses the one Hjorth parameter (mobility) and another statistical parameter (nonlinear energy) as features and employs two efficient classifiers, quadratic discriminant analysis and linear support vector machine (LSVM), for classifying signals into seizure and nonseizure categories. The feature extractor block is connected individually to each of these classifiers. Subsequently, the performance of these two proposed models is evaluated in terms of accuracy, sensitivity, power consumption, resource utilization, and other metrics. The results demonstrate that the SVM classifier‐based model achieved the highest accuracy (99.4%) and sensitivity (98.8%) while consuming minimal dynamic power (0.057 mW) and utilizing the minimum FPGA resources. Thus, the proposed hardware system offers a reliable and energy‐efficient solution for detecting seizures in clinical and real‐time applications.

CAD system for epileptic seizure detection from EEG through image processing and SURF-BOF technique

Abstract Epilepsy is one of the most debilitating neurological diseases that abruptly alters a person’s way of life. Manual diagnosis is a laborious and time-consuming task prone to human error. Therefore, automating this task by developing an intelligent system is necessary. Existing deep learning (DL) models require high training time, large datasets, and machines with more memory and processing power. In addition, owing to the black-box nature of DL models, no one can determine the features that the network prefers for classification decisions. To overcome these challenges, this study proposes an accurate, automatic, and fast-intelligent system for epilepsy detection using a computer-aided diagnosis (CAD) -two-dimensional machine learning (ML) framework. Existing ML models struggle to produce reliable and acceptable diagnostic results owing to the low amplitude and nonstationary nature of electroencephalograms (EEGs), particularly in clinical situations where environmental influences are almost impossible to eliminate. The proposed model was built using the Children’s Hospital Boston and the Massachusetts Institute of Technology dataset, and represents the first study that employs the speeded-up robust feature (SURF) bag of features technique for this application, which generates local features from spectrogram images of the respective one-dimensional EEG signal inputs. In addition, DL features were extracted from the spectrogram images for model performance comparison. Both features were used separately to train the ML classifiers. Implementing SURF offers fast computation and makes the model invariant to distortions, noise, scaling, and so on. Therefore, the proposed model is more suitable for real-time applications, and this ML framework provides an enhanced accuracy of 99.78% compared to the support vector machine-RBF classifier, along with 99.56% sensitivity, 100% specificity, and an error rate of 0.22%. The higher detection accuracy demonstrates the effectiveness of the proposed framework for medical disease diagnosis applications.

A Novel Prognostic Model Using Chaotic CNN with Hybridized Spoofing for Enhancing Diagnostic Accuracy in Epileptic Seizure Prediction.

Epileptic seizure detection has undergone progressive advancements since its conception in the 1970s. From proof-of-concept experiments in the latter part of that decade, it has now become a vibrant area of clinical and laboratory research. In an effort to bring this technology closer to practical application in human patients, this study introduces a customized approach to selecting electroencephalogram (EEG) features and electrode positions for seizure prediction. The focus is on identifying precursors that occur within 10 min of the onset of abnormal electrical activity during a seizure. However, there are security concerns related to safeguarding patient EEG recordings against unauthorized access and network-based attacks. Therefore, there is an urgent need for an efficient prediction and classification method for encrypted EEG data. This paper presents an effective system for analyzing and recognizing encrypted EEG information using Arnold transform algorithms, chaotic mapping, and convolutional neural networks (CNNs). In this system, the EEG time series from each channel is converted into a 2D spectrogram image, which is then encrypted using chaotic algorithms. The encrypted data is subsequently processed by CNNs coupled with transfer learning (TL) frameworks. To optimize the fusion parameters of the ensemble learning classifiers, a hybridized spoofing optimization method is developed by combining the characteristics of corvid and gregarious-seeking agents. The evaluation of the model's effectiveness yielded the following results: 98.9 ± 0.3% accuracy, 98.2 ± 0.7% sensitivity, 98.6 ± 0.6% specificity, 98.6 ± 0.6% precision, and an F1 measure of 98.9 ± 0.6%. When compared with other state-of-the-art techniques applied to the same dataset, this novel strategy demonstrated one of the most effective seizure detection systems, as evidenced by these results.

EEG-based epileptic seizure detection using binary dragonfly algorithm and deep neural network

Electroencephalogram (EEG) is one of the most common methods used for seizure detection as it records the electrical activity of the brain. Symmetry and asymmetry of EEG signals can be used as indicators of epileptic seizures. Normally, EEG signals are symmetrical in nature, with similar patterns on both sides of the brain. However, during a seizure, there may be a sudden increase in the electrical activity in one hemisphere of the brain, causing asymmetry in the EEG signal. In patients with epilepsy, interictal EEG may show asymmetric spikes or sharp waves, indicating the presence of epileptic activity. Therefore, the detection of symmetry/asymmetry in EEG signals can be used as a useful tool in the diagnosis and management of epilepsy. However, it should be noted that EEG findings should always be interpreted in conjunction with the patient's clinical history and other diagnostic tests. In this paper, we propose an EEG-based improved automatic seizure detection system using a Deep neural network (DNN) and Binary dragonfly algorithm (BDFA). The DNN model learns the characteristics of the EEG signals through nine different statistical and Hjorth parameters extracted from various levels of decomposed signals obtained by using the Stationary Wavelet Transform. Next, the extracted features were reduced using the BDFA which helps to train DNN faster and improve its performance. The results show that the extracted features help to differentiate the normal, interictal, and ictal signals effectively with 100% accuracy, sensitivity, specificity, and F1 score with a 13% selected feature subset when compared to the existing approaches.

A novel finite spectral entropy: Gated term memory unit recursive network integrated with Ladybug Beetle Optimization algorithm for epileptic seizure detection.

Professional medical experts use a visual electroencephalography (EEG) signal for epileptic seizure detection, although this method is time-consuming and highly subject to bias. The majority of previous epileptic detection techniques have poor efficiency, detection performance and also which are unsuited to handle large datasets. In order to solve the aforementioned issues and to assist medical professionals with an advanced technology, a computerized epileptic seizure detection system is essential. Therefore, the proposed work intends to design an automated detection tool for predicting an epileptic seizure from EEG signals. For this purpose, a novel non-linear feature analysis and deep learning algorithms are deployed in this work. Initially, the signal decomposition, filtering and artifacts removal operations are carried out with the use of finite Haar wavelet transformation technique. After that, the finite spectral entropy (FSE) based feature extraction model has been used to extract the time, frequency, and time-frequency features from the normalized signal. Consequently, the novel gated term memory unit recursive network (GTRN) model is employed to predict the given EEG signal as whether healthy or seizure affected including the class with high accuracy. During this process, the recently developed Ladybug Beetle Optimization (LBO) algorithm is used to compute the logistic sigmoid function based on the solution. The purpose of using this algorithm is to simplify the process of classification with increased seizure prediction accuracy and performance. Moreover, the standard and popular benchmark EEG datasets are used to validate and test the results of the proposed FSE-GTRN-LBO mechanism. By leveraging the finite Haar wavelet transformation and FSE-based feature extraction, we can efficiently process EEG signals. The utilization of the GTRN model enables accurate classification of healthy and seizure-affected EEG data. To optimize the classification process further, we integrate the LBO algorithm, streamlining the computation of the logistic sigmoid function. Through comprehensive validation on standard EEG datasets, our proposed FSE-GTRN-LBO mechanism achieves outstanding seizure prediction accuracy and performance, surpassing existing state-of-the-art techniques.

Enhancing EEG signal analysis with geometry invariants for multichannel fusion

Automated computer-aided diagnosis (CAD) has become an essential approach in the early detection of health issues. One of the significant benefits of this approach is high accuracy and low computational complexity without sacrificing model performance. Electroencephalogram (EEG) signals with seizure detection are one of the critical areas where CAD systems have been developed. In this study, we proposed a CAD system for seizure detection that prioritizes optimizing the solution’s complexity. The proposed approach combines geometry invariants multi-channel fusion and amplitude normalization for input data preparation, and experiments on the frequency domain and CNN architecture for reducing complexity. Furthermore, the study includes explainability experiments that should aim to interpret not only the performance of the model but also the analysis of the patterns that contributed to the obtained results. The results demonstrate the effectiveness of the proposed model and its suitability for decision support in both clinical and home environments.

Automated diagnosis of epileptic seizures using EEG image representations and deep learning

BackgroundThe identification of seizure and its complex waveforms in electroencephalography (EEG) through manual examination is time consuming, tedious, and susceptible to human mistakes. These issues have prompted the design of an automated seizure detection system that can assist the neurophysiologists by providing a fast and accurate analysis. MethodsExisting automated seizure detection systems are either machine learning based or deep learning based. Machine learning based algorithms employ handcrafted features with sophisticated feature selection approaches. As a result of which their performance varies with the choice of the feature extraction and selection techniques employed. On the other hand, deep learning-based methods automatically deduce the best subset of features required for the categorization task but they are computationally expensive and lacks generalization on clinical EEG datasets. To address the above stated limitations and motivated by the advantage of continuous wavelet transform's (CWT) in elucidating the non-stationary nature of the EEG signals in a better way, we propose an approach based on EEG image representations (constructed via applying WT at different scale and time intervals) and transfer learning for seizure detection. Firstly, the pre-trained model is fine-tuned on the EEG image representations and thereafter features are extracted from the trained model by performing activations on different layers of the network. Subsequently, the features are passed through a Support Vector Machine (SVM) for categorization using a 10-fold data partitioning scheme. Results and comparison with existing methodsThe proposed mechanism results in a ceiling level of classification performance (accuracy=99.50/98.67, sensitivity=100/100 & specificity=99/96) for both the standard and the clinical dataset that are better than the existing state-of-the art works. ConclusionThe rapid advancement in the field of deep learning has created a paradigm shift in automated diagnosis of epilepsy. The proposed tool has effectually marked the relevant EEG segments for the clinician to review thereby reducing the time burden in scanning the long duration EEG records.

Performance comparison of bio-inspired and learning-based clustering analysis with machine learning techniques for classification of EEG signals.

A comprehensive analysis of an automated system for epileptic seizure detection is explained in this work. When a seizure occurs, it is quite difficult to differentiate the non-stationary patterns from the discharges occurring in a rhythmic manner. The proposed approach deals with it efficiently by clustering it initially for the sake of feature extraction by using six different techniques categorized under two different methods, e.g., bio-inspired clustering and learning-based clustering. Learning-based clustering includes K-means clusters and Fuzzy C-means (FCM) clusters, while bio-inspired clusters include Cuckoo search clusters, Dragonfly clusters, Firefly clusters, and Modified Firefly clusters. Clustered values were then classified with 10 suitable classifiers, and after the performance comparison analysis of the EEG time series, the results proved that this methodology flow achieved a good performance index and a high classification accuracy. A comparatively higher classification accuracy of 99.48% was achieved when Cuckoo search clusters were utilized with linear support vector machines (SVM) for epilepsy detection. A high classification accuracy of 98.96% was obtained when K-means clusters were classified with a naive Bayesian classifier (NBC) and Linear SVM, and similar results were obtained when FCM clusters were classified with Decision Trees yielding the same values. The comparatively lowest classification accuracy, at 75.5%, was obtained when Dragonfly clusters were classified with the K-nearest neighbor (KNN) classifier, and the second lowest classification accuracy of 75.75% was obtained when Firefly clusters were classified with NBC.

Optimizing Electrode Configurations for Wearable EEG Seizure Detection Using Machine Learning

Epilepsy, a prevalent neurological disorder, profoundly affects patients’ quality of life due to the unpredictable nature of seizures. The development of a reliable and user-friendly wearable EEG system capable of detecting and predicting seizures has the potential to revolutionize epilepsy care. However, optimizing electrode configurations for such systems, which is crucial for balancing accuracy and practicality, remains to be explored. This study addresses this gap by developing a systematic approach to optimize electrode configurations for a seizure detection machine-learning algorithm. Our approach was applied to an extensive database of prolonged annotated EEG recordings from 158 epilepsy patients. Multiple electrode configurations ranging from one to eighteen were assessed to determine the optimal number of electrodes. Results indicated that the performance was initially maintained as the number of electrodes decreased, but a drop in performance was found to have occurred at around eight electrodes. Subsequently, a comprehensive analysis of all eight-electrode configurations was conducted using a computationally intensive workflow to identify the optimal configurations. This approach can inform the mechanical design process of an EEG system that balances seizure detection accuracy with the ease of use and portability. Additionally, this framework holds potential for optimizing hardware in other machine learning applications. The study presents a significant step towards the development of an efficient wearable EEG system for seizure detection.

Evaluation of Automated Seizure Detection Measurements in Cardiac Arrest Patients Undergoing Ceribell Rapid-EEG (S30.009)

<h3>Objective:</h3> To retrospectively evaluate the performance of the Clarity™ automated seizure detection system (Ceribell, Inc) for the detection of seizures and status epilepticus in cardiac arrest patients. <h3>Background:</h3> In cardiac arrest patients who remain comatose after return of spontaneous circulation, seizures and EEG abnormalities are common. Thus, guidelines recommend urgent EEG initiation for evaluation of seizures in this population. Point-of-care EEG systems, such as Ceribell™ Rapid-EEG, allow for prompt initiation of EEG monitoring, albeit through a limited-channel montage. Rapid-EEG incorporates an automated seizure detection software (Clarity™) to measure seizure burden in real time and alert clinicians when a high seizure burden, consistent with possible status epilepticus, is identified. External validation of Clarity is still needed. <h3>Design/Methods:</h3> This study was a retrospective review of Ceribell Rapid-EEG recordings from all the patients who were admitted to the medical intensive care unit at Kent Hospital (Warwick, RI, USA) between 6/1/2021 and 3/18/2022 for management after cardiac arrest and who underwent Rapid-EEG monitoring as part of their routine clinical care (n=21). Board-certified epileptologists identified events that met criteria for seizures or status epilepticus, as per the 2021 American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology, and evaluated any seizure burden detections generated by Clarity. <h3>Results:</h3> In this study, 4 of 21 cardiac arrest patients (19.0%) who underwent Rapid-EEG monitoring had multiple electrographic seizures, and 2 of those patients (9.5%) had electrographic status epilepticus within the first 24 hours of the study. None of these ictal abnormalities were detected by the Clarity seizure detection system. Clarity showed 0% seizure burden during all these events. <h3>Conclusions:</h3> The presence of frequent seizures and/or status epilepticus may go undetected by currently available automated seizure detection systems. Timely and careful review of all raw Rapid-EEG recordings by a qualified human EEG reader is necessary to guide clinical care. <b>Disclosure:</b> Dr. Villamar has a non-compensated relationship as a Member of Editorial Board with Neurology: Clinical Practice that is relevant to AAN interests or activities. Dr. Villamar has a non-compensated relationship as a Member of Editorial Board with The Neurohospitalist that is relevant to AAN interests or activities. The institution of Dr. Ayub has received research support from Brown Physicians Incorporated. Dr. Koenig has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Fuji SonoSite. Dr. Koenig has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Medscape.

EEG seizure detection: concepts, techniques, challenges, and future trends.

A central nervous system disorder is usually referred to as epilepsy. In epilepsy brain activity becomes abnormal, leading to times of abnormal behavior or seizures, and at times loss of awareness. Consequently, epilepsy patients face problems in daily life due to precautions they must take to adapt to this condition, particularly when they use heavy equipment, e.g., vehicle derivation. Epilepsy studies rely primarily on electroencephalography (EEG) signals to evaluate brain activity during seizures. It is troublesome and time-consuming to manually decide the location of seizures in EEG signals. The automatic detection framework is one of the principal tools to help doctors and patients take appropriate precautions. This paper reviews the epilepsy mentality disorder and the types of seizure, preprocessing operations that are performed on EEG data, a generally extracted feature from the signal, and a detailed view on classification procedures used in this problem and provide insights on the difficulties and future research directions in this innovative theme. Therefore, this paper presents a review of work on recent methods for the epileptic seizure process along with providing perspectives and concepts to researchers to present an automated EEG-based epileptic seizure detection system using IoT and machine learning classifiers for remote patient monitoring in the context of smart healthcare systems. Finally, challenges and open research points in EEG seizure detection are investigated.

Personalized seizure detection using logistic regression machine learning based on wearable ECG-monitoring device.

PurposeWearable automated detection devices of focal epileptic seizures are needed to alert patients and caregivers and to optimize the medical treatment. Heart rate variability (HRV)-based seizure detection devices have presented good detection sensitivity. However, false alarm rates (FAR) are too high. MethodsIn this phase-2 study we pursued to decrease the FAR, by using patient-adaptive logistic regression machine learning (LRML) to improve the performance of a previously published HRV-based seizure detection algorithm. ECG-data were prospectively collected using a dedicated wearable electrocardiogram-device during long-term video-EEG monitoring. Sixty-two patients had 174 seizures during 4,614 h recording. The dataset was divided into training-, cross-validation-, and test-sets (chronological) in order to avoid overfitting. Patients with >50 beats/min change in heart rate during first recorded seizure were selected as responders. We compared 18 LRML-settings to find the optimal algorithm. ResultsThe patient-adaptive LRML-classifier in combination with using only responders to train the initial decision boundary was superior to both the generic approach and including non-responders to train the LRML-classifier. Using the optimal setting of the LRML in responders in the test dataset yielded a sensitivity of 78.2% and FAR of 0.62/24 h. The FAR was reduced by 31% compared to the previous method, upholding similar sensitivity. ConclusionThe novel, patient-adaptive LRML seizure detection algorithm outperformed both the generic approach and the previously published patient-tailored method. The proposed method can be implemented in a wearable online HRV-based seizure detection system alerting patients and caregivers of seizures and improve seizure-count which may help optimizing the patient treatment.

Barnes–Hut approximation based accelerating t-SNE for seizure detection

Background:Automatic detection of epileptic seizures is critical in the paradigm of epilepsy diagnosis and in relieving the cumbersome visual inspection of electroencephalogram (EEG) recordings. A speedy algorithm could help in more reliable monitoring and detection of seizures. Methods and materials:In this study, we aim to provide an EEG-based seizure detection system with computational efficiency and improved performance. In the proposed work, many features including temporal, spectral, and non-linear features from each intrinsic mode function (IMF) of empirical mode decomposition (EMD) have been used. Barnes–Hut approximation-based t-stochastic neighborhood embedding (bh t-SNE) was explored for the first time to observe the reduction in computational time (CT) period in the automatic seizure detection system. Three classes of widely-used EEG Bonn datasets were used to assess the performance of the proposed method. Results:The proposed Barnes–Hut-based accelerating t-SNE along with SVM and KNN reduced more than half of the classification time with the same accuracy. The classifier takes 2.147±0.1 s for SVM and 1.216±0.1 s for KNN without the proposed t-SNE and 1.31±0.1 s for SVM and 0.736±0.1 s for KNN (at the trade-off parameter θ=0.5) with the proposed Barnes–hut based t-SNE (bh t-SNE) at an accuracy of 100%. Conclusions: The findings of the experimental work indicate that the proposed method is effective in reducing the computational time while maintaining the required efficacy. As a result, the inclusion of these algorithms in hardware might prove to be effective in assisting neurologists in detecting seizures.

Automated Seizure Detection in Patients with Cardiac Arrest: A Retrospective Review of Ceribell™ Rapid-EEG Recordings.

In patients with cardiac arrest who remain comatose after return of spontaneous circulation, seizures and other abnormalities on electroencephalogram (EEG) are common. Thus, guidelines recommend urgent initiation of EEG for the evaluation of seizures in this population. Point-of-care EEG systems, such as Ceribell™ Rapid Response EEG (Rapid-EEG), allow for prompt initiation of EEG monitoring, albeit through a reduced-channel montage. Rapid-EEG incorporates an automated seizure detection software (Clarity™) to measure seizure burden in real time and alert clinicians at the bedside when a high seizure burden, consistent with possible status epilepticus, is identified. External validation of Clarity is still needed. Our goal was to evaluate the real-world performance of Clarity for the detection of seizures and status epilepticus in a sample of patients with cardiac arrest. This study was a retrospective review of Rapid-EEG recordings from all the patients who were admitted to the medical intensive care unit at Kent Hospital (Warwick, RI) between 6/1/2021 and 3/18/2022 for management after cardiac arrest and who underwent Rapid-EEG monitoring as part of their routine clinical care (n = 21). Board-certified epileptologists identified events that met criteria for seizures or status epilepticus, as per the 2021 American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology, and evaluated any seizure burden detections generated by Clarity. In this study, 4 of 21 patients with cardiac arrest (19.0%) who underwent Rapid-EEG monitoring had multiple electrographic seizures, and 2 of those patients (9.5%) had electrographic status epilepticus within the first 24h of the study. None of these ictal abnormalities were detected by the Clarity seizure detection system. Clarity showed 0% seizure burden throughout the entirety of all four Rapid-EEG recordings, including the EEG pages that showed definite seizures or status epilepticus. The presence of frequent electrographic seizures and/or status epilepticus can go undetected by Clarity. Timely and careful review of all raw Rapid-EEG recordings by a qualified human EEG reader is necessary to guide clinical care, regardless of Clarity seizure burden measurements.

Modeling and Simulation of Circuit-Level Nonidealities for an Analog Computing Design Approach With Application to EEG Feature Extraction

This article presents a design approach for the modeling and simulation of ultralow power (ULP) analog computing machine learning (ML) circuits for seizure detection using electroencephalography (EEG) signals in wearable health monitoring applications. In this article, we describe a new analog system modeling and simulation technique to associate power consumption, noise, linearity, and other critical performance parameters of analog circuits with the classification accuracy of a given ML network, which allows to realize a power and performance optimized analog ML hardware implementation based on diverse application-specific needs. We carried out circuit simulations to obtain nonidealities, which are then mathematically modeled for an accurate mapping. We have modeled noise, nonlinearity, resolution, and process variations such that the model can accurately obtain the classification accuracy of the analog computing-based seizure detection system. Noise has been modeled as an input-referred white noise that can be directly added at the input. Device process and temperature variations were modeled as random fluctuations in circuit parameters, such as gain and cut-off frequency. Nonlinearity was mathematically modeled as a power series. The combined system level model was then simulated for classification accuracy assessments. The design approach helps to optimize power and area during the development of tailored analog circuits for ML networks with the ability to potentially trade power and performance goals while still ensuring the required classification accuracy. The simulation technique also enables to determine target specifications for each circuit block in the analog computing hardware. This is achieved by developing the ML hardware model, and investigating the effect of circuit nonidealities on classification accuracy. Simulation of an analog computing EEG seizure detection block shows a classification accuracy of 91%. The proposed modeling approach will significantly reduce design time and complexity of large analog computing systems. Two feature extraction approaches are also compared for an analog computing architecture.

An effectual IOT coupled EEG analysing model for continuous patient monitoring

A persistent neurological condition known as epilepsy is characterized by aberrant brain electrical activity. Epilepsy is a disorder characterized by sporadic symptoms and aberrant electrical brain activity that is spasmodic. Such aberrations are supported by non-stationary, non-linear, and multidimensional clinical data. Such data processing and analysis present a variety of computing research difficulties. One of the most often used signals obtained from the human brain in both science and therapeutic settings is the electroencephalogram (EEG). It is an effective resource for offering insightful knowledge of the mechanics of the brain. EEG signal analyses that are precise and thorough are crucial in the diagnosis of brain diseases like epilepsy. The EEG signal is well-liked in the field of biomedical study because of its notable temporal solution, non-invasive recording setup, and convenience with minimal costs. Currently, skilled neurologists make a diagnosis by visually examining EEG information to determine the most likely course of action. It takes time and is error-prone to visually inspect high-dimensional and non-stationary EEG recordings. An automated seizure detector is a crucial tool for better understanding how seizures are generated as well as a relief for medical experts who become exhausted when viewing a continuous, massive, long-term recording. As it records from at least 16 channels, the multichannel automatic seizure detection system is large. It is difficult to use such a method on distantly located subjects. The suggested system gathers data from IoT devices, and patient history-related electronic clinical data that are saved in the cloud were subjected to predictive analytics. The Bi-LSTM-based intelligent healthcare system for tracking and precisely forecasting brain risk. The trade-off between the current system and the current methods is anticipated in the results section.