Computationally-Efficient Algorithm for Real-Time Absence Seizure Detection in Wearable Electroencephalography

Advances in electroencephalography (EEG) equipment now allow monitoring of people with epilepsy in their daily-life environment. The large volumes of data that can be collected from long-term out-of-clinic monitoring require novel algorithms to process the recordings on board of the device to identify and log or transmit only relevant data epochs. Existing seizure-detection algorithms are generally designed for post-processing purposes, so that memory and computing power are rarely considered as constraints. We propose a novel multi-channel EEG signal processing method for automated absence seizure detection which is specifically designed to run on a microcontroller with minimal memory and processing power. It is based on a linear multi-channel filter that is precomputed offline in a data-driven fashion based on the spatial-temporal signature of the seizure and peak interference statistics. At run-time, the algorithm requires only standard linear filtering operations, which are cheap and efficient to compute, in particular on microcontrollers with a multiply-accumulate unit (MAC). For validation, a dataset of eight patients with juvenile absence epilepsy was collected. Patients were equipped with a 20-channel mobile EEG unit and discharged for a day-long recording. The algorithm achieves a median of 0.5 false detections per day at 95% sensitivity. We compare our algorithm with state-of-the-art absence seizure detection algorithms and conclude it performs on par with these at a much lower computational cost.