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Author Spotlight: Unraveling Seizure Dynamics and Novel Therapeutics for Status Epilepticus Using CMOS High-Density Microelectrode Array Systems
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Two-stage Hardware-Friendly Epileptic Seizure Detection Method with a Dynamic Feature Selection

Keyvan Farhang Razi, Alexandre Schmid

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |December 11, 2021
    PubMed

    Abstract:

    A novel low-complexity method of detecting epileptic seizures from intracranial encephalography (iEEG) signals is presented. In the proposed algorithm, coastline, energy and nonlinear energy features of iEEG signals are extracted in a patient-specific two-stage seizure detection system. The detection stage of the proposed system, which extracts two times more features than the monitoring stage, is only powered on when the monitoring stage detects a seizure occurrence. A new metric is defined to demonstrate the significance of the two-stage architecture and show the time duration over which the detection stage is activated. The new parameter is called detection stage activation ratio (DAR) and it is equal to 0.272 in this work. In addition, the proposed seizure detector outperforms other algorithms which utilize a single feature or multiple features continuously in terms of sensitivity, specificity and DAR. Therefore, it is highly suitable for seizure detector implants in which reducing the power consumption is a critical factor to increase the lifetime of the implanted battery. The algorithm is implemented on a Cyclone V FPGA and has a low dynamic power of 1 μW when tested on human iEEG signals of six patients from the Bern Inselspital dataset. It reaches a perfect sensitivity of 100% tested on 120 hours of iEEG data containing 24 seizure periods of six patients.

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    Epilepsy and Seizures: Overview01:24

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    Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
    Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
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    Seizures: Classification01:13

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    Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
    Seizures are typically classified into two main categories: focal and generalized seizures.
    Focal Seizures
    Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
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