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Automatic responsiveness testing in epilepsy with wearable technology: The ARTiE Watch
Lydia Wheeler1,2, Vaclav Kremen1, Cole Mersereau3
1Department of Neurology, Bioelectronics Neurophysiology, and Engineering Lab, Mayo Clinic, Rochester, Minnesota, USA.
Epilepsia
|November 19, 2024
Summary
The ARTiE Watch, a novel mobile platform, provides objective and standardized behavioral responsiveness testing during epilepsy seizures. This technology improves epilepsy diagnosis and management by overcoming limitations of current subjective methods.
Area of Science:
- Neurology
- Medical Devices
- Digital Health
Background:
- Assessing behavioral responsiveness in epilepsy is crucial but current methods lack standardization and reliability.
- Subjectivity and variability in traditional assessments hinder accurate diagnosis and management of epilepsy.
Purpose of the Study:
- To develop and implement the ARTiE Watch, a mobile platform for automated, objective responsiveness testing during seizures.
- To facilitate standardized assessments of behavioral responsiveness in epilepsy patients during and after seizures.
Main Methods:
- Prospective recruitment of epilepsy monitoring unit patients at Mayo Clinic and Yale New Haven Hospital.
- Deployment of the ARTiE Watch (smartwatch with cloud-integrated software) for standardized behavioral testing.
- Utilized 18 command prompts testing motor, language, and memory domains, activated remotely during electrographic seizures.
Main Results:
- The ARTiE Watch assessed 39 seizures in 18 participants, with 67 baseline tests for comparison.
- Demonstrated significantly decreased responsiveness during ictal-postictal periods compared to baseline (p < .0001).
- Identified distinct responsiveness phenotypes, with bilateral tonic-clonic and focal impaired awareness seizures showing greater deficits.
Conclusions:
- The ARTiE Watch, via a mobile cloud-based platform, offers a feasible method for objective behavioral responsiveness assessment during seizures.
- This technology enables standardized, reliable evaluations, improving epilepsy care.
- ARTiE Watch facilitates objective data collection, overcoming limitations of current subjective assessment methods.
