Early Detection of Human Epileptic Seizures Based on Intracortical Microelectrode Array Signals

Controllability of nonlinear epileptic-seizure spreading dynamics in large-scale subject-specific brain networks

Closed-loop electrical stimulation has become an important alternative to resective surgery for control of pharmacologically-resistant focal epileptic seizures. Seizure spread across large-scale brain networks, rather than its focal onset, is what commonly leads to major disruptions in sensorimotor and cognitive processing, as well as loss-of-consciousness, one of the main impairing aspects of the disorder. Electrical stimulation, triggered by early detection of seizure onset in epileptogenic zones (EZs), has been applied to prevent spread and its subsequent effects. Here, we show how linear feedback seizure-spread controllability in subject-specific (white-matter tractography) Epileptor network models is affected by variations in brain excitability, network coupling strength, control latency and gain, and actuation targets. Feedback control can qualitatively change the nonlinear seizure dynamics, and the paths to seizure termination and spread prevention. Notably, control onset latency is a critical parameter leading to a phase transition in spread controllability. Consequently, the efficacy of EZ-only actuation is limited depending on network excitability, coupling strength, and practical latencies for detection and actuation. Additional feedback-stabilization control of theoretically-derived optimal node subsets in the network are necessary for spread prevention. Finally, we contrast our linear-feedback controllability assessment with other measures based on minimum-energy (Gramian) controllability and nonlinear pulse-perturbation approaches.

Time series segmentation for recognition of epileptiform patterns recorded via microelectrode arrays in vitro

Epilepsy is a prevalent neurological disorder that affects approximately 1% of the global population. Approximately 30-40% of patients respond poorly to antiepileptic medications, leading to a significant negative impact on their quality of life. Closed-loop deep brain stimulation (DBS) is a promising treatment for individuals who do not respond to medical therapy. To achieve effective seizure control, algorithms play an important role in identifying relevant electrographic biomarkers from local field potentials (LFPs) to determine the optimal stimulation timing. In this regard, the detection and classification of events from ongoing brain activity, while achieving low power consumption through computationally inexpensive implementations, represents a major challenge in the field. To address this challenge, we here present two algorithms, the ZdensityRODE and the AMPDE, for identifying relevant events from LFPs by utilizing time series segmentation (TSS), which involves extracting different levels of information from the LFP and relevant events from it. The algorithms were validated validated against epileptiform activity induced by 4-aminopyridine in mouse hippocampus-cortex (CTX) slices and recorded via microelectrode array, as a case study. The ZdensityRODE algorithm showcased a precision and recall of 93% for ictal event detection and 42% precision for interictal event detection, while the AMPDE algorithm attained a precision of 96% and recall of 90% for ictal event detection and 54% precision for interictal event detection. While initially trained specifically for detecting ictal activity, these algorithms can be fine-tuned for improved interictal detection, aiming at seizure prediction. Our results suggest that these algorithms can effectively capture epileptiform activity, supporting seizure detection and, possibly, seizure prediction and control. This opens the opportunity to design new algorithms based on this approach for closed-loop stimulation devices using more elaborate decisions and more accurate clinical guidelines.

Application of deconvolutional networks for feature interpretability in epilepsy detection

Introduction

Scalp electroencephalography (EEG) is commonly used to assist in epilepsy detection. Even automated detection algorithms are already available to assist clinicians in reviewing EEG data, many algorithms used for seizure detection in epilepsy fail to account for the contributions of different channels. The Fully Convolutional Network (FCN) can provide the model's interpretability but has not been applied in seizure detection.

Methods

To address these challenges, a novel convolutional neural network (CNN) model, combining SE (Squeeze-and-Excitation) modules, was proposed on top of the FCN. The epilepsy detection performance for patient-independent was evaluated on the CHB-MIT dataset. Then, the SE module was removed from the model and integrated the model with Inception, ResNet, and CBAM modules separately.

Results

The method showed superior advancement, stability, and reliability compared to the other three methods. The method demonstrated a G-Mean of 82.7% for sensitivity (SEN) and specificity (SPE) on the CHB-MIT dataset. In addition, The contributions of each channel to the seizure detection task have also been quantified, which led us to find that the FZ, CZ, PZ, FT9, FT10, and T8 brain regions have a more pronounced impact on epileptic seizures.

Discussion

This article presents a novel algorithm for epilepsy detection that accurately identifies seizures in different patients and enhances the model's interpretability.

A Hardware-Efficient Novelty-Aware Spike Sorting Approach for Brain-Implantable Microsystems

Unsupervised spike sorting, a vital processing step in real-time brain-implantable microsystems, is faced with the prominent challenge of managing nonstationarity in neural signals. In long-term recordings, spike waveforms gradually change and new source neurons are likely to become activated. Adaptive spike sorters combined with on-implant training units effectively process the nonstationary signals at the cost of high hardware resource utilization. On the other hand, static approaches, while being hardware-friendly, are subjected to decreased processing performance in such recordings where the neural signal characteristics gradually change. To strike a balance between the hardware cost and processing performance, this study proposes a hardware-efficient novelty-aware spike sorting approach that is capable of dealing with both variated spike waveforms and spike waveforms generated from new source neurons. Its improved hardware efficiency compared to adaptive ones and capability of dealing with nonstationary signals make it attractive for implantable applications. The proposed novelty-aware spike sorting especially would be a good fit for brain-computer interfaces where long-term, real-time interaction with the brain is required, and the available on-implant hardware resources are limited. Our unsupervised spike sorting benefits from a novelty detection process to deal with neural signal variations. It tracks the spike features so that in case of detecting an unexpected change (novelty detection) both on and off-implant parameters are updated to preserve the performance in new state. To make the proposed approach agile enough to be suitable for brain implants, the on-implant computations are reduced while the computational burden is realized off-implant. The performance of our proposed approach is evaluated using both synthetic and real datasets. The results demonstrate that, in the mean, it is capable of detecting 94.31% of novel spikes (wave-drifted or emerged spikes) with a classification accuracy (CA) of 96.31%. Moreover, an FPGA prototype of the on-implant circuit is implemented and tested. It is shown that in comparison to the OSORT algorithm, a pivotal spike sorting method, our spike sorting provides a higher CA at significantly lower hardware resources. The proposed circuit is also implemented in a 180-nm standard CMOS process, achieving a power consumption of 1.78[Formula: see text][Formula: see text] per channel and a chip area of 0.07[Formula: see text]mm2 per channel.

Depletion of complement factor 3 delays the neuroinflammatory response to intracortical microelectrodes

The neuroinflammatory response to intracortical microelectrodes (IMEs) used with brain-machine interfacing (BMI) applications is regarded as the primary contributor to poor chronic performance. Recent developments in high-plex gene expression technologies have allowed for an evolution in the investigation of individual proteins or genes to be able to identify specific pathways of upregulated genes that may contribute to the neuroinflammatory response. Several key pathways that are upregulated following IME implantation are involved with the complement system. The complement system is part of the innate immune system involved in recognizing and eliminating pathogens - a significant contributor to the foreign body response against biomaterials. Specifically, we have identified Complement 3 (C3) as a gene of interest because it is the intersection of several key complement pathways. In this study, we investigated the role of C3 in the IME inflammatory response by comparing the neuroinflammatory gene expression at the microelectrode implant site between C3 knockout (C3-/-) and wild-type (WT) mice. We have found that, like in WT mice, implantation of intracortical microelectrodes in C3-/- mice yields a dramatic increase in the neuroinflammatory gene expression at all post-surgery time points investigated. However, compared to WT mice, C3 depletion showed reduced expression of many neuroinflammatory genes pre-surgery and 4 weeks post-surgery. Conversely, depletion of C3 increased the expression of many neuroinflammatory genes at 8 weeks and 16 weeks post-surgery, compared to WT mice. Our results suggest that C3 depletion may be a promising therapeutic target for acute, but not chronic, relief of the neuroinflammatory response to IME implantation. Additional compensatory targets may also be required for comprehensive long-term reduction of the neuroinflammatory response for improved intracortical microelectrode performance.

Sharp detection of oscillation packets in rich time-frequency representations of neural signals

Brain oscillations most often occur in bursts, called oscillation packets, which span a finite extent in time and frequency. Recent studies have shown that these packets portray a much more dynamic picture of synchronization and transient communication between sites than previously thought. To understand their nature and statistical properties, techniques are needed to objectively detect oscillation packets and to quantify their temporal and frequency extent, as well as their magnitude. There are various methods to detect bursts of oscillations. The simplest ones divide the signal into band limited sub-components, quantifying the strength of the resulting components. These methods cannot by themselves cope with broadband transients that look like genuine oscillations when restricted to a narrow band. The most successful detection methods rely on time-frequency representations, which can readily show broadband transients and harmonics. However, the performance of such methods is conditioned by the ability of the representation to localize packets simultaneously in time and frequency, and by the capabilities of packet detection techniques, whose current state of the art is limited to extraction of bounding boxes. Here, we focus on the second problem, introducing two detection methods that use concepts derived from clustering and topographic prominence. These methods are able to delineate the packets' precise contour in the time-frequency plane. We validate the new approaches using both synthetic and real data recorded in humans and animals and rely on a super-resolution time-frequency representation, namely the superlets, as input to the detection algorithms. In addition, we define robust tests for benchmarking and compare the new methods to previous techniques. Results indicate that the two methods we introduce shine in low signal-to-noise ratio conditions, where they only miss a fraction of packets undetected by previous methods. Finally, algorithms that delineate precisely the border of spectral features and their subcomponents offer far more valuable information than simple rectangular bounding boxes (time and frequency span) and can provide a solid foundation to investigate neural oscillations' dynamics.

The effect of a Mn(III)tetrakis(4-benzoic acid)porphyrin (MnTBAP) coating on the chronic recording performance of planar silicon intracortical microelectrode arrays

Intracortical microelectrode arrays (MEAs) are used to record neural activity. However, their implantation initiates a neuroinflammatory cascade, involving the accumulation of reactive oxygen species, leading to interface failure. Here, we coated commercially-available MEAs with Mn(III)tetrakis(4-benzoic acid)porphyrin (MnTBAP), to mitigate oxidative stress. First, we assessed the in vitro cytotoxicity of modified sample substrates. Then, we implanted 36 rats with uncoated, MnTBAP-coated ("Coated"), or (3-Aminopropyl)triethoxysilane (APTES)-coated devices - an intermediate step in the coating process. We assessed electrode performance during the acute (1-5 weeks), sub-chronic (6-11 weeks), and chronic (12-16 weeks) phases after implantation. Three subsets of animals were euthanized at different time points to assess the acute, sub-chronic and chronic immunohistological responses. Results showed that MnTBAP coatings were not cytotoxic in vitro, and their implantation in vivo improved the proportion of electrodes during the sub-chronic and chronic phases; APTES coatings resulted in failure of the neural interface during the chronic phase. In addition, MnTBAP coatings improved the quality of the signal throughout the study and reduced the neuroinflammatory response around the implant as early as two weeks, an effect that remained consistent for months post-implantation. Together, these results suggest that MnTBAP coatings are a potentially useful modification to improve MEA reliability.

Brainmask: an ultrasoft and moist micro-electrocorticography electrode for accurate positioning and long-lasting recordings

Bacterial cellulose (BC), a natural biomaterial synthesized by bacteria, has a unique structure of a cellulose nanofiber-weaved three-dimensional reticulated network. BC films can be ultrasoft with sufficient mechanical strength, strong water absorption and moisture retention and have been widely used in facial masks. These films have the potential to be applied to implantable neural interfaces due to their conformality and moisture, which are two critical issues for traditional polymer or silicone electrodes. In this work, we propose a micro-electrocorticography (micro-ECoG) electrode named "Brainmask", which comprises a BC film as the substrate and separated multichannel parylene-C microelectrodes bonded on the top surface. Brainmask can not only guarantee the precise position of microelectrode sites attached to any nonplanar epidural surface but also improve the long-lasting signal quality during acute implantation with an exposed cranial window for at least one hour, as well as the in vivo recording validated for one week. This novel ultrasoft and moist device stands as a next-generation neural interface regardless of complex surface or time of duration.

Differential expression of genes involved in the chronic response to intracortical microelectrodes

Brain-Machine Interface systems (BMIs) are clinically valuable devices that can provide functional restoration for patients with spinal cord injury or improved integration for patients requiring prostheses. Intracortical microelectrodes can record neuronal action potentials at a resolution necessary for precisely controlling BMIs. However, intracortical microelectrodes have a demonstrated history of progressive decline in the recording performance with time, inhibiting their usefulness. One major contributor to decreased performance is the neuroinflammatory response to the implanted microelectrodes. The neuroinflammatory response can lead to neurodegeneration and the formation of a glial scar at the implant site. Historically, histological imaging of relatively few known cellular and protein markers has characterized the neuroinflammatory response to implanted microelectrode arrays. However, neuroinflammation requires many molecular players to coordinate the response - meaning traditional methods could result in an incomplete understanding. Taking advantage of recent advancements in tools to characterize the relative or absolute DNA/RNA expression levels, a few groups have begun to explore gene expression at the microelectrode-tissue interface. We have utilized a custom panel of ∼813 neuroinflammatory-specific genes developed with NanoString for bulk tissue analysis at the microelectrode-tissue interface. Our previous studies characterized the acute innate immune response to intracortical microelectrodes. Here we investigated the gene expression at the microelectrode-tissue interface in wild-type (WT) mice chronically implanted with nonfunctioning probes. We found 28 differentially expressed genes at chronic time points (4WK, 8WK, and 16WK), many in the complement and extracellular matrix system. Further, the expression levels were relatively stable over time. Genes identified here represent chronic molecular players at the microelectrode implant sites and potential therapeutic targets for the long-term integration of microelectrodes. STATEMENT OF SIGNIFICANCE: Intracortical microelectrodes can record neuronal action potentials at a resolution necessary for the precise control of Brain-Machine Interface systems (BMIs). However, intracortical microelectrodes have a demonstrated history of progressive declines in the recording performance with time, inhibiting their usefulness. One major contributor to the decline in these devices is the neuroinflammatory response against the implanted microelectrodes. Historically, neuroinflammation to implanted microelectrode arrays has been characterized by histological imaging of relatively few known cellular and protein markers. Few studies have begun to develop a more in-depth understanding of the molecular pathways facilitating device-mediated neuroinflammation. Here, we are among the first to identify genetic pathways that could represent targets to improve the host response to intracortical microelectrodes, and ultimately device performance.

Patient-independent seizure detection based on long-term iEEG and a novel lightweight CNN

Objective.Patient-dependent seizure detection based on intracranial electroencephalography (iEEG) has made significant progress. However, due to the difference in the locations and number of iEEG electrodes used for each patient, patient-independent seizure detection based on iEEG has not been carried out. Additionally, current seizure detection algorithms based on deep learning have outperformed traditional machine learning algorithms in many performance metrics. However, they still have shortcomings of large memory footprints and slow inference speed.Approach.To solve the above problems of the current study, we propose a novel lightweight convolutional neural network model combining the Convolutional Block Attention Module (CBAM). Its performance for patient-independent seizure detection is evaluated on two long-term continuous iEEG datasets: SWEC-ETHZ and TJU-HH. Finally, we reproduce four other patient-independent methods to compare with our method and calculate the memory footprints and inference speed for all methods.Main results.Our method achieves 83.81% sensitivity (SEN) and 85.4% specificity (SPE) on the SWEC-ETHZ dataset and 86.63% SEN and 92.21% SPE on the TJU-HH dataset. In particular, it takes only 11 ms to infer 10 min iEEG (128 channels), and its memory footprint is only 22 kB. Compared to baseline methods, our method not only achieves better patient-independent seizure detection performance but also has a smaller memory footprint and faster inference speed.Significance.To our knowledge, this is the first iEEG-based patient-independent seizure detection study. This facilitates the application of seizure detection algorithms to the future clinic.

Home Use of a Percutaneous Wireless Intracortical Brain-Computer Interface by Individuals With Tetraplegia

OBJECTIVE

Individuals with neurological disease or injury such as amyotrophic lateral sclerosis, spinal cord injury or stroke may become tetraplegic, unable to speak or even locked-in. For people with these conditions, current assistive technologies are often ineffective. Brain-computer interfaces are being developed to enhance independence and restore communication in the absence of physical movement. Over the past decade, individuals with tetraplegia have achieved rapid on-screen typing and point-and-click control of tablet apps using intracortical brain-computer interfaces (iBCIs) that decode intended arm and hand movements from neural signals recorded by implanted microelectrode arrays. However, cables used to convey neural signals from the brain tether participants to amplifiers and decoding computers and require expert oversight, severely limiting when and where iBCIs could be available for use. Here, we demonstrate the first human use of a wireless broadband iBCI.

METHODS

Based on a prototype system previously used in pre-clinical research, we replaced the external cables of a 192-electrode iBCI with wireless transmitters and achieved high-resolution recording and decoding of broadband field potentials and spiking activity from people with paralysis. Two participants in an ongoing pilot clinical trial completed on-screen item selection tasks to assess iBCI-enabled cursor control.

RESULTS

Communication bitrates were equivalent between cabled and wireless configurations. Participants also used the wireless iBCI to control a standard commercial tablet computer to browse the web and use several mobile applications. Within-day comparison of cabled and wireless interfaces evaluated bit error rate, packet loss, and the recovery of spike rates and spike waveforms from the recorded neural signals. In a representative use case, the wireless system recorded intracortical signals from two arrays in one participant continuously through a 24-hour period at home.

SIGNIFICANCE

Wireless multi-electrode recording of broadband neural signals over extended periods introduces a valuable tool for human neuroscience research and is an important step toward practical deployment of iBCI technology for independent use by individuals with paralysis. On-demand access to high-performance iBCI technology in the home promises to enhance independence and restore communication and mobility for individuals with severe motor impairment.

Seizure onset detection based on detection of changes in brain activity quantified by evolutionary game theory model

BACKGROUND AND OBJECTIVE

Epilepsy is one of the most common diseases of the nervous system, affecting about 1% of the world's population. The unpredictable nature of the epilepsy seizures deprives the patients and those around them of living a normal life. Therefore, the development of new methods that can help these patients will increase the life quality of these people and can bring a lot of economic savings in the health sector.

METHODS

In this study, we introduced a new framework for seizure onset detection. Our framework provides a new modelling for brain activity using evolutionary game theory and Kalman filter. If the patterns in the electroencephalogram (EEG) signal violate the predicted patterns by the proposed model, using a novel detection algorithm that has been also introduced in this paper, it can be determined whether the observed violation is the result of the onset of an epileptic seizure or not.

RESULTS

The proposed approach was able to detect the onset of all the seizures in CHB-MIT dataset with an average delay of -0.8 s and a false alarm of 0.39 per hour. Also, our proposed approach is about 20 times faster compared to recent studies.

CONCLUSIONS

The experimental results of applying the proposed framework on the CHB-MIT dataset show that our framework not only performed well with respect to the sensitivity, delay, and false alarm metrics but also performed much better in terms of run time compared to recent studies. This appropriate run time, along with other suitable metrics, makes it possible to use this framework in many cases where processing power or energy is limited and to think about creating new and inexpensive solutions for the treatment and care of people diagnosed with epilepsy.

Sharp decrease in the Laplacian matrix rank of phase-space graphs: a potential biomarker in epilepsy

In this paper, phase space reconstruction from stereo-electroencephalography data of ten patients with focal epilepsy forms a series of graphs. Those obtained graphs reflect the transition characteristics of brain dynamical system from pre-seizure to seizure of epilepsy. Interestingly, it is found that the rank of Laplacian matrix of these graphs has a sharp decrease when a seizure is close to happen, which thus might be viewed as a new potential biomarker in epilepsy. In addition, the reliability of this method is numerically verified with a coupled mass neural model. In particular, our simulation suggests that this potential biomarker can play the roles of predictive effect or delayed awareness, depending on the bias current of the Gaussian noise. These results may give new insights into the seizure detection.