1
|
Xu Y, Uppal A, Lee MS, Mahato K, Wuerstle BL, Lin M, Djassemi O, Chen T, Lin R, Paul A, Jain S, Chapotot F, Tasali E, Mercier P, Xu S, Wang J, Cauwenberghs G. Earable Multimodal Sensing and Stimulation: A Prospective Towards Unobtrusive Closed-Loop Biofeedback. IEEE Rev Biomed Eng 2024; PP:5-25. [PMID: 40030565 DOI: 10.1109/rbme.2024.3508713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2025]
Abstract
The human ear has emerged as a bidirectional gateway to the brain's and body's signals. Recent advances in around-the-ear and in-ear sensors have enabled the assessment of biomarkers and physiomarkers derived from brain and cardiac activity using ear-electroencephalography (ear-EEG), photoplethysmography (ear-PPG), and chemical sensing of analytes from the ear, with ear-EEG having been taken beyond-the-lab to outer space. Parallel advances in non-invasive and minimally invasive brain stimulation techniques have leveraged the ear's access to two cranial nerves to modulate brain and body activity. The vestibulocochlear nerve stimulates the auditory cortex and limbic system with sound, while the auricular branch of the vagus nerve indirectly but significantly couples to the autonomic nervous system and cardiac output. Acoustic and current mode stimuli delivered using discreet and unobtrusive earables are an active area of research, aiming to make biofeedback and bioelectronic medicine deliverable outside of the clinic, with remote and continuous monitoring of therapeutic responsivity and long-term adaptation. Leveraging recent advances in ear-EEG, transcutaneous auricular vagus nerve stimulation (taVNS), and unobtrusive acoustic stimulation, we review accumulating evidence that combines their potential into an integrated earable platform for closed-loop multimodal sensing and neuromodulation, towards personalized and holistic therapies that are near, in- and around-the-ear.
Collapse
|
2
|
Moumane H, Pazuelo J, Nassar M, Juez JY, Valderrama M, Le Van Quyen M. Signal quality evaluation of an in-ear EEG device in comparison to a conventional cap system. Front Neurosci 2024; 18:1441897. [PMID: 39319310 PMCID: PMC11420159 DOI: 10.3389/fnins.2024.1441897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Accepted: 08/22/2024] [Indexed: 09/26/2024] Open
Abstract
Introduction Wearable in-ear electroencephalographic (EEG) devices hold significant promise for integrating brain monitoring technologies into real-life applications. However, despite the introduction of various in-ear EEG systems, there remains a necessity for validating these technologies against gold-standard, clinical-grade devices. This study aims to evaluate the signal quality of a newly developed mobile in-ear EEG device compared to a standard scalp EEG system among healthy volunteers during wakefulness and sleep. Methods The study evaluated an in-ear EEG device equipped with dry electrodes in a laboratory setting, recording a single bipolar EEG channel using a cross-ear electrode configuration. Thirty healthy participants were recorded simultaneously using the in-ear EEG device and a conventional EEG cap system with 64 wet electrodes. Based on two recording protocols, one during a resting state condition involving alternating eye opening and closure with a low degree of artifact contamination and another consisting of a daytime nap, several quality measures were used for a quantitative comparison including root mean square (RMS) analysis, artifact quantification, similarities of relative spectral power (RSP), signal-to-noise ratio (SNR) based on alpha peak criteria, and cross-signal correlations of alpha activity during eyes-closed conditions and sleep activities. The statistical significance of our results was assessed through nonparametric permutation tests with False Discovery Rate (FDR) control. Results During the resting state, in-ear and scalp EEG signals exhibited similar fluctuations, characterized by comparable RMS values. However, intermittent signal alterations were noticed in the in-ear recordings during nap sessions, attributed to movements of the head and facial muscles. Spectral analysis indicated similar patterns between in-ear and scalp EEG, showing prominent peaks in the alpha range (8-12 Hz) during rest and in the low-frequency range during naps (particularly in the theta range of 4-7 Hz). Analysis of alpha wave characteristics during eye closures revealed smaller alpha wave amplitudes and slightly lower signal-to-noise ratio (SNR) values in the in-ear EEG compared to scalp EEG. In around 80% of cases, cross-correlation analysis between in-ear and scalp signals, using a contralateral bipolar montage of 64 scalp electrodes, revealed significant correlations with scalp EEG (p < 0.01), particularly evident in the FT11-FT12 and T7-T8 electrode derivations. Conclusion Our findings support the feasibility of using in-ear EEG devices with dry-contact electrodes for brain activity monitoring, compared to a standard scalp EEG, notably for wakefulness and sleep uses. Although marginal signal degradation is associated with head and facial muscle contractions, the in-ear device offers promising applications for long-term EEG recordings, particularly in scenarios requiring enhanced comfort and user-friendliness.
Collapse
Affiliation(s)
- Hanane Moumane
- Laboratoire d’Imagerie Biomédicale (LIB), Inserm U1146, Sorbonne Université, CNRS UMR7371, 15 rue de l’Ecole de Médecine, Paris, France
| | - Jérémy Pazuelo
- Laboratoire d’Imagerie Biomédicale (LIB), Inserm U1146, Sorbonne Université, CNRS UMR7371, 15 rue de l’Ecole de Médecine, Paris, France
| | - Mérie Nassar
- Laboratoire d’Imagerie Biomédicale (LIB), Inserm U1146, Sorbonne Université, CNRS UMR7371, 15 rue de l’Ecole de Médecine, Paris, France
| | - Jose Yesith Juez
- Laboratoire d’Imagerie Biomédicale (LIB), Inserm U1146, Sorbonne Université, CNRS UMR7371, 15 rue de l’Ecole de Médecine, Paris, France
- Department of Biomedical Engineering, Universidad de Los Andes, Bogotá, Colombia
| | - Mario Valderrama
- Department of Biomedical Engineering, Universidad de Los Andes, Bogotá, Colombia
| | - Michel Le Van Quyen
- Laboratoire d’Imagerie Biomédicale (LIB), Inserm U1146, Sorbonne Université, CNRS UMR7371, 15 rue de l’Ecole de Médecine, Paris, France
| |
Collapse
|
3
|
Pazuelo J, Juez JY, Moumane H, Pyrzowski J, Mayor L, Segura-Quijano FE, Valderrama M, Le Van Quyen M. Evaluating the Electroencephalographic Signal Quality of an In-Ear Wearable Device. SENSORS (BASEL, SWITZERLAND) 2024; 24:3973. [PMID: 38931756 PMCID: PMC11207223 DOI: 10.3390/s24123973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 06/05/2024] [Accepted: 06/14/2024] [Indexed: 06/28/2024]
Abstract
Wearable in-ear electroencephalographic (EEG) devices hold significant promise for advancing brain monitoring technologies into everyday applications. However, despite the current availability of several in-ear EEG devices in the market, there remains a critical need for robust validation against established clinical-grade systems. In this study, we carried out a detailed examination of the signal performance of a mobile in-ear EEG device from Naox Technologies. Our investigation had two main goals: firstly, evaluating the hardware circuit's reliability through simulated EEG signal experiments and, secondly, conducting a thorough comparison between the in-ear EEG device and gold-standard EEG monitoring equipment. This comparison assesses correlation coefficients with recognized physiological patterns during wakefulness and sleep, including alpha rhythms, eye artifacts, slow waves, spindles, and sleep stages. Our findings support the feasibility of using this in-ear EEG device for brain activity monitoring, particularly in scenarios requiring enhanced comfort and user-friendliness in various clinical and research settings.
Collapse
Affiliation(s)
- Jeremy Pazuelo
- Laboratoire d’Imagerie Biomédicale (LIB) Inserm U1146, Sorbonne Université, UMR7371 CNRS, 15 Rue de l’Ecole de Medecine, 75006 Paris, France; (J.P.); (J.Y.J.); (H.M.)
| | - Jose Yesith Juez
- Laboratoire d’Imagerie Biomédicale (LIB) Inserm U1146, Sorbonne Université, UMR7371 CNRS, 15 Rue de l’Ecole de Medecine, 75006 Paris, France; (J.P.); (J.Y.J.); (H.M.)
| | - Hanane Moumane
- Laboratoire d’Imagerie Biomédicale (LIB) Inserm U1146, Sorbonne Université, UMR7371 CNRS, 15 Rue de l’Ecole de Medecine, 75006 Paris, France; (J.P.); (J.Y.J.); (H.M.)
| | - Jan Pyrzowski
- Department of Emergency Medicine, Medical Unversity of Gdańsk, 80-214 Gdańsk, Poland;
| | - Liliana Mayor
- ONIROS SAS–Comprehensive Sleep Care Center, Bogotá 110221, Colombia;
| | | | - Mario Valderrama
- Department of Biomedical Engineering, Universidad de Los Andes, Bogotá 111711, Colombia
| | - Michel Le Van Quyen
- Laboratoire d’Imagerie Biomédicale (LIB) Inserm U1146, Sorbonne Université, UMR7371 CNRS, 15 Rue de l’Ecole de Medecine, 75006 Paris, France; (J.P.); (J.Y.J.); (H.M.)
| |
Collapse
|
4
|
Kaongoen N, Choi J, Woo Choi J, Kwon H, Hwang C, Hwang G, Kim BH, Jo S. The future of wearable EEG: a review of ear-EEG technology and its applications. J Neural Eng 2023; 20:051002. [PMID: 37748474 DOI: 10.1088/1741-2552/acfcda] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 09/25/2023] [Indexed: 09/27/2023]
Abstract
Objective.This review paper provides a comprehensive overview of ear-electroencephalogram (EEG) technology, which involves recording EEG signals from electrodes placed in or around the ear, and its applications in the field of neural engineering.Approach.We conducted a thorough literature search using multiple databases to identify relevant studies related to ear-EEG technology and its various applications. We selected 123 publications and synthesized the information to highlight the main findings and trends in this field.Main results.Our review highlights the potential of ear-EEG technology as the future of wearable EEG technology. We discuss the advantages and limitations of ear-EEG compared to traditional scalp-based EEG and methods to overcome those limitations. Through our review, we found that ear-EEG is a promising method that produces comparable results to conventional scalp-based methods. We review the development of ear-EEG sensing devices, including the design, types of sensors, and materials. We also review the current state of research on ear-EEG in different application areas such as brain-computer interfaces, and clinical monitoring.Significance.This review paper is the first to focus solely on reviewing ear-EEG research articles. As such, it serves as a valuable resource for researchers, clinicians, and engineers working in the field of neural engineering. Our review sheds light on the exciting future prospects of ear-EEG, and its potential to advance neural engineering research and become the future of wearable EEG technology.
Collapse
Affiliation(s)
- Netiwit Kaongoen
- Information and Electronics Research Institute, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Jaehoon Choi
- School of Computing, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Jin Woo Choi
- Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA 94304, United States of America
| | - Haram Kwon
- School of Computing, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Chaeeun Hwang
- School of Computing, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Guebin Hwang
- Robotics Program, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Byung Hyung Kim
- Department of Artificial Intelligence, Inha University, Incheon, Republic of Korea
| | - Sungho Jo
- School of Computing, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| |
Collapse
|
5
|
Knierim MT, Schemmer M, Bauer N. A simplified design of a cEEGrid ear-electrode adapter for the OpenBCI biosensing platform. HARDWAREX 2022; 12:e00357. [PMID: 36204424 PMCID: PMC9529594 DOI: 10.1016/j.ohx.2022.e00357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 08/15/2022] [Accepted: 09/03/2022] [Indexed: 05/27/2023]
Abstract
We present a simplified design of an ear-centered sensing system built around the OpenBCI Cyton & Daisy biosignal amplifiers and the flex-printed cEEGrid ear-EEG electrodes. This design reduces the number of components that need to be sourced, reduces mechanical artefacts on the recording data through better cable placement, and simplifies the assembly. Besides describing how to replicate and use the system, we highlight promising application scenarios, particularly the observation of large-amplitude activity patterns (e.g., facial muscle activities) and frequency-band neural activity (e.g., alpha and beta band power modulations for mental workload detection). Further, examples for common measurement artefacts and methods for removing them are provided, introducing a prototypical application of adaptive filters to this system. Lastly, as a promising use case, we present findings from a single-user study that highlights the system's capability of detecting jaw clenching events robustly when contrasted with 26 other facial activities. Thereby, the system could, for instance, be used to devise applications that reduce pathological jaw clenching and teeth grinding (bruxism). These findings underline that the system represents a valuable prototyping platform for advancing ear-based electrophysiological sensing systems and a low-cost alternative to current commercial alternatives.
Collapse
|
6
|
Chuang J. Neural Dynamics of a Single Human with Long-Term, High Temporal Density Electroencephalography. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:7199-7205. [PMID: 34892761 DOI: 10.1109/embc46164.2021.9630280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
We undertake a longitudinal study with high temporal recording density, capturing daily electroencephalograms (EEG) of an individual in an in-situ setting for 370 consecutive days. Resting-state EEG retains a high level of stability over the course of the year, and inter-session variability remains unchanged, whether the sessions are one day, one week, or one month apart. On the other hand, EEG for certain cognitive tasks experience a steady decline in similarity over the same time period. Clustering analysis reveals that days with low similarity scores should not be considered as outliers, but instead are part of a cluster of days with a consistent alternate spectral signature. This has methodological and design implications for the selection of baseline references or templates in fields ranging from neurophysiology to brain-computer interfaces (BCI) and neurobiometrics.
Collapse
|