Jay Harvey

Abdul Aziz, Nhat Pham, Neel Vora et al.

Epilepsy is one of the most common neurological diseases globally (around 50 million people worldwide). Fortunately, up to 70% of people with epilepsy could live seizure-free if properly diagnosed and treated, and a reliable technique to monitor the onset of seizures could improve the quality of life of patients who are constantly facing the fear of random seizure attacks. The scalp-based EEG test, despite being the gold standard for diagnosing epilepsy, is costly, necessitates hospitalization, demands skilled professionals for operation, and is discomforting for users. In this paper, we propose EarSD, a novel lightweight, unobtrusive, and socially acceptable ear-worn system to detect epileptic seizure onsets by measuring the physiological signals from behind the user's ears. EarSD includes an integrated custom-built sensing-computing-communication PCB to collect and amplify the signals of interest, remove the noises caused by motion artifacts and environmental impacts, and stream the data wirelessly to the computer/mobile phone nearby, where data are uploaded to the host computer for further processing. We conducted both in-lab and in-hospital experiments with epileptic seizure patients who were hospitalized for seizure studies.

Saeed Hashemi, Genchang Peng, Mehrdad Nourani et al.

Stereo-electroencephalography (SEEG) is an invasive technique to implant depth electrodes and collect data for pre-surgery evaluation. Visual inspection of signals recorded from hundreds of channels is time consuming and inefficient. We propose a machine learning approach to rank the impactful channels by incorporating clinician's selection and computational finding. A classification model using XGBoost is trained to learn the discriminative features of each channel during ictal periods. Then, the SHapley Additive exPlanations (SHAP) scoring is utilized to rank SEEG channels based on their contribution to seizures. A channel extension strategy is also incorporated to expand the search space and identify suspicious epileptogenic zones beyond those selected by clinicians. For validation, SEEG data for five patients were analyzed showing promising results in terms of accuracy, consistency, and explainability.