Andrea Cossettini

Thorir Mar Ingolfsson, Andrea Cossettini, Simone Benatti et al.

In the context of epilepsy monitoring, EEG artifacts are often mistaken for seizures due to their morphological similarity in both amplitude and frequency, making seizure detection systems susceptible to higher false alarm rates. In this work we present the implementation of an artifact detection algorithm based on a minimal number of EEG channels on a parallel ultra-low-power (PULP) embedded platform. The analyses are based on the TUH EEG Artifact Corpus dataset and focus on the temporal electrodes. First, we extract optimal feature models in the frequency domain using an automated machine learning framework, achieving a 93.95% accuracy, with a 0.838 F1 score for a 4 temporal EEG channel setup. The achieved accuracy levels surpass state-of-the-art by nearly 20%. Then, these algorithms are parallelized and optimized for a PULP platform, achieving a 5.21 times improvement of energy-efficient compared to state-of-the-art low-power implementations of artifact detection frameworks. Combining this model with a low-power seizure detection algorithm would allow for 300h of continuous monitoring on a 300 mAh battery in a wearable form factor and power budget. These results pave the way for implementing affordable, wearable, long-term epilepsy monitoring solutions with low false-positive rates and high sensitivity, meeting both patients' and caregivers' requirements.

Thorir Mar Ingolfsson, Upasana Chakraborty, Xiaying Wang et al.

Epilepsy is a prevalent neurological disorder that affects millions of individuals globally, and continuous monitoring coupled with automated seizure detection appears as a necessity for effective patient treatment. To enable long-term care in daily-life conditions, comfortable and smart wearable devices with long battery life are required, which in turn set the demand for resource-constrained and energy-efficient computing solutions. In this context, the development of machine learning algorithms for seizure detection faces the challenge of heavily imbalanced datasets. This paper introduces EpiDeNet, a new lightweight seizure detection network, and Sensitivity-Specificity Weighted Cross-Entropy (SSWCE), a new loss function that incorporates sensitivity and specificity, to address the challenge of heavily unbalanced datasets. The proposed EpiDeNet-SSWCE approach demonstrates the successful detection of 91.16% and 92.00% seizure events on two different datasets (CHB-MIT and PEDESITE, respectively), with only four EEG channels. A three-window majority voting-based smoothing scheme combined with the SSWCE loss achieves 3x reduction of false positives to 1.18 FP/h. EpiDeNet is well suited for implementation on low-power embedded platforms, and we evaluate its performance on two ARM Cortex-based platforms (M4F/M7) and two parallel ultra-low power (PULP) systems (GAP8, GAP9). The most efficient implementation (GAP9) achieves an energy efficiency of 40 GMAC/s/W, with an energy consumption per inference of only 0.051 mJ at high performance (726.46 MMAC/s), outperforming the best ARM Cortex-based solutions by approximately 160x in energy efficiency. The EpiDeNet-SSWCE method demonstrates effective and accurate seizure detection performance on heavily imbalanced datasets, while being suited for implementation on energy-constrained platforms.

Jonathan Dan, Una Pale, Alireza Amirshahi et al.

The need for high-quality automated seizure detection algorithms based on electroencephalography (EEG) becomes ever more pressing with the increasing use of ambulatory and long-term EEG monitoring. Heterogeneity in validation methods of these algorithms influences the reported results and makes comprehensive evaluation and comparison challenging. This heterogeneity concerns in particular the choice of datasets, evaluation methodologies, and performance metrics. In this paper, we propose a unified framework designed to establish standardization in the validation of EEG-based seizure detection algorithms. Based on existing guidelines and recommendations, the framework introduces a set of recommendations and standards related to datasets, file formats, EEG data input content, seizure annotation input and output, cross-validation strategies, and performance metrics. We also propose the 10-20 seizure detection benchmark, a machine-learning benchmark based on public datasets converted to a standardized format. This benchmark defines the machine-learning task as well as reporting metrics. We illustrate the use of the benchmark by evaluating a set of existing seizure detection algorithms. The SzCORE (Seizure Community Open-source Research Evaluation) framework and benchmark are made publicly available along with an open-source software library to facilitate research use, while enabling rigorous evaluation of the clinical significance of the algorithms, fostering a collective effort to more optimally detect seizures to improve the lives of people with epilepsy.

Anna Tegon, Nicholas Lehmann, Yawei Li et al.

Objective: To enable continuous, long-term neuro-monitoring on wearable devices by overcoming the computational bottlenecks of Transformer-based Electroencephalography (EEG) foundation models and the quantization challenges inherent to State-Space Models (SSMs). Methods: We present FEMBA, a bidirectional Mamba architecture pre-trained on over 21,000 hours of EEG. We introduce a novel Physiologically-Aware pre-training objective, consisting of a reconstruction with low-pass filtering, to prioritize neural oscillations over high-frequency artifacts. To address the activation outliers common in SSMs, we employ Quantization-Aware Training (QAT) to compress the model to 2-bit weights. The framework is deployed on a parallel ultra-low-power RISC-V microcontroller (GAP9) using a custom double-buffered memory streaming scheme. Results: The proposed low-pass pre-training improves downstream AUROC on TUAB from 0.863 to 0.893 and AUPR from 0.862 to 0.898 compared to the best contrastive baseline. QAT successfully compresses weights with negligible performance loss, whereas standard post-training quantization degrades accuracy by approximately \textbf{30\%}. The embedded implementation achieves deterministic real-time inference (\textbf{1.70~s} per 5~s window) and reduces the memory footprint by \textbf{74\%} (to $\approx$2~MB), achieving competitive accuracy with up to \textbf{27$\times$} fewer FLOPs than Transformer benchmarks. Conclusion: FEMBA demonstrates that Mamba-based foundation models can be effectively quantized and deployed on extreme-edge hardware without sacrificing the representation quality required for robust clinical analysis. Significance: This work establishes the first full-stack framework for deploying large-scale EEG foundation models on ultra-low-power wearables, facilitating continuous, SSM based monitoring for epilepsy and sleep disorders.

Alexandru Dimofte, Glenn Anta Bucagu, Thorir Mar Ingolfsson et al.

Electroencephalograph (EEG) is a crucial tool for studying brain activity. Recently, self-supervised learning methods leveraging large unlabeled datasets have emerged as a potential solution to the scarcity of widely available annotated EEG data. However, current methods suffer from at least one of the following limitations: i) sub-optimal EEG signal modeling, ii) model sizes in the hundreds of millions of trainable parameters, and iii) reliance on private datasets and/or inconsistent public benchmarks, hindering reproducibility. To address these challenges, we introduce a Compact Encoder for Representations of Brain Oscillations using alternating attention (CEReBrO), a new small EEG foundation model. Our tokenization scheme represents EEG signals at a per-channel patch granularity. We propose an alternating attention mechanism that jointly models intra-channel temporal dynamics and inter-channel spatial correlations, achieving 2x speed improvement with 6x less memory required compared to standard self-attention. We present several model sizes ranging from 3.6 million to 85 million parameters. Pre-trained on over 20,000 hours of publicly available scalp EEG recordings with diverse channel configurations, our models set new benchmarks in emotion detection and seizure detection tasks, with competitive performance in anomaly classification and gait prediction. This validates our models' effectiveness and efficiency.

Matteo Fasulo, Giusy Spacone, Thorir Mar Ingolfsson et al.

Objective: Surface electromyography (EMG) is a non-invasive sensing modality widely used in biomechanics, rehabilitation, prosthetic control, and human-machine interfaces. Despite decades of use, achieving robust generalization across subjects, recording systems, and acquisition protocols remains challenging. While foundation models (FMs) are gaining traction for EMG, existing approaches remain limited to single downstream tasks and lack deployability on embedded platforms. This work addresses these limitations. Methods: We present TinyMyo, a lightweight FM based on a Transformer encoder architecture. The model is pre-trained in a self-supervised manner using masked reconstruction on publicly available datasets. With only 3.6M parameters, TinyMyo is designed to support multiple downstream tasks through minimal task-specific head adaptations. Results: We demonstrate generalization across hand gesture classification, hand kinematic regression, speech production and speech recognition, with performance comparable to or surpassing the state of the art (SoA), and model size below 5M parameters. We achieve SoA results compared to previous FM-based works on the NinaPro DB5 (89.4%), UCI-EMG (97.56%), and EPN-612 (96.74%) datasets. We demonstrate the first-time deployment of an EMG FM on an ultra-low power microcontroller (GAP9), with an inference time of 0.785 s, energy of 44.91 mJ and power envelope of 57.18 mW. Conclusion: TinyMyo demonstrates that compact, self-supervised EMG FM can guarantee strong generalization across multiple downstream tasks while remaining compatible with low-power edge devices. Significance: TinyMyo is the first EMG FM for ultra-low power edge devices, enabling scalable and energy-efficient sensing for motor intent decoding, neuromuscular assessment, and biosignal driven human-machine interaction.

Luca Benfenati, Thorir Mar Ingolfsson, Andrea Cossettini et al.

This study presents a novel approach for EEG-based seizure detection leveraging a BERT-based model. The model, BENDR, undergoes a two-phase training process. Initially, it is pre-trained on the extensive Temple University Hospital EEG Corpus (TUEG), a 1.5 TB dataset comprising over 10,000 subjects, to extract common EEG data patterns. Subsequently, the model is fine-tuned on the CHB-MIT Scalp EEG Database, consisting of 664 EEG recordings from 24 pediatric patients, of which 198 contain seizure events. Key contributions include optimizing fine-tuning on the CHB-MIT dataset, where the impact of model architecture, pre-processing, and post-processing techniques are thoroughly examined to enhance sensitivity and reduce false positives per hour (FP/h). We also explored custom training strategies to ascertain the most effective setup. The model undergoes a novel second pre-training phase before subject-specific fine-tuning, enhancing its generalization capabilities. The optimized model demonstrates substantial performance enhancements, achieving as low as 0.23 FP/h, 2.5$\times$ lower than the baseline model, with a lower but still acceptable sensitivity rate, showcasing the effectiveness of applying a BERT-based approach on EEG-based seizure detection.

Thorir Mar Ingolfsson, Andrea Cossettini, Xiaying Wang et al.

We present the implementation of seizure detection algorithms based on a minimal number of EEG channels on a parallel ultra-low-power embedded platform. The analyses are based on the CHB-MIT dataset, and include explorations of different classification approaches (Support Vector Machines, Random Forest, Extra Trees, AdaBoost) and different pre/post-processing techniques to maximize sensitivity while guaranteeing no false alarms. We analyze global and subject-specific approaches, considering all 23-electrodes or only 4 temporal channels. For 8s window size and subject-specific approach, we report zero false positives and 100% sensitivity. These algorithms are parallelized and optimized for a parallel ultra-low power (PULP) platform, enabling 300h of continuous monitoring on a 300 mAh battery, in a wearable form factor and power budget. These results pave the way for the implementation of affordable, wearable, long-term epilepsy monitoring solutions with low false-positive rates and high sensitivity, meeting both patient and caregiver requirements.