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Anjula De Silva

Publications and source records attributed to Anjula De Silva.

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An Active Dry-Contact Continuous EEG Monitoring System for Seizure Detection Applications in Clinical Neurophysiology

Objective: Young children and infants, especially newborns, are highly susceptible to seizures, which, if undetected and untreated, can lead to severe long-term neurological consequences. Early detection typically requires continuous electroencephalography (cEEG) monitoring in hospital settings, involving costly equipment and highly trained specialists. This study presents a low-cost, active dry-contact electrode-based, adjustable electroencephalography (EEG) headset, combined with an explainable deep learning model for seizure detection from reduced-montage EEG, and a multimodal artifact removal algorithm to enhance signal quality. Methods: EEG signals were acquired via active electrodes and processed through a custom-designed analog front end for filtering and digitization. The adjustable headset was fabricated using three-dimensional printing and laser cutting to accommodate varying head sizes. The deep learning model was trained to detect neonatal seizures in real time, and a dedicated multimodal algorithm was implemented for artifact removal while preserving seizure-relevant information. System performance was evaluated in a representative clinical setting on a pediatric patient with absence seizures, with simultaneous recordings obtained from the proposed device and a commercial wet-electrode cEEG system for comparison. Results: Signals from the proposed system exhibited a correlation coefficient exceeding 0.8 with those from the commercial device. Signal-to-noise ratio analysis indicated noise mitigation performance comparable to the commercial system. The deep learning model achieved accuracy and recall improvements of 2.76% and 16.33%, respectively, over state-of-the-art approaches. The artifact removal algorithm effectively identified and eliminated noise while preserving seizure-related EEG features.

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Using Explainable AI for EEG-based Reduced Montage Neonatal Seizure Detection

The neonatal period is the most vulnerable time for the development of seizures. Seizures in the immature brain lead to detrimental consequences, therefore require early diagnosis. The gold-standard for neonatal seizure detection currently relies on continuous video-EEG monitoring; which involves recording multi-channel electroencephalogram (EEG) alongside real-time video monitoring within a neonatal intensive care unit (NICU). However, video-EEG monitoring technology requires clinical expertise and is often limited to technologically advanced and resourceful settings. Cost-effective new techniques could help the medical fraternity make an accurate diagnosis and advocate treatment without delay. In this work, a novel explainable deep learning model to automate the neonatal seizure detection process with a reduced EEG montage is proposed, which employs convolutional nets, graph attention layers, and fully connected layers. Beyond its ability to detect seizures in real-time with a reduced montage, this model offers the unique advantage of real-time interpretability. By evaluating the performance on the Zenodo dataset with 10-fold cross-validation, the presented model achieves an absolute improvement of 8.31% and 42.86% in area under curve (AUC) and recall, respectively.

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Evaluation of Noise Reduction Methods for Sentence Recognition by Sinhala Speaking Listeners

Noise reduction is a crucial aspect of hearing aids, which researchers have been striving to address over the years. However, most existing noise reduction algorithms have primarily been evaluated using English. Considering the linguistic differences between English and Sinhala languages, including variation in syllable structures and vowel duration, it is very important to assess the performance of noise reduction tailored to the Sinhala language. This paper presents a comprehensive analysis between wavelet transformation and adaptive filters for noise reduction in Sinhala languages. We investigate the performance of ten wavelet families with soft and hard thresholding methods against adaptive filters with Normalized Least Mean Square, Least Mean Square Average Normalized Least Mean Square, Recursive Least Square, and Adaptive Filtering Averaging optimization algorithms along with cepstral and energy-based voice activity detection algorithms. The performance evaluation is done using objective metrics; Signal to Noise Ratio (SNR) and Perceptual Evaluation of Speech Quality (PESQ) and a subjective metric; Mean Opinion Score (MOS). A newly recorded Sinhala language audio dataset and the NOIZEUS database by the University of Texas, Dallas were used for the evaluation. Our code is available at https://github.com/ChathukiKet/Evaluation-of-Noise-Reduction-Methods

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A Novel Transfer Learning-Based Approach for Screening Pre-existing Heart Diseases Using Synchronized ECG Signals and Heart Sounds

Diagnosing pre-existing heart diseases early in life is important as it helps prevent complications such as pulmonary hypertension, heart rhythm problems, blood clots, heart failure and sudden cardiac arrest. To identify such diseases, phonocardiogram (PCG) and electrocardiogram (ECG) waveforms convey important information. Therefore, effectively using these two modalities of data has the potential to improve the disease screening process. We evaluate this hypothesis on a subset of the PhysioNet Challenge 2016 Dataset which contains simultaneously acquired PCG and ECG recordings. Our novel Dual-Convolutional Neural Network based approach uses transfer learning to tackle the problem of having limited amounts of simultaneous PCG and ECG data that is publicly available, while having the potential to adapt to larger datasets. In addition, we introduce two main evaluation frameworks named record-wise and sample-wise evaluation which leads to a rich performance evaluation for the transfer learning approach. Comparisons with methods which used single or dual modality data show that our method can lead to better performance. Furthermore, our results show that individually collected ECG or PCG waveforms are able to provide transferable features which could effectively help to make use of a limited number of synchronized PCG and ECG waveforms and still achieve significant classification performance.

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A Thickness Sensitive Vessel Extraction Framework for Retinal and Conjunctival Vascular Tortuosity Analysis

Systemic diseases such as diabetes, hypertension, atherosclerosis are among the leading causes of annual human mortality rate. It is suggested that retinal and conjunctival vascular tortuosity is a potential biomarker for such systemic diseases. Most importantly, it is observed that the tortuosity depends on the thickness of these vessels. Therefore, selective calculation of tortuosity within specific vessel thicknesses is required depending on the disease being analysed. In this paper, we propose a thickness sensitive vessel extraction framework that is primarily applicable for studies related to retinal and conjunctival vascular tortuosity. The framework uses a Convolutional Neural Network based on the IterNet architecture to obtain probability maps of the entire vasculature. They are then processed by a multi-scale vessel enhancement technique that exploits both fine and coarse structural vascular details of these probability maps in order to extract vessels of specified thicknesses. We evaluated the proposed framework on four datasets including DRIVE and SBVPI, and obtained Matthew's Correlation Coefficient values greater than 0.71 for all the datasets. In addition, the proposed framework was utilized to determine the association of diabetes with retinal and conjunctival vascular tortuosity. We observed that retinal vascular tortuosity (Eccentricity based Tortuosity Index) of the diabetic group was significantly higher (p < .05) than that of the non-diabetic group and that conjunctival vascular tortuosity (Total Curvature normalized by Arc Length) of diabetic group was significantly lower (p < .05) than that of the non-diabetic group. These observations were in agreement with the literature, strengthening the suitability of the proposed framework.

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