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Armin Nikpour

Publications and source records attributed to Armin Nikpour.

5 recordsLinked to original sources

A leadless power transfer and wireless telemetry solutions for an endovascular electrocorticography

Endovascular brain-computer interfaces (eBCIs) offer a minimally invasive way to connect the brain to external devices, merging neuroscience, engineering, and medical technology. Achieving wireless data and power transmission is crucial for the clinical viability of these implantable devices. Typically, solutions for endovascular electrocorticography (ECoG) include a sensing stent with multiple electrodes (e.g. in the superior sagittal sinus) in the brain, a subcutaneous chest implant for wireless energy harvesting and data telemetry, and a long (tens of centimetres) cable with a set of wires in between. This long cable presents risks and limitations, especially for younger patients or those with fragile vasculature. This work introduces a wireless and leadless telemetry and power transfer solution for endovascular ECoG. The proposed solution includes an optical telemetry module and a focused ultrasound (FUS) power transfer system. The proposed system can be miniaturised to fit in an endovascular stent. Our solution uses optical telemetry for high-speed data transmission (over 2 Mbit/s, capable of transmitting 41 ECoG channels at a 2 kHz sampling rate and 24-bit resolution) and the proposed power transferring scheme provides up to 10mW power budget into the site of the endovascular implants under the safety limit. Tests on bovine tissues confirmed the system's effectiveness, suggesting that future custom circuit designs could further enhance eBCI applications by removing wires and auxiliary implants, minimising complications.

eess.SY

Neuromorphic Neuromodulation: Towards the next generation of on-device AI-revolution in electroceuticals

Neuromodulation techniques have emerged as promising approaches for treating a wide range of neurological disorders, precisely delivering electrical stimulation to modulate abnormal neuronal activity. While leveraging the unique capabilities of artificial intelligence (AI) holds immense potential for responsive neurostimulation, it appears as an extremely challenging proposition where real-time (low-latency) processing, low power consumption, and heat constraints are limiting factors. The use of sophisticated AI-driven models for personalized neurostimulation depends on back-telemetry of data to external systems (e.g. cloud-based medical mesosystems and ecosystems). While this can be a solution, integrating continuous learning within implantable neuromodulation devices for several applications, such as seizure prediction in epilepsy, is an open question. We believe neuromorphic architectures hold an outstanding potential to open new avenues for sophisticated on-chip analysis of neural signals and AI-driven personalized treatments. With more than three orders of magnitude reduction in the total data required for data processing and feature extraction, the high power- and memory-efficiency of neuromorphic computing to hardware-firmware co-design can be considered as the solution-in-the-making to resource-constraint implantable neuromodulation systems. This perspective introduces the concept of Neuromorphic Neuromodulation, a new breed of closed-loop responsive feedback system. It highlights its potential to revolutionize implantable brain-machine microsystems for patient-specific treatment

cs.AR

Continental generalization of an AI system for clinical seizure recognition

Electroencephalogram (EEG) monitoring and objective seizure identification is an essential clinical investigation for some patients with epilepsy. Accurate annotation is done through a time-consuming process by EEG specialists. Computer-assisted systems for seizure detection currently lack extensive clinical utility due to retrospective, patient-specific, and/or irreproducible studies that result in low sensitivity or high false positives in clinical tests. We aim to significantly reduce the time and resources on data annotation by demonstrating a continental generalization of seizure detection that balances sensitivity and specificity. This is a prospective inference test of artificial intelligence on nearly 14,590 hours of adult EEG data from patients with epilepsy between 2011 and 2019 in a hospital in Sydney, Australia. The inference set includes patients with different types and frequencies of seizures across a wide range of ages and EEG recording hours. We validated our inference model in an AI-assisted mode with a human expert arbiter and a result review panel of expert neurologists and EEG specialists on 66 sessions to demonstrate achievement of the same performance with over an order-of-magnitude reduction in time. Our inference on 1,006 EEG recording sessions on the Australian dataset achieved 76.68% with nearly 56 [0, 115] false alarms per 24 hours on average, against legacy ground-truth annotations by human experts, conducted independently over nine years. Our pilot test of 66 sessions with a human arbiter, and reviewed ground truth by a panel of experts, confirmed an identical human performance of 92.19% with an AI-assisted system, while the time requirements reduce significantly from 90 to 7.62 minutes on average.

physics.med-ph

Epileptic Seizure Forecasting: Probabilistic seizure-risk assessment and data-fusion

Epileptic seizure forecasting, combined with the delivery of preventative therapies, holds the potential to greatly improve the quality of life for epilepsy patients and their caregivers. Forecasting seizures could prevent some potentially catastrophic consequences such as injury and death in addition to a long list of potential clinical benefits it may provide for patient care in hospitals. The challenge of seizure forecasting lies within the seemingly unpredictable transitions of brain dynamics into the ictal state. The main body of computational research on determining seizure risk has been focused solely on prediction algorithms, which involves a remarkable issue of balancing accuracy and false-alarms. In this paper, we developed a seizure-risk warning system that employs Bayesian convolutional neural network (BCNN) to provide meaningful information to the patient and provide a greater opportunity for him/her to be potentially more in charge of his/her health. We use scalp electroencephalogram (EEG) signals and release information on the certainty of our automatic seizure-risk assessment. In the process, we pave the ground-work towards incorporating auxiliary signals to improve our EEG-based seizure-risk assessment system. Our previous CNN results show an average AUC of 74.65% while we could achieve on an EEG-only BCNN an average AUC of 68.70%. This drop in performance is the cost of providing richer information to the patient at this stage of this research.

eess.SP

Epileptic Seizure Classification with Symmetric and Hybrid Bilinear Models

Epilepsy affects nearly 1% of the global population, of which two thirds can be treated by anti-epileptic drugs and a much lower percentage by surgery. Diagnostic procedures for epilepsy and monitoring are highly specialized and labour-intensive. The accuracy of the diagnosis is also complicated by overlapping medical symptoms, varying levels of experience and inter-observer variability among clinical professions. This paper proposes a novel hybrid bilinear deep learning network with an application in the clinical procedures of epilepsy classification diagnosis, where the use of surface electroencephalogram (sEEG) and audiovisual monitoring is standard practice. Hybrid bilinear models based on two types of feature extractors, namely Convolutional Neural Networks (CNNs) and Recurrent Neural Networks (RNNs), are trained using Short-Time Fourier Transform (STFT) of one-second sEEG. In the proposed hybrid models, CNNs extract spatio-temporal patterns, while RNNs focus on the characteristics of temporal dynamics in relatively longer intervals given the same input data. Second-order features, based on interactions between these spatio-temporal features are further explored by bilinear pooling and used for epilepsy classification. Our proposed methods obtain an F1-score of 97.4% on the Temple University Hospital Seizure Corpus and 97.2% on the EPILEPSIAE dataset, comparing favourably to existing benchmarks for sEEG-based seizure type classification. The open-source implementation of this study is available at https://github.com/NeuroSyd/Epileptic-Seizure-Classification

eess.SP