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Gagan Acharya

Publications and source records attributed to Gagan Acharya.

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Passivity-Based Control of Electrographic Seizures in a Neural Mass Model of Epilepsy

Recent advances in neurotechnologies and decades of scientific and clinical research have made closed-loop electrical neuromodulation one of the most promising avenues for the treatment of drug-resistant epilepsy (DRE), a condition that affects over 15 million individuals globally. Yet, with the existing clinical state of the art, only 18% of patients with DRE who undergo closed-loop neuromodulation become seizure-free. In a recent study, we demonstrated that a simple proportional feedback policy based on the framework of passivity-based control (PBC) can significantly outperform the clinical state of the art. However, this study was purely numerical and lacked rigorous mathematical analysis. The present study addresses this gap and provides the first rigorous analysis of PBC for the closed-loop control of epileptic seizures. Using the celebrated Epileptor neural mass model of epilepsy, we analytically demonstrate that (i) seizure dynamics are, in their standard form, neither passive nor passivatable, (ii) epileptic dynamics, despite their lack of passivity, can be stabilized by sufficiently strong passive feedback, and (iii) seizure dynamics can be passivated via proper output redesign. To our knowledge, our results provide the first rigorous passivity-based analysis of epileptic seizure dynamics, as well as a theoretically-grounded framework for sensor placement and feedback design for a new form of closed-loop neuromodulation with the potential to transform seizure management in DRE.

eess.SY

Brain Modeling for Control: A Review

Neurostimulation technologies have seen a recent surge in interest from the neuroscience and controls communities alike due to their proven potential to treat conditions such as Parkinson's Disease, and depression. The provided stimulation can be of different types, such as electric, and optogenetic, and is generally applied to a specific region of the brain in order to drive the local and/or global dynamics to a desired state of (in)activity. However, an underlying theoretical understanding of the efficacy of neurostimulation is still lacking. From a control-theoretic perspective, it is important to understand how each stimulus modality interacts with the complex brain network in order to assess the controllability of the system and develop neurophysiologically relevant computational models that can be used to design the stimulation profile in a closed-loop manner. In this paper, we review the computational modeling studies of (i) deep brain stimulation, (ii) transcranial magnetic stimulation, (iii) direct current stimulation, (iv) transcranial electrical stimulation, and (v) optogenetics as five of the most popular neurostimulation technologies in research and clinical settings. For each technology, we split the reviewed studies into (a)theory-driven biophysical models capturing the low-level physics of the interactions between the stimulation source and neuronal tissue, (b) data-driven stimulus-response models which capture the end-to-end effects of stimulation on various biomarkers of interest and (c) data-driven dynamical system models that extract the precise dynamics of the brain's response to neurostimulation from neural data. While our focus is particularly on the latter category due to their greater utility in control design, we review key works in the former two categories as the basis and context in which dynamical system models have been and will be developed.

eess.SY

Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge

Gliomas are the most common primary brain malignancies, with different degrees of aggressiveness, variable prognosis and various heterogeneous histologic sub-regions, i.e., peritumoral edematous/invaded tissue, necrotic core, active and non-enhancing core. This intrinsic heterogeneity is also portrayed in their radio-phenotype, as their sub-regions are depicted by varying intensity profiles disseminated across multi-parametric magnetic resonance imaging (mpMRI) scans, reflecting varying biological properties. Their heterogeneous shape, extent, and location are some of the factors that make these tumors difficult to resect, and in some cases inoperable. The amount of resected tumor is a factor also considered in longitudinal scans, when evaluating the apparent tumor for potential diagnosis of progression. Furthermore, there is mounting evidence that accurate segmentation of the various tumor sub-regions can offer the basis for quantitative image analysis towards prediction of patient overall survival. This study assesses the state-of-the-art machine learning (ML) methods used for brain tumor image analysis in mpMRI scans, during the last seven instances of the International Brain Tumor Segmentation (BraTS) challenge, i.e., 2012-2018. Specifically, we focus on i) evaluating segmentations of the various glioma sub-regions in pre-operative mpMRI scans, ii) assessing potential tumor progression by virtue of longitudinal growth of tumor sub-regions, beyond use of the RECIST/RANO criteria, and iii) predicting the overall survival from pre-operative mpMRI scans of patients that underwent gross total resection. Finally, we investigate the challenge of identifying the best ML algorithms for each of these tasks, considering that apart from being diverse on each instance of the challenge, the multi-institutional mpMRI BraTS dataset has also been a continuously evolving/growing dataset.

cs.CV