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Joseph S. Neimat

Publications and source records attributed to Joseph S. Neimat.

3 recordsLinked to original sources

An MRI-Guided Robotic System to Improve Hippocampal Access for Epilepsy Interventions

This paper presents an MRI-guided robotic system that improves hippocampal access by delivering a curved needle-like laser ablator through the foramen ovale, a natural opening in the base of the skull. Both the delivery path and the curved nature of the needle improve upon current clinical straight-line laser interstitial thermal therapy (LITT) as measured by hippocampal cannulation percentage. We describe the design of the robotic system which includes positioning, aiming, and curved needle deployment stages, followed by experimental results assessing cannulation percentages using MRI images in phantoms. In three curvilinear, single-insertion experiments, we achieved cannulation percentages of 93.5%, 96.5%, and 60.4%, exceeding reported clinical averages of 50-60%. Seizure control is believed by physicians to be a function of hippocampal volume treated, and our system provides a means of treating a greater volume of the hippocampus with LITT-based interventions.

cs.RO

A Multi-Modal Non-Invasive Deep Learning Framework for Progressive Prediction of Seizures

This paper introduces an innovative framework designed for progressive (granular in time to onset) prediction of seizures through the utilization of a Deep Learning (DL) methodology based on non-invasive multi-modal sensor networks. Epilepsy, a debilitating neurological condition, affects an estimated 65 million individuals globally, with a substantial proportion facing drug-resistant epilepsy despite pharmacological interventions. To address this challenge, we advocate for predictive systems that provide timely alerts to individuals at risk, enabling them to take precautionary actions. Our framework employs advanced DL techniques and uses personalized data from a network of non-invasive electroencephalogram (EEG) and electrocardiogram (ECG) sensors, thereby enhancing prediction accuracy. The algorithms are optimized for real-time processing on edge devices, mitigating privacy concerns and minimizing data transmission overhead inherent in cloud-based solutions, ultimately preserving battery energy. Additionally, our system predicts the countdown time to seizures (with 15-minute intervals up to an hour prior to the onset), offering critical lead time for preventive actions. Our multi-modal model achieves 95% sensitivity, 98% specificity, and 97% accuracy, averaged among 29 patients.

eess.SP

SeizNet: An AI-enabled Implantable Sensor Network System for Seizure Prediction

In this paper, we introduce SeizNet, a closed-loop system for predicting epileptic seizures through the use of Deep Learning (DL) method and implantable sensor networks. While pharmacological treatment is effective for some epilepsy patients (with ~65M people affected worldwide), one out of three suffer from drug-resistant epilepsy. To alleviate the impact of seizure, predictive systems have been developed that can notify such patients of an impending seizure, allowing them to take precautionary measures. SeizNet leverages DL techniques and combines data from multiple recordings, specifically intracranial electroencephalogram (iEEG) and electrocardiogram (ECG) sensors, that can significantly improve the specificity of seizure prediction while preserving very high levels of sensitivity. SeizNet DL algorithms are designed for efficient real-time execution at the edge, minimizing data privacy concerns, data transmission overhead, and power inefficiencies associated with cloud-based solutions. Our results indicate that SeizNet outperforms traditional single-modality and non-personalized prediction systems in all metrics, achieving up to 99% accuracy in predicting seizure, offering a promising new avenue in refractory epilepsy treatment.

cs.LG