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The design and hardware implementation of a low-power real-time seizure detection algorithm

Shriram Raghunathan1,4, Sumeet K Gupta2, Matthew P Ward1, Robert M Worth3, Kaushik Roy2 and Pedro P Irazoqui1

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Epilepsy affects more than 1% of the world's population. Responsive neurostimulation is emerging as an alternative therapy for the 30% of the epileptic patient population that does not benefit from pharmacological treatment. Efficient seizure detection algorithms will enable closed-loop epilepsy prostheses by stimulating the epileptogenic focus within an early onset window. Critically, this is expected to reduce neuronal desensitization over time and lead to longer-term device efficacy. This work presents a novel event-based seizure detection algorithm along with a low-power digital circuit implementation. Hippocampal depth-electrode recordings from six kainate-treated rats are used to validate the algorithm and hardware performance in this preliminary study. The design process illustrates crucial trade-offs in translating mathematical models into hardware implementations and validates statistical optimizations made with empirical data analyses on results obtained using a real-time functioning hardware prototype. Using quantitatively predicted thresholds from the depth-electrode recordings, the auto-updating algorithm performs with an average sensitivity and selectivity of 95.3 ± 0.02% and 88.9 ± 0.01% (mean ± SEα = 0.05), respectively, on untrained data with a detection delay of 8.5 s [5.97, 11.04] from electrographic onset. The hardware implementation is shown feasible using CMOS circuits consuming under 350 nW of power from a 250 mV supply voltage from simulations on the MIT 180 nm SOI process.


PACS

87.85.Ng Biological signal processing

87.19.R- Mechanical and electrical properties of tissues and organs

87.19.L- Neuroscience

Subjects

Medical physics

Biological physics

Dates

Issue 5 (October 2009)

Received 13 June 2009, accepted for publication 4 August 2009

Published 28 August 2009



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