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

J Neural Eng. 2009 Oct;6(5):056005. doi: 10.1088/1741-2560/6/5/056005. Epub 2009 Aug 28.

Abstract

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 +/- SE(alpha = 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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms*
  • Animals
  • Diagnosis, Computer-Assisted / instrumentation*
  • Diagnosis, Computer-Assisted / methods*
  • Electric Power Supplies
  • Electroencephalography / instrumentation*
  • Electroencephalography / methods
  • Equipment Design
  • Equipment Failure Analysis
  • Female
  • Rats
  • Rats, Long-Evans
  • Reproducibility of Results
  • Seizures / diagnosis*
  • Sensitivity and Specificity
  • Signal Processing, Computer-Assisted / instrumentation*