PreEpiSeizures: description and outcomes of physiological data acquisition using wearable devices during video-EEG monitoring in people with epilepsy

Front Physiol. 2023 Oct 10:14:1248899. doi: 10.3389/fphys.2023.1248899. eCollection 2023.

Abstract

The PreEpiSeizures project was created to better understand epilepsy and seizures through wearable technologies. The motivation was to capture physiological information related to epileptic seizures, besides Electroencephalography (EEG) during video-EEG monitorings. If other physiological signals have reliable information of epileptic seizures, unobtrusive wearable technology could be used to monitor epilepsy in daily life. The development of wearable solutions for epilepsy is limited by the nonexistence of datasets which could validate these solutions. Three different form factors were developed and deployed, and the signal quality was assessed for all acquired biosignals. The wearable data acquisition was performed during the video-EEG of patients with epilepsy. The results achieved so far include 59 patients from 2 hospitals totaling 2,721 h of wearable data and 348 seizures. Besides the wearable data, the Electrocardiogram of the hospital is also useable, totalling 5,838 h of hospital data. The quality ECG signals collected with the proposed wearable is equated with the hospital system, and all other biosignals also achieved state-of-the-art quality. During the data acquisition, 18 challenges were identified, and are presented alongside their possible solutions. Though this is an ongoing work, there were many lessons learned which could help to predict possible problems in wearable data collections and also contribute to the epilepsy community with new physiological information. This work contributes with original wearable data and results relevant to epilepsy research, and discusses relevant challenges that impact wearable health monitoring.

Keywords: cardiorespiratory function; epilepsy dataset; epilepsy monitoring; physiological data acquisition; physiological signals; protocol design; wearable devices.

Grants and funding

This work was partially supported by the Fundação para a Ciência e (FCT), Portugal, under the grants 2021.08297.BD and 2022.12369.BD, under the Scientific Employment Stimulus—Individual Call—2022.04901.CEECIND, and project PCIF/SSO/0163/2019 “SafeFire”. The work has also been partially supported by Centro Hospitalar Universitário Lisboa Norte, EPE, under the project “Pre_EpiSeizures”, by the FCT/Ministério da Ciência, Tecnologia e Ensino Superior (MCTES) through national funds and when applicable co-funded by EU funds under the project UIDB/50008/2020, and by the Instituto de Telecomunicações (IT).