INCLASS: Incremental Classification Strategy for Self-Aware Epileptic Seizure Detection

Giovanni Ansaloni, David Atienza Alonso, Renaud Marquis, Tomas Teijeiro Campo
2022
Article de conférence

Résumé

Wearable Health Companions allow the unobtrusive monitoring of patients affected by chronic conditions. In particular, by acquiring and interpreting bio-signals, they enable the detection of acute episodes in cardiac and neurological ailments. Nevertheless, the processing of bio-signals is computationally complex, especially when a large number of features are required to obtain reliable detection outcomes. Addressing this challenge, we present a novel methodology, named INCLASS, that iteratively extends employed feature sets at run-time, until a confidence condition is satisfied. INCLASS builds such sets based on code analysis and profiling information. When applied to the challenging scenario of detecting epileptic seizures based on ECG and SpO2 acquisitions, INCLASS obtains savings of up to 54%, while incurring in a negligible loss of detection performance (1.1% degradation of specificity and sensitivity) with respect to always computing and evaluating all features.

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https://infoscience.epfl.ch/record/290368?ln=fr

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Self-Aware Wearable Systems in Epileptic Seizure Detection

Amir Aminifar, David Atienza Alonso, Farnaz Forooghifar

Today, wearable systems are facing fundamental barriers in terms of battery lifetime and quality of their results. The main challenge in wearable systems is to increase the battery lifetime, while maintaining the machine-learning performance of the system. A recently proposed concept for overcoming this challenge is self-awareness, which increases system's knowledge of itself and the surrounding environment. This is precisely what health monitoring wearable systems require to adapt to different situations. To demonstrate the impact of introducing self-awareness in wearable technologies, we consider the epileptic seizure detection problem, as a case study. Epilepsy affects around 1% of the world's population, which can dramatically degrade the quality of life and represents a major public health issue. As a result, detection of epileptic seizures has become more important over the past decades. In this paper, we aim to introduce a new generation of self-aware wearable systems to decrease energy consumption and improve their seizures detection capabilities by introducing the notion of self-awareness in such systems. These techniques include switching to low-power mode to reduce the energy consumption and machine-learning model enhancement to improve detection quality. We incorporated our proposed techniques in the machine learning module, which detects epileptic seizures by monitoring the cardiac and respiratory systems. We evaluated the performance of our approach based on an epilepsy database of more than 141 hours, provided by the Lausanne University Hospital (CHUV). Our self-aware wearable system achieves 36% reduction in computational complexity and 10.51% improvement in detection performance.

2018

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Real-time classification technique for early detection and prevention of myocardial infarction on wearable devices

Amir Aminifar, David Atienza Alonso, Dionisije Sopic

Continuous monitoring of patients suffering from cardiovascular diseases and, in particular, myocardial infarction (MI) places a considerable burden on health-care systems and government budgets. The rise of wearable devices alleviates this burden, allowing for long-term patient monitoring in ambulatory settings. One of the major challenges in this area is to design ultra-low energy wearable devices for long-term monitoring of patients’ vital signs. In this work, we present a real-time event-driven classification technique, based on support vector machines (SVM) and statistical outlier detection. The main goal of this technique is to maintain a high classification accuracy while reducing the complexity of the classification algorithm. This technique leads to a reduction in energy consumption and thus battery lifetime extension. We validate our approach on a well-established and complete myocardial infarction (MI) database (Physiobank, PTB Diagnostic ECG database [1]). Our experimental evaluation demonstrates that our real-time classification scheme outperforms the existing approaches in terms of energy consumption and battery lifetime by a factor of 3, while maintaining the classification accuracy at a medically-acceptable level of 90%.

IEEE2017

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Epilepsy is one of the most common neurological disorders and affects over 65 million people worldwide. Despite the continuing advances in anti-epileptic treatments, one third of the epilepsy patients live with drug resistant seizures. Besides, the mortality rate among epileptic patients is 2 – 3 times higher than in the matching group of the general population. Wearable devices offer a promising solution for the detection of seizures in real time so as to alert family and caregivers to provide immediate assistance to the patient. However, in order for the detection system to be reliable, a considerable amount of labeled data is needed to train it. Labeling epilepsy data is a costly and time-consuming process that requires manual inspection and annotation of electroencephalogram (EEG) recordings by medical experts. In this paper, we present a self-learning methodology for epileptic seizure detection without medical supervision. We propose a minimally-supervised algorithm for automatic labeling of seizures in order to generate personalized training data. We demonstrate that the median deviation of the labels from the ground truth is only 10.1 seconds or, equivalently, less than 1% of the signal length. Moreover, we show that training a real-time detection algorithm with data labeled by our algorithm produces a degradation of less than 2.5% in comparison to training it with data labeled by medical experts. We evaluated our methodology on a wearable platform and achieved a lifetime of 2.59 days on a single battery charge.

2019

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