Low-Power Low-Noise CMOS Analog and Mixed-Signal Design towards Epileptic Seizure Detection

About 50 million people worldwide suffer from epilepsy and one third of them have seizures that are refractory to medication. In the past few decades, deep brain stimulation (DBS) has been explored by researchers and physicians as a promising way to control and treat epileptic seizures. To make the DBS therapy more efficient and effective, the feedback loop for titrating therapy is required. It means the implantable DBS devices should be smart enough to sense the brain signals and then adjust the stimulation parameters adaptively. This research proposes a signal-sensing channel configurable to various neural applications, which is a vital part for a future closed-loop epileptic seizure stimulation system. This doctoral study has two main contributions, 1) a micropower low-noise neural front-end circuit, and 2) a low-power configurable neural recording system for both neural action-potential (AP) and fast-ripple (FR) signals. The neural front end consists of a preamplifier followed by a bandpass filter (BPF). This design focuses on improving the noise-power efficiency of the preamplifier and the power/pole merit of the BPF at ultra-low power consumption. In measurement, the preamplifier exhibits 39.6-dB DC gain, 0.8 Hz to 5.2 kHz of bandwidth (BW), 5.86-μVrms input-referred noise in AP mode, while showing 39.4-dB DC gain, 0.36 Hz to 1.3 kHz of BW, 3.07-μVrms noise in FR mode. The preamplifier achieves noise efficiency factor (NEF) of 2.93 and 3.09 for AP and FR modes, respectively. The preamplifier power consumption is 2.4 μW from 2.8 V for both modes. The 6th-order follow-the-leader feedback elliptic BPF passes FR signals and provides -110 dB/decade attenuation to out-of-band interferers. It consumes 2.1 μW from 2.8 V (or 0.35 μW/pole) and is one of the most power-efficient high-order active filters reported to date. The complete front-end circuit achieves a mid-band gain of 38.5 dB, a BW from 250 to 486 Hz, and a total input-referred noise of 2.48 μVrms while consuming 4.5 μW from the 2.8 V power supply. The front-end NEF achieved is 7.6. The power efficiency of the complete front-end is 0.75 μW/pole. The chip is implemented in a standard 0.6-μm CMOS process with a die area of 0.45 mm^2. The neural recording system incorporates the front-end circuit and a sigma-delta analog-to-digital converter (ADC). The ADC has scalable BW and power consumption for digitizing both AP and FR signals captured by the front end. Various design techniques are applied to the improvement of power and area efficiency for the ADC. At 77-dB dynamic range (DR), the ADC has a peak SNR and SNDR of 75.9 dB and 67 dB, respectively, while consuming 2.75-mW power in AP mode. It achieves 78-dB DR, 76.2-dB peak SNR, 73.2-dB peak SNDR, and 588-μW power consumption in FR mode. Both analog and digital power supply voltages are 2.8 V. The chip is fabricated in a standard 0.6-μm CMOS process. The die size is 11.25 mm^2. The proposed circuits can be extended to a multi-channel system, with the ADC shared by all channels, as the sensing part of a future closed-loop DBS system for the treatment of intractable epilepsy

A 16-Channel Neural Recording System-on-Chip With CHT Feature Extraction Processor in 65-nm CMOS

Next-generation invasive neural interfaces require fully implantable wireless systems that can record from a large number of channels simultaneously. However, transferring the recorded data from the implant to an external receiver emerges as a significant challenge due to the high throughput. To address this challenge, this article presents a neural recording system-on-chip that achieves high resource and wireless bandwidth efficiency by employing on-chip feature extraction. Energy-area-efficient 10-bit 20-kS/s front end amplifies and digitizes the neural signals within the local field potential (LFP) and action potential (AP) bands. The raw data from each channel are decomposed into spectral features using a compressed Hadamard transform (CHT) processor. The selection of the features to be computed is tailored through a machine learning algorithm such that the overall data rate is reduced by 80% without compromising classification performance. Moreover, the CHT feature extractor allows waveform reconstruction on the receiver side for monitoring or additional post-processing. The proposed approach was validated through in vivo and off-line experiments. The prototype fabricated in 65-nm CMOS also includes wireless power and data receiver blocks to demonstrate the energy and area efficiency of the complete system. The overall signal chain consumes 2.6 μW and occupies 0.021 mm² per channel, pointing toward its feasibility for 1000-channel single-die neural recording systems

Integrated Circuits and Systems for Smart Sensory Applications

Connected intelligent sensing reshapes our society by empowering people with increasing new ways of mutual interactions. As integration technologies keep their scaling roadmap, the horizon of sensory applications is rapidly widening, thanks to myriad light-weight low-power or, in same cases even self-powered, smart devices with high-connectivity capabilities. CMOS integrated circuits technology is the best candidate to supply the required smartness and to pioneer these emerging sensory systems. As a result, new challenges are arising around the design of these integrated circuits and systems for sensory applications in terms of low-power edge computing, power management strategies, low-range wireless communications, integration with sensing devices. In this Special Issue recent advances in application-specific integrated circuits (ASIC) and systems for smart sensory applications in the following five emerging topics: (I) dedicated short-range communications transceivers; (II) digital smart sensors, (III) implantable neural interfaces, (IV) Power Management Strategies in wireless sensor nodes and (V) neuromorphic hardware

Compressed sensing based seizure detection for an ultra low power multi-core architecture

Extracting information from brain signals in advanced Brain Machine Interfaces (BMI) often requires computationally demanding processing. The complexity of the algorithms traditionally employed to process multi-channel neural data, such as Principal Component Analysis (PCA), dramatically increases while scaling-up the number of channels and requires more power-hungry computational platforms. This could hinder the development of low-cost and low-power interfaces which can be used in wearable or implantable real-Time systems. This work proposes a new algorithm for the detection of epileptic seizure based on compressively sensed EEG information, and its optimization on a low-power multi-core SoC for near-sensor data analytics: Mr. Wolf. With respect to traditional algorithms based on PCA, the proposed approach reduces the computational complexity by 4.4x in ARM Cortex M4-based MCU. Implementing this algorithm on Mr.Wolf platform allows to detect a seizure with 1 ms of latency after acquiring the EEG data for 1 s, within an energy budget of 18.4 μJ. A comparison with the same algorithm on a commercial MCU shows an improvement of 6.9x in performance and up to 18.4x in terms of energy efficiency

Real-Time Management of Multimodal Streaming Data for Monitoring of Epileptic Patients

This is the Accepted Manuscript version of the following article: I. Mporas, D. Triantafyllopoulos, V. Megalooikonomou, “Real-Time Management of Multimodal Streaming Data for Monitoring of Epileptic Patients”, Journal of Medical Systems, Vol. 40(45), December 2015. The final published versions is available at: https://link.springer.com/article/10.1007%2Fs10916-015-0403-3 © Springer Science+Business Media New York 2015.New generation of healthcare is represented by wearable health monitoring systems, which provide real-time monitoring of patient’s physiological parameters. It is expected that continuous ambulatory monitoring of vital signals will improve treatment of patients and enable proactive personal health management. In this paper, we present the implementation of a multimodal real-time system for epilepsy management. The proposed methodology is based on a data streaming architecture and efficient management of a big flow of physiological parameters. The performance of this architecture is examined for varying spatial resolution of the recorded data.Peer reviewedFinal Accepted Versio

Seizure detection using EEG and ECG signals for computer-based monitoring, analysis and management of epileptic patients

This is the accepted manuscript version of the following article: Iosif Mporas, “Seizure detection using EEG and ECG signals for computer-based monitoring, analysis and management of epileptic patients”, Expert Systems with Applications, Vol. 42(6), December 2014. The final published version is available at: http://www.sciencedirect.com/science/article/pii/S0957417414007763?via%3Dihub © 2014 Elsevier Ltd. All rights reserved.In this paper a seizure detector using EEG and ECG signals, as a module of a healthcare system, is presented. Specifically, the module is based on short-time analysis with time-domain and frequency-domain features and classification using support vector machines. The seizure detection module was evaluated on three subjects with diagnosed idiopathic generalized epilepsy manifested with absences. The achieved seizure detection accuracy was approximately 90% for all evaluated subjects. Feature ranking investigation and evaluation of the seizure detection module using subsets of features showed that the feature vector composed of approximately the 65%-best ranked parameters provides a good trade-off between computational demands and accuracy. This configurable architecture allows the seizure detection module to operate as part of a healthcare system in offline mode as well as in online mode, where real-time performance is needed.Peer reviewe

Neuromorphic Neuromodulation: Towards the next generation of on-device AI-revolution in electroceuticals

Neuromodulation techniques have emerged as promising approaches for treating a wide range of neurological disorders, precisely delivering electrical stimulation to modulate abnormal neuronal activity. While leveraging the unique capabilities of artificial intelligence (AI) holds immense potential for responsive neurostimulation, it appears as an extremely challenging proposition where real-time (low-latency) processing, low power consumption, and heat constraints are limiting factors. The use of sophisticated AI-driven models for personalized neurostimulation depends on back-telemetry of data to external systems (e.g. cloud-based medical mesosystems and ecosystems). While this can be a solution, integrating continuous learning within implantable neuromodulation devices for several applications, such as seizure prediction in epilepsy, is an open question. We believe neuromorphic architectures hold an outstanding potential to open new avenues for sophisticated on-chip analysis of neural signals and AI-driven personalized treatments. With more than three orders of magnitude reduction in the total data required for data processing and feature extraction, the high power- and memory-efficiency of neuromorphic computing to hardware-firmware co-design can be considered as the solution-in-the-making to resource-constraint implantable neuromodulation systems. This could lead to a new breed of closed-loop responsive and personalised feedback, which we describe as Neuromorphic Neuromodulation. This can empower precise and adaptive modulation strategies by integrating neuromorphic AI as tightly as possible to the site of the sensors and stimulators. This paper presents a perspective on the potential of Neuromorphic Neuromodulation, emphasizing its capacity to revolutionize implantable brain-machine microsystems and significantly improve patient-specificity.Comment: 17 page