Low-complexity algorithms for automatic detection of sleep stages and events for use in wearable EEG systems

Objective: Diagnosis of sleep disorders is an expensive procedure that requires performing a sleep study, known as polysomnography (PSG), in a controlled environment. This study monitors the neural, eye and muscle activity of a patient using electroencephalogram (EEG), electrooculogram (EOG) and electromyogram (EMG) signals which are then scored in to different sleep stages. Home PSG is often cited as an alternative of clinical PSG to make it more accessible, however it still requires patients to use a cumbersome system with multiple recording channels that need to be precisely placed. This thesis proposes a wearable sleep staging system using a single channel of EEG. For realisation of such a system, this thesis presents novel features for REM sleep detection from EEG (normally detected using EMG/EOG), a low-complexity automatic sleep staging algorithm using a single EEG channel and its complete integrated circuit implementation. Methods: The difference between Spectral Edge Frequencies (SEF) at 95% and 50% in the 8-16 Hz frequency band is shown to have high discriminatory ability for detecting REM sleep stages. This feature, together with other spectral features from single-channel EEG are used with a set of decision trees controlled by a state machine for classification. The hardware for the complete algorithm is designed using low-power techniques and implemented on chip using 0.18μm process node technology. Results: The use of SEF features from one channel of EEG resulted in 83% of REM sleep epochs being correctly detected. The automatic sleep staging algorithm, based on contextually aware decision trees, resulted in an accuracy of up to 79% on a large dataset. Its hardware implementation, which is also the very first complete circuit level implementation of any sleep staging algorithm, resulted in an accuracy of 98.7% with great potential for use in fully wearable sleep systems.Open Acces

A Wearable EEG System for Closed-Loop Neuromodulation of High-Frequency Sleep-Related Oscillations

In healthy sleepers, cortical alpha oscillations are present during the transition from wakefulness to sleep, and dissipate at sleep onset. For individuals with insomnia, alpha power is elevated during the wake-sleep transition and can persist throughout the night. Neuromodulation techniques using phase-locked stimulation have been put forth as alternatives to drugs for improving slow-wave sleep quality. Due to technical limitations, this approach has not been tested on faster frequency alpha oscillations. Here we examine the feasibility of using an endpoint-corrected version of the Hilbert Transform (ecHT) algorithm implemented on-device to measure alpha phase and deliver phase-locked auditory stimulation to modulate alpha and promote sleep initiation. First, the ecHT algorithm is implemented on a tabletop electroencephalogram (EEG) device and used to measure the timing of the auditory evoked response and its delivery at precise phases of the alpha oscillation. Secondly, a pilot at-home study tests feasibility to use a wearable version of the neuromodulation device for real-time phase-locked stimulation in the alpha (8-12 Hz) frequency range. Auditory stimulation was delivered at the intended phases of alpha with high precision, and alpha oscillations were affected differently by stimuli delivered at opposing phases. Our wearable system was capable of measuring sleep micro- and macro-events present in the EEG that were appropriate for clinical sleep scoring. Sleep onset latencies were reduced for a subset of subjects displaying sleep onset insomnia symptoms in the stimulation condition. This study demonstrates the feasibility of closed-loop tracking and neuromodulation of alpha oscillations using a wearable EEG device. Preliminary results suggest that this approach could be used to accelerate sleep initiation in individuals with objective insomnia symptoms.Comment: 31 pages, 10 main figures, 5 supplementary figure

A Large-Scale Study of a Sleep Tracking and Improving Device with Closed-loop and Personalized Real-time Acoustic Stimulation

Various intervention therapies ranging from pharmaceutical to hi-tech tailored solutions have been available to treat difficulty in falling asleep commonly caused by insomnia in modern life. However, current techniques largely remain ill-suited, ineffective, and unreliable due to their lack of precise real-time sleep tracking, in-time feedback on the therapies, an ability to keep people asleep during the night, and a large-scale effectiveness evaluation. Here, we introduce a novel sleep aid system, called Earable, that can continuously sense multiple head-based physiological signals and simultaneously enable closed-loop auditory stimulation to entrain brain activities in time for effective sleep promotion. We develop the system in a lightweight, comfortable, and user-friendly headband with a comprehensive set of algorithms and dedicated own-designed audio stimuli. We conducted multiple protocols from 883 sleep studies on 377 subjects (241 women, 119 men) wearing either a gold-standard device (PSG), Earable, or both concurrently. We demonstrate that our system achieves (1) a strong correlation (0.89 +/- 0.03) between the physiological signals acquired by Earable and those from the gold-standard PSG, (2) an 87.8 +/- 5.3% agreement on sleep scoring using our automatic real-time sleep staging algorithm with the consensus scored by three sleep technicians, and (3) a successful non-pharmacological stimulation alternative to effectively shorten the duration of sleep falling by 24.1 +/- 0.1 minutes. These results show that the efficacy of Earable exceeds existing techniques in intentions to promote fast falling asleep, track sleep state accurately, and achieve high social acceptance for real-time closed-loop personalized neuromodulation-based home sleep care.Comment: 33 pages, 8 figure

Intelligent Biosignal Analysis Methods

This book describes recent efforts in improving intelligent systems for automatic biosignal analysis. It focuses on machine learning and deep learning methods used for classification of different organism states and disorders based on biomedical signals such as EEG, ECG, HRV, and others

Efficient embedded sleep wake classification for open-source actigraphy

This study presents a thorough analysis of sleep/wake detection algorithms for efficient on-device sleep tracking using wearable accelerometric devices. It develops a novel end-to-end algorithm using convolutional neural network applied to raw accelerometric signals recorded by an open-source wrist-worn actigraph. The aim of the study is to develop an automatic classifier that: (1) is highly generalizable to heterogenous subjects, (2) would not require manual features’ extraction, (3) is computationally lightweight, embeddable on a sleep tracking device, and (4) is suitable for a wide assortment of actigraphs. Hereby, authors analyze sleep parameters, such as total sleep time, waking after sleep onset and sleep efficiency, by comparing the outcomes of the proposed algorithm to the gold standard polysomnographic concurrent recordings. The relatively substantial agreement (Cohen’s kappa coefficient, median, equal to 0.78 ± 0.07) and the low-computational cost (2727 floating-point operations) make this solution suitable for an on-board sleep-detection approach

EEG-based Brain-Computer Interfaces (BCIs): A Survey of Recent Studies on Signal Sensing Technologies and Computational Intelligence Approaches and Their Applications.

Brain-Computer interfaces (BCIs) enhance the capability of human brain activities to interact with the environment. Recent advancements in technology and machine learning algorithms have increased interest in electroencephalographic (EEG)-based BCI applications. EEG-based intelligent BCI systems can facilitate continuous monitoring of fluctuations in human cognitive states under monotonous tasks, which is both beneficial for people in need of healthcare support and general researchers in different domain areas. In this review, we survey the recent literature on EEG signal sensing technologies and computational intelligence approaches in BCI applications, compensating for the gaps in the systematic summary of the past five years. Specifically, we first review the current status of BCI and signal sensing technologies for collecting reliable EEG signals. Then, we demonstrate state-of-the-art computational intelligence techniques, including fuzzy models and transfer learning in machine learning and deep learning algorithms, to detect, monitor, and maintain human cognitive states and task performance in prevalent applications. Finally, we present a couple of innovative BCI-inspired healthcare applications and discuss future research directions in EEG-based BCI research

Sensing with Earables: A Systematic Literature Review and Taxonomy of Phenomena

Earables have emerged as a unique platform for ubiquitous computing by augmenting ear-worn devices with state-of-the-art sensing. This new platform has spurred a wealth of new research exploring what can be detected on a wearable, small form factor. As a sensing platform, the ears are less susceptible to motion artifacts and are located in close proximity to a number of important anatomical structures including the brain, blood vessels, and facial muscles which reveal a wealth of information. They can be easily reached by the hands and the ear canal itself is affected by mouth, face, and head movements. We have conducted a systematic literature review of 271 earable publications from the ACM and IEEE libraries. These were synthesized into an open-ended taxonomy of 47 different phenomena that can be sensed in, on, or around the ear. Through analysis, we identify 13 fundamental phenomena from which all other phenomena can be derived, and discuss the different sensors and sensing principles used to detect them. We comprehensively review the phenomena in four main areas of (i) physiological monitoring and health, (ii) movement and activity, (iii) interaction, and (iv) authentication and identification. This breadth highlights the potential that earables have to offer as a ubiquitous, general-purpose platform

Sensing with Earables: A Systematic Literature Review and Taxonomy of Phenomena

Earables have emerged as a unique platform for ubiquitous computing by augmenting ear-worn devices with state-of-the-art sensing. This new platform has spurred a wealth of new research exploring what can be detected on a wearable, small form factor. As a sensing platform, the ears are less susceptible to motion artifacts and are located in close proximity to a number of important anatomical structures including the brain, blood vessels, and facial muscles which reveal a wealth of information. They can be easily reached by the hands and the ear canal itself is affected by mouth, face, and head movements. We have conducted a systematic literature review of 271 earable publications from the ACM and IEEE libraries. These were synthesized into an open-ended taxonomy of 47 different phenomena that can be sensed in, on, or around the ear. Through analysis, we identify 13 fundamental phenomena from which all other phenomena can be derived, and discuss the different sensors and sensing principles used to detect them. We comprehensively review the phenomena in four main areas of (i) physiological monitoring and health, (ii) movement and activity, (iii) interaction, and (iv) authentication and identification. This breadth highlights the potential that earables have to offer as a ubiquitous, general-purpose platform

Enabling human physiological sensing by leveraging intelligent head-worn wearable systems

This thesis explores the challenges of enabling human physiological sensing by leveraging head-worn wearable computer systems. In particular, we want to answer a fundamental question, i.e., could we leverage head-worn wearables to enable accurate and socially-acceptable solutions to improve human healthcare and prevent life-threatening conditions in our daily lives? To that end, we will study the techniques that utilise the unique advantages of wearable computers to (1) facilitate new sensing capabilities to capture various biosignals from the brain, the eyes, facial muscles, sweat glands, and blood vessels, (2) address motion artefacts and environmental noise in real-time with signal processing algorithms and hardware design techniques, and (3) enable long-term, high-fidelity biosignal monitoring with efficient on-chip intelligence and pattern-driven compressive sensing algorithms. We first demonstrate the ability to capture the activities of the user's brain, eyes, facial muscles, and sweat glands by proposing WAKE, a novel behind-the-ear biosignal sensing wearable. By studying the human anatomy in the ear area, we propose a wearable design to capture brain waves (EEG), eye movements (EOG), facial muscle contractions (EMG), and sweat gland activities (EDA) with a minimal number of sensors. Furthermore, we introduce a Three-fold Cascaded Amplifying (3CA) technique and signal processing algorithms to tame the motion artefacts and environmental noises for capturing high-fidelity signals in real time. We devise a machine-learning model based on the captured signals to detect microsleep with a high temporal resolution. Second, we will discuss our work on developing an efficient Pattern-dRiven Compressive Sensing framework (PROS) to enable long-term biosignal monitoring on low-power wearables. The system introduces tiny on-chip pattern recognition primitives (TinyPR) and a novel pattern-driven compressive sensing technique (PDCS) that exploits the sparsity of biosignals. They provide the ability to capture high-fidelity biosignals with an ultra-low power footprint. This development will unlock long-term healthcare applications on wearable computers, such as epileptic seizure monitoring, microsleep detection, etc. These applications were previously impractical on energy and resource-constrained wearable computers due to the limited battery lifetime, slow response rate, and inadequate biosignal quality. Finally, we will further explore the possibility of capturing the activities of a blood vessel (i.e., superficial temporal artery) lying deep inside the user's ear using an ear-worn wearable computer. The captured optical pulse signals (PPG) are used to develop a frequent and comfortable blood pressure monitoring system called eBP. In contrast to existing devices, eBP introduces a novel in-ear wearable system design and algorithms to eliminate the need to block the blood flow inside the ear, alleviating the user's discomfort