Journal of Neural Engineering · 2023 · 16 citations · 41 references
EngineeringBioengineeringNeuroscienceElectrophysiologyEpilepsyNeural EngineeringElectroencephalographyImplantable Biomedical DevicesImplantable MicrodevicesImplantable Neural DevicesNeural Recording TechnologiesNeural Signal ProcessingBiomarker DetectionImplantable Biomarker DetectionImplantable Neural InterfacesLocal Field PotentialsNeural RecordingNeural Recording SystemsNeuromorphic DevicesNeuromorphic Hardware
Abstract Objective . Therapeutic intervention in neurological disorders still relies heavily on pharmacological solutions, while the treatment of patients with drug resistance remains an unresolved issue. This is particularly true for patients with epilepsy, 30% of whom are refractory to medications. Implantable devices for chronic recording and electrical modulation of brain activity have proved a viable alternative in such cases. To operate, the device should detect the relevant electrographic biomarkers from local field potentials (LFPs) and determine the right time for stimulation. To enable timely interventions, the ideal device should attain biomarker detection with low latency while operating under low power consumption to prolong battery life. Approach . Here we introduce a fully-analog neuromorphic device implemented in CMOS technology for analyzing LFP signals in an in vitro model of acute ictogenesis. Neuromorphic networks have progressively gained a reputation as low-latency low-power computing systems, which makes them a promising candidate as processing core of next-generation implantable neural interfaces. Main results . The developed system can detect ictal and interictal events with ms-latency and with high precision, consuming on average 3.50 nW during the task. Significance . The work presented in this paper paves the way to a new generation of brain implantable devices for personalized closed-loop stimulation for epilepsy treatment.
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Early Identification of Refractory Epilepsy
Patrick Kwan, Martin J. Brodie · New England Journal of Medicine · 2000 · 5.2K citations · Full text
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