SPIRIT: Low Power Seizure Prediction using Unsupervised Online-Learning and Zoom Analog Frontends

Early prediction of seizures and timely interventions are vital for improving patients' quality of life. While seizure prediction has been shown in software-based implementations, to enable timely warnings of upcoming seizures, prediction must be done on an edge device to reduce latency. Ideally, such devices must also be low-power and track long-term drifts to minimize maintenance from the user. This work presents SPIRIT: Stochastic-gradient-descent-based Predictor with Integrated Retraining and In situ accuracy Tuning. SPIRIT is a complete system-on-a-chip (SoC) integrating an unsupervised online-learning seizure prediction classifier with eight 14.4 uW, 0.057 mm2, 90.5 dB dynamic range, Zoom Analog Frontends. SPIRIT achieves, on average, 97.5%/96.2% sensitivity/specificity respectively, predicting seizures an average of 8.4 minutes before they occur. Through its online learning algorithm, prediction accuracy improves by up to 15%, and prediction times extend by up to 7x, without any external intervention. Its classifier consumes 17.2 uW and occupies 0.14 mm2, the lowest reported for a prediction classifier by >134x in power and >5x in area. SPIRIT is also at least 5.6x more energy efficient than the state-of-the-art.

SOUL: An Energy-Efficient Unsupervised Online Learning Seizure Detection Classifier

Implantable devices that record neural activity and detect seizures have been adopted to issue warnings or trigger neurostimulation to suppress epileptic seizures. Typical seizure detection systems rely on high-accuracy offline-trained machine learning classifiers that require manual retraining when seizure patterns change over long periods of time. For an implantable seizure detection system, a low power, at-the-edge, online learning algorithm can be employed to dynamically adapt to the neural signal drifts, thereby maintaining high accuracy without external intervention. This work proposes SOUL: Stochastic-gradient-descent-based Online Unsupervised Logistic regression classifier. After an initial offline training phase, continuous online unsupervised classifier updates are applied in situ, which improves sensitivity in patients with drifting seizure features. SOUL was tested on two human electroencephalography (EEG) datasets: the CHB-MIT scalp EEG dataset, and a long (>100 hours) NeuroVista intracranial EEG dataset. It was able to achieve an average sensitivity of 97.5% and 97.9% for the two datasets respectively, at >95% specificity. Sensitivity improved by at most 8.2% on long-term data when compared to a typical seizure detection classifier. SOUL was fabricated in TSMC's 28 nm process occupying 0.1 mm2 and achieves 1.5 nJ/classification energy efficiency, which is at least 24x more efficient than state-of-the-art.