EEG-Biofeedback and Epilepsy: Concept, Methodology and Tools for (Neuro)therapy Planning and Objective Evaluation

Objective diagnosis and therapy evaluation are still challenging tasks for many neurological disorders. This is highly related to the diversity of cases and the variety of treatment modalities available. Especially in the case of epilepsy, which is a complex disorder not well-explained at the biochemical and physiological levels, there is the need for investigations for novel features, which can be extracted and quantified from electrophysiological signals in clinical practice. Neurotherapy is a complementary treatment applied in various disorders of the central nervous system, including epilepsy. The method is subsumed under behavioral medicine and is considered an operant conditioning in psychological terms. Although the application areas of this promising unconventional approach are rapidly increasing, the method is strongly debated, since the neurophysiological underpinnings of the process are not yet well understood. Therefore, verification of the efficacy of the treatment is one ...

Kirlangic, Mehmet Eylem — Technische Universitaet Ilmenau


Mining the ECG: Algorithms and Applications

This research focuses on the development of algorithms to extract diagnostic information from the ECG signal, which can be used to improve automatic detection systems and home monitoring solutions. In the first part of this work, a generically applicable algorithm for model selection in kernel principal component analysis is presented, which was inspired by the derivation of respiratory information from the ECG signal. This method not only solves a problem in biomedical signal processing, but more importantly offers a solution to a long-standing problem in the field of machine learning. Next, a methodology to quantify the level of contamination in a segment of ECG is proposed. This level is used to detect artifacts, and to improve the performance of different classifiers, by removing these artifacts from the training set. Furthermore, an evaluation of three different methodologies to compute the ECG-derived ...

Varon, Carolina — KU Leuven


Automated detection of epileptic seizures in pediatric patients based on accelerometry and surface electromyography

Epilepsy is one of the most common neurological diseases that manifests in repetitive epileptic seizures as a result of an abnormal, synchronous activity of a large group of neurons. Depending on the affected brain regions, seizures produce various severe clinical symptoms. There is no cure for epilepsy and sometimes even medication and other therapies, like surgery, vagus nerve stimulation or ketogenic diet, do not control the number of seizures. In that case, long-term (home) monitoring and automatic seizure detection would enable the tracking of the evolution of the disease and improve objective insight in any responses to medical interventions or changes in medical treatment. Especially during the night, supervision is reduced; hence a large number of seizures is missed. In addition, an alarm should be integrated into the automated seizure detection algorithm for severe seizures in order to help the ...

Milošević, Milica — KU Leuven


Automated quantification of preterm brain maturation using electroencephalography

Around 10 percent of all human births is premature, which means that annually about 15 million babies are born before 37 completed weeks of gestation. About one third of the admissions to the Neonatal Intensive Care Unit (NICU) consists of this patient group. Due to complications, 1 million babies die from premature delivery, and it is therefore the most important cause of neonatal death. In general, premature and immature babies have a high risk for neurological abnormalities by maturation in extra-uterine life. Even though improved health care has increased the survival changes of these neonates, they are sensitive to brain damage and consequently, neurocognitive disabilities. Nowadays, critical information about the brain development can be extracted from the electroencephalography (EEG). Clinical experts visually assess evolving EEG characteristics over both short and long periods to evaluate maturation of patients at risk and, ...

Koolen, Ninah — KU Leuven


New approaches for EEG signal processing: Artifact EOG removal by ICA-RLS scheme and Tracks extraction method

Localizing the bioelectric phenomena originating from the cerebral cortex and evoked by auditory and somatosensory stimuli are clear objectives to both understand how the brain works and to recognize different pathologies. Diseases such as Parkinson's, Alzheimer's, schizophrenia and epilepsy are intensively studied to find a cure or accurate diagnosis. Epilepsy is considered the disease with major prevalence within disorders with neurological origin. The recurrent and sudden incidence of seizures can lead to dangerous and possibly life-threatening situations. Since disturbance of consciousness and sudden loss of motor control often occur without any warning, the ability to predict epileptic seizures would reduce patients' anxiety, thus considerably improving quality of life and safety. The common procedure for epilepsy seizure detection is based on brain activity monitorization via electroencephalogram (EEG) data. This process consumes a lot of time, especially in the case of long ...

Carlos Guerrero-Mosquera — University Carlos III of Madrid


Heart rate variability : linear and nonlinear analysis with applications in human physiology

Cardiovascular diseases are a growing problem in today’s society. The World Health Organization (WHO) reported that these diseases make up about 30% of total global deaths and that heart diseases have no geographic, gender or socioeconomic boundaries. Therefore, detecting cardiac irregularities early-stage and a correct treatment are very important. However, this requires a good physiological understanding of the cardiovascular system. The heart is stimulated electrically by the brain via the autonomic nervous system, where sympathetic and vagal pathways are always interacting and modulating heart rate. Continuous monitoring of the heart activity is obtained by means of an ElectroCardioGram (ECG). Studying the fluctuations of heart beat intervals over time reveals a lot of information and is called heart rate variability (HRV) analysis. A reduction of HRV has been reported in several cardiological and noncardiological diseases. Moreover, HRV also has a prognostic ...

Vandeput, Steven — KU Leuven


Detection of epileptic seizures based on video and accelerometer recordings

Epilepsy is one of the most common neurological diseases, especially in children. And although the majority of patients can be treated through medication or surgery (70%-75%), a significant group of patients cannot be treated. For this latter group of patients it is advisable to follow the evolution of the disease. This can be done through a long-term automatic monitoring, which gives an objective measure of the number of seizures that the patient has, for example during the night. On the other hand, there is a reduced social control overnight and the parents or caregivers can miss some seizures. In severe seizures, it is sometimes necessary, however, to avoid dangerous situations during or after the seizure (e.g. the danger of suffocation caused by vomiting or a position that obstructs breathing, or the risk of injury during violent movements), and to comfort ...

Cuppens, Kris — Katholieke Universiteit Leuven


Cardiorespiratory dynamics: algorithms and application to mental stress monitoring

The rate at which our heart beats, is a dynamical process enabling adaptive changes according to the demands of our body. These variations in heart rate are widely studied in so-called heart rate variability (HRV) analyses, as they contain much information about the activity of our autonomic nervous system. Variability in the heart rate arises from several processes, such as thermoregulation, hormones, arterial blood pressure, respiration, etc. One of the main short-term modulators of the heart rate is respiration. This phenomenon is called respiratory sinus arrhythmia (RSA) and comprises the rhythmic fluctuation of the heart rate at respiratory frequency. It has also widely been used as an index of vagal outflow. However, this has been widely debated as some studies have shown that the magnitude of RSA changes with respiratory rate and the depth of breathing, independently of parasympathetic activity. ...

Widjaja, Devy — KU Leuven


Analysis and improvement of quantification algorithms for magnetic resonance spectroscopy

Magnetic Resonance Spectroscopy (MRS) is a technique used in fundamental research and in clinical environments. During recent years, clinical application of MRS gained importance, especially as a non-invasive tool for diagnosis and therapy monitoring of brain and prostate tumours. The most important asset of MRS is its ability to determine the concentration of chemical substances non-invasively. To extract relevant signal parameters, MRS data have to be quantified. This usually doesn¢t prove to be straightforward since in vivo MRS signals are characterized by poor signal-to-noise ratios, overlapping peaks, acquisition related artefacts and the presence of disturbing components (e.g. residual water in proton spectra). The work presented in this thesis aims to improve the quantification in different applications of MRS in vivo. To obtain the signal parameters related to MRS data, different approaches were suggested in the past. Black-box methods, don¢t require ...

Pels, Pieter — Katholieke Universiteit Leuven


Analysis of electrophysiological measurements during stress monitoring

Work-related musculoskeletal disorders are a growing problem in todays society. These musculoskeletal disorders are caused by, amongst others, repetitive movements and mental stress. Stress is defined as the mismatch between a perceived demand and the perceived capacities to meet this demand. Although stress has a subjective origin, several physiological manifestations (e.g. cardiovascular and muscular) occur during periods of perceived stress. New insight and algorithms to extract information, related to stress are beneficial. Therefore, two series of stress experiments are executed in a laboratory environment, where subjects underwent different tasks inducing physical strain, mental stress and a combination of both. In this manuscript, new and modified algorithms for electromyography signals are presented that improve the individual analysis of electromyography signals. A first algorithm removes the interference of the electrical activity of the heart on singlechannel electromyography measurements. This interference signal is ...

Taelman, Joachim — KU Leuven


Spatio-temporal characterization of the surface electrocardiogram for catheter ablation outcome prediction in persistent atrial fibrillation

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice, and one of the main causes of ictus and strokes. Despite the advances in the comprehension of its mechanisms, its thorough characterization and the quantification of its effects on the human heart are still an open issue. In particular, the choice of the most appropriate therapy is frequently a hard task. Radiofrequency catheter ablation (CA) is becoming one of the most popular solutions for the treatment of the disease. Yet, very little is known about its impact on heart substrate during AF, thus leading to an inaccurate selection of positive responders to therapy and a low success rate; hence, the need for advanced signal processing tools able to quantify AF impact on heart substrate and assess the effectiveness of the CA therapy in an objective and ...

Marianna Meo — Université Nice Sophia Antipolis


Audio-visual processing and content management techniques, for the study of (human) bioacoustics phenomena

The present doctoral thesis aims towards the development of new long-term, multi-channel, audio-visual processing techniques for the analysis of bioacoustics phenomena. The effort is focused on the study of the physiology of the gastrointestinal system, aiming at the support of medical research for the discovery of gastrointestinal motility patterns and the diagnosis of functional disorders. The term "processing" in this case is quite broad, incorporating the procedures of signal processing, content description, manipulation and analysis, that are applied to all the recorded bioacoustics signals, the auxiliary audio-visual surveillance information (for the monitoring of experiments and the subjects' status), and the extracted audio-video sequences describing the abdominal sound-field alterations. The thesis outline is as follows. The main objective of the thesis, which is the technological support of medical research, is presented in the first chapter. A quick problem definition is initially ...

Dimoulas, Charalampos — Department of Electrical and Computer Engineering, Faculty of Engineering, Aristotle University of Thessaloniki, Thessaloniki, Greece


Mixed structural models for 3D audio in virtual environments

In the world of Information and communications technology (ICT), strategies for innovation and development are increasingly focusing on applications that require spatial representation and real-time interaction with and within 3D-media environments. One of the major challenges that such applications have to address is user-centricity, reflecting e.g. on developing complexity-hiding services so that people can personalize their own delivery of services. In these terms, multimodal interfaces represent a key factor for enabling an inclusive use of new technologies by everyone. In order to achieve this, multimodal realistic models that describe our environment are needed, and in particular models that accurately describe the acoustics of the environment and communication through the auditory modality are required. Examples of currently active research directions and application areas include 3DTV and future internet, 3D visual-sound scene coding, transmission and reconstruction and teleconferencing systems, to name but ...

Geronazzo, Michele — University of Padova


Broadband Wireless Communication Systems for High Mobility Scenarios

Over the last few years multimedia and data-based services experienced a non-stopping growth. Unlike before, people do not use the services only from a static location, but they are continuously on the move between different scenarios, using their mobile devices to access data-based services. In parallel, commuter traffic from rural areas is also rising, since most of work places are in and around cities. During transportation, people intensively employ mobile devices to work, access to social networks, or as an entertainment means. Internet access is required for most of these services. Currently, GSM for Railways (GSM-R), which is based on the Global System for Mobile Communications (GSM), is the most widely used communication system between trains and the elements involved in operation, control, and intercommunication within the railway infrastructure. However, GSM-R is not well suited for supporting advanced services such ...

Rodríguez-Piñeiro, José — University of A Coruña


Learning from structured EEG and fMRI data supporting the diagnosis of epilepsy

Epilepsy is a neurological condition that manifests in epileptic seizures as a result of an abnormal, synchronous activity of a large group of neurons. Depending on the affected brain regions, seizures produce various severe clinical symptoms. Epilepsy cannot be cured and in many cases is not controlled by medication either. Surgical resection of the region responsible for generating the epileptic seizures might offer remedy for these patients. Electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) measure the changes of brain activity in time over different locations of the brain. As such, they provide valuable information on the nature, the timing and the spatial origin of the epileptic activity. Unfortunately, both techniques record activity of different brain and artefact sources as well. Hence, EEG and fMRI signals are characterised by low signal to noise ratio. Data quality and the vast amount ...

Hunyadi, Borbála — KU Leuven

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