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An IoMT-Based Approach for Real-Time Monitoring Using Wearable Neuro-Sensors. JOURNAL OF HEALTHCARE ENGINEERING 2023; 2023:1066547. [PMID: 36814546 PMCID: PMC9940964 DOI: 10.1155/2023/1066547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 08/15/2022] [Accepted: 01/28/2023] [Indexed: 02/15/2023]
Abstract
The Internet of Things (IoT) has demonstrated over the past few decades to be a powerful tool for connecting various medical equipment with in-built sensors and healthcare professionals to deliver superior health services that also reach remote areas. In addition to reducing healthcare costs, increasing access to clinical services, and enhancing operational effectiveness in the healthcare industry, it has also enhanced patient health safety. Recent research has focused on using EEG to assist and comprehend brain changes in rehabilitation facilities. These technologies can spot fluctuations in EEG constraints during treatment, which could result in more effective therapy and better functional outcomes. As a result, we have tried to use an IoT-based system for real-time monitoring of the constraints. Another unknown patient who is suffering from acute ischemic stroke may experience stroke-in-evolution or an early worsening of neurological symptoms, which is frequently associated with poor clinical outcomes. Because of this, managing an acute stroke requires early detection of these indications. The present investigation work will act as a standard reference for academic researchers, medical professionals, and everyone else involved in the use of IoMT. This study aims to anticipate strokes sooner and prevent their consequences by early intervention using an Internet of Things (IoT)-based system. Also, this study proposes usage of wearable equipment that can monitor and analyze brain signals for improved treatment and the prevention of stroke-related complications.
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Kuhlmann L, Lehnertz K, Richardson MP, Schelter B, Zaveri HP. Seizure prediction - ready for a new era. Nat Rev Neurol 2019; 14:618-630. [PMID: 30131521 DOI: 10.1038/s41582-018-0055-2] [Citation(s) in RCA: 191] [Impact Index Per Article: 38.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Epilepsy is a common disorder characterized by recurrent seizures. An overwhelming majority of people with epilepsy regard the unpredictability of seizures as a major issue. More than 30 years of international effort have been devoted to the prediction of seizures, aiming to remove the burden of unpredictability and to couple novel, time-specific treatment to seizure prediction technology. A highly influential review published in 2007 concluded that insufficient evidence indicated that seizures could be predicted. Since then, several advances have been made, including successful prospective seizure prediction using intracranial EEG in a small number of people in a trial of a real-time seizure prediction device. In this Review, we examine advances in the field, including EEG databases, seizure prediction competitions, the prospective trial mentioned and advances in our understanding of the mechanisms of seizures. We argue that these advances, together with statistical evaluations, set the stage for a resurgence in efforts towards the development of seizure prediction methodologies. We propose new avenues of investigation involving a synergy between mechanisms, models, data, devices and algorithms and refine the existing guidelines for the development of seizure prediction technology to instigate development of a solution that removes the burden of the unpredictability of seizures.
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Affiliation(s)
- Levin Kuhlmann
- Centre for Human Psychopharmacology, Swinburne University of Technology, Melbourne, Victoria, Australia.,Department of Medicine - St. Vincent's, The University of Melbourne, Parkville, Victoria, Australia.,Department of Biomedical Engineering, The University of Melbourne, Parkville, Victoria, Australia
| | - Klaus Lehnertz
- Department of Epileptology, University of Bonn, Bonn, Germany. .,Interdisciplinary Center for Complex Systems, University of Bonn, Bonn, Germany.
| | - Mark P Richardson
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Björn Schelter
- Institute for Complex Systems and Mathematical Biology, University of Aberdeen, Aberdeen, UK
| | - Hitten P Zaveri
- Department of Neurology, Yale University, New Haven, CT, USA
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O'Sullivan-Greene E, Kuhlmann L, Nurse ES, Freestone DR, Grayden DB, Cook M, Burkitt A, Mareels I. Probing to Observe Neural Dynamics Investigated with Networked Kuramoto Oscillators. Int J Neural Syst 2016; 27:1650038. [PMID: 27596927 DOI: 10.1142/s0129065716500386] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The expansion of frontiers in neural engineering is dependent on the ability to track, detect and predict dynamics in neural tissue. Recent innovations to elucidate information from electrical recordings of brain dynamics, such as epileptic seizure prediction, have involved switching to an active probing paradigm using electrically evoked recordings rather than traditional passive measurements. This paper positions the advantage of probing in terms of information extraction, by using a coupled oscillator Kuramoto model to represent brain dynamics. While active probing performs better at observing underlying system synchrony in Kuramoto networks, especially in non-Gaussian measurement environments, the benefits diminish with increasing relative size of electrode spatial resolution compared to synchrony area. This suggests probing will be useful for improved characterization of synchrony for suitably dense electrode recordings.
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Affiliation(s)
- Elma O'Sullivan-Greene
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Levin Kuhlmann
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia.,† Brain & Psychological Sciences Research Centre, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
| | - Ewan S Nurse
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia.,‡ Department of Medicine, The University of Melbourne, Parkville, VIC 3010, Australia.,§ St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia
| | - Dean R Freestone
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia.,‡ Department of Medicine, The University of Melbourne, Parkville, VIC 3010, Australia.,§ St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia
| | - David B Grayden
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Mark Cook
- ‡ Department of Medicine, The University of Melbourne, Parkville, VIC 3010, Australia.,§ St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia
| | - Anthony Burkitt
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Iven Mareels
- * Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, VIC 3010, Australia
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