Real-time decision fusion for multimodal neural prosthetic devices

Decision fusion in healthcare and medicine: a narrative review

OBJECTIVE

To provide an overview of the decision fusion (DF) technique and describe the applications of the technique in healthcare and medicine at prevention, diagnosis, treatment and administrative levels.

BACKGROUND

The rapid development of technology over the past 20 years has led to an explosion in data growth in various industries, like healthcare. Big data analysis within the healthcare systems is essential for arriving to a value-based decision over a period of time. Diversity and uncertainty in big data analytics have made it impossible to analyze data by using conventional data mining techniques and thus alternative solutions are required. DF is a form of data fusion techniques that could increase the accuracy of diagnosis and facilitate interpretation, summarization and sharing of information.

METHODS

We conducted a review of articles published between January 1980 and December 2020 from various databases such as Google Scholar, IEEE, PubMed, Science Direct, Scopus and web of science using the keywords decision fusion (DF), information fusion, healthcare, medicine and big data. A total of 141 articles were included in this narrative review.

CONCLUSIONS

Given the importance of big data analysis in reducing costs and improving the quality of healthcare; along with the potential role of DF in big data analysis, it is recommended to know the full potential of this technique including the advantages, challenges and applications of the technique before its use. Future studies should focus on describing the methodology and types of data used for its applications within the healthcare sector.

Signal Generation, Acquisition, and Processing in Brain Machine Interfaces: A Unified Review

Brain machine interfaces (BMIs), or brain computer interfaces (BCIs), are devices that act as a medium for communications between the brain and the computer. It is an emerging field with numerous applications in domains of prosthetic devices, robotics, communication technology, gaming, education, and security. It is noted in such a multidisciplinary field, many reviews have surveyed on various focused subfields of interest, such as neural signaling, microelectrode fabrication, and signal classification algorithms. A unified review is lacking to cover and link all the relevant areas in this field. Herein, this review intends to connect on the relevant areas that circumscribe BMIs to present a unified script that may help enhance our understanding of BMIs. Specifically, this article discusses signal generation within the cortex, signal acquisition using invasive, non-invasive, or hybrid techniques, and the signal processing domain. The latest development is surveyed in this field, particularly in the last decade, with discussions regarding the challenges and possible solutions to allow swift disruption of BMI products in the commercial market.

Multi-Channel Neural Recording Implants: A Review

The recently growing progress in neuroscience research and relevant achievements, as well as advancements in the fabrication process, have increased the demand for neural interfacing systems. Brain-machine interfaces (BMIs) have been revealed to be a promising method for the diagnosis and treatment of neurological disorders and the restoration of sensory and motor function. Neural recording implants, as a part of BMI, are capable of capturing brain signals, and amplifying, digitizing, and transferring them outside of the body with a transmitter. The main challenges of designing such implants are minimizing power consumption and the silicon area. In this paper, multi-channel neural recording implants are surveyed. After presenting various neural-signal features, we investigate main available neural recording circuit and system architectures. The fundamental blocks of available architectures, such as neural amplifiers, analog to digital converters (ADCs) and compression blocks, are explored. We cover the various topologies of neural amplifiers, provide a comparison, and probe their design challenges. To achieve a relatively high SNR at the output of the neural amplifier, noise reduction techniques are discussed. Also, to transfer neural signals outside of the body, they are digitized using data converters, then in most cases, the data compression is applied to mitigate power consumption. We present the various dedicated ADC structures, as well as an overview of main data compression methods.

Adaptive Stacked Generalization for Multiclass Motor Imagery-Based Brain Computer Interfaces

Practical motor imagery-based brain computer interface (MI-BCI) applications are limited by the difficult to decode brain signals in a reliable way. In this paper, we propose a processing framework to address non-stationarity, as well as handle spectral, temporal, and spatial characteristics associated with execution of motor tasks. Stacked generalization is used to exploit the power of classifier ensembles for combining information coming from multiple sources and reducing the existing uncertainty in EEG signals. The outputs of several regularized linear discriminant analysis (RLDA) models are combined to account for temporal, spatial, and spectral information. The resultant algorithm is called stacked RLDA (SRLDA). Additionally, an adaptive processing stage is introduced before classification to reduce the harmful effect of intersession non-stationarity. The benefits of the proposed method are evaluated on the BCI Competition IV dataset 2a. We demonstrate its effectiveness in binary and multiclass settings with four different motor imagery tasks: left-hand, right-hand, both feet, and tongue movements. The results show that adaptive SRLDA outperforms the winner of the competition and other approaches tested on this multiclass dataset.

Recent advances in neural recording microsystems

The accelerating pace of research in neuroscience has created a considerable demand for neural interfacing microsystems capable of monitoring the activity of large groups of neurons. These emerging tools have revealed a tremendous potential for the advancement of knowledge in brain research and for the development of useful clinical applications. They can extract the relevant control signals directly from the brain enabling individuals with severe disabilities to communicate their intentions to other devices, like computers or various prostheses. Such microsystems are self-contained devices composed of a neural probe attached with an integrated circuit for extracting neural signals from multiple channels, and transferring the data outside the body. The greatest challenge facing development of such emerging devices into viable clinical systems involves addressing their small form factor and low-power consumption constraints, while providing superior resolution. In this paper, we survey the recent progress in the design and the implementation of multi-channel neural recording Microsystems, with particular emphasis on the design of recording and telemetry electronics. An overview of the numerous neural signal modalities is given and the existing microsystem topologies are covered. We present energy-efficient sensory circuits to retrieve weak signals from neural probes and we compare them. We cover data management and smart power scheduling approaches, and we review advances in low-power telemetry. Finally, we conclude by summarizing the remaining challenges and by highlighting the emerging trends in the field.