EEG Recorded from the Ear: Characterizing the Ear-EEG Method

Wireless ear EEG to monitor drowsiness

Neural wearables can enable life-saving drowsiness and health monitoring for pilots and drivers. While existing in-cabin sensors may provide alerts, wearables can enable monitoring across more environments. Current neural wearables are promising but most require wet-electrodes and bulky electronics. This work showcases in-ear, dry-electrode earpieces used to monitor drowsiness with compact hardware. The employed system integrates additive-manufacturing for dry, user-generic earpieces, existing wireless electronics, and offline classification algorithms. Thirty-five hours of electrophysiological data were recorded across nine subjects performing drowsiness-inducing tasks. Three classifier models were trained with user-specific, leave-one-trial-out, and leave-one-user-out splits. The support-vector-machine classifier achieved an accuracy of 93.2% while evaluating users it has seen before and 93.3% when evaluating a never-before-seen user. These results demonstrate wireless, dry, user-generic earpieces used to classify drowsiness with comparable accuracies to existing state-of-the-art, wet electrode in-ear and scalp systems. Further, this work illustrates the feasibility of population-trained classification in future electrophysiological applications.

Overcoming boundaries: Interdisciplinary challenges and opportunities in cognitive neuroscience

Cognitive neuroscience has considerable untapped potential to translate our understanding of brain function into applications that maintain, restore, or enhance human cognition. Complex, real-world phenomena encountered in daily life, professional contexts, and in the arts, can also be a rich source of information for better understanding cognition, which in turn can lead to advances in knowledge and health outcomes. Interdisciplinary work is needed for these bi-directional benefits to be realized. Our cognitive neuroscience team has been collaborating on several interdisciplinary projects: hardware and software development for brain stimulation, measuring human operator state in safety-critical robotics environments, and exploring emotional regulation in actors who perform traumatic narratives. Our approach is to study research questions of mutual interest in the contexts of domain-specific applications, using (and sometimes improving) the experimental tools and techniques of cognitive neuroscience. These interdisciplinary attempts are described as case studies in the present work to illustrate non-trivial challenges that come from working across traditional disciplinary boundaries. We reflect on how obstacles to interdisciplinary work can be overcome, with the goals of enriching our understanding of human cognition and amplifying the positive effects cognitive neuroscientists have on society and innovation.

Evaluating the Electroencephalographic Signal Quality of an In-Ear Wearable Device

Wearable in-ear electroencephalographic (EEG) devices hold significant promise for advancing brain monitoring technologies into everyday applications. However, despite the current availability of several in-ear EEG devices in the market, there remains a critical need for robust validation against established clinical-grade systems. In this study, we carried out a detailed examination of the signal performance of a mobile in-ear EEG device from Naox Technologies. Our investigation had two main goals: firstly, evaluating the hardware circuit's reliability through simulated EEG signal experiments and, secondly, conducting a thorough comparison between the in-ear EEG device and gold-standard EEG monitoring equipment. This comparison assesses correlation coefficients with recognized physiological patterns during wakefulness and sleep, including alpha rhythms, eye artifacts, slow waves, spindles, and sleep stages. Our findings support the feasibility of using this in-ear EEG device for brain activity monitoring, particularly in scenarios requiring enhanced comfort and user-friendliness in various clinical and research settings.

Recording the tactile P300 with the cEEGrid for potential use in a brain-computer interface

Brain-computer interfaces (BCIs) are scientifically well established, but they rarely arrive in the daily lives of potential end-users. This could be in part because electroencephalography (EEG), a prevalent method to acquire brain activity for BCI operation, is considered too impractical to be applied in daily life of end-users with physical impairment as an assistive device. Hence, miniaturized EEG systems such as the cEEGrid have been developed. While they promise to be a step toward bridging the gap between BCI development, lab demonstrations, and home use, they still require further validation. Encouragingly, the cEEGrid has already demonstrated its ability to record visually and auditorily evoked event-related potentials (ERP), which are important as input signal for many BCIs. With this study, we aimed at evaluating the cEEGrid in the context of a BCI based on tactually evoked ERPs. To compare the cEEGrid with a conventional scalp EEG, we recorded brain activity with both systems simultaneously. Forty healthy participants were recruited to perform a P300 oddball task based on vibrotactile stimulation at four different positions. This tactile paradigm has been shown to be feasible for BCI repeatedly but has never been tested with the cEEGrid. We found distinct P300 deflections in the cEEGrid data, particularly at vertical bipolar channels. With an average of 63%, the cEEGrid classification accuracy was significantly above the chance level (25%) but significantly lower than the 81% reached with the EEG cap. Likewise, the P300 amplitude was significantly lower (cEEGrid R2-R7: 1.87 μV, Cap Cz: 3.53 μV). These results indicate that a tactile BCI using the cEEGrid could potentially be operated, albeit with lower efficiency. Additionally, participants' somatosensory sensitivity was assessed, but no correlation to the accuracy of either EEG system was shown. Our research contributes to the growing amount of literature comparing the cEEGrid to conventional EEG systems and provides first evidence that the tactile P300 can be recorded behind the ear. A BCI based on a thus simplified EEG system might be more readily accepted by potential end-users, provided the accuracy can be substantially increased, e.g., by training and improved classification.

Brain Wearables: Validation Toolkit for Ear-Level EEG Sensors

EEG-enabled earbuds represent a promising frontier in brain activity monitoring beyond traditional laboratory testing. Their discrete form factor and proximity to the brain make them the ideal candidate for the first generation of discrete non-invasive brain-computer interfaces (BCIs). However, this new technology will require comprehensive characterization before we see widespread consumer and health-related usage. To address this need, we developed a validation toolkit that aims to facilitate and expand the assessment of ear-EEG devices. The first component of this toolkit is a desktop application ("EaR-P Lab") that controls several EEG validation paradigms. This application uses the Lab Streaming Layer (LSL) protocol, making it compatible with most current EEG systems. The second element of the toolkit introduces an adaptation of the phantom evaluation concept to the domain of ear-EEGs. Specifically, it utilizes 3D scans of the test subjects' ears to simulate typical EEG activity around and inside the ear, allowing for controlled assessment of different ear-EEG form factors and sensor configurations. Each of the EEG paradigms were validated using wet-electrode ear-EEG recordings and benchmarked against scalp-EEG measurements. The ear-EEG phantom was successful in acquiring performance metrics for hardware characterization, revealing differences in performance based on electrode location. This information was leveraged to optimize the electrode reference configuration, resulting in increased auditory steady-state response (ASSR) power. Through this work, an ear-EEG evaluation toolkit is made available with the intention to facilitate the systematic assessment of novel ear-EEG devices from hardware to neural signal acquisition.

Using a standalone ear-EEG device for focal-onset seizure detection

BACKGROUND

Seizure detection is challenging outside the clinical environment due to the lack of comfortable, reliable, and practical long-term neurophysiological monitoring devices. We developed a novel, discreet, unobstructive in-ear sensing system that enables long-term electroencephalography (EEG) recording. This is the first study we are aware of that systematically compares the seizure detection utility of in-ear EEG with that of simultaneously recorded intracranial EEG. In addition, we present a similar comparison between simultaneously recorded in-ear EEG and scalp EEG.

METHODS

In this foundational research, we conducted a clinical feasibility study and validated the ability of the ear-EEG system to capture focal-onset seizures against 1255 hrs of simultaneous ear-EEG data along with scalp or intracranial EEG in 20 patients with refractory focal epilepsy (11 with scalp EEG, 8 with intracranial EEG, and 1 with both).

RESULTS

In a blinded, independent review of the ear-EEG signals, two epileptologists were able to detect 86.4% of the seizures that were subsequently identified using the clinical gold standard EEG modalities, with a false detection rate of 0.1 per day, well below what has been reported for ambulatory monitoring. The few seizures not detected on the ear-EEG signals emanated from deep within the mesial temporal lobe or extra-temporally and remained very focal, without significant propagation. Following multiple sessions of recording for a median continuous wear time of 13 hrs, patients reported a high degree of tolerance for the device, with only minor adverse events reported by the scalp EEG cohort.

CONCLUSIONS

These preliminary results demonstrate the potential of using ear-EEG to enable routine collection of complementary, prolonged, and remote neurophysiological evidence, which may permit real-time detection of paroxysmal events such as seizures and epileptiform discharges. This study suggests that the ear-EEG device may assist clinicians in making an epilepsy diagnosis, assessing treatment efficacy, and optimizing medication titration.

High-density ear-EEG for understanding ear-centered EEG

Background. Mobile ear-EEG provides the opportunity to record EEG unobtrusively in everyday life. However, in real-life, the EEG data quickly becomes difficult to interpret, as the neural signal is contaminated by other, non-neural signal contributions. Due to the small number of electrodes in ear-EEG devices, the interpretation of the EEG becomes even more difficult. For meaningful and reliable ear-EEG, it is crucial that the brain signals we wish to record in real life are well-understood and that we make optimal use of the available electrodes. Their placement should be guided by prior knowledge about the characteristics of the signal of interest.Objective.We want to understand the signal we record with ear-EEG and make recommendations on how to optimally place a limited number of electrodes.Approach.We built a high-density ear-EEG with 31 channels spaced densely around one ear. We used it to record four auditory event-related potentials (ERPs): the mismatch negativity, the P300, the N100 and the N400. With this data, we gain an understanding of how different stages of auditory processing are reflected in ear-EEG. We investigate the electrode configurations that carry the most information and use a mass univariate ERP analysis to identify the optimal channel configuration. We additionally use a multivariate approach to investigate the added value of multi-channel recordings.Main results.We find significant condition differences for all ERPs. The different ERPs vary considerably in their spatial extent and different electrode positions are necessary to optimally capture each component. In the multivariate analysis, we find that the investigation of the ERPs benefits strongly from multi-channel ear-EEG.Significance.Our work emphasizes the importance of a strong theoretical and practical background when building and using ear-EEG. We provide recommendations on finding the optimal electrode positions. These results will guide future research employing ear-EEG in real-life scenarios.

Alpha-Band Dynamics of Hearing Aid Wearers Performing the Repeat-Recall Test (RRT)

This study measured electroencephalographic activity in the alpha band, often associated with task difficulty, to physiologically validate self-reported effort ratings from older hearing-impaired listeners performing the Repeat-Recall Test (RRT)-an integrative multipart assessment of speech-in-noise performance, context use, and auditory working memory. Following a single-blind within-subjects design, 16 older listeners (mean age = 71 years, SD = 13, 9 female) with a moderate-to-severe degree of bilateral sensorineural hearing loss performed the RRT while wearing hearing aids at four fixed signal-to-noise ratios (SNRs) of -5, 0, 5, and 10 dB. Performance and subjective ratings of listening effort were assessed for complementary versions of the RRT materials with high/low availability of semantic context. Listeners were also tested with a version of the RRT that omitted the memory (i.e., recall) component. As expected, results showed alpha power to decrease significantly with increasing SNR from 0 through 10 dB. When tested with high context sentences, alpha was significantly higher in conditions where listeners had to recall the sentence materials compared to conditions where the recall requirement was omitted. When tested with low context sentences, alpha power was relatively high irrespective of the memory component. Within-subjects, alpha power was related to listening effort ratings collected across the different RRT conditions. Overall, these results suggest that the multipart demands of the RRT modulate both neural and behavioral measures of listening effort in directions consistent with the expected/designed difficulty of the RRT conditions.

Detection of common EEG phenomena using individual electrodes placed outside the hair

Many studies over the past decades have provided exciting evidence that electrical signals recorded from the scalp (electroencephalogram, EEG) hold meaningful information about the brain's function or dysfunction. This information is used routinely in research laboratories to test specific hypotheses and in clinical settings to aid in diagnoses (such as during polysomnography evaluations). Unfortunately, with very few exceptions, such meaningful information about brain function has not yet led to valuable solutions that can address the needs of many people outside such research laboratories or clinics. One of the major hurdles to practical application of EEG-based neurotechnologies is the current predominant requirement to use electrodes that are placed in the hair, which greatly reduces practicality and cosmesis. While several studies reported results using one specific combination of signal/reference electrode outside the hair in one specific context (such as a brain-computer interface experiment), it has been unclear what information about brain function can be acquired using different signal/referencing locations placed outside the hair. To address this issue, in this study, we set out to determine to what extent EEG phenomena related to auditory, visual, cognitive, motor, and sleep function can be detected from different combinations of individual signal/referencing electrodes that are placed outside the hair. The results of our study from 15 subjects suggest that only a few EEG electrodes placed in locations on the forehead or around the ear can provide substantial task-related information in 6 of 7 tasks. Thus, the results of our study provide encouraging evidence and guidance that should invigorate and facilitate the translation of laboratory experiments into practical, useful, and valuable EEG-based neurotechnology solutions.

Advancements in Wearable EEG Technology for Improved Home-Based Sleep Monitoring and Assessment: A Review

Sleep is a fundamental aspect of daily life, profoundly impacting mental and emotional well-being. Optimal sleep quality is vital for overall health and quality of life, yet many individuals struggle with sleep-related difficulties. In the past, polysomnography (PSG) has served as the gold standard for assessing sleep, but its bulky nature, cost, and the need for expertise has made it cumbersome for widespread use. By recognizing the need for a more accessible and user-friendly approach, wearable home monitoring systems have emerged. EEG technology plays a pivotal role in sleep monitoring, as it captures crucial brain activity data during sleep and serves as a primary indicator of sleep stages and disorders. This review provides an overview of the most recent advancements in wearable sleep monitoring leveraging EEG technology. We summarize the latest EEG devices and systems available in the scientific literature, highlighting their design, form factors, materials, and methods of sleep assessment. By exploring these developments, we aim to offer insights into cutting-edge technologies, shedding light on wearable EEG sensors for advanced at-home sleep monitoring and assessment. This comprehensive review contributes to a broader perspective on enhancing sleep quality and overall health using wearable EEG sensors.

Measuring auditory event-related potentials at the external ear canal: A demonstrative study using a new electrode and error-feedback paradigm

Although ear canal electroencephalogram (EEG) recording has received interest from basic and applied research communities, evidence on how it can be implemented in practice is limited. The present study involving eight male participants including the authors presents the utility of our ear canal electrode and method by demonstrating both comparability of ear canal EEG to those at nearby sites and distinctiveness that ear canal event-related potentials (ERPs) could have. For this purpose, we used the balanced noncephalic electrode reference and an experimental paradigm with an error-feedback sound. Clear auditory ERPs were detected at the ear canal sites with a sufficiently low noise level comparable with those at conventional sites. The N1c, a temporal maximum subcomponent, spread over the bilateral temporal sites, including the ear canals and earlobes. While consecutive signals are generally highly similar between the ear canal and the earlobe, the N1c was larger at the ear canal than the earlobe, as demonstrated by the conventional frequentist and the hierarchical Bayesian modelling approaches. Although an evident caveat is that our sample was limited in terms of size and sex, the general capability indicates that the structure of our ear canal electrode provides EEG measurement that can be used in basic and applied settings. Our experimental method can also be an ERP-based test that conveniently assesses the capability of existing and future ear canal electrodes. The distinctive nature of the ERPs to the error-feedback sound may be utilized to examine the basic aspects of auditory ERPs and to test the processes involved in feedback-guided behaviour of participants.

The future of wearable EEG: a review of ear-EEG technology and its applications

Objective.This review paper provides a comprehensive overview of ear-electroencephalogram (EEG) technology, which involves recording EEG signals from electrodes placed in or around the ear, and its applications in the field of neural engineering.Approach.We conducted a thorough literature search using multiple databases to identify relevant studies related to ear-EEG technology and its various applications. We selected 123 publications and synthesized the information to highlight the main findings and trends in this field.Main results.Our review highlights the potential of ear-EEG technology as the future of wearable EEG technology. We discuss the advantages and limitations of ear-EEG compared to traditional scalp-based EEG and methods to overcome those limitations. Through our review, we found that ear-EEG is a promising method that produces comparable results to conventional scalp-based methods. We review the development of ear-EEG sensing devices, including the design, types of sensors, and materials. We also review the current state of research on ear-EEG in different application areas such as brain-computer interfaces, and clinical monitoring.Significance.This review paper is the first to focus solely on reviewing ear-EEG research articles. As such, it serves as a valuable resource for researchers, clinicians, and engineers working in the field of neural engineering. Our review sheds light on the exciting future prospects of ear-EEG, and its potential to advance neural engineering research and become the future of wearable EEG technology.

Long-term ear-EEG monitoring of sleep - A case study during shift work

The interest in sleep as a potential clinical biomarker is growing, but the standard method of sleep assessment, polysomnography, is expensive, time consuming, and requires a lot of expert assistance for both set-up and interpretation. To make sleep analysis more available both in research and in the clinic, there is a need for a reliable wearable device for sleep staging. In this case study, we test ear-electroencephalography. A wearable, where electrodes are placed in the outer ear, as a platform for longitudinal at-home recording of sleep. We explore the usability of the ear-electroencephalography in a shift work case with alternating sleep conditions. We find the ear-electroencephalography platform to be reliable both in terms of showing substantial agreement to polysomnography after long-time use (with an overall agreement, using Cohen's kappa, of 0.72) and by being unobtrusive enough to wear during night shift conditions. We find that fractions of non-rapid eye movement sleep and transition probability between sleep stages show great potential as sleep metrics when exploring quantitative differences in sleep architecture between shifting sleep conditions. This study shows that the ear-electroencephalography platform holds great potential as a reliable wearable for quantifying sleep "in the wild", pushing this technology further towards clinical adaptation.

Subclinical Epileptiform Activity in Dementia with Lewy Bodies

BACKGROUND

Patients with dementia with Lewy bodies (DLB) have a higher probability of seizures than in normal aging and in other types of neurodegenerative disorders. Depositions of α-synuclein, a pathological hallmark of DLB, can induce network excitability, which can escalate into seizure activity. Indicator of seizures are epileptiform discharges as observed using electroencephalography (EEG). However, no studies have so far investigated the occurrence of interictal epileptiform discharges (IED) in patients with DLB.

OBJECTIVES

To investigate if IED as measured with ear-EEG occurs with a higher frequency in patients with DLB compared to healthy controls (HC).

METHODS

In this longitudinal observational exploratory study, 10 patients with DLB and 15 HC were included in the analysis. Patients with DLB underwent up to three ear-EEG recordings, each lasting up to 2 days, over a period of 6 months.

RESULTS

At baseline, IED were detected in 80% of patients with DLB and in 46.7% of HC. The spike frequency (spikes or sharp waves/24 hours) was significantly higher in patients with DLB as compared to HC with a risk ratio of 2.52 (CI, 1.42-4.61; P-value = 0.001). Most IED occurred at night.

CONCLUSIONS

Long-term outpatient ear-EEG monitoring detects IED in most patients with DLB with an increased spike frequency compared to HC. This study extends the spectrum of neurodegenerative disorders in which epileptiform discharges occurs at an elevated frequency. It is possible that epileptiform discharges are, therefore, a consequence of neurodegeneration. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Assessing focus through ear-EEG: a comparative study between conventional cap EEG and mobile in- and around-the-ear EEG systems

Introduction

As our attention is becoming a commodity that an ever-increasing number of applications are competing for, investing in modern day tools and devices that can detect our mental states and protect them from outside interruptions holds great value. Mental fatigue and distractions are impacting our ability to focus and can cause workplace injuries. Electroencephalography (EEG) may reflect concentration, and if EEG equipment became wearable and inconspicuous, innovative brain-computer interfaces (BCI) could be developed to monitor mental load in daily life situations. The purpose of this study is to investigate the potential of EEG recorded inside and around the human ear to determine levels of attention and focus.

Methods

In this study, mobile and wireless ear-EEG were concurrently recorded with conventional EEG (cap) systems to collect data during tasks related to focus: an N-back task to assess working memory and a mental arithmetic task to assess cognitive workload. The power spectral density (PSD) of the EEG signal was analyzed to isolate consistent differences between mental load conditions and classify epochs using step-wise linear discriminant analysis (swLDA).

Results and discussion

Results revealed that spectral features differed statistically between levels of cognitive load for both tasks. Classification algorithms were tested on spectral features from twelve and two selected channels, for the cap and the ear-EEG. A two-channel ear-EEG model evaluated the performance of two dry in-ear electrodes specifically. Single-trial classification for both tasks revealed above chance-level accuracies for all subjects, with mean accuracies of: 96% (cap-EEG) and 95% (ear-EEG) for the twelve-channel models, 76% (cap-EEG) and 74% (in-ear-EEG) for the two-channel model for the N-back task; and 82% (cap-EEG) and 85% (ear-EEG) for the twelve-channel, 70% (cap-EEG) and 69% (in-ear-EEG) for the two-channel model for the arithmetic task. These results suggest that neural oscillations recorded with ear-EEG can be used to reliably differentiate between levels of cognitive workload and working memory, in particular when multi-channel recordings are available, and could, in the near future, be integrated into wearable devices.

Advances in Electrode Materials for Scalp, Forehead, and Ear EEG: A Mini-Review

Electroencephalogram (EEG) records the electrical activity of neurons in the cerebral cortex and is used extensively to diagnose, treat, and monitor psychiatric and neurological conditions. Reliable contact between the skin and the electrodes is essential for achieving consistency and for obtaining electroencephalographic information. There has been an increasing demand for effective equipment and electrodes to overcome the time-consuming and cumbersome application of traditional systems. Recently, ear-centered EEG has met with growing interest since it can provide good signal quality due to the proximity of the ear to the brain. In addition, it can facilitate mobile and unobtrusive usage due to its smaller size and ease of use, since it can be used without interfering with the patient's daily activities. The purpose of this mini-review is to first introduce the broad range of electrodes used in conventional (scalp) EEG and subsequently discuss the state-of-the-art literature about around- and in-the-ear EEG.

Spotlight on Sleep Stage Classification Based on EEG

The recommendations for identifying sleep stages based on the interpretation of electrophysiological signals (electroencephalography [EEG], electro-oculography [EOG], and electromyography [EMG]), derived from the Rechtschaffen and Kales manual, were published in 2007 at the initiative of the American Academy of Sleep Medicine, and regularly updated over years. They offer an important tool to assess objective markers in different types of sleep/wake subjective complaints. With the aims and advantages of simplicity, reproducibility and standardization of practices in research and, most of all, in sleep medicine, they have overall changed little in the way they describe sleep. However, our knowledge on sleep/wake physiology and sleep disorders has evolved since then. High-density electroencephalography and intracranial electroencephalography studies have highlighted local regulation of sleep mechanisms, with spatio-temporal heterogeneity in vigilance states. Progress in the understanding of sleep disorders has allowed the identification of electrophysiological biomarkers better correlated with clinical symptoms and outcomes than standard sleep parameters. Finally, the huge development of sleep medicine, with a demand for explorations far exceeding the supply, has led to the development of alternative studies, which can be carried out at home, based on a smaller number of electrophysiological signals and on their automatic analysis. In this perspective article, we aim to examine how our description of sleep has been constructed, has evolved, and may still be reshaped in the light of advances in knowledge of sleep physiology and the development of technical recording and analysis tools. After presenting the strengths and limitations of the classification of sleep stages, we propose to challenge the "EEG-EOG-EMG" paradigm by discussing the physiological signals required for sleep stages identification, provide an overview of new tools and automatic analysis methods and propose avenues for the development of new approaches to describe and understand sleep/wake states.

A Versatile In-Ear Biosensing System and Body-Area Network for Unobtrusive Continuous Health Monitoring

To enable continuous, mobile health monitoring, body-worn sensors need to offer comparable performance to clinical devices in a lightweight, unobtrusive package. This work presents a complete versatile wireless electrophysiology data acquisition system (weDAQ) that is demonstrated for in-ear electroencephalography (EEG) and other on-body electrophysiology with user-generic dry-contact electrodes made from standard printed circuit boards (PCBs). Each weDAQ device provides 16 recording channels, driven right leg (DRL), a 3-axis accelerometer, local data storage, and adaptable data transmission modes. The weDAQ wireless interface supports deployment of a body area network (BAN) capable of aggregating various biosignal streams over multiple worn devices simultaneously, on the 802.11n WiFi protocol. Each channel resolves biopotentials ranging over 5 orders of magnitude with a noise level of 0.52 μVrms over a 1000-Hz bandwidth, and a peak SNDR of 119 dB and CMRR of 111 dB at 2 ksps. The device leverages in-band impedance scanning and an input multiplexer to dynamically select good skin contacting electrodes for reference and sensing channels. In-ear and forehead EEG measurements taken from subjects captured modulation of alpha brain activity, electrooculogram (EOG) characteristic eye movements, and electromyogram (EMG) from jaw muscles. Simultaneous ECG and EMG measurements were demonstrated on multiple, freely-moving subjects in their natural office environment during periods of rest and exercise. The small footprint, performance, and configurability of the open-source weDAQ platform and scalable PCB electrodes presented, aim to provide the biosensing community greater experimental flexibility and lower the barrier to entry for new health monitoring research.

A Systematic Comparison of High-End and Low-Cost EEG Amplifiers for Concealed, Around-the-Ear EEG Recordings

Wearable electroencephalography (EEG) has the potential to improve everyday life through brain-computer interfaces (BCI) for applications such as sleep improvement, adaptive hearing aids, or thought-based digital device control. To make these innovations more practical for everyday use, researchers are looking to miniaturized, concealed EEG systems that can still collect neural activity precisely. For example, researchers are using flexible EEG electrode arrays that can be attached around the ear (cEEGrids) to study neural activations in everyday life situations. However, the use of such concealed EEG approaches is limited by measurement challenges such as reduced signal amplitudes and high recording system costs. In this article, we compare the performance of a lower-cost open-source amplification system, the OpenBCI Cyton+Daisy boards, with a benchmark amplifier, the MBrainTrain Smarting Mobi. Our results show that the OpenBCI system is a viable alternative for concealed EEG research, with highly similar noise performance, but slightly lower timing precision. This system can be a great option for researchers with a smaller budget and can, therefore, contribute significantly to advancing concealed EEG research.

At-home sleep monitoring using generic ear-EEG

Introduction

A device comprising two generic earpieces with embedded dry electrodes for ear-centered electroencephalography (ear-EEG) was developed. The objective was to provide ear-EEG based sleep monitoring to a wide range of the population without tailoring the device to the individual.

Methods

To validate the device ten healthy subjects were recruited for a 12-night sleep study. The study was divided into two parts; part A comprised two nights with both ear-EEG and polysomnography (PSG), and part B comprised 10 nights using only ear-EEG. In addition to the electrophysiological measurements, subjects filled out a questionnaire after each night of sleep.

Results

The subjects reported that the ear-EEG system was easy to use, and that the comfort was better in part B. The performance of the system was validated by comparing automatic sleep scoring based on ear-EEG with PSG-based sleep scoring performed by a professional trained sleep scorer. Cohen's kappa was used to assess the agreement between the manual and automatic sleep scorings, and the study showed an average kappa value of 0.71. The majority of the 20 recordings from part A yielded a kappa value above 0.7. The study was compared to a companioned study conducted with individualized earpieces. To compare the sleep across the two studies and two parts, 7 different sleeps metrics were calculated based on the automatic sleep scorings. The ear-EEG nights were validated through linear mixed model analysis in which the effects of equipment (individualized vs. generic earpieces), part (PSG and ear-EEG vs. only ear-EEG) and subject were investigated. We found that the subject effect was significant for all computed sleep metrics. Furthermore, the equipment did not show any statistical significant effect on any of the sleep metrics.

Discussion

These results corroborate that generic ear-EEG is a promising alternative to the gold standard PSG for sleep stage monitoring. This will allow sleep stage monitoring to be performed in a less obtrusive way and over longer periods of time, thereby enabling diagnosis and treatment of diseases with associated sleep disorders.

Ear-EEG sensitivity modeling for neural sources and ocular artifacts

The ear-EEG has emerged as a promising candidate for real-world wearable brain monitoring. While experimental studies have validated several applications of ear-EEG, the source-sensor relationship for neural sources from across the brain surface has not yet been established. In addition, modeling of the ear-EEG sensitivity to sources of artifacts is still missing. Through volume conductor modeling, the sensitivity of various configurations of ear-EEG is established for a range of neural sources, in addition to ocular artifact sources for the blink, vertical saccade, and horizontal saccade eye movements. Results conclusively support the introduction of ear-EEG into conventional EEG paradigms for monitoring neural activity that originates from within the temporal lobes, while also revealing the extent to which ear-EEG can be used for sources further away from these regions. The use of ear-EEG in scenarios prone to ocular artifacts is also supported, through the demonstration of proportional scaling of artifacts and neural signals in various configurations of ear-EEG. The results from this study can be used to support both existing and prospective experimental ear-EEG studies and applications in the context of sensitivity to both neural sources and ocular artifacts.

Wearable System Based on Ultra-Thin Parylene C Tattoo Electrodes for EEG Recording

In an increasingly interconnected world, where electronic devices permeate every aspect of our lives, wearable systems aimed at monitoring physiological signals are rapidly taking over the sport and fitness domain, as well as biomedical fields such as rehabilitation and prosthetics. With the intent of providing a novel approach to the field, in this paper we discuss the development of a wearable system for the acquisition of EEG signals based on a portable, low-power custom PCB specifically designed to be used in combination with non-conventional ultra-conformable and imperceptible Parylene-C tattoo electrodes. The proposed system has been tested in a standard rest-state experiment, and its performance in terms of discrimination of two different states has been compared to that of a commercial wearable device for EEG signal acquisition (i.e., the Muse headset), showing comparable results. This first preliminary validation demonstrates the possibility of conveniently employing ultra-conformable tattoo-electrodes integrated portable systems for the unobtrusive acquisition of brain activity.

Long-Term EEG Monitoring in Patients with Alzheimer's Disease Using Ear-EEG: A Feasibility Study

BACKGROUND

Previous studies have reported that epileptiform activity may be detectible in nearly half of patients with Alzheimer's disease (AD) on long-term electroencephalographic (EEG) recordings. However, such recordings can be uncomfortable, expensive, and difficult. Ear-EEG has shown promising results for long-term EEG monitoring, but it has not been used in patients with AD.

OBJECTIVE

To investigate if ear-EEG is a feasible method for long-term EEG monitoring in patients with AD.

METHODS

In this longitudinal, single-group feasibility study, ten patients with mild to moderate AD were recruited. A total of three ear-EEG recordings of up to 48 hours three months apart for six months were planned.

RESULTS

All patients managed to wear the ear-EEG for at least 24 hours and at least one full night. A total of 19 ear-EEG recordings were performed (self-reported recording, mean: 37.15 hours (SD: 8.96 hours)). After automatic pre-processing, a mean of 27.37 hours (SD: 7.19 hours) of data with acceptable quality in at least one electrode in each ear was found. Seven out of ten participants experienced mild adverse events. Six of the patients did not complete the study with three patients not wanting to wear the ear-EEG anymore due to adverse events.

CONCLUSION

It is feasible and safe to use ear-EEG for long-term EEG monitoring in patients with AD. Minor adjustments to the equipment may improve the comfort for the participants.

Synchronization of ear-EEG and audio streams in a portable research hearing device

Recent advancements in neuroscientific research and miniaturized ear-electroencephalography (EEG) technologies have led to the idea of employing brain signals as additional input to hearing aid algorithms. The information acquired through EEG could potentially be used to control the audio signal processing of the hearing aid or to monitor communication-related physiological factors. In previous work, we implemented a research platform to develop methods that utilize EEG in combination with a hearing device. The setup combines currently available mobile EEG hardware and the so-called Portable Hearing Laboratory (PHL), which can fully replicate a complete hearing aid. Audio and EEG data are synchronized using the Lab Streaming Layer (LSL) framework. In this study, we evaluated the setup in three scenarios focusing particularly on the alignment of audio and EEG data. In Scenario I, we measured the latency between software event markers and actual audio playback of the PHL. In Scenario II, we measured the latency between an analog input signal and the sampled data stream of the EEG system. In Scenario III, we measured the latency in the whole setup as it would be used in a real EEG experiment. The results of Scenario I showed a jitter (standard deviation of trial latencies) of below 0.1 ms. The jitter in Scenarios II and III was around 3 ms in both cases. The results suggest that the increased jitter compared to Scenario I can be attributed to the EEG system. Overall, the findings show that the measurement setup can time-accurately present acoustic stimuli while generating LSL data streams over multiple hours of playback. Further, the setup can capture the audio and EEG LSL streams with sufficient temporal accuracy to extract event-related potentials from EEG signals. We conclude that our setup is suitable for studying closed-loop EEG & audio applications for future hearing aids.

A Wireless System for EEG Acquisition and Processing in an Earbud Form Factor with 600 Hours Battery Lifetime

In recent years, in-ear electroencephalography (EEG) was demonstrated to record signals of similar quality compared to standard scalp-based EEG, and clinical applications of objective hearing threshold estimations have been reported. Existing devices, however, still lack important features. In fact, most of the available solutions are based on wet electrodes, require to be connected to external acquisition platforms, or do not offer on-board processing capabilities. Here we overcome all these limitations, presenting an ear-EEG system based on dry electrodes that includes all the acquisition, processing, and connectivity electronics directly in the ear bud. The earpiece is equipped with an ultra-low power analog front-end for analog-to-digital conversion, a low-power MEMS microphone, a low-power inertial measurement unit, and an ARM Cortex-M4 based microcontroller enabling on-board processing and Bluetooth Low Energy connectivity. The system can stream raw EEG data or perform data processing directly in-ear. We test the device by analysing its capability to detect brain response to external auditory stimuli, achieving 4 and 1.3 mW power consumption for data streaming or on board processing, respectively. The latter allows for 600 hours operation on a PR44 zinc-air battery. To the best of our knowledge, this is the first wireless and fully self-contained ear-EEG system performing on-board processing, all embedded in a single earbud. Clinical relevance- The proposed ear-EEG system can be employed for diagnostic tasks such as objective hearing threshold estimations, outside of clinical settings, thereby enabling it as a point-of-care solution. The long battery lifetime is also suitable for a continuous monitoring scenario.

Design of hydrogel-based wearable EEG electrodes for medical applications

The electroencephalogram (EEG) is considered to be a promising method for studying brain disorders. Because of its non-invasive nature, subjects take a lower risk compared to some other invasive methods, while the systems record the brain signal. With the technological advancement of neural and material engineering, we are in the process of achieving continuous monitoring of neural activity through wearable EEG. In this article, we first give a brief introduction to EEG bands, circuits, wired/wireless EEG systems, and analysis algorithms. Then, we review the most recent advances in the interfaces used for EEG recordings, focusing on hydrogel-based EEG electrodes. Specifically, the advances for important figures of merit for EEG electrodes are reviewed. Finally, we summarize the potential medical application of wearable EEG systems.

Miniaturization for wearable EEG systems: recording hardware and data processing

As more people desire at-home diagnosis and treatment for their health improvement, healthcare devices have become more wearable, comfortable, and easy to use. In that sense, the miniaturization of electroencephalography (EEG) systems is a major challenge for developing daily-life healthcare devices. Recently, because of the intertwined relationship between EEG recording and processing, co-research of EEG recording hardware and data processing has been emphasized for whole-in-one miniaturized EEG systems. This paper introduces miniaturization techniques in analog-front-end hardware and processing algorithms for such EEG systems. To miniaturize EEG recording hardware, various types of compact electrodes and mm-sized integrated circuits (IC) techniques including artifact rejection are studied to record accurate EEG signals in a much smaller manner. Active electrode and in-ear EEG technologies are also researched to make small-form-factor EEG measurement structures. Furthermore, miniaturization techniques for EEG processing are discussed including channel selection techniques that reduce the number of required electrode channel and hardware implementation of processing algorithms that simplify the EEG processing stage.

A CNN-Based Deep Learning Approach for SSVEP Detection Targeting Binaural Ear-EEG

This paper discusses a machine learning approach for detecting SSVEP at both ears with minimal channels. SSVEP is a robust EEG signal suitable for many BCI applications. It is strong at the visual cortex around the occipital area, but the SNR gets worse when detected from other areas of the head. To make use of SSVEP measured around the ears following the ear-EEG concept, especially for practical binaural implementation, we propose a CNN structure coupled with regressed softmax outputs to improve accuracy. Evaluating on a public dataset, we studied classification performance for both subject-dependent and subject-independent trainings. It was found that with the proposed structure using a group training approach, a 69.21% accuracy was achievable. An ITR of 6.42 bit/min given 63.49 % accuracy was recorded while only monitoring data from T7 and T8. This represents a 12.47% improvement from a single ear implementation and illustrates potential of the approach to enhance performance for practical implementation of wearable EEG.

Evaluation of Real-Time Endogenous Brain-Computer Interface Developed Using Ear-Electroencephalography

While previous studies have demonstrated the feasibility of using ear-electroencephalography (ear-EEG) for the development of brain-computer interfaces (BCIs), most of them have been performed using exogenous paradigms in offline environments. To verify the reliable feasibility of constructing ear-EEG-based BCIs, the feasibility of using ear-EEG should be further demonstrated using another BCI paradigm, namely the endogenous paradigm, in real-time online environments. Exogenous and endogenous BCIs are to use the EEG evoked by external stimuli and induced by self-modulation, respectively. In this study, we investigated whether an endogenous ear-EEG-based BCI with reasonable performance can be implemented in online environments that mimic real-world scenarios. To this end, we used three different mental tasks, i.e., mental arithmetic, word association, and mental singing, and performed BCI experiments with fourteen subjects on three different days to investigate not only the reliability of a real-time endogenous ear-EEG-based BCI, but also its test-retest reliability. The mean online classification accuracy was almost 70%, which was equivalent to a marginal accuracy for a practical two-class BCI (70%), demonstrating the feasibility of using ear-EEG for the development of real-time endogenous BCIs, but further studies should follow to improve its performance enough to be used for practical ear-EEG-based BCI applications.

Ear-EEG compares well to cap-EEG in recording auditory ERPs: a quantification of signal loss

Objective:Ear-EEG (Electroencephalography) allows to record brain activity using only a few electrodes located close to the ear. Ear-EEG is comfortable and easy to apply, facilitating beyond-the-lab EEG recordings in everyday life. With the unobtrusive setup, a person wearing it can blend in, allowing unhindered EEG recordings in social situations. However, compared to classical cap-EEG, only a small part of the head is covered with electrodes. Most scalp positions that are known from established EEG research are not covered by ear-EEG electrodes, making the comparison between the two approaches difficult and might hinder the transition from cap-based lab studies to ear-based beyond-the-lab studies.Approach:We here provide a reference data-set comparing ear-EEG and cap-EEG directly for four different auditory event-related potentials (ERPs): N100, MMN, P300 and N400. We show how the ERPs are reflected when using only electrodes around the ears.Main results:We find that significant condition differences for all ERP-components could be recorded using only ear-electrodes. The effect sizes were moderate to high on the single subject level. Morphology and temporal evolution of signals recorded from around-the-ear resemble highly those from standard scalp-EEG positions. We found a reduction in effect size (signal loss) for the ear-EEG electrodes compared to cap-EEG of 21-44%. The amount of signal loss depended on the ERP-component; we observed the lowest percentage signal loss for the N400 and the highest percentage signal loss for the N100. Our analysis further shows that no single channel position around the ear is optimal for recording all ERP-components or all participants, speaking in favor of multi-channel ear-EEG solutions.Significance:Our study provides reference results for future studies employing ear-EEG.

Advancing towards Ubiquitous EEG, Correlation of In-Ear EEG with Forehead EEG

Wearable EEG has gained popularity in recent years driven by promising uses outside of clinics and research. The ubiquitous application of continuous EEG requires unobtrusive form-factors that are easily acceptable by the end-users. In this progression, wearable EEG systems have been moving from full scalp to forehead and recently to the ear. The aim of this study is to demonstrate that emerging ear-EEG provides similar impedance and signal properties as established forehead EEG. EEG data using eyes-open and closed alpha paradigm were acquired from ten healthy subjects using generic earpieces fitted with three custom-made electrodes and a forehead electrode (at Fpx) after impedance analysis. Inter-subject variability in in-ear electrode impedance ranged from 20 kΩ to 25 kΩ at 10 Hz. Signal quality was comparable with an SNR of 6 for in-ear and 8 for forehead electrodes. Alpha attenuation was significant during the eyes-open condition in all in-ear electrodes, and it followed the structure of power spectral density plots of forehead electrodes, with the Pearson correlation coefficient of 0.92 between in-ear locations ELE (Left Ear Superior) and ERE (Right Ear Superior) and forehead locations, Fp1 and Fp2, respectively. The results indicate that in-ear EEG is an unobtrusive alternative in terms of impedance, signal properties and information content to established forehead EEG.

Transcranial Auricular Vagus Nerve Stimulation (taVNS) and Ear-EEG: Potential for Closed-Loop Portable Non-invasive Brain Stimulation

No matter how hard we concentrate, our attention fluctuates – a fact that greatly affects our success in completing a current task. Here, we review work from two methods that, in a closed-loop manner, have the potential to ameliorate these fluctuations. Ear-EEG can measure electric brain activity from areas in or around the ear, using small and thus portable hardware. It has been shown to capture the state of attention with high temporal resolution. Transcutaneous auricular vagus nerve stimulation (taVNS) comes with the same advantages (small and light) and critically current research suggests that it is possible to influence ongoing brain activity that has been linked to attention. Following the review of current work on ear-EEG and taVNS we suggest that a combination of the two methods in a closed-loop system could serve as a potential application to modulate attention.

Motion Artifact Removal Techniques for Wearable EEG and PPG Sensor Systems

Removal of motion artifacts is a critical challenge, especially in wearable electroencephalography (EEG) and photoplethysmography (PPG) devices that are exposed to daily movements. Recently, the significance of motion artifact removal techniques has increased since EEG-based brain–computer interfaces (BCI) and daily healthcare usage of wearable PPG devices were spotlighted. In this article, the development on EEG and PPG sensor systems is introduced. Then, understanding of motion artifact and its reduction methods implemented by hardware and/or software fashions are reviewed. Various electrode types, analog readout circuits, and signal processing techniques are studied for EEG motion artifact removal. In addition, recent in-ear EEG techniques with motion artifact reduction are also introduced. Furthermore, techniques compensating independent/dependent motion artifacts are presented for PPG.

Custom-Fitted In- and Around-the-Ear Sensors for Unobtrusive and On-the-Go EEG Acquisitions: Development and Validation

OBJECTIVES

This paper aims to validate the performance and physical design of a wearable, unobtrusive ear-centered electroencephalography (EEG) device, dubbed "EARtrodes", using early and late auditory evoked responses. Results would also offer a proof-of-concept for the device to be used as a concealed brain-computer interface (BCI).

DESIGN

The device is composed of a custom-fitted earpiece and an ergonomic behind-the-ear piece with embedded electrodes made of a soft and flexible combination of silicone rubber and carbon fibers. The location of the conductive silicone electrodes inside the ear canal and the optimal geometry of the behind-the-ear piece were obtained through morphological and geometrical analysis of the human ear canal and the region around-the-ear. An entirely conductive generic earpiece was also developed to assess the potential of a universal, more affordable solution.

RESULTS

Early latency results illustrate the conductive silicone electrodes' capability to record quality EEG signals, comparable to those obtained with traditional gold-plated electrodes. Additionally, late latency results demonstrate EARtrodes' capacity to reliably detect decision-making processes from the ear.

CONCLUSIONS

EEG results validate the performance of EARtrodes as a circum-aural and intra-aural EEG recording system adapted for a wide range of applications in audiology, neuroscience, clinical research, and as an unobtrusive BCI.

The Dreem Headband compared to polysomnography for electroencephalographic signal acquisition and sleep staging

Study Objectives

The development of ambulatory technologies capable of monitoring brain activity during sleep longitudinally is critical for advancing sleep science. The aim of this study was to assess the signal acquisition and the performance of the automatic sleep staging algorithms of a reduced-montage dry-electroencephalographic (EEG) device (Dreem headband, DH) compared to the gold-standard polysomnography (PSG) scored by five sleep experts.

Methods

A total of 25 subjects who completed an overnight sleep study at a sleep center while wearing both a PSG and the DH simultaneously have been included in the analysis. We assessed (1) similarity of measured EEG brain waves between the DH and the PSG; (2) the heart rate, breathing frequency, and respiration rate variability (RRV) agreement between the DH and the PSG; and (3) the performance of the DH’s automatic sleep staging according to American Academy of Sleep Medicine guidelines versus PSG sleep experts manual scoring.

Results

The mean percentage error between the EEG signals acquired by the DH and those from the PSG for the monitoring of α was 15 ± 3.5%, 16 ± 4.3% for β, 16 ± 6.1% for λ, and 10 ± 1.4% for θ frequencies during sleep. The mean absolute error for heart rate, breathing frequency, and RRV was 1.2 ± 0.5 bpm, 0.3 ± 0.2 cpm, and 3.2 ± 0.6%, respectively. Automatic sleep staging reached an overall accuracy of 83.5 ± 6.4% (F1 score: 83.8 ± 6.3) for the DH to be compared with an average of 86.4 ± 8.0% (F1 score: 86.3 ± 7.4) for the 5 sleep experts.

Conclusions

These results demonstrate the capacity of the DH to both monitor sleep-related physiological signals and process them accurately into sleep stages. This device paves the way for, large-scale, longitudinal sleep studies.

Clinical Trial Registration

NCT03725943.

Speech-imagery-based brain-computer interface system using ear-EEG

OBJECTIVE

This study investigates the efficacy of electroencephalography (EEG) centered around the user's ears (ear-EEG) for a speech-imagery-based brain-computer interface (BCI) system.

APPROACH

A wearable ear-EEG acquisition tool was developed and its performance was directly compared to that of a conventional 32-channel scalp-EEG setup in a multi-class speech imagery classification task. Riemannian tangent space projections of EEG covariance matrices were used as input features to a multi-layer extreme learning machine classifier. Ten subjects participated in an experiment consisting of six sessions spanning three days. The experiment involves imagining four speech commands ('Left,' 'Right,' 'Forward,' and 'Go back') and staying in a rest condition.

MAIN RESULTS

The classification accuracy of our system is significantly above the chance level (20%). The classification result averaged across all ten subjects is 38.2% and 43.1% with a maximum (max) of 43.8% and 55.0% for ear-EEG and scalp-EEG, respectively. According to an analysis of variance, seven out of ten subjects show no significant difference between the performance of ear-EEG and scalp-EEG.

SIGNIFICANCE

To our knowledge, this is the first study that investigates the performance of ear-EEG in a speech-imagery-based BCI. The results indicate that ear-EEG has great potential as an alternative to the scalp-EEG acquisition method for speech-imagery monitoring. We believe that the merits and feasibility of both speech imagery and ear-EEG acquisition in the proposed system will accelerate the development of the BCI system for daily-life use.

EEGs Vary Less Between Lab and Home Locations Than They Do Between People

Given the rapid development of light weight EEG devices which we have witnessed the past decade, it is reasonable to ask to which extent neuroscience could now be taken outside the lab. In this study, we have designed an EEG paradigm well suited for deployment “in the wild.” The paradigm is tested in repeated recordings on 20 subjects, on eight different occasions (4 in the laboratory, 4 in the subject's own home). By calculating the inter subject, intra subject and inter location variance, we find that the inter location variation for this paradigm is considerably less than the inter subject variation. We believe the paradigm is representative of a large group of other relevant paradigms. This means that given the positive results in this study, we find that if a research paradigm would benefit from being performed in less controlled environments, we expect limited problems in doing so.

A survey on deep learning-based non-invasive brain signals: recent advances and new frontiers

Brain signals refer to the biometric information collected from the human brain. The research on brain signals aims to discover the underlying neurological or physical status of the individuals by signal decoding. The emerging deep learning techniques have improved the study of brain signals significantly in recent years. In this work, we first present a taxonomy of non-invasive brain signals and the basics of deep learning algorithms. Then, we provide a comprehensive survey of the frontiers of applying deep learning for non-invasive brain signals analysis, by summarizing a large number of recent publications. Moreover, upon the deep learning-powered brain signal studies, we report the potential real-world applications which benefit not only disabled people but also normal individuals. Finally, we discuss the opening challenges and future directions.

Optimal Versus Approximate Channel Selection Methods for EEG Decoding With Application to Topology-Constrained Neuro-Sensor Networks

Channel selection or electrode placement for neural decoding is a commonly encountered problem in electroencephalography (EEG). Since evaluating all possible channel combinations is usually infeasible, one usually has to settle for heuristic methods or convex approximations without optimality guarantees. To date, it remains unclear how large the gap is between the selection made by these approximate methods and the truly optimal selection. The goal of this paper is to quantify this optimality gap for several state-of-the-art channel selection methods in the context of least-squares based neural decoding. To this end, we reformulate the channel selection problem as a mixed-integer quadratic program (MIQP), which allows the use of efficient MIQP solvers to find the optimal channel combination in a feasible computation time for up to 100 candidate channels. As this reveals the exact solution to the combinatorial problem, it allows to quantify the performance losses when using state-of-the-art sub-optimal (yet faster) channel selection methods. In a context of auditory attention decoding, we find that a greedy channel selection based on the utility metric does not show a significant optimality gap compared to optimal channel selection, whereas other state-of-the-art greedy or l₁ -norm penalized methods do show a significant loss in performance. Furthermore, we demonstrate that the MIQP formulation also provides a natural way to incorporate topology constraints in the selection, e.g., for electrode placement in neuro-sensor networks with galvanic separation constraints. Furthermore, a combination of this utility-based greedy selection with an MIQP solver allows to perform a topology constrained electrode placement, even in large scale problems with more than 100 candidate positions.

An investigation of in-ear sensing for motor task classification

Our study aims to investigate the feasibility of in-ear sensing for human-computer interface. We first measured the agreement between in-ear biopotential and scalp-EEG signals by channel correlation and power spectral density analysis. Then we applied EEG compact network (EEGNet) for the classification of a two-class motor task using in-ear electrophysiological signals. The best performance using in-ear biopotential with global reference reached an average accuracy of 70.22\% (cf. 92.61\% accuracy using scalp-EEG signals), but the performance in-ear biopotential with near-ear reference was poor. Our results suggest in-ear sensing would be a viable human-computer interface for movement prediction, but careful consideration should be paid to the position of the reference electrodes.

The Sensitivity of Ear-EEG: Evaluating the Source-Sensor Relationship Using Forward Modeling

Ear-EEG allows to record brain activity in every-day life, for example to study natural behaviour or unhindered social interactions. Compared to conventional scalp-EEG, ear-EEG uses fewer electrodes and covers only a small part of the head. Consequently, ear-EEG will be less sensitive to some cortical sources. Here, we perform realistic electromagnetic simulations to compare cEEGrid ear-EEG with 128-channel cap-EEG. We compute the sensitivity of ear-EEG for different cortical sources, and quantify the expected signal loss of ear-EEG relative to cap-EEG. Our results show that ear-EEG is most sensitive to sources in the temporal cortex. Furthermore, we show how ear-EEG benefits from a multi-channel configuration (i.e. cEEGrid). The pipelines presented here can be adapted to any arrangement of electrodes and can therefore provide an estimate of sensitivity to cortical regions, thereby increasing the chance of successful experiments using ear-EEG.

Epileptic Seizure Detection and Experimental Treatment: A Review

One-fourths of the patients have medication-resistant seizures and require seizure detection and treatment continuously to cope with sudden seizures. Seizures can be detected by monitoring the brain and muscle activities, heart rate, oxygen level, artificial sounds, or visual signatures through EEG, EMG, ECG, motion, or audio/video recording on the human head and body. In this article, we first discuss recent advances in seizure sensing, signal processing, time- or frequency-domain analysis, and classification algorithms to detect and classify seizure stages. Then, we show a strong potential of applying recent advancements in non-invasive brain stimulation technology to treat seizures. In particular, we explain the fundamentals of brain stimulation approaches, including (1) transcranial magnetic stimulation (TMS), (2) transcranial direct current stimulation (tDCS), (3) transcranial focused ultrasound stimulation (tFUS), and how to use them to treat seizures. Through this review, we intend to provide a broad view of both recent seizure diagnoses and treatments. Such knowledge would help fresh and experienced researchers to capture the advancements in sensing, detection, classification, and treatment seizures. Last but not least, we provide potential research directions that would attract seizure researchers/engineers in the field.

Possible Life Saver: A Review on Human Fall Detection Technology

Among humans, falls are a serious health problem causing severe injuries and even death for the elderly population. Besides, falls are also a major safety threat to bikers, skiers, construction workers, and others. Fortunately, with the advancements of technologies, the number of proposed fall detection systems and devices has increased dramatically and some of them are already in the market. Fall detection devices/systems can be categorized based on their architectures as wearable devices, ambient systems, image processing-based systems, and hybrid systems, which employ a combination of two or more of these methodologies. In this review paper, a comparison is made among these major fall detection systems, devices, and algorithms in terms of their proposed approaches and measure of performance. Issues with the current systems such as lack of portability and reliability are presented as well. Development trends such as the use of smartphones, machine learning, and EEG are recognized. Challenges with privacy issues, limited real fall data, and ergonomic design deficiency are also discussed.

Highly Porous Platinum Electrodes for Dry Ear-EEG Measurements

The interest in dry electroencephalography (EEG) electrodes has increased in recent years, especially as everyday suitability earplugs for measuring drowsiness or focus of auditory attention. However, the challenge is still the need for a good electrode material, which is reliable and can be easily processed for highly personalized applications. Laser processing, as used here, is a fast and very precise method to produce personalized electrode configurations that meet the high requirements of in-ear EEG electrodes. The arrangement of the electrodes on the flexible and compressible mats allows an exact alignment to the ear mold and contributes to high wearing comfort, as no edges or metal protrusions are present. For better transmission properties, an adapted coating process for surface enlargement of platinum electrodes is used, which can be controlled precisely. The resulting porous platinum-copper alloy is chemically very stable, shows no exposed copper residues, and enlarges the effective surface area by 40. In a proof-of-principle experiment, these porous platinum electrodes could be used to measure the Berger effect in a dry state using just one ear of a test person. Their signal-to-noise ratio and the frequency transfer function is comparable to gel-based silver/silver chloride electrodes.

In-Ear EEG Based Attention State Classification Using Echo State Network

It is important to maintain attention when carrying out significant daily-life tasks that require high levels of safety and efficiency. Since degradation of attention can sometimes have dire consequences, various brain activity measurement devices such as electroencephalography (EEG) systems have been used to monitor attention states in individuals. However, conventional EEG instruments have limited utility in daily life because they are uncomfortable to wear. Thus, this study was designed to investigate the possibility of discriminating between the attentive and resting states using in-ear EEG signals for potential application via portable, convenient earphone-shaped EEG instruments. We recorded both on-scalp and in-ear EEG signals from 6 subjects in a state of attentiveness during the performance of a visual vigilance task. We have designed and developed in-ear EEG electrodes customized by modelling both the left and right ear canals of the subjects. We use an echo state network (ESN), a powerful type of machine learning algorithm, to discriminate attention states on the basis of in-ear EEGs. We have found that the maximum average accuracy of the ESN method in discriminating between attentive and resting states is approximately 81.16% with optimal network parameters. This study suggests that portable in-ear EEG devices and an ESN can be used to monitor attention states during significant tasks to enhance safety and efficiency.

Hearing Aids Do Not Alter Cortical Entrainment to Speech at Audible Levels in Mild-to-Moderately Hearing-Impaired Subjects

BACKGROUND

Cortical entrainment to speech correlates with speech intelligibility and attention to a speech stream in noisy environments. However, there is a lack of data on whether cortical entrainment can help in evaluating hearing aid fittings for subjects with mild to moderate hearing loss. One particular problem that may arise is that hearing aids may alter the speech stimulus during (pre-)processing steps, which might alter cortical entrainment to the speech. Here, the effect of hearing aid processing on cortical entrainment to running speech in hearing impaired subjects was investigated.

METHODOLOGY

Seventeen native English-speaking subjects with mild-to-moderate hearing loss participated in the study. Hearing function and hearing aid fitting were evaluated using standard clinical procedures. Participants then listened to a 25-min audiobook under aided and unaided conditions at 70 dBA sound pressure level (SPL) in quiet conditions. EEG data were collected using a 32-channel system. Cortical entrainment to speech was evaluated using decoders reconstructing the speech envelope from the EEG data. Null decoders, obtained from EEG and the time-reversed speech envelope, were used to assess the chance level reconstructions. Entrainment in the delta- (1-4 Hz) and theta- (4-8 Hz) band, as well as wideband (1-20 Hz) EEG data was investigated.

RESULTS

Significant cortical responses could be detected for all but one subject in all three frequency bands under both aided and unaided conditions. However, no significant differences could be found between the two conditions in the number of responses detected, nor in the strength of cortical entrainment. The results show that the relatively small change in speech input provided by the hearing aid was not sufficient to elicit a detectable change in cortical entrainment.

CONCLUSION

For subjects with mild to moderate hearing loss, cortical entrainment to speech in quiet at an audible level is not affected by hearing aids. These results clear the pathway for exploring the potential to use cortical entrainment to running speech for evaluating hearing aid fitting at lower speech intensities (which could be inaudible when unaided), or using speech in noise conditions.

In-ear-EEG - a portable platform for home monitoring

There are many useful medical treatment devices today, which are indispensable in health care. However, in some emergency situations and in prehospital care mobile, easy-to-use devices could further improve the patient-centred care. For example, a mobile, easy-to-use home-monitoring EEG-system would be useful for monitoring diseases like epilepsy and for treating diseases like attention deficit disorder (ADHD) using biofeedback. Such a device should be equipped with the ability to start self-performed by user recordings and provide high signal quality, while having an affordable price. Here, we used in-ear-EEG technology and state of the art electronic components to develop such a system. This paper presents a portable, all-in-one EEG-system, capable to record biosignals on the external ear. An amplifier was developed with ADS1299 and optimised to be coupled with a smartphone. The system has a low price and at the same time provides high signal quality, has very effective common-mode-rejection, performs a fast cold start and shows low power consumptions which ensures a long time of operation. The system is easy to use and could be self-mounted and controlled by unskilled users as well. Results of test measurements are compared to a conventional EEG-System and show comparable records results quality.