Richard B. Reilly

Automatic classification of heartbeats using ECG morphology and heartbeat interval features

A method for the automatic processing of the electrocardiogram (ECG) for the classification of heartbeats is presented. The method allocates manually detected heartbeats to one of the five beat classes recommended by ANSI/AAMI EC57:1998 standard, i.e., normal beat, ventricular ectopic beat (VEB), supraventricular ectopic beat (SVEB), fusion of a normal and a VEB, or unknown beat type. Data was obtained from the 44 nonpacemaker recordings of the MIT-BIH arrhythmia database. The data was split into two datasets with each dataset containing approximately 50 000 beats from 22 recordings. The first dataset was used to select a classifier configuration from candidate configurations. Twelve configurations processing feature sets derived from two ECG leads were compared. Feature sets were based on ECG morphology, heartbeat intervals, and RR-intervals. All configurations adopted a statistical classifier model utilizing supervised learning. The second dataset was used to provide an independent performance assessment of the selected configuration. This assessment resulted in a sensitivity of 75.9%, a positive predictivity of 38.5%, and a false positive rate of 4.7% for the SVEB class. For the VEB class, the sensitivity was 77.7%, the positive predictivity was 81.9%, and the false positive rate was 1.2%. These results are an improvement on previously reported results for automated heartbeat classification systems.

Steady-state VEP-based brain-computer interface control in an immersive 3D gaming environment

This paper presents the application of an effective EEG-based brain-computer interface design for binary control in a visually elaborate immersive 3D game. The BCI uses the steady-state visual evoked potential (SSVEP) generated in response to phase-reversing checkerboard patterns. Two power-spectrum estimation methods were employed for feature extraction in a series of offline classification tests. Both methods were also implemented during real-time game play. The performance of the BCI was found to be robust to distracting visual stimulation in the game and relatively consistent across six subjects, with 41 of 48 games successfully completed. For the best performing feature extraction method, the average real-time control accuracy across subjects was 89%. The feasibility of obtaining reliable control in such a visually rich environment using SSVEPs is thus demonstrated and the impact of this result is discussed.

FASTER: Fully Automated Statistical Thresholding for EEG artifact Rejection

Electroencephalogram (EEG) data are typically contaminated with artifacts (e.g., by eye movements). The effect of artifacts can be attenuated by deleting data with amplitudes over a certain value, for example. Independent component analysis (ICA) separates EEG data into neural activity and artifact; once identified, artifactual components can be deleted from the data. Often, artifact rejection algorithms require supervision (e.g., training using canonical artifacts). Many artifact rejection methods are time consuming when applied to high-density EEG data. We describe FASTER (Fully Automated Statistical Thresholding for EEG artifact Rejection). Parameters were estimated for various aspects of data (e.g., channel variance) in both the EEG time series and in the independent components of the EEG: outliers were detected and removed. FASTER was tested on both simulated EEG (n=47) and real EEG (n=47) data on 128-, 64-, and 32-scalp electrode arrays. FASTER was compared to supervised artifact detection by experts and to a variant of the Statistical Control for Dense Arrays of Sensors (SCADS) method. FASTER had >90% sensitivity and specificity for detection of contaminated channels, eye movement and EMG artifacts, linear trends and white noise. FASTER generally had >60% sensitivity and specificity for detection of contaminated epochs, vs. 0.15% for SCADS. FASTER also aggregates the ERP across subject datasets, and detects outlier datasets. The variance in the ERP baseline, a measure of noise, was significantly lower for FASTER than either the supervised or SCADS methods. ERP amplitude did not differ significantly between FASTER and the supervised approach.

Automated processing of the single-lead electrocardiogram for the detection of obstructive sleep apnoea

A method for the automatic processing of the electrocardiogram (ECG) for the detection of obstructive apnoea is presented. The method screens nighttime single-lead ECG recordings for the presence of major sleep apnoea and provides a minute-by-minute analysis of disordered breathing. A large independently validated database of 70 ECG recordings acquired from normal subjects and subjects with obstructive and mixed sleep apnoea, each of approximately eight hours in duration, was used throughout the study. Thirty-five of these recordings were used for training and 35 retained for independent testing. A wide variety of features based on heartbeat intervals and an ECG-derived respiratory signal were considered. Classifiers based on linear and quadratic discriminants were compared. Feature selection and regularization of classifier parameters were used to optimize classifier performance. Results show that the normal recordings could be separated from the apnoea recordings with a 100% success rate and a minute-by-minute classification accuracy of over 90% is achievable.

A Patient-Adapting Heartbeat Classifier Using ECG Morphology and Heartbeat Interval Features

An adaptive system for the automatic processing of the electrocardiogram (ECG) for the classification of heartbeats into one of the five beat classes recommended by ANSI/AAMI EC57:1998 standard is presented. The heartbeat classification system processes an incoming recording with a global-classifier to produce the first set of beat annotations. An expert then validates and if necessary corrects a fraction of the beats of the recording. The system then adapts by first training a local-classifier using the newly annotated beats and combines this with the global-classifier to produce an adapted classification system. The adapted system is then used to update beat annotations. The results of this study show that the performance of a patient adaptable classifier increases with the amount of training of the system on the local record. Crucially, the performance of the system can be significantly boosted with a small amount of adaptation even when all beats used for adaptation are from a single class. This study illustrates the ability to provide highly beneficial automatic arrhythmia monitoring and is an improvement on previously reported results for automated heartbeat classification systems

Brain-Computer Interfaces, Virtual Reality, and Videogames

Major challenges must be tackled for brain-computer interfaces to mature into an established communications medium for VR applications, which will range from basic neuroscience studies to developing optimal peripherals and mental gamepads and more efficient brain-signal processing techniques.

Visual spatial attention tracking using high-density SSVEP data for independent brain-computer communication

The steady-state visual evoked potential (SSVEP) has been employed successfully in brain-computer interface (BCI) research, but its use in a design entirely independent of eye movement has until recently not been reported. This paper presents strong evidence suggesting that the SSVEP can be used as an electrophysiological correlate of visual spatial attention that may be harnessed on its own or in conjunction with other correlates to achieve control in an independent BCI. In this study, 64-channel electroencephalography data were recorded from subjects who covertly attended to one of two bilateral flicker stimuli with superimposed letter sequences. Offline classification of left/right spatial attention was attempted by extracting SSVEPs at optimal channels selected for each subject on the basis of the scalp distribution of SSVEP magnitudes. This yielded an average accuracy of approximately 71% across ten subjects (highest 86%) comparable across two separate cases in which flicker frequencies were set within and outside the alpha range respectively. Further, combining SSVEP features with attention-dependent parieto-occipital alpha band modulations resulted in an average accuracy of 79% (highest 87%).

Visual spatial attention control in an independent brain-computer interface

This paper presents a novel brain computer interface (BCI) design employing visual evoked potential (VEP) modulations in a paradigm involving no dependency on peripheral muscles or nerves. The system utilizes electrophysiological correlates of visual spatial attention mechanisms, the self-regulation of which is naturally developed through continuous application in everyday life. An interface involving real-time biofeedback is described, demonstrating reduced training time in comparison to existing BCIs based on self-regulation paradigms. Subjects were cued to covertly attend to a sequence of letters superimposed on a flicker stimulus in one visual field while ignoring a similar stimulus of a different flicker frequency in the opposite visual field. Classification of left/right spatial attention is achieved by extracting steady-state visual evoked potentials (SSVEPs) elicited by the stimuli. Six out of eleven physically and neurologically healthy subjects demonstrate reliable control in binary decision-making, achieving at least 75% correct selections in at least one of only five sessions, each of approximately 12-min duration. The highest-performing subject achieved over 90% correct selections in each of four sessions. This independent BCI may provide a new method of real-time interaction for those with little or no peripheral control, with the added advantage of requiring only brief training.

A neural mass model of spectral responses in electrophysiology

We present a neural mass model of steady-state membrane potentials measured with local field potentials or electroencephalography in the frequency domain. This model is an extended version of previous dynamic causal models for investigating event-related potentials in the time-domain. In this paper, we augment the previous formulation with parameters that mediate spike-rate adaptation and recurrent intrinsic inhibitory connections. We then use linear systems analysis to show how the models spectral response changes with its neurophysiological parameters. We demonstrate that much of the interesting behaviour depends on the non-linearity which couples mean membrane potential to mean spiking rate. This non-linearity is analogous, at the population level, to the firing rate–input curves often used to characterize single-cell responses. This function depends on the models gain and adaptation currents which, neurobiologically, are influenced by the activity of modulatory neurotransmitters. The key contribution of this paper is to show how neuromodulatory effects can be modelled by adding adaptation currents to a simple phenomenological model of EEG. Critically, we show that these effects are expressed in a systematic way in the spectral density of EEG recordings. Inversion of the model, given such non-invasive recordings, should allow one to quantify pharmacologically induced changes in adaptation currents. In short, this work establishes a forward or generative model of electrophysiological recordings for psychopharmacological studies.

A parametric feature extraction and classification strategy for brain-computer interfacing

Parametric modeling strategies are explored in conjunction with linear discriminant analysis for use in an electroencephalogram (EEG)-based brain-computer interface (BCI). A left/right self-paced typing exercise is analyzed by extending the usual autoregressive (AR) model for EEG feature extraction with an AR with exogenous input (ARX) model for combined filtering and feature extraction. The ensemble averaged Bereitschaftspotential (an event related potential preceding the onset of movement) forms the exogenous signal input to the ARX model. Based on trials with six subjects, the ARX case of modeling both the signal and noise was found to be considerably more effective than modeling the noise alone (common in BCI systems) with the AR method yielding a classification accuracy of 52.8 /spl plusmn/ 4.8% and the ARX method an accuracy of 79.1 /spl plusmn/ 3.9% across subjects. The results suggest a role for ARX-based feature extraction in BCIs based on evoked and event-related potentials.