SYSTEM AND METHOD FOR AUTOMATICALLY ADJUSTING DETECTION THRESHOLDS IN A FEEDBACK-CONTROLLED NEUROLOGICAL EVENT DETECTOR

• US 20080319335A1
• Filed: 06/20/2007
• Published: 12/25/2008
• Est. Priority Date: 06/20/2007
• Status: Active Grant

• Current Assignee: Neuropace Inc.
• Original Assignee: Neuropace Inc.
• Inventors: Greene, David A.
• Granted Patent: US 8,131,352 B2
• Time in Patent Office: Days
• US Class Current: 600/544
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy

Abstract

Methods and systems for detecting neurological events and approximating a target detection rate are disclosed. A target detection rate may be identified for the neurological event. Electrographic signals incident on a neurological event detector may be monitored. Each signal may be compared to a threshold value for a parameter. As the threshold value varies, it has a predictable effect on a detection rate of the neurological event. A rate at which the electrographic signals exceed the threshold value may be measured and compared to the target detection rate. The threshold value may be adjusted to minimize the difference between the measured detection rate and the target detection rate.

Claims

1. A method for approximating a target detection rate for a neurological event with a neurological event detector intended for use with a human patient, comprising:

identifying a target detection rate for the neurological event;

monitoring electrographic signals incident on the neurological event detector;

comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect on a detection rate of the neurological event;

measuring a rate at which the electrographic signals exceed the threshold value to determine a measured detection rate;

comparing the measured detection rate to the target detection rate; and

adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate.

2. The method of claim 1, wherein adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate is accomplished automatically.

3. The method of claim 1, wherein comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect on a detection rate of the neurological event includes comparing each electrographic signal to a threshold value for a line length parameter which corresponds to a percentage difference between accumulated line lengths for a first electrographic signal in a window of time and accumulated line lengths for a second electrographic signal in the window of time.

4. The method of claim 1, wherein comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect on a detection rate of the neurological event includes comparing each electrographic signal to a threshold value for a line length parameter which corresponds to a percentage difference between accumulated line lengths for an electrographic signal in a first window of time and accumulated line lengths for the electrographic signal in a second window of time.

5. The method of claim 4, wherein the accumulated line lengths for the electrographic signal in a first window of time are normalized based on a duration of the first window of time and the accumulated line lengths for the electrographic signal in the second window of time are normalized based on a duration of the second window of time.

6. The method of claim 1, wherein comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect on a detection rate of the neurological event includes comparing each electrographic signal to a threshold value for an area parameter which corresponds to the difference between an accumulated area under the curve for a first electrographic signal in a window of time and an accumulated area under the curve for a second electrographic signal in the window of time.

7. The method of claim 1, wherein comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect on a detection rate of the neurological event includes comparing each electrographic signal to a threshold value for an area parameter which corresponds to a difference between an accumulated area under the curve for an electrographic signal in a first window of time and an accumulated area under the curve for the electrographic signal in a second window of time.

8. The method of claim 7, wherein the accumulated area under the curve for an electrographic signal in the first window of time is normalized based on a duration of the first window of time and the accumulated area under the curve for an electrographic signal in the second window of time is normalized based on a duration of the second window of time.

9. The method of claim 1, wherein comparing each electrographic signal to a threshold value for a parameter the variation of which has a predictable effect, on a detection rate of the neurological event includes comparing each electrographic signal to one or more of an amplitude threshold and a persistence threshold.

10. The method of claim 1, wherein the target detection rate is expressed as a number of neurological events per unit of time.

11. The method of claim 1, wherein adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate includes decreasing the threshold value when the measured detection rate is less than the target detection rate.

12. The method of claim 1, wherein adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate includes increasing the threshold value when the measured detection rate is greater than the target detection rate.

13. The method of claim 1, wherein the neurological event is selected from the group consisting of epileptiform activity characteristic of an onset of a seizure, epileptiform activity characteristic of an occurrence of a seizure, electrocortical signals predictive of a tic disorder, electrographic signals characteristic of an occurrence of a symptom of a tic disorder, electrocortical signals predictive of a movement disorder, electrographic signals characteristic of an occurrence of a symptom of a movement disorder;

electrocortical signals predictive of a sleep disorder, electrographic signals characteristic of an occurrence of a sleep disorder, eleetrocortical signals predictive of a mood disorder, electrographic signals characteristic of an occurrence of a symptom of a mood disorder, and electrocortical signals predictive of an anxiety disorder, electrographic signals characteristic of an occurrence of a symptom of an anxiety disorder.

14. The method of claim 1 wherein the predictable effect that the variation of the parameter has on the rate of detection of the neurological event is to increase or decrease a sensitivity of the neurological event detector.

15. In a neurological event detector intended for use with a human patient, a method for minimizing the difference between a target detection rate and a measured detection rate for a neurological event, comprising:

identifying a target detection rate for the neurological event;

monitoring electrographic signals sensed from the human patient by the neurological event detector;

comparing each electrographic signal to a threshold value for a parameter the variation of which has a known relationship to a sensitivity of the neurological event detector to register a detection of the neurological event;

measuring a rate at which the electrographic signals exceed the threshold value to determine a measured detection rate;

comparing the measured detection rate to the target detection rate; and

adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate.

16. The method of claim 15, wherein adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate includes decreasing the threshold value when the measured detection rate is less than the target detection rate.

17. The method of claim 15, wherein adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate includes increasing the threshold value when the measured detection rate is greater than the target detection rate.

18. A neurological event detector intended for use with a human patient to detect a neurological event, comprising:

at least one sensor for receiving electrographic signals from the human patient;

a detector for analyzing the electrographic signals to identify an occurrence of the neurological event whenever a threshold value for a parameter is exceeded, wherein variation of the parameter has a predictable effect on a detection rate of the neurological event, wherein an output of the detector is a measured detection rate;

a memory in which a target detection rate is storable and from which the target detection rate is accessible;

a comparator for comparing the measured detection rate to the target detection rate; and

a parameter adjuster for adjusting the threshold value to minimize a difference between the measured detection rate and the target detection rate.

19. The neurological event detector of claim 18, wherein the parameter is a difference in line length between accumulated line lengths for a first electrographic signal in a window of time and accumulated line lengths for a second electrographic signal in the window of time.

20. The neurological event detector of claim 18, wherein the parameter is a difference in line length between accumulated line lengths for an electrographic signal in a first window of time and accumulated line lengths for the electrographic signal in a second window of time.

21. The neurological event detector of claim 20, wherein the accumulated line lengths for the electrographic signal in the first window of time are normalized based on a duration of the first window of time and the accumulated line lengths for the electrographic signal in the second window of time are normalized based on a duration of the second window of time.

22. The neurological event detector of claim 18, wherein the parameter is a difference in area between accumulated area under the curve for a first electrographic signal in a window of time and accumulated area under the curve for a second electrographic signal in the window of time.

23. The neurological event detector of claim 18, wherein the parameter is a difference in area between accumulated area under the curve for an electrographic signal in a first window of time and accumulated area under the curve for the electrographic signal in a second window of time.

24. The neurological event detector of claim 23, wherein the accumulated area under the curve for the electrographic signal in the first window of time is normalized based on a duration of the first window of time and the accumulated area under the curve for the electrographic signal in the second window of time is normalized based on a duration of the second window of time.

25. The neurological event detector of claim 18, wherein the parameter is one or more of an amplitude threshold and a persistence threshold.