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Constandinou, T.

Publications and source records attributed to Constandinou, T..

At least 19 recordsLinked to original sources

Towards Continuous Home Monitoring for Dementia: A Real-Time mmWave Radar Framework for Activity Classification and Tracking

Millimeter-wave radar can quietly monitor health and behavior at home, which is vital for supporting people living with dementia. Most studies, however, remain limited to short-term testing in controlled spaces. Real-world deployment requires robust activity classification as a prerequisite: vital-sign and behavioral sensing require fundamentally different processing pipelines, and absent periods need to be reliably distinguished from stationary states. Bridging the critical gap between controlled laboratory demonstrations and continuous home monitoring, this paper introduces a self-adapting radar framework that extracts meaningful behavioral segments from massive, unconstrained real-world data. The system performs continuous real-time activity classification (stationary, walking, and absent) and target localization, selectively directing downstream processing to the most informative segments. It addresses key real-world deployment challenges including adaptive thresholding across subjects and environments, and walking detection under naturalistic activity conditions. Prior to integration with the Minder platform, the system was validated in a fully instrumented studio apartment against ground truth. Across 12 subjects, the system achieved an overall classification accuracy of 0.98, with F1 scores of 0.99 for absence and stationary states, and 0.95 for walking. Event-based evaluation yielded a per-subject walking sensitivity of 0.916{+/-} 0.058 and F1 score of 0.935 {+/-}0.030. Localization root mean square error during movement was 0.40 m. The results demonstrate reliable performance suitable for transitioning to long-term real-world home deployment.

bioengineering↗

Neuromodulation of a peripheral nerve using fully polymeric cuff electrodes: Understanding predictability of selective stimulation

Peripheral nerve stimulation (PNS) offers therapeutic benefits across numerous clinical applications but suffers from limitations in high resolution spatial selectivity, especially in mixed nerves. This study presents a fully polymeric, transverse, multipolar nerve cuff made from a conductive elastomer (CE), designed for selective activation of individual fascicles. Fabricated with laser-based manufacturing techniques, the CE nerve cuff offers mechanical conformity and high charge injection capacity. Ex vivo experiments on the rat sciatic nerve demonstrate reliable compound action potential recordings and fascicular selectivity (SI > 0.65). The non-metal electrodes enable microCT-aided 3D reconstruction of nerve-electrode geometries without imaging artefacts, informing anatomically accurate simulations via the ASCENT pipeline. While in silico simulations predict some selective fascicular activation, discrepancies were observed between predicted and experimental selectivity magnitudes and electrode positions, particularly for the sural and tibial fascicles. The model was more sensitive to neuroanatomical variation than the experimental data, indicating limitations in current perineurium and CE electrode modelling assumptions. This work validates CE-based cuffs as viable alternatives to metallic devices for selective fascicular peripheral nerve activation and highlights the potential of imaging-informed simulations to optimize nerve interface design. Future improvements in electrode and nerve tissue modelling are needed to enhance in silico prediction accuracy and further advance spatially selective PNS technologies.

bioengineering↗

On the Stability of Silicone-Encapsulated CMOS ICs for Active Implantable Devices: 4.3 Years of Accelerated Life Testing

The reliability of polymer-encapsulated CMOS integrated circuits (ICs) is critical for the development of miniaturised active implantable medical devices (AIMDs). Traditional hermetic packaging methods become impractical as implant sizes decrease, necessitating alternative methods of protection from body fluids. This study evaluates the long-term stability of silicone-encapsulated CMOS ICs through accelerated life testing using electrical impedance spectroscopy (EIS) and visual inspection. CMOS interdigitated combs (IDCs) were encapsulated in medical grade silicone rubber, subjected to immersion in phosphate-buffered saline (PBS), and tested at elevated temperatures (47{degrees}C, 67{degrees}C, and 87{degrees}C) under both 5V DC and biphasic voltage biases for up to 4.3 years. Remarkably, no insulation failures were observed in the IDCs, with no significant water ingress detected through impedance changes. Failures at the ICs were limited to wire bond open-circuits, though there was some pad discolouration/corrosion. Other failures were elsewhere, not at the ICs. This highlights the stability of modern silicon oxide/silicon nitride bilayer passivation when encapsulated in adhesive silicone rubber. Visual analysis revealed occasional solder and aluminium pad corrosion, particularly at higher temperatures, but these changes did not correlate with EIS failures. The findings suggest that silicone encapsulation, combined with passivation and shielding strategies, enables long-term IC reliability in biofluid environments. To our knowledge, this paper presents the longest reported accelerated ageing study of test structures for implantable devices, laying the groundwork for the integration of silicone-encapsulated ICs into next-generation chip-scale bioelectronic implants.

biochemistry↗

Capturing gait parameters during asymmetric overground walking using ultra-wideband radars: A preliminary study

This study investigates the deployability of commercially available impulse-radio ultra-wideband radar (UWB) sensors, in accurately detecting and analysing gait patterns during asymmetric overground locomotion. An adjustable knee brace was fitted on the right knee of 10 able-bodied participants, in five different confinement angles, during a 6-meter walking task to simulate asymmetric walking patterns. A computationally efficient signal processing framework extracts seven spatiotemporal gait parameters from six UWB radar signals, based on their joint Range-Doppler-Time representation. Gait asymmetry was quantified using primarily the symmetry ratio metric of step times. Validated against the gold standard motion capture system, radar-based gait parameters were estimated with 88.2-98.8% accuracy for all settings. By capturing step time symmetry ratios with 95.6{+/-}2.8% accuracy, the radar system can effectively distinguish between different gait impairment levels.

bioengineering↗

Longevity of Implantable Silicon-ICs for Emerging Neural Applications: Evaluation of Bare Die and PDMS-Coated ICs After Accelerated Aging and Implantation Studies

Silicon integrated circuits (ICs) are central to the next-generation miniature active neural implants, whether packaged in soft polymers for flexible bioelectronics or implanted as bare die for neural probes. These emerging applications bring the IC closer to the corrosive body environment, raising reliability concerns, particularly for long-term clinical use. Here, we evaluated the long-term electrical and material stability of silicon-ICs from two foundries, after one-year accelerated in vitro and in vivo animal studies. The ICs featured various custom-designed test structures and were partially PDMS coated, creating two regions on each chip, uncoated "bare die" and "PDMS-coated". During the accelerated in vitro study, ICs were electrically biased and periodically monitored. Results demonstrated stable electrical performance for at least a year, suggesting that bare die ICs can function in the body for months. Despite electrical stability, material analysis revealed chemical and electrically driven degradation of the IC passivation in the bare die regions. In contrast, PDMS-coated regions revealed no such degradation, making PDMS a highly suitable encapsulant for ICs intended for years-long implantation. Based on the new insights, guidelines are proposed that may enhance the longevity of implantable ICs, significantly broadening their applications in the biomedical field.

neuroscience↗

Firing-rate-modulated spike detection and neural decoding co-design

ObjectiveTranslational efforts on spike-signal-based implantable brain-machine interfaces (BMIs) are increasingly aiming to minimise bandwidth while maintaining decoding performance. Developing these BMIs requires advances in neuroscience and electronic technology, as well as using low-complexity spike detection algorithms and high-performance machine learning models. While some state-of-the-art BMI systems jointly design spike detection algorithms and machine learning models, it remains unclear how the detection performance affects decoding. ApproachWe propose the co-design of the neural decoder with an ultra-low complexity spike detection algorithm. The detection algorithm is designed to attain a target firing rate, which the decoder uses to modulate the input features preserving statistical invariance. Main resultsWe demonstrate a multiplication-free fixed-point spike detection algorithm with nearly perfect detection accuracy and the lowest complexity among studies we have seen. By co-designing the system to incorporate statistically invariant features, we observe significantly improved long-term stability, with decoding accuracy degrading by less than 10% after 80 days of operation. Our analysis also reveals a nonlinear relationship between spike detection and decoding performance. Increasing the detection sensitivity improves decoding accuracy and long-term stability, which means the activity of more neurons is beneficial despite the detection of more noise. Reducing the spike detection sensitivity still provides acceptable decoding accuracy whilst reducing the bandwidth by at least 30%. SignificanceOur findings regarding the relationship between spike detection and decoding performance can provide guidance on setting the threshold for spike detection rather than relying on training or trial-and-error. The trade-off between data bandwidth and decoding performance can be effectively managed using appropriate spike detection settings. We demonstrate improved decoding performance by maintaining statistical invariance of input features. We believe this approach can motivate further research focused on improving decoding performance through the manipulation of data itself (based on a hypothesis) rather than using more complex decoding models.

bioengineering↗

Ultra Low Power, Event-Driven Data Compression of Multi-Unit Activity

Recent years have demonstrated the feasibility of using intracortical Brain-Machine Interfaces (iBMIs), by decoding thoughts, for communication and cursor control tasks. iBMIs are increasingly becoming wireless due to the risk of infection and mechanical failure, typically associated with percutaneous connections. The wireless communication itself, however, increases the power consumption further; with the total dissipation being strictly limited due to safety heating limits of cortical tissue. Since wireless power is typically proportional to the communication bandwidth, the output Bit Rate (BR) must be minimised. Whilst most iBMIs utilise Multi-Unit activity (MUA), i.e. spike events, and this in itself significantly reduces the output BR (compared to raw data), it still limits the scalability (number of channels) that can be achieved. As such, additional compression for MUA signals are essential for fully-implantable, high-information-bandwidth systems. To meet this need, this work proposes various hardware-efficient, ultra-low power MUA compression schemes. We investigate them in terms of their BRs and hardware requirements as a function of various on-implant conditions such as MUA Binning Period (BP) and number of channels. It was found that for BPs [≤] 10 ms, the delta-asynchronous method had the lowest total power and reduced the BR by almost an order of magnitude relative to classical methods (e.g. to approx. 151 bps/channel for a BP of 1 ms and 1000 channels on-implant.). However, at larger BPs the synchronous method performed best (e.g. approx. 29 bps/channel for a BP of 50 ms, independent of channel count). As such, this work can guide the choice of MUA data compression scheme for BMI applications, where the BR can be significantly reduced in hardware efficient ways. This enables the next generation of wireless iBMIs, with small implant sizes, high channel counts, low-power, and small hardware footprint. All code and results have been made publicly available.

bioengineering↗

Hardware-Efficient Compression of Neural Multi-Unit Activity Using Machine Learning Selected Static Huffman Encoders

Brain-machine interfaces (BMI) are tools for treating neurological disorders and motor-impairments. It is essential that the next generation of intracortical BMIs is wireless so as to remove percutaneous connections, i.e. wires, and the associated mechanical and infection risks. This is required for the effective translation of BMIs into clinical applications and is one of the remaining bottlenecks. However, due to cortical tissue thermal dissipation safety limits, the on-implant power consumption must be strictly limited. Therefore, both the neural signal processing and wireless communication power should be minimal, while the implants should provide signals that offer high behavioural decoding performance (BDP). The Multi-Unit Activity (MUA) signal is the most common signal in modern BMIs. However, with an ever-increasing channel count, the raw data bandwidth is becoming prohibitively high due to the associated communication power exceeding the safety limits. Data compression is therefore required. To meet this need, this work developed hardware-efficient static Huffman compression schemes for MUA data. Our final system reduced the bandwidth to 27 bps/channel, compared to the standard MUA rate of 1 kbps/channel. This compression is over an order of magnitude more than has been achieved before, while using only 0.96 uW/channel processing power and 246 logic cells. Our results were verified on 3 datasets and less than 1% loss in BDP was observed. As such, with the use of effective data compression, an order more of MUA channels can be fitted on-implant, enabling the next generation of high-performance wireless intracortical BMIs.

bioengineering↗

Development of an Ultra Low-Cost SSVEP-based BCI Device for Real-Time On-Device Decoding

This study details the development of a novel, approx. {pound}20 electroencephalogram (EEG)-based brain-computer interface (BCI) intended to offer a financially and operationally accessible device that can be deployed on a mass scale to facilitate education and public engagement in the domain of EEG sensing and neurotechnologies. Real-time decoding of steady-state visual evoked potentials (SSVEPs) is achieved using variations of the widely-used canonical correlation analysis (CCA) algorithm: multi-set CCA and generalised CCA. All BCI functionality is executed on board an inexpensive ESP32 microcontroller. SSVEP decoding accuracy of 95.56 {+/-} 3.74% with an ITR of 102 bits/min was achieved with modest calibration.

bioengineering↗

Selecting an effective amplitude threshold for neural spike detection

This paper assesses and challenges whether commonly used methods for defining amplitude thresholds for spike detection are optimal. This is achieved through empirical testing of single amplitude thresholds across multiple recordings of varying SNR levels. Our results suggest that the most widely used noise-statistics-driven threshold can suffer from parameter deviation in different noise levels. The spike-noise-driven threshold can be an ideal approach to set the threshold for spike detection, which suffers less from the parameter deviation and is robust to sub-optimal settings.

bioengineering↗

Nitric oxide synthase neurons in the preoptic hypothalamus are sleep-active and contribute to regulating NREM and REM sleep and lowering body temperature.

When mice are exposed to external warmth, nitric oxide synthase (NOS1) neurons in the median and medial preoptic (MnPO/MPO) hypothalamus induce sleep and concomitant body cooling. However, how these neurons regulate baseline sleep and body temperature is unknown. Using calcium photometry, we show that NOS1 neurons in MnPO/MPO are predominantly NREM active. This is the first instance of a predominantly NREM-active population in the PO area, or to our knowledge, elsewhere in the brain. In addition to releasing nitric oxide, NOS1 neurons in MnPO/MPO can release GABA, glutamate and peptides. We expressed tetanus-toxin light-chain in MnPO/MPO NOS1 cells to reduce vesicular release of transmitters. This induced changes in sleep structure: over 24 hours, mice had less NREM sleep in their dark (active) phase, and more NREM sleep in their light (sleep) phase. REM sleep episodes in the dark phase were longer, and there were fewer REM transitions between other vigilance states. REM sleep had less theta power. Mice with synaptically blocked MnPO/MPO NOS1 neurons were also warmer. In particular, mice were warmer than control mice at the dark-light transition (ZT0), as well as during the dark phase siesta (ZT16-20), where there is usually a body temperature dip. Also, at this siesta point of cooled body temperature, mice usually have more NREM, but mice with synaptically blocked MnPO/MPO NOS1 cells showed reduced NREM sleep at this time. Overall, MnPO/MPO NOS1 neurons promote both NREM and REM sleep and contribute to chronically lowering body temperature, particularly at transitions where the mice normally enter NREM sleep.

neuroscience↗

Autonomous Wireless System for Robust and Efficient Inductive Power Transmission to Multi-Node Implants

A number of recent and current efforts in brain machine interfaces are developing millimetre-sized wireless implants that achieve scalability in the number of recording channels by deploying a distributed swarm of devices. This trend poses two key challenges for the wireless power transfer: (1) the system as a whole needs to provide sufficient power to all devices regardless of their position and orientation; (2) each device needs to maintain a stable supply voltage autonomously. This work proposes two novel strategies towards addressing these challenges: a scalable resonator array to enhance inductive networks; and a self-regulated power management circuit for use in each independent mm-scale wireless device. The proposed passive 2-tier resonant array is shown to achieve an 11.9% average power transfer efficiency, with ultra-low variability of 1.77% across the network. The self-regulated power management unit then monitors and autonomously adjusts the supply voltage of each device to lie in the range between 1.7 V-1.9 V, providing both low-voltage and over-voltage protection.

bioengineering↗

Investigating the Effects of Macaque Primary Motor Cortex Multi-Unit Activity Binning Period on Behavioural Decoding Performance

This paper investigates the relationship between Multi-Unit Activity (MUA) Binning Period (BP) and Brain-Computer Interface (BCI) decoding performance using Long-Short Term Memory decoders. The motivation is to determine whether lossy compression of MUA via increasing BP has any adverse consequences for BCI Behavioral Decoding Performance (BDP). The Neural data originates from intracortical recordings from Macaque Primary Motor cortex [1]. The BDP is measured by the Pearson correlation r between the observed and predicted velocity of the subjects X-Y hand coordinates in reaching tasks [1]. The results suggest a statistically significant but slight linear relationship between increasing MUA BP and decreasing BDP. For example, when using a 100 ms moving average window, increasing the BP by 10 ms on average reduces the BDP r by approximately 0.85%. This relationship may be due to the reduced number of training examples, or due to the loss of Behavioral information because of reduced MUA temporal resolution.

bioinformatics↗

Towards robust, unobtrusive sensing of respiration using ultra-wideband impulse radar for the care of people living with dementia

The unobtrusive monitoring of vital signals and behaviour can be used to gather intelligence to support the care of people living with dementia. This can provide insights into the persons wellbeing and the neurogenerative process, as well as enable them to continue to live safely at home, thereby improving their quality of life. Within this context, this study investigated the deployability of non-contact respiration rate (RR) measurement based on an Ultra-Wideband (UWB) radar System-on-Chip (SoC). An algorithm was developed to simultaneously and continuously extract the respiration signal, together with the confidence level of the respiration signal and the target position, without needing any prior calibration. The radar-measured RR results were compared to the RR results obtained from a ground truth measure based on the breathing sound, and the error rates were within 8% with a mean value of 2.4%. The target localisation results match to the radar-to-chest distances with a mean error rate of 5.4%. The tested measurement range was up to 5m. The results suggest that the algorithm could perform sufficiently well in non-contact stationary respiration rate detection.

bioengineering↗

Sleep deprivation triggers somatostatin neurons in prefrontal cortex to initiate nesting and sleep via the preoptic and lateral hypothalamus

Animals undertake specific behaviors before sleep. Little is known about whether these innate behaviors, such as nest building, are actually an intrinsic part of the sleep-inducing circuitry. We found, using activity-tagging genetics, that mouse prefrontal cortex (PFC) somatostatin/GABAergic (SOM/GABA) neurons, which become activated during sleep deprivation, induce nest building when opto-activated. These tagged neurons induce sustained global NREM sleep if their activation is prolonged metabotropically. Sleep-deprivation-tagged PFC SOM/GABA neurons have long-range projections to the lateral preoptic (LPO) and lateral hypothalamus (LH). Local activation of tagged PFC SOM/GABA terminals in LPO and the LH induced nesting and NREM sleep respectively. Our findings provide a circuit link for how the PFC responds to sleep deprivation by coordinating sleep preparatory behavior and subsequent sleep.

neuroscience↗

Robust and accurate decoding of hand kinematics from entire spiking activity using deep learning

Robustness and decoding accuracy remain major challenges in the clinical translation of intracortical brain-machine interface (BMI) systems. In this work, we show that a signal/decoder co-design methodology (exploiting the synergism between the input signal and decoding algorithm within the design development process) can be used to yield robust and accurate BMI decoding performance. Specifically, through applying this process, we propose the combination of using entire spiking activity (ESA) as the input signal and quasi-recurrent neural network (QRNN) based deep learning as the decoding algorithm. We evaluated the performance of ESA-driven QRNN decoder for decoding hand kinematics from neural signals chronically recorded from the primary motor cortex area of a non-human primate. Our proposed method yielded consistently higher decoding performance than any other methods previously reported across long-term recording sessions. Its high decoding performance could sustain, even when spikes were removed from the raw signals. Overall results demonstrate exceptionally high decoding accuracy and chronic robustness, which is highly desirable given it is an unresolved challenge in BMIs.

neuroscience↗

Impact of referencing scheme on decoding performance of LFP-based brain-machine interface

ObjectiveThere has recently been an increasing interest in local field potential (LFP) for brain-machine interface (BMI) applications due to its desirable properties (signal stability and low bandwidth). LFP is typically recorded with respect to a single unipolar reference which is susceptible to common noise. Several referencing schemes have been proposed to eliminate the common noise, such as bipolar reference, current source density (CSD), and common average reference (CAR). However, to date, there have not been any studies to investigate the impact of these referencing schemes on decoding performance of LFP-based BMIs. ApproachTo address this issue, we comprehensively examined the impact of different referencing schemes and LFP features on the performance of hand kinematic decoding using a deep learning method. We used LFPs chronically recorded from the motor cortex area of a monkey while performing reaching tasks. Main resultsExperimental results revealed that local motor potential (LMP) emerged as the most informative feature regardless of the referencing schemes. Using LMP as the feature, CAR was found to yield consistently better decoding performance than other referencing schemes over long-term recording sessions. SignificanceOverall, our results suggest the potential use of LMP coupled with CAR for enhancing the decoding performance of LFP-based BMIs.

neuroscience↗

Inferring entire spiking activity from local field potentials with deep learning

Extracellular recordings are typically analysed by separating them into two distinct signals: local field potentials (LFPs) and spikes. Understanding the relationship between these two signals is essential for gaining deeper insight into neuronal coding and information processing in the brain and is also relevant to brain-machine interface (BMI) research. Previous studies have shown that spikes, in the form of single-unit activity (SUA) or multiunit activity (MUA), can be inferred solely from LFPs with moderately good accuracy. These spiking activities that are typically extracted via threshold-based technique may not be reliable when the recordings exhibit a low signal-to-noise ratio (SNR). Another spiking activity in the form of a continuous signal, referred to as entire spiking activity (ESA), can be extracted by a threshold-less, fast, and automated technique and has led to better performance in several tasks. However, its relationship with the LFPs has not been investigated. In this study, we aim to address this issue by employing a deep learning method to infer ESA from LFPs intracortically recorded from the motor cortex area of two monkeys performing different tasks. Results from long-term recording sessions and across different tasks revealed that the inference accuracy of ESA yielded consistently and significantly higher accuracy than that of SUA and MUA. In addition, local motor potential (LMP) was found to be the most highly predictive feature compared to other LFP features. The overall results indicate that LFPs contain substantial information about the spikes, particularly ESA, which could be useful for the development of LFP-based BMIs. The results also suggest the potential use of ESA as an alternative neuronal population activity measure for analysing neural responses to stimuli or behavioural tasks.

neuroscience↗