BCI-Based Assessment of Ocular Response Time Using Dynamic Time Warping Leveraging an RDWT-Driven Deep Neural Framework
Authors: Shantanu Sarkar, Sai Shashank Gandavarapu, Jeff Feng, Saurabh Prasad, Reza Khanbabaie, Jose L. Contreras-Vidal
Abstract
Mild traumatic brain injury (mTBI) is a prevalent condition that remains difficult to diagnose in its early stages. Oculomotor dysfunction is a well-established marker of mTBI, motivating the development of portable tools that capture both eye-movement behavior and underlying neurophysiology. In this work, we present an initial framework that integrates electroencephalogram (EEG) with augmented-reality (AR)-based Vestibular/Ocular Motor Screening (VOMS) tasks to estimate subject-specific ocular response times. Pre-processed EEG signals, obtained through band-pass filtering and average referencing, are analyzed using a Redundant Discrete Wavelet Transform (RDWT)-driven deep neural framework. The RDWT coefficients are subjected to trainable zero-phase convolutional filtering and reconstructed into the time domain via inverse RDWT, followed by channel-wise temporal and spatial filtering using 2D convolution layers and convolutional-LSTM-based decoding. An ablation study demonstrates that wavelet-domain filtering serves as an effective denoising strategy, improving prediction performance. Sliding-window predictions were validated using Pearson correlation (>= 0.5), and Dynamic Time Warping (DTW) was subsequently used to estimate ocular response times. DTW-derived metrics revealed significant inter-subject differences across all VOM tasks, supported by Mann-Whitney U tests. Cross-correlation analysis further revealed task-dependent temporal behaviors: pursuit tasks exhibited reactive tracking, whereas saccades showed anticipatory responses. Overall, the results highlight pursuit tasks as particularly informative for distinguishing timing differences and demonstrate the potential of RDWT-based EEG features combined with DTW metrics for multimodal mTBI assessment.
Motor impairments, including tremor, bradykinesia, gait abnormalities, and postural instability, are common across many neurological and movement-related conditions. Conventional clinical assessments are often intermittent and may fail to capture subtle temporal variations in motor behavior. While wearable IMUs and third-person video have shown promise for objective motor assessment, third-person recordings raise privacy concerns and require constrained acquisition setups. In contrast, egocentric vision provides a more naturalistic and privacyaware alternative. In this work, we introduce EgoInertia-MI, a multimodal benchmark dataset combining synchronized egocentric video and wearable IMU signals for motor impairment analysis. The dataset contains 19 upper- and lower-body activities performed by healthy volunteers simulating varying levels of motor impairment severity levels: no impairment, mild impairment, and severe impairment. We establish two benchmark tasks: action recognition and motor impairment severity estimation, and evaluate multiple unimodal and multimodal baselines. Experimental results show that egocentric video provides strong cues for motor impairment assessment, while multimodal fusion achieves the best overall performance, reaching 0.78 Macro-F1 for severity estimation and 0.93 Macro-F1 for action recognition. These findings highlight the potential of combining egocentric vision and wearable sensing for ecologically valid and privacy-aware motor assessment. Code and data are available at:https://fatemah-alh.github.io/EgoInertia-MI-Page/.
Fatemah Alhamdoosh, Pietro Pala, Abduallah Mohamed +1
Post-traumatic epilepsy (PTE) is a severe complication of traumatic brain injury (TBI). Yet, early identification remains challenging due to the complex structural and functional alterations it induces in the brain. To address this, we propose a dynamic multimodal Mixture-of-Experts (MoE) framework that integrates functional and structural connectivity through time-aware functional-structural encoding and class-conditioned expert routing. Within this framework, modality-specific and cross-modal experts learn complementary representations, while a Modality-Class MoE (MCoE) module dynamically adjusts expert weights according to each classification objective. Experimental results across three binary classification tasks demonstrate that the framework consistently outperforms static fusion baselines, and high-interpretability analyses further reveal meaningful regions of interest (ROIs) interactions. This dynamic multimodal expert framework effectively captures class-dependent brain interaction patterns and provides an interpretable approach for PTE diagnosis and risk stratification.
Stroke patient cross-subject electroencephalography (EEG) decoding of motor imagery (MI) brain-computer interface (BCI) is essential for motor rehabilitation, yet lesion-related abnormal temporal dynamics and pronounced inter-patient heterogeneity often undermine generalization. Existing adaptation methods are easily misled by pathological slow-wave activity and unstable target-domain pseudo-labels. To address this challenge, we propose PA-TCNet, a pathology-aware temporal calibration framework with physiology-guided target refinement for stroke motor imagery decoding. PA-TCNet integrates two coordinated components. The Pathology-aware Rhythmic State Mamba (PRSM) module decomposes EEG spatiotemporal features into slowly varying rhythmic context and fast transient perturbations, injecting the fused pathological context into selective state propagation to more effectively capture abnormal temporal dynamics. The Physiology-Guided Target Calibration (PGTC) module constructs source-domain sensorimotor region-of-interest templates, imposing physiological consistency constraints and dynamically refining target-domain pseudo-labels, thereby improving adaptation reliability. Leave-one-subject-out experiments on two independent stroke EEG datasets, XW-Stroke and 2019-Stroke, yielded mean accuracies of 66.56% and 72.75%, respectively, outperforming state-of-the-art baselines. These results indicate that jointly modeling pathological temporal dynamics and physiology-constrained pseudo-supervision can provide more robust cross-subject initialization for personalized post-stroke MI-BCI rehabilitation. The implemented code is available at https://github.com/wxk1224/PA-TCNet.