PanLUNA: An Efficient and Robust Query-Unified Multimodal Model for Edge Biosignal Intelligence

Physiological foundation models (FMs) have shown promise for biosignal representation learning, yet most remain confined to a single modality such as EEG, ECG, or PPG, largely because paired multimodal datasets are scarce. In this paper, we present PanLUNA, a compact 5.4M-parameter pan-modal FM that jointly processes EEG, ECG, and PPG within a single shared encoder. Extending LUNA's channel-unification module, PanLUNA treats multimodal channels as entries in a unified query set augmented with sensor-type embeddings, enabling efficient cross-modal early fusion while remaining inherently robust to missing modalities at inference time. Despite its small footprint, PanLUNA matches or exceeds models up to 57$\times$ larger: 81.21% balanced accuracy on TUAB abnormal EEG detection and state-of-the-art 0.7416 balanced accuracy on HMC multimodal sleep staging. Quantization-aware training with INT8 weights recovers $\geq$96% of full-precision performance, and deployment on the GAP9 ultra-low-power RISC-V microcontroller for wearables achieves 325.6 ms latency and 18.8 mJ per 10-second, 12-lead ECG inference, and 1.206 s latency at 68.65 mJ for multimodal 5-channel sleep staging over 30-second epochs.

LuMamba: Latent Unified Mamba for Electrode Topology-Invariant and Efficient EEG Modeling

Electroencephalography (EEG) enables non-invasive monitoring of brain activity across clinical and neurotechnology applications, yet building foundation models for EEG remains challenging due to \emph{differing electrode topologies} and \emph{computational scalability}, as Transformer architectures incur quadratic sequence complexity. As a joint solution, we propose \textbf{LuMamba} (\textbf{L}atent \textbf{U}nified \textbf{Mamba}), a self-supervised framework combining topology-invariant encodings with linear-complexity state-space modeling, using LUNA's learned-query cross-attention mechanism for channel unification~\cite{luna}, and FEMBA's bidirectional Mamba blocks for efficient temporal modeling~\cite{femba}. Within this architecture, we provide the first systematic investigation of the Latent-Euclidean Joint-Embedding Predictive Architecture (LeJEPA) for biosignal learning. Pre-trained on over 21,000 hours of unlabeled EEG from the TUEG corpus, LuMamba is evaluated on five downstream tasks spanning abnormality detection, artifact recognition, and mental condition classification across electrode configurations ranging from 16 to 26 channels. In the pre-training objective, masked reconstruction alone yields structured but less generalizable representations, while LeJEPA alone produces diffuse embeddings; combining both objectives achieves the most robust performance. With only 4.6M parameters, LuMamba attains 80.99\% balanced accuracy on TUAB and achieves state-of-art performance on Alzheimer's detection (0.97 AUPR), while requiring \textbf{377$\times$ fewer FLOPS} than state-of-art models at equivalent sequence lengths and scaling to \textbf{12$\times$ longer sequences} before reaching typical GPU memory limits. Code is available at https://github.com/pulp-bio/biofoundation

FEMBA: Efficient and Scalable EEG Analysis with a Bidirectional Mamba Foundation Model

Accurate and efficient electroencephalography (EEG) analysis is essential for detecting seizures and artifacts in long-term monitoring, with applications spanning hospital diagnostics to wearable health devices. Robust EEG analytics have the potential to greatly improve patient care. However, traditional deep learning models, especially Transformer-based architectures, are hindered by their quadratic time and memory complexity, making them less suitable for resource-constrained environments. To address these challenges, we present FEMBA (Foundational EEG Mamba + Bidirectional Architecture), a novel self-supervised framework that establishes new efficiency benchmarks for EEG analysis through bidirectional state-space modeling. Unlike Transformer-based models, which incur quadratic time and memory complexity, FEMBA scales linearly with sequence length, enabling more scalable and efficient processing of extended EEG recordings. Trained on over 21,000 hours of unlabeled EEG and fine-tuned on three downstream tasks, FEMBA achieves competitive performance in comparison with transformer models, with significantly lower computational cost. Specifically, it reaches 81.82% balanced accuracy (0.8921 AUROC) on TUAB and 0.949 AUROC on TUAR, while a tiny 7.8M-parameter variant demonstrates viability for resource-constrained devices. These results pave the way for scalable, general-purpose EEG analytics in both clinical and highlight FEMBA as a promising candidate for wearable applications.

CEReBrO: Compact Encoder for Representations of Brain Oscillations Using Efficient Alternating Attention

Electroencephalograph (EEG) is a crucial tool for studying brain activity. Recently, self-supervised learning methods leveraging large unlabeled datasets have emerged as a potential solution to the scarcity of widely available annotated EEG data. However, current methods suffer from at least one of the following limitations: i) sub-optimal EEG signal modeling, ii) model sizes in the hundreds of millions of trainable parameters, and iii) reliance on private datasets and/or inconsistent public benchmarks, hindering reproducibility. To address these challenges, we introduce a Compact Encoder for Representations of Brain Oscillations using alternating attention (CEReBrO), a new small EEG foundation model. Our tokenization scheme represents EEG signals at a per-channel patch granularity. We propose an alternating attention mechanism that jointly models intra-channel temporal dynamics and inter-channel spatial correlations, achieving 2x speed improvement with 6x less memory required compared to standard self-attention. We present several model sizes ranging from 3.6 million to 85 million parameters. Pre-trained on over 20,000 hours of publicly available scalp EEG recordings with diverse channel configurations, our models set new benchmarks in emotion detection and seizure detection tasks, with competitive performance in anomaly classification and gait prediction. This validates our models' effectiveness and effictiveness.

An Ultra-Low Power Wearable BMI System with Continual Learning Capabilities

Driven by the progress in efficient embedded processing, there is an accelerating trend toward running machine learning models directly on wearable Brain-Machine Interfaces (BMIs) to improve portability and privacy and maximize battery life. However, achieving low latency and high classification performance remains challenging due to the inherent variability of electroencephalographic (EEG) signals across sessions and the limited onboard resources. This work proposes a comprehensive BMI workflow based on a CNN-based Continual Learning (CL) framework, allowing the system to adapt to inter-session changes. The workflow is deployed on a wearable, parallel ultra-low power BMI platform (BioGAP). Our results based on two in-house datasets, Dataset A and Dataset B, show that the CL workflow improves average accuracy by up to 30.36% and 10.17%, respectively. Furthermore, when implementing the continual learning on a Parallel Ultra-Low Power (PULP) microcontroller (GAP9), it achieves an energy consumption as low as 0.45mJ per inference and an adaptation time of only 21.5ms, yielding around 25h of battery life with a small 100mAh, 3.7V battery on BioGAP. Our setup, coupled with the compact CNN model and on-device CL capabilities, meets users' needs for improved privacy, reduced latency, and enhanced inter-session performance, offering good promise for smart embedded real-world BMIs.

Train-On-Request: An On-Device Continual Learning Workflow for Adaptive Real-World Brain Machine Interfaces

Brain-machine interfaces (BMIs) are expanding beyond clinical settings thanks to advances in hardware and algorithms. However, they still face challenges in user-friendliness and signal variability. Classification models need periodic adaptation for real-life use, making an optimal re-training strategy essential to maximize user acceptance and maintain high performance. We propose TOR, a train-on-request workflow that enables user-specific model adaptation to novel conditions, addressing signal variability over time. Using continual learning, TOR preserves knowledge across sessions and mitigates inter-session variability. With TOR, users can refine, on demand, the model through on-device learning (ODL) to enhance accuracy adapting to changing conditions. We evaluate the proposed methodology on a motor-movement dataset recorded with a non-stigmatizing wearable BMI headband, achieving up to 92% accuracy and a re-calibration time as low as 1.6 minutes, a 46% reduction compared to a naive transfer learning workflow. We additionally demonstrate that TOR is suitable for ODL in extreme edge settings by deploying the training procedure on a RISC-V ultra-low-power SoC (GAP9), resulting in 21.6 ms of latency and 1 mJ of energy consumption per training step. To the best of our knowledge, this work is the first demonstration of an online, energy-efficient, dynamic adaptation of a BMI model to the intrinsic variability of EEG signals in real-time settings.

BISeizuRe: BERT-Inspired Seizure Data Representation to Improve Epilepsy Monitoring

This study presents a novel approach for EEG-based seizure detection leveraging a BERT-based model. The model, BENDR, undergoes a two-phase training process. Initially, it is pre-trained on the extensive Temple University Hospital EEG Corpus (TUEG), a 1.5 TB dataset comprising over 10,000 subjects, to extract common EEG data patterns. Subsequently, the model is fine-tuned on the CHB-MIT Scalp EEG Database, consisting of 664 EEG recordings from 24 pediatric patients, of which 198 contain seizure events. Key contributions include optimizing fine-tuning on the CHB-MIT dataset, where the impact of model architecture, pre-processing, and post-processing techniques are thoroughly examined to enhance sensitivity and reduce false positives per hour (FP/h). We also explored custom training strategies to ascertain the most effective setup. The model undergoes a novel second pre-training phase before subject-specific fine-tuning, enhancing its generalization capabilities. The optimized model demonstrates substantial performance enhancements, achieving as low as 0.23 FP/h, 2.5$\times$ lower than the baseline model, with a lower but still acceptable sensitivity rate, showcasing the effectiveness of applying a BERT-based approach on EEG-based seizure detection.

GAPses: Versatile smart glasses for comfortable and fully-dry acquisition and parallel ultra-low-power processing of EEG and EOG

Recent advancements in head-mounted wearable technology are revolutionizing the field of biopotential measurement, but the integration of these technologies into practical, user-friendly devices remains challenging due to issues with design intrusiveness, comfort, and data privacy. To address these challenges, this paper presents GAPSES, a novel smart glasses platform designed for unobtrusive, comfortable, and secure acquisition and processing of electroencephalography (EEG) and electrooculography (EOG) signals. We introduce a direct electrode-electronics interface with custom fully dry soft electrodes to enhance comfort for long wear. An integrated parallel ultra-low-power RISC-V processor (GAP9, Greenwaves Technologies) processes data at the edge, thereby eliminating the need for continuous data streaming through a wireless link, enhancing privacy, and increasing system reliability in adverse channel conditions. We demonstrate the broad applicability of the designed prototype through validation in a number of EEG-based interaction tasks, including alpha waves, steady-state visual evoked potential analysis, and motor movement classification. Furthermore, we demonstrate an EEG-based biometric subject recognition task, where we reach a sensitivity and specificity of 98.87% and 99.86% respectively, with only 8 EEG channels and an energy consumption per inference on the edge as low as 121 uJ. Moreover, in an EOG-based eye movement classification task, we reach an accuracy of 96.68% on 11 classes, resulting in an information transfer rate of 94.78 bit/min, which can be further increased to 161.43 bit/min by reducing the accuracy to 81.43%. The deployed implementation has an energy consumption of 24 uJ per inference and a total system power of only 16.28 mW, allowing for continuous operation of more than 12 h with a small 75 mAh battery.

12 mJ per Class On-Device Online Few-Shot Class-Incremental Learning

Few-Shot Class-Incremental Learning (FSCIL) enables machine learning systems to expand their inference capabilities to new classes using only a few labeled examples, without forgetting the previously learned classes. Classical backpropagation-based learning and its variants are often unsuitable for battery-powered, memory-constrained systems at the extreme edge. In this work, we introduce Online Few-Shot Class-Incremental Learning (O-FSCIL), based on a lightweight model consisting of a pretrained and metalearned feature extractor and an expandable explicit memory storing the class prototypes. The architecture is pretrained with a novel feature orthogonality regularization and metalearned with a multi-margin loss. For learning a new class, our approach extends the explicit memory with novel class prototypes, while the remaining architecture is kept frozen. This allows learning previously unseen classes based on only a few examples with one single pass (hence online). O-FSCIL obtains an average accuracy of 68.62% on the FSCIL CIFAR100 benchmark, achieving state-of-the-art results. Tailored for ultra-low-power platforms, we implement O-FSCIL on the 60 mW GAP9 microcontroller, demonstrating online learning capabilities within just 12 mJ per new class.

SzCORE: A Seizure Community Open-source Research Evaluation framework for the validation of EEG-based automated seizure detection algorithms

The need for high-quality automated seizure detection algorithms based on electroencephalography (EEG) becomes ever more pressing with the increasing use of ambulatory and long-term EEG monitoring. Heterogeneity in validation methods of these algorithms influences the reported results and makes comprehensive evaluation and comparison challenging. This heterogeneity concerns in particular the choice of datasets, evaluation methodologies, and performance metrics. In this paper, we propose a unified framework designed to establish standardization in the validation of EEG-based seizure detection algorithms. Based on existing guidelines and recommendations, the framework introduces a set of recommendations and standards related to datasets, file formats, EEG data input content, seizure annotation input and output, cross-validation strategies, and performance metrics. We also propose the 10-20 seizure detection benchmark, a machine-learning benchmark based on public datasets converted to a standardized format. This benchmark defines the machine-learning task as well as reporting metrics. We illustrate the use of the benchmark by evaluating a set of existing seizure detection algorithms. The SzCORE (Seizure Community Open-source Research Evaluation) framework and benchmark are made publicly available along with an open-source software library to facilitate research use, while enabling rigorous evaluation of the clinical significance of the algorithms, fostering a collective effort to more optimally detect seizures to improve the lives of people with epilepsy.