Dataset Information

Spelling interface using intracortical signals in a completely locked-in patient enabled via auditory neurofeedback training.

ABSTRACT: Patients with amyotrophic lateral sclerosis (ALS) can lose all muscle-based routes of communication as motor neuron degeneration progresses, and ultimately, they may be left without any means of communication. While others have evaluated communication in people with remaining muscle control, to the best of our knowledge, it is not known whether neural-based communication remains possible in a completely locked-in state. Here, we implanted two 64 microelectrode arrays in the supplementary and primary motor cortex of a patient in a completely locked-in state with ALS. The patient modulated neural firing rates based on auditory feedback and he used this strategy to select letters one at a time to form words and phrases to communicate his needs and experiences. This case study provides evidence that brain-based volitional communication is possible even in a completely locked-in state.

SUBMITTER: Chaudhary U

PROVIDER: S-EPMC8941070 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Spelling interface using intracortical signals in a completely locked-in patient enabled via auditory neurofeedback training.

Chaudhary Ujwal U Vlachos Ioannis I Zimmermann Jonas B JB Espinosa Arnau A Tonin Alessandro A Jaramillo-Gonzalez Andres A Khalili-Ardali Majid M Topka Helge H Lehmberg Jens J Friehs Gerhard M GM Woodtli Alain A Donoghue John P JP Birbaumer Niels N

Nature communications 20220322 1

Patients with amyotrophic lateral sclerosis (ALS) can lose all muscle-based routes of communication as motor neuron degeneration progresses, and ultimately, they may be left without any means of communication. While others have evaluated communication in people with remaining muscle control, to the best of our knowledge, it is not known whether neural-based communication remains possible in a completely locked-in state. Here, we implanted two 64 microelectrode arrays in the supplementary and pri ...[more]

PMID: 35318316

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Project description:IntroductionIntracortical Brain-Computer Interfaces (iBCI) establish a new pathway to restore motor functions in individuals with paralysis by interfacing directly with the brain to translate movement intention into action. However, the development of iBCI applications is hindered by the non-stationarity of neural signals induced by the recording degradation and neuronal property variance. Many iBCI decoders were developed to overcome this non-stationarity, but its effect on decoding performance remains largely unknown, posing a critical challenge for the practical application of iBCI.MethodsTo improve our understanding on the effect of non-stationarity, we conducted a 2D-cursor simulation study to examine the influence of various types of non-stationarities. Concentrating on spike signal changes in chronic intracortical recording, we used the following three metrics to simulate the non-stationarity: mean firing rate (MFR), number of isolated units (NIU), and neural preferred directions (PDs). MFR and NIU were decreased to simulate the recording degradation while PDs were changed to simulate the neuronal property variance. Performance evaluation based on simulation data was then conducted on three decoders and two different training schemes. Optimal Linear Estimation (OLE), Kalman Filter (KF), and Recurrent Neural Network (RNN) were implemented as decoders and trained using static and retrained schemes.ResultsIn our evaluation, RNN decoder and retrained scheme showed consistent better performance under small recording degradation. However, the serious signal degradation would cause significant performance to drop eventually. On the other hand, RNN performs significantly better than the other two decoders in decoding simulated non-stationary spike signals, and the retrained scheme maintains the decoders' high performance when changes are limited to PDs.DiscussionOur simulation work demonstrates the effects of neural signal non-stationarity on decoding performance and serves as a reference for selecting decoders and training schemes in chronic iBCI. Our result suggests that comparing to KF and OLE, RNN has better or equivalent performance using both training schemes. Performance of decoders under static scheme is influenced by recording degradation and neuronal property variation while decoders under retrained scheme are only influenced by the former one.

Dataset Information

Spelling interface using intracortical signals in a completely locked-in patient enabled via auditory neurofeedback training.

Publications

Spelling interface using intracortical signals in a completely locked-in patient enabled via auditory neurofeedback training.

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