@article {3370, title = {Brain-computer interface (BCI) evaluation in people with amyotrophic lateral sclerosis.}, journal = {Amyotroph Lateral Scler Frontotemporal Degener}, volume = {15}, year = {2014}, month = {06/2014}, pages = {207-15}, abstract = {Brain-computer interfaces (BCIs) might restore communication to people severely disabled by amyotrophic lateral sclerosis (ALS) or other disorders. We sought to: 1) define a protocol for determining whether a person with ALS can use a visual P300-based BCI; 2) determine what proportion of this population can use the BCI; and 3) identify factors affecting BCI performance. Twenty-five individuals with ALS completed an evaluation protocol using a standard 6 {\texttimes} 6 matrix and parameters selected by stepwise linear discrimination. With an 8-channel EEG montage, the subjects fell into two groups in BCI accuracy (chance accuracy 3\%). Seventeen averaged 92 ({\textpm} 3)\% (range 71-100\%), which is adequate for communication (G70 group). Eight averaged 12 ({\textpm} 6)\% (range 0-36\%), inadequate for communication (L40 subject group). Performance did not correlate with disability: 11/17 (65\%) of G70 subjects were severely disabled (i.e. ALSFRS-R < 5). All L40 subjects had visual impairments (e.g. nystagmus, diplopia, ptosis). P300 was larger and more anterior in G70 subjects. A 16-channel montage did not significantly improve accuracy. In conclusion, most people severely disabled by ALS could use a visual P300-based BCI for communication. In those who could not, visual impairment was the principal obstacle. For these individuals, auditory P300-based BCIs might be effective.}, keywords = {Adult, Aged, Amyotrophic Lateral Sclerosis, Biofeedback, Psychology, brain-computer interfaces, Communication Disorders, Electroencephalography, Event-Related Potentials, P300, Female, Humans, Male, Middle Aged, Online Systems, Photic Stimulation, Psychomotor Performance, Reaction Time}, issn = {2167-9223}, doi = {10.3109/21678421.2013.865750}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24555843}, author = {McCane, Lynn M and Sellers, Eric W and Dennis J. McFarland and Mak, Joseph N and Carmack, C Steve and Zeitlin, Debra and Jonathan Wolpaw and Theresa M Vaughan} } @article {2183, title = {Brain-computer interfaces (BCIs): Detection Instead of Classification.}, journal = {J Neurosci Methods}, volume = {167}, year = {2008}, month = {01/2008}, pages = {51-62}, abstract = {

Many studies over the past two decades have shown that people can use\ brain\ signals to convey their intent to a\ computer\ through\ brain-computer interfaces\ (BCIs). These devices operate by recording signals from the\ brain\ and translating these signals into device commands. They can be used by people who are severely paralyzed to communicate without any use of muscle activity. One of the major impediments in translating this novel technology into\ clinical\ applications is the current requirement for preliminary analyses to identify the\ brain\ signal features best suited for communication. This paper introduces and validates signal detection, which does not require such analysis procedures, as a new concept in BCI signal processing. This detection concept is realized with Gaussian mixture models (GMMs) that are used to model resting\ brain\ activity so that any change in\ relevantbrain\ signals can be detected. It is implemented in a package called SIGFRIED (SIGnal modeling For Real-time Identification and Event Detection). The results indicate that SIGFRIED produces results that are within the range of those achieved using a common analysis strategy that requires preliminary identification of signal features. They indicate that such laborious analysis procedures could be replaced by merely recording\ brain\ signals during rest. In summary, this paper demonstrates how SIGFRIED could be used to overcome one of the present impediments to translation of laboratory BCI demonstrations into clinically practical applications.

}, keywords = {Adult, Algorithms, Brain, Brain Mapping, Electrocardiography, Electroencephalography, Humans, Male, Man-Machine Systems, Normal Distribution, Online Systems, Signal Detection, Psychological, Signal Processing, Computer-Assisted, Software Validation, User-Computer Interface}, issn = {0165-0270}, doi = {10.1016/j.jneumeth.2007.08.010}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17920134}, author = {Gerwin Schalk and Peter Brunner and Lester A Gerhardt and H Bischof and Jonathan Wolpaw} }