@article {4565, title = {The effect of transcutaneous auricular vagus nerve stimulation on cardiovascular function in subarachnoid hemorrhage patients: A randomized trial.}, journal = {Elife}, volume = {13}, year = {2025}, month = {2025 Jan 09}, abstract = {

BACKGROUND: Subarachnoid hemorrhage (SAH) is characterized by intense central inflammation, leading to substantial post-hemorrhagic complications such as vasospasm and delayed cerebral ischemia. Given the anti-inflammatory effect of transcutaneous auricular vagus nerve stimulation (taVNS) and its ability to promote brain plasticity, taVNS has emerged as a promising therapeutic option for SAH patients. However, the effects of taVNS on cardiovascular dynamics in critically ill patients, like those with SAH, have not yet been investigated. Given the association between cardiac complications and elevated risk of poor clinical outcomes after SAH, it is essential to characterize the cardiovascular effects of taVNS to ensure this approach is safe in this fragile population. Therefore, this study assessed the impact of both acute and repetitive taVNS on cardiovascular function.

METHODS: In this randomized clinical trial, 24 SAH patients were assigned to either a taVNS treatment or a sham treatment group. During their stay in the intensive care unit, we monitored patient electrocardiogram readings and vital signs. We compared long-term changes in heart rate, heart rate variability (HRV), QT interval, and blood pressure between the two groups. Additionally, we assessed the effects of acute taVNS by comparing cardiovascular metrics before, during, and after the intervention. We also explored acute cardiovascular biomarkers in patients exhibiting clinical improvement.

RESULTS: We found that repetitive taVNS did not significantly alter heart rate, QT interval, blood pressure, or intracranial pressure (ICP). However, repetitive taVNS increased overall HRV and parasympathetic activity compared to the sham treatment. The increase in parasympathetic activity was most pronounced from 2 to 4 days after initial treatment (Cohen{\textquoteright}s = 0.50). Acutely, taVNS increased heart rate, blood pressure, and peripheral perfusion index without affecting the corrected QT interval, ICP, or HRV. The acute post-treatment elevation in heart rate was more pronounced in patients who experienced a decrease of more than one point in their modified Rankin Score at the time of discharge.

CONCLUSIONS: Our study found that taVNS treatment did not induce adverse cardiovascular effects, such as bradycardia or QT prolongation, supporting its development as a safe immunomodulatory treatment approach for SAH patients. The observed acute increase in heart rate after taVNS treatment may serve as a biomarker for SAH patients who could derive greater benefit from this treatment.

FUNDING: The American Association of Neurological Surgeons (ALH), The Aneurysm and AVM Foundation (ALH), The National Institutes of Health R01-EB026439, P41-EB018783, U24-NS109103, R21-NS128307 (ECL, PB), McDonnell Center for Systems Neuroscience (ECL, PB), and Fondazione Neurone (PB).

CLINICAL TRIAL NUMBER: NCT04557618.

}, keywords = {Adult, Aged, Blood Pressure, Electrocardiography, Female, Heart Rate, Humans, Male, Middle Aged, Subarachnoid Hemorrhage, Transcutaneous Electric Nerve Stimulation, Vagus Nerve Stimulation}, issn = {2050-084X}, doi = {10.7554/eLife.100088}, author = {Tan, Gansheng and Huguenard, Anna L and Donovan, Kara M and Demarest, Phillip and Liu, Xiaoxuan and Li, Ziwei and Adamek, Markus and Lavine, Kory and Vellimana, Ananthv K and Kummer, Terrance T and Osbun, Joshua W and Zipfel, Gregory J and Brunner, Peter and Leuthardt, Eric C} } @article {4563, title = {A human single-neuron dataset for object recognition.}, journal = {Sci Data}, volume = {12}, year = {2025}, month = {2025 Jan 15}, pages = {79}, abstract = {

Object recognition is fundamental to how we interact with and interpret the world around us. The human amygdala and hippocampus play a key role in object recognition, contributing to both the encoding and retrieval of visual information. Here, we recorded single-neuron activity from the human amygdala and hippocampus when neurosurgical epilepsy patients performed a one-back task using naturalistic object stimuli. We employed two sets of naturalistic object images from leading datasets extensively used in primate neural recordings and computer vision models: we recorded 1204 neurons using the ImageNet stimuli, which included broader object categories (10 different images per category for 50 categories), and we recorded 512 neurons using the Microsoft COCO stimuli, which featured a higher number of images per category (50 different images per category for 10 categories). Together, our extensive dataset, offering the highest spatial and temporal resolution currently available in humans, will not only facilitate a comprehensive analysis of the neural correlates of object recognition but also provide valuable opportunities for training and validating computational models.

}, keywords = {Amygdala, Epilepsy, Hippocampus, Humans, Neurons, Pattern Recognition, Visual, Recognition, Psychology}, issn = {2052-4463}, doi = {10.1038/s41597-024-04265-1}, author = {Cao, Runnan and Brunner, Peter and Brandmeir, Nicholas J and Willie, Jon T and Wang, Shuo} } @article {4567, title = {IpsiHand Brain-Computer Interface Therapy Induces Broad Upper Extremity Motor Rehabilitation in Chronic Stroke.}, journal = {Neurorehabil Neural Repair}, volume = {39}, year = {2025}, month = {2025 Jan}, pages = {74-86}, abstract = {

BACKGROUND: Chronic hemiparetic stroke patients have very limited benefits from current therapies. Brain-computer interface (BCI) engaging the unaffected hemisphere has emerged as a promising novel therapeutic approach for chronic stroke rehabilitation.

OBJECTIVES: This study investigated the effectiveness of contralesionally-controlled BCI therapy in chronic stroke patients with impaired upper extremity motor function. We further explored neurophysiological features of motor recovery driven by BCI. We hypothesized that BCI therapy would induce a broad motor recovery in the upper extremity, and there would be corresponding changes in baseline theta and gamma oscillations, which have been shown to be associated with motor recovery.

METHODS: Twenty-six prospectively enrolled chronic hemiparetic stroke patients performed a therapeutic BCI task for 12 weeks. Motor function assessment data and resting state electroencephalogram signals were acquired before initiating BCI therapy and across BCI therapy sessions. The Upper Extremity Fugl-Meyer assessment served as a primary motor outcome assessment tool. Theta-gamma cross-frequency coupling (CFC) was computed and correlated with motor recovery.

RESULTS: Chronic stroke patients achieved significant motor improvement in both proximal and distal upper extremity with BCI therapy. Motor function improvement was independent of Botox application. Theta-gamma CFC enhanced bilaterally over the C3/C4 motor electrodes and positively correlated with motor recovery across BCI therapy sessions.

CONCLUSIONS: BCI therapy resulted in significant motor function improvement across the proximal and distal upper extremities of patients, which significantly correlated with theta-gamma CFC increases in the motor regions. This may represent rhythm-specific cortical oscillatory mechanism for BCI-driven rehabilitation in chronic stroke patients.

TRIAL REGISTRATION: Advarra Study: https://classic.clinicaltrials.gov/ct2/show/NCT04338971 and Washington University Study: https://classic.clinicaltrials.gov/ct2/show/NCT03611855.

}, keywords = {Adult, Aged, brain-computer interfaces, Chronic Disease, Electroencephalography, Female, Gamma Rhythm, Humans, Male, Middle Aged, Motor Activity, Paresis, Prospective Studies, Recovery of Function, Stroke, Stroke Rehabilitation, Theta Rhythm, Upper Extremity}, issn = {1552-6844}, doi = {10.1177/15459683241287731}, author = {Rustamov, Nabi and Souders, Lauren and Sheehan, Lauren and Carter, Alexandre and Leuthardt, Eric C} } @article {4584, title = {Anatomical registration of intracranial electrodes. Robust model-based localization and deformable smooth brain-shift compensation methods.}, journal = {J Neurosci Methods}, volume = {404}, year = {2024}, month = {2024 Apr}, pages = {110056}, abstract = {

BACKGROUND: Intracranial electrodes are typically localized from post-implantation CT artifacts. Automatic~algorithms localizing low signal-to-noise ratio artifacts and high-density electrode arrays are missing. Additionally, implantation of grids/strips introduces brain deformations, resulting in registration errors when fusing post-implantation CT and pre-implantation MR images. Brain-shift compensation methods project electrode coordinates to cortex, but either fail to produce smooth solutions or do not account for brain deformations.

NEW METHODS: We first introduce GridFit, a model-based fitting approach that simultaneously localizes all electrodes{\textquoteright} CT artifacts in grids, strips, or depth arrays. Second, we present CEPA, a brain-shift compensation algorithm combining orthogonal-based projections, spring-mesh models, and spatial regularization constraints.

RESULTS: We tested GridFit on \~{}6000 simulated scenarios. The localization of CT artifacts showed robust performance under difficult scenarios, such as noise, overlaps, and high-density implants (<1~mm errors). Validation with data from 20 challenging patients showed 99\% accurate localization of the electrodes (3160/3192). We tested CEPA brain-shift compensation with data from 15 patients. Projections accounted for simple mechanical deformation principles with <~0.4~mm errors. The inter-electrode distances smoothly changed across neighbor electrodes, while changes in inter-electrode distances linearly increased with projection distance.

COMPARISON WITH EXISTING METHODS: GridFit succeeded in difficult scenarios that challenged available methods and outperformed visual localization by preserving the inter-electrode distance. CEPA registration errors were smaller than those obtained for well-established alternatives. Additionally, modeling resting-state high-frequency activity in five patients further supported CEPA.

CONCLUSION: GridFit and CEPA are versatile tools for registering intracranial electrode coordinates, providing highly accurate results even in the most challenging implantation scenarios. The methods are implemented in the iElectrodes open-source toolbox.

}, keywords = {Brain, Cerebral Cortex, Electrodes, Electrodes, Implanted, Electroencephalography, Humans, Magnetic Resonance Imaging}, issn = {1872-678X}, doi = {10.1016/j.jneumeth.2024.110056}, author = {Blenkmann, Alejandro Omar and Leske, Sabine Liliana and Llorens, Ana{\"\i}s and Lin, Jack J and Chang, Edward F and Brunner, Peter and Schalk, Gerwin and Ivanovic, Jugoslav and Larsson, P{\r a}l Gunnar and Knight, Robert Thomas and Endestad, Tor and Solbakk, Anne-Kristin} } @article {4570, title = {Complexity organization of resting-state functional-MRI networks.}, journal = {Hum Brain Mapp}, volume = {45}, year = {2024}, month = {2024 Aug 15}, pages = {e26809}, abstract = {

Entropy measures are increasingly being used to analyze the structure of neural activity observed by functional magnetic resonance imaging (fMRI), with resting-state networks (RSNs) being of interest for their reproducible descriptions of the brain{\textquoteright}s functional architecture. Temporal correlations have shown a dichotomy among these networks: those that engage with the environment, known as extrinsic, which include the visual and sensorimotor networks; and those associated with executive control and self-referencing, known as intrinsic, which include the default mode network and the frontoparietal control network. While these inter-voxel temporal correlations enable the assessment of synchrony among the components of individual networks, entropic measures introduce an intra-voxel assessment that quantifies signal features encoded within each blood oxygen level-dependent (BOLD) time series. As a result, this framework offers insights into comprehending the representation and processing of information within fMRI signals. Multiscale entropy (MSE) has been proposed as a useful measure for characterizing the entropy of neural activity across different temporal scales. This measure of temporal entropy in BOLD data is dependent on the length of the time series; thus, high-quality data with fine-grained temporal resolution and a sufficient number of time frames is needed to improve entropy precision. We apply MSE to the Midnight Scan Club, a highly sampled and well-characterized publicly available dataset, to analyze the entropy distribution of RSNs and evaluate its ability to distinguish between different functional networks. Entropy profiles are compared across temporal scales and RSNs. Our results have shown that the spatial distribution of entropy at infra-slow frequencies (0.005-0.1 Hz) reproduces known parcellations of RSNs. We found a complexity hierarchy between intrinsic and extrinsic RSNs, with intrinsic networks robustly exhibiting higher entropy than extrinsic networks. Finally, we found new evidence that the topography of entropy in the posterior cerebellum exhibits high levels of entropy comparable to that of intrinsic RSNs.

}, keywords = {Adult, Brain, Connectome, Default Mode Network, Entropy, Humans, Magnetic Resonance Imaging, Nerve Net, Rest}, issn = {1097-0193}, doi = {10.1002/hbm.26809}, author = {Trevino, Gabriel and Lee, John J and Shimony, Joshua S and Luckett, Patrick H and Leuthardt, Eric C} } @article {4577, title = {Does vibrotactile stimulation of the auricular vagus nerve enhance working memory? A behavioral and physiological investigation.}, journal = {Brain Stimul}, volume = {17}, year = {2024}, month = {2024 Mar-Apr}, pages = {460-468}, abstract = {

BACKGROUND: Working memory is essential to a wide range of cognitive functions and activities. Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising method to improve working memory performance. However, the feasibility and scalability of electrical stimulation are constrained by several limitations, such as auricular discomfort and inconsistent electrical contact.

OBJECTIVE: We aimed to develop a novel and practical method, vibrotactile taVNS, to improve working memory. Further, we investigated its effects on arousal, measured by skin conductance and pupil diameter.

METHOD: This study included 20 healthy participants. Behavioral response, skin conductance, and eye tracking data were concurrently recorded while the participants performed N-back tasks under three conditions: vibrotactile taVNS delivered to the cymba concha, earlobe (sham control), and no stimulation (baseline control).

RESULTS: In 4-back tasks, which demand maximal working memory capacity, active vibrotactile taVNS significantly improved the performance metric d compared to the baseline but not to the sham. Moreover, we found that the reduction rate of d with increasing task difficulty was significantly smaller during vibrotactile taVNS sessions than in both baseline and sham conditions. Arousal, measured as skin conductance and pupil diameter, declined over the course of the tasks. Vibrotactile taVNS rescued this arousal decline, leading to arousal levels corresponding to optimal working memory levels. Moreover, pupil diameter and skin conductance level were higher during high-cognitive-load tasks when vibrotactile taVNS was delivered to the concha compared to baseline and sham.

CONCLUSION: Our findings suggest that vibrotactile taVNS modulates the arousal pathway and could be a potential intervention for enhancing working memory.

}, keywords = {Adult, Female, Galvanic Skin Response, Humans, Male, Memory, Short-Term, Pupil, Vagus Nerve, Vagus Nerve Stimulation, Vibration, Young Adult}, issn = {1876-4754}, doi = {10.1016/j.brs.2024.04.002}, author = {Tan, Gansheng and Adams, Josh and Donovan, Kara and Demarest, Phillip and Willie, Jon T and Brunner, Peter and Gorlewicz, Jenna L and Leuthardt, Eric C} } @article {4574, title = {Graded decisions in the human brain.}, journal = {Nat Commun}, volume = {15}, year = {2024}, month = {2024 May 21}, pages = {4308}, abstract = {

Decision-makers objectively commit to a definitive choice, yet at the subjective level, human decisions appear to be associated with a degree of uncertainty. Whether decisions are definitive (i.e., concluding in all-or-none choices), or whether the underlying representations are graded, remains unclear. To answer this question, we recorded intracranial neural signals directly from the brain while human subjects made perceptual decisions. The recordings revealed that broadband gamma activity reflecting~each individual{\textquoteright}s decision-making process, ramped up gradually while being graded by the accumulated decision evidence. Crucially, this grading effect persisted throughout the decision process without ever reaching a definite bound at the time of choice. This effect was most prominent in the parietal cortex, a brain region traditionally implicated in decision-making. These results provide neural evidence for a graded decision process in humans and an analog framework for flexible choice behavior.

}, keywords = {Adult, Brain, Choice Behavior, Decision Making, Female, Humans, Male, Parietal Lobe, Uncertainty, Young Adult}, issn = {2041-1723}, doi = {10.1038/s41467-024-48342-w}, author = {Xie, Tao and Adamek, Markus and Cho, Hohyun and Adamo, Matthew A and Ritaccio, Anthony L and Willie, Jon T and Brunner, Peter and Kubanek, Jan} } @article {4582, title = {Motor imagery ability scores are related to cortical activation during gait imagery.}, journal = {Sci Rep}, volume = {14}, year = {2024}, month = {2024 Mar 03}, pages = {5207}, abstract = {

Motor imagery (MI) is the mental execution of actions without overt movements that depends on the ability to imagine. We explored whether this ability could be related to the cortical activity of the brain areas involved in the MI network. To this goal, brain activity was recorded using high-density electroencephalography in nineteen healthy adults while visually imagining walking on a straight path. We extracted Event-Related Desynchronizations (ERDs) in the θ, α, and β band, and we measured MI ability via (i) the Kinesthetic and Visual Imagery Questionnaire~(KVIQ), (ii) the Vividness of Movement Imagery Questionnaire-2 (VMIQ), and (iii) the Imagery Ability (IA)~score. We then used Pearson{\textquoteright}s and Spearman{\textquoteright}s coefficients to correlate MI ability scores and average ERD power (avgERD). Positive correlations were identified between VMIQ and avgERD of the middle cingulum in the β band and with avgERD of the left insula, right precentral area, and right middle occipital region in the θ band. Stronger activation of the MI network was related to better scores of MI ability evaluations, supporting the importance of testing MI ability during MI protocols. This result will help to understand MI mechanisms and develop personalized MI treatments for patients with neurological dysfunctions.

}, keywords = {Adult, Animals, Brain, Cell Membrane, Electroencephalography, Gait, Gastropoda, Humans, Walking}, issn = {2045-2322}, doi = {10.1038/s41598-024-54966-1}, author = {Putzolu, Martina and Samogin, Jessica and Bonassi, Gaia and Cosentino, Carola and Mezzarobba, Susanna and Botta, Alessandro and Avanzino, Laura and Mantini, Dante and Vato, Alessandro and Pelosin, Elisa} } @article {4576, title = {Multisensory flicker modulates widespread brain networks and reduces interictal epileptiform discharges.}, journal = {Nat Commun}, volume = {15}, year = {2024}, month = {2024 Apr 11}, pages = {3156}, abstract = {

Modulating brain oscillations has strong therapeutic potential. Interventions that both non-invasively modulate deep brain structures and are practical for chronic daily home use are desirable for a variety of therapeutic applications. Repetitive audio-visual stimulation, or sensory flicker, is an accessible approach that modulates hippocampus in mice, but its effects in humans are poorly defined. We therefore quantified the neurophysiological effects of flicker with high spatiotemporal resolution in patients with focal epilepsy who underwent intracranial seizure monitoring. In this interventional trial (NCT04188834) with a cross-over design, subjects underwent different frequencies of flicker stimulation in the same recording session with the effect of sensory flicker exposure on local field potential (LFP) power and interictal epileptiform discharges (IEDs) as primary and secondary outcomes, respectively. Flicker focally modulated local field potentials in expected canonical sensory cortices but also in the medial temporal lobe and prefrontal cortex, likely via resonance of stimulated long-range circuits. Moreover, flicker decreased interictal epileptiform discharges, a pathological biomarker of epilepsy and degenerative diseases, most strongly in regions where potentials were flicker-modulated, especially the visual cortex and medial temporal lobe. This trial met the scientific goal and is now closed. Our findings reveal how multi-sensory stimulation may modulate cortical structures to mitigate pathological activity in humans.

}, keywords = {Brain, Cross-Over Studies, Electroencephalography, Epilepsies, Partial, Epilepsy, Humans, Temporal Lobe}, issn = {2041-1723}, doi = {10.1038/s41467-024-47263-y}, author = {Blanpain, Lou T and Cole, Eric R and Chen, Emily and Park, James K and Walelign, Michael Y and Gross, Robert E and Cabaniss, Brian T and Willie, Jon T and Singer, Annabelle C} } @article {4585, title = {Neural mechanisms of face familiarity and learning in the human amygdala and hippocampus.}, journal = {Cell Rep}, volume = {43}, year = {2024}, month = {2024 Jan 23}, pages = {113520}, abstract = {

Recognizing familiar faces and learning new faces play an important role in social cognition. However, the underlying neural computational mechanisms remain unclear. Here, we record from single neurons in the human amygdala and hippocampus and find a greater neuronal representational distance between pairs of familiar faces than unfamiliar faces, suggesting that neural representations for familiar faces are more distinct. Representational distance increases with exposures to the same identity, suggesting that neural face representations are sharpened with learning and familiarization. Furthermore, representational distance is positively correlated with visual dissimilarity between faces, and exposure to visually similar faces increases representational distance, thus sharpening neural representations. Finally, we construct a computational model that demonstrates an increase in the representational distance of artificial units with training. Together, our results suggest that the neuronal population geometry, quantified by the representational distance, encodes face familiarity, similarity, and learning, forming the basis of face recognition and memory.

}, keywords = {Amygdala, Facial Recognition, Hippocampus, Humans, Learning, Pattern Recognition, Visual, Recognition, Psychology}, issn = {2211-1247}, doi = {10.1016/j.celrep.2023.113520}, author = {Cao, Runnan and Wang, Jinge and Brunner, Peter and Willie, Jon T and Li, Xin and Rutishauser, Ueli and Brandmeir, Nicholas J and Wang, Shuo} } @article {4571, title = {Non-invasive Auricular Vagus nerve stimulation for Subarachnoid Hemorrhage (NAVSaH): Protocol for a prospective, triple-blinded, randomized controlled trial.}, journal = {PLoS One}, volume = {19}, year = {2024}, month = {2024}, pages = {e0301154}, abstract = {

BACKGROUND: Inflammation has been implicated in driving the morbidity associated with subarachnoid hemorrhage (SAH). Despite understanding the important role of inflammation in morbidity following SAH, there is no current effective way to modulate this deleterious response. There is a critical need for a novel approach to immunomodulation that can be safely, rapidly, and effectively deployed in SAH patients. Vagus nerve stimulation (VNS) provides a non-pharmacologic approach to immunomodulation, with prior studies demonstrating VNS can reduce systemic inflammatory markers, and VNS has had early success treating inflammatory conditions such as arthritis, sepsis, and inflammatory bowel diseases. The aim of the Non-invasive Auricular Vagus nerve stimulation for Subarachnoid Hemorrhage (NAVSaH) trial is to translate the use of non-invasive transcutaneous auricular VNS (taVNS) to spontaneous SAH, with our central hypothesis being that implementing taVNS in the acute period following spontaneous SAH attenuates the expected inflammatory response to hemorrhage and curtails morbidity associated with inflammatory-mediated clinical endpoints.

MATERIALS AND METHODS: The overall objectives for the NAHSaH trial are to 1) Define the impact that taVNS has on SAH-induced inflammatory markers in the plasma and cerebrospinal fluid (CSF), 2) Determine whether taVNS following SAH reduces radiographic vasospasm, and 3) Determine whether taVNS following SAH reduces chronic hydrocephalus. Following presentation to a single enrollment site, enrolled SAH patients are randomly assigned twice daily treatment with either taVNS or sham stimulation for the duration of their intensive care unit stay. Blood and CSF are drawn before initiation of treatment sessions, and then every three days during a patient{\textquoteright}s hospital stay. Primary endpoints include change in the inflammatory cytokine TNF-α in plasma and cerebrospinal fluid between day 1 and day 13, rate of radiographic vasospasm, and rate of requirement for long-term CSF diversion via a ventricular shunt. Secondary outcomes include exploratory analyses of a panel of additional cytokines, number and type of hospitalized acquired infections, duration of external ventricular drain in days, interventions required for vasospasm, continuous physiology data before, during, and after treatment sessions, hospital length of stay, intensive care unit length of stay, and modified Rankin Scale score (mRS) at admission, discharge, and each at follow-up appointment for up to two years following SAH.

DISCUSSION: Inflammation plays a central role in morbidity following SAH. This NAVSaH trial is innovative because it diverges from the pharmacologic status quo by harnessing a novel non-invasive neuromodulatory approach and its known anti-inflammatory effects to alter the pathophysiology of SAH. The investigation of a new, effective, and rapidly deployable intervention in SAH offers a new route to improve outcomes following SAH.

TRIAL REGISTRATION: Clinical Trials Registered, NCT04557618. Registered on September 21, 2020, and the first patient was enrolled on January 4, 2021.

}, keywords = {Adult, Female, Humans, Inflammation, Male, Middle Aged, Prospective Studies, Randomized Controlled Trials as Topic, Subarachnoid Hemorrhage, Treatment Outcome, Vagus Nerve Stimulation}, issn = {1932-6203}, doi = {10.1371/journal.pone.0301154}, author = {Huguenard, Anna and Tan, Gansheng and Johnson, Gabrielle and Adamek, Markus and Coxon, Andrew and Kummer, Terrance and Osbun, Joshua and Vellimana, Ananth and Limbrick, David and Zipfel, Gregory and Brunner, Peter and Leuthardt, Eric} } @article {4568, title = {Novel cyclic homogeneous oscillation detection method for high accuracy and specific characterization of neural dynamics.}, journal = {Elife}, volume = {12}, year = {2024}, month = {2024 Sep 06}, abstract = {

Determining the presence and frequency of neural oscillations is essential to understanding dynamic brain function. Traditional methods that detect peaks over 1/ noise within the power spectrum fail to distinguish between the fundamental frequency and harmonics of often highly non-sinusoidal neural oscillations. To overcome this limitation, we define fundamental criteria that characterize neural oscillations and introduce the cyclic homogeneous oscillation (CHO) detection method. We implemented these criteria based on an autocorrelation approach to determine an oscillation{\textquoteright}s fundamental frequency. We evaluated CHO by verifying its performance on simulated non-sinusoidal oscillatory bursts and validated its ability to determine the fundamental frequency of neural oscillations in electrocorticographic (ECoG), electroencephalographic (EEG), and stereoelectroencephalographic (SEEG) signals recorded from 27 human subjects. Our results demonstrate that CHO outperforms conventional techniques in accurately detecting oscillations. In summary, CHO demonstrates high precision and specificity in detecting neural oscillations in time and frequency domains. The method{\textquoteright}s specificity enables the detailed study of non-sinusoidal characteristics of oscillations, such as the degree of asymmetry and waveform of an oscillation. Furthermore, CHO can be applied to identify how neural oscillations govern interactions throughout the brain and to determine oscillatory biomarkers that index abnormal brain function.

}, keywords = {Brain, Electrocorticography, Electroencephalography, Humans, Signal Processing, Computer-Assisted}, issn = {2050-084X}, doi = {10.7554/eLife.91605}, author = {Cho, Hohyun and Adamek, Markus and Willie, Jon T and Brunner, Peter} } @article {4583, title = {A novel theta-controlled vibrotactile brain-computer interface to treat chronic pain: a pilot study.}, journal = {Sci Rep}, volume = {14}, year = {2024}, month = {2024 Feb 10}, pages = {3433}, abstract = {

Limitations in chronic pain therapies necessitate novel interventions that are effective, accessible, and safe. Brain-computer interfaces (BCIs) provide a promising modality for targeting neuropathology underlying chronic pain by converting recorded neural activity into perceivable outputs. Recent evidence suggests that increased frontal theta power (4-7~Hz) reflects pain relief from chronic and acute pain. Further studies have suggested that vibrotactile stimulation decreases pain intensity in experimental and clinical models. This longitudinal, non-randomized, open-label pilot study{\textquoteright}s objective was to reinforce frontal theta activity in six patients with chronic upper extremity pain using a novel vibrotactile neurofeedback BCI system. Patients increased their BCI performance, reflecting thought-driven control of neurofeedback, and showed a significant decrease in pain severity (1.29 {\textpm} 0.25 MAD, p = 0.03, q = 0.05) and pain interference (1.79 {\textpm} 1.10 MAD p = 0.03, q = 0.05) scores without any adverse events. Pain relief significantly correlated with frontal theta modulation. These findings highlight the potential of BCI-mediated cortico-sensory coupling of frontal theta with vibrotactile stimulation for alleviating chronic pain.

}, keywords = {brain-computer interfaces, Chronic Pain, Electroencephalography, Humans, Longitudinal Studies, Neurofeedback, Non-Randomized Controlled Trials as Topic, Pilot Projects}, issn = {2045-2322}, doi = {10.1038/s41598-024-53261-3}, author = {Demarest, Phillip and Rustamov, Nabi and Swift, James and Xie, Tao and Adamek, Markus and Cho, Hohyun and Wilson, Elizabeth and Han, Zhuangyu and Belsten, Alexander and Luczak, Nicholas and Brunner, Peter and Haroutounian, Simon and Leuthardt, Eric C} } @article {4586, title = {Operant up-conditioning of the soleus cutaneous reflex to non-noxious stimuli in a person with chronic incomplete spinal cord injury.}, journal = {Clin Neurophysiol}, volume = {157}, year = {2024}, month = {2024 Jan}, pages = {1-3}, keywords = {Conditioning, Operant, H-Reflex, Humans, Muscle, Skeletal, Reflex, Spinal Cord, Spinal Cord Injuries}, issn = {1872-8952}, doi = {10.1016/j.clinph.2023.11.004}, author = {Phipps, Alan M and Thompson, Aiko K} } @article {4587, title = {Optimal approaches to analyzing functional MRI data in glioma patients.}, journal = {J Neurosci Methods}, volume = {402}, year = {2024}, month = {2024 Feb}, pages = {110011}, abstract = {

BACKGROUND: Resting-state fMRI is increasingly used to study the effects of gliomas on the functional organization of the brain. A variety of preprocessing techniques and functional connectivity analyses are represented in the literature. However, there so far has been no systematic comparison of how alternative methods impact observed results.

NEW METHOD: We first surveyed current literature and identified alternative analytical approaches commonly used in the field. Following, we systematically compared alternative approaches to atlas registration, parcellation scheme, and choice of graph-theoretical measure as regards differentiating glioma patients (N~=~59) from age-matched reference subjects (N~=~163).

RESULTS: Our results suggest that non-linear, as opposed to affine registration, improves structural match to an atlas, as well as measures of functional connectivity. Functionally- as opposed to anatomically-derived parcellation schemes maximized the contrast between glioma patients and reference subjects. We also demonstrate that graph-theoretic measures strongly depend on parcellation granularity, parcellation scheme, and graph density.

COMPARISON WITH EXISTING METHODS AND CONCLUSIONS: Our current work primarily focuses on technical optimization of rs-fMRI analysis in glioma patients and, therefore, is fundamentally different from the bulk of papers discussing glioma-induced functional network changes. We report that the evaluation of glioma-induced alterations in the functional connectome strongly depends on analytical approaches including atlas registration, choice of parcellation scheme, and graph-theoretical measures.

}, keywords = {Brain, Connectome, Glioma, Humans, Magnetic Resonance Imaging}, issn = {1872-678X}, doi = {10.1016/j.jneumeth.2023.110011}, author = {Park, Ki Yun and Shimony, Joshua S and Chakrabarty, Satrajit and Tanenbaum, Aaron B and Hacker, Carl D and Donovan, Kara M and Luckett, Patrick H and Milchenko, Mikhail and Sotiras, Aristeidis and Marcus, Daniel S and Leuthardt, Eric C and Snyder, Abraham Z} } @article {4573, title = {Predicting post-surgical functional status in high-grade glioma with resting state fMRI and machine learning.}, journal = {J Neurooncol}, volume = {169}, year = {2024}, month = {2024 Aug}, pages = {175-185}, abstract = {

PURPOSE: High-grade glioma (HGG) is the most common and deadly malignant glioma of the central nervous system. The current standard of care includes surgical resection of the tumor, which can lead to functional and cognitive deficits. The aim of this study is to develop models capable of predicting functional outcomes in HGG patients before surgery, facilitating improved disease management and informed patient care.

METHODS: Adult HGG patients (N = 102) from the neurosurgery brain tumor service at Washington University Medical Center were retrospectively recruited. All patients completed structural neuroimaging and resting state functional MRI prior to surgery. Demographics, measures of resting state network connectivity (FC), tumor location, and tumor volume were used to train a random forest classifier to predict functional outcomes based on Karnofsky Performance Status (KPS < 70, KPS >= 70).

RESULTS: The models achieved a nested cross-validation accuracy of 94.1\% and an AUC of 0.97 in classifying KPS. The strongest predictors identified by the model included FC between somatomotor, visual, auditory, and reward networks. Based on location, the relation of the tumor to dorsal attention, cingulo-opercular, and basal ganglia networks were strong predictors of KPS. Age was also a strong predictor. However, tumor volume was only a moderate predictor.

CONCLUSION: The current work demonstrates the ability of machine learning to classify postoperative functional outcomes in HGG patients prior to surgery accurately. Our results suggest that both FC and the tumor{\textquoteright}s location in relation to specific networks can serve as reliable predictors of functional outcomes, leading to personalized therapeutic approaches tailored to individual patients.

}, keywords = {Adult, Aged, Brain, Brain Neoplasms, Female, Glioma, Humans, machine learning, Magnetic Resonance Imaging, Male, Middle Aged, Neoplasm Grading, Prognosis, Rest, Retrospective Studies}, issn = {1573-7373}, doi = {10.1007/s11060-024-04715-1}, author = {Luckett, Patrick H and Olufawo, Michael O and Park, Ki Yun and Lamichhane, Bidhan and Dierker, Donna and Verastegui, Gabriel Trevino and Lee, John J and Yang, Peter and Kim, Albert and Butt, Omar H and Chheda, Milan G and Snyder, Abraham Z and Shimony, Joshua S and Leuthardt, Eric C} } @article {4461, title = {Comparisons of electrophysiological markers of impaired executive attention after traumatic brain injury and in healthy aging.}, journal = {Neuroimage}, volume = {274}, year = {2023}, month = {07/2023}, pages = {120126}, abstract = {

Executive attention impairments are a persistent and debilitating consequence of traumatic brain injury (TBI). To make headway towards treating and predicting outcomes following heterogeneous TBI, cognitive impairment specific pathophysiology first needs to be characterized. In a prospective observational study, we measured EEG during the attention network test aimed at detecting alerting, orienting, executive attention and processing speed. The sample (N~=~110) of subjects aged 18-86 included those with and without traumatic brain injury: n~=~27, complicated mild TBI; n~=~5, moderate TBI; n~=~10, severe TBI; n~=~63, non-brain-injured controls. Subjects with TBI had impairments in processing speed and executive attention. Electrophysiological markers of executive attention processing in the midline frontal regions reveal that, as a group, those with TBI and elderly non-brain-injured controls have reduced responses. We also note that those with TBI and elderly controls have responses that are similar for both low and high-demand trials. In subjects with moderate-severe TBI, reductions in frontal cortical activation and performance profiles are both similar to that of controls who are \~{}4 to 7 years older. Our specific observations of frontal response reductions in subjects with TBI and in older adults is consistent with the suggested role of the anterior forebrain mesocircuit as underlying cognitive impairments. Our results provide novel correlative data linking specific pathophysiological mechanisms underlying domain-specific cognitive deficits following TBI and with normal aging. Collectively, our findings provide biomarkers that may serve to track therapeutic interventions and guide development of targeted therapeutics following brain injuries.

}, keywords = {Aged, Aging, Biomarkers, Brain Injuries, Brain Injuries, Traumatic, Executive Function, Healthy Aging, Humans, Neuropsychological Tests}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2023.120126}, author = {Kim, Nayoung and Jamison, Keith and Jaywant, Abhishek and Garetti, Jacob and Blunt, Emily and RoyChoudhury, Arindam and Butler, Tracy and Dams-O{\textquoteright}Connor, Kristen and Khedr, Shahenda and Chen, Chun-Cheng and Shetty, Teena and Winchell, Robert and Hill, N Jeremy and Schiff, Nicholas D and Kuceyeski, Amy and Shah, Sudhin A} } @article {4460, title = {Effects of active and sham tDCS on the soleus H-reflex during standing.}, journal = {Exp Brain Res}, volume = {241}, year = {2023}, month = {06/2023}, pages = {1611-1622}, abstract = {

Weak transcranial direct current stimulation (tDCS) is known to affect corticospinal excitability and enhance motor skill acquisition, whereas its effects on spinal reflexes in actively contracting muscles are yet to be established. Thus, in this study, we examined the acute effects of Active and Sham tDCS on the soleus H-reflex during standing. In fourteen adults without known neurological conditions, the soleus H-reflex was repeatedly elicited at just above M-wave threshold throughout 30~min of Active (N = 7) or Sham (N = 7) 2-mA tDCS over the primary motor cortex in standing. The maximum H-reflex (H) and M-wave (M) were also measured before and immediately after 30~min of tDCS. The soleus H-reflex amplitudes became significantly larger (by 6\%) ≈1~min into Active or Sham tDCS and gradually returned toward the pre-tDCS values, on average, within 15~min. With Active tDCS, the amplitude reduction from the initial increase appeared to occur more swiftly than with Sham tDCS. An acute temporary increase in the soleus H-reflex amplitude within the first minute of Active and Sham tDCS found in this study indicates a previously unreported effect of tDCS on the H-reflex excitability. The present study suggests that neurophysiological characterization of Sham tDCS effects is just as important as investigating Active tDCS effects in understanding and defining acute effects of tDCS on the excitability of spinal reflex pathways.

}, keywords = {Adult, Evoked Potentials, Motor, H-Reflex, Humans, Muscle, Skeletal, Standing Position, Transcranial Direct Current Stimulation}, issn = {1432-1106}, doi = {10.1007/s00221-023-06624-7}, author = {McCane, Lynn M and Wolpaw, Jonathan R and Thompson, Aiko K} } @article {4451, title = {The human motor cortex contributes to gravity compensation to maintain posture and during reaching.}, journal = {J Neurophysiol}, volume = {129}, year = {2023}, month = {01/2023}, pages = {83-101}, abstract = {

The neural control of posture and movement is interdependent. During voluntary movement, the neural motor command is executed by the motor cortex through the corticospinal tract and its collaterals and subcortical targets. Here we address the question of whether the control mechanism for the postural adjustments at nonmoving joints is also involved in overcoming gravity at the moving joints. We used single-pulse transcranial magnetic stimulation to measure the corticospinal excitability in humans during postural and reaching tasks. We hypothesized that the corticospinal excitability is proportional to background muscle activity and the gravity-related joint moments during both static postures and reaching movements. To test this hypothesis, we used visual targets in virtual reality to instruct five postures and three movements with or against gravity. We then measured the amplitude and gain of motor evoked potentials in multiple arm and hand muscles at several phases of the reaching motion and during static postures. The stimulation caused motor evoked potentials in all muscles that were proportional to the muscle activity. During both static postures and reaching movements, the muscle activity and the corticospinal contribution to these muscles changed in proportion with the postural moments needed to support the arm against gravity, supporting the hypothesis. Notably, these changes happened not only in antigravity muscles. Altogether, these results provide evidence that the changes in corticospinal excitability cause muscle cocontraction that modulates limb stiffness. This suggests that the motor cortex is involved in producing postural adjustments that support the arm against gravity during posture maintenance and reaching. Animal studies suggest that the corticospinal tract and its collaterals are crucial for producing postural adjustments that accompany movement in limbs other than the moving limb. Here we provide evidence for a similar control schema for both arm posture maintenance and gravity compensation during movement of the same limb. The observed interplay between the postural and movement control signals within the corticospinal tract may help explain the underlying neural motor deficits after stroke.

}, keywords = {Electromyography, Evoked Potentials, Motor, Humans, Motor Cortex, Movement, Muscle, Skeletal, Posture, Pyramidal Tracts, Transcranial Magnetic Stimulation}, issn = {1522-1598}, doi = {10.1152/jn.00367.2021}, author = {Hardesty, Russell L and Ellaway, Peter H and Gritsenko, Valeriya} } @article {4492, title = {Methods for automated delineation and assessment of EMG responses evoked by peripheral nerve stimulation in diagnostic and closed-loop therapeutic applications.}, journal = {J Neural Eng}, volume = {20}, year = {2023}, month = {2023 Jul 21}, abstract = {

Surface electromyography measurements of the Hoffmann (H-) reflex are essential in a wide range of neuroscientific and clinical applications. One promising emerging therapeutic application is H-reflex operant conditioning, whereby a person is trained to modulate the H-reflex, with generalized beneficial effects on sensorimotor function in chronic neuromuscular disorders. Both traditional diagnostic and novel realtime therapeutic applications rely on accurate definitions of the H-reflex and M-wave temporal bounds, which currently depend on expert case-by-case judgment. The current study automates such judgments.Our novel wavelet-based algorithm automatically determines temporal extent and amplitude of the human soleus H-reflex and M-wave. In each of 20 participants, the algorithm was trained on data from a preliminary 3 or 4 min recruitment-curve measurement. Output was evaluated on parametric fits to subsequent sessions{\textquoteright} recruitment curves (92 curves across all participants) and on the conditioning protocol{\textquoteright}s subsequent baseline trials (\~{}1200 per participant) performed near. Results were compared against the original temporal bounds estimated at the time, and against retrospective estimates made by an expert 6 years later.Automatic bounds agreed well with manual estimates: 95\% lay within {\textpm}2.5 ms. The resulting H-reflex magnitude estimates showed excellent agreement (97.5\% average across participants) between automatic and retrospective bounds regarding which trials would be considered successful for operant conditioning. Recruitment-curve parameters also agreed well between automatic and manual methods: 95\% of the automatic estimates of the current required to elicitfell within{\textpm}1.4\%of the retrospective estimate; for the {\textquoteright}threshold{\textquoteright} current that produced an M-wave 10\% of maximum, this value was{\textpm}3.5\%.Such dependable automation of M-wave and H-reflex definition should make both established and emerging H-reflex protocols considerably less vulnerable to inter-personnel variability and human error, increasing translational potential.

}, keywords = {Electric Stimulation, Electromyography, H-Reflex, Humans, Muscle, Skeletal, Peripheral Nerves, Retrospective Studies}, issn = {1741-2552}, doi = {10.1088/1741-2552/ace6fb}, author = {McKinnon, Michael L and Hill, N Jeremy and Carp, Jonathan S and Dellenbach, Blair and Thompson, Aiko K} } @article {4448, title = {Passive functional mapping of receptive language cortex during general anesthesia using electrocorticography.}, journal = {Clin Neurophysiol}, volume = {147}, year = {2023}, month = {03/2023}, pages = {31-44}, abstract = {

OBJECTIVE: To investigate the feasibility of passive functional mapping in the receptive language cortex during general anesthesia using electrocorticographic (ECoG) signals.

METHODS: We used subdurally placed ECoG grids to record cortical responses to speech stimuli during awake and anesthesia conditions. We identified the cortical areas with significant responses to the stimuli using the spectro-temporal consistency of the brain signal in the broadband gamma (BBG) frequency band (70-170~Hz).

RESULTS: We found that ECoG BBG responses during general anesthesia effectively identify cortical regions associated with receptive language function. Our analyses demonstrated that the ability to identify receptive language cortex varies across different states and depths of anesthesia. We confirmed these results by comparing them to receptive language areas identified during the awake condition. Quantification of these results demonstrated an average sensitivity and specificity of passive language mapping during general anesthesia to be 49{\textpm}7.7\% and 100\%, respectively.

CONCLUSION: Our results demonstrate that mapping receptive language cortex in patients during general anesthesia is feasible.

SIGNIFICANCE: Our proposed protocol could greatly expand the population of patients that can benefit from passive language mapping techniques, and could eliminate the risks associated with electrocortical stimulation during an awake craniotomy.

}, keywords = {Anesthesia, General, Brain, Brain Mapping, Cerebral Cortex, Electrocorticography, Humans, Language}, issn = {1872-8952}, doi = {10.1016/j.clinph.2022.11.021}, author = {Nourmohammadi, Amin and Swift, James R and de Pesters, Adriana and Guay, Christian S and Adamo, Matthew A and Dalfino, John C and Ritaccio, Anthony L and Schalk, Gerwin and Brunner, Peter} } @article {4459, title = {A somato-cognitive action network alternates with effector regions in motor cortex.}, journal = {Nature}, volume = {617}, year = {2023}, month = {05/2023}, pages = {351-359}, abstract = {

Motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down~the precentral gyrus from foot to face representations, despite evidence for concentric functional zones and maps of complex actions. Here, using precision functional magnetic resonance imaging (fMRI) methods, we find that the classic homunculus is interrupted by regions with distinct connectivity, structure and function, alternating with effector-specific (foot, hand and mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, as well as to the cingulo-opercular network (CON), critical for action and physiological control, arousal, errors and pain. This interdigitation of action control-linked and motor effector regions was verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant and child) precision fMRI suggested cross-species homologues and developmental precursors of the inter-effector system. A battery of motor and action fMRI tasks documented concentric effector somatotopies, separated by the CON-linked inter-effector regions. The inter-effectors lacked movement specificity and co-activated during action planning (coordination of hands and feet) and axial body movement (such as of the abdomen or eyebrows). These results, together with previous studies demonstrating stimulation-evoked complex actions and connectivity to internal organs such as the adrenal medulla, suggest that M1 is punctuated by a system for whole-body action planning, the somato-cognitive action network (SCAN). In M1, two parallel systems intertwine, forming an integrate-isolate pattern: effector-specific regions (foot, hand and mouth) for isolating fine motor control and the SCAN for integrating goals, physiology and body movement.

}, keywords = {Animals, Brain Mapping, Child, Cognition, Datasets as Topic, Foot, Hand, Humans, Infant, Infant, Newborn, Macaca, Magnetic Resonance Imaging, Motor Cortex, Mouth}, issn = {1476-4687}, doi = {10.1038/s41586-023-05964-2}, author = {Gordon, Evan M and Chauvin, Roselyne J and Van, Andrew N and Rajesh, Aishwarya and Nielsen, Ashley and Newbold, Dillan J and Lynch, Charles J and Seider, Nicole A and Krimmel, Samuel R and Scheidter, Kristen M and Monk, Julia and Miller, Ryland L and Metoki, Athanasia and Montez, David F and Zheng, Annie and Elbau, Immanuel and Madison, Thomas and Nishino, Tomoyuki and Myers, Michael J and Kaplan, Sydney and Badke D{\textquoteright}Andrea, Carolina and Demeter, Damion V and Feigelis, Matthew and Ramirez, Julian S B and Xu, Ting and Barch, Deanna M and Smyser, Christopher D and Rogers, Cynthia E and Zimmermann, Jan and Botteron, Kelly N and Pruett, John R and Willie, Jon T and Brunner, Peter and Shimony, Joshua S and Kay, Benjamin P and Marek, Scott and Norris, Scott A and Gratton, Caterina and Sylvester, Chad M and Power, Jonathan D and Liston, Conor and Greene, Deanna J and Roland, Jarod L and Petersen, Steven E and Raichle, Marcus E and Laumann, Timothy O and Fair, Damien A and Dosenbach, Nico U F} } @article {4450, title = {Towards clinical application of implantable brain-computer interfaces for people with late-stage ALS: medical and ethical considerations.}, journal = {J Neurol}, volume = {270}, year = {2023}, month = {03/2023}, pages = {1323-1336}, abstract = {

Individuals with amyotrophic lateral sclerosis (ALS) frequently develop speech and communication problems in the course of their disease. Currently available augmentative and alternative communication technologies do not present a solution for many people with advanced ALS, because these devices depend on residual and reliable motor activity. Brain-computer interfaces (BCIs) use neural signals for computer control and may allow people with late-stage ALS to communicate even when conventional technology falls short. Recent years have witnessed fast progression in the development and validation of implanted BCIs, which place neural signal recording electrodes in or on the cortex. Eventual widespread clinical application of implanted BCIs as an assistive communication technology for people with ALS will have significant consequences for their daily life, as well as for the clinical management of the disease,~among others because of the potential interaction between the BCI and other procedures people with ALS undergo, such as tracheostomy. This article aims to facilitate responsible real-world implementation of implanted BCIs. We review the state of the art of research on implanted BCIs for communication, as well as the medical and ethical implications of the clinical application of this technology. We conclude that the contribution of all BCI stakeholders, including clinicians of the various ALS-related disciplines, will be needed to develop procedures for, and shape the process of, the responsible clinical application of implanted BCIs.

}, keywords = {Amyotrophic Lateral Sclerosis, brain-computer interfaces, Electroencephalography, Humans, Self-Help Devices, Speech}, issn = {1432-1459}, doi = {10.1007/s00415-022-11464-6}, author = {Vansteensel, Mariska J and Klein, Eran and van Thiel, Ghislaine and Gaytant, Michael and Simmons, Zachary and Wolpaw, Jonathan R and Vaughan, Theresa M} } @article {4436, title = {The Evoked Potential Operant Conditioning System (EPOCS): A Research Tool and an Emerging Therapy for Chronic Neuromuscular Disorders.}, journal = {J Vis Exp}, year = {2022}, month = {2022 08 25}, abstract = {

The Evoked Potential Operant Conditioning System (EPOCS) is a software tool that implements protocols for operantly conditioning stimulus-triggered muscle responses in people with neuromuscular disorders, which in turn can improve sensorimotor function when applied appropriately. EPOCS monitors the state of specific target muscles-e.g., from surface electromyography (EMG) while standing, or from gait cycle measurements while walking on a treadmill-and automatically triggers calibrated stimulation when pre-defined conditions are met. It provides two forms of feedback that enable a person to learn to modulate the targeted pathway{\textquoteright}s excitability. First, it continuously monitors ongoing EMG activity in the target muscle, guiding the person to produce a consistent level of activity suitable for conditioning. Second, it provides immediate feedback of the response size following each stimulation and indicates whether it has reached the target value. To illustrate its use, this article describes a protocol through which a person can learn to decrease the size of the Hoffmann reflex-the electrically-elicited analog of the spinal stretch reflex-in the soleus muscle. Down-conditioning this pathway{\textquoteright}s excitability can improve walking in people with spastic gait due to incomplete spinal cord injury. The article demonstrates how to set up the equipment; how to place stimulating and recording electrodes; and how to use the free software to optimize electrode placement, measure the recruitment curve of direct motor and reflex responses, measure the response without operant conditioning, condition the reflex, and analyze the resulting data. It illustrates how the reflex changes over multiple sessions and how walking improves. It also discusses how the system can be applied to other kinds of evoked responses and to other kinds of stimulation, e.g., motor evoked potentials to transcranial magnetic stimulation; how it can address various clinical problems; and how it can support research studies of sensorimotor function in health and disease.

}, keywords = {Chronic Disease, Conditioning, Operant, Electromyography, Evoked Potentials, H-Reflex, Humans, Neuromuscular Diseases, Spinal Cord Injuries}, issn = {1940-087X}, doi = {10.3791/63736}, author = {Hill, N Jeremy and Gupta, Disha and Eftekhar, Amir and Brangaccio, Jodi A and Norton, James J S and McLeod, Michelle and Fake, Tim and Wolpaw, Jonathan R and Thompson, Aiko K} } @article {4453, title = {Heksor: the central nervous system substrate of an adaptive behaviour.}, journal = {J Physiol}, volume = {600}, year = {2022}, month = {08/2022}, pages = {3423-3452}, abstract = {

Over the past half-century, the largely hardwired central nervous system (CNS) of 1970~has become the ubiquitously plastic CNS of today, in which change is the rule not the exception. This transformation complicates a central question in neuroscience: how are adaptive behaviours - behaviours that serve the needs of the individual - acquired and maintained through life? It poses a more basic question: how do many adaptive behaviours share the ubiquitously plastic CNS? This question compels neuroscience to adopt a new paradigm. The core of this paradigm is a CNS entity with unique properties, here given the name heksor from the Greek hexis. A heksor is a distributed network of neurons and synapses that changes itself as needed to maintain the key features of an adaptive behaviour, the features that make the behaviour satisfactory. Through their concurrent changes, the numerous heksors that share the CNS negotiate the properties of the neurons and synapses that they all use. Heksors keep the CNS in a state of negotiated equilibrium that enables each heksor to maintain the key features of its behaviour. The new paradigm based on heksors and the negotiated equilibrium they create is supported by animal and human studies of interactions among new and old adaptive behaviours, explains otherwise inexplicable results, and underlies promising new approaches to restoring behaviours impaired by injury or disease. Furthermore, the paradigm offers new and potentially important answers to extant questions, such as the generation and function of spontaneous neuronal activity, the aetiology of muscle synergies, and the control of homeostatic plasticity.

}, keywords = {Adaptation, Psychological, Animals, central nervous system, Humans, Neuronal Plasticity, Plastics, Synapses}, issn = {1469-7793}, doi = {10.1113/JP283291}, author = {Wolpaw, Jonathan R and Kamesar, Adam} } @article {4360, title = {Neural oscillations during motor imagery of complex gait: an HdEEG study.}, journal = {Sci Rep}, volume = {12}, year = {2022}, month = {03/2022}, pages = {4314}, abstract = {

The aim of this study was to investigate differences between usual and complex gait motor imagery (MI) task in healthy subjects using high-density electroencephalography (hdEEG) with a MI protocol. We characterized the spatial distribution of α- and β-bands oscillations extracted from hdEEG signals recorded during MI of usual walking (UW) and walking by avoiding an obstacle (Dual-Task, DT). We applied a source localization algorithm to brain regions selected from a large cortical-subcortical network, and then we analyzed α and β bands Event-Related Desynchronizations (ERDs). Nineteen healthy subjects visually imagined walking on a path with (DT) and without (UW) obstacles. Results showed in both gait MI tasks, α- and β-band ERDs in a large cortical-subcortical network encompassing mostly frontal and parietal regions. In most of the regions, we found α- and β-band ERDs in the DT compared with the UW condition. Finally, in the β band, significant correlations emerged between ERDs and scores in imagery ability tests. Overall we detected MI gait-related α- and β-band oscillations in cortical and subcortical areas and significant differences between UW and DT MI conditions. A better understanding of gait neural correlates may lead to a better knowledge of pathophysiology of gait disturbances in neurological diseases.

}, keywords = {Brain, Electroencephalography, Gait, Humans, Imagery, Psychotherapy, Imagination, Walking}, issn = {2045-2322}, doi = {10.1038/s41598-022-07511-x}, author = {Putzolu, Martina and Samogin, Jessica and Cosentino, Carola and Mezzarobba, Susanna and Bonassi, Gaia and Lagravinese, Giovanna and Vato, Alessandro and Mantini, Dante and Avanzino, Laura and Pelosin, Elisa} } @article {4361, title = {Soleus H-reflex modulation during a double-legged drop landing task.}, journal = {Exp Brain Res}, volume = {240}, year = {2022}, month = {04/2022}, pages = {1093-1103}, abstract = {

Muscle spindle afferent feedback is modulated during different phases of locomotor tasks in a way that facilitates task goals. However, only a few studies have studied H-reflex modulation during landing. This study aimed to characterize soleus (SOL) H-reflex modulation during the flight and early landing period of drop landings. Since landing presumably involves a massive increase in spindle afferent firing due to rapid SOL muscle stretching, we hypothesized H-reflex size would decrease near landing reflecting neural modulation to prevent excessive motoneuron excitation. The soleus H-reflex was recorded during drop landings from a 30~cm height in nine healthy adults. Electromyography (SOL, tibialis anterior (TA), medial gastrocnemius, and vastus lateralis), ankle and knee joint motion and ground reaction force were recorded during landings. Tibial nerve stimulation was timed to elicit H-reflexes during the flight and early ground contact period (five 30~ms Bins from 90~ms before to 60~ms after landing). The H-reflexes recorded after landing (0-30 and 30-60~ms) were significantly smaller (21-36\% less) than that recorded during the flight periods (90-0~ms before ground contact; P <= 0.004). The decrease in H-reflex size not occurring until after ground contact indicates a time-critical modulation of reflex gain during the last 30~ms of flight (i.e., time of tibial nerve stimulation). H-reflex size reduction after ground contact supports a probable neural strategy to prevent excessive reflex-mediated muscle activation and thereby facilitates appropriate musculotendon and joint stiffness.

}, keywords = {Adult, Ankle Joint, Electromyography, H-Reflex, Humans, Muscle Spindles, Muscle, Skeletal}, issn = {1432-1106}, doi = {10.1007/s00221-022-06316-8}, author = {Lyle, Mark A and McLeod, Michelle M and Pouliot, Bridgette A and Thompson, Aiko K} } @article {4495, title = {Brain-computer interface-based assessment of color vision.}, journal = {J Neural Eng}, volume = {18}, year = {2021}, month = {2021 Nov 26}, abstract = {

Present methods for assessing color vision require the person{\textquoteright}s active participation. Here we describe a brain-computer interface-based method for assessing color vision that does not require the person{\textquoteright}s participation.This method uses steady-state visual evoked potentials to identify metamers-two light sources that have different spectral distributions but appear to the person to be the same color.We demonstrate that: minimization of the visual evoked potential elicited by two flickering light sources identifies the metamer; this approach can distinguish people with color-vision deficits from those with normal color vision; and this metamer-identification process can be automated.This new method has numerous potential clinical, scientific, and industrial applications.

}, keywords = {brain-computer interfaces, Color Vision, Electroencephalography, Evoked Potentials, Visual, Humans, Light, Photic Stimulation, Research Design}, issn = {1741-2552}, doi = {10.1088/1741-2552/ac3264}, author = {Norton, James J S and DiRisio, Grace F and Carp, Jonathan S and Norton, Amanda E and Kochan, Nicholas S and Wolpaw, Jonathan R} } @article {4336, title = {Modulation in cortical excitability disrupts information transfer in perceptual-level stimulus processing.}, journal = {Neuroimage}, volume = {243}, year = {2021}, month = {11/2021}, pages = {118498}, abstract = {

Despite significant interest in the neural underpinnings of behavioral variability, little light has been shed on the cortical mechanism underlying the failure to respond to perceptual-level stimuli. We hypothesized that cortical activity resulting from perceptual-level stimuli is sensitive to the moment-to-moment fluctuations in cortical excitability, and thus may not suffice to produce a behavioral response. We tested this hypothesis using electrocorticographic recordings to follow the propagation of cortical activity in six human subjects that responded to perceptual-level auditory stimuli. Here we show that for presentations that did not result in a behavioral response, the likelihood of cortical activity decreased from auditory cortex to motor cortex, and was related to reduced local cortical excitability. Cortical excitability was quantified using instantaneous voltage during a short window prior to cortical activity onset. Therefore, when humans are presented with an auditory stimulus close to perceptual-level threshold, moment-by-moment fluctuations in cortical excitability determine whether cortical responses to sensory stimulation successfully connect auditory input to a resultant behavioral response.

}, keywords = {Acoustic Stimulation, Adult, Aged, Alpha Rhythm, Auditory Cortex, Brain Mapping, Cortical Excitability, Electrocorticography, Female, Humans, Male, Middle Aged}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2021.118498}, author = {Moheimanian, Ladan and Paraskevopoulou, Sivylla E and Adamek, Markus and Schalk, Gerwin and Peter Brunner} } @article {4362, title = {A Voting-Enhanced Dynamic-Window-Length Classifier for SSVEP-Based BCIs.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {29}, year = {2021}, month = {2021}, pages = {1766-1773}, abstract = {

We present a dynamic window-length classifier for steady-state visual evoked potential (SSVEP)-based brain-computer interfaces (BCIs) that does not require the user to choose a feature extraction method or channel set. Instead, the classifier uses multiple feature extraction methods and channel selections to infer the SSVEP and relies on majority voting to pick the most likely target. The classifier extends the window length dynamically if no target obtains the majority of votes. Compared with existing solutions, our classifier: (i) does not assume that any single feature extraction method will consistently outperform the others; (ii) adapts the channel selection to individual users or tasks; (iii) uses dynamic window lengths; (iv) is unsupervised (i.e., does not need training). Collectively, these characteristics make the classifier easy-to-use, especially for caregivers and others with limited technical expertise. We evaluated the performance of our classifier on a publicly available benchmark dataset from 35 healthy participants. We compared the information transfer rate (ITR) of this new classifier to those of the minimum energy combination (MEC), maximum synchronization index (MSI), and filter bank canonical correlation analysis (FBCCA). The new classifier increases average ITR to 123.5 bits-per-minute (bpm), 47.5, 51.2, and 19.5 bpm greater than the MEC, MSI, and FBCCA classifiers, respectively.

}, keywords = {Algorithms, brain-computer interfaces, Electroencephalography, Evoked Potentials, Visual, Humans, Photic Stimulation}, issn = {1558-0210}, doi = {10.1109/TNSRE.2021.3106876}, author = {Habibzadeh, Hadi and Norton, James J S and Vaughan, Theresa M and Soyata, Tolga and Zois, Daphney-Stavroula} } @article {4335, title = {Within-subject reaction time variability: Role of cortical networks and underlying neurophysiological mechanisms.}, journal = {Neuroimage}, volume = {237}, year = {2021}, month = {08/2021}, pages = {118127}, abstract = {

Variations in reaction time are a ubiquitous characteristic of human behavior. Extensively documented, they have been successfully modeled using parameters of the subject or the task, but the neural basis of behavioral reaction time that varies within the same subject and the same task has been minimally studied. In this paper, we investigate behavioral reaction time variance using 28 datasets of direct cortical recordings in humans who engaged in four different types of simple sensory-motor reaction time tasks. Using a previously described technique that can identify the onset of population-level cortical activity and a novel functional connectivity algorithm described herein, we show that the cumulative latency difference of population-level neural activity across the task-related cortical network can explain up to 41\% of the trial-by-trial variance in reaction time. Furthermore, we show that reaction time variance may primarily be due to the latencies in specific brain regions and demonstrate that behavioral latency variance is accumulated across the whole task-related cortical network. Our results suggest that population-level neural activity monotonically increases prior to movement execution, and that trial-by-trial changes in that increase are, in part, accounted for by inhibitory activity indexed by low-frequency oscillations. This pre-movement neural activity explains 19\% of the measured variance in neural latencies in our data. Thus, our study provides a mechanistic explanation for a sizable fraction of behavioral reaction time when the subject{\textquoteright}s task is the same from trial to trial.

}, keywords = {Adult, Algorithms, Alpha Rhythm, Cerebral Cortex, Connectome, Electrocorticography, Female, Gamma Rhythm, Humans, Male, Middle Aged, Nerve Net, Psychomotor Performance, Reaction Time, Young Adult}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2021.118127}, author = {Paraskevopoulou, Sivylla E and Coon, William G and Peter Brunner and Miller, Kai J and Schalk, Gerwin} } @article {4366, title = {Breathable, large-area epidermal electronic systems for recording electromyographic activity during operant conditioning of H-reflex.}, journal = {Biosens Bioelectron}, volume = {165}, year = {2020}, month = {10/2020}, pages = {112404}, abstract = {

Operant conditioning of Hoffmann{\textquoteright}s reflex (H-reflex) is a non-invasive and targeted therapeutic intervention for patients with movement disorders following spinal cord injury. The reflex-conditioning protocol uses electromyography (EMG) to measure reflexes from specific muscles elicited using transcutaneous electrical stimulation. Despite recent advances in wearable electronics, existing EMG systems that measure muscle activity for operant conditioning of spinal reflexes still use rigid metal electrodes with conductive gels and aggressive adhesives, while requiring precise positioning to ensure reliability of data across experimental sessions. Here, we present the first large-area epidermal electronic system (L-EES) and demonstrate its use in every step of the reflex-conditioning protocol. The L-EES is a stretchable and breathable composite of nanomembrane electrodes (16 electrodes in a four by four array), elastomer, and fabric. The nanomembrane electrode array enables EMG recording from a large surface area on the skin and the breathable elastomer with fabric is biocompatible and comfortable for patients. We show that L-EES can record direct muscle responses (M-waves) and H-reflexes, both of which are comparable to those recorded using conventional EMG recording systems. In addition, L-EES may improve the reflex-conditioning protocol; it has potential to automatically optimize EMG electrode positioning, which may reduce setup time and error across experimental sessions.

}, keywords = {Biosensing Techniques, Conditioning, Operant, Electronics, H-Reflex, Humans, Reproducibility of Results}, issn = {1873-4235}, doi = {10.1016/j.bios.2020.112404}, author = {Kwon, Young-Tae and Norton, James J S and Cutrone, Andrew and Lim, Hyo-Ryoung and Kwon, Shinjae and Choi, Jeongmoon J and Kim, Hee Seok and Jang, Young C and Wolpaw, Jonathan R and Yeo, Woon-Hong} } @article {4367, title = {Enhancing Communication for People in Late-Stage ALS Using an fNIRS-Based BCI System.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {28}, year = {2020}, month = {05/2020}, pages = {1198-1207}, abstract = {

OBJECTIVE: Brain-computer interface (BCI) based communication remains a challenge for people with later-stage amyotrophic lateral sclerosis (ALS) who lose all voluntary muscle control. Although recent studies have demonstrated the feasibility of functional near-infrared spectroscopy (fNIRS) to successfully control BCIs primarily for healthy cohorts, these systems are yet inefficient for people with severe motor disabilities like ALS. In this study, we developed a new fNIRS-based BCI system in concert with a single-trial Visuo-Mental (VM) paradigm to investigate the feasibility of enhanced communication for ALS patients, particularly those in the later stages of the disease.

METHODS: In the first part of the study, we recorded data from six ALS patients using our proposed protocol (fNIRS-VM) and compared the results with the conventional electroencephalography (EEG)-based multi-trial P3Speller (P3S). In the second part, we recorded longitudinal data from one patient in the late locked-in state (LIS) who had fully lost eye-gaze control. Using statistical parametric mapping (SPM) and correlation analysis, the optimal channels and hemodynamic features were selected and used in linear discriminant analysis (LDA).

RESULTS: Over all the subjects, we obtained an average accuracy of 81.3\%{\textpm}5.7\% within comparatively short times (< 4 sec) in the fNIRS-VM protocol relative to an average accuracy of 74.0\%{\textpm}8.9\% in the P3S, though not competitive in patients with no substantial visual problems. Our longitudinal analysis showed substantially superior accuracy using the proposed fNIRS-VM protocol (73.2\%{\textpm}2.0\%) over the P3S (61.8\%{\textpm}1.5\%).

SIGNIFICANCE: Our findings indicate the potential efficacy of our proposed system for communication and control for late-stage ALS patients.

}, keywords = {Amyotrophic Lateral Sclerosis, brain-computer interfaces, Communication, Electroencephalography, Humans, Spectroscopy, Near-Infrared}, issn = {1558-0210}, doi = {10.1109/TNSRE.2020.2980772}, author = {Borgheai, Seyyed Bahram and McLinden, John and Zisk, Alyssa Hillary and Hosni, Sarah Ismail and Deligani, Roohollah Jafari and Abtahi, Mohammadreza and Mankodiya, Kunal and Shahriari, Yalda} } @article {4343, title = {Potential differences between monolingual and bilingual patients in approach and outcome after awake brain surgery.}, journal = {J Neurooncol}, volume = {148}, year = {2020}, month = {07/2020}, pages = {587-598}, abstract = {

INTRODUCTION: 20.8\% of the United States population and 67\% of the European population speak two or more languages. Intraoperative different languages, mapping, and localization are crucial. This investigation aims to address three questions between BL and ML patients: (1) Are there differences in complications (i.e. seizures) and DECS techniques during intra-operative brain mapping? (2) Is EOR different? and (3) Are there differences in the recovery pattern post-surgery?

METHODS: Data from 56 patients that underwent left-sided awake craniotomy for tumors infiltrating possible dominant hemisphere language areas from September 2016 to June 2019 were identified and analyzed in this study; 14 BL and 42 ML control patients. Patient demographics, education level, and the age of language acquisition were documented and evaluated. fMRI was performed on all participants.

RESULTS: 0 (0\%) BL and 3 (7\%) ML experienced intraoperative seizures (P = 0.73). BL patients received a higher direct DECS current in comparison to the ML patients (average = 4.7, 3.8, respectively, P = 0.03). The extent of resection was higher in ML patients in comparison to the BL patients (80.9 vs. 64.8, respectively, P = 0.04). The post-operative KPS scores were higher in BL patients in comparison to ML patients (84.3, 77.4, respectively, P = 0.03). BL showed lower drop in post-operative KPS in comparison to ML patients (- 4.3, - 8.7, respectively, P = 0.03).

CONCLUSION: We show that BL patients have a lower incidence of intra-operative seizures, lower EOR, higher post-operative KPS and tolerate higher DECS current, in comparison to ML patients.

}, keywords = {Brain Mapping, Brain Neoplasms, Craniotomy, Female, Follow-Up Studies, Glioma, Humans, Incidence, Language, Male, Middle Aged, Monitoring, Intraoperative, Prognosis, Retrospective Studies, Seizures, United States, Wakefulness}, issn = {1573-7373}, doi = {10.1007/s11060-020-03554-0}, author = {ReFaey, Karim and Tripathi, Shashwat and Bhargav, Adip G and Grewal, Sanjeet S and Middlebrooks, Erik H and Sabsevitz, David S and Jentoft, Mark and Peter Brunner and Wu, Adela and Tatum, William O and Ritaccio, Anthony and Chaichana, Kaisorn L and Quinones-Hinojosa, Alfredo} } @article {4334, title = {iEEGview: an open-source multifunction GUI-based Matlab toolbox for localization and visualization of human intracranial electrodes.}, journal = {J Neural Eng}, volume = {17}, year = {2019}, month = {12/2019}, pages = {016016}, abstract = {

OBJECTIVE: The precise localization of intracranial electrodes is a fundamental step relevant to the analysis of intracranial electroencephalography (iEEG) recordings in various fields. With the increasing development of iEEG studies in human neuroscience, higher requirements have been posed on the localization process, resulting in urgent demand for more integrated, easy-operation and versatile tools for electrode localization and visualization. With the aim of addressing this need, we develop an easy-to-use and multifunction toolbox called iEEGview, which can be used for the localization and visualization of human intracranial electrodes.

APPROACH: iEEGview is written in Matlab scripts and implemented with a GUI. From the GUI, by taking only pre-implant MRI and post-implant CT images as input, users can directly run the full localization pipeline including brain segmentation, image co-registration, electrode reconstruction, anatomical information identification, activation map generation and electrode projection from native brain space into common brain space for group analysis. Additionally, iEEGview implements methods for brain shift correction, visual location inspection on MRI slices and computation of certainty index in anatomical label assignment.

MAIN RESULTS: All the introduced functions of iEEGview work reliably and successfully, and are tested by images from 28 human subjects implanted with depth and/or subdural electrodes.

SIGNIFICANCE: iEEGview is the first public Matlab GUI-based software for intracranial electrode localization and visualization that holds integrated capabilities together within one pipeline. iEEGview promotes convenience and efficiency for the localization process, provides rich localization information for further analysis and offers solutions for addressing raised technical challenges. Therefore, it can serve as a useful tool in facilitating iEEG studies.

}, keywords = {Brain, Brain Mapping, Electrocorticography, Electrodes, Implanted, Electroencephalography, Humans, Magnetic Resonance Imaging}, issn = {1741-2552}, doi = {10.1088/1741-2552/ab51a5}, author = {Li, Guangye and Jiang, Shize and Chen, Chen and Peter Brunner and Wu, Zehan and Schalk, Gerwin and Chen, Liang and Zhang, Dingguo} } @article {3551, title = {Proceedings of the Seventh International Workshop on Advances in Electrocorticography.}, journal = {Epilepsy \& behavior : E\&B}, volume = {51}, year = {2015}, month = {Oct}, pages = {312{\textendash}320}, abstract = {The Seventh International Workshop on Advances in Electrocorticography (ECoG) convened in Washington, DC, on November 13-14, 2014. Electrocorticography-based research continues to proliferate widely across basic science and clinical disciplines. The 2014 workshop highlighted advances in neurolinguistics, brain-computer interface, functional mapping, and seizure termination facilitated by advances in the recording and analysis of the ECoG signal. The following proceedings document summarizes the content of this successful multidisciplinary gathering.}, keywords = {Humans}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2015.08.002}, url = {http://www.ncbi.nlm.nih.gov/pubmed/26322594}, author = {A L Ritaccio and Matsumoto, Riki and Morrell, Martha and Kamada, Kyousuke and Koubeissi, Mohamad and Poeppel, David and Lachaux, Jean-Philippe and Yanagisawa, Yakufumi and Hirata, Masayuki and Guger, Christoph and Gerwin Schalk} } @article {3415, title = {Toward independent home use of brain-computer interfaces: a decision algorithm for selection of potential end-users.}, journal = {Arch Phys Med Rehabil}, volume = {96}, year = {2015}, month = {03/2015}, pages = {S27-32}, abstract = {

Noninvasive brain-computer interfaces (BCIs) use scalp-recorded electrical activity from the brain to control an application. Over the past 20 years, research demonstrating that BCIs can provide communication and control to individuals with severe motor impairment has increased almost exponentially. Although considerable effort has been dedicated to offline analysis for improving signal detection and translation, far less effort has been made to conduct online studies with target populations. Thus, there remains a great need for both long-term and translational BCI studies that include individuals with disabilities in their own homes. Completing these studies is the only sure means to answer questions about BCI utility and reliability. Here we suggest an algorithm for candidate selection for electroencephalographic (EEG)-based BCI home studies. This algorithm takes into account BCI end-users and their environment and should assist in study design and substantially improve subject retention rates, thereby improving the overall efficacy of BCI home studies. It is the result of a workshop at the Fifth International BCI Meeting that allowed us to leverage the expertise of multiple research laboratories and people from multiple backgrounds in BCI research.

}, keywords = {Algorithms, brain-computer interfaces, Cognition, Disabled Persons, Electroencephalography, Environment, Humans, Patient Selection, Physical Therapy Modalities}, issn = {1532-821X}, doi = {10.1016/j.apmr.2014.03.036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/25721544}, author = {K{\"u}bler, Andrea and Holz, Elisa Mira and Sellers, Eric W and Theresa M Vaughan} } @article {3395, title = {Adaptive spatio-temporal filtering for movement related potentials in EEG-based brain-computer interfaces.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {22}, year = {2014}, month = {07/2014}, pages = {847-57}, abstract = {Movement related potentials (MRPs) are used as features in many brain-computer interfaces (BCIs) based on electroencephalogram (EEG). MRP feature extraction is challenging since EEG is noisy and varies between subjects. Previous studies used spatial and spatio-temporal filtering methods to deal with these problems. However, they did not optimize temporal information or may have been susceptible to overfitting when training data are limited and the feature space is of high dimension. Furthermore, most of these studies manually select data windows and low-pass frequencies. We propose an adaptive spatio-temporal (AST) filtering method to model MRPs more accurately in lower dimensional space. AST automatically optimizes all parameters by employing a Gaussian kernel to construct a low-pass time-frequency filter and a linear ridge regression (LRR) algorithm to compute a spatial filter. Optimal parameters are simultaneously sought by minimizing leave-one-out cross-validation error through gradient descent. Using four BCI datasets from 12 individuals, we compare the performances of AST filter to two popular methods: the discriminant spatial pattern filter and regularized spatio-temporal filter. The results demonstrate that our AST filter can make more accurate predictions and is computationally feasible.}, keywords = {Algorithms, Artificial Intelligence, brain-computer interfaces, Data Interpretation, Statistical, Electroencephalography, Evoked Potentials, Motor, Humans, Imagination, Motor Cortex, Movement, Pattern Recognition, Automated, Reproducibility of Results, Sensitivity and Specificity, Signal Processing, Computer-Assisted, Spatio-Temporal Analysis}, issn = {1558-0210}, doi = {10.1109/TNSRE.2014.2315717}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24723632}, author = {Lu, Jun and Xie, Kan and Dennis J. McFarland} } @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 {3393, title = {Modality specificity is the preferred method for diagnosing the auditory processing disorder (APD): response to Moore and Ferguson.}, journal = {J Am Acad Audiol}, volume = {25}, year = {2014}, month = {08/2014}, pages = {698-9}, keywords = {Auditory Perception, Auditory Perceptual Disorders, Evoked Potentials, Auditory, Brain Stem, Humans, Neuropsychological Tests, Psychoacoustics}, issn = {2157-3107}, url = {http://www.ncbi.nlm.nih.gov/pubmed/25365373}, author = {Dennis J. McFarland and Cacace, Anthony T} } @article {3392, title = {Modality Specificity trumps other methods for diagnosing the auditory processing disorder (APD): response to Dillon et al.}, journal = {J Am Acad Audiol}, volume = {25}, year = {2014}, month = {08/2014}, pages = {703-5}, keywords = {Auditory Perception, Auditory Perceptual Disorders, Evoked Potentials, Auditory, Brain Stem, Humans, Neuropsychological Tests, Psychoacoustics}, issn = {2157-3107}, url = {http://www.ncbi.nlm.nih.gov/pubmed/25365375}, author = {Cacace, Anthony T and Dennis J. McFarland} } @article {3386, title = {A practical, intuitive brain-computer interface for communicating {\textquoteright}yes{\textquoteright} or {\textquoteright}no{\textquoteright} by listening.}, journal = {J Neural Eng}, volume = {11}, year = {2014}, month = {06/2014}, pages = {035003}, abstract = {OBJECTIVE: Previous work has shown that it is possible to build an EEG-based binary brain-computer interface system (BCI) driven purely by shifts of attention to auditory stimuli. However, previous studies used abrupt, abstract stimuli that are often perceived as harsh and unpleasant, and whose lack of inherent meaning may make the interface unintuitive and difficult for beginners. We aimed to establish whether we could transition to a system based on more natural, intuitive stimuli (spoken words {\textquoteright}yes{\textquoteright} and {\textquoteright}no{\textquoteright}) without loss of performance, and whether the system could be used by people in the locked-in state. APPROACH: We performed a counterbalanced, interleaved within-subject comparison between an auditory streaming BCI that used beep stimuli, and one that used word stimuli. Fourteen healthy volunteers performed two sessions each, on separate days. We also collected preliminary data from two subjects with advanced amyotrophic lateral sclerosis (ALS), who used the word-based system to answer a set of simple yes-no questions. MAIN RESULTS: The N1, N2 and P3 event-related potentials elicited by words varied more between subjects than those elicited by beeps. However, the difference between responses to attended and unattended stimuli was more consistent with words than beeps. Healthy subjects{\textquoteright} performance with word stimuli (mean 77\% {\textpm} 3.3 s.e.) was slightly but not significantly better than their performance with beep stimuli (mean 73\% {\textpm} 2.8 s.e.). The two subjects with ALS used the word-based BCI to answer questions with a level of accuracy similar to that of the healthy subjects. SIGNIFICANCE: Since performance using word stimuli was at least as good as performance using beeps, we recommend that auditory streaming BCI systems be built with word stimuli to make the system more pleasant and intuitive. Our preliminary data show that word-based streaming BCI is a promising tool for communication by people who are locked in.}, keywords = {Adult, Aged, Algorithms, Auditory Perception, brain-computer interfaces, Communication Aids for Disabled, Electroencephalography, Equipment Design, Equipment Failure Analysis, Female, Humans, Male, Man-Machine Systems, Middle Aged, Quadriplegia, Treatment Outcome, User-Computer Interface}, issn = {1741-2552}, doi = {10.1088/1741-2560/11/3/035003}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24838278}, author = {Jeremy Jeremy Hill and Ricci, Erin and Haider, Sameah and McCane, Lynn M and Susan M Heckman and Jonathan Wolpaw and Theresa M Vaughan} } @article {3407, title = {Real-time functional mapping: potential tool for improving language outcome in pediatric epilepsy surgery.}, journal = {J Neurosurg Pediatr}, volume = {14}, year = {2014}, month = {09/2014}, pages = {287-95}, abstract = {

Accurate language localization expands surgical treatment options for epilepsy patients and reduces the risk of postsurgery language deficits. Electrical cortical stimulation mapping (ESM) is considered to be the clinical gold standard for language localization. While ESM affords clinically valuable results, it can be poorly tolerated by children, requires active participation and compliance, carries a risk of inducing seizures, is highly time consuming, and is labor intensive. Given these limitations, alternative and/or complementary functional localization methods such as analysis of electrocorticographic (ECoG) activity in high gamma frequency band in real time are needed to precisely identify eloquent cortex in children. In this case report, the authors examined 1) the use of real-time functional mapping (RTFM) for language localization in a high gamma frequency band derived from ECoG to guide surgery in an epileptic pediatric patient and 2) the relationship of RTFM mapping results to postsurgical language outcomes. The authors found that RTFM demonstrated relatively high sensitivity (75\%) and high specificity (90\%) when compared with ESM in a "next-neighbor" analysis. While overlapping with ESM in the superior temporal region, RTFM showed a few other areas of activation related to expressive language function, areas that were eventually resected during the surgery. The authors speculate that this resection may be associated with observed postsurgical expressive language deficits. With additional validation in more subjects, this finding would suggest that surgical planning and associated assessment of the risk/benefit ratio would benefit from information provided by RTFM mapping.

}, keywords = {Adolescent, Anticonvulsants, Brain Mapping, Cerebral Cortex, Electric Stimulation, Electroencephalography, Epilepsies, Partial, Female, Humans, Language, Neuropsychological Tests, Sensitivity and Specificity, Speech}, issn = {1933-0715}, doi = {10.3171/2014.6.PEDS13477}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24995815}, author = {Korostenskaja, Milena and Chen, Po-Ching and Salinas, Christine M and Westerveld, Michael and Peter Brunner and Gerwin Schalk and Cook, Jane C and Baumgartner, James and Lee, Ki H} } @article {3389, title = {The simplest motor skill: mechanisms and applications of reflex operant conditioning.}, journal = {Exerc Sport Sci Rev}, volume = {42}, year = {2014}, month = {04/2014}, pages = {82-90}, abstract = {Operant conditioning protocols can change spinal reflexes gradually, which are the simplest behaviors. This article summarizes the evidence supporting two propositions: that these protocols provide excellent models for defining the substrates of learning and that they can induce and guide plasticity to help restore skills, such as locomotion, that have been impaired by spinal cord injury or other disorders.}, keywords = {Animals, Conditioning, Operant, H-Reflex, Humans, Motor Skills, Muscle, Skeletal, Neuronal Plasticity, Reflex, Spinal Cord, Spinal Cord Injuries}, issn = {1538-3008}, doi = {10.1249/JES.0000000000000010}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24508738}, author = {Thompson, Aiko K and Jonathan Wolpaw} } @article {3397, title = {Questionable reliability of the speech-evoked auditory brainstem response (sABR) in typically-developing children.}, journal = {Hear Res}, volume = {287}, year = {2012}, month = {05/2012}, pages = {1-2; author reply 3-5}, keywords = {Evoked Potentials, Auditory, Brain Stem, Female, Hearing Tests, Humans, Male, Speech Perception}, issn = {1878-5891}, doi = {10.1016/j.heares.2012.02.014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22446178}, author = {Dennis J. McFarland and Cacace, Anthony T} } @article {2149, title = {Silent Communication: toward using brain signals.}, journal = {IEEE Pulse}, volume = {3}, year = {2012}, month = {01/2012}, pages = {43-6}, abstract = {

From the 1980s movie Firefox to the more recent Avatar, popular science fiction has speculated about the possibility of a persons thoughts being read directly from his or her brain. Such braincomputer interfaces (BCIs) might allow people who are paralyzed to communicate with and control their environment, and there might also be applications in military situations wherever silent user-to-user communication is desirable. Previous studies have shown that BCI systems can use brain signals related to movements and movement imagery or attention-based character selection. Although these systems have successfully demonstrated the possibility to control devices using brain function, directly inferring which word a person intends to communicate has been elusive. A BCI using imagined speech might provide such a practical, intuitive device. Toward this goal, our studies to date addressed two scientific questions: (1) Can brain signals accurately characterize different aspects of speech? (2) Is it possible to predict spoken or imagined words or their components using brain signals?

}, keywords = {Animals, Brain, Brain Waves, Humans, Movement, User-Computer Interface}, issn = {2154-2287}, doi = {10.1109/MPUL.2011.2175637}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22344951}, author = {Pei, Xiao-Mei and Jeremy Jeremy Hill and Gerwin Schalk} } @article {3398, title = {A single g factor is not necessary to simulate positive correlations between cognitive tests.}, journal = {J Clin Exp Neuropsychol}, volume = {34}, year = {2012}, month = {01/2012}, pages = {378-84}, abstract = {In the area of abilities testing, one issue of continued dissent is whether abilities are best conceptualized as manifestations of a single underlying general factor or as reflecting the combination of multiple traits that may be dissociable. The fact that diverse cognitive tests tend to be positively correlated has been taken as evidence for a single general ability or "g" factor. In the present study, simulations of test performance were run to evaluate the hypothesis that multiple independent abilities that affect test performance in a consistent manner will produce a positive manifold. Correlation matrices were simulated from models using either one or eight independent factors. The extent to which these factors operated in a consistent manner across tests (i.e., that a factor that facilitates performance on one test tends to facilitate performance on other tests) was manipulated by varying the mean value of the randomly selected weights. The tendency of both a single factor and eight independent factors to produce positive correlations increased as the randomly selected weights operated in a more consistent fashion. Thus the presence of a positive manifold in the correlations between diverse cognitive tests does not provide differential support for either single factor or multiple factor models of general abilities.}, keywords = {Aptitude, Cognition, Humans, Models, Theoretical, Neuropsychological Tests}, issn = {1744-411X}, doi = {10.1080/13803395.2011.645018}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22260190}, author = {Dennis J. McFarland} } @article {3399, title = {Value of amplitude, phase, and coherence features for a sensorimotor rhythm-based brain-computer interface.}, journal = {Brain Res Bull}, volume = {87}, year = {2012}, month = {01/2012}, pages = {130-4}, abstract = {Measures that quantify the relationship between two or more brain signals are drawing attention as neuroscientists explore the mechanisms of large-scale integration that enable coherent behavior and cognition. Traditional Fourier-based measures of coherence have been used to quantify frequency-dependent relationships between two signals. More recently, several off-line studies examined phase-locking value (PLV) as a possible feature for use in brain-computer interface (BCI) systems. However, only a few individuals have been studied and full statistical comparisons among the different classes of features and their combinations have not been conducted. The present study examines the relative BCI performance of spectral power, coherence, and PLV, alone and in combination. The results indicate that spectral power produced classification at least as good as PLV, coherence, or any possible combination of these measures. This may be due to the fact that all three measures reflect mainly the activity of a single signal source (i.e., an area of sensorimotor cortex). This possibility is supported by the finding that EEG signals from different channels generally had near-zero phase differences. Coherence, PLV, and other measures of inter-channel relationships may be more valuable for BCIs that use signals from more than one distinct cortical source.}, keywords = {Algorithms, Brain, Electroencephalography, Humans, Motor Cortex, User-Computer Interface}, issn = {1873-2747}, doi = {10.1016/j.brainresbull.2011.09.019}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21985984}, author = {Krusienski, Dean J and Dennis J. McFarland and Jonathan Wolpaw} } @article {2134, title = {Causal influence of gamma oscillations on the sensorimotor rhythm.}, journal = {Neuroimage}, volume = {56}, year = {2011}, month = {05/2011}, pages = {837-42}, abstract = {

Gamma oscillations of the electromagnetic field of the\ brain\ are known to be involved in a variety of cognitive processes, and are believed to be fundamental for information processing within the\ brain. While gamma oscillations have been shown to be correlated with\ brain\ rhythms at different frequencies, to date no empirical evidence has been presented that supports a causal influence of gamma oscillations on other\ brain\ rhythms. In this work, we study the relation of gamma oscillations and the sensorimotor rhythm (SMR) in healthy human subjects using electroencephalography. We first demonstrate that modulation of the SMR, induced by motor imagery of either the left or right hand, is positively correlated with the power of frontal and occipital gamma oscillations, and negatively correlated with the power of centro-parietal gamma oscillations. We then demonstrate that the most simple causal structure, capable of explaining the observed correlation of gamma oscillations and the SMR, entails a causal influence of gamma oscillations on the SMR. This finding supports the fundamental role attributed to gamma oscillations for information processing within the\ brain, and is of particular importance for\ brain-computer interfaces\ (BCIs). As modulation of the SMR is typically used in BCIs to infer a subject{\textquoteright}s intention, our findings entail that gamma oscillations have a causal influence on a subject{\textquoteright}s capability to utilize a\ BCI\ for means of communication.

}, keywords = {Adult, Cerebral Cortex, Electroencephalography, Female, Humans, Imagination, Male, Signal Processing, Computer-Assisted, User-Computer Interface}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2010.04.265}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20451626}, author = {Grosse-Wentrup, Moritz and Sch{\"o}lkopf, B and Jeremy Jeremy Hill} } @article {2132, title = {Closing the sensorimotor loop: haptic feedback facilitates decoding of motor imagery.}, journal = {J Neural Eng}, volume = {8}, year = {2011}, month = {06/2011}, pages = {036005}, abstract = {

The combination of\ brain-computer interfaces\ (BCIs) with robot-assisted physical therapy constitutes a promising approach to neurorehabilitation of patients with severe hemiparetic syndromes caused by cerebrovascular\ brain\ damage (e.g. stroke) and other neurological conditions. In such a scenario, a key aspect is how to reestablish the disrupted sensorimotor feedback loop. However, to date it is an open question how artificially closing the sensorimotor feedback loop influences the decoding performance of a\ BCI. In this paper, we answer this issue by studying six healthy subjects and two stroke patients. We present empirical evidence that haptic feedback, provided by a seven degrees of freedom robotic arm, facilitates online decoding of arm movement intention. The results support the feasibility of future rehabilitative treatments based on the combination of robot-assisted physical therapy with BCIs.

}, keywords = {Brain, Evoked Potentials, Motor, Evoked Potentials, Somatosensory, Feedback, Physiological, Female, Humans, Imagination, Male, Movement, Robotics, Touch, User-Computer Interface}, issn = {1741-2552}, doi = {10.1088/1741-2560/8/3/036005}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21474878}, author = {Gomez-Rodriguez, M and Peters, J and Jeremy Jeremy Hill and Sch{\"o}lkopf, B and Gharabaghi, A and Grosse-Wentrup, Moritz} } @article {2203, title = {Current Trends in Hardware and Software for Brain-Computer Interfaces (BCIs).}, journal = {J Neural Eng}, volume = {8}, year = {2011}, month = {04/2011}, pages = {025001}, abstract = {

A\ brain-computer interface\ (BCI) provides a non-muscular communication channel to people with and without disabilities.\ BCI\ devices consist of hardware and software.\ BCI\ hardware records signals from the\ brain, either invasively or non-invasively, using a series of device components.\ BCI\ software then translates these signals into device output commands and provides feedback. One may categorize different types of\ BCI\ applications into the following four categories: basic\ research, clinical/translational\ research, consumer products, and emerging applications. These four categories use\ BCI\ hardware and software, but have different sets of requirements. For example, while basic\ research\ needs to explore a wide range of system configurations, and thus requires a wide range of hardware and software capabilities, applications in the other three categories may be designed for relatively narrow purposes and thus may only need a very limited subset of capabilities. This paper summarizes technical aspects for each of these four categories of\ BCI\ applications. The results indicate that\ BCI\ technology is in transition from isolated demonstrations to systematic\ research\ and commercial\ development. This process requires several multidisciplinary efforts, including the\ development\ of better integrated and more robust\ BCI\ hardware and software, the definition of standardized\ interfaces, and the\ developmentof certification, dissemination and reimbursement procedures.

}, keywords = {Biofeedback, Psychology, Brain, Brain Mapping, Electroencephalography, Equipment Design, Equipment Failure Analysis, Humans, Man-Machine Systems, Software, User-Computer Interface}, issn = {1741-2552}, doi = {10.1088/1741-2560/8/2/025001}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21436536}, author = {Peter Brunner and Bianchi, L and Guger, C and Cincotti, F and Gerwin Schalk} } @article {2151, title = {Decoding vowels and consonants in spoken and imagined words using electrocorticographic signals in humans.}, journal = {J Neural Eng}, volume = {8}, year = {2011}, month = {08/2011}, pages = {046028}, abstract = {

Several stories in the popular media have speculated that it may be possible to infer from the brain which word a person is speaking or even thinking. While recent studies have demonstrated that brain signals can give detailed information about actual and imagined actions, such as different types of limb movements or spoken words, concrete experimental evidence for the possibility to {\textquoteright}read the mind{\textquoteright}, i.e. to interpret internally-generated speech, has been scarce. In this study, we found that it is possible to use signals recorded from the surface of the brain (electrocorticography) to discriminate the vowels and consonants embedded in spoken and in imagined words, and we defined the cortical areas that held the most information about discrimination of vowels and consonants. The results shed light on the distinct mechanisms associated with production of vowels and consonants, and could provide the basis for brain-based communication using imagined speech.

}, keywords = {Adolescent, Adult, Brain, Brain Mapping, Cerebral Cortex, Communication Aids for Disabled, Data Interpretation, Statistical, Discrimination (Psychology), Electrodes, Implanted, Electroencephalography, Epilepsy, Female, Functional Laterality, Humans, Male, Middle Aged, Movement, Speech Perception, User-Computer Interface}, issn = {1741-2552}, doi = {10.1088/1741-2560/8/4/046028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21750369}, author = {Pei, Xiao-Mei and Barbour, Dennis L and Leuthardt, E C and Gerwin Schalk} } @article {3400, title = {Dichotic and dichoptic digit perception in normal adults.}, journal = {J Am Acad Audiol}, volume = {22}, year = {2011}, month = {06/2011}, pages = {332-41}, abstract = {BACKGROUND: Verbally based dichotic-listening experiments and reproduction-mediated response-selection strategies have been used for over four decades to study perceptual/cognitive aspects of auditory information processing and make inferences about hemispheric asymmetries and language lateralization in the brain. Test procedures using dichotic digits have also been used to assess for disorders of auditory processing. However, with this application, limitations exist and paradigms need to be developed to improve specificity of the diagnosis. Use of matched tasks in multiple sensory modalities is a logical approach to address this issue. Herein, we use dichotic listening and dichoptic viewing of visually presented digits for making this comparison. PURPOSE: To evaluate methodological issues involved in using matched tasks of dichotic listening and dichoptic viewing in normal adults. RESEARCH DESIGN: A multivariate assessment of the effects of modality (auditory vs. visual), digit-span length (1-3 pairs), response selection (recognition vs. reproduction), and ear/visual hemifield of presentation (left vs. right) on dichotic and dichoptic digit perception. STUDY SAMPLE: Thirty adults (12 males, 18 females) ranging in age from 18 to 30 yr with normal hearing sensitivity and normal or corrected-to-normal visual acuity. DATA COLLECTION AND ANALYSIS: A computerized, custom-designed program was used for all data collection and analysis. A four-way repeated measures analysis of variance (ANOVA) evaluated the effects of modality, digit-span length, response selection, and ear/visual field of presentation. RESULTS: The ANOVA revealed that performances on dichotic listening and dichoptic viewing tasks were dependent on complex interactions between modality, digit-span length, response selection, and ear/visual hemifield of presentation. Correlation analysis suggested a common effect on overall accuracy of performance but isolated only an auditory factor for a laterality index. CONCLUSIONS: The variables used in this experiment affected performances in the auditory modality to a greater extent than in the visual modality. The right-ear advantage observed in the dichotic-digits task was most evident when reproduction mediated response selection was used in conjunction with three-digit pairs. This effect implies that factors such as "speech related output mechanisms" and digit-span length (working memory) contribute to laterality effects in dichotic listening performance with traditional paradigms. Thus, the use of multiple-digit pairs to avoid ceiling effects and the application of verbal reproduction as a means of response selection may accentuate the role of nonperceptual factors in performance. Ideally, tests of perceptual abilities should be relatively free of such effects.}, keywords = {Adolescent, Adult, Auditory Perception, Dichotic Listening Tests, Female, Functional Laterality, Humans, Male, Recognition (Psychology), Reference Values, Reproducibility of Results, Task Performance and Analysis, Visual Perception, Young Adult}, issn = {1050-0545}, doi = {10.3766/jaaa.22.6.3}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21864471}, author = {Lawfield, Angela and Dennis J. McFarland and Cacace, Anthony T} } @article {2133, title = {A graphical model framework for decoding in the visual ERP-based BCI speller.}, journal = {Neural Comput}, volume = {23}, year = {2011}, month = {01/2011}, pages = {160-82}, abstract = {

We present a graphical model framework for decoding in the visual ERP-based speller system. The proposed framework allows researchers to build generative models from which the decoding rules are obtained in a straightforward manner. We suggest two models for generating\ brain\ signals conditioned on the stimulus events. Both models incorporate letter frequency information but assume different dependencies between\ brain\ signals and stimulus events. For both models, we derive decoding rules and perform a discriminative training. We show on real visual speller data how decoding performance improves by incorporating letter frequency information and using a more realistic graphical model for the dependencies between the\ brain\ signals and the stimulus events. Furthermore, we discuss how the standard approach to decoding can be seen as a special case of the graphical model framework. The letter also gives more insight into the discriminative approach for decoding in the visual speller system.

}, keywords = {Artificial Intelligence, Computer User Training, Discrimination Learning, Electroencephalography, Evoked Potentials, Evoked Potentials, Visual, Humans, Language, Models, Neurological, Models, Theoretical, Reading, Signal Processing, Computer-Assisted, User-Computer Interface, Visual Cortex, Visual Perception}, issn = {1530-888X}, doi = {10.1162/NECO_a_00066}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20964540}, author = {Martens, S M M and Mooij, J M and Jeremy Jeremy Hill and Farquhar, Jason and Sch{\"o}lkopf, B} } @article {3401, title = {Neurological principles and rehabilitation of action disorders: rehabilitation interventions.}, journal = {Neurorehabil Neural Repair}, volume = {25}, year = {2011}, month = {06/2011}, pages = {33S-43S}, abstract = {This third chapter discusses the evidence for the rehabilitation of the most common movement disorders of the upper extremity. The authors also present a framework, building on the computation, anatomy, and physiology (CAP) model, for incorporating some of the principles discussed in the 2 previous chapters by Frey et al and Sathian et al in the practice of rehabilitation and for discussing potentially helpful interventions based on emergent neuroscience principles.}, keywords = {Humans, Models, Neurological, Movement Disorders, Recovery of Function, Upper Extremity}, issn = {1552-6844}, doi = {10.1177/1545968311410942}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21613536}, author = {Pomeroy, Valerie and Aglioti, Salvatore M and Mark, Victor W and Dennis J. McFarland and Stinear, Cathy and Wolf, Steven L and Corbetta, Maurizio and Fitzpatrick, Susan M} } @article {2204, title = {Nonuniform high-gamma (60-500 Hz) power changes dissociate cognitive task and anatomy in human cortex.}, journal = {J Neurosci}, volume = {31}, year = {2011}, month = {02/2011}, pages = {2091-100}, abstract = {

High-gamma-band (\>60 Hz) power changes in cortical electrophysiology are a reliable indicator of focal, event-related cortical activity. Despite discoveries of oscillatory subthreshold and synchronous suprathreshold activity at the cellular level, there is an increasingly popular view that high-gamma-band amplitude changes recorded from cellular ensembles are the result of asynchronous firing activity that yields wideband and uniform power increases. Others have demonstrated independence of power changes in the low- and high-gamma bands, but to date, no studies have shown evidence of any such independence above 60 Hz. Based on nonuniformities in time-frequency analyses of electrocorticographic (ECoG) signals, we hypothesized that induced high-gamma-band (60-500 Hz) power changes are more heterogeneous than currently understood. Using single-word repetition tasks in six human subjects, we showed that functional responsiveness of different ECoG high-gamma sub-bands can discriminate cognitive task (e.g., hearing, reading, speaking) and cortical locations. Power changes in these sub-bands of the high-gamma range are consistently present within single trials and have statistically different time courses within the trial structure. Moreover, when consolidated across all subjects within three task-relevant anatomic regions (sensorimotor, Broca{\textquoteright}s area, and superior temporal gyrus), these behavior- and location-dependent power changes evidenced nonuniform\ trends\ across the population. Together, the independence and nonuniformity of power changes across a broad range of frequencies suggest that a new approach to evaluating high-gamma-band cortical activity is necessary. These findings show that in addition to time and location, frequency is another fundamental dimension of high-gamma dynamics.

}, keywords = {Acoustic Stimulation, Adolescent, Adult, Analysis of Variance, Brain Mapping, Brain Waves, Cerebral Cortex, Cognition Disorders, Electroencephalography, Epilepsy, Evoked Potentials, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Nonlinear Dynamics, Photic Stimulation, Reaction Time, Spectrum Analysis, Time Factors, Vocabulary}, issn = {1529-2401}, doi = {10.1523/JNEUROSCI.4722-10.2011}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21307246}, author = {Charles M Gaona and Sharma, Mohit and Zachary V. Freudenberg and Breshears, Jonathan and Bundy, David T and Roland, Jarod and Barbour, Dennis L and Gerwin Schalk and Leuthardt, E C} } @article {2208, title = {Proceedings of the Second International Workshop on Advances in Electrocorticography.}, journal = {Epilepsy Behav}, volume = {22}, year = {2011}, month = {12/2011}, pages = {641-50}, abstract = {

The Second International Workshop on Advances in Electrocorticography (ECoG) was convened in San Diego, CA, USA, on November 11-12, 2010. Between this meeting and the inaugural 2009 event, a much clearer picture has been emerging of cortical ECoG physiology and its relationship to local field potentials and single-cell recordings. Innovations in material engineering are advancing the goal of a stable long-term recording interface. Continued evolution of ECoG-driven brain-computer interface technology is determining innovation in neuroprosthetics. Improvements in instrumentation and statistical methodologies continue to elucidate ECoG correlates of normal human function as well as the ictal state. This proceedings document summarizes the current status of this rapidly evolving field.

}, keywords = {Brain, Brain Mapping, Brain Waves, Diagnosis, Computer-Assisted, Electroencephalography, Epilepsy, Humans, United States, User-Computer Interface}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2011.09.028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22036287}, author = {A L Ritaccio and Boatman-Reich, Dana and Peter Brunner and Cervenka, Mackenzie C and Cole, Andrew J and Nathan E. Crone and Duckrow, Robert and Korzeniewska, Anna and Litt, Brian and Miller, John W and Moran, D and Parvizi, Josef and Viventi, Jonathan and Williams, Justin C and Gerwin Schalk} } @article {2150, title = {Spatiotemporal dynamics of electrocorticographic high gamma activity during overt and covert word repetition.}, journal = {Neuroimage}, volume = {54}, year = {2011}, month = {02/2011}, pages = {2960-72}, abstract = {

Language is one of the defining abilities of humans. Many studies have characterized the neural correlates of different aspects of language processing. However, the imaging techniques typically used in these studies were limited in either their temporal or spatial resolution. Electrocorticographic (ECoG) recordings from the surface of the\ brain\ combine high spatial with high temporal resolution and thus could be a valuable tool for the study of neural correlates of language function. In this study, we defined the spatiotemporal dynamics of ECoG activity during a word repetition task in nine human subjects. ECoG was recorded while each subject overtly or covertly repeated words that were presented either visually or auditorily. ECoG amplitudes in the high gamma (HG) band confidently tracked neural changes associated with stimulus presentation and with the subject{\textquoteright}s verbal response. Overt word production was primarily associated with HG changes in the superior and middle parts of temporal lobe, Wernicke{\textquoteright}s area, the supramarginal gyrus, Broca{\textquoteright}s area, premotor cortex (PMC), primary motor cortex. Covert word production was primarily associated with HG changes in superior temporal lobe and the supramarginal gyrus. Acoustic processing from both auditory stimuli as well as the subject{\textquoteright}s own voice resulted in HG power changes in superior temporal lobe and Wernicke{\textquoteright}s area. In summary, this study represents a comprehensive characterization of overt and covert speech using electrophysiological imaging with high spatial and temporal resolution. It thereby complements the findings of previous neuroimaging studies of language and thus further adds to\ current\ understanding of word processing in humans.

}, keywords = {Adolescent, Adult, Brain, Brain Mapping, Electroencephalography, Female, Humans, Male, Middle Aged, Signal Processing, Computer-Assisted, Verbal Behavior}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2010.10.029}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21029784}, author = {Pei, Xiao-Mei and Leuthardt, E C and Charles M Gaona and Peter Brunner and Jonathan Wolpaw and Gerwin Schalk} } @article {2205, title = {Toward a gaze-independent matrix speller brain-computer interface.}, journal = {Clin Neurophysiol}, volume = {122}, year = {2011}, month = {06/2011}, pages = {1063-4}, keywords = {Attention, Brain, Fixation, Ocular, Humans, User-Computer Interface}, issn = {1872-8952}, doi = {10.1016/j.clinph.2010.11.014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21183404}, author = {Peter Brunner and Gerwin Schalk} } @article {2131, title = {Transition from the locked in to the completely locked-in state: a physiological analysis.}, journal = {Clin Neurophysiol}, volume = {122}, year = {2011}, month = {06/2011}, pages = {925-33}, abstract = {

OBJECTIVE:\ 

To clarify the physiological and behavioral boundaries between locked-in (LIS) and the completely locked-in state (CLIS) (no voluntary eye movements, no communication possible) through electrophysiological data and to secure\ brain-computer-interface\ (BCI) communication.

METHODS:\ 

Electromyography from facial muscles, external anal sphincter (EAS), electrooculography and electrocorticographic data during different psychophysiological tests were acquired to define electrophysiological differences in an amyotrophic lateral sclerosis (ALS) patient with an intracranially implanted grid of 112 electrodes for nine months while the patient passed from the LIS to the CLIS.

RESULTS:\ 

At the very end of the LIS there was no facial muscle activity, nor external anal sphincter but eye control. Eye movements were slow and lasted for short periods only. During CLIS event related\ brainpotentials (ERP) to passive limb movements and auditory stimuli were recorded, vibrotactile stimulation of different body parts resulted in no ERP response.

CONCLUSIONS:\ 

The results presented contradict the commonly accepted assumption that the EAS is the last remaining muscle under voluntary control and demonstrate complete loss of eye movements in CLIS. The eye muscle was shown to be the last muscle group under voluntary control. The findings suggest ALS as a multisystem disorder, even affecting afferent sensory pathways.

SIGNIFICANCE:\ 

Auditory and proprioceptive\ brain-computer-interface\ (BCI) systems are the only remaining communication channels in CLIS.

}, keywords = {Adult, Amyotrophic Lateral Sclerosis, Area Under Curve, Brain, Communication Aids for Disabled, Disease Progression, Electroencephalography, Electromyography, Humans, Male, Signal Processing, Computer-Assisted, User-Computer Interface}, issn = {1872-8952}, doi = {10.1016/j.clinph.2010.08.019}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20888292}, author = {Murguialday, A Ramos and Jeremy Jeremy Hill and Bensch, M and Martens, S M M and S Halder and Nijboer, F and Schoelkopf, Bernhard and Niels Birbaumer and Gharabaghi, A} } @article {2206, title = {Using the electrocorticographic speech network to control a brain-computer interface in humans.}, journal = {J Neural Eng}, volume = {8}, year = {2011}, month = {06/2011}, pages = {036004}, abstract = {

Electrocorticography (ECoG) has emerged as a new signal platform for\ brain-computer interface\ (BCI) systems. Classically, the cortical physiology that has been commonly investigated and utilized for device control in humans has been\ brain\ signals from the sensorimotor cortex. Hence, it was unknown whether other neurophysiological substrates, such as the speech network, could be used to further improve on or complement existing motor-based control paradigms. We demonstrate here for the first time that ECoG signals associated with different overt and imagined phoneme articulation can enable invasively monitored human patients to control a one-dimensional\ computer\ cursor rapidly and accurately. This phonetic content was distinguishable within higher gamma frequency oscillations and enabled users to achieve final target accuracies between 68\% and 91\% within 15 min. Additionally, one of the patients achieved robust control using recordings from a microarray consisting of 1 mm spaced microwires. These findings suggest that the cortical network associated with speech could provide an additional cognitive and physiologic substrate for\ BCI\ operation and that these signals can be acquired from a cortical array that is small and minimally invasive.

}, keywords = {Adult, Brain, Brain Mapping, Computer Peripherals, Electroencephalography, Evoked Potentials, Feedback, Physiological, Female, Humans, Imagination, Male, Middle Aged, Nerve Net, Speech Production Measurement, User-Computer Interface}, issn = {1741-2552}, doi = {10.1088/1741-2560/8/3/036004}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21471638}, author = {Leuthardt, E C and Charles M Gaona and Sharma, Mohit and Szrama, Nicholas and Roland, Jarod and Zachary V. Freudenberg and Solisb, Jamie and Breshears, Jonathan and Gerwin Schalk} } @article {2194, title = {Brain-computer interfacing based on cognitive control.}, journal = {Ann Neurol}, volume = {67}, year = {2010}, month = {06/2010}, pages = {809-16}, abstract = {

OBJECTIVE:\ 

Brain-computer interfaces (BCIs) translate deliberate intentions and associated changes in brain activity into action, thereby offering patients with severe paralysis an alternative means of communication with and control over their environment. Such systems are not available yet, partly due to the high performance standard that is required. A major challenge in the development of implantable BCIs is to identify cortical regions and related functions that an individual can reliably and consciously manipulate. Research predominantly focuses on the sensorimotor cortex, which can be activated by imagining motor actions. However, because this region may not provide an optimal solution to all patients, other neuronal networks need to be examined. Therefore, we investigated whether the cognitive control network can be used for BCI purposes. We also determined the feasibility of using functional magnetic resonance imaging (fMRI) for noninvasive localization of the cognitive control network.

METHODS:\ 

Three patients with intractable epilepsy, who were temporarily implanted with subdural grid electrodes for diagnostic purposes, attempted to gain BCI control using the electrocorticographic (ECoG) signal of the left dorsolateral prefrontal cortex (DLPFC).

RESULTS:\ 

All subjects quickly gained accurate BCI control by modulation of gamma-power of the left DLPFC. Prelocalization of the relevant region was performed with fMRI and was confirmed using the ECoG signals obtained during mental calculation localizer tasks.

INTERPRETATION:\ 

The results indicate that the cognitive control network is a suitable source of signals for BCI applications. They also demonstrate the feasibility of translating understanding about cognitive networks derived from functional neuroimaging into clinical applications.

}, keywords = {Cognition, Computers, Electrodes, Electroencephalography, Epilepsy, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Neuropsychological Tests, Oxygen, Prefrontal Cortex, Psychomotor Performance, Spectrum Analysis, Time Factors, User-Computer Interface}, issn = {1531-8249}, doi = {10.1002/ana.21985}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20517943}, author = {Vansteensel, Mariska J and Hermes, Dora and Aarnoutse, Erik J and Bleichner, Martin G and Gerwin Schalk and van Rijen, Peter C and Leijten, Frans S S and Ramsey, Nick F} } @article {2199, title = {Cortical activity during motor execution, motor imagery, and imagery-based online feedback.}, journal = {Proc Natl Acad Sci U S A}, volume = {107}, year = {2010}, month = {03/2010}, pages = {4430-5}, abstract = {

Imagery\ of\ motor\ movement plays an important role in learning of complex\ motor\ skills, from learning to serve in tennis to perfecting a pirouette in ballet. What and where are the neural substrates that underlie\ motorimagery-based\ learning? We measured electrocorticographic\ cortical\ surface potentials in eight human subjects during overt action and kinesthetic\ imagery\ of the same movement, focusing on power in "high frequency" (76-100 Hz) and "low frequency" (8-32 Hz) ranges. We quantitatively establish that the spatial distribution of local neuronal population\ activity\ during\ motorimagery\ mimics the spatial distribution of\ activity\ during actual\ motor\ movement. By comparing responses to electrocortical stimulation with\ imagery-induced\ cortical\ surface\ activity, we demonstrate the role of primary\ motor\ areas in movement\ imagery. The magnitude of\ imagery-induced\ corticalactivity\ change was approximately 25\% of that associated with actual movement. However, when subjects learned to use this\ imagery\ to control a computer cursor in a simple\ feedback\ task, the\ imagery-induced\ activity\ change was significantly augmented, even exceeding that of overt movement.

}, keywords = {Adolescent, Adult, Biofeedback, Psychology, Cerebral Cortex, Child, Electric Stimulation, Electrocardiography, Female, Humans, Male, Middle Aged, Motor Activity, Young Adult}, issn = {1091-6490}, doi = {10.1073/pnas.0913697107}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20160084}, author = {Miller, K.J. and Gerwin Schalk and Fetz, Eberhard E and den Nijs, Marcel and Ojemann, J G and Rao, Rajesh P N} } @article {2200, title = {Does the {\textquoteright}P300{\textquoteright} speller depend on eye gaze?.}, journal = {J Neural Eng}, volume = {7}, year = {2010}, month = {10/2010}, pages = {056013}, abstract = {

Many people affected by debilitating neuromuscular disorders such as amyotrophic lateral sclerosis, brainstem stroke or spinal cord injury are impaired in their ability to, or are even unable to, communicate. A brain-computer interface (BCI) uses brain signals, rather than muscles, to re-establish communication with the outside world. One particular BCI approach is the so-called {\textquoteright}P300 matrix speller{\textquoteright} that was first described by Farwell and Donchin (1988 Electroencephalogr. Clin. Neurophysiol. 70 510-23). It has been widely assumed that this method does not depend on the ability to focus on the desired character, because it was thought that it relies primarily on the P300-evoked potential and minimally, if at all, on other EEG features such as the visual-evoked potential (VEP). This issue is highly relevant for the clinical application of this BCI method, because eye movements may be impaired or lost in the relevant user population. This study investigated the extent to which the performance in a {\textquoteright}P300{\textquoteright} speller BCI depends on eye gaze. We evaluated the performance of 17 healthy subjects using a {\textquoteright}P300{\textquoteright} matrix speller under two conditions. Under one condition ({\textquoteright}letter{\textquoteright}), the subjects focused their eye gaze on the intended letter, while under the second condition ({\textquoteright}center{\textquoteright}), the subjects focused their eye gaze on a fixation cross that was located in the center of the matrix. The results show that the performance of the {\textquoteright}P300{\textquoteright} matrix speller in normal subjects depends in considerable measure on gaze direction. They thereby disprove a widespread assumption in BCI research, and suggest that this BCI might function more effectively for people who retain some eye-movement control. The applicability of these findings to people with severe neuromuscular disabilities (particularly in eye-movements) remains to be determined.

}, keywords = {Adult, Event-Related Potentials, P300, Eye Movements, Female, Humans, Male, Middle Aged, Models, Neurological, Photic Stimulation, User-Computer Interface, Young Adult}, issn = {1741-2552}, doi = {10.1088/1741-2560/7/5/056013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20858924}, author = {Peter Brunner and Joshi, S and S Briskin and Jonathan Wolpaw and H Bischof and Gerwin Schalk} } @article {2196, title = {Electrocorticographic frequency alteration mapping for extraoperative localization of speech cortex.}, journal = {Neurosurgery}, volume = {66}, year = {2010}, month = {02/2010}, pages = {E407-9}, abstract = {

OBJECTIVE:\ 

Electrocortical stimulation (ECS) has long been established for delineating eloquent cortex in extraoperative mapping. However, ECS is still coarse and inefficient in delineating regions of functional cortex and can be hampered by afterdischarges. Given these constraints, an adjunct approach to defining motor cortex is the use of electrocorticographic (ECoG) signal changes associated with active regions of cortex. The broad range of frequency oscillations are categorized into 2 main groups with respect to sensorimotor cortex: low-frequency bands (LFBs) and high-frequency bands (HFBs). The LFBs tend to show a power reduction, whereas the HFBs show power increases with cortical activation. These power changes associated with activated cortex could potentially provide a powerful tool in delineating areas of speech cortex. We explore ECoG signal alterations as they occur with activated region of speech cortex and its potential in clinical brain mapping applications.

METHODS:\ 

We evaluated 7 patients who underwent invasive monitoring for seizure localization. Each had extraoperative ECS mapping to identify speech cortex. Additionally, all subjects performed overt speech tasks with an auditory or a visual cue to identify associated frequency power changes in regard to location and degree of concordance with ECS results.

RESULTS:\ 

Electrocorticographic frequency alteration mapping (EFAM) had an 83.9\% sensitivity and a 40.4\% specificity in identifying any language site when considering both frequency bands and both stimulus cues. Electrocorticographic frequency alteration mapping was more sensitive in identifying the Wernicke area (100\%) than the Broca area (72.2\%). The HFB is uniquely suited to identifying the Wernicke area, whereas a combination of the HFB and LFB is important for Broca localization.

CONCLUSION:\ 

The concordance between stimulation and spectral power changes demonstrates the possible utility of EFAM as an adjunct method to improve the efficiency and resolution of identifying speech cortex.

}, keywords = {Acoustic Stimulation, Adolescent, Adult, Brain Mapping, Cerebral Cortex, Chi-Square Distribution, Electroencephalography, Epilepsy, Female, Humans, Male, Mass Spectrometry, Middle Aged, Photic Stimulation, Speech, Verbal Behavior, Young Adult}, issn = {1524-4040}, doi = {10.1227/01.NEU.0000345352.13696.6F}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20087111}, author = {Wu, Melinda and Wisneski, Kimberly and Gerwin Schalk and Sharma, Mohit and Roland, Jarod and Breshears, Jonathan and Charles M Gaona and Leuthardt, E C} } @article {2197, title = {Passive real-time identification of speech and motor cortex during an awake craniotomy.}, journal = {Epilepsy Behav}, volume = {18}, year = {2010}, month = {05/2010}, pages = {123-8}, abstract = {

Precise localization of eloquent cortex is a clinical necessity prior to surgical resections adjacent to speech or\ motor\ cortex. In the intraoperative setting, this traditionally requires inducing temporary lesions by direct electrocortical stimulation (DECS). In an attempt to increase efficiency and potentially reduce the amount of necessary stimulation, we used a passive mapping procedure in the setting of an awake craniotomy for tumor in two patients resection. We recorded electrocorticographic (ECoG) signals from exposed cortex while patients performed simple cue-directed\ motor\ and speech tasks. SIGFRIED, a procedure for real-time event detection, was used to identify areas of\ cortical\ activation by detecting task-related modulations in the ECoG high gamma band. SIGFRIED{\textquoteright}s real-time output quickly localized\ motor\ and speech areas of cortex similar to those identified by DECS. In conclusion, real-time passive identification of\ cortical\ function using SIGFRIED may serve as a useful adjunct to\ cortical\ stimulation mapping in the intraoperative setting.

}, keywords = {Brain Mapping, Brain Neoplasms, Cerebral Cortex, Craniotomy, Electric Stimulation, Electroencephalography, Humans, Neurologic Examination}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2010.02.017}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20478745}, author = {Roland, Jarod and Peter Brunner and Johnston, James and Gerwin Schalk and Leuthardt, E C} } @article {2195, title = {A procedure for measuring latencies in brain-computer interfaces.}, journal = {IEEE Trans Biomed Eng}, volume = {57}, year = {2010}, month = {06/2010}, pages = {1785-97}, abstract = {

Brain-computer interface (BCI) systems must process neural signals with consistent timing in order to support adequate system performance. Thus, it is important to have the capability to determine whether a particular BCI configuration (i.e., hardware and software) provides adequate timing performance for a particular experiment. This report presents a method of measuring and quantifying different aspects of system timing in several typical BCI experiments across a range of settings, and presents comprehensive measures of expected overall system latency for each experimental configuration.

}, keywords = {Brain, Computer Systems, Electroencephalography, Evoked Potentials, Humans, Models, Neurological, Reproducibility of Results, Signal Processing, Computer-Assisted, Time Factors, User-Computer Interface}, issn = {1558-2531}, doi = {10.1109/TBME.2010.2047259}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20403781}, author = {Adam J Wilson and Mellinger, J{\"u}rgen and Gerwin Schalk and Williams, Justin C} } @article {2201, title = {Proceedings of the first international workshop on advances in electrocorticography.}, journal = {Epilepsy Behav}, volume = {19}, year = {2010}, month = {10/2010}, pages = {204-15}, abstract = {

In October 2009, a group of neurologists, neurosurgeons, computational neuroscientists, and engineers congregated to present novel developments transforming human electrocorticography (ECoG) beyond its established relevance in clinical epileptology. The contents of the proceedings advanced the role of ECoG in seizure detection and prediction, neurobehavioral research, functional mapping, and brain-computer interface technology. The meeting established the foundation for future work on the methodology and application of surface brain recordings.

}, keywords = {Brain, Brain Mapping, Diagnosis, Computer-Assisted, Electroencephalography, Humans, International Cooperation, Seizures, Signal Detection, Psychological}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2010.08.028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20889384}, author = {A L Ritaccio and Peter Brunner and Cervenka, Mackenzie C and Nathan E. Crone and Guger, C and Leuthardt, E C and Oostenveld, Robert and Stacey, William and Gerwin Schalk} } @article {3403, title = {Symptoms as latent variables.}, journal = {Behav Brain Sci}, volume = {33}, year = {2010}, month = {06/2010}, pages = {165-6}, abstract = {In the target article, Cramer et al. suggest that diagnostic classification is improved by modeling the relationship between manifest variables (i.e., symptoms) rather than modeling unobservable latent variables (i.e., diagnostic categories such as Generalized Anxiety Disorder). This commentary discusses whether symptoms represent manifest or latent variables and the implications of this distinction for diagnosis and treatment.}, keywords = {Diagnostic and Statistical Manual of Mental Disorders, Humans, Interview, Psychological, Mental Disorders, Models, Psychological, Sleep Disorders, Stress Disorders, Post-Traumatic}, issn = {1469-1825}, doi = {10.1017/S0140525X1000066X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20584384}, author = {Dennis J. McFarland and Malta, Loretta S} } @article {2242, title = {Advances in the application of technology to epilepsy: the CIMIT/NIO Epilepsy Innovation Summit.}, journal = {Epilepsy Behav}, volume = {16}, year = {2009}, month = {09/2009}, pages = {3-46}, abstract = {

In 2008, a group of clinicians, scientists, engineers, and industry representatives met to discuss advances in the application of engineering technologies to the diagnosis and treatment of patients with epilepsy. The presentations also provided a guide for further technological development, specifically in the evaluation of patients for epilepsy surgery, seizure onset detection and seizure prediction, intracranial treatment systems, and extracranial treatment systems. This article summarizes the discussions and demonstrates that cross-disciplinary interactions can catalyze collaborations between physicians and engineers to address and solve many of the pressing unmet needs in epilepsy.

}, keywords = {Adult, Anticonvulsants, Brain Mapping, Child, Drug Resistance, Electric Stimulation Therapy, Electroencephalography, Engineering, Epilepsy, Humans, Magnetic Resonance Imaging, Medical Laboratory Science, Microelectrodes, Nanoparticles, Neurons, Neurosurgery, Neurotoxins, Predictive Value of Tests, Seizures, Spectroscopy, Near-Infrared, Tomography, Emission-Computed, Single-Photon, Tomography, Optical, Transcranial Magnetic Stimulation}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2009.06.028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19780225}, author = {Schachter, Steven C and Guttag, John and Schiff, Steven J and Schomer, Donald L} } @article {2193, title = {Decoding flexion of individual fingers using electrocorticographic signals in humans.}, journal = {J Neural Eng}, volume = {6}, year = {2009}, month = {12/2009}, pages = {066001}, abstract = {

Brain signals can provide the basis for a non-muscular communication and control system, a brain-computer interface (BCI), for people with motor disabilities. A common approach to creating BCI devices is to decode kinematic parameters of movements using signals recorded by intracortical microelectrodes. Recent studies have shown that kinematic parameters of hand movements can also be accurately decoded from signals recorded by electrodes placed on the surface of the brain (electrocorticography (ECoG)). In the present study, we extend these results by demonstrating that it is also possible to decode the time course of the flexion of individual fingers using ECoG signals in humans, and by showing that these flexion time courses are highly specific to the moving finger. These results provide additional support for the hypothesis that ECoG could be the basis for powerful clinically practical BCI systems, and also indicate that ECoG is useful for studying cortical dynamics related to motor function.

}, keywords = {Adolescent, Adult, Biomechanics, Brain, Electrodiagnosis, Epilepsy, Female, Fingers, Humans, Male, Microelectrodes, Middle Aged, Motor Activity, Rest, Thumb, Time Factors, Young Adult}, issn = {1741-2552}, doi = {10.1088/1741-2560/6/6/066001}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19794237}, author = {Kub{\'a}nek, J and Miller, John W and Ojemann, J G and Jonathan Wolpaw and Gerwin Schalk} } @proceedings {2241, title = {Detection of spontaneous class-specific visual stimuli with high temporal accuracy in human electrocorticography.}, volume = {2009}, year = {2009}, month = {2009}, pages = {6465-8}, abstract = {Most brain-computer interface classification experiments from electrical potential recordings have been focused on the identification of classes of stimuli or behavior where the timing of experimental parameters is known or pre-designated. Real world experience, however, is spontaneous, and to this end we describe an experiment predicting the occurrence, timing, and types of visual stimuli perceived by a human subject from electrocorticographic recordings. All 300 of 300 presented stimuli were correctly detected, with a temporal precision of order 20 ms. The type of stimulus (face/house) was correctly identified in 95\% of these cases. There were approximately 20 false alarm events, corresponding to a late 2nd neuronal response to a previously identified event.}, keywords = {Algorithms, Electrocardiography, Evoked Potentials, Visual, Humans, Male, Pattern Recognition, Automated, Pattern Recognition, Visual, Photic Stimulation, Reproducibility of Results, Sensitivity and Specificity, User-Computer Interface, Visual Cortex}, issn = {1557-170X}, doi = {10.1109/IEMBS.2009.5333546}, author = {Miller, John W and Hermes, Dora and Gerwin Schalk and Ramsey, Nick F and Jagadeesh, Bharathi and den Nijs, Marcel and Ojemann, J G and Rao, Rajesh P N} } @article {2191, title = {Evolution of brain-computer interfaces: going beyond classic motor physiology.}, journal = {Neurosurg Focus}, volume = {27}, year = {2009}, month = {07/2009}, pages = {E4}, abstract = {

The notion that a computer can decode brain signals to infer the intentions of a human and then enact those intentions directly through a machine is becoming a realistic technical possibility. These types of devices are known as brain-computer interfaces (BCIs). The evolution of these neuroprosthetic technologies could have significant implications for patients with motor disabilities by enhancing their ability to interact and communicate with their environment. The cortical physiology most investigated and used for device control has been brain signals from the primary motor cortex. To date, this classic motor physiology has been an effective substrate for demonstrating the potential efficacy of BCI-based control. However, emerging research now stands to further enhance our understanding of the cortical physiology underpinning human intent and provide further signals for more complex brain-derived control. In this review, the authors report the current status of BCIs and detail the emerging research trends that stand to augment clinical applications in the future.

}, keywords = {Brain, Cerebral Cortex, Humans, Man-Machine Systems, Motor Cortex, Movement, Movement Disorders, Neuronal Plasticity, Prostheses and Implants, Research, Signal Processing, Computer-Assisted, User-Computer Interface}, issn = {1092-0684}, doi = {10.3171/2009.4.FOCUS0979}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19569892}, author = {Leuthardt, E C and Gerwin Schalk and Roland, Jarod and Rouse, Adam and Moran, D} } @article {2100, title = {Mapping broadband electrocorticographic recordings to two-dimensional hand trajectories in humans Motor control features.}, journal = {Neural Netw}, volume = {22}, year = {2009}, month = {11/2009}, pages = {1257-70}, abstract = {

Brain-machine interfaces (BMIs) aim to translate the motor intent of locked-in patients into neuroprosthetic control commands. Electrocorticographical (ECoG) signals provide promising neural inputs to BMIs as shown in recent studies. In this paper, we utilize a broadband spectrum above the fast gamma ranges and systematically study the role of spectral resolution, in which the broadband is partitioned, on the reconstruction of the patients{\textquoteright} hand trajectories. Traditionally, the power of ECoG rhythms (\<200-300 Hz) has been computed in short duration bins and instantaneously and linearly mapped to cursor trajectories. Neither time embedding, nor nonlinear mappings have been previously implemented in ECoG neuroprosthesis. Herein, mapping of neural modulations to goal-oriented motor behavior is achieved via linear adaptive filters with embedded memory depths and as a novelty through echo state networks (ESNs), which provide nonlinear mappings without compromising training complexity or increasing the number of model parameters, with up to 85\% correlation. Reconstructed hand trajectories are analyzed through spatial, spectral and temporal sensitivities. The superiority of nonlinear mappings in the cases of low spectral resolution and abundance of interictal activity is discussed.

}, keywords = {Algorithms, Brain, Brain Mapping, Electrodes, Implanted, Electrodiagnosis, Epilepsy, Feasibility Studies, Hand, Humans, Linear Models, Motor Activity, Neural Networks (Computer), Nonlinear Dynamics, Signal Processing, Computer-Assisted}, issn = {1879-2782}, doi = {10.1016/j.neunet.2009.06.036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19647981}, author = {Gunduz, Aysegul and Sanchez, Justin C and Carney, Paul R and Principe, Jose} } @article {2135, title = {A note on ethical aspects of BCI.}, journal = {Neural Netw}, volume = {22}, year = {2009}, month = {11/2009 }, pages = {1352-7}, abstract = {

This paper focuses on ethical aspects of BCI, as a research and a clinical tool, that are challenging for practitioners currently working in the field. Specifically, the difficulties involved in acquiring informed consent from locked-in patients are investigated, in combination with an analysis of the shared moral responsibility in BCI teams, and the complications encountered in establishing effective communication with media.

}, keywords = {Bioethics, Brain, Communication, Communications Media, Cooperative Behavior, Humans, Informed Consent, Professional-Patient Relations, Quadriplegia, User-Computer Interface}, issn = {1879-2782}, doi = {10.1016/j.neunet.2009.06.046}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19616405}, author = {Haselager, Pim and Vlek, Rutger and Jeremy Jeremy Hill and Nijboer, F} } @article {2136, title = {Overlap and refractory effects in a brain-computer interface speller based on the visual P300 event-related potential.}, journal = {J Neural Eng}, volume = {6}, year = {2009}, month = {04/2009}, pages = {026003}, abstract = {

We reveal the presence of refractory and overlap effects in the event-related potentials in visual P300 speller datasets, and we show their negative impact on the performance of the system. This finding has important implications for how to encode the letters that can be selected for communication. However, we show that such effects are dependent on stimulus parameters: an alternative stimulus type based on apparent motion suffers less from the refractory effects and leads to an improved letter prediction performance.

}, keywords = {Algorithms, Brain, Cognition, Computer Simulation, Electroencephalography, Event-Related Potentials, P300, Humans, Models, Neurological, Pattern Recognition, Automated, Photic Stimulation, Semantics, Signal Processing, Computer-Assisted, Task Performance and Analysis, User-Computer Interface, Writing}, issn = {1741-2552}, doi = {10.1088/1741-2560/6/2/026003}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19255462}, author = {Martens, S M M and Jeremy Jeremy Hill and Farquhar, Jason and Sch{\"o}lkopf, B} } @article {2152, title = {Power spectrum analysis on the multiparameter electroencephalogram features of physiological mental fatigue.}, journal = {Sheng Wu Yi Xue Gong Cheng Xue Za Zhi}, volume = {26}, year = {2009}, month = {02/2009}, pages = {162-6, 172}, abstract = {

The aim of this experiment is to find a feasible impersonal index for analyzing the physiological mental fatigue level. Three characteristic parameters, relative power in different rhythm, barycenter frequency and power spectral entropy, are extracted from two channels{\textquoteright} electroencephalogram (EEG) under two physiological mental fatigue states. Then relationships between such three parameters and physiological mental fatigue are analyzed to explore whether they can be of use for detecting (or monitoring) the mental fatigue level. The experiment results show that the relative power, barycenter frequency and power spectral entropy of EEG exhibit strong correlation with physiological mental fatigue level. While physiological mental fatigue level increases, the relative power in theta, alpha and beta rhythms, barycenter frequency and power spectral entropy of EEG decrease, but the relative power in delta rhythm of EEG increases. The relative power in four rhythms, barycenter frequency and power spectral entropy of EEG reflect the change of physiological mental fatigue level sensitively, and may hopefully be used as indexes for detecting physiological mental fatigue level.

}, keywords = {Adult, Electroencephalography, Entropy, Humans, Male, Mental Fatigue, Signal Processing, Computer-Assisted, Young Adult}, issn = {1001-5515}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19334577}, author = {Zhang, Ai-hua and Zheng, Shi Dong and Pei, Xiao-Mei and Ouyang, Yi} } @article {2192, title = {A practical procedure for real-time functional mapping of eloquent cortex using electrocorticographic signals in humans.}, journal = {Epilepsy Behav}, volume = {15}, year = {2009}, month = {07/2009}, pages = {278-86}, abstract = {

Functional mapping of eloquent cortex is often necessary prior to invasive brain surgery, but current techniques that derive this mapping have important limitations. In this article, we demonstrate the first comprehensive evaluation of a rapid, robust, and practical mapping system that uses passive recordings of electrocorticographic signals. This mapping procedure is based on the BCI2000 and SIGFRIED technologies that we have been developing over the past several years. In our study, we evaluated 10 patients with epilepsy from four different institutions and compared the results of our procedure with the results derived using electrical cortical stimulation (ECS) mapping. The results show that our procedure derives a functional motor cortical map in only a few minutes. They also show a substantial concurrence with the results derived using ECS mapping. Specifically, compared with ECS maps, a next-neighbor evaluation showed no false negatives, and only 0.46 and 1.10\% false positives for hand and tongue maps, respectively. In summary, we demonstrate the first comprehensive evaluation of a practical and robust mapping procedure that could become a new tool for planning of invasive brain surgeries.

}, keywords = {Adult, Brain Mapping, Cerebral Cortex, Electric Stimulation, Electrodes, Implanted, Electroencephalography, Epilepsy, Female, Humans, Male, Middle Aged, Practice Guidelines as Topic, Signal Processing, Computer-Assisted, Young Adult}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2009.04.001}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19366638}, author = {Peter Brunner and A L Ritaccio and Lynch, Timothy M and Emrich, Joseph F and Adam J Wilson and Williams, Justin C and Aarnoutse, Erik J and Ramsey, Nick F and Leuthardt, E C and H Bischof and Gerwin Schalk} } @article {2845, title = {Seizure prediction for epilepsy using a multi-stage phase synchrony based system.}, journal = {Conf Proc IEEE Eng Med Biol Soc}, volume = {2009}, year = {2009}, month = {09/2009}, pages = {25-8}, abstract = {Seizure onset prediction in epilepsy is a challenge which is under investigation using many and varied signal processing techniques. Here we present a multi-stage phase synchrony based system that brings to bear the advantages of many techniques in each substage. The 1(st) stage of the system unmixes continuous long-term (2-4 days) multichannel scalp EEG using spatially constrained Independent Component Analysis and estimates the long term significant phase synchrony dynamics of narrowband (2-8 Hz and 8-14 Hz) seizure components. It then projects multidimensional features onto a 2-D map using Neuroscale and evaluates the probability of predictive events using Gaussian Mixture Models. We show the possibility of seizure onset prediction within a prediction window of 35-65 minutes with a sensitivity of 65-100\% and specificity of 65-80\% across epileptic patients.}, keywords = {Algorithms, Artificial Intelligence, Diagnosis, Computer-Assisted, Electroencephalography, Epilepsy, Humans, Pattern Recognition, Automated, Reproducibility of Results, Sensitivity and Specificity}, issn = {1557-170X}, doi = {10.1109/IEMBS.2009.5334898}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19965104}, author = {Christopher J James and Disha Gupta} } @article {2190, title = {Using an EEG-based brain-computer interface for virtual cursor movement with BCI2000.}, journal = {J Vis Exp}, year = {2009}, month = {07/2009}, abstract = {

A brain-computer interface (BCI) functions by translating a neural signal, such as the electroencephalogram (EEG), into a signal that can be used to control a computer or other device. The amplitude of the EEG signals in selected frequency bins are measured and translated into a device command, in this case the horizontal and vertical velocity of a computer cursor. First, the EEG electrodes are applied to the user s scalp using a cap to record brain activity. Next, a calibration procedure is used to find the EEG electrodes and features that the user will learn to voluntarily modulate to use the BCI. In humans, the power in the mu (8-12 Hz) and beta (18-28 Hz) frequency bands decrease in amplitude during a real or imagined movement. These changes can be detected in the EEG in real-time, and used to control a BCI ([1],[2]). Therefore, during a screening test, the user is asked to make several different imagined movements with their hands and feet to determine the unique EEG features that change with the imagined movements. The results from this calibration will show the best channels to use, which are configured so that amplitude changes in the mu and beta frequency bands move the cursor either horizontally or vertically. In this experiment, the general purpose BCI system BCI2000 is used to control signal acquisition, signal processing, and feedback to the user [3].

}, keywords = {Brain, Calibration, Electrodes, Electroencephalography, Humans, User-Computer Interface}, issn = {1940-087X}, doi = {10.3791/1319}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19641479}, author = {Adam J Wilson and Gerwin Schalk and Walton, L{\'e}o M and Williams, Justin C} } @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} } @article {2244, title = {Brain-computer symbiosis.}, journal = {J Neural Eng}, volume = {5}, year = {2008}, month = {03/2008}, pages = {P1-P15}, abstract = {

The theoretical groundwork of the 1930s and 1940s and the technical advance of computers in the following decades provided the basis for dramatic increases in human efficiency. While computers continue to evolve, and we can still expect increasing benefits from their use, the interface between humans and computers has begun to present a serious impediment to full realization of the potential payoff. This paper is about the theoretical and practical possibility that direct communication between the\ brain\ and the\ computer\ can be used to overcome this impediment by improving or augmenting conventional forms of human communication. It is about the opportunity that the limitations of our body{\textquoteright}s input and output capacities can be overcome using direct interaction with the\ brain, and it discusses the assumptions, possible limitations and implications of a technology that I anticipate will be a major source of pervasive changes in the coming decades.

}, keywords = {Brain, Computers, Humans, User-Computer Interface}, issn = {1741-2560}, doi = {10.1088/1741-2560/5/1/P01}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18310804}, author = {Gerwin Schalk} } @article {2098, title = {Extraction and localization of mesoscopic motor control signals for human ECoG neuroprosthetics.}, journal = {J Neurosci Methods}, volume = {167}, year = {2008}, month = {01/2008}, pages = {63-81}, abstract = {

Electrocorticogram (ECoG) recordings for\ neuroprosthetics\ provide a\ mesoscopic\ level of abstraction of brain function between microwire single neuron recordings and the electroencephalogram (EEG). Single-trial\ ECoG\ neural interfaces require appropriate feature\ extraction\ and signal processing methods to identify and model in real-time signatures of\ motor\ events in spontaneous brain activity. Here, we develop the clinical experimental paradigm and analysis tools to record broadband (1Hz to 6kHz)\ ECoG\ from patients participating in a reaching and pointing task. Motivated by the significant role of amplitude modulated rate coding in extracellular spike based brain-machine interfaces (BMIs), we develop methods to quantify spatio-temporal intermittent increased\ ECoG\ voltages to determine if they provide viable\ control\ inputs for\ ECoG\ neural interfaces. This study seeks to explore preprocessing modalities that emphasize amplitude modulation across frequencies and channels in the\ ECoG\ above the level of noisy background fluctuations in order to derive the commands for complex, continuous\ control\ tasks. Preliminary experiments show that it is possible to derive online predictive models and spatially localize the generation of commands in the cortex for\ motor\ tasks using amplitude modulated\ ECoG.

}, keywords = {Adolescent, Biofeedback, Psychology, Brain Mapping, Cerebral Cortex, Electroencephalography, Epilepsies, Partial, Female, Hand, Humans, Magnetic Resonance Imaging, Physical Therapy Modalities, Psychomotor Performance, Signal Processing, Computer-Assisted, Spectrum Analysis, User-Computer Interface}, issn = {0165-0270}, doi = {10.1016/j.jneumeth.2007.04.019}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17582507}, author = {Sanchez, Justin C and Gunduz, Aysegul and Carney, Paul R and Principe, Jose} } @article {2185, title = {Non-invasive brain-computer interface system: towards its application as assistive technology.}, journal = {Brain Res Bull}, volume = {75}, year = {2008}, month = {04/2008}, pages = {796-803}, abstract = {

The quality of life of people suffering from severe motor disabilities can benefit from the use of current assistive technology capable of ameliorating communication, house-environment management and mobility, according to the user{\textquoteright}s residual motor abilities.\ Brain-computer interfaces\ (BCIs) are systems that can translate\ brain\ activity into signals that control external devices. Thus they can represent the only technology for severely paralyzed patients to increase or maintain their communication and control options. Here we report on a pilot study in which a system was implemented and validated to allow disabled persons to improve or recover their mobility (directly or by emulation) and communication within the surrounding environment. The system is based on a software controller that offers to the user a communication interface that is matched with the individual{\textquoteright}s residual motor abilities. Patients (n=14) with severe motor disabilities due to progressive neurodegenerative disorders were trained to use the system prototype under a rehabilitation program carried out in a house-like furnished space. All users utilized regular assistive control options (e.g., microswitches or head trackers). In addition, four subjects learned to operate the system by means of a non-invasive EEG-based BCI. This system was controlled by the subjects{\textquoteright} voluntary modulations of EEG sensorimotor rhythms recorded on the scalp; this skill was learnt even though the subjects have not had control over their limbs for a long time. We conclude that such a prototype system, which integrates several different assistive technologies including a BCI system, can potentially facilitate the translation from pre-clinical\ demonstrations to a\ clinical\ useful BCI.

}, keywords = {Activities of Daily Living, Adolescent, Adult, Brain, Child, Electroencephalography, Evoked Potentials, Motor, Female, Humans, Learning, Male, Middle Aged, Motor Skills, Muscular Dystrophy, Duchenne, Pilot Projects, Prostheses and Implants, Robotics, Self-Help Devices, Software, Spinal Muscular Atrophies of Childhood, User-Computer Interface, Volition}, issn = {0361-9230}, doi = {10.1016/j.brainresbull.2008.01.007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18394526}, author = {Cincotti, F and Mattia, Donatella and Aloise, Fabio and Bufalari, Simona and Gerwin Schalk and Oriolo, Giuseppe and Cherubini, Andrea and Marciani, Maria Grazia and Babiloni, Fabio} } @article {2187, title = {Real-time detection of event-related brain activity.}, journal = {Neuroimage}, volume = {43}, year = {2008}, month = {11/2008}, pages = {245-9}, abstract = {

The complexity and inter-individual variation of\ brain\ signals impedes real-time detection of events in raw signals. To convert these complex signals into results that can be readily understood, current approaches usually apply statistical methods to data from known conditions after all data have been collected. The capability to provide meaningful visualization of complex\ brain\ signals without the requirement to initially collect data from all conditions would provide a new tool, essentially a new imaging technique, that would open up new avenues for the study of\ brain\ function. Here we show that a new analysis approach, called SIGFRIED, can overcome this serious limitation of current methods. SIGFRIED can visualize\ brain\ signal changes without requiring prior data collection from all conditions. This capacity is particularly well suited to applications in which comprehensive prior data collection is impossible or impractical, such as intraoperative localization of cortical function or detection of epileptic seizures.

}, keywords = {Adult, Algorithms, Brain Mapping, Computer Systems, Diagnosis, Computer-Assisted, Electroencephalography, Epilepsy, Evoked Potentials, Female, Humans, Male, Pattern Recognition, Automated, Reproducibility of Results, Sensitivity and Specificity}, issn = {1095-9572}, doi = {10.1016/j.neuroimage.2008.07.037}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18718544}, author = {Gerwin Schalk and Leuthardt, E C and Peter Brunner and Ojemann, J G and Lester A Gerhardt and Jonathan Wolpaw} } @proceedings {2240, title = {Three cases of feature correlation in an electrocorticographic BCI.}, year = {2008}, month = {2008}, pages = {5318-21}, abstract = {Three human subjects participated in a closed-loop brain computer interface cursor control experiment mediated by implanted subdural electrocorticographic arrays. The paradigm consisted of several stages: baseline recording, hand and tongue motor tasks as the basis for feature selection, two closed-loop one-dimensional feedback experiments with each of these features, and a two-dimensional feedback experiment using both of the features simultaneously. The two selected features were simple channel and frequency band combinations associated with change during hand and tongue movement. Inter-feature correlation and cross-correlation between features during different epochs of each task were quantified for each stage of the experiment. Our anecdotal, three subject, result suggests that while high correlation between horizontal and vertical control signal can initially preclude successful two-dimensional cursor control, a feedback-based learning strategy can be successfully employed by the subject to overcome this limitation and progressively decorrelate these control signals.}, keywords = {Adolescent, Adult, Algorithms, Electrocardiography, Evoked Potentials, Motor, Female, Humans, Male, Middle Aged, Motor Cortex, Pattern Recognition, Automated, Statistics as Topic, Task Performance and Analysis, User-Computer Interface}, issn = {1557-170X}, doi = {10.1109/IEMBS.2008.4650415}, author = {Miller, John W and Blakely, Timothy and Gerwin Schalk and den Nijs, Marcel and Rao, Rajesh P N and Ojemann, J G} } @conference {3438, title = {Three cases of feature correlation in an electrocorticographic BCI.}, booktitle = {Engineering in Medicine and Biology Society, 2008.}, year = {2008}, month = {08/2008}, publisher = {IEEE}, organization = {IEEE}, address = {Vancouver, BC}, abstract = {Three human subjects participated in a closed-loop brain computer interface cursor control experiment mediated by implanted subdural electrocorticographic arrays. The paradigm consisted of several stages: baseline recording, hand and tongue motor tasks as the basis for feature selection, two closed-loop one-dimensional feedback experiments with each of these features, and a two-dimensional feedback experiment using both of the features simultaneously. The two selected features were simple channel and frequency band combinations associated with change during hand and tongue movement. Inter-feature correlation and cross-correlation between features during different epochs of each task were quantified for each stage of the experiment. Our anecdotal, three subject, result suggests that while high correlation between horizontal and vertical control signal can initially preclude successful two-dimensional cursor control, a feedback-based learning strategy can be successfully employed by the subject to overcome this limitation and progressively decorrelate these control signals.}, keywords = {Adolescent, Adult, Algorithms, automated pattern recognition, control systems, decorrelation, Electrocardiography, Electrodes, Electroencephalography, evoked motor potentials, Feedback, Female, frequency, hospitals, Humans, Male, Middle Aged, Motor Cortex, Signal Processing, Statistics as Topic, Task Performance and Analysis, Tongue, User-Computer Interface}, doi = {10.1109/IEMBS.2008.4650415}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19163918}, author = {Miller, Kai J and Blakely, Timothy and Gerwin Schalk and den Nijs, Marcel and Rao, Rajesh PN and Ojemann, Jeffrey G} } @article {2184, title = {Towards an independent brain-computer interface using steady state visual evoked potentials.}, journal = {Clin Neurophysiol}, volume = {119}, year = {2008}, month = {02/2008}, pages = {399-408}, abstract = {

OBJECTIVE:\ 

Brain-computer interface (BCI) systems using steady state visual evoked potentials (SSVEPs) have allowed healthy subjects to communicate. However, these systems may not work in severely disabled users because they may depend on gaze shifting. This study evaluates the hypothesis that overlapping stimuli can evoke changes in SSVEP activity sufficient to control a BCI. This would provide evidence that SSVEP BCIs could be used without shifting gaze.

METHODS:\ 

Subjects viewed a display containing two images that each oscillated at a different frequency. Different conditions used overlapping or non-overlapping images to explore dependence on gaze function. Subjects were asked to direct attention to one or the other of these images during each of 12 one-minute runs.

RESULTS:\ 

Half of the subjects produced differences in SSVEP activity elicited by overlapping stimuli that could support BCI control. In all remaining users, differences did exist at corresponding frequencies but were not strong enough to allow effective control.

CONCLUSIONS:\ 

The\ data\ demonstrate that SSVEP differences sufficient for BCI control may be elicited by selective attention to one of two overlapping stimuli. Thus, some SSVEP-based BCI approaches may not depend on gaze control. The nature and extent of any BCI{\textquoteright}s dependence on muscle activity is a function of many factors, including the display, task, environment, and user.

SIGNIFICANCE:\ 

SSVEP BCIs might function in severely disabled users unable to reliably control gaze. Further research with these users is necessary to explore the optimal parameters of such a system and validate online performance in a home environment.

}, keywords = {Adolescent, Adult, Attention, Brain, Brain Mapping, Dose-Response Relationship, Radiation, Electroencephalography, Evoked Potentials, Visual, Female, Humans, Male, Pattern Recognition, Visual, Photic Stimulation, Spectrum Analysis, User-Computer Interface}, issn = {1388-2457}, doi = {10.1016/j.clinph.2007.09.121}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18077208}, author = {Brendan Z. Allison and Dennis J. McFarland and Gerwin Schalk and Zheng, Shi Dong and Moore-Jackson, Melody and Jonathan Wolpaw} } @article {2186, title = {Two-dimensional movement control using electrocorticographic signals in humans.}, journal = {J Neural Eng}, volume = {5}, year = {2008}, month = {03/2008}, pages = {75-84}, abstract = {

We show here that a\ brain-computer\ interface (BCI) using electrocorticographic activity (ECoG) and imagined or overt motor tasks enables humans to control a\ computer\ cursor in two dimensions. Over a brief training period of 12-36 min, each of five human subjects acquired substantial control of particular ECoG features recorded from several locations over the same hemisphere, and achieved average success rates of 53-73\% in a two-dimensional four-target center-out task in which chance accuracy was 25\%. Our results support the expectation that ECoG-based BCIs can combine high performance with technical and\ clinical\ practicality, and also indicate promising directions for further research.

}, keywords = {Adolescent, Adult, Brain Mapping, Data Interpretation, Statistical, Drug Resistance, Electrocardiography, Electrodes, Implanted, Electroencephalography, Epilepsy, Female, Humans, Male, Movement, User-Computer Interface}, issn = {1741-2560}, doi = {10.1088/1741-2560/5/1/008}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18310813}, author = {Gerwin Schalk and Miller, K.J. and Nicholas R Anderson and Adam J Wilson and Smyth, Matt and Ojemann, J G and Moran, D and Jonathan Wolpaw and Leuthardt, E C} } @article {2188, title = {Unique cortical physiology associated with ipsilateral hand movements and neuroprosthetic implications.}, journal = {Stroke}, volume = {39}, year = {2008}, month = {12/2008}, pages = {3351-9}, abstract = {

BACKGROUND AND PURPOSE:\ 

Brain computer interfaces\ (BCIs) offer little direct benefit to patients with hemispheric stroke because current platforms rely on signals derived from the contralateral motor cortex (the same region injured by the stroke). For BCIs to assist hemiparetic patients, the implant must use unaffected cortex ipsilateral to the affected limb. This requires the identification of distinct electrophysiological features from the motor cortex associated with ipsilateral hand movements.

METHODS:\ 

In this study we studied 6 patients undergoing temporary placement of intracranial electrode arrays. Electrocorticographic (ECoG) signals were recorded while the subjects engaged in specific ipsilateral or contralateral hand motor tasks. Spectral changes were identified with regards to frequency, location, and timing.

RESULTS:\ 

Ipsilateral hand movements were associated with electrophysiological changes that occur in lower frequency spectra, at distinct anatomic locations, and earlier than changes associated with contralateral hand movements. In a subset of 3 patients, features specific to ipsilateral and contralateral hand movements were used to control a cursor on a screen in real time. In ipsilateral derived control this was optimal with lower frequency spectra.

CONCLUSIONS:\ 

There are distinctive cortical electrophysiological features associated with ipsilateral movements which can be used for device control. These findings have implications for patients with hemispheric stroke because they offer a potential methodology for which a single hemisphere can be used to enhance the function of a stroke induced hemiparesis.

}, keywords = {Adolescent, Adult, Artificial Limbs, Bionics, Brain Mapping, Child, Dominance, Cerebral, Electroencephalography, Female, Hand, Humans, Male, Middle Aged, Motor Cortex, Movement, Paresis, Prosthesis Design, Psychomotor Performance, Stroke, User-Computer Interface, Volition}, issn = {1524-4628}, doi = {10.1161/STROKEAHA.108.518175}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18927456}, author = {Wisneski, Kimberly and Nicholas R Anderson and Gerwin Schalk and Smyth, Matt and Moran, D and Leuthardt, E C} } @article {2137, title = {Voluntary brain regulation and communication with electrocorticogram signals.}, journal = {Epilepsy Behav}, volume = {13}, year = {2008}, month = {08/2008}, pages = {300-6}, abstract = {

Brain-computer interfaces\ (BCIs) can be used for communication in writing without muscular activity or for learning to control seizures by voluntary regulation of\ brain\ signals such as the electroencephalogram (EEG). Three of five patients with epilepsy were able to spell their names with electrocorticogram (ECoG) signals derived from motor-related areas within only one or two training sessions. Imagery of finger or tongue movements was classified with support-vector classification of autoregressive coefficients derived from the ECoG signals. After training of the classifier, binary classification responses were used to select letters from a\ computer-generated menu. Offline analysis showed increased theta activity in the unsuccessful patients, whereas the successful patients exhibited dominant sensorimotor rhythms that they could control. The high spatial resolution and increased signal-to-noise ratio in ECoG signals, combined with short training periods, may offer an alternative for communication in complete paralysis, locked-in syndrome, and motor restoration.

}, keywords = {Adult, Biofeedback, Psychology, Cerebral Cortex, Communication Aids for Disabled, Dominance, Cerebral, Electroencephalography, Epilepsies, Partial, Female, Humans, Imagination, Male, Middle Aged, Motor Activity, Motor Cortex, Signal Processing, Computer-Assisted, Software, Somatosensory Cortex, Theta Rhythm, User-Computer Interface, Writing}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2008.03.014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18495541}, author = {Hinterberger, T. and Widman, Guido and Lal, T.N and Jeremy Jeremy Hill and Tangermann, Michael and Rosenstiel, W. and Sch{\"o}lkopf, B and Elger, Christian and Niels Birbaumer} } @article {2182, title = {Decoding two-dimensional movement trajectories using electrocorticographic signals in humans.}, journal = {J Neural Eng}, volume = {4}, year = {2007}, month = {09/2007}, pages = {264-75}, abstract = {

Signals from the brain could provide a non-muscular communication and control system, a brain-computer interface (BCI), for people who are severely paralyzed. A common BCI research strategy begins by decoding kinematic parameters from brain signals recorded during actual arm movement. It has been assumed that these parameters can be derived accurately only from signals recorded by intracortical microelectrodes, but the long-term stability of such electrodes is uncertain. The present study disproves this widespread assumption by showing in humans that kinematic parameters can also be decoded from signals recorded by subdural electrodes on the cortical surface (ECoG) with an accuracy comparable to that achieved in monkey studies using intracortical microelectrodes. A new ECoG feature labeled the local motor potential (LMP) provided the most information about movement. Furthermore, features displayed cosine tuning that has previously been described only for signals recorded within the brain. These results suggest that ECoG could be a more stable and less invasive alternative to intracortical electrodes for BCI systems, and could also prove useful in studies of motor function.

}, keywords = {Adult, Algorithms, Arm, Brain Mapping, Cerebral Cortex, Electroencephalography, Evoked Potentials, Motor, Female, Humans, Male, Movement}, issn = {1741-2560}, doi = {10.1088/1741-2560/4/3/012}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17873429}, author = {Gerwin Schalk and Kub{\'a}nek, J and Miller, John W and Nicholas R Anderson and Leuthardt, E C and Ojemann, J G and Limbrick, D and Moran, D and Lester A Gerhardt and Jonathan Wolpaw} } @article {2179, title = {Electrocorticographic Frequency Alteration Mapping: A Clinical Technique for Mapping the Motor Cortex.}, journal = {Neurosurgery}, volume = {60}, year = {2007}, month = {04/2007}, pages = {260-70; discussion 270-1}, abstract = {

OBJECTIVE:\ 

Electrocortical stimulation (ECS) has been well established for delineating the eloquent cortex. However, ECS is still coarse and inefficient in delineating regions of the functional cortex and can be hampered by after-discharges. Given these constraints, an adjunct approach to defining the motor cortex is the use of electrocorticographic signal changes associated with active regions of the cortex. The broad range of frequency oscillations are categorized into two main groups with respect to the sensorimotor cortex: low and high frequency bands. The low frequency bands tend to show a power reduction with cortical activation, whereas the high frequency bands show power increases. These power changes associated with the activated cortex could potentially provide a powerful tool in delineating areas of the motor cortex. We explore electrocorticographic signal alterations as they occur with activated regions of the motor cortex, as well as its potential in clinical brain mapping applications.

METHODS:\ 

We evaluated seven patients who underwent invasive monitoring for seizure localization. Each patient had extraoperative ECS mapping to identify the motor cortex. All patients also performed overt hand and tongue motor tasks to identify associated frequency power changes in regard to location and degree of concordance with ECS results that localized either hand or tongue motor function.

RESULTS:\ 

The low frequency bands had a high sensitivity (88.9-100\%) and a lower specificity (79.0-82.6\%) for identifying electrodes with either hand or tongue ECS motor responses. The high frequency bands had a lower sensitivity (72.7-88.9\%) and a higher specificity (92.4-94.9\%) in correlation with the same respective ECS positive electrodes.

CONCLUSION:\ 

The concordance between stimulation and spectral power changes demonstrate the possible utility of electrocorticographic frequency alteration mapping as an adjunct method to improve the efficiency and resolution of identifying the motor cortex.

}, keywords = {Adult, Biological Clocks, Brain Mapping, Electric Stimulation, Electrodes, Implanted, Electroencephalography, Female, Hand, Humans, Male, Middle Aged, Motor Cortex, Oscillometry, Signal Processing, Computer-Assisted, Tongue}, issn = {1524-4040}, doi = {10.1227/01.NEU.0000255413.70807.6E}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17415162}, author = {Leuthardt, E C and Miller, John W and Nicholas R Anderson and Gerwin Schalk and Dowling, Joshua and Miller, John W and Moran, D and Ojemann, J G} } @article {2181, title = {An MEG-based brain-computer interface (BCI).}, journal = {Neuroimage}, volume = {36}, year = {2007}, month = {07/2007}, pages = {581-93}, abstract = {

Brain-computer interfaces (BCIs) allow for communicating intentions by mere brain activity, not involving muscles. Thus, BCIs may offer patients who have lost all voluntary muscle control the only possible way to communicate. Many recent studies have demonstrated that BCIs based on\ electroencephalography(EEG) can allow healthy and severely paralyzed individuals to communicate. While this approach is safe and inexpensive, communication is slow. Magnetoencephalography (MEG) provides signals with higher spatiotemporal resolution than\ EEG\ and could thus be used to explore whether these improved signal properties translate into increased BCI communication speed. In this study, we investigated the utility of an MEG-based BCI that uses voluntary amplitude modulation of sensorimotor mu and beta rhythms. To increase the signal-to-noise ratio, we present a simple spatial filtering method that takes the geometric properties of signal propagation in MEG into account, and we present methods that can process artifacts specifically encountered in an MEG-based BCI. Exemplarily, six participants were successfully trained to communicate binary decisions by imagery of limb movements using a feedback paradigm. Participants achieved significant mu rhythm self control within 32 min of feedback training. For a subgroup of three participants, we localized the origin of the amplitude modulated signal to the motor cortex. Our results suggest that an MEG-based BCI is feasible and efficient in terms of user training.

}, keywords = {Adult, Algorithms, Artifacts, Brain, Electroencephalography, Electromagnetic Fields, Electromyography, Feedback, Female, Foot, Hand, Head Movements, Humans, Magnetic Resonance Imaging, Magnetoencephalography, Male, Movement, Principal Component Analysis, Signal Processing, Computer-Assisted, User-Computer Interface}, issn = {1053-8119}, doi = {10.1016/j.neuroimage.2007.03.019}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17475511}, author = {Mellinger, J{\"u}rgen and Gerwin Schalk and Christoph Braun and Preissl, Hubert and Rosenstiel, W. and Niels Birbaumer and K{\"u}bler, A.} } @article {2844, title = {Narrowband vs. broadband phase synchronization analysis applied to independent components of ictal and interictal EEG.}, journal = {Conf Proc IEEE Eng Med Biol Soc}, volume = {2007}, year = {2007}, month = {08/2007}, pages = {3864-7}, abstract = {This paper presents a comparison of the use of broadband and narrow band signals for phase synchronization analysis as applied to Independent Components of ictal and interictal scalp EEG in the context of seizure onset detection and prediction. Narrow band analysis for phase synchronization is found to be better performed in the present context than the broad band signal analysis. It has been observed that the phase synchronization of Independent Components in a narrow band (particularly the Gamma band) shows a prominent trend of increasing and decreasing synchronization at seizure onset near the epileptogenic area (spatially). This information is not always found to be consistent in analysis with the raw EEG signals, which may show spurious synchronization happening due to volume conduction effects. These observations lead us to believe that tracking changes in phase synchronization of narrow band activity, on continuous data records will be of great value in the context of seizure prediction.}, keywords = {Algorithms, Electroencephalography, Humans, Predictive Value of Tests, Seizures, Signal Processing, Computer-Assisted}, issn = {1557-170X}, doi = {10.1109/IEMBS.2007.4353176}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18002842}, author = {Disha Gupta and Christopher J James} } @proceedings {2245, title = {Non-invasive brain-computer interface system to operate assistive devices.}, year = {2007}, month = {04/2007}, pages = {2532-5}, abstract = {In this pilot study, a system that allows disabled persons to improve or recover their mobility and communication within the surrounding environment was implemented and validated. The system is based on a software controller that offers to the user a communication interface that is matched with the individual{\textquoteright}s residual motor abilities. Fourteen patients with severe motor disabilities due to progressive neurodegenerative disorders were trained to use the system prototype under a rehabilitation program. All users utilized regular assistive control options (e.g., microswitches or head trackers) while four patients learned to operate the system by means of a non-invasive EEG-based Brain-Computer Interface, based on the subjects{\textquoteright} voluntary modulations of EEG sensorimotor rhythms recorded on the scalp.}, keywords = {Brain, Communication Aids for Disabled, Computer Systems, Humans, Neurodegenerative Diseases, Quality of Life, Self-Help Devices, Software, User-Computer Interface}, issn = {1557-170X}, doi = {10.1109/IEMBS.2007.4352844}, author = {Cincotti, F and Aloise, Fabio and Bufalari, Simona and Gerwin Schalk and Oriolo, Giuseppe and Cherubini, Andrea and Davide, Fabrizio and Babiloni, Fabio and Marciani, Maria Grazia and Mattia, Donatella} } @article {2846, title = {Space-time ICA versus Ensemble ICA for ictal EEG analysis with component differentiation via Lempel-Ziv complexity.}, journal = {Conf Proc IEEE Eng Med Biol Soc}, volume = {08/2007}, year = {2007}, month = {2007}, pages = {5473-6}, abstract = {In this proof-of-principle study we analyzed intracranial electroencephalogram recordings in patients with intractable focal epilepsy. We contrast two implementations of Independent Component Analysis (ICA) - Ensemble (or spatial) ICA (E-ICA) and Space-Time ICA (ST-ICA) in separating out the ictal components underlying the measurements. In each case we assess the outputs of the ICA algorithms by means of a non-linear method known as the Lempel-Ziv (LZ) complexity. LZ complexity quantifies the complexity of a time series and is well suited to the analysis of non-stationary biomedical signals of short length. Our results show that for small numbers of intracranial recordings, standard E-ICA results in marginal improvements in the separation as measured by the LZ complexity changes. ST-ICA using just 2 recording channels both near and far from the epileptic focus result in more distinct ictal components--although at this stage there is a subjective element to the separation process for ST-ICA. Our results are promising showing that it is possible to extract meaningful information from just 2 recording electrodes through ST-ICA, even if they are not directly over the seizure focus. This work is being further expanded for seizure onset analysis.}, keywords = {Algorithms, Artificial Intelligence, Diagnosis, Computer-Assisted, Electroencephalography, Epilepsy, Humans, Pattern Recognition, Automated, Principal Component Analysis, Reproducibility of Results, Sensitivity and Specificity}, issn = {1557-170X}, doi = {10.1109/IEMBS.2007.4353584}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18003250}, author = {Christopher J James and Ab{\'a}solo, Daniel and Disha Gupta} } @article {2180, title = {Spectral Changes in Cortical Surface Potentials During Motor Movement.}, journal = {J Neurosci}, volume = {27}, year = {2007}, month = {02/2007}, pages = {2424-32}, abstract = {

In the first large study of its kind, we quantified changes in electrocorticographic signals associated with motor movement across 22 subjects with subdural electrode arrays placed for identification of seizure foci. Patients underwent a 5-7 d monitoring period with array placement, before seizure focus resection, and during this time they participated in the study. An interval-based motor-repetition task produced consistent and quantifiable spectral shifts that were mapped on a Talairach-standardized template cortex. Maps were created independently for a high-frequency band (HFB) (76-100 Hz) and a low-frequency band (LFB) (8-32 Hz) for several different movement modalities in each subject. The power in relevant electrodes consistently decreased in the LFB with movement, whereas the power in the HFB consistently increased. In addition, the HFB changes were more focal than the LFB changes. Sites of power changes corresponded to stereotactic locations in sensorimotor cortex and to the results of individual clinical electrical cortical mapping. Sensorimotor representation was found to be somatotopic, localized in stereotactic space to rolandic cortex, and typically followed the classic homunculus with limited extrarolandic representation.

}, keywords = {Adult, Brain Mapping, Female, Humans, Male, Middle Aged, Motor Cortex, Movement}, issn = {1529-2401}, doi = {10.1523/JNEUROSCI.3886-06.2007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17329441}, author = {Miller, John W and Leuthardt, E C and Gerwin Schalk and Rao, Rajesh P N and Nicholas R Anderson and Moran, D and Miller, John W and Ojemann, J G} } @article {2174, title = {A {\textmu}-rhythm Matched Filter for Continuous Control of a Brain-Computer Interface.}, journal = {IEEE Trans Biomed Eng}, volume = {54}, year = {2007}, month = {02/2007}, pages = {273-80}, abstract = {

A brain-computer interface (BCI) is a system that provides an alternate nonmuscular communication/control channel for individuals with severe neuromuscular disabilities. With proper training, individuals can learn to modulate the amplitude of specific electroencephalographic (EEG) components (e.g., the 8-12 Hz mu rhythm and 18-26 Hz beta rhythm) over the sensorimotor cortex and use them to control a cursor on a computer screen. Conventional spectral techniques for monitoring the\ continuousamplitude fluctuations fail to capture essential amplitude/phase relationships of the mu and beta rhythms in a compact fashion and, therefore, are suboptimal. By extracting the characteristic mu rhythm for a user, the exact morphology can be characterized and exploited as a matched filter. A simple, parameterized model for the characteristic mu rhythm is proposed and its effectiveness as a matched filter is examined online for a one-dimensional cursor control task. The results suggest that amplitude/phase coupling exists between the mu and beta bands during event-related desynchronization, and that an appropriate matched filter can provide improved performance.

}, keywords = {Algorithms, Cerebral Cortex, Cortical Synchronization, Electroencephalography, Evoked Potentials, Humans, Imagination, Pattern Recognition, Automated, User-Computer Interface}, issn = {0018-9294}, doi = {10.1109/TBME.2006.886661}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17278584}, author = {Krusienski, Dean J and Gerwin Schalk and Dennis J. McFarland and Jonathan Wolpaw} } @article {2172, title = {The BCI competition III: Validating alternative approaches to actual BCI problems.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {153-9}, abstract = {

A\ brain-computer interface\ (BCI) is a system that allows its users to control external devices with\ brainactivity. Although the proof-of-concept was given decades ago, the reliable translation of user intent into device control commands is still a major challenge. Success requires the effective interaction of two adaptive controllers: the user{\textquoteright}s\ brain, which produces\ brain\ activity that encodes intent, and the BCI system, which translates that activity into device control commands. In order to facilitate this interaction, many laboratories are exploring a variety of signal analysis techniques to improve the adaptation of the BCI system to the user. In the literature, many machine learning and pattern classification algorithms have been reported to give impressive results when applied to BCI data in offline analyses. However, it is more difficult to evaluate their relative value for actual\ online\ use. BCI data competitions have been organized to provide objective formal evaluations of alternative methods. Prompted by the great interest in the first two BCI Competitions, we organized the third BCI Competition to address several of the most difficult and important analysis problems in BCI research. The paper describes the data sets that were provided to the competitors and gives an overview of the results.

}, keywords = {Algorithms, Brain, Communication Aids for Disabled, Databases, Factual, Electroencephalography, Evoked Potentials, Humans, Neuromuscular Diseases, Software Validation, Technology Assessment, Biomedical, User-Computer Interface}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875642}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792282}, author = {Benjamin Blankertz and M{\"u}ller, Klaus-Robert and Krusienski, Dean J and Gerwin Schalk and Jonathan Wolpaw and Schl{\"o}gl, Alois and Pfurtscheller, Gert and Mill{\'a}n, Jos{\'e} del R and Schr{\"o}der, Michael and Niels Birbaumer} } @article {2176, title = {BCI meeting 2005 - Workshop on Technology: Hardware and Software.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {128-31}, abstract = {

This paper describes the outcome of discussions held during the Third International BCI Meeting at a workshop to review and evaluate the current state of BCI-related hardware and software. Technical requirements and current technologies, standardization procedures and future trends are covered. The main conclusion was recognition of the need to focus technical requirements on the users{\textquoteright} needs and the need for consistent standards in BCI research.

}, keywords = {Algorithms, Biotechnology, Brain, Communication Aids for Disabled, Computers, Electroencephalography, Equipment Design, Humans, Internationality, Man-Machine Systems, Neuromuscular Diseases, Software, User-Computer Interface}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875584}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792276}, author = {Cincotti, F and Bianchi, L and Birch, Gary and Guger, C and Mellinger, J{\"u}rgen and Scherer, Reinhold and Schmidt, Robert N and Y{\'a}{\~n}ez Su{\'a}rez, Oscar and Gerwin Schalk} } @article {2143, title = {Classifying EEG and ECoG signals without subject training for fast BCI implementation: comparison of nonparalyzed and completely paralyzed subjects.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {183-6}, abstract = {

We summarize results from a series of related studies that aim to develop a motor-imagery-basedbrain-computer interface\ using a single recording session of electroencephalogram (EEG) or electrocorticogram (ECoG) signals for each subject. We apply the same experimental and analytical methods to 11 nonparalysed subjects (eight EEG, three ECoG), and to five paralyzed subjects (four EEG, one ECoG) who had been unable to communicate for some time. While it was relatively easy to obtain classifiable signals quickly from most of the nonparalyzed subjects, it proved impossible to classify the signals obtained from the paralyzed patients by the same methods. This highlights the fact that though certain BCI paradigms may work well with healthy subjects, this does not necessarily indicate success with the target user group. We outline possible reasons for this failure to transfer.

}, keywords = {Algorithms, Artificial Intelligence, Cluster Analysis, Computer User Training, Electroencephalography, Evoked Potentials, Female, Humans, Imagination, Male, Middle Aged, Paralysis, Pattern Recognition, Automated, User-Computer Interface}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875548}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792289}, author = {Jeremy Jeremy Hill and Lal, T.N and Schr{\"o}der, Michael and Hinterberger, T. and Wilhelm, Barbara and Nijboer, F and Mochty, Ursula and Widman, Guido and Elger, Christian and Sch{\"o}lkopf, B and K{\"u}bler, A. and Niels Birbaumer} } @article {2175, title = {ECoG factors underlying multimodal control of a brain-computer interface.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {246-50}, abstract = {

Most current brain-computer interface (BCI) systems for humans use electroencephalographic activity recorded from the scalp, and may be limited in many ways. Electrocorticography (ECoG) is believed to be a minimally-invasive alternative to electroencephalogram (EEG) for BCI systems, yielding superior signal characteristics that could allow rapid user training and faster communication rates. In addition, our preliminary results suggest that brain regions other than the sensorimotor cortex, such as auditory cortex, may be trained to control a BCI system using similar methods as those used to train motor regions of the brain. This could prove to be vital for users who have neurological disease, head trauma, or other conditions precluding the use of sensorimotor cortex for BCI control.

}, keywords = {Adult, Brain Mapping, Cerebral Cortex, Communication Aids for Disabled, Computer Peripherals, Evoked Potentials, Female, Humans, Imagination, Male, Man-Machine Systems, Neuromuscular Diseases, Systems Integration, User-Computer Interface, Volition}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875570}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792305}, author = {Adam J Wilson and Felton, Elizabeth A and Garell, P Charles and Gerwin Schalk and Williams, Justin C} } @article {2173, title = {Electrocorticography-based brain computer interface--the Seattle experience.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {194-8}, abstract = {

Electrocorticography (ECoG) has been demonstrated to be an effective modality as a platform for brain-computer interfaces (BCIs). Through our experience with ten subjects, we further demonstrate evidence to support the power and flexibility of this signal for BCI usage. In a subset of four patients, closed-loop BCI experiments were attempted with the patient receiving online feedback that consisted of one-dimensional cursor movement controlled by ECoG features that had shown correlation with various real and imagined motor and speech tasks. All four achieved control, with final target accuracies between 73\%-100\%. We assess the methods for achieving control and the manner in which enhancing online control can be accomplished by rescreening during online tasks. Additionally, we assess the relevant issues of the current experimental paradigm in light of their clinical constraints.

}, keywords = {Cerebral Cortex, Electroencephalography, Epilepsy, Evoked Potentials, Humans, Therapy, Computer-Assisted, User-Computer Interface, Washington}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875536}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792292}, author = {Leuthardt, E C and Miller, John W and Gerwin Schalk and Rao, Rajesh P N and Ojemann, J G} } @article {2178, title = {The emerging world of motor neuroprosthetics: a neurosurgical perspective.}, journal = {Neurosurgery}, volume = {59}, year = {2006}, month = {07/2006}, pages = {1-14; discussion 1-14}, abstract = {

A MOTOR NEUROPROSTHETIC device, or\ brain computer interface, is a machine that can take some type of signal from the\ brain\ and convert that information into overt device control such that it reflects the intentions of the user{\textquoteright}s\ brain. In essence, these constructs can decode the electrophysiological signals representing motor intent. With the parallel evolution of neuroscience, engineering, and rapid computing, the era of clinical neuroprosthetics is approaching as a practical reality for people with severe motor impairment. Patients with such diseases as spinal cord injury, stroke, limb loss, and neuromuscular disorders may benefit through the implantation of these\ brain computer interfaces\ that serve to augment their ability to communicate and interact with their environment. In the upcoming years, it will be important for the neurosurgeon to understand what a\ brain computer interface\ is, its fundamental principle of operation, and what the salient surgical issues are when considering implantation. We review the current state of the field of motor neuroprosthetics research, the early clinical applications, and the essential considerations from a neurosurgical perspective for the future.

}, keywords = {Brain, Humans, Man-Machine Systems, Movement, Neurosurgery, Prostheses and Implants, User-Computer Interface}, issn = {1524-4040}, doi = {10.1227/01.NEU.0000221506.06947.AC}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16823294}, author = {Leuthardt, E C and Gerwin Schalk and Moran, D and Ojemann, J G} } @article {2153, title = {Multi-channel linear descriptors for event-related EEG collected in brain computer interface.}, journal = {J Neural Eng}, volume = {3}, year = {2006}, month = {03/2006}, pages = {52-8}, abstract = {

By three multi-channel linear descriptors, i.e. spatial\ complexity\ (omega), field power (sigma) and frequency of field changes (phi),\ event-relatedEEGdata\ within 8-30 Hz were investigated during imagination of left or right hand movement. Studies on the\ event-relatedEEGdata\ indicate that a two-channel version of omega, sigma and phi could reflect the antagonistic ERD/ERS patterns over contralateral and ipsilateral areas and also characterize different phases of the changing brain states in the\ event-related\ paradigm. Based on the selective two-channel linear descriptors, the left and right hand motor imagery tasks are classified to obtain satisfactory results, which testify the validity of the three linear descriptors omega, sigma and phi for characterizing\ event-relatedEEG. The preliminary results show that omega, sigma together with phi have good separability for left and right hand motor imagery tasks, which could be considered for classification of two classes of\ EEG\ patterns in the application of brain computer interfaces.

}, keywords = {Algorithms, Electroencephalography, Evoked Potentials, Motor, Humans, Imagination, Motor Cortex, Movement, Pattern Recognition, Automated, Reproducibility of Results, Sensitivity and Specificity, User-Computer Interface}, issn = {1741-2560}, doi = {10.1088/1741-2560/3/1/006}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16510942}, author = {Pei, Xiao-Mei and Zheng, Shi Dong and Xu, Jin and Bin, Guang-yu and Zuoguan Wang} } @article {2155, title = {Progress of brain-neural function informatics.}, journal = {Zhongguo Yi Liao Qi Xie Za Zhi}, volume = {30}, year = {2006}, month = {11/2006}, pages = {399-406, 462}, abstract = {

Firstly the fundamental concept and research hotspots of\ Brain-Neural Function Informatics (BNFI) are described. Then the main study fields and progresses of BNFI are expounded. Finally the prospects of BNFI research are given. Studies on BNFI not only promote the "Brain\ Science" progress, but also boost the industry of a new kind of medical instruments - function rehabilitation equipment and artificial functional prostheses.

}, keywords = {Animals, Biomedical Engineering, Brain, Brain Diseases, Computing Methodologies, Humans, Informatics, Nervous System Physiological Phenomena}, issn = {1671-7104}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17300003}, author = {Zheng, Shi Dong and Pei, Xiao-Mei and Xu, Jin} } @article {2177, title = {The Wadsworth BCI Research and Development Program: At Home with BCI.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {14}, year = {2006}, month = {06/2006}, pages = {229-33}, abstract = {

The ultimate goal of brain-computer interface (BCI) technology is to provide communication and control capacities to people with severe motor disabilities. BCI research at the Wadsworth Center focuses primarily on noninvasive,\ electroencephalography\ (EEG)-based BCI methods. We have shown that people, including those with severe motor disabilities, can learn to use sensorimotor rhythms (SMRs) to move a cursor rapidly and accurately in one or two dimensions. We have also improved P300-based BCI operation. We are now translating this laboratory-proven BCI technology into a system that can be used by severely disabled people in their homes with minimal ongoing technical oversight. To accomplish this, we have: improved our general-purpose BCI software (BCI2000); improved online adaptation and feature translation for SMR-based BCI operation; improved the accuracy and bandwidth of P300-based BCI operation; reduced the\ complexity\ of system hardware and software and begun to evaluate home system use in appropriate users. These developments have resulted in prototype systems for every day use in people{\textquoteright}s homes.

}, keywords = {Animals, Brain, Electroencephalography, Evoked Potentials, Humans, Neuromuscular Diseases, New York, Research, Switzerland, Therapy, Computer-Assisted, Universities, User-Computer Interface}, issn = {1534-4320}, doi = {10.1109/TNSRE.2006.875577}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16792301}, author = {Theresa M Vaughan and Dennis J. McFarland and Gerwin Schalk and Sarnacki, William A and Krusienski, Dean J and Sellers, Eric W and Jonathan Wolpaw} } @article {2156, title = {Discussion on "Towards a quantitative characterization of functional states of the brain: from the non-linear methodology to the global linear description" by J. Wackermann.}, journal = {Int J Psychophysiol}, volume = {56}, year = {2005}, month = {06/2005}, pages = {201-7}, abstract = {

Wackermann (1999) [Wackermann, J., 1999. Towards a quantitative characterization of functional states of the\ brain: from the non-linear methodology to the global linear description. Int. J. Psychophysiol. 34, 65-80] proposed Sigma-phi-Omega system for describing the global\ brain\ macro-state, in which Omega complexity was used to quantify the degree of synchrony between spatially distributed EEG processes. In this paper the effect of signal power on Omega complexity is discussed, which was not considered in Wackermann{\textquoteright}s paper (1999). Then an improved method for eliminating the effect of signal power on Omega complexity is proposed. Finally a case study on the degree of synchrony between two-channel EEG signals over different\ brain\ regions during hand motor imagery is given. The results show that the improved Omega complexity measure would characterize the true degree of synchrony among the EEG signals by eliminating the influence of signal power.

}, keywords = {Algorithms, Brain, Diagnostic Imaging, Functional Laterality, Humans, Linear Models, Models, Neurological, Nonlinear Dynamics}, issn = {0167-8760}, doi = {10.1016/j.ijpsycho.2004.12.007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15866324}, author = {Pei, Xiao-Mei and Zheng, Shi Dong and Zhang, Ai-hua and Duan, Fu-jian and Bin, Guang-yu} } @article {2169, title = {Patients with ALS can use sensorimotor rhythms to operate a brain-computer interface.}, journal = {Neurology}, volume = {64}, year = {2005}, month = {05/2005}, pages = {1775-7}, abstract = {

People with severe motor disabilities can maintain an acceptable quality of life if they can communicate.\ Brain-computer interfaces\ (BCIs), which do not depend on muscle control, can provide communication. Four people severely disabled by ALS learned to operate a BCI with EEG rhythms recorded over sensorimotor cortex. These results suggest that a sensorimotor rhythm-based\ BCI could help maintain quality of life for people with ALS.

}, keywords = {Aged, Amyotrophic Lateral Sclerosis, Electroencephalography, Evoked Potentials, Motor, Evoked Potentials, Somatosensory, Female, Humans, Imagination, Male, Middle Aged, Motor Cortex, Movement, Paralysis, Photic Stimulation, Prostheses and Implants, Somatosensory Cortex, Treatment Outcome, User-Computer Interface}, issn = {1526-632X}, doi = {10.1212/01.WNL.0000158616.43002.6D}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15911809}, author = {K{\"u}bler, A. and Nijboer, F and Mellinger, J{\"u}rgen and Theresa M Vaughan and Pawelzik, H and Gerwin Schalk and Dennis J. McFarland and Niels Birbaumer and Jonathan Wolpaw} } @article {2167, title = {The BCI Competition 2003: Progress and perspectives in detection and discrimination of EEG single trials.}, journal = {IEEE Trans Biomed Eng}, volume = {51}, year = {2004}, month = {06/2004}, pages = {1044-51}, abstract = {Interest in developing a new method of man-to-machine communication--a brain-computer interface (BCI)--has grown steadily over the past few decades. BCIs create a new communication channel between the brain and an output device by bypassing conventional motor output pathways of nerves and muscles. These systems use signals recorded from the scalp, the surface of the cortex, or from inside the brain to enable users to control a variety of applications including simple word-processing software and orthotics. BCI technology could therefore provide a new communication and control option for individuals who cannot otherwise express their wishes to the outside world. Signal processing and classification methods are essential tools in the development of improved BCI technology. We organized the BCI Competition 2003 to evaluate the current state of the art of these tools. Four laboratories well versed in EEG-based BCI research provided six data sets in a documented format. We made these data sets (i.e., labeled training sets and unlabeled test sets) and their descriptions available on the Internet. The goal in the competition was to maximize the performance measure for the test labels. Researchers worldwide tested their algorithms and competed for the best classification results. This paper describes the six data sets and the results and function of the most successful algorithms.}, keywords = {Adult, Algorithms, Amyotrophic Lateral Sclerosis, Artificial Intelligence, Brain, Cognition, Databases, Factual, Electroencephalography, Evoked Potentials, Humans, Reproducibility of Results, Sensitivity and Specificity, User-Computer Interface}, issn = {0018-9294}, doi = {10.1109/TBME.2004.826692}, author = {Benjamin Blankertz and M{\"u}ller, Klaus-Robert and Curio, Gabriel and Theresa M Vaughan and Gerwin Schalk and Jonathan Wolpaw and Schl{\"o}gl, Alois and Neuper, Christa and Pfurtscheller, Gert and Hinterberger, T. and Schr{\"o}der, Michael and Niels Birbaumer} } @article {2166, title = {BCI2000: a general-purpose brain-computer interface (BCI) system.}, journal = {IEEE Trans Biomed Eng}, volume = {51}, year = {2004}, month = {06/2004}, pages = {1034-43}, abstract = {Many laboratories have begun to develop brain-computer interface (BCI) systems that provide communication and control capabilities to people with severe motor disabilities. Further progress and realization of practical applications depends on systematic evaluations and comparisons of different brain signals, recording methods, processing algorithms, output formats, and operating protocols. However, the typical BCI system is designed specifically for one particular BCI method and is, therefore, not suited to the systematic studies that are essential for continued progress. In response to this problem, we have developed a documented general-purpose BCI research and development platform called BCI2000. BCI2000 can incorporate alone or in combination any brain signals, signal processing methods, output devices, and operating protocols. This report is intended to describe to investigators, biomedical engineers, and computer scientists the concepts that the BC12000 system is based upon and gives examples of successful BCI implementations using this system. To date, we have used BCI2000 to create BCI systems for a variety of brain signals, processing methods, and applications. The data show that these systems function well in online operation and that BCI2000 satisfies the stringent real-time requirements of BCI systems. By substantially reducing labor and cost, BCI2000 facilitates the implementation of different BCI systems and other psychophysiological experiments. It is available with full documentation and free of charge for research or educational purposes and is currently being used in a variety of studies by many research groups.}, keywords = {Algorithms, Brain, Cognition, Communication Aids for Disabled, Computer Peripherals, Electroencephalography, Equipment Design, Equipment Failure Analysis, Evoked Potentials, Humans, Systems Integration, User-Computer Interface}, issn = {0018-9294}, doi = {10.1109/TBME.2004.827072}, author = {Gerwin Schalk and Dennis J. McFarland and Hinterberger, T. and Niels Birbaumer and Jonathan Wolpaw} } @article {2168, title = {A brain-computer interface using electrocorticographic signals in humans.}, journal = {J Neural Eng}, volume = {1}, year = {2004}, month = {06/2004}, pages = {63-71}, abstract = {

Brain-computer interfaces\ (BCIs) enable users to control devices with electroencephalographic (EEG) activity from the scalp or with single-neuron activity from within the\ brain. Both methods have disadvantages: EEG has limited resolution and requires extensive training, while single-neuron recording entails significant clinical risks and has limited stability. We demonstrate here for the first time that electrocorticographic (ECoG) activity recorded from the surface of the\ brain\ can enable users to control a one-dimensional\ computer\ cursor rapidly and accurately. We first identified ECoG signals that were associated with different types of motor and speech imagery. Over brief training periods of 3-24 min, four patients then used these signals to master closed-loop control and to achieve success rates of 74-100\% in a one-dimensional binary task. In additional open-loop experiments, we found that ECoG signals at frequencies up to 180 Hz encoded substantial information about the direction of two-dimensional joystick movements. Our results suggest that an ECoG-based BCI could provide for people with severe motor disabilities a non-muscular communication and control option that is more powerful than EEG-based BCIs and is potentially more stable and less traumatic than BCIs that use electrodes penetrating the\ brain.

}, keywords = {Adult, Brain, Communication Aids for Disabled, Computer Peripherals, Diagnosis, Computer-Assisted, Electrodes, Implanted, Electroencephalography, Evoked Potentials, Female, Humans, Imagination, Male, Movement Disorders, User-Computer Interface}, issn = {1741-2560}, doi = {10.1088/1741-2560/1/2/001}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15876624}, author = {Leuthardt, E C and Gerwin Schalk and Jonathan Wolpaw and Ojemann, J G and Moran, D} } @article {3143, title = {Potential problems in the differential diagnosis of (central) auditory processing disorder (CAPD or APD) and attention-deficit hyperactivity disorder (ADHD).}, journal = {Journal of the American Academy of Audiology}, volume = {14}, year = {2003}, month = {07/2003}, pages = {278{\textendash}80; author reply 280}, keywords = {Humans}, issn = {1050-0545}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12956312}, author = {Dennis J. McFarland and Anthony T. Cacace} } @article {2165, title = {The Wadsworth Center brain-computer interface (BCI) research and development program.}, journal = {IEEE Trans Neural Syst Rehabil Eng}, volume = {11}, year = {2003}, month = {06/2003}, pages = {204-7}, abstract = {

Brain-computer interface (BCI) research at the Wadsworth Center has focused primarily on using electroencephalogram (EEG) rhythms recorded from the scalp over sensorimotor cortex to\ control\ cursor movement in one or two dimensions. Recent and current studies seek to improve the speed and accuracy of this\ control\ by improving the selection of signal features and their translation into device commands, by incorporating additional signal features, and by optimizing the adaptive interaction between the user and system. In addition, to facilitate the evaluation, comparison, and combination of alternative BCI methods, we have developed a general-purpose BCI system called BCI-2000 and have made it available to other research\ groups. Finally, in collaboration with several other\ groups, we are developing simple BCI applications and are testing their practicality and long-term value for people with severe motor disabilities.

}, keywords = {Academic Medical Centers, Adult, Algorithms, Artifacts, Brain, Brain Mapping, Electroencephalography, Evoked Potentials, Visual, Feedback, Humans, Middle Aged, Nervous System Diseases, Research, Research Design, User-Computer Interface, Visual Perception}, issn = {1534-4320}, doi = {10.1109/TNSRE.2003.814442}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12899275}, author = {Jonathan Wolpaw and Dennis J. McFarland and Theresa M Vaughan and Gerwin Schalk} } @article {2268, title = {Brain-computer interfaces for communication and control.}, journal = {Clin Neurophysiol}, volume = {113}, year = {2002}, month = {06/2002}, pages = {767-91}, abstract = {

For many years people have speculated that electroencephalographic activity or other electrophysiological measures of brain function might provide a new non-muscular channel for sending messages and commands to the external world - a brain-computer interface (BCI). Over the past 15 years, productive BCI research programs have arisen. Encouraged by new understanding of brain function, by the advent of powerful low-cost computer equipment, and by growing recognition of the needs and potentials of people with disabilities, these programs concentrate on developing new augmentative communication and\ controltechnology for those with severe neuromuscular disorders, such as amyotrophic lateral sclerosis, brainstem stroke, and spinal cord injury. The immediate goal is to provide these users, who may be completely paralyzed, or {\textquoteright}locked in{\textquoteright}, with basic communication capabilities so that they can express their wishes to caregivers or even operate word processing programs or neuroprostheses. Present-day BCIs determine the intent of the user from a variety of different electrophysiological signals. These signals include slow cortical potentials, P300 potentials, and mu or beta rhythms recorded from the scalp, and cortical neuronal activity recorded by implanted electrodes. They are translated in real-time into commands that operate a computer display or other device. Successful operation requires that the user encode commands in these signals and that the BCI derive the commands from the signals. Thus, the user and the BCI system need to adapt to each other both initially and continually so as to ensure stable performance. Current BCIs have maximum information transfer rates up to 10-25bits/min. This limited capacity can be valuable for people whose severe disabilities prevent them from using conventional augmentative communication methods. At the same time, many possible applications of BCI technology, such as neuroprosthesis\ control, may require higher information transfer rates. Future progress will depend on: recognition that BCI research and development is an interdisciplinary problem, involving neurobiology, psychology, engineering, mathematics, and computer science; identification of those signals, whether evoked potentials, spontaneous rhythms, or neuronal firing rates, that users are best able to\ control\ independent of activity in conventional motor output pathways; development of training methods for helping users to gain and maintain that\ control; delineation of the best algorithms for translating these signals into device commands; attention to the identification and elimination of artifacts such as electromyographic and electro-oculographic activity; adoption of precise and objective procedures for evaluating BCI performance; recognition of the need for long-term as well as short-term assessment of BCI performance; identification of appropriate BCI applications and appropriate matching of applications and users; and attention to factors that affect user acceptance of augmentative technology, including ease of use, cosmesis, and provision of those communication and\ control\ capacities that are most important to the user. Development of BCI technology will also benefit from greater emphasis on peer-reviewed research publications and avoidance of the hyperbolic and often misleading media attention that tends to generate unrealistic expectations in the public and skepticism in other researchers. With adequate recognition and effective engagement of all these issues, BCI systems could eventually provide an important new communication and\ control\ option for those with motor disabilities and might also give those without disabilities a supplementary\ control\ channel or a\ control\ channel useful in special circumstances.

}, keywords = {Brain Diseases, Communication Aids for Disabled, Computer Systems, Electroencephalography, Humans, User-Computer Interface}, issn = {1388-2457}, doi = {10.1016/S1388-2457(02)00057-3}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12048038}, author = {Jonathan Wolpaw and Niels Birbaumer and Dennis J. McFarland and Pfurtscheller, Gert and Theresa M Vaughan} } @article {2163, title = {Brain-computer interface technology: a review of the first international meeting.}, journal = {IEEE Trans Rehabil Eng}, volume = {8}, year = {2000}, month = {06/2000}, pages = {164-73}, abstract = {

Over the past decade, many laboratories have begun to explore brain-computer interface (BCI) technology as a radically new communication option for those with neuromuscular impairments that prevent them from using conventional augmentative communication methods. BCI{\textquoteright}s provide these users with communication channels that do not depend on peripheral nerves and muscles. This article summarizes the first international meeting devoted to BCI research and development. Current BCI{\textquoteright}s use electroencephalographic (EEG) activity recorded at the scalp or single-unit activity recorded from within cortex to control cursor movement, select letters or icons, or operate a neuroprosthesis. The central element in each BCI is a translation algorithm that converts electrophysiological input from the user into output that controls external devices. BCI operation depends on effective interaction between two adaptive controllers, the user who encodes his or her commands in the electrophysiological input provided to the BCI, and the BCI which recognizes the commands contained in the input and expresses them in device control. Current BCI{\textquoteright}s have maximum information transfer rates of 5-25 b/min. Achievement of greater speed and accuracy depends on improvements in signal processing, translation algorithms, and user training. These improvements depend on increased interdisciplinary cooperation between neuroscientists, engineers, computer programmers, psychologists, and rehabilitation specialists, and on adoption and widespread application of objective methods for evaluating alternative methods. The practical use of BCI technology depends on the development of appropriate applications, identification of appropriate user groups, and careful attention to the needs and desires of individual users. BCI research and development will also benefit from greater emphasis on peer-reviewed publications, and from adoption of standard venues for presentations and discussion.

}, keywords = {Algorithms, Cerebral Cortex, Communication Aids for Disabled, Disabled Persons, Electroencephalography, Evoked Potentials, Humans, Neuromuscular Diseases, Signal Processing, Computer-Assisted, User-Computer Interface}, issn = {1063-6528}, doi = {10.1109/TRE.2000.847807}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10896178}, author = {Jonathan Wolpaw and Niels Birbaumer and Heetderks, W J and Dennis J. McFarland and Peckham, P H and Gerwin Schalk and Emanuel Donchin and Quatrano, L A and Robinson, C J and Theresa M Vaughan} } @article {3260, title = {The influence of stimulus intensity, contralateral masking and handedness on the temporal N1 and the T complex components of the auditory N1 wave, by John F. Connolly.}, journal = {Electroencephalography and clinical neurophysiology}, volume = {91}, year = {1994}, month = {07/1994}, pages = {71{\textendash}76}, keywords = {Humans}, issn = {0013-4694}, doi = {http://dx.doi.org/10.1016/0013-4694(94)90020-5}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7517847}, author = {Jonathan Wolpaw and Anthony T. Cacace} } @article {2125, title = {Wave-front curvature as a cause of slow conduction and block in isolated cardiac muscle.}, journal = {Circ Res}, volume = {75}, year = {1994}, month = {12/1994}, pages = {1014-28}, abstract = {

We have investigated the role of wave-front curvature on propagation by following the wave front that was diffracted through a narrow isthmus created in a two-dimensional ionic model (Luo-Rudy) of ventricular muscle and in a thin (0.5-mm) sheet of sheep ventricular epicardial muscle. The electrical activity in the experimental preparations was imaged by using a high-resolution video camera that monitored the changes in fluorescence of the potentiometric dye di-4-ANEPPS on the surface of the tissue. Isthmuses were created both parallel and perpendicular to the fiber orientation. In both numerical and biological experiments, when a planar wave front reached the isthmus, it was diffracted to an elliptical wave front whose pronounced curvature was very similar to that of a wave front initiated by point stimulation. In addition, the velocity of propagation was reduced in relation to that of the original planar wave. Furthermore, as shown by the numerical results, wave-front curvature changed as a function of the distance from the isthmus. Such changes in local curvature were accompanied by corresponding changes in velocity of propagation. In the model, the critical isthmus width was 200 microns for longitudinal propagation and 600 microns for transverse propagation of a single planar wave initiated proximal to the isthmus. In the experiments, propagation depended on the width of the isthmus for a fixed stimulation frequency. Propagation through an isthmus of fixed width was rate dependent both along and across fibers. Thus, the critical isthmus width for propagation was estimated in both directions for different frequencies of stimulation. In the longitudinal direction, for cycle lengths between 200 and 500 milliseconds, the critical width was \< 1 mm; for 150 milliseconds, it was estimated to be between 1.3 and 2 mm; and for the maximum frequency of stimulation (117 +/- 15 milliseconds), it was \> 2.5 mm. In the transverse direction, critical width was between 1.78 and 2.32 mm for a basic cycle length of 200 milliseconds. It increased to values between 2.46 and 3.53 mm for a basic cycle length of 150 milliseconds. The overall results demonstrate that the curvature of the wave front plays an important role in propagation in two-dimensional cardiac muscle and that changes in curvature may cause slow conduction or block.

}, keywords = {Animals, Computer Simulation, Electric Conductivity, Heart, Heart Block, Heart Conduction System, Humans, Models, Cardiovascular, Motion Pictures as Topic, Sheep, Staining and Labeling}, issn = {0009-7330}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7525101}, author = {Cabo, C and Pertsov, A V and Baxter, Bill and Davidenko, J M and Gray, R A and Jalife, J} } @article {3293, title = {Late auditory evoked potentials can occur without brain stem potentials.}, journal = {Electroencephalography and clinical neurophysiology}, volume = {56}, year = {1983}, month = {10/1983}, pages = {304{\textendash}308}, abstract = {The sequence of early, middle and late auditory evoked potentials is well known. However, it is unknown whether the late (60-250 msec) potentials can occur independently of the early, brain stem potentials. Therefore, in 6 subjects with markedly abnormal or absent brain stem potentials, we recorded two of the late potentials: the vertex potential and the T-complex. The latter is a putative product of auditory cortex. Both of these potentials were clearly evident in all patients in spite of the absence of or marked abnormalities in brain stem potentials.}, keywords = {Humans}, issn = {0013-4694}, doi = {10.1016/0013-4694(83)90255-9}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6193943}, author = {Satya-Murti, S. and Jonathan Wolpaw and Anthony T. Cacace and Schaffer, C. A.} }