02146nas a2200397 4500008004100000022001400041245009000055210006900145260001200214300001100226490000600237520112800243653001501371653001001386653001701396653001001413653002101423653001301444653001101457653001201468653001101480653000901491653002001500653001601520653001901536653000901555653001001564653001701574653001601591100001601607700002001623700001701643700002101660700001901681856004801700 2009 eng d a1741-255200aDecoding flexion of individual fingers using electrocorticographic signals in humans.0 aDecoding flexion of individual fingers using electrocorticograph c12/2009 a0660010 v63 a

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.

10aAdolescent10aAdult10aBiomechanics10aBrain10aElectrodiagnosis10aEpilepsy10aFemale10aFingers10aHumans10aMale10aMicroelectrodes10aMiddle Aged10aMotor Activity10aRest10aThumb10aTime Factors10aYoung Adult1 aKubánek, J1 aMiller, John, W1 aOjemann, J G1 aWolpaw, Jonathan1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/1979423703287nas a2200265 4500008004100000022001400041245007900055210006900134260001200203300002600215490000700241520252600248653001002774653001102784653002402795653001302819653001702832653002802849653002802877100001902905700001902924700001302943700001702956856004802973 2006 eng d a1524-404000aThe emerging world of motor neuroprosthetics: a neurosurgical perspective.0 aemerging world of motor neuroprosthetics a neurosurgical perspec c07/2006 a1-14; discussion 1-140 v593 a

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'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.

10aBrain10aHumans10aMan-Machine Systems10aMovement10aNeurosurgery10aProstheses and Implants10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aMoran, D1 aOjemann, J G uhttp://www.ncbi.nlm.nih.gov/pubmed/1682329403554nas a2200361 4500008004100000022001400041245007800055210006900133260001200202300001000214490000600224520253800230653001002768653001002778653003602788653002502824653003302849653002602882653002702908653002202935653001102957653001102968653001602979653000902995653002303004653002803027100001903055700001903074700002103093700001703114700001303131856004803144 2004 eng d a1741-256000aA brain-computer interface using electrocorticographic signals in humans.0 abraincomputer interface using electrocorticographic signals in h c06/2004 a63-710 v13 a

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.

10aAdult10aBrain10aCommunication Aids for Disabled10aComputer Peripherals10aDiagnosis, Computer-Assisted10aElectrodes, Implanted10aElectroencephalography10aEvoked Potentials10aFemale10aHumans10aImagination10aMale10aMovement Disorders10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aWolpaw, Jonathan1 aOjemann, J G1 aMoran, D uhttp://www.ncbi.nlm.nih.gov/pubmed/15876624