02106nas a2200421 4500008004100000022001400041245009000055210006900145260001200214300001100226490000700237520091200244653001001156653001801166653001601184653003301200653002701233653001301260653001101273653001801284653002801302100001801330700002401348700001901372700002701391700002001418700002201438700002001460700002301480700001601503700002001519700001301539700001901552700002201571700002401593700001901617856004801636 2011 eng d a1525-506900aProceedings of the Second International Workshop on Advances in Electrocorticography.0 aProceedings of the Second International Workshop on Advances in  c12/2011 a641-500 v223 a

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.

10aBrain10aBrain Mapping10aBrain Waves10aDiagnosis, Computer-Assisted10aElectroencephalography10aEpilepsy10aHumans10aUnited States10aUser-Computer Interface1 aRitaccio, A L1 aBoatman-Reich, Dana1 aBrunner, Peter1 aCervenka, Mackenzie, C1 aCole, Andrew, J1 aCrone, Nathan, E.1 aDuckrow, Robert1 aKorzeniewska, Anna1 aLitt, Brian1 aMiller, John, W1 aMoran, D1 aParvizi, Josef1 aViventi, Jonathan1 aWilliams, Justin, C1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2203628702156nas a2200337 4500008004100000022001400041245008300055210006900138260001200207300000700219490000700226520120000233653001001433653002001443653001101463653002401474653001701498653001301515653002301528653002401551653002801575653001301603653004101616653002801657100001901685700001901704700001801723700001601741700001301757856004801770 2009 eng d a1092-068400aEvolution of brain-computer interfaces: going beyond classic motor physiology.0 aEvolution of braincomputer interfaces going beyond classic motor c07/2009 aE40 v273 a

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.

10aBrain10aCerebral Cortex10aHumans10aMan-Machine Systems10aMotor Cortex10aMovement10aMovement Disorders10aNeuronal Plasticity10aProstheses and Implants10aResearch10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aLeuthardt, E C1 aSchalk, Gerwin1 aRoland, Jarod1 aRouse, Adam1 aMoran, D uhttp://www.ncbi.nlm.nih.gov/pubmed/1956989202662nas a2200409 4500008004100000022001400041245008400055210006900139260001200208300001000220490000600230520153900236653001501775653001001790653001801800653003701818653002001855653002401875653002601899653002701925653001301952653001101965653001101976653000901987653001301996653002802009100001902037700001602056700002602072700002002098700001602118700001702134700001302151700002102164700001902185856004802204 2008 eng d a1741-256000aTwo-dimensional movement control using electrocorticographic signals in humans.0 aTwodimensional movement control using electrocorticographic sign c03/2008 a75-840 v53 a

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.

10aAdolescent10aAdult10aBrain Mapping10aData Interpretation, Statistical10aDrug Resistance10aElectrocardiography10aElectrodes, Implanted10aElectroencephalography10aEpilepsy10aFemale10aHumans10aMale10aMovement10aUser-Computer Interface1 aSchalk, Gerwin1 aMiller, K J1 aAnderson, Nicholas, R1 aWilson, Adam, J1 aSmyth, Matt1 aOjemann, J G1 aMoran, D1 aWolpaw, Jonathan1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/1831081304121nas a2200457 4500008004100000022001400041245010800055210006900163260001200232300001100244490000700255520290000262653001503162653001003177653002103187653001203208653001803220653001003238653002403248653002703272653001103299653000903310653001103319653000903330653001603339653001703355653001303372653001203385653002203397653002803419653001103447653002803458653001303486100002303499700002603522700001903548700001603567700001303583700001903596856004803615 2008 eng d a1524-462800aUnique cortical physiology associated with ipsilateral hand movements and neuroprosthetic implications.0 aUnique cortical physiology associated with ipsilateral hand move c12/2008 a3351-90 v393 a

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.

10aAdolescent10aAdult10aArtificial Limbs10aBionics10aBrain Mapping10aChild10aDominance, Cerebral10aElectroencephalography10aFemale10aHand10aHumans10aMale10aMiddle Aged10aMotor Cortex10aMovement10aParesis10aProsthesis Design10aPsychomotor Performance10aStroke10aUser-Computer Interface10aVolition1 aWisneski, Kimberly1 aAnderson, Nicholas, R1 aSchalk, Gerwin1 aSmyth, Matt1 aMoran, D1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/1892745602357nas a2200385 4500008004100000022001400041245009800055210006900153260001200222300001100234490000600245520131000251653001001561653001501571653000801586653001801594653002001612653002701632653002901659653001101688653001101699653000901710653001301719100001901732700001601751700002001767700002601787700001901813700001701832700001601849700001301865700002401878700002101902856004801923 2007 eng d a1741-256000aDecoding two-dimensional movement trajectories using electrocorticographic signals in humans.0 aDecoding twodimensional movement trajectories using electrocorti c09/2007 a264-750 v43 a

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.

10aAdult10aAlgorithms10aArm10aBrain Mapping10aCerebral Cortex10aElectroencephalography10aEvoked Potentials, Motor10aFemale10aHumans10aMale10aMovement1 aSchalk, Gerwin1 aKubánek, J1 aMiller, John, W1 aAnderson, Nicholas, R1 aLeuthardt, E C1 aOjemann, J G1 aLimbrick, D1 aMoran, D1 aGerhardt, Lester, A1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/1787342904391nas a2200409 4500008004100000022001400041245010700055210006900162260001200231300002900243490000700272520323000279653001003509653002203519653001803541653002503559653002603584653002703610653001103637653000903648653001103657653000903668653001603677653001703693653001703710653004103727653001103768100001903779700002003798700002603818700001903844700002003863700002003883700001303903700001703916856004803933 2007 eng d a1524-404000aElectrocorticographic Frequency Alteration Mapping: A Clinical Technique for Mapping the Motor Cortex.0 aElectrocorticographic Frequency Alteration Mapping A Clinical Te c04/2007 a260-70; discussion 270-10 v603 a

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.

10aAdult10aBiological Clocks10aBrain Mapping10aElectric Stimulation10aElectrodes, Implanted10aElectroencephalography10aFemale10aHand10aHumans10aMale10aMiddle Aged10aMotor Cortex10aOscillometry10aSignal Processing, Computer-Assisted10aTongue1 aLeuthardt, E C1 aMiller, John, W1 aAnderson, Nicholas, R1 aSchalk, Gerwin1 aDowling, Joshua1 aMiller, John, W1 aMoran, D1 aOjemann, J G uhttp://www.ncbi.nlm.nih.gov/pubmed/1741516202238nas a2200325 4500008004100000022001400041245007500055210006900130260001200199300001200211490000700223520137400230653001001604653001801614653001101632653001101643653000901654653001601663653001701679653001301696100002001709700001901729700001901748700002101767700002601788700001301814700002001827700001701847856004801864 2007 eng d a1529-240100aSpectral Changes in Cortical Surface Potentials During Motor Movement.0 aSpectral Changes in Cortical Surface Potentials During Motor Mov c02/2007 a2424-320 v273 a

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.

10aAdult10aBrain Mapping10aFemale10aHumans10aMale10aMiddle Aged10aMotor Cortex10aMovement1 aMiller, John, W1 aLeuthardt, E C1 aSchalk, Gerwin1 aRao, Rajesh, P N1 aAnderson, Nicholas, R1 aMoran, D1 aMiller, John, W1 aOjemann, J G uhttp://www.ncbi.nlm.nih.gov/pubmed/1732944103287nas 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