02553nas a2200325 4500008004100000022001400041245011400055210006900169260001200238300001000250490000800260520151900268653002401787653001001811653001801821653002001839653002501859653001101884653001301895100002401908700002001932700002401952700002301976700002201999700002102021700002502042700001902067700001902086856012202105 2023 eng d a1872-895200aPassive functional mapping of receptive language cortex during general anesthesia using electrocorticography.0 aPassive functional mapping of receptive language cortex during g c03/2023 a31-440 v1473 a
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±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.
10aAnesthesia, General10aBrain10aBrain Mapping10aCerebral Cortex10aElectrocorticography10aHumans10aLanguage1 aNourmohammadi, Amin1 aSwift, James, R1 ade Pesters, Adriana1 aGuay, Christian, S1 aAdamo, Matthew, A1 aDalfino, John, C1 aRitaccio, Anthony, L1 aSchalk, Gerwin1 aBrunner, Peter uhttps://www.neurotechcenter.org/publications/2023/passive-functional-mapping-receptive-language-cortex-during-general02367nas a2200337 4500008004100000022001400041245007800055210006900133260001200202300000900214490000700223520135600230653001001586653002701596653000901623653001101632653002701643653001601670653001201686100002101698700002101719700002201740700002401762700001801786700002601804700002101830700001901851700002001870700001901890856012001909 2022 eng d a2045-232200aNeural oscillations during motor imagery of complex gait: an HdEEG study.0 aNeural oscillations during motor imagery of complex gait an HdEE c03/2022 a43140 v123 aThe 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.
10aBrain10aElectroencephalography10aGait10aHumans10aImagery, Psychotherapy10aImagination10aWalking1 aPutzolu, Martina1 aSamogin, Jessica1 aCosentino, Carola1 aMezzarobba, Susanna1 aBonassi, Gaia1 aLagravinese, Giovanna1 aVato, Alessandro1 aMantini, Dante1 aAvanzino, Laura1 aPelosin, Elisa uhttps://www.neurotechcenter.org/publications/2022/neural-oscillations-during-motor-imagery-complex-gait-hdeeg-study02982nas a2200313 4500008004100000022001400041245013700055210006900192260001200261300001100273490000700284520198000291653001002271653001802281653002502299653002602324653002702350653001102377653003102388100001602419700001702435700001502452700001902467700001402486700001902500700001602519700001902535856011402554 2019 eng d a1741-255200aiEEGview: an open-source multifunction GUI-based Matlab toolbox for localization and visualization of human intracranial electrodes.0 aiEEGview an opensource multifunction GUIbased Matlab toolbox for c12/2019 a0160160 v173 aOBJECTIVE: 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.
10aBrain10aBrain Mapping10aElectrocorticography10aElectrodes, Implanted10aElectroencephalography10aHumans10aMagnetic Resonance Imaging1 aLi, Guangye1 aJiang, Shize1 aChen, Chen1 aBrunner, Peter1 aWu, Zehan1 aSchalk, Gerwin1 aChen, Liang1 aZhang, Dingguo uhttps://www.neurotechcenter.org/publications/2019/ieegview-open-source-multifunction-gui-based-matlab-toolbox02073nas a2200241 4500008004100000022001400041245011100055210006900166260001200235300001100247490000700258520141600265653001001681653000801691653000901699653000801708653001201716653001101728653000801739100001701747700001901764856004801783 2015 eng d a1559-008900aNeuralAct: A Tool to Visualize Electrocortical (ECoG) Activity on a Three-Dimensional Model of the Cortex.0 aNeuralAct A Tool to Visualize Electrocortical ECoG Activity on a c04/2015 a167-740 v133 aElectrocorticography (ECoG) records neural signals directly from the surface of the cortex. Due to its high temporal and favorable spatial resolution, ECoG has emerged as a valuable new tool in acquiring cortical activity in cognitive and systems neuroscience. Many studies using ECoG visualized topographies of cortical activity or statistical tests on a three-dimensional model of the cortex, but a dedicated tool for this function has not yet been described. In this paper, we describe the NeuralAct package that serves this purpose. This package takes as input the 3D coordinates of the recording sensors, a cortical model in the same coordinate system (e.g., Talairach), and the activation data to be visualized at each sensor. It then aligns the sensor coordinates with the cortical model, convolves the activation data with a spatial kernel, and renders the resulting activations in color on the cortical model. The NeuralAct package can plot cortical activations of an individual subject as well as activations averaged over subjects. It is capable to render single images as well as sequences of images. The software runs under Matlab and is stable and robust. We here provide the tool and describe its visualization capabilities and procedures. The provided package contains thoroughly documented code and includes a simple demo that guides the researcher through the functionality of the tool.
10aBrain10aDOT10aECoG10aEEG10aimaging10aMatlab10aMEG1 aKubanek, Jan1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2538164102948nas a2200445 4500008004100000022001400041245008900055210006900144260001200213300001000225490000900235520165000244653002501894653001201919653002201931653001001953653002001963653002701983653002702010653003802037653001102075653002602086653004002112653000902152653000902161653002302170653002902193653003602222653002502258653002902283653001702312653002202329100001702351700001702368700001102385700001602396700002502412700001702437856004802454 2013 eng d a1872-624000aNovel inter-hemispheric white matter connectivity in the BTBR mouse model of autism.0 aNovel interhemispheric white matter connectivity in the BTBR mou c06/2013 a26-330 v15133 aAlterations in the volume, density, connectivity and functional activation of white matter tracts are reported in some individuals with autism and may contribute to their abnormal behaviors. The BTBR (BTBR T+tf/J) inbred strain of mouse, is used to model facets of autism because they develop low social behaviors, stereotypical and immune changes similar to those found in people with autism. Previously, it was thought a total absence of corpus callosal interhemispheric connective tissues in the BTBR mice may underlie their abnormal behaviors. However, postnatal lesions of the corpus callosum do not precipitate social behavioral problems in other strains of mice suggesting a flaw in this theory. In this study we used digital pathological methods to compare subcortical white matter connective tracts in the BTBR strain of mice with those found in the C57Bl/6 mouse and those reported in a standardized mouse brain atlas. We report, for the first time, a novel connective subcortical interhemispheric bridge of tissue in the posterior, but not anterior, cerebrum of the BTBR mouse. These novel connective tissues are comprised of myelinated fibers, with reduced myelin basic protein levels (MBP) compared to levels in the C57Bl/6 mouse. We used electrophysiological analysis and found increased inter-hemispheric connectivity in the posterior hemispheres of the BTBR strain compared with the anterior hemispheres. The conduction velocity was slower than that reported in normal mice. This study shows there is novel abnormal interhemispheric connectivity in the BTBR strain of mice, which may contribute to their behavioral abnormalities.10aAnalysis of Variance10aAnimals10aAutistic Disorder10aBrain10aCorpus Callosum10aDisease Models, Animal10aElectroencephalography10aEnzyme-Linked Immunosorbent Assay10aFemale10aFunctional Laterality10aImage Processing, Computer-Assisted10aMale10aMice10aMice, Inbred C57BL10aMice, Neurologic Mutants10aMicrotubule-Associated Proteins10aMyelin Basic Protein10aNerve Fibers, Myelinated10aNeuroimaging10aSpectrum Analysis1 aMiller, V, M1 aGupta, Disha1 aNeu, N1 aCotroneo, A1 aBoulay, Chadwick, B.1 aSeegal, R, F uhttp://www.ncbi.nlm.nih.gov/pubmed/2357070701835nas a2200241 4500008004100000022001400041245005400055210005200109260001200161300000900173490000600182520120500188653001201393653001001405653001601415653001101431653001301442653002801455100001801483700002501501700001901526856004801545 2012 eng d a2154-228700aSilent Communication: toward using brain signals.0 aSilent Communication toward using brain signals c01/2012 a43-60 v33 aFrom 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?
10aAnimals10aBrain10aBrain Waves10aHumans10aMovement10aUser-Computer Interface1 aPei, Xiao-Mei1 aHill, Jeremy, Jeremy1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2234495102099nas a2200241 4500008004100000022001400041245011200055210006900167260001200236300001000248490000700258520136500265653001501630653001001645653002701655653001101682653001701693653002801710100002401738700002601762700002101788856004801809 2012 eng d a1873-274700aValue of amplitude, phase, and coherence features for a sensorimotor rhythm-based brain-computer interface.0 aValue of amplitude phase and coherence features for a sensorimot c01/2012 a130-40 v873 aMeasures 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.10aAlgorithms10aBrain10aElectroencephalography10aHumans10aMotor Cortex10aUser-Computer Interface1 aKrusienski, Dean, J1 aMcFarland, Dennis, J.1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/2198598402734nas a2200349 4500008004100000022001400041245009000055210006900145260001200214300001100226490000600237520175300243653001001996653002902006653003702035653002802072653001102100653001102111653001602122653000902138653001302147653001302160653001002173653002802183100002302211700001402234700002502248700001802273700001802291700002702309856004802336 2011 eng d a1741-255200aClosing the sensorimotor loop: haptic feedback facilitates decoding of motor imagery.0 aClosing the sensorimotor loop haptic feedback facilitates decodi c06/2011 a0360050 v83 aThe 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.
10aBrain10aEvoked Potentials, Motor10aEvoked Potentials, Somatosensory10aFeedback, Physiological10aFemale10aHumans10aImagination10aMale10aMovement10aRobotics10aTouch10aUser-Computer Interface1 aGomez-Rodriguez, M1 aPeters, J1 aHill, Jeremy, Jeremy1 aSchölkopf, B1 aGharabaghi, A1 aGrosse-Wentrup, Moritz uhttp://www.ncbi.nlm.nih.gov/pubmed/2147487807041nas a2200313 4500008004100000022001400041245008200055210006900137260001200206300001100218490000600229520615100235653002806386653001006414653001806424653002706442653002106469653003106490653001106521653002406532653001306556653002806569100001906597700001506616700001306631700001606644700001906660856004806679 2011 eng d a1741-255200aCurrent Trends in Hardware and Software for Brain-Computer Interfaces (BCIs).0 aCurrent Trends in Hardware and Software for BrainComputer Interf c04/2011 a0250010 v83 aA 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.
10aBiofeedback, Psychology10aBrain10aBrain Mapping10aElectroencephalography10aEquipment Design10aEquipment Failure Analysis10aHumans10aMan-Machine Systems10aSoftware10aUser-Computer Interface1 aBrunner, Peter1 aBianchi, L1 aGuger, C1 aCincotti, F1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2143653602268nas a2200409 4500008004100000022001400041245011100055210006900166260001200235300001100247490000600258520108700264653001501351653001001366653001001376653001801386653002001404653003601424653003701460653003201497653002601529653002701555653001301582653001101595653002601606653001101632653000901643653001601652653001301668653002201681653002801703100001801731700002301749700001901772700001901791856004801810 2011 eng d a1741-255200aDecoding vowels and consonants in spoken and imagined words using electrocorticographic signals in humans.0 aDecoding vowels and consonants in spoken and imagined words usin c08/2011 a0460280 v83 aSeveral 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 'read the mind', 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.
10aAdolescent10aAdult10aBrain10aBrain Mapping10aCerebral Cortex10aCommunication Aids for Disabled10aData Interpretation, Statistical10aDiscrimination (Psychology)10aElectrodes, Implanted10aElectroencephalography10aEpilepsy10aFemale10aFunctional Laterality10aHumans10aMale10aMiddle Aged10aMovement10aSpeech Perception10aUser-Computer Interface1 aPei, Xiao-Mei1 aBarbour, Dennis, L1 aLeuthardt, E C1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2175036902106nas 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 aThe 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/2203628703279nas a2200337 4500008004100000022001400041245011400055210006900169260001200238300001200250490000700262520231800269653001502587653001002602653001002612653001802622653002702640653001102667653001102678653000902689653001602698653004102714653002002755100001802775700001902793700002202812700001902834700002102853700001902874856004802893 2011 eng d a1095-957200aSpatiotemporal dynamics of electrocorticographic high gamma activity during overt and covert word repetition.0 aSpatiotemporal dynamics of electrocorticographic high gamma acti c02/2011 a2960-720 v543 aLanguage 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's verbal response. Overt word production was primarily associated with HG changes in the superior and middle parts of temporal lobe, Wernicke's area, the supramarginal gyrus, Broca'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's own voice resulted in HG power changes in superior temporal lobe and Wernicke'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.
10aAdolescent10aAdult10aBrain10aBrain Mapping10aElectroencephalography10aFemale10aHumans10aMale10aMiddle Aged10aSignal Processing, Computer-Assisted10aVerbal Behavior1 aPei, Xiao-Mei1 aLeuthardt, E C1 aGaona, Charles, M1 aBrunner, Peter1 aWolpaw, Jonathan1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2102978400601nas a2200205 4500008004100000022001400041245007100055210006800126260001200194300001100206490000800217653001400225653001000239653002100249653001100270653002800281100001900309700001900328856004800347 2011 eng d a1872-895200aToward a gaze-independent matrix speller brain-computer interface.0 aToward a gazeindependent matrix speller braincomputer interface c06/2011 a1063-40 v12210aAttention10aBrain10aFixation, Ocular10aHumans10aUser-Computer Interface1 aBrunner, Peter1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2118340404388nas a2200385 4500008004100000022001400041245009500055210006900150260001200219300001100231490000800242520325500250653001003505653003403515653002103549653001003570653003603580653002403616653002703640653002103667653001103688653000903699653004103708653002803749100002603777700002503803700001403828700001903842700001403861700001503875700002503890700002103915700001803936856004803954 2011 eng d a1872-895200aTransition from the locked in to the completely locked-in state: a physiological analysis.0 aTransition from the locked in to the completely lockedin state a c06/2011 a925-330 v1223 aTo 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.
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.
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.
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.
Auditory and proprioceptive brain-computer-interface (BCI) systems are the only remaining communication channels in CLIS.
10aAdult10aAmyotrophic Lateral Sclerosis10aArea Under Curve10aBrain10aCommunication Aids for Disabled10aDisease Progression10aElectroencephalography10aElectromyography10aHumans10aMale10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aMurguialday, Ramos, A1 aHill, Jeremy, Jeremy1 aBensch, M1 aMartens, S M M1 aHalder, S1 aNijboer, F1 aSchoelkopf, Bernhard1 aBirbaumer, Niels1 aGharabaghi, A uhttp://www.ncbi.nlm.nih.gov/pubmed/2088829203803nas a2200433 4500008004100000022001400041024002500055245010000080210006900180260001200249300001100261490000600272520257600278653001002854653001002864653001802874653002502892653002702917653002202944653002802966653001102994653001103005653001603016653000903032653001603041653001403057653003403071653002803105100001903133700002203152700001803174700002103192700001803213700002903231700001803260700002403278700001903302856004803321 2011 eng d a1741-2552 aNIHMSID: NIHMS48176700aUsing the electrocorticographic speech network to control a brain-computer interface in humans.0 aUsing the electrocorticographic speech network to control a brai c06/2011 a0360040 v83 aElectrocorticography (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.
10aAdult10aBrain10aBrain Mapping10aComputer Peripherals10aElectroencephalography10aEvoked Potentials10aFeedback, Physiological10aFemale10aHumans10aImagination10aMale10aMiddle Aged10aNerve Net10aSpeech Production Measurement10aUser-Computer Interface1 aLeuthardt, E C1 aGaona, Charles, M1 aSharma, Mohit1 aSzrama, Nicholas1 aRoland, Jarod1 aFreudenberg, Zachary, V.1 aSolisb, Jamie1 aBreshears, Jonathan1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2147163801606nas a2200301 4500008004100000022001400041245007000055210006600125260001200191300001200203490000700215520071500222653001000937653002100947653002700968653002200995653001101017653002501028653003101053653004101084653001701125653002801142100002001170700002301190700001901213700002401232856004801256 2010 eng d a1558-253100aA procedure for measuring latencies in brain-computer interfaces.0 aprocedure for measuring latencies in braincomputer interfaces c06/2010 a1785-970 v573 aBrain-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.
10aBrain10aComputer Systems10aElectroencephalography10aEvoked Potentials10aHumans10aModels, Neurological10aReproducibility of Results10aSignal Processing, Computer-Assisted10aTime Factors10aUser-Computer Interface1 aWilson, Adam, J1 aMellinger, Jürgen1 aSchalk, Gerwin1 aWilliams, Justin, C uhttp://www.ncbi.nlm.nih.gov/pubmed/2040378101656nas a2200337 4500008004100000022001400041245008900055210006900144260001200213300001100225490000700236520066900243653001000912653001800922653003300940653002700973653001101000653003001011653001301041653003601054100001801090700001901108700002701127700002201154700001301176700001901189700002301208700002001231700001901251856004801270 2010 eng d a1525-506900aProceedings of the first international workshop on advances in electrocorticography.0 aProceedings of the first international workshop on advances in e c10/2010 a204-150 v193 aIn 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.
10aBrain10aBrain Mapping10aDiagnosis, Computer-Assisted10aElectroencephalography10aHumans10aInternational Cooperation10aSeizures10aSignal Detection, Psychological1 aRitaccio, A L1 aBrunner, Peter1 aCervenka, Mackenzie, C1 aCrone, Nathan, E.1 aGuger, C1 aLeuthardt, E C1 aOostenveld, Robert1 aStacey, William1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2088938402146nas 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 aBrain 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/1979423701326nas a2200265 4500008004100000022001400041245005600055210005400111260000900165300001300174490000900187520048800196653001500684653001000699653002400709653002100733653003100754653001900785653003100804653003200835653004100867653002800908100001900936856010500955 2009 eng d a1557-170X00aEffective brain-computer interfacing using BCI2000.0 aEffective braincomputer interfacing using BCI2000 c2009 a5498-5010 v20093 aTo facilitate research and development in Brain-Computer Interface (BCI) research, we have been developing a general-purpose BCI system, called BCI2000, over the past nine years. This system has enjoyed a growing adoption in BCI and related areas and has been the basis for some of the most impressive studies reported to date. This paper gives an update on the status of this project by describing the principles of the BCI2000 system, its benefits, and impact on the field to date.10aAlgorithms10aBrain10aElectrocardiography10aEquipment Design10aEquipment Failure Analysis10aRehabilitation10aReproducibility of Results10aSensitivity and Specificity10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aSchalk, Gerwin uhttps://www.neurotechcenter.org/publications/2009/effective-brain-computer-interfacing-using-bci200002156nas 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 aThe 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/1956989202457nas a2200349 4500008004100000022001400041245012600055210006900181260001200250300001200262490000700274520141700281653001501698653001001713653001801723653002601741653002101767653001301788653002401801653000901825653001101834653001801845653001901863653003101882653002301913653004101936100002001977700002301997700002002020700001902040856004802059 2009 eng d a1879-278200aMapping broadband electrocorticographic recordings to two-dimensional hand trajectories in humans Motor control features.0 aMapping broadband electrocorticographic recordings to twodimensi c11/2009 a1257-700 v223 aBrain-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' 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.
10aAlgorithms10aBrain10aBrain Mapping10aElectrodes, Implanted10aElectrodiagnosis10aEpilepsy10aFeasibility Studies10aHand10aHumans10aLinear Models10aMotor Activity10aNeural Networks (Computer)10aNonlinear Dynamics10aSignal Processing, Computer-Assisted1 aGunduz, Aysegul1 aSanchez, Justin, C1 aCarney, Paul, R1 aPrincipe, Jose uhttp://www.ncbi.nlm.nih.gov/pubmed/1964798101338nas a2200301 4500008004100000022001400041245003800055210003500093260001300128300001100141490000700152520054900159653001400708653001000722653001800732653002500750653002500775653001100800653002100811653003500832653001700867653002800884100001900912700001700931700002500948700001500973856004800988 2009 eng d a1879-278200aA note on ethical aspects of BCI.0 anote on ethical aspects of BCI c11/2009 a1352-70 v223 aThis 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.
10aBioethics10aBrain10aCommunication10aCommunications Media10aCooperative Behavior10aHumans10aInformed Consent10aProfessional-Patient Relations10aQuadriplegia10aUser-Computer Interface1 aHaselager, Pim1 aVlek, Rutger1 aHill, Jeremy, Jeremy1 aNijboer, F uhttp://www.ncbi.nlm.nih.gov/pubmed/1961640501758nas a2200361 4500008004100000022001400041245012300055210006900178260001200247300001100259490000600270520064200276653001500918653001000933653001400943653002400957653002700981653003501008653001101043653002501054653003501079653002301114653001401137653004101151653003401192653002801226653001201254100001901266700002501285700002001310700001801330856004801348 2009 eng d a1741-255200aOverlap and refractory effects in a brain-computer interface speller based on the visual P300 event-related potential.0 aOverlap and refractory effects in a braincomputer interface spel c04/2009 a0260030 v63 aWe 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.
10aAlgorithms10aBrain10aCognition10aComputer Simulation10aElectroencephalography10aEvent-Related Potentials, P30010aHumans10aModels, Neurological10aPattern Recognition, Automated10aPhotic Stimulation10aSemantics10aSignal Processing, Computer-Assisted10aTask Performance and Analysis10aUser-Computer Interface10aWriting1 aMartens, S M M1 aHill, Jeremy, Jeremy1 aFarquhar, Jason1 aSchölkopf, B uhttp://www.ncbi.nlm.nih.gov/pubmed/1925546202198nas a2200229 4500008004100000022001400041245009000055210006900145260001200214520150500226653001001731653001601741653001501757653002701772653001101799653002801810100002001838700001901858700001901877700002401896856004801920 2009 eng d a1940-087X00aUsing an EEG-based brain-computer interface for virtual cursor movement with BCI2000.0 aUsing an EEGbased braincomputer interface for virtual cursor mov c07/20093 aA 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].
10aBrain10aCalibration10aElectrodes10aElectroencephalography10aHumans10aUser-Computer Interface1 aWilson, Adam, J1 aSchalk, Gerwin1 aWalton, Léo M1 aWilliams, Justin, C uhttp://www.ncbi.nlm.nih.gov/pubmed/1964147905137nas a2200373 4500008004100000022001400041245007500055210006900130260001200199300001000211490000800221520406800229653001004297653001504307653001004322653001804332653002404350653002704374653001104401653000904412653002404421653002404445653001904469653003604488653004104524653002404565653002804589100001904617700001904636700002404655700001504679700002104694856004804715 2008 eng d a0165-027000aBrain-computer interfaces (BCIs): Detection Instead of Classification.0 aBraincomputer interfaces BCIs Detection Instead of Classificatio c01/2008 a51-620 v1673 aMany 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 relevant brain 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.
10aAdult10aAlgorithms10aBrain10aBrain Mapping10aElectrocardiography10aElectroencephalography10aHumans10aMale10aMan-Machine Systems10aNormal Distribution10aOnline Systems10aSignal Detection, Psychological10aSignal Processing, Computer-Assisted10aSoftware Validation10aUser-Computer Interface1 aSchalk, Gerwin1 aBrunner, Peter1 aGerhardt, Lester, A1 aBischof, H1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/1792013402262nas a2200193 4500008004100000022001400041245003000055210002800085260001200113300001100125490000600136520179600142653001001938653001401948653001101962653002801973100001902001856004802020 2008 eng d a1741-256000aBrain-computer symbiosis.0 aBraincomputer symbiosis c03/2008 aP1-P150 v53 aThe 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'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.
10aBrain10aComputers10aHumans10aUser-Computer Interface1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/1831080404251nas a2200505 4500008004100000022001400041245009900055210006900154260001200223300001200235490000700247520283600254653003103090653001503121653001003136653001003146653001003156653002703166653002903193653001103222653001103233653001303244653000903257653001603266653001703282653003303299653001903332653002803351653001303379653002203392653001303414653004303427653002803470653001303498100001603511700002203527700001803549700002103567700001903588700002103607700002203628700002703650700002003677856004803697 2008 eng d a0361-923000aNon-invasive brain-computer interface system: towards its application as assistive technology.0 aNoninvasive braincomputer interface system towards its applicati c04/2008 a796-8030 v753 aThe 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'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'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' 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.
10aActivities of Daily Living10aAdolescent10aAdult10aBrain10aChild10aElectroencephalography10aEvoked Potentials, Motor10aFemale10aHumans10aLearning10aMale10aMiddle Aged10aMotor Skills10aMuscular Dystrophy, Duchenne10aPilot Projects10aProstheses and Implants10aRobotics10aSelf-Help Devices10aSoftware10aSpinal Muscular Atrophies of Childhood10aUser-Computer Interface10aVolition1 aCincotti, F1 aMattia, Donatella1 aAloise, Fabio1 aBufalari, Simona1 aSchalk, Gerwin1 aOriolo, Giuseppe1 aCherubini, Andrea1 aMarciani, Maria Grazia1 aBabiloni, Fabio uhttp://www.ncbi.nlm.nih.gov/pubmed/1839452604357nas a2200385 4500008004100000022001400041245009700055210006900152260001200221300001200233490000800245520323100253653001503484653001003499653001403509653001003523653001803533653004203551653002703593653003003620653001103650653001103661653000903672653003203681653002303713653002203736653002803758100002503786700002603811700001903837700002003856700002603876700002103902856004803923 2008 eng d a1388-245700aTowards an independent brain-computer interface using steady state visual evoked potentials.0 aTowards an independent braincomputer interface using steady stat c02/2008 a399-4080 v1193 aBrain-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.
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.
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.
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's dependence on muscle activity is a function of many factors, including the display, task, environment, and user.
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.
10aAdolescent10aAdult10aAttention10aBrain10aBrain Mapping10aDose-Response Relationship, Radiation10aElectroencephalography10aEvoked Potentials, Visual10aFemale10aHumans10aMale10aPattern Recognition, Visual10aPhotic Stimulation10aSpectrum Analysis10aUser-Computer Interface1 aAllison, Brendan, Z.1 aMcFarland, Dennis, J.1 aSchalk, Gerwin1 aZheng, Shi Dong1 aMoore-Jackson, Melody1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/1807720803540nas a2200457 4500008004100000022001400041245004900055210004100104260001200145300001100157490000700168520234400175653001002519653001502529653001402544653001002558653002702568653002702595653002102622653001302643653001102656653000902667653000902676653001902685653001102704653003102715653002702746653000902773653001302782653003302795653004102828653002802869100002302897700001902920700002102939700002002960700001802980700002102998700001503019856004803034 2007 eng d a1053-811900aAn MEG-based brain-computer interface (BCI).0 aMEGbased braincomputer interface BCI c07/2007 a581-930 v363 aBrain-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.
10aAdult10aAlgorithms10aArtifacts10aBrain10aElectroencephalography10aElectromagnetic Fields10aElectromyography10aFeedback10aFemale10aFoot10aHand10aHead Movements10aHumans10aMagnetic Resonance Imaging10aMagnetoencephalography10aMale10aMovement10aPrincipal Component Analysis10aSignal Processing, Computer-Assisted10aUser-Computer Interface1 aMellinger, Jürgen1 aSchalk, Gerwin1 aBraun, Christoph1 aPreissl, Hubert1 aRosenstiel, W1 aBirbaumer, Niels1 aKübler, A uhttp://www.ncbi.nlm.nih.gov/pubmed/1747551101913nas a2200349 4500008004100000022001400041245007900055210006900134260001200203300001100215520081300226653001001039653003601049653002101085653001101106653003101117653002001148653002201168653001301190653002801203100001601231700001801247700002101265700001901286700002101305700002201326700002101348700002001369700002701389700002201416856012501438 2007 eng d a1557-170X00aNon-invasive brain-computer interface system to operate assistive devices.0 aNoninvasive braincomputer interface system to operate assistive c04/2007 a2532-53 aIn 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'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' voluntary modulations of EEG sensorimotor rhythms recorded on the scalp.10aBrain10aCommunication Aids for Disabled10aComputer Systems10aHumans10aNeurodegenerative Diseases10aQuality of Life10aSelf-Help Devices10aSoftware10aUser-Computer Interface1 aCincotti, F1 aAloise, Fabio1 aBufalari, Simona1 aSchalk, Gerwin1 aOriolo, Giuseppe1 aCherubini, Andrea1 aDavide, Fabrizio1 aBabiloni, Fabio1 aMarciani, Maria Grazia1 aMattia, Donatella uhttps://www.neurotechcenter.org/publications/2007/non-invasive-brain-computer-interface-system-operate-assistive-devices02708nas a2200373 4500008004100000022001400041245010900055210006900164260001200233300001100245490000600256520162400262653002201886653001201908653001001920653001801930653002501948653001501973653002901988653000902017653002402026653001702050653001202067653000902079653002502088653004102113653002602154100001602180700002302196700001902219700002802238700002002266856004802286 2006 eng d a1557-170X00aAnalysis of the correlation between local field potentials and neuronal firing rate in the motor cortex.0 aAnalysis of the correlation between local field potentials and n c09/2006 a6185-80 v13 aNeuronal firing rate has been the signal of choice for invasive motor brain machine interfaces (BMI). The use of local field potentials (LFP) in BMI experiments may provide additional dendritic information about movement intent and may improve performance. Here we study the time-varying amplitude modulated relationship between local field potentials (LFP) and single unit activity (SUA) in the motor cortex. We record LFP and SUA in the primary motor cortex of rats trained to perform a lever pressing task, and evaluate the correlation between pairs of peri-event time histograms (PETH) and movement evoked local field potentials (mEP) at the same electrode. Three different correlation coefficients were calculated and compared between the neuronal PETH and the magnitude and power of the mEP. Correlation as high as 0.7 for some neurons occurred between the PETH and the mEP magnitude. As expected, the correlations between the single trial LFP and SUV are much lower due to the inherent variability of both signals.
10aAction Potentials10aAnimals10aBrain10aBrain Mapping10aElectric Stimulation10aElectrodes10aEvoked Potentials, Motor10aMale10aModels, Statistical10aMotor Cortex10aNeurons10aRats10aRats, Sprague-Dawley10aSignal Processing, Computer-Assisted10aSynaptic Transmission1 aWang, Yiwen1 aSanchez, Justin, C1 aPrincipe, Jose1 aMitzelfelt, Jeremiah, D1 aGunduz, Aysegul uhttp://www.ncbi.nlm.nih.gov/pubmed/1794674503802nas a2200385 4500008004100000022001400041245008700055210006900142260001200211300001000223490000700233520264300240653001502883653001002898653003602908653002302944653002702967653002202994653001103016653002703027653002403054653003803078653002803116100002403144700002603168700002403194700001903218700002103237700002003258700002403278700002203302700002303324700002103347856004803368 2006 eng d a1534-432000aThe BCI competition III: Validating alternative approaches to actual BCI problems.0 aBCI competition III Validating alternative approaches to actual c06/2006 a153-90 v143 aA 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'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.
10aAlgorithms10aBrain10aCommunication Aids for Disabled10aDatabases, Factual10aElectroencephalography10aEvoked Potentials10aHumans10aNeuromuscular Diseases10aSoftware Validation10aTechnology Assessment, Biomedical10aUser-Computer Interface1 aBlankertz, Benjamin1 aMüller, Klaus-Robert1 aKrusienski, Dean, J1 aSchalk, Gerwin1 aWolpaw, Jonathan1 aSchlögl, Alois1 aPfurtscheller, Gert1 aMillán, José, R1 aSchröder, Michael1 aBirbaumer, Niels uhttp://www.ncbi.nlm.nih.gov/pubmed/1679228201675nas a2200397 4500008004100000022001400041245007000055210006600125260001200191300001100203490000700214520056900221653001500790653001800805653001000823653003600833653001400869653002700883653002100910653001100931653002100942653002400963653002700987653001301014653002801027100001601055700001501071700001601086700001301102700002301115700002201138700002301160700002701183700001901210856004801229 2006 eng d a1534-432000aBCI meeting 2005 - Workshop on Technology: Hardware and Software.0 aBCI meeting 2005 Workshop on Technology Hardware and Software c06/2006 a128-310 v143 aThis 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' needs and the need for consistent standards in BCI research.
10aAlgorithms10aBiotechnology10aBrain10aCommunication Aids for Disabled10aComputers10aElectroencephalography10aEquipment Design10aHumans10aInternationality10aMan-Machine Systems10aNeuromuscular Diseases10aSoftware10aUser-Computer Interface1 aCincotti, F1 aBianchi, L1 aBirch, Gary1 aGuger, C1 aMellinger, Jürgen1 aScherer, Reinhold1 aSchmidt, Robert, N1 aYáñez Suárez, Oscar1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/1679227603287nas 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 aA 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/1682329401743nas a2200265 4500008004100000022001400041245005100055210004900106260001200155300001700167490000700184520102200191653001201213653002701225653001001252653001901262653002801281653001101309653001601320653004301336100002001379700001801399700001201417856004801429 2006 eng d a1671-710400aProgress of brain-neural function informatics.0 aProgress of brainneural function informatics c11/2006 a399-406, 4620 v303 aFirstly 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.
10aAnimals10aBiomedical Engineering10aBrain10aBrain Diseases10aComputing Methodologies10aHumans10aInformatics10aNervous System Physiological Phenomena1 aZheng, Shi Dong1 aPei, Xiao-Mei1 aXu, Jin uhttp://www.ncbi.nlm.nih.gov/pubmed/1730000302977nas a2200361 4500008004100000022001400041245007400055210006800129260001200197300001100209490000700220520195300227653001202180653001002192653002702202653002202229653001102251653002702262653001302289653001302302653001602315653003102331653001702362653002802379100002402407700002602431700001902457700002502476700002402501700002102525700002102546856004802567 2006 eng d a1534-432000aThe Wadsworth BCI Research and Development Program: At Home with BCI.0 aWadsworth BCI Research and Development Program At Home with BCI c06/2006 a229-330 v143 aThe 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's homes.
10aAnimals10aBrain10aElectroencephalography10aEvoked Potentials10aHumans10aNeuromuscular Diseases10aNew York10aResearch10aSwitzerland10aTherapy, Computer-Assisted10aUniversities10aUser-Computer Interface1 aVaughan, Theresa, M1 aMcFarland, Dennis, J.1 aSchalk, Gerwin1 aSarnacki, William, A1 aKrusienski, Dean, J1 aSellers, Eric, W1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/1679230102711nas a2200289 4500008004100000022001400041245017800055210006900233260001200302300001000314490000700324520179900331653001502130653001002145653002302155653002602178653001102204653001802215653002502233653002302258100001802281700002002299700001802319700001802337700001802355856004802373 2005 eng d a0167-876000aDiscussion on "Towards a quantitative characterization of functional states of the brain: from the non-linear methodology to the global linear description" by J. Wackermann.0 aDiscussion on Towards a quantitative characterization of functio c06/2005 a201-70 v563 aWackermann (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'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.
10aAlgorithms10aBrain10aDiagnostic Imaging10aFunctional Laterality10aHumans10aLinear Models10aModels, Neurological10aNonlinear Dynamics1 aPei, Xiao-Mei1 aZheng, Shi Dong1 aZhang, Ai-hua1 aDuan, Fu-jian1 aBin, Guang-yu uhttp://www.ncbi.nlm.nih.gov/pubmed/1586632402760nas a2200433 4500008004100000022001400041245011000055210006900165260001200234300001200246490000700258520140000265653001001665653001501675653003401690653002801724653001001752653001401762653002301776653002701799653002201826653001101848653003101859653003201890653002801922100002401950700002601974700001902000700002402019700001902043700002102062700002002083700002002103700002402123700002002147700002302167700002102190856011502211 2004 eng d a0018-929400aThe BCI Competition 2003: Progress and perspectives in detection and discrimination of EEG single trials.0 aBCI Competition 2003 Progress and perspectives in detection and c06/2004 a1044-510 v513 aInterest 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.10aAdult10aAlgorithms10aAmyotrophic Lateral Sclerosis10aArtificial Intelligence10aBrain10aCognition10aDatabases, Factual10aElectroencephalography10aEvoked Potentials10aHumans10aReproducibility of Results10aSensitivity and Specificity10aUser-Computer Interface1 aBlankertz, Benjamin1 aMüller, Klaus-Robert1 aCurio, Gabriel1 aVaughan, Theresa, M1 aSchalk, Gerwin1 aWolpaw, Jonathan1 aSchlögl, Alois1 aNeuper, Christa1 aPfurtscheller, Gert1 aHinterberger, T1 aSchröder, Michael1 aBirbaumer, Niels uhttps://www.neurotechcenter.org/publications/2004/bci-competition-2003-progress-and-perspectives-detection-and02705nas a2200337 4500008004100000022001400041245007000055210006400125260001200189300001200201490000700213520166200220653001501882653001001897653001401907653003601921653002501957653002701982653002102009653003102030653002202061653001102083653002402094653002802118100001902146700002602165700002002191700002102211700002102232856011402253 2004 eng d a0018-929400aBCI2000: a general-purpose brain-computer interface (BCI) system.0 aBCI2000 a generalpurpose braincomputer interface BCI system c06/2004 a1034-430 v513 aMany 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.10aAlgorithms10aBrain10aCognition10aCommunication Aids for Disabled10aComputer Peripherals10aElectroencephalography10aEquipment Design10aEquipment Failure Analysis10aEvoked Potentials10aHumans10aSystems Integration10aUser-Computer Interface1 aSchalk, Gerwin1 aMcFarland, Dennis, J.1 aHinterberger, T1 aBirbaumer, Niels1 aWolpaw, Jonathan uhttps://www.neurotechcenter.org/publications/2004/bci2000-general-purpose-brain-computer-interface-bci-system03554nas 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 aBrain-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/1587662403064nas a2200373 4500008004100000022001400041245009000055210006900145260001200214300001000226490000700236520200500243653002902248653001002277653001502287653001402302653001002316653001802326653002702344653003002371653001302401653001102414653001602425653002802441653001302469653002002482653002802502653002202530100002102552700002602573700002402599700001902623856004802642 2003 eng d a1534-432000aThe Wadsworth Center brain-computer interface (BCI) research and development program.0 aWadsworth Center braincomputer interface BCI research and develo c06/2003 a204-70 v113 aBrain-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.
10aAcademic Medical Centers10aAdult10aAlgorithms10aArtifacts10aBrain10aBrain Mapping10aElectroencephalography10aEvoked Potentials, Visual10aFeedback10aHumans10aMiddle Aged10aNervous System Diseases10aResearch10aResearch Design10aUser-Computer Interface10aVisual Perception1 aWolpaw, Jonathan1 aMcFarland, Dennis, J.1 aVaughan, Theresa, M1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/1289927501213nas a2200313 4500008004100000022001400041245005000055210004500105300001400150490000700164520043400171653001300605653001000618653001700628653002100645653001300666653001100679653001500690653001100705653001200716653001100728653001600739653001600755653002200771653001500793100002100808700002300829856004700852 1993 eng d a0065-140000aThe volitional nature of the simplest reflex.0 avolitional nature of the simplest reflex a103–1110 v533 aRecent studies suggest that none of the behaviors of the vertebrate CNS are fixed responses incapable of change. Even the simplest reflex of all, the two-neuron, monosynaptic spinal stretch reflex (SSR), undergoes adaptive change under appropriate circumstances. Operantly conditioned SSR change occurs gradually over days and weeks and is associated with a complex pattern of CNS plasticity at both spinal and supraspinal sites.10abehavior10aBrain10aconditioning10ahuman physiology10aLearning10aMemory10amotoneuron10anature10aprimate10aReflex10aSpinal Cord10aspinal site10asupra spinal site10avertebrate1 aWolpaw, Jonathan1 aCarp, Jonathan, S. uhttp://www.ncbi.nlm.nih.gov/pubmed/8317238