Ann Clin Neurophysiol.  2021 Oct;23(2):92-98. 10.14253/acn.2021.23.2.92.

Introduction of brain computer interface to neurologists

Affiliations
  • 1Department of Neurology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
  • 2Department of Electronics Engineering, Chosun University College of Engineering, Gwangju, Korea
  • 3Department of Neurology, Centum Hospital, Jinju, Korea
  • 4Department of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
  • 5Department of Neurology, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea
  • 6Department of Neurology and Institute of Health Science, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea

Abstract

A brain-computer interface (BCI) is a technology that acquires and analyzes electrical signals from the brain to control external devices. BCI technologies can generally be used to control a computer cursor, limb orthosis, or word processing. This technology can also be used as a neurological rehabilitation tool for people with poor motor control. We reviewed historical attempts and methods toward predicting arm movements using brain waves. In addition, representative studies of minimally invasive and noninvasive BCI were summarized.


Figure

  • Fig. 1. Concept image of a brain-computer interface. Figure adapted from Wolpaw et al.21

  • Fig. 2. Direction predictions based on neuron firing rates. Impulse activity was recorded from a single neuron during repeated arm movements toward the target. Neurons fire just (about 300 ms) before the onset of movement (i.e., 0 ms). Each dot represents a neuron firing, and each row on the vertical axis represents a repetitive arm movement in the same direction. Firing rates increased when the arm was moved 180 degrees in the desired direction and decreased when the arm was moved back to 0 degrees, suggesting that the recorded neuron prefers to move the arm toward 180 degrees.

  • Fig. 3. A monkey controlling a robotic arm with its brain waves. Figure adapted from Velliste et al.11

  • Fig. 4. Minimally invasive devices. (A) Stentrode with 8 × 750 μm electrode discs self-expanding during administration by a 4F catheter. Scale bar, 3 mm. The device is usually implanted in the superior sagittal sinus to obtain the electrical activity of the brain. Figure adapted from Oxley et al.17 (B) Neural threads. “Tree” probes with electrode contacts spaced by 75 μm. Scale bar, 100 μm. Figure adapted from Musk.19


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