02156nas 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/1956989204391nas 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/17415162