02268nas a2200337 4500008004100000022001400041245011100055210006900166260001200235300001100247490000800258520124200266653002501508653001001533653000901543653001701552653002001569653001801589653002601607653002501633653001101658653001101669653000901680653001601689100002301705700003201728700001901760700001901779700001901798856011301817 2021 eng d a1095-957200aModulation in cortical excitability disrupts information transfer in perceptual-level stimulus processing.0 aModulation in cortical excitability disrupts information transfe c11/2021 a1184980 v2433 a

Despite significant interest in the neural underpinnings of behavioral variability, little light has been shed on the cortical mechanism underlying the failure to respond to perceptual-level stimuli. We hypothesized that cortical activity resulting from perceptual-level stimuli is sensitive to the moment-to-moment fluctuations in cortical excitability, and thus may not suffice to produce a behavioral response. We tested this hypothesis using electrocorticographic recordings to follow the propagation of cortical activity in six human subjects that responded to perceptual-level auditory stimuli. Here we show that for presentations that did not result in a behavioral response, the likelihood of cortical activity decreased from auditory cortex to motor cortex, and was related to reduced local cortical excitability. Cortical excitability was quantified using instantaneous voltage during a short window prior to cortical activity onset. Therefore, when humans are presented with an auditory stimulus close to perceptual-level threshold, moment-by-moment fluctuations in cortical excitability determine whether cortical responses to sensory stimulation successfully connect auditory input to a resultant behavioral response.

10aAcoustic Stimulation10aAdult10aAged10aAlpha Rhythm10aAuditory Cortex10aBrain Mapping10aCortical Excitability10aElectrocorticography10aFemale10aHumans10aMale10aMiddle Aged1 aMoheimanian, Ladan1 aParaskevopoulou, Sivylla, E1 aAdamek, Markus1 aSchalk, Gerwin1 aBrunner, Peter uhttps://neurotechcenter.org/publications/2021/modulation-cortical-excitability-disrupts-information-transfer02749nas a2200373 4500008004100000022001400041245011800055210006900173260001200242300001100254490000800265520163200273653001001905653001501915653001701930653002001947653001501967653002501982653001102007653001702018653001102035653000902046653001602055653001402071653002802085653001802113653001602131100003202147700002102179700001902200700001902219700001902238856011802257 2021 eng d a1095-957200aWithin-subject reaction time variability: Role of cortical networks and underlying neurophysiological mechanisms.0 aWithinsubject reaction time variability Role of cortical network c08/2021 a1181270 v2373 a

Variations in reaction time are a ubiquitous characteristic of human behavior. Extensively documented, they have been successfully modeled using parameters of the subject or the task, but the neural basis of behavioral reaction time that varies within the same subject and the same task has been minimally studied. In this paper, we investigate behavioral reaction time variance using 28 datasets of direct cortical recordings in humans who engaged in four different types of simple sensory-motor reaction time tasks. Using a previously described technique that can identify the onset of population-level cortical activity and a novel functional connectivity algorithm described herein, we show that the cumulative latency difference of population-level neural activity across the task-related cortical network can explain up to 41% of the trial-by-trial variance in reaction time. Furthermore, we show that reaction time variance may primarily be due to the latencies in specific brain regions and demonstrate that behavioral latency variance is accumulated across the whole task-related cortical network. Our results suggest that population-level neural activity monotonically increases prior to movement execution, and that trial-by-trial changes in that increase are, in part, accounted for by inhibitory activity indexed by low-frequency oscillations. This pre-movement neural activity explains 19% of the measured variance in neural latencies in our data. Thus, our study provides a mechanistic explanation for a sizable fraction of behavioral reaction time when the subject's task is the same from trial to trial.

10aAdult10aAlgorithms10aAlpha Rhythm10aCerebral Cortex10aConnectome10aElectrocorticography10aFemale10aGamma Rhythm10aHumans10aMale10aMiddle Aged10aNerve Net10aPsychomotor Performance10aReaction Time10aYoung Adult1 aParaskevopoulou, Sivylla, E1 aCoon, William, G1 aBrunner, Peter1 aMiller, Kai, J1 aSchalk, Gerwin uhttps://neurotechcenter.org/publications/2021/within-subject-reaction-time-variability-role-cortical-networks-and03173nas a2200493 4500008004100000022001400041245012000055210006900175260001200244300001200256490000800268520172300276653001801999653002002017653001502037653001102052653002202063653001102085653001102096653001402107653001302121653000902134653001602143653003102159653001402190653002602204653001302230653001802243653001602261100001802277700002302295700002102318700002302339700002602362700002402388700001802412700001902430700001402449700002202463700002202485700002602507700003102533856011502564 2020 eng d a1573-737300aPotential differences between monolingual and bilingual patients in approach and outcome after awake brain surgery.0 aPotential differences between monolingual and bilingual patients c07/2020 a587-5980 v1483 a

INTRODUCTION: 20.8% of the United States population and 67% of the European population speak two or more languages. Intraoperative different languages, mapping, and localization are crucial. This investigation aims to address three questions between BL and ML patients: (1) Are there differences in complications (i.e. seizures) and DECS techniques during intra-operative brain mapping? (2) Is EOR different? and (3) Are there differences in the recovery pattern post-surgery?

METHODS: Data from 56 patients that underwent left-sided awake craniotomy for tumors infiltrating possible dominant hemisphere language areas from September 2016 to June 2019 were identified and analyzed in this study; 14 BL and 42 ML control patients. Patient demographics, education level, and the age of language acquisition were documented and evaluated. fMRI was performed on all participants.

RESULTS: 0 (0%) BL and 3 (7%) ML experienced intraoperative seizures (P = 0.73). BL patients received a higher direct DECS current in comparison to the ML patients (average = 4.7, 3.8, respectively, P = 0.03). The extent of resection was higher in ML patients in comparison to the BL patients (80.9 vs. 64.8, respectively, P = 0.04). The post-operative KPS scores were higher in BL patients in comparison to ML patients (84.3, 77.4, respectively, P = 0.03). BL showed lower drop in post-operative KPS in comparison to ML patients (- 4.3, - 8.7, respectively, P = 0.03).

CONCLUSION: We show that BL patients have a lower incidence of intra-operative seizures, lower EOR, higher post-operative KPS and tolerate higher DECS current, in comparison to ML patients.

10aBrain Mapping10aBrain Neoplasms10aCraniotomy10aFemale10aFollow-Up Studies10aGlioma10aHumans10aIncidence10aLanguage10aMale10aMiddle Aged10aMonitoring, Intraoperative10aPrognosis10aRetrospective Studies10aSeizures10aUnited States10aWakefulness1 aReFaey, Karim1 aTripathi, Shashwat1 aBhargav, Adip, G1 aGrewal, Sanjeet, S1 aMiddlebrooks, Erik, H1 aSabsevitz, David, S1 aJentoft, Mark1 aBrunner, Peter1 aWu, Adela1 aTatum, William, O1 aRitaccio, Anthony1 aChaichana, Kaisorn, L1 aQuinones-Hinojosa, Alfredo uhttps://neurotechcenter.org/publications/2020/potential-differences-between-monolingual-and-bilingual-patients03279nas 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 a

Language 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/2102978402830nas a2200337 4500008004100000022001400041245004900055210004500104260001200149300001100161490000600172520196200178653001002140653003502150653001802185653001102203653001102214653000902225653001602234653002502250653002302275653002802298653001602326100001902342700001302361700001502374700002102389700001502410700001902425856004802444 2010 eng d a1741-255200aDoes the 'P300' speller depend on eye gaze?.0 aDoes the P300 speller depend on eye gaze c10/2010 a0560130 v73 a

Many people affected by debilitating neuromuscular disorders such as amyotrophic lateral sclerosis, brainstem stroke or spinal cord injury are impaired in their ability to, or are even unable to, communicate. A brain-computer interface (BCI) uses brain signals, rather than muscles, to re-establish communication with the outside world. One particular BCI approach is the so-called 'P300 matrix speller' that was first described by Farwell and Donchin (1988 Electroencephalogr. Clin. Neurophysiol. 70 510-23). It has been widely assumed that this method does not depend on the ability to focus on the desired character, because it was thought that it relies primarily on the P300-evoked potential and minimally, if at all, on other EEG features such as the visual-evoked potential (VEP). This issue is highly relevant for the clinical application of this BCI method, because eye movements may be impaired or lost in the relevant user population. This study investigated the extent to which the performance in a 'P300' speller BCI depends on eye gaze. We evaluated the performance of 17 healthy subjects using a 'P300' matrix speller under two conditions. Under one condition ('letter'), the subjects focused their eye gaze on the intended letter, while under the second condition ('center'), the subjects focused their eye gaze on a fixation cross that was located in the center of the matrix. The results show that the performance of the 'P300' matrix speller in normal subjects depends in considerable measure on gaze direction. They thereby disprove a widespread assumption in BCI research, and suggest that this BCI might function more effectively for people who retain some eye-movement control. The applicability of these findings to people with severe neuromuscular disabilities (particularly in eye-movements) remains to be determined.

10aAdult10aEvent-Related Potentials, P30010aEye Movements10aFemale10aHumans10aMale10aMiddle Aged10aModels, Neurological10aPhotic Stimulation10aUser-Computer Interface10aYoung Adult1 aBrunner, Peter1 aJoshi, S1 aBriskin, S1 aWolpaw, Jonathan1 aBischof, H1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/2085892402591nas a2200433 4500008004100000022001400041245012500055210006900180260001200249300001100261490000700272520133300279653001001612653001801622653002001640653002501660653002601685653002701711653001301738653001101751653001101762653000901773653001601782653003301798653004101831653001601872100001901888700001801907700002201925700002201947700002001969700002401989700002302013700002002036700001902056700001502075700001902090856004802109 2009 eng d a1525-506900aA practical procedure for real-time functional mapping of eloquent cortex using electrocorticographic signals in humans.0 apractical procedure for realtime functional mapping of eloquent  c07/2009 a278-860 v153 a

Functional mapping of eloquent cortex is often necessary prior to invasive brain surgery, but current techniques that derive this mapping have important limitations. In this article, we demonstrate the first comprehensive evaluation of a rapid, robust, and practical mapping system that uses passive recordings of electrocorticographic signals. This mapping procedure is based on the BCI2000 and SIGFRIED technologies that we have been developing over the past several years. In our study, we evaluated 10 patients with epilepsy from four different institutions and compared the results of our procedure with the results derived using electrical cortical stimulation (ECS) mapping. The results show that our procedure derives a functional motor cortical map in only a few minutes. They also show a substantial concurrence with the results derived using ECS mapping. Specifically, compared with ECS maps, a next-neighbor evaluation showed no false negatives, and only 0.46 and 1.10% false positives for hand and tongue maps, respectively. In summary, we demonstrate the first comprehensive evaluation of a practical and robust mapping procedure that could become a new tool for planning of invasive brain surgeries.

10aAdult10aBrain Mapping10aCerebral Cortex10aElectric Stimulation10aElectrodes, Implanted10aElectroencephalography10aEpilepsy10aFemale10aHumans10aMale10aMiddle Aged10aPractice Guidelines as Topic10aSignal Processing, Computer-Assisted10aYoung Adult1 aBrunner, Peter1 aRitaccio, A L1 aLynch, Timothy, M1 aEmrich, Joseph, F1 aWilson, Adam, J1 aWilliams, Justin, C1 aAarnoutse, Erik, J1 aRamsey, Nick, F1 aLeuthardt, E C1 aBischof, H1 aSchalk, Gerwin uhttp://www.ncbi.nlm.nih.gov/pubmed/1936663805137nas 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 a

Many 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/1792013403145nas a2200373 4500008004100000022001400041245005700055210005400112260001200166300001000178490000700188520212100195653001002316653001502326653001802341653002102359653003302380653002702413653001302440653002202453653001102475653001102486653000902497653003502506653003102541653003202572100001902604700001902623700001902642700001702661700002402678700002102702856004802723 2008 eng d a1095-957200aReal-time detection of event-related brain activity.0 aRealtime detection of eventrelated brain activity c11/2008 a245-90 v433 a

The complexity and inter-individual variation of brain signals impedes real-time detection of events in raw signals. To convert these complex signals into results that can be readily understood, current approaches usually apply statistical methods to data from known conditions after all data have been collected. The capability to provide meaningful visualization of complex brain signals without the requirement to initially collect data from all conditions would provide a new tool, essentially a new imaging technique, that would open up new avenues for the study of brain function. Here we show that a new analysis approach, called SIGFRIED, can overcome this serious limitation of current methods. SIGFRIED can visualize brain signal changes without requiring prior data collection from all conditions. This capacity is particularly well suited to applications in which comprehensive prior data collection is impossible or impractical, such as intraoperative localization of cortical function or detection of epileptic seizures.

10aAdult10aAlgorithms10aBrain Mapping10aComputer Systems10aDiagnosis, Computer-Assisted10aElectroencephalography10aEpilepsy10aEvoked Potentials10aFemale10aHumans10aMale10aPattern Recognition, Automated10aReproducibility of Results10aSensitivity and Specificity1 aSchalk, Gerwin1 aLeuthardt, E C1 aBrunner, Peter1 aOjemann, J G1 aGerhardt, Lester, A1 aWolpaw, Jonathan uhttp://www.ncbi.nlm.nih.gov/pubmed/18718544