Brain-Computer Interfaces in Medicine

Brain-computer interfaces (BCIs) acquire brain signals, analyze them, and translate them into commands that are relayed to output devices that carry out desired actions. BCIs do not use normal neuromuscular output pathways. The main goal of BCI is to replace or restore useful function to people disabled by neuromuscular disorders such as amyotrophic lateral sclerosis, cerebral palsy, stroke, or spinal cord injury. From initial demonstrations of electroenceph-alography-based spelling and single-neuron-based device control, researchers have gone on to use electroenceph-alographic, intracortical, electrocorticographic, and other brain signals for increasingly complex control of cursors, robotic arms, prostheses, wheelchairs, and other devices. Brain-computer interfaces may also prove useful for rehabilitation after stroke and for other disorders. In the future, they might augment the performance of surgeons or other medical professionals. Brain-computer interface technology is the focus of a rapidly growing research and development enterprise that is greatly exciting scientists, engineers, clinicians, and the public in general. Its future achievements will depend on advances in 3 crucial areas. Brain-computer interfaces need signal-acquisition hardware that is convenient, portable, safe, and able to function in all environments. Brain-computer interface systems need to be validated in long-term studies of real-world use by people with severe disabilities, and effective and viable models for their widespread dissemination must be implemented. Finally, the day-to-day and moment-to-moment reliability of BCI performance must be improved so that it approaches the reliability of natural muscle-based function

Neurofeedback Therapy for Enhancing Visual Attention: State-of-the-Art and Challenges

We have witnessed a rapid development of brain-computer interfaces (BCIs) linking the brain to external devices. BCIs can be utilized to treat neurological conditions and even to augment brain functions. BCIs offer a promising treatment for mental disorders, including disorders of attention. Here we review the current state of the art and challenges of attention-based BCIs, with a focus on visual attention. Attention-based BCIs utilize electroencephalograms (EEGs) or other recording techniques to generate neurofeedback, which patients use to improve their attention, a complex cognitive function. Although progress has been made in the studies of neural mechanisms of attention, extraction of attention-related neural signals needed for BCI operations is a difficult problem. To attain good BCI performance, it is important to select the features of neural activity that represent attentional signals. BCI decoding of attention-related activity may be hindered by the presence of different neural signals. Therefore, BCI accuracy can be improved by signal processing algorithms that dissociate signals of interest from irrelevant activities. Notwithstanding recent progress, optimal processing of attentional neural signals remains a fundamental challenge for the development of efficient therapies for disorders of attention

Probabilistic Graphical Models for ERP-Based Brain Computer Interfaces

An event related potential (ERP) is an electrical potential recorded from the nervous system of humans or other animals. An ERP is observed after the presentation of a stimulus. Some examples of the ERPs are P300, N400, among others. Although ERPs are used very often in neuroscience, its generation is not yet well understood and different theories have been proposed to explain the phenomena. ERPs could be generated due to changes in the alpha rhythm, an internal neural control that reset the ongoing oscillations in the brain, or separate and distinct additive neuronal phenomena. When different repetitions of the same stimuli are averaged, a coherence addition of the oscillations is obtained which explain the increase in amplitude in the signals. Two ERPs are mostly studied: N400 and P300. N400 signals arise when a subject tries to make semantic operations that support neural circuits for explicit memory. N400 potentials have been observed mostly in the rhinal cortex. P300 signals are related to attention and memory operations. When a new stimulus appears, a P300 ERP (named P3a) is generated in the frontal lobe. In contrast, when a subject perceives an expected stimulus, a P300 ERP (named P3b) is generated in the temporal – parietal areas. This implicates P3a and P3b are related, suggesting a circuit pathway between the frontal and temporal–parietal regions, whose existence has not been verified. Un potencial relacionado con un evento (ERP) es un potencial eléctrico registrado en el sistema nervioso de los seres humanos u otros animales. Un ERP se observa tras la presentación de un estímulo. Aunque los ERPs se utilizan muy a menudo en neurociencia, su generación aún no se entiende bien y se han propuesto diferentes teorías para explicar el fenómeno. Una interfaz cerebro-computador (BCI) es un sistema de comunicación en el que los mensajes o las órdenes que un sujeto envía al mundo exterior proceden de algunas señales cerebrales en lugar de los nervios y músculos periféricos. La BCI utiliza ritmos sensorimotores o señales ERP, por lo que se necesita un clasificador para distinguir entre los estímulos correctos y los incorrectos. En este trabajo, proponemos utilizar modelos probabilísticos gráficos para el modelado de la dinámica temporal y espacial de las señales cerebrales con aplicaciones a las BCIs. Los modelos gráficos han sido seleccionados por su flexibilidad y capacidad de incorporar información previa. Esta flexibilidad se ha utilizado anteriormente para modelar únicamente la dinámica temporal. Esperamos que el modelo refleje algunos aspectos del funcionamiento del cerebro relacionados con los ERPs, al incluir información espacial y temporal.DoctoradoDoctor en Ingeniería Eléctrica y Electrónic

EEG and ECoG features for Brain Computer Interface in Stroke Rehabilitation

The ability of non-invasive Brain-Computer Interface (BCI) to control an exoskeleton was used for motor rehabilitation in stroke patients or as an assistive device for the paralyzed. However, there is still a need to create a more reliable BCI that could be used to control several degrees of Freedom (DoFs) that could improve rehabilitation results. Decoding different movements from the same limb, high accuracy and reliability are some of the main difficulties when using conventional EEG-based BCIs and the challenges we tackled in this thesis. In this PhD thesis, we investigated that the classification of several functional hand reaching movements from the same limb using EEG is possible with acceptable accuracy. Moreover, we investigated how the recalibration could affect the classification results. For this reason, we tested the recalibration in each multi-class decoding for within session, recalibrated between-sessions, and between sessions. It was shown the great influence of recalibrating the generated classifier with data from the current session to improve stability and reliability of the decoding. Moreover, we used a multiclass extension of the Filter Bank Common Spatial Patterns (FBCSP) to improve the decoding accuracy based on features and compared it to our previous study using CSP. Sensorimotor-rhythm-based BCI systems have been used within the same frequency ranges as a way to influence brain plasticity or controlling external devices. However, neural oscillations have shown to synchronize activity according to motor and cognitive functions. For this reason, the existence of cross-frequency interactions produces oscillations with different frequencies in neural networks. In this PhD, we investigated for the first time the existence of cross-frequency coupling during rest and movement using ECoG in chronic stroke patients. We found that there is an exaggerated phase-amplitude coupling between the phase of alpha frequency and the amplitude of gamma frequency, which can be used as feature or target for neurofeedback interventions using BCIs. This coupling has been also reported in another neurological disorder affecting motor function (Parkinson and dystonia) but, to date, it has not been investigated in stroke patients. This finding might change the future design of assistive or therapeuthic BCI systems for motor restoration in stroke patients