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

Valutazione degli stati mentali attraverso l'utilizzo di interfacce cervello-computer passive

The monitoring of cognitive functions aims at gaining information about the current cognitive state of the user by decoding brain signals. In recent years, this approach allowed to acquire valuable information about the cognitive aspects regarding the interaction of humans with external world. From this consideration, researchers started to consider passive application of brain–computer interface (BCI) in order to provide a novel input modality for technical systems solely based on brain activity. The objective of this thesis is to demonstrate how the passive Brain Computer Interfaces (BCIs) applications can be used to assess the mental states of the users, in order to improve the human machine interaction. Two main studies has been proposed. The first one allows to investigate whatever the Event Related Potentials (ERPs) morphological variations can be used to predict the users’ mental states (e.g. attentional resources, mental workload) during different reactive BCI tasks (e.g. P300-based BCIs), and if these information can predict the subjects’ performance in performing the tasks. In the second study, a passive BCI system able to online estimate the mental workload of the user by relying on the combination of the EEG and the ECG biosignals has been proposed. The latter study has been performed by simulating an operative scenario, in which the occurrence of errors or lack of performance could have significant consequences. The results showed that the proposed system is able to estimate online the mental workload of the subjects discriminating three different difficulty level of the tasks ensuring a high reliability.La valutazione delle funzioni cognitive ha l’obbiettivo di ottenere informazioni sullo stato mentale attuale dell'utente, attraverso la decodifica dei segnali cerebrali. Negli ultimi anni, questo approccio ha consentito di indagare informazioni preziose sugli aspetti cognitivi riguardanti l'interazione tra l’uomo ed il mondo esterno. In base a queste considerazioni, recentemente si è considerata in letteratura la possibilità di utilizzare le interfacce cervello computer passive (BCI passivi) per interagire con dispositivi esterni, sfruttando l’attività spontanea dell’utente. L'obiettivo di questa tesi è quello di dimostrare come le interfacce cervello computer passive possano essere utilizzate per valutare lo stato mentale dell’utente, al fine di migliorare l'interazione uomo-macchina. Sono stati presentati due studi principali. Il primo ha l’obbiettivo di investigare le variazioni morfologiche dei potenziali evento correlati (ERP), al fine di associarle agli stati mentali dell’utente (es. attenzione, carico di lavoro mentale) durante l’utilizzo di BCI reattive, e come predittori delle performance raggiunte dai soggetti. Nel secondo studio è stato sviluppato e validato un sistema BCI passivo in grado di stimare il carico di lavoro mentale dell'utente durante task operative, attraverso la combinazione del segnale elettroencefalografico (EEG) ed elettrocardiografico (ECG). Quest'ultimo studio è stato effettuato simulando uno scenario operativo, in cui il verificarsi di errori da parte dell’operatore o il calo di prestazioni poteva avere conseguenze importanti. I risultati hanno mostrato che il sistema proposto è in grado di discriminare il carico di lavoro mentale percepito dall’utente su tre livelli di difficoltà, garantendo un’elevata affidabilità

Affective Brain-Computer Interfaces Neuroscientific Approaches to Affect Detection

The brain is involved in the registration, evaluation, and representation of emotional events, and in the subsequent planning and execution of adequate actions. Novel interface technologies – so-called affective brain-computer interfaces (aBCI) - can use this rich neural information, occurring in response to affective stimulation, for the detection of the affective state of the user. This chapter gives an overview of the promises and challenges that arise from the possibility of neurophysiology-based affect detection, with a special focus on electrophysiological signals. After outlining the potential of aBCI relative to other sensing modalities, the reader is introduced to the neurophysiological and neurotechnological background of this interface technology. Potential application scenarios are situated in a general framework of brain-computer interfaces. Finally, the main scientific and technological challenges that have to be solved on the way toward reliable affective brain-computer interfaces are discussed

Cognitive Assessment and Rehabilitation of subjects with Traumatic Brain Injury

This thesis regards the study and the development of new cognitive assessment and rehabilitation techniques of subjects with traumatic brain injury (TBI). In particular, this thesis i) provides an overview about the state of art of this new assessment and rehabilitation technologies, ii) suggests new methods for the assessment and rehabilitation and iii) contributes to the explanation of the neurophysiological mechanism that is involved in a rehabilitation treatment. Some chapters provide useful information to contextualize TBI and its outcome; they describe the methods used for its assessment/rehabilitation. The other chapters illustrate a series of experimental studies conducted in healthy subjects and TBI patients that suggest new approaches to assessment and rehabilitation. The new proposed approaches have in common the use of electroencefalografy (EEG). EEG was used in all the experimental studies with a different purpose, such as diagnostic tool, signal to command a BCI-system, outcome measure to evaluate the effects of a treatment, etc. The main achieved results are about: i) the study and the development of a system for the communication with patients with disorders of consciousness. It was possible to identify a paradigm of reliable activation during two imagery task using EEG signal or EEG and NIRS signal; ii) the study of the effects of a neuromodulation technique (tDCS) on EEG pattern. This topic is of great importance and interest. The emerged founding showed that the tDCS can manipulate the cortical network activity and through the research of optimal stimulation parameters, it is possible move the working point of a neural network and bring it in a condition of maximum learning. In this way could be possible improved the performance of a BCI system or to improve the efficacy of a rehabilitation treatment, like neurofeedback