Brain-computer interfacing in disorders of consciousness.

Background: Recent neuroimaging research has strikingly demonstrated the existence of covert awareness in some patients with disorders of consciousness (DoC). These findings have highlighted the potential for the development of simple brain-computer interfaces (BCI) as a diagnosis in behaviourally unresponsive patients. Objectives: This study here reviews current EEG-based BCIs that hold potential for assessing and eventually assisting patients with DoC. It highlights key areas for further development that might eventually make their application feasible in this challenging patient group. Methods: The major types of BCIs proposed in the literature are considered, namely those based on the P3 potential, sensorimotor rhythms, steady state oscillations and slow cortical potentials. In each case, a brief overview of the relevant literature is provided and then their relative merits for BCI applications in DoC are considered. Results: A range of BCI designs have been proposed and tested for enabling communication in fully conscious, paralysed patients. Although many of these have potential applicability for patients with DoC, they share some key challenges that need to be overcome, including limitations of stimulation modality, feedback, user training and consistency. Conclusion: Future work will need to address the technical and practical challenges facing reliable implementation at the patient's bedside

A configurable, inexpensive, portable, multi-channel, multi-frequency, multi-chromatic RGB LED system for SSVEP stimulation

Steady state visual evoked potential (SSVEP) is extensively used in the research of brain-computer interface (BCI) and require a controllable and configurable light source. SSVEP requires appropriate control of visual stimulus parameters, such as flicker frequency, light intensity, multi-frequency light source and multi-spectral compositions. Light emitting diodes (LEDs) are extensively used as a light source as they are energy efficient, low power, multi-chromatic, have higher contrast, and support wider frequency ranges. Here, we present the design of a compact versatile visual stimulus which is capable of producing simultaneous multiple frequency RGB LED flicker suitable for a wide range of SSVEP paradigms. The hardware is based upon the open source Arduino platform and supports on-the-fly reprogramming with easily configurable user interface via USB. The design provides fourteen independent high output channels with customisable output voltages. The flicker frequencies can be easily customised within the frequency range of 5–50 Hz, using a look-up table. The LED flickers are generated with single RGB LEDs which generate the required colour or frequency combinations for combined multi-frequency flicker with variable duty cycle to generate SSVEP. Electroencephalogram (EEG) signals have been successfully recorded from five subjects using the stimulator for different frequencies, colours, duty cycle, intensity and multiple frequency RGB source, thereby demonstrating the high usability, adaptability and flexibility of the stimulator. Finally we discuss the possible improvements to the stimulator which could provide real time user feedback to reduce visual fatigue and so increase the level of user comfort