Meeting brain-computer interface user performance expectations using a deep neural network decoding framework.

Schwemmer, Michael A; Skomrock, Nicholas D; Sederberg, Per B; Ting, Jordyn E; Sharma, Gaurav; Bockbrader, Marcia A; Friedenberg, David A · Nat Med · 2018

case_report · Level V

Where this comes from

Abstract

Brain-computer interface (BCI) neurotechnology has the potential to reduce disability associated with paralysis by translating neural activity into control of assistive devices<sup>1-9</sup>. Surveys of potential end-users have identified key BCI system features<sup>10-14</sup>, including high accuracy, minimal daily setup, rapid response times, and multifunctionality. These performance characteristics are primarily influenced by the BCI's neural decoding algorithm<sup>1,15</sup>, which is trained to associate neural activation patterns with intended user actions. Here, we introduce a new deep neural network<sup>16</sup> decoding framework for BCI systems enabling discrete movements that addresses these four key performance characteristics. Using intracortical data from a participant with tetraplegia, we provide offline results demonstrating that our decoder is highly accurate, sustains this performance beyond a year without explicit daily retraining by combining it with an unsupervised updating procedure<sup>3,17-20</sup>, responds faster than competing methods<sup>8</sup>, and can increase functionality with minimal retraining by using a technique known as transfer learning<sup>21</sup>. We then show that our participant can use the decoder in real-time to reanimate his paralyzed forearm with functional electrical stimulation (FES), enabling accurate manipulation of three objects from the grasp and release test (GRT)<sup>22</sup>. These results demonstrate that deep neural network decoders can advance the clinical translation of BCI technology.

Medical subject headings

Anatomy