Collaborative Approach in the Development of High-Performance Brain-Computer Interfaces for a Neuroprosthetic Arm: Translation from Animal Models to Human Control

被引:54
作者
Collinger, Jennifer L. [1 ,2 ,3 ]
Kryger, Michael A. [2 ]
Barbara, Richard [2 ]
Betler, Timothy [4 ]
Bowsher, Kristen [5 ]
Brown, Elke H. P. [2 ]
Clanton, Samuel T. [2 ]
Degenhart, Alan D. [3 ,6 ,7 ]
Foldes, Stephen T. [1 ,2 ,6 ,7 ]
Gaunt, Robert A. [2 ,3 ]
Gyulai, Ferenc E. [8 ]
Harchick, Elizabeth A. [2 ]
Harrington, Deborah [2 ]
Helder, John B. [9 ]
Hemmes, Timothy
Johannes, Matthew S. [9 ]
Katyal, Kapil D. [9 ]
Ling, Geoffrey S. F. [10 ]
McMorland, Angus J. C. [11 ,12 ]
Palko, Karina
Para, Matthew P. [9 ]
Scheuermann, Janet
Schwartz, Andrew B. [2 ,3 ,6 ,7 ,11 ,12 ,13 ]
Skidmore, Elizabeth R. [2 ,14 ]
Solzbacher, Florian [15 ,16 ,17 ]
Srikameswaran, Anita V. [4 ]
Swanson, Dennis P. [18 ]
Swetz, Scott [9 ]
Tyler-Kabara, Elizabeth C. [2 ,3 ,13 ,19 ]
Velliste, Meel [11 ,12 ]
Wang, Wei [2 ,3 ,6 ,7 ,20 ]
Weber, Douglas J. [1 ,2 ,3 ,6 ,7 ]
Wodlinger, Brian [2 ,6 ,7 ]
Boninger, Michael L. [1 ,2 ,3 ,13 ]
机构
[1] Dept Vet Affairs Med Ctr, Pittsburgh, PA 15206 USA
[2] Univ Pittsburgh, Dept Phys Med & Rehabil, Pittsburgh, PA USA
[3] Univ Pittsburgh, Dept Bioengn, Pittsburgh, PA USA
[4] Univ Pittsburgh, Sch Hlth Sci Media Relat, Pittsburgh, PA USA
[5] US FDA, Off Device Evaluat, Silver Spring, MD USA
[6] Carnegie Mellon Univ, Ctr Neural Basis Cognit, Pittsburgh, PA 15213 USA
[7] Univ Pittsburgh, Pittsburgh, PA USA
[8] Univ Pittsburgh, Dept Anesthesiol, Pittsburgh, PA USA
[9] Johns Hopkins Univ, Appl Phys Lab, Laurel, MD USA
[10] Def Adv Res Projects Agcy, Arlington, VA USA
[11] Univ Pittsburgh, Syst Neurosci Inst, Pittsburgh, PA USA
[12] Univ Pittsburgh, Dept Neurobiol, Pittsburgh, PA USA
[13] Univ Pittsburgh, McGowan Inst Regenerat Med, Pittsburgh, PA USA
[14] Univ Pittsburgh, Dept Occupat Therapy, Pittsburgh, PA USA
[15] Univ Utah, Dept Elect & Comp Engn, Salt Lake City, UT USA
[16] Univ Utah, Dept Bioengn, Salt Lake City, UT 84112 USA
[17] Univ Utah, Dept Mat Sci & Engn, Salt Lake City, UT 84112 USA
[18] Univ Pittsburgh, Res Conduct & Compliance Off, Pittsburgh, PA USA
[19] Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA 15260 USA
[20] Univ Pittsburgh, Clin & Translat Neurosci Inst, Pittsburgh, PA USA
来源
CTS-CLINICAL AND TRANSLATIONAL SCIENCE | 2014年 / 7卷 / 01期
基金
美国国家卫生研究院;
关键词
brain; clinical trials; methodology; translational research; ELECTROCORTICOGRAPHIC SPECTRAL-ANALYSIS; BLOCK AUTONOMIC HYPERREFLEXIA; HUMAN SENSORIMOTOR CORTEX; TRANSURETHRAL LITHOLAPAXY; CORTICAL CONTROL; PROSTHETIC ARM; CELL DISCHARGE; NEURAL-CONTROL; ECOG SIGNALS; DIRECTION;
D O I
10.1111/cts.12086
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Our research group recently demonstrated that a person with tetraplegia could use a brain-computer interface (BCI) to control a sophisticated anthropomorphic robotic arm with skill and speed approaching that of an able-bodied person. This multiyear study exemplifies important principles in translating research from foundational theory and animal experiments into a clinical study. We present a roadmap that may serve as an example for other areas of clinical device research as well as an update on study results. Prior to conducting a multiyear clinical trial, years of animal research preceded BCI testing in an epilepsy monitoring unit, and then in a short-term (28 days) clinical investigation. Scientists and engineers developed the necessary robotic and surgical hardware, software environment, data analysis techniques, and training paradigms. Coordination among researchers, funding institutes, and regulatory bodies ensured that the study would provide valuable scientific information in a safe environment for the study participant. Finally, clinicians from neurosurgery, anesthesiology, physiatry, psychology, and occupational therapy all worked in a multidisciplinary team along with the other researchers to conduct a multiyear BCI clinical study. This teamwork and coordination can be used as a model for others attempting to translate basic science into real-world clinical situations.
引用
收藏
页码:52 / 59
页数:8
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