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Brain Gate Technology BRAIN GATE TECHNOLOGY ABSTRACT: BrainGate is a brain implant system developed by the bio-tech company Cyberkinetics in 2008 in conjunction with the Department of Neuroscience at Brown University. The mind-tomovement system that allows a quadriplegic man to control a computer using only his thoughts is a scientific milestone. It was reached, in large part, through the brain gate system. This system has become a boon to the paralyzed. The device was designed to help those who have lost control of their limbs, or other bodily functions, such as patients with amyotrophic lateral sclerosis (ALS) or spinal cord injury.The principle of operation behind the Brain Gate System is that with intact brain function, brain signals are generated even though they are not sent to the arms, hands and legs.The signals are interpreted and translated into cursor movements, offering the user an alternate Brain Gate pathway to control a computer with thought,just as individuals who have the ability to move their hands use a mouse. A longterm goal of the BrainGate research team is to create a system that, quite literally, turns thought into action – and is useful to people with neurologic disease or injury, or limb loss. Currently, the system consists of a “sensor” (a device implanted in the brain that records signals directly related to imagined limb movement); a “decoder” (a set of computers and embedded software that turns the brain signals into a useful command for an external device); and, the external device – which could be a standard computer desktop or other communication device, a powered wheelchair, a prosthetic or robotic limb, or, in the future, a functional electrical stimulation device that can move paralyzed limbs directly. The 'Brain Gate' contains tiny spikes that will extend down about one millimetre into the brain after being implanted beneath the skull,monitoring the activity from a small group of 1 Govt. CET, CSE Brain Gate Technology neurons.It will now be possible for a patient with spinal cord injury to produce brain signals that relay the intention of moving the paralyzed limbs,as signals to an implanted sensor,which is then output as electronic impulses. These impulses enable the user to operate mechanical devices with the help of a computer cursor. . Matthew Nagle,a 25-year-old Massachusetts man with a severe spinal cord injury,has been paralyzed from the neck down since 2001.After taking part in a clinical trial of this system,he has opened e-mail,switched TV channels,turned on lights.He even moved a robotic hand from his wheelchair. This marks the first time that neural movement signals have been recorded and decoded in a human with spinal cord injury.The system is also the first to allow a human to control his surrounding environment using his mind. 2 Govt. CET, CSE Brain Gate Technology 1. INTRODUCTION 1.1 GENERAL Brain and Neurons Brain is the center of nervous system which is present inhead, protected by the skull. #Brain controls the whole body actions and reactions. #Neurons are the responsive cells in nervous system thatprocesses and transmits information by electrochemicalsignals. #There are 100 billion neurons are available in human body Neurons and Nervous system Neurons are the constituents of Nervous system and plays the vital role inour daily life. #Neurons have very complex operation to perform and if it stops workingthen one cannot be able to work. #Nervous system is linked with Brain and is controlled by it. The commandsspecified by the brain is carried to the various organs through them How does the brain control motor function work? The brain is "hardwired" with connections, which are made by billions of neurons that make electricity whenever they are stimulated. The electrical patterns are called brain waves. Neurons act like the wires and gates in a computer, gathering and transmitting electrochemical signals over distances as far as several feet. The brain encodes information not by relying on single neurons, but by spreading it across large populations of neurons, and by rapidly adapting to new circumstances. Motor neurons carry signals from the central nervous system to the muscles, skin and glands of the body, while sensory neurons carry signals from those outer parts of the body to the central nervous system. Receptors sense things like chemicals, light, and sound and encode this information into electrochemical signals transmitted by the sensory neurons. And interneurons tie everything together by connecting the various neurons within the brain and 3 Govt. CET, CSE Brain Gate Technology spinal cord. The part of the brain that controls motor skills is located at the ear of the frontal lobe. How does this communication happen? Muscles in the body's limbs contain embedded sensors called muscle spindles that measure the length and speed of the muscles as they stretch and contract as you move. Other sensors in the skin respond to stretching and pressure. Even if paralysis or disease damages the part of the brain that processes movement, the brain still makes neural signals. They're just not being sent to the arms, hands and legs. A technique called neurofeedback uses connecting sensors on the scalp to translate brain waves into information a person can learn from. The sensors register different frequencies of the signals produced in the brain. These changes in brain wave patterns indicate whether someone is concentrating or suppressing his impulses, or whether he is relaxed or tense. NEUROPROSTHETIC DEVICE: A neuroprosthetic device known as Braingate converts brain activity into computer commands. A sensor is implanted on the brain, and electrodes are hooked up to wires that travel to a pedestal on the scalp. From there, a fiber optic cable carries the brain activity data to a nearby computer. 4 Govt. CET, CSE Brain Gate Technology 1.2 HISTORY: Research on BCIs has been going on for more than 30 years, but from the mid-1990s there has been a dramatic increase in working experimental implants. Brain gate was developed by the bio-tech company Cyberkinetics in 2003 in conjuction with the Department of Neuroscience at Brown University. Fig 1. Experiment on rat Rats implanted with BCIs in Theodore Berger's experiments.Several laboratories have managed to record romsignals f monkey and rat cerebral cortexes in order to operate BCIs to carry out movement. Monkeys have navigated computer cursors on screen and commanded robotic arms to perform simple tasks simply by thinking about the task and without any motor output. Other research on cats has decoded visual signals. Garrett Stanley's recordings of cat vision using a BCI implanted in the lateral geniculate nucleus (top row: original image; bottom row: recording) In 1999, researchers led by Garrett Stanley at Harvard University decoded neuronal firings to reproduce images seen by cats. The team used an array of electrodes embedded in the thalamus (which integrates all of the brain’s sensory input) of sharp-eyed cats. Researchers targeted 177 brain cells in the thalamus lateral geniculate nucleus area, which decodes signals from the retina. The cats were shown eight short movies, and their neuron firings were recorded. Using mathematical filters, the researchers decoded the signals to generate movies of what the cats saw and were able to reconstruct recognizable scenes and moving objects. 5 Govt. CET, CSE Brain Gate Technology In the 1980s, Apostolos Georgopoulos at Johns Hopkins University found a mathematical relationship between the (based on a cosine function). He also found that dispersed groups of neurons in different areas of the brain collectively controlled motor commands but was only able to record the firings of neurons in one area at a time because of technical limitations imposed by his equipment. There has been rapid development in BCIs since the mid-1990s. Several groups have been able to capture complex brain motor centre signals using recordings from neural ensembles (groups of neurons) and use these to control external devices, including research groups led by Richard Andersen, John Donoghue, Phillip Kennedy, Miguel Nicolelis, and Andrew Schwartz. Fig 2. Diagram of the BCI Diagram of the BCI developed by Miguel Nicolelis and collegues for use on Rhesus onkeys Later experiments by Nicolelis using rhesus monkeys, succeeded in closing the feedback loop and reproduced monkey reaching and grasping movements in a robot arm. With their deeply cleft and furrowed brains, rhesus monkeys are considered to be better models for human neurophysiology than owl monkeys. The monkeys were trained to reach and grasp objects on a computer screen by manipulating a joystick while corresponding movements by a robot arm were hidden.The monkeys were later shown the robot directly and learned to control it by viewing its movements. The BCI used velocity predictions to control reaching movements and simultaneously predicted hand gripping force. Other labs that develop BCIs and algorithms that decode neuron signals include John Donoghue from Brown University, Andrew Schwartz from the University of Pittsburgh and Richard Andersen from Caltech. These researchers were able to produce working BCIs even 6 Govt. CET, CSE Brain Gate Technology though they recorded signals from far fewer neurons than Nicolelis (15–30 neurons versus 50–200 neurons). Donoghue's group reported training rhesus monkeys to use a BCI to track visual targets on a computer screen with or without assistance of a joystick (closed-loop BCI). Schwartz's group created a BCI for three-dimensional tracking in virtual reality and also reproduced BCI control in a robotic arm. 7 Govt. CET, CSE Brain Gate Technology 1.3 PRINCIPLE: "The principle of operation of the BrainGate Neural Interface System is that with intact brain function, neural signals are generated even though they are not sent to the arms, hands and legs. These signals are interpreted by the System and a cursor is shown to the user on a computer screen that provides an alternate "BrainGate pathway". The user can use that cursor to control the computer, just as a mouse is used." Fig 3. Brain Computer Interface BrainGate is a brain implant system developed by the bio-tech company Cyberkinetics in 2003 in conjunction with the Department of Neuroscience at Brown University. The device was designed to help those who have lost control of their limbs, or other bodily functions, such as patients with amyotrophic lateral sclerosis (ALS) or spinal cord injury. The computer chip, which is implanted into the patient and converts the intention of the user into computer commands. 8 Govt. CET, CSE Brain Gate Technology Fig 4. Brain Gate Technology NUERO CHIP: Fig 5. Nuero Chip Currently the chip uses 100 hair-thin electrodes that 'hear' neurons firing in specific areas of the brain, for example, the area that controls arm movement. The activity is translated into electrically charged signals and are then sent and decoded using a program, which can move either a robotic arm or a computer cursor. According to the Cyberkinetics' website, three patients have been implanted with the BrainGate system. The company has confirmed that one patient (Matt Nagle) has a spinal cord injury, whilst another has advanced ALS. In addition to real-time analysis of neuron patterns to relay movement, the Braingate array is also capable of recording electrical data for later analysis. A potential use of this feature would be for a neurologist to study seizure patterns in a patient with epilepsy. Braingate is currently recruiting patients with a range of neuromuscular and neurodegenerative conditions for pilot clinical trials in the United States. 9 Govt. CET, CSE Brain Gate Technology The human brain is a parallel processing supercomputer with the ability to instantaneously process vast amounts of information. BrainGate's™ technology allows for an extensive amount of electrical activity data to be transmitted from neurons in the brain to computers for analysis. In the current BrainGate™ system, a bundle consisting of one hundred gold wires connects the array to a pedestal which extends through the scalp. The pedestal is connected by an external cable to a set of computers in which the data can be stored for off-line analysis or analyzed in real-time. Signal processing software algorithms analyze the electrical activity of neurons and translate it into control signals for use in various computer-based applications. Intellectual property has been developed and research is underway for a wireless device as well. Fig 6. Signal Processing 10 Govt. CET, CSE Brain Gate Technology 1.4 BRAIN-COMPUTER INTERFACE New research into how signals from the brain can be captured by a computer or other device to carry out an individual's command may allow people with motor disabilities to more full communicate and function in their daily lives. The technique relies on the fact that multiple sensors acting together provide the central nervous system with important feedback for controlling movement. For example, sensors called muscle spindles that are embedded in muscle fibers measure the length and speed of muscle stretch, while other sensors in the skin respond to stretch and pressure. When an individual is paralyzed by injury or disease, neural signals from these sensors cannot reach the brain, and thus cannot be used to control motor responses. Paralysis also keeps neural signals originating in the motor regions of the brain from reaching the muscles. The work of Weber and his colleagues shows that it is possible to extract feedback information from the body's natural sensors that could then be used to control a prosthetic device, allowing an individual to regain some command and control of his or her own movements. A sterile surgical procedure is used to implant arrays of 36 microelectrodes into the dorsal root ganglion, part of the spinal nerve that contains the nerve cell bodies that house these natural sensors. Historically, it was difficult to record from these sensors because their cell bodies are located in this difficult-to-reach nerve bundle entering the spinal cord. The wires from the microelectrode array are led out through the skin to a small electrical conductor. The procedure allows simultaneous recordings from many sensory nerves during normal motor activities such as walking. A digital camera tracks the position of the leg, and a mathematical analysis relates ! the sensory activity to leg movement. The investigators found that fewer than 10 neurons are needed to accurately predict the path of the leg. This finding is encouraging because it suggests that a small number of neurons could provide the feedback signals needed to control a prosthetic device. "The principle of operation of the BrainGate Neural Interface System is that with intact brain function, neural signals are generated even though they are not sent to the arms, hands and legs. These signals are interpreted by the System and a cursor is shown to the user on a 11 Govt. CET, CSE Brain Gate Technology computer screen that provides an alternate "BrainGate pathway". The user can use that cursor to control the computer, just as a mouse is used". (From Forbidden Planet 1956) Cyberkinetics has plans to implant the devices in 4 more subjects; the company cautions that BrainGate is an investigational device for clinical testing only. It is not an approved device. Development:Experiments were performed on dogs who were raised confined in cages. When released, the dogs were excited, constantly ran around, and required several attempts to learn to avoid pain. When pain such as a pinch or contact with a burning match was encountered, the animals could not take action to avoid the stimulus immediately. This finding seemed to demonstrate that pain is understood and avoided only by experience- aversion to it is not inbuilt or automatic, and the organism has no way to know what will cause repeated pain without a repeated experience. Physiology:Afferent pain-receptive nerves, those that bring signals to the brain, comprise at least two kinds of fibers - a fast, relatively thick, myelinated "A8" fiber that carries messages quickly with intense pain, and a small, unmyelinated, slow "C" fiber that carries the longer-term throbbing and chronic pain. Large-diameter Afi fibers are nonnociceptive and inhibit the effects of firing by A8 and C fibers. The central nervous system has centers at which pain stimuli can be regulated. Some areas in the dorsal horn of the spinal cord that are involved in receiving pain stimuli from A8 and C fibers, called laminae, also receive input from Ap fibers. In other parts of the laminae, pain fibers also inhibit the effects of nonnociceptive fibers, 'opening the gate'. An inhibitory connection may exist with AP and C fibers, which may form a synapse on the same projection neuron. The same neurons may also form synapses with an inhibitory interneuron that also synapses on the projection neuron, reducing the chance that the latter will fire and transmit pain stimuli to the brain. The C fiber's synapse would inhibit the inhibitory interneuron, indirectly increasing the projection neuron's chance of firing. The Ap fiber, on the otherhand, forms an excitatory connection with the inhibitory interneuron, thus decreasing the projection neuron's chance of firing (like the C fiber, the AP fiber also has an excitatory connection on the projection neuron itself). Thus, depending on the relative rates 12 Govt. CET, CSE Brain Gate Technology of firing of C and AP fibers, the firing of the nonnociceptive fiber may inhibit the firing of the projection neuron and the transmission of pain stimuliGate control theory thus explains how stimulus that activates only nonnociceptive nerves can inhibit pain. The pain seems to be lessened when the area is rubbed because activation of nonnociceptive fibers inhibits the firing of nociceptive ones in the laminae In transcutaneous electrical stimulation (TENS), nonnociceptive fibers are selectively stimulated with electrodes in order to produce this effect and thereby lessen pain. One area of the brain involved in reduction of pain sensation is the periaqueductal gray matter that surrounds the third ventricle and the cerebral aqueduct of the ventricular system. Stimulation of this area produces analgesia (but not total numbing) by activating descending pathways that directly and indirectly inhibits nociceptors in the laminae of the spinal cord. It also activates opioid receptor-containing parts of the spinal cord. Afferent pathways interfere with each other constructively, so that the brain can control i the degree of pain that is perceived, based on which pain stimuli are to be ignored to pursue J potential gains. The brain determines which stimuli are profitable to ignore over time. Thus, the brain controls the perception of pain quite directly, and can be "trained" to turn off forms of pain that are not "useful". This understanding led Melzack to point out that pain is in the brain. Brain-computer interface:A brain-computer interface (BCI), sometimes called a direct neural interface or a brainmachine interface, is a direct technological interface between a brain and a computer not requiring any motor output from the user. That is, neural impulses in the brain are intercepted and used to control an electronic device. This is a rather broad, ill-defined term used to describe many versions of conventional and theoretical interfaces. For purposes of this term, the word brain is understood to imply the physical brain of an organic life form and computer is understood to imply a mechanical/technological processing/computational device. These semantic notations are crucial in the contemplation of a direct brain-computer interface, as there is great debate in the philosophy of mind regarding the reduction of consciousness and mind to the physical qualities of the brain. Because of cortical plasticity, the brain is likely to adapt during learning to operate a BCI. Neuroprosthetics:13 Govt. CET, CSE Brain Gate Technology Simple brain-computer interfaces already exist in the form of neuroprosthetics, with a great deal of neuroscience, robotics, and computer science research currently dedicated to furthering these technologies. Recent achievements demonstrate that it is currently possible to implement crude brain-computer interfaces (brain dishes) that allow in vitro neuronal clusters to directly control computers. Laboratories led by investigators Andrew Schwartz (U. Pittsburgh), Richard Andersen (Caltech), Miguel Nicolelis (Duke), and John Donoghue (Brown University) have all successfully used a variety of algorithms, including the vector sum of motor cortical neuron spiking, to record directly from the cortex of monkeys to operate a BCI. This design allowed a i monkey to navigate a computer cursor on screen, as well as command a robotic arm to perform simple tasks, simply by thinking about moving the cursor without any motor output from the monkey. Studies that developed algorithms to reconstruct movements from the activity of motor cortex neurons date back to the 1970s. Work by groups led by Schmidt, Fetz, and Baker in the 1970s established that monkeys could quickly achieve voluntary control over the firing rate of individual neurons in primary motor cortex under closed-loop operant conditioning. Phillip Kennedy and colleagues built the first wireless, intracortical brain-computer interface by implanting neurotrophic cone electrodes first into monkeys and then into the brains of paralyzed patients. Several groups have explored real-time reconstruction of more complex motor parameters using recordings from neural ensembles, including research groups lead by Miguel Nicolelis, John Donoghue, Andrew Schwartz, Richard Andersen and more recently Krishna Shenoy, Nicho Hatsopoulos, Ad Aertsen, Eilon Vaadia, Lee Miller, Andrew Fagg, Dawn Taylor, and Eric Leuthardt. BCIs in monkeys. There has been explosive development in BCIs since the mid-1990s. Miguel Nicolelis has been a prominent proponent of multi-unit, multi-area recordings from neural ensembles to obtain high-quality neuronal signals to drive a BCI. After conducting initial studies in rats during the 1990s, Nicolelis and his colleagues started to develop BCIs that decoded brain activity in monkeys and used it to reproduce monkey movements in robotic arms. Monkeys have advanced reaching and grasping abilities and good hand manipulation skills making the ideal test subjects for this kind of work. Nicolelis' group conducted their initial primate experiments using owl monkeys. By 2000, 14 Govt. CET, CSE Brain Gate Technology they had gained experience in implanting owl monkeys with electrode arrays in multiple < brain areas and built a BCI that reproduced monkey movements while the monkey operated a joystick or reached for food. Later experiments led by Miguel Nicolelis on rhesus monkeys succeeded in closing the loop. Rhesus monkeys are also considered to be better models for human neurophysiology than owl monkeys. The monkeys were trained to reach and grasp objects on a computer screen by manipulating a joystick .Their BCI used velocity predictions to control reaching movements. The BCI simultaneously predicted hand gripping force. Reaching and grasping was produced by a robot, which remained invisible to the monkeys. The feedback of the robot's performance was provided by a visual display. Later, the monkeys learned to control the robots directly using their implants while directly viewing the movement of the arm. Other leading labs that develop BCIs and neuroprosthetic decoding algorithms include John Donoghue from Brown University, Andrew Schwartz from the University of Pittsburgh and Richard Andersen from Caltech. Although these researchers initially could not record from as many neurons as Nicolelis and coworkers (15-30 neurons versus 50-200 neurons), they were able to make important advances. A study by Donoghue's group reported that monkeys were able to use the team's BCI without training to track visual targets on a computer screen. Schwartz's group created a BCI for three-dimensional tracking (Taylor et al., 2002). Andersen's group incorporated in their BMI design cognitive signals recorded in the posterior parietal cortex, such as encoding of reaching the target and anticipated reward. John Donoghue and Nicho Hatsopoulos also took this research to the business arena by starting Cyberkinetics, the company that puts development of practical BCIs for humans as its major goal. In addition to predicting kinematic and kinetic parameters of limb movements, BCIs that predict electromyographic activity of muscles are being developed (Santucci et al. 2005). Such BCIs could be used in neuroprosthetic devices that restore mobility in paralyzed limbs by electrical stimulation of muscles. A brain–computer interface (BCI), often called a mind-machine interface (MMI), or sometimes called a direct neural interface or a brain–machine interface (BMI), is a direct communication pathway between the brain and an external device. BCIs are often directed at assisting, augmenting, or repairing human cognitive or sensory-motor functions. 15 Govt. CET, CSE Brain Gate Technology Research on BCIs began in the 1970s at the University of California Los Angeles (UCLA) under a grant from the National Science Foundation, followed by a contract from DARPA.The papers published after this research also mark the first appearance of the expression brain–computer interface in scientific literature. The field of BCI research and development has since focused primarily on neuroprosthetics applications that aim at restoring damaged hearing, sight and movement. Thanks to the remarkable cortical plasticity of the brain, signals from implanted prostheses can, after adaptation, be handled by the brain like natural sensor or effector channels. Following years of animal experimentation, the first neuroprosthetic devices implanted in humans appeared in the mid-1990s. 16 Govt. CET, CSE Brain Gate Technology 2. WORKING: Operation of the BCI system is not simply listening the EEG of user in a way that let’s tap this EEG in and listen what happens. The user usually generates some sort of mental activity pattern that is later detected and classified. PREPROCESSING: The raw EEG signal requires some preprocessing before the feature extraction. This preprocessing includes removing unnecessary frequency bands, averaging the current brain activity level, transforming the measured scalp potentials to cortex potentials and denoising. Frequency bands of the EEG : . DETECTION: The detection of the input from the user and them translating it into an action could be considered as key part of any BCI system. This detection means to try to find out these mental tasks from the EEG signal. It can be done in time-domain, e.g. by. comparing amplitudes of the EEG and in frequency-domain. This involves usually digital signal processing for sampling and band pass filtering the signal, then calculating these time or frequency domain features and then classifying them. These classification algorithms include simple comparison of amplitudes linear and non-linear equations and artificial neural networks. By constant feedback from user to the system and vice versa, both partners gradually learn more from each other and improve the overall performance. CONTROL: The final part consists of applying the will of the user to the used application. The user chooses an action by controlling his brain activity, which is then detected and classified to corresponding action. Feedback is provided to user by audio-visual means e.g. when typing with virtual keyboard, letter appears to the message box etc. TRAINING: The training is the part where the user adapts to the BCI system. This training begins with 17 Govt. CET, CSE Brain Gate Technology very simple exercises where the user is familiarized with mental activity which is used to relay the information to the computer. Motivation, frustration, fatigue, etc. apply also here and their effect should be taken into consideration when planning the training procedures BIO FEEDBACK: The definition of the biofeedback is biological information which is returned to the source that created it, so that source can understand it and have control over it. This biofeedback in BCI systems is usually provided by visually, e.g. the user sees cursor moving up or down or letter being selected from the alphabet. A boon to the paralyzed –Brain Gate Neural Interface System The first patient, Matthew Nagle, a 25-year-old Massachusetts man with a severe spinal cord injury, has been paralyzed from the neck down since 2001. Nagle is unable to move his arms and legs after he was stabbed in the neck. During 57 sessions, at New England Sinai Hospital and Rehabilitation Center, Nagle learned to open simulated e-mail, draw circular shapes using a paint program on the computer and play a simple videogame, "neural Pong," using only his thoughts. He could change the channel and adjust the volume on a television, even while conversing. He was ultimately able to open and close the fingers of a prosthetic hand and use a robotic limb to grasp and move objects. Despite a decline in neural signals after few months, Nagle remained an active participant in the trial and continued to aid the clinical team in producing valuable feedback concerning 18 Govt. CET, CSE the BrainGate` technology. Brain Gate Technology Fig 7. Mathew Nagle NAGLE’S STATEMENT: “I can't put it into words. It's just—I use my brain. I just thought it. I said, "Cursor go up to the top right." And it did, and now I can control it all over the screen. It will give me a sense of independence.” 19 Govt. CET, CSE Brain Gate Technology 3. APPLICATIONS: In classification of EEG signal. In multimedia communication. In evaluation of spike detection algorithms. Actuated control of mobile robot by human EEG. As a brain controlled switch for asynchronous control. In evaluating the machine learning algorithms. Fig 8. Applications 20 Govt. CET, CSE Brain Gate Technology 4. CASE STUDY: The robotic arm clutched a glass and swung it over a series of coloured dots that resembled a Twister gameboard. Behind it, a woman sat entirely immobile in a wheelchair. Slowly, the arm put the glass down, narrowly missing one of the dots. "She's doing that!" exclaims Professor John Donoghue, watching a video of the scene on his office computer – though the woman onscreen had not moved at all. "She actually has the arm under her control," he says, beaming with pride. "We told her to put the glass down on that dot." The woman, who is almost completely paralysed, was using Donoghue's groundbreaking technology to control the robot arm using only her thoughts. Called BrainGate, the device is implanted into her brain and hooked up to a computer to which she sends mental commands. The video played on, giving Donoghue, a silver-haired and neatly bearded man of 62, even more reason to feel pleased. The patient was not satisfied with her near miss and the robot arm lifted the glass again. After a brief hover, the arm positioned the glass on the dot. Fig 9. The Brain Sensor The tiny BrainGate sensor. Photograph: Chitose Suzuki/AP This is the remarkable world of the brain-computer interface, or BCI, of which BrainGate is one of the leading devices and Donoghue one of its most successful pioneers. It is a branch of science exploring how computers and the human brain can be meshed together. It sounds like science fiction (and can look like it too), but it is motivated by a desire to help chronically injured people. They include those who have lost limbs, people with Lou Gehrig's disease, or those who have been paralysed by severe spinal-cord injuries. But the group of people it 21 Govt. CET, CSE Brain Gate Technology might help the most are those whom medicine assumed were beyond all hope: sufferers of "locked-in syndrome". These are often stroke victims whose perfectly healthy minds end up trapped inside bodies that can no longer move. The most famous example was French magazine editor Jean-Dominique Bauby who managed to dictate a memoir, The Diving Bell and the Butterfly, by blinking one eye. In the book, Bauby, who died in 1997 shortly after the book was published, described the prison his body had become for a mind that still worked normally.Donoghue believes that BrainGate would have opened Bauby's prison door, even if just a little. "I would have every expectation that if we had put BrainGate in his brain, it would have immediately started giving us signals," Donoghue says. Donoghue and his team have devoted years of research to BrainGate, first successfully testing the technology on monkeys and then moving to a groundbreaking set of clinical trials using human subjects. Now the project is involved with a second set of human trials, pushing the technology to see how far it goes and trying to miniaturise it and make it wireless for a better fit in the brain. BrainGate's concept is simple. It posits that the problem for most patients does not lie in the parts of the brain that control movement, but with the fact that the pathways connecting the brain to the rest of the body, such as the spinal cord, have been broken. BrainGate plugs into the brain, picks up the right neural signals and beams them into a computer where they are translated into moving a cursor or controlling a computer keyboard. By this means, paralysed people can move a robot arm or drive their own wheelchair, just by thinking about it.In his book Bauby called his immobilised body a diving bell and his mind a butterfly trapped inside. He described his sadness at being unable to talk back when his loved ones spoke to him on the phone. "How dearly I would love to be able to respond with something other than silence to those tender calls," he wrote. The woman on the video that Donoghue just played has almost the exact same condition Bauby had. Now she is able to talk to Donoghue over the internet, moving a cursor over a keyboard with her mind and communicating much faster than Bauby did. Donoghue works from inside a rambling old mansion perched on top of a hill. But the offices of the Brown Institute for Brain Science are not really the stuff of old horror movies. The pleasant-looking building is part of Brown University in the pretty college town of Providence, Rhode Island, on the New England coast. 22 Govt. CET, CSE Brain Gate Technology It is here that he and his team are decoding the language of the human brain. This language is made up of electronic signals fired by billions of neurons and it controls everything from our ability to move, to think, to remember and even our consciousness itself. Donoghue's genius was to develop a deceptively small device that can tap directly into the brain and pick up those signals for a computer to translate them. Gold wires are implanted into the brain's tissue at the motor cortex, which controls movement. Those wires feed back to a tiny array – an information storage device – attached to a "pedestal" in the skull. Another wire feeds from the array into a computer. A test subject with BrainGate looks like they have a large plug coming out the top of their heads. Or, as Donoghue's son once described it, they resemble the "human batteries" in The Matrix. BrainGate's highly advanced computer programs are able to decode the neuron signals picked up by the wires and translate them into the subject's desired movement. In crude terms, it is a form of mind-reading based on the idea that thinking about moving a cursor to the right will generate detectably different brain signals than thinking about moving it to the left. The technology has developed rapidly, and last month BrainGate passed a vital milestone when one paralysed patient went past 1,000 days with the implant still in her brain and allowing her to move a computer cursor with her thoughts. The achievement, reported in the prestigious Journal of Neural Engineering, showed that the technology can continue to work inside the human body for unprecedented amounts of time. Donoghue talks enthusiastically of one day hooking up BrainGate to a system of electronic stimulators plugged into the muscles of the arm or legs. That would open up the prospect of patients moving not just a cursor or their wheelchair, but their own bodies. "We are working on a system where there is a stimulator in another part of the body wired to the muscle, and when it's activated you can get opening and closing of the hand and movement of the arm." The late Matt Nagle, who first tested the BrainGate device. He was paralysed by a spinal cord injury. Photograph: Rick Friedman It is a remarkable idea with humble beginnings. The first BrainGate patient, a quadraplegic called Matthew Nagle, was plugged into a computer in 2004. Nagle, a keen young sports fan, had been stabbed while trying to help 23 Govt. CET, CSE Brain Gate Technology a friend in a fight. The blade had severed his spinal cord. Donoghue had no idea if Nagle's motor cortex would still be able to send the right signals for movement. "The big moment was when we first turned on the recording electrode so we could peer into the brain. Except for brief moments in the operating room, we never had the opportunity to do that in humans," Donoghue says of BrainGate's big breakthrough moment. It was tense. If Nagle's motor cortex was no longer working healthily, the entire BrainGate project could have been rendered pointless. But when Nagle was plugged in and asked to imagine moving his limbs, the signals beamed out with a healthy crackle. "We asked him to imagine moving his arm to the left and to the right and we could hear the activity," Donoghue says. When Nagle first moved a cursor on a screen using only his thoughts, he exclaimed: "Holy shit!" Nagle rapidly became a poster boy for BrainGate, eventually learning to play simple computer games, operate a TV and send and receive emails. Sadly, he died in 2007 of an infection. "It was awful. Just awful when Matt died. We were all very much attached," Donoghue says. "I am trying to make people who are in a terrible state have a much better life. Right now, anything that we can do for them is a huge improvement." That is no doubt true. But BrainGate and other BCI projects have also piqued the interest of the government and the military. BCI is melding man and machine like no other sector of medicine or science and there are concerns about some of the implications. First, beyond detecting and translating simple movement commands, BrainGate may one day pave the way for mind-reading. A device to probe the innermost thoughts of captured prisoners or dissidents would prove very attractive to some future military or intelligence service. Second, there is the idea that BrainGate or other BCI technologies could pave the way for robot warriors controlled by distant humans using only their minds. At a conference in 2002, a senior American defence official, Anthony Tether, enthused over BCI. "Imagine a warrior with the intellect of a human and the immortality of a machine." Anyone who has seen Terminator might worry about that. Donoghue acknowledges the concerns but has little time for them. When it comes to mind-reading, current BrainGate technology has enough trouble with translating commands for making a fist, let alone probing anyone's mental secrets. "There are unrealistic fears. So I am not too worried that we are going to tap into your brain," he says. 24 Govt. CET, CSE Brain Gate Technology As for robot warriors, Donoghue was slightly more circumspect. At the moment most BCI research, including BrainGate projects, that touch on the military is focused on working with prosthetic limbs for veterans who have lost arms and legs. But Donoghue thinks it is healthy for scientists to be aware of future issues. "As long as there is a rational dialogue and scientists think about where this is going and what is the reasonable use of the technology, then we are on a good path," he says. Donoghue comes across as a pragmatic and careful scientist. Perhaps that comes from his humble background as the son of a working-class Boston Irish bricklayer father and a housewife mother. Or from an academic career spent almost entirely in the same institution. But he does allow himself to dream, just a little, of where BrainGate's technology might go one day. His team are already working on a miniaturised and wireless version. Although it has not been implanted in a human yet, that new version of BrainGate will remove the need for a "plug" in the skull and could allow patients to be permanently hooked up. The prototype looks like a large, flattened memory stick and will go inside the head. It would communicate wirelessly with a computer worn on a belt. So no wonder Donoghue can dream of a future where BrainGate and other devices can restore full mobility to those from whom physical movement has been stolen. "The really way-off treatment, which I will never see, is that we connect BrainGate, maybe four arrays in the two leg and two arm areas of the brain, and put it out to all the muscles with stimulators and then the subject is playing basketball or something," he says. "There is no reason why with enough knowledge and enough time that we couldn't do that." It will not be soon though; almost certainly not in Donoghue's lifetime. "One hundred years from now, when people are walking around with an artificial nervous system made of wires and chips, people will say, 'I bet they didn't imagine this.'" One person who did think about it was Bauby. At the end of The Diving Bell and the Butterfly he dreams of one day being let out of his prison. "Does the cosmos contain keys for opening up my diving bell? A subway line with no terminus? A currency strong enough to buy my freedom back? We must keep looking." Bauby died before there was much hope for that. Others similarly stricken in the future may be luckier. 25 Govt. CET, CSE Brain Gate Technology 5. FUTURE SCOPE: Enable individuals with paralysis to use e-mail and telephones to communicate. Provide access to environmental controls, such as bed positioning, television, lights, and thermostats through a desktop application. Improve mobility by interfacing with powered wheelchairs. Provide patients with the ability to adjust their body position to avoid pressure sores. Facilitate control over all of these actions and a range of other software and external device applications through a single, universal integrated interface Cyberkinetics has a vision, CEO Tim Surgenor explained to Gizmag, but it is not promising "miracle cures", or that quadriplegic people will be able to walk again - yet. Their primary goal is to help restore many activities of daily living that are impossible for paralysed people and to provide a platform for the development of a wide range of other assistive devices. "Today quadriplegic people are satisfied if they get a rudimentary connection to the outside world. What we're trying to give them is a connection that is as good and fast as using their hands. We're going to teach them to think about moving the cursor using the part of the brain that usually controls the arms to push keys and create, if you will, a mental device that can input information into a computer. That is the first application, a kind of prosthetic, if you will. Then it is possible to use the computer to control a robot arm or their own arm, but that would be down the road." Existing technology stimulates muscle groups that can make an arm move. The problem Surgenor and his team faced was in creating an input or control signal. With the right control signal they found they could stimulate the right muscle groups to make arm movement. "Another application would be for somebody to handle a tricycle or exercise machine to help patients who have a lot of trouble with their skeletal muscles. But walking, I have to say, would be very complex. There's a lot of issues with balance and that's not going to be an easy thing to do, but it is a goal."Cyberkinetics hopes to refine the BrainGate in the next two years 26 Govt. CET, CSE Brain Gate Technology to develop a wireless device that is completely implantable and doesn't have a plug, making it safer and less visible. And once the basics of brain mapping are worked out there is potential for a wide variety of further applications, Surgenor explains. "If you could detect or predict the onset of epilepsy, that would be a huge therapeutic application for people who have seizures, which leads to the idea of a 'pacemaker for the brain'. So eventually people may have this technology in their brains and if something starts to go wrong it will take a therapeutic action. That could be available by 2007 to 2008." Surgenor also sees a time not too far off where normal humans are interfacing with BrainGate technology to enhance their relationship with the digital world - if they're willing to be implanted."If we can figure out how to make this device cheaper, there might be applications for people to control machines, write software or perform intensive actions. But that's a good distance away. Right now the only way to get that level of detail from these signals is to actually have surgery to place this on the surface of the brain. It's not possible to do this with a non-invasive approach. For example, you can have an EEG and if you concentrate really hard you can think about and move a cursor on a screen, but if someone makes a loud noise or you get interrupted, you lose that ability. What we're trying to make here is a direct connection. The [BrainGate] is going to be right there and you won't have to think about it." DARPA The Brown University group was partially funded by the Defence Advanced Research Projects Agency (DARPA), the central research and development organisation for the US Department of Defence (DoD). DARPA has been interested in Brain-Machine-Interfaces (BMI) for a number of years for military applications like wiring fighter pilots directly to their planes to allow autonomous flight from the safety of the ground. Future developments are also envisaged in which humans could 'download' memory implants for skill enhancement, allowing actions to be performed that have not been learned directly. Surgenor discounts the near term possibility of this type of 'memory enhancement', however, 27 Govt. CET, CSE Brain Gate Technology saying several critical factors would have to be overcome. "I don't know about memory but I do think that it will be possible to augment sense. Instantaneous sensation will be possible. In order to do memory we'd have to figure out how the brain actually stores that information, which is not well understood at this point. "You can learn to interpret an electrical stimulation pattern in your ear and turn that into sound. So that's a sensation. Some companies are interested in connecting television cameras to the retina of the eye, and there's other groups - academics, not companies - that are interested in putting a connector directly to the part of the brain that processes vision. Those are the cortical applications envisaged at the moment - vision and hearing." 28 Govt. CET, CSE Brain Gate Technology 6. CONCLUSION The idea of moving robots or prosthetic devices not by manual control, but by mere “thinking” (i.e., the brain activity of human subjects) has been a fascinated approach. Medical cures are unavailable for many forms of neural and muscular paralysis. The enormity of the deficits caused by paralysis is a strong motivation to pursue BMI solutions. So this idea helps many patients to control the prosthetic devices of their own by simply thinking about the task. This technology is well supported by the latest fields of Biomedical Instrumentation, Microelectronics, signal processing, Artificial Neural Networks and Robotics which has overwhelming developments. Hope these systems will be effectively implemented for many Biomedical applications. According to the Cyberkinetics' website, two patients have been implanted with the Brain Gate system. Using the system, called Brain Gate, the patient can read e-mail, play video games, turn lights on or off and change channels or adjust the volume of a television set. In early test sessions, the patient was able to control the TV and carry on a conversation and move his head at the same time. Brain Gate can help paralyzed people move by controlling their own electric wheelchairs, communicate by using e-mail and Internet-based phone systems, and be independent by controlling items such as televisions and thermostats. Finally BRAIN GATE has proved to be a boon for paralyzed patient . 29 Govt. CET, CSE Brain Gate Technology 7. BIBLIOGRAPHY 7.1 Book How the Brain Is Shaping the Future of the Internet 7.2 Websites www.cyberkineticsinc.com, http://www.wired.com/news/medtech/0,1286,66259,00.html http://www.youtube.com/watch?v=VLymwjTMC_Y www.howstuffworks.com 30 Govt. CET, CSE