December 30, 2013 Neurotechnology: from curing the brain to understanding the mind John P. Donoghue, Ph.D, Director,Brown Institute for Brain Science Professor of Neuroscience and Engineering Brown University, Providence, Rhode Island USA Neural Engineering is a rapidly expanding field creating neurotechnology to restore lost functions like movement, vision or hearing. These brain interfaces, some now regularly implanted to treat brain disorders, are also providing unprecedented access to the human brain to understand its function at new levels of detail. In my presentation, I will first discuss the range of existing and emerging neurotechnologies and then describe my group’s progress in creating a useful brain computer interface (BCI) to restore independence, communication and control for people with paralysis. A BCI provides a new communication channel to bypass damaged motor pathways from the brain. BrainGate, the first intracortical BCI system in a human clinical pilot trial, is being developed by our group at Brown University and Massachusetts General Hospital. The goal of BrainGate is to restore functions performed by the arm and hand for people with paralysis. BrainGate employs a 4 x 4 mm array of 100 microelectrodes that is chronically implanted into the motor cortex (MI) arm area. This intracortical sensor is intended to provide longterm access to MI neural ensemble activity as a direct source of action command signals. Decoded signals, provided by MI activity when the user thinks about moving their arm, can be used by people with longstanding paralysis to control computer cursors and robotic arms. Our work has also revealed several important fundamental aspects of human motor cortex function. First, local MI regions form integrated reach and grasp networks. Second, MI networks can be engaged merely by imagining actions without performing them. Third, neural circuits retain a relationship to arm actions years after paralysis onset, suggesting that representational plasticity does not occur. Creating flexible, long-lasting BCIs for people with paralysis will require optimization of sensors, fully implanted wireless systems, and better understanding of the neural processes encoding arm action. These steps, which are well underway, have the potential to create a useful BCI able to restore reach, grasp and dexterous manipulation for humans with paralysis of their arm. They will also continue to provide insight into human brain function at the cell ensemble scale and open new directions for neural interfaces to be used to detect and treat a variety of human brain disorders. Suggested reading: Hochberg LR, Bacher D, Jarosiewicz B, Masse NY, Simeral JD, Vogel J, Haddadin S, Liu J, Cash SS, van der Smagt P, Donoghue JP. Reach and grasp by people with tetraplegia using a neurally controlled robotic arm. Nature. 2012 May 16;485(7398):372-5. Bansal AK, Truccolo W, Vargas-Irwin CE, Donoghue JP. Decoding 3D reach and grasp from hybrid signals in motor and premotor cortices: spikes, multiunit activity, and local field potentials. J Neurophysiol. 2012 Mar;107(5):1337-55. Barrese JC, Rao N, Paroo K, Triebwasser C, Vargas-Irwin C, Franquemont L, Donoghue JP. Failure mode analysis of silicon-based intracortical microelectrode arrays in non-human primates. J Neural Eng. 2013 Dec;10(6):066014 Simeral JD, Kim SP, Black MJ, Donoghue JP, Hochberg LR. Neural control of cursor trajectory and click by a human with tetraplegia 1000 days after implant of an intracortical microelectrode array. J Neural Eng. 2011 Apr;8(2):025027. .