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意识障碍患者的评估与沟通

Assessment and Communication for People with Disorders of Consciousness.

作者信息

Ortner Rupert, Allison Brendan Z, Pichler Gerald, Heilinger Alexander, Sabathiel Nikolaus, Guger Christoph

机构信息

Guger Technologies OG;

Guger Technologies OG.

出版信息

J Vis Exp. 2017 Aug 1(126):53639. doi: 10.3791/53639.

Abstract

In this experiment, we demonstrate a suite of hybrid Brain-Computer Interface (BCI)-based paradigms that are designed for two applications: assessing the level of consciousness of people unable to provide motor response and, in a second stage, establishing a communication channel for these people that enables them to answer questions with either 'yes' or 'no'. The suite of paradigms is designed to test basic responses in the first step and to continue to more comprehensive tasks if the first tests are successful. The latter tasks require more cognitive functions, but they could provide communication, which is not possible with the basic tests. All assessment tests produce accuracy plots that show whether the algorithms were able to detect the patient's brain's response to the given tasks. If the accuracy level is beyond the significance level, we assume that the subject understood the task and was able to follow the sequence of commands presented via earphones to the subject. The tasks require users to concentrate on certain stimuli or to imagine moving either the left or right hand. All tasks are designed around the assumption that the user is unable to use the visual modality, and thus, all stimuli presented to the user (including instructions, cues, and feedback) are auditory or tactile.

摘要

在本实验中,我们展示了一套基于脑机接口(BCI)的混合范式,这些范式专为两种应用而设计:评估无法做出运动反应的人的意识水平,以及在第二阶段为这些人建立一个通信渠道,使他们能够用“是”或“否”回答问题。该套范式旨在第一步测试基本反应,如果首次测试成功,则继续进行更全面的任务。后者需要更多的认知功能,但它们可以实现通信,而基本测试则无法做到这一点。所有评估测试都会生成准确率图表,以显示算法是否能够检测到患者大脑对给定任务的反应。如果准确率水平超过显著性水平,我们就假定受试者理解了任务,并能够按照通过耳机呈现给受试者的命令序列进行操作。这些任务要求用户专注于特定刺激或想象移动左手或右手。所有任务都是基于用户无法使用视觉模态这一假设设计的,因此,呈现给用户的所有刺激(包括指令、提示和反馈)都是听觉或触觉的。

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