Case Western Reserve University, Cleveland, OH, United States of America. Department of VA Medical Center, FES Center of Excellence, Rehabilitation R&D Service, Louis Stokes Cleveland, Cleveland, OH, United States of America.
J Neural Eng. 2018 Apr;15(2):026014. doi: 10.1088/1741-2552/aa9ee8.
Functional electrical stimulation (FES) is a promising technology for restoring movement to paralyzed limbs. Intracortical brain-computer interfaces (iBCIs) have enabled intuitive control over virtual and robotic movements, and more recently over upper extremity FES neuroprostheses. However, electrical stimulation of muscles creates artifacts in intracortical microelectrode recordings that could degrade iBCI performance. Here, we investigate methods for reducing the cortically recorded artifacts that result from peripheral electrical stimulation.
One participant in the BrainGate2 pilot clinical trial had two intracortical microelectrode arrays placed in the motor cortex, and thirty-six stimulating intramuscular electrodes placed in the muscles of the contralateral limb. We characterized intracortically recorded electrical artifacts during both intramuscular and surface stimulation. We compared the performance of three artifact reduction methods: blanking, common average reference (CAR) and linear regression reference (LRR), which creates channel-specific reference signals, composed of weighted sums of other channels.
Electrical artifacts resulting from surface stimulation were 175 × larger than baseline neural recordings (which were 110 µV peak-to-peak), while intramuscular stimulation artifacts were only 4 × larger. The artifact waveforms were highly consistent across electrodes within each array. Application of LRR reduced artifact magnitudes to less than 10 µV and largely preserved the original neural feature values used for decoding. Unmitigated stimulation artifacts decreased iBCI decoding performance, but performance was almost completely recovered using LRR, which outperformed CAR and blanking and extracted useful neural information during stimulation artifact periods.
The LRR method was effective at reducing electrical artifacts resulting from both intramuscular and surface FES, and almost completely restored iBCI decoding performance (>90% recovery for surface stimulation and full recovery for intramuscular stimulation). The results demonstrate that FES-induced artifacts can be easily mitigated in FES + iBCI systems by using LRR for artifact reduction, and suggest that the LRR method may also be useful in other noise reduction applications.
功能性电刺激(FES)是恢复瘫痪肢体运动的一种很有前途的技术。皮质内脑机接口(iBCI)已经实现了对虚拟和机器人运动的直观控制,最近还实现了对上肢 FES 神经假体的控制。然而,肌肉的电刺激会在皮质内微电极记录中产生伪影,从而降低 iBCI 的性能。在这里,我们研究了减少由外周电刺激引起的皮质记录伪影的方法。
BrainGate2 试点临床试验中的一名参与者在运动皮层中放置了两个皮质内微电极阵列,并在对侧肢体的肌肉中放置了 36 个刺激肌内电极。我们描述了在肌内和表面刺激期间皮质内记录的电伪影。我们比较了三种减少伪影的方法的性能:掩蔽、公共平均参考(CAR)和线性回归参考(LRR),LRR 方法创建了通道特定的参考信号,由其他通道的加权和组成。
表面刺激产生的电伪影比基线神经记录(110µV 峰峰值)大 175 倍,而肌内刺激伪影仅大 4 倍。每个阵列内的电极之间的伪影波形高度一致。应用 LRR 将伪影幅度降低到小于 10µV,并在很大程度上保留了用于解码的原始神经特征值。未缓解的刺激伪影降低了 iBCI 解码性能,但使用 LRR 几乎完全恢复了性能,LRR 的性能优于 CAR 和掩蔽,并在刺激伪影期间提取了有用的神经信息。
LRR 方法在减少肌内和表面 FES 引起的电伪影方面非常有效,几乎完全恢复了 iBCI 解码性能(表面刺激恢复超过 90%,肌内刺激完全恢复)。结果表明,通过使用 LRR 进行伪影减少,可以在 FES+iBCI 系统中轻松减轻 FES 引起的伪影,并且 LRR 方法也可能在其他降噪应用中有用。