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共享的运动和感知激活对感觉运动皮层在神经假体解码方面的影响。

Implications of shared motor and perceptual activations on the sensorimotor cortex for neuroprosthetic decoding.

作者信息

Silva Alexander B, Liu Jessie R, Anderson Vanessa R, Kurtz-Miott Cady M, Hallinan Irina P, Littlejohn Kaylo T, Brosler Samantha C, Tu-Chan Adelyn, Ganguly Karunesh, Moses David A, Chang Edward F

机构信息

Department of Neurological Surgery, University of California, San Francisco, CA, United States of America.

Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America.

出版信息

J Neural Eng. 2025 Aug 7;22(4):046039. doi: 10.1088/1741-2552/adf50e.

Abstract

Neuroprostheses can restore communicative ability to people with paralysis by decoding intended speech motor movements from the sensorimotor cortex (SMC). However, overlapping neural populations in the SMC are also engaged in visual and auditory perceptual processing. The nature of these shared motor and perceptual activations and their potential to interfere with decoding are particularly relevant questions for speech neuroprostheses, as reading and listening are essential daily functions.In two participants with vocal-tract paralysis and anarthria (ClinicalTrials.gov; NCT03698149), we developed an online electrocorticography (ECoG) based speech-decoding system that maintained accuracy and specificity to intended speech, even during common daily tasks like reading and listening. Offline, we studied the spectrotemporal characteristics and spatial distribution of reading, listening, and attempted-speech responses across our participants' ECoG arrays.Across participants, the speech-decoding system had zero false-positive activations during 63.2 min of attempted speech and perceptual tasks, maintaining accuracy and specificity to volitional speech attempts. Offline, though we observed shared neural populations that responded to attempted speech, listening, and reading, we found they leveraged different neural representations with differentiable spectrotemporal responses. Shared populations localized to the middle precentral gyrus and may have a distinct role in speech-motor planning.Potential neuroprosthesis users strongly desire reliable systems that will retain specificity to volitional speech attempts during daily use. These results demonstrate a decoding framework for speech neuroprostheses that maintains this specificity and further our understanding of shared perceptual and motor activity on the SMC.

摘要

神经假体可以通过解码感觉运动皮层(SMC)中预期的言语运动来恢复瘫痪患者的交流能力。然而,SMC中重叠的神经群体也参与视觉和听觉感知处理。对于言语神经假体来说,这些共享的运动和感知激活的性质及其干扰解码的可能性是特别相关的问题,因为阅读和听力是日常基本功能。在两名患有声道麻痹和构音障碍的参与者中(ClinicalTrials.gov;NCT03698149),我们开发了一种基于在线脑电描记术(ECoG)的言语解码系统,即使在阅读和听力等日常常见任务期间,该系统也能保持对预期言语的准确性和特异性。在离线状态下,我们研究了参与者ECoG阵列上阅读、听力和尝试言语反应的频谱时间特征和空间分布。在参与者中,言语解码系统在63.2分钟的尝试言语和感知任务期间没有假阳性激活,对自主言语尝试保持准确性和特异性。在离线状态下,尽管我们观察到对尝试言语、听力和阅读有反应的共享神经群体,但我们发现它们利用了具有可区分频谱时间反应的不同神经表征。共享群体定位于中央前回中部,可能在言语运动规划中具有独特作用。潜在的神经假体用户强烈渴望可靠的系统,这些系统在日常使用中能对自主言语尝试保持特异性。这些结果展示了一种言语神经假体的解码框架,该框架保持了这种特异性,并进一步加深了我们对SMC上共享感知和运动活动的理解。

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