Evidence map›Paper›PMID 31401488›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2019

Stability of a chronic implanted brain-computer interface in late-stage amyotrophic lateral sclerosis.

Elmar G M Pels, Erik J Aarnoutse, Sacha Leinders, Zac V Freudenburg, Mariana P Branco, Benny H van der Vijgh, Tom J Snijders, Timothy Denison, Mariska J Vansteensel, Nick F Ramsey

Registry-linked trialOpen access · hybridAbstract readCase Reports
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02224469 (Utrecht Neural Prosthesis), which is not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02224469 nacompletednot on this map

Utrecht Neural Prosthesis (UNP): A Pilot Study on Controllability of Brain Signals and Application in locked-in Patients

TypeinterventionalSponsorUMC UtrechtRan2015 to 2024Enrolled6ConditionsLocked-In SyndromeArmsECoG (electrocorticography) sensing
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 94 citations in OpenAlex.

  1. Article
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  6. Brain-computer interface: an update for the clinicians.Frontiers in human neuroscience · 2026
    Review
  7. Article
  8. Longitudinal study of gesture decoding in a clinical trial participant with ALS.medRxiv : the preprint server for health sciences · 2025
    Article
  9. Article
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Elmar G M PelsUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Erik J AarnoutseUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Sacha LeindersUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Zac V FreudenburgUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Mariana P BrancoUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Benny H van der VijghUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Tom J SnijdersUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Timothy DenisonInstitute of Biomedical Engineering, Old Road Campus Research Building, University of Oxford, Oxford OX3 7DQ, UK.
Mariska J VansteenselUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Nick F RamseyUMC Utrecht Brain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands. Electronic address: n.f.ramsey@umcutrecht.nl.
University Medical Center Utrecht · NLUniversity of Oxford · GB

Funding

Brain-Computer Interface Implant for Severe Communication DisabilityU01DC016686 · NIDCD · UNIVERSITY MEDICAL CENTER UTRECHT · PI CRONE, NATHAN E, RAMSEY, NICOLAS FRANCISCUS · 2018 to 2021
$2.5M
NIDCD NIH HHS U01 DC016686
6 · The paper itself

Abstract

objectiveWe investigated the long-term functional stability and home use of a fully implanted electrocorticography (ECoG)-based brain-computer interface (BCI) for communication by an individual with late-stage Amyotrophic Lateral Sclerosis (ALS).

methodsData recorded from the cortical surface of the motor and prefrontal cortex with an implanted brain-computer interface device was evaluated for 36 months after implantation of the system in an individual with late-stage ALS. In addition, electrode impedance and BCI control accuracy were assessed. Key measures included frequency of use of the system for communication, user and system performance, and electrical signal characteristics.

resultsUser performance was high consistently over the three years. Power in the high frequency band, used for the control signal, declined slowly in the motor cortex, but control over the signal remained unaffected by time. Impedance increased until month 5, and then remained constant. Frequency of home use increased steadily, indicating adoption of the system by the user.

conclusionsThe implanted brain-computer interface proves to be robust in an individual with late-stage ALS, given stable performance and control signal for over 36 months. SIGNIFICANCE: These findings are relevant for the future of implantable brain-computer interfaces along with other brain-sensing technologies, such as responsive neurostimulation.

Indexed as

Amyotrophic Lateral SclerosisBrain-Computer InterfacesElectrocorticographyFemaleHumansImplantable NeurostimulatorsLongitudinal StudiesMiddle AgedMotor CortexAmyotrophic lateral sclerosisBrain-computer interfaceCommunicationElectrocorticographyImplantStability

Identifiers

PMID31401488
PMCPMC6880281
OpenAlexW2966732810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.