Evidence map›Paper›PMID 34428554›Full record

ArticleBrain stimulation

The sensitivity of ECG contamination to surgical implantation site in brain computer interfaces.

Wolf-Julian Neumann, Majid Memarian Sorkhabi, Moaad Benjaber, Lucia K Feldmann, Assel Saryyeva, Joachim K Krauss, Maria Fiorella Contarino, Tomas Sieger, Robert Jech, Gerd Tinkhauser and 13 more

Open access · goldAbstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
6.5field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
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  5. Adaptive Deep Brain Stimulation for Parkinson's Disease: Navigating the Roadblocks to Clinical Implementation.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
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  17. Finely Tuned γ Tracks Medication Cycles in Parkinson's Disease: An Ambulatory Brain-Sense Study.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  18. Article
  19. Review
  20. Article
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

23 authors at 9 institutions in 6 countries.

Wolf-Julian NeumannMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany. Electronic address: julian.neumann@charite.de.
Majid Memarian SorkhabiMRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, United Kingdom.
Moaad BenjaberMRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, United Kingdom.
Lucia K FeldmannMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Assel SaryyevaDepartment of Neurosurgery, Medizinische Hochschule Hannover, Hannover, Germany.
Joachim K KraussDepartment of Neurosurgery, Medizinische Hochschule Hannover, Hannover, Germany.
Maria Fiorella ContarinoDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands; Department of Neurology, Haga Teaching Hospital, The Hague, the Netherlands.
Tomas SiegerDepartment of Neurology, Charles University, 1st Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Robert JechDepartment of Neurology, Charles University, 1st Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Gerd TinkhauserDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Claudio PolloDepartment of Neurosurgery, Bern University Hospital and University of Bern, Bern, Switzerland.
Chiara PalmisanoDepartment of Neurology, University Hospital of Würzburg and Julius Maximilian University of Würzburg, Würzburg, Germany.
Ioannis U IsaiasDepartment of Neurology, University Hospital of Würzburg and Julius Maximilian University of Würzburg, Würzburg, Germany.
Daniel D CumminsDepartment of Neurology, University of California, San Francisco, San Francisco, CA, 94143, USA.
Simon J LittleDepartment of Neurology, University of California, San Francisco, San Francisco, CA, 94143, USA.
Philip A StarrDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, 94143, USA.
Vasileios KokkinosDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Schneider Gerd-HelgeDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Todd HerringtonDepartment of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Peter BrownMRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, United Kingdom.
R Mark RichardsonDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Andrea A KühnMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Timothy DenisonMRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, United Kingdom.
Charité - Universitätsmedizin Berlin · DEUniversity of Oxford · GBHarvard University · USUniversity of California, San Francisco · USCharles University · CZMedizinische Hochschule Hannover · DEUniversity of Bern · CHUniversity of Würzburg · DELeiden University Medical Center · NL

Funding

Using phasic stimulation to explore the subthalamic nucleus - cortical decision-making network in Parkinson's diseaseK23NS099380 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI HERRINGTON, TODD · 2017 to 2021
$1.0M
Medical Research Council MC_UU_00003/3Medical Research Council MC_UU_12024/1NINDS NIH HHS K23 NS099380
6 · The paper itself

Abstract

backgroundBrain sensing devices are approved today for Parkinson's, essential tremor, and epilepsy therapies. Clinical decisions for implants are often influenced by the premise that patients will benefit from using sensing technology. However, artifacts, such as ECG contamination, can render such treatments unreliable. Therefore, clinicians need to understand how surgical decisions may affect artifact probability.

objectivesInvestigate neural signal contamination with ECG activity in sensing enabled neurostimulation systems, and in particular clinical choices such as implant location that impact signal fidelity.

methodsElectric field modeling and empirical signals from 85 patients were used to investigate the relationship between implant location and ECG contamination.

resultsThe impact on neural recordings depends on the difference between ECG signal and noise floor of the electrophysiological recording. Empirically, we demonstrate that severe ECG contamination was more than 3.2x higher in left-sided subclavicular implants (48.3%), when compared to right-sided implants (15.3%). Cranial implants did not show ECG contamination.

conclusionsGiven the relative frequency of corrupted neural signals, we conclude that implant location will impact the ability of brain sensing devices to be used for "closed-loop" algorithms. Clinical adjustments such as implant location can significantly affect signal integrity and need consideration.

Indexed as

Brain-Computer InterfacesEssential TremorAlgorithmsArtifactsElectrocardiographyHumansArtifactsBrain computer interfaceDeep brain stimulationNeuromodulationOscillations

Identifiers

PMID34428554
PMCPMC8460992
OpenAlexW3194613969

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.