Evidence map›Paper›PMID 34725508›Full record

ArticleNature biomedical engineering2023

Closed-loop enhancement and neural decoding of cognitive control in humans.

Ishita Basu, Ali Yousefi, Britni Crocker, Rina Zelmann, Angelique C Paulk, Noam Peled, Kristen K Ellard, Daniel S Weisholtz, G Rees Cosgrove, Thilo Deckersbach and 5 more

Open access · greenAbstract read
In one paragraph

Article in Nature biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
7.2field-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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Sex-biased computations underlying differential set shift performance in mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  5. Neuroscientific therapies for subjective tinnitus.Journal of Zhejiang University. Science. B · 2026
    Review
  6. Materials and System Design for Self-Decision Bioelectronic Systems.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Prefrontal Network Mechanisms of Psychiatric Deep Brain Stimulation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Neurostimulation to Improve Cognitive Flexibility.Current opinion in behavioral sciences · 2025
    Article
  20. Cognitive Control.Annual review of psychology · 2025
    Review
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

15 authors at 7 institutions in 1 country.

Ishita BasuDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Ali YousefiDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Britni CrockerDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Rina ZelmannDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2142-7324
Angelique C PaulkDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4413-3417
Noam PeledDepartment of Radiology, MGH/HST Martinos Center for Biomedical Imaging and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-2327-6478
Kristen K EllardDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7846-9691
Daniel S WeisholtzDepartment of Neurology, Brigham & Womens Hospital, Boston, MA, USA.
G Rees CosgroveDepartment of Neurological Surgery, Brigham & Womens Hospital, Boston, MA, USA.
Thilo DeckersbachDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Uri T EdenDepartment of Mathematics and Statistics, Boston University, Boston, MA, USA.
Emad N EskandarDepartment of Neurological Surgery, Massachusetts General Hospital, Boston, MA, USA.
Darin D DoughertyDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4691-4353
Sydney S Cash *Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4557-6391
Alik S Widge *Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. awidge@umn.edu.ORCID 0000-0001-8510-341X
Harvard University · USMassachusetts General Hospital · USBrigham and Women's Hospital · USAlbert Einstein College of Medicine · USBoston University · USUniversity of Minnesota · USWorcester Polytechnic Institute · US

Funding

Using microstimulation to map prefrontal fear modules in the ratP50MH086400 · NIMH · UNIVERSITY OF ROCHESTER · PI HABER, SUZANNE N · 2009 to 2013
$10.3M
Combined Cortical and Subcortical Recording and Stimulation as a Circuit-Oriented Treatment for Obsessive-Compulsive DisorderUH3NS100548 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGHERTY, DARIN D, WIDGE, ALIK S. · 2016 to 2024
$3.2M
Neostriatum in Learning and MemoryR01EY017658 · NEI · MASSACHUSETTS GENERAL HOSPITAL · PI ESKANDAR, EMAD N · 2007 to 2013
$2.7M
Patient-specific, Effective, and Rational Functional Connectivity Targeting for DBS in OCDR01MH111917 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGHERTY, DARIN D, MAKRIS, NIKOLAOS · 2017 to 2019
$2.1M
Striatal Deep Brain Stimulation for Learning EnhancementR01DA026297 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ESKANDAR, EMAD N · 2008 to 2011
$1.5M
Neuromodulation for Enhancement of Emotion Regulation in Bipolar Mood DisordersK23MH120348 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ELLARD, KRISTEN K · 2020 to 2024
$997k
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
NEI NIH HHS R01 EY017658NIDA NIH HHS R01 DA026297NIMH NIH HHS K23 MH120348NIMH NIH HHS P50 MH086400NIMH NIH HHS R01 MH111917NINDS NIH HHS K24 NS088568NINDS NIH HHS UH3 NS100548
6 · The paper itself

Abstract

Deficits in cognitive control-that is, in the ability to withhold a default pre-potent response in favour of a more adaptive choice-are common in depression, anxiety, addiction and other mental disorders. Here we report proof-of-concept evidence that, in participants undergoing intracranial epilepsy monitoring, closed-loop direct stimulation of the internal capsule or striatum, especially the dorsal sites, enhances the participants' cognitive control during a conflict task. We also show that closed-loop stimulation upon the detection of lapses in cognitive control produced larger behavioural changes than open-loop stimulation, and that task performance for single trials can be directly decoded from the activity of a small number of electrodes via neural features that are compatible with existing closed-loop brain implants. Closed-loop enhancement of cognitive control might remediate underlying cognitive deficits and aid the treatment of severe mental disorders.

Indexed as

Deep Brain StimulationBrainCognitionHumansProstheses and Implants

Identifiers

PMID34725508
PMCPMC9056584
OpenAlexW3211307130

What OpenQuestion holds

Textmetadata
LicenceTDM
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.