Evidence map›Paper›PMID 36450968›Full record

ReviewJournal of neurology2023

Towards clinical application of implantable brain-computer interfaces for people with late-stage ALS: medical and ethical considerations.

Mariska J Vansteensel, Eran Klein, Ghislaine van Thiel, Michael Gaytant, Zachary Simmons, Jonathan R Wolpaw, Theresa M Vaughan

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.0field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Banking on My Voice: Life with Motor Neurone Disease.Healthcare (Basel, Switzerland) · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. [An emerging discipline: brain-computer interfaces medicine].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Review
  12. Review
  13. Review
  14. Article
  15. [Ethical considerations for medical applications of implantable brain-computer interfaces].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Article
  16. Review
  17. Review
  18. Article
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  20. 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

7 authors at 5 institutions in 2 countries.

Mariska J VansteenselDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, P.O. Box 85060, 3508 AB, Utrecht, The Netherlands. m.j.vansteensel@umcutrecht.nl.ORCID http://orcid.org/0000-0002-9252-5116
Eran KleinDepartment of Neurology, Oregon Health and Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0002-0132-5777
Ghislaine van ThielJulius Center for Health Sciences and Primary Care, Department Medical Humanities, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-1799-1894
Michael GaytantDepartment of Pulmonary Diseases/Home Mechanical Ventilation, University Medical Center Utrecht, Utrecht, The Netherlands.
Zachary SimmonsDepartment of Neurology, Pennsylvania State University, Hershey, PA, USA.
Jonathan R WolpawNational Center for Adaptive Neurotechnologies, Albany Stratton VA Medical Center, Department of Biomedical Sciences, State University of New York, Albany, NY, USA.ORCID http://orcid.org/0000-0003-0805-1315
Theresa M VaughanNational Center for Adaptive Neurotechnologies, Albany Stratton VA Medical Center, Albany, NY, USA.
University Medical Center Utrecht · NLNeurotech (United States) · USOregon Health & Science University · USPennsylvania State University · USUniversity at Albany, State University of New York · US

Funding

Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Jonathan Rickel Wolpaw · 2014 to 2026
$15.4M
Dynamics and Causal Functions of Large-Scale Cortical and Subcortical NetworksU01NS108916 · NINDS · WADSWORTH CENTER · PI WOLPAW, JONATHAN RICKEL · 2018 to 2019
$1.4M
NIBIB NIH HHS P41 EB018783NINDS NIH HHS U01 NS108916
6 · The paper itself

Abstract

Individuals with amyotrophic lateral sclerosis (ALS) frequently develop speech and communication problems in the course of their disease. Currently available augmentative and alternative communication technologies do not present a solution for many people with advanced ALS, because these devices depend on residual and reliable motor activity. Brain-computer interfaces (BCIs) use neural signals for computer control and may allow people with late-stage ALS to communicate even when conventional technology falls short. Recent years have witnessed fast progression in the development and validation of implanted BCIs, which place neural signal recording electrodes in or on the cortex. Eventual widespread clinical application of implanted BCIs as an assistive communication technology for people with ALS will have significant consequences for their daily life, as well as for the clinical management of the disease, among others because of the potential interaction between the BCI and other procedures people with ALS undergo, such as tracheostomy. This article aims to facilitate responsible real-world implementation of implanted BCIs. We review the state of the art of research on implanted BCIs for communication, as well as the medical and ethical implications of the clinical application of this technology. We conclude that the contribution of all BCI stakeholders, including clinicians of the various ALS-related disciplines, will be needed to develop procedures for, and shape the process of, the responsible clinical application of implanted BCIs.

Indexed as

Amyotrophic Lateral SclerosisBrain-Computer InterfacesSelf-Help DevicesElectroencephalographyHumansSpeechAmyotrophic lateral sclerosisBrain–computer interfaceClinical applicationEthicsImplantTracheostomy invasive ventilation

Identifiers

PMID36450968
PMCPMC9971103
OpenAlexW4310439148

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.