On decoding of rapid motor imagery in a diverse population using a high-density NIRS device.

Introduction: Functional near-infrared spectroscopy (fNIRS) aims to infer cognitive states such as the type of movement imagined by a study participant in a given trial using an optical method that can differentiate between oxygenation states of blood in the brain and thereby indirectly between neuronal activity levels. We present findings from an fNIRS study that aimed to test the applicability of a high-density (>3000 channels) NIRS device for use in short-duration (2 s) left/right hand motor imagery decoding in a diverse, but not explicitly balanced, subject population. A side aim was to assess relationships between data quality, self-reported demographic characteristics, and brain-computer interface (BCI) performance, with no subjects rejected from recruitment or analysis. Methods: BCI performance was quantified using several published methods, including subject-specific and subject-independent approaches, along with a high-density fNIRS decoder previously validated in a separate study. Results: We found that decoding of motor imagery on this population proved extremely challenging across all tested methods. Overall accuracy of the best-performing method (the high-density decoder) was 59.1 +/- 6.7% after excluding subjects where almost no optode-scalp contact was made over motor cortex and 54.7 +/- 7.6% when all recorded sessions were included. Deeper investigation revealed that signal quality, hemodynamic responses, and BCI performance were all strongly impacted by the hair phenotypical and demographic factors under investigation, with over half of variance in signal quality explained by demographic factors alone. Discussion: Our results contribute to the literature reporting on challenges in using current-generation NIRS devices on subjects with long, dense, dark, and less pliable hair types along with the resulting potential for bias. Our findings confirm the need for increased focus on these populations, accurate reporting of data rejection choices across subject intake, curation, and final analysis in general, and signal a need for NIRS optode designs better optimized for the general population to facilitate more robust and inclusive research outcomes.