Evidence map›Paper›PMID 39730913›Full record

ReviewNature biomedical engineering2025

Challenges and opportunities of acquiring cortical recordings for chronic adaptive deep brain stimulation.

Jeffrey Herron, Aura Kullmann, Timothy Denison, Wayne K Goodman, Aysegul Gunduz, Wolf-Julian Neumann, Nicole R Provenza, Maryam M Shanechi, Sameer A Sheth, Philip A Starr and 1 more

Erratum issuedAbstract readReview
In one paragraph

Review in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Jeffrey HerronDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-9813-0094
Aura KullmannNeuroOne Medical Technologies Corporation, Eden Prairie, MN, USA.ORCID http://orcid.org/0000-0001-6625-2946
Timothy DenisonDepartment of Engineering Science, University of Oxford, Oxford, UK.
Wayne K GoodmanDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Aysegul GunduzDepartment of Biomedical Engineering and Fixel Institute for Neurological Disorders, University of Florida, Gainesville, FL, USA.
Wolf-Julian NeumannMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité-Universitätsmedizin, Berlin, Germany.ORCID http://orcid.org/0000-0002-6758-9708
Nicole R ProvenzaDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-6952-5417
Maryam M ShanechiDepartment of Electrical and Computer Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-0544-7720
Sameer A ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Philip A StarrDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-2733-4003
Alik S WidgeDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA. awidge@umn.edu.ORCID http://orcid.org/0000-0001-8510-341X

Funding

Understanding Circuit Dynamics in Parkinson's Disease using Real-Time Neural ControlP50NS123109 · NINDS · UNIVERSITY OF MINNESOTA · PI JOHNSON, MATTHEW DOUGLAS · 2021 to 2025
$11.3M
Deep brain stimulation for depression using directional current steering an individualized network targetingUH3NS103549 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOODMAN, WAYNE K, POURATIAN, NADER · 2017 to 2025
$8.7M
Measuring Automated Behavioral Observations & Vocal Expressions (ABOVE) while Recording from the BrainUH3NS100549 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI GOODMAN, WAYNE K · 2016 to 2022
$7.8M
Implantable Neurostimulators for Control of Oscillatory Brain NetworksR01MH123634 · NIMH · UNIVERSITY OF MINNESOTA · PI SHOARAN, MAHSA, WIDGE, ALIK S. · 2020 to 2024
$6.7M
Building Mood State Classifiers to Inform Deep Brain Stimulation (DBS) of Treatment-Resistant Bipolar DepressionUH3NS136631 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI Wayne K Goodman, Jeffrey A. Herron · 2024 to 2026
$5.8M
Motor Recovery through Plasticity-Inducing Cortical StimulationUH3NS121565 · NINDS · UNIVERSITY OF WASHINGTON · PI Steven C. Cramer, Jeffrey G Ojemann · 2022 to 2026
$4.5M
Accelerating Dissemination of Implantable Neurotechnology for Clinical ResearchU24NS113637 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BORTON, DAVID ALLENSON, DENISON, TIMOTHY · 2020 to 2024
$4.4M
Closed Loop Deep Brain Stimulation for Parkinson's DiseaseUH3NS100544 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STARR, PHILIP ANDREW · 2016 to 2022
$4.1M
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
Model-based neural control of brain stimulation for neuropsychiatric disordersR01MH123770 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SHANECHI, MARYAM · 2021 to 2025
$3.0M
Novel multimodal neural, physiological, and behavioral sensing and machine learning for mental statesR61MH135407 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Maryam Shanechi · 2024 to 2026
$2.8M
A novel geometric paradigm for nonlinear modeling and control of neural dynamicsDP2MH126378 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SHANECHI, MARYAM · 2020 to 2020
$2.5M
NIMH NIH HHS DP2 MH126378NIMH NIH HHS R01 MH123634NIMH NIH HHS R01 MH123770NIMH NIH HHS R61 MH135407NINDS NIH HHS P50 NS123109NINDS NIH HHS U24 NS113637NINDS NIH HHS UH3 NS095553NINDS NIH HHS UH3 NS100544NINDS NIH HHS UH3 NS100548NINDS NIH HHS UH3 NS100549NINDS NIH HHS UH3 NS103549NINDS NIH HHS UH3 NS121565NINDS NIH HHS UH3 NS136631U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH123634U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) UH3NS100548
6 · The paper itself

Abstract

Deep brain stimulation (DBS), a proven treatment for movement disorders, also holds promise for the treatment of psychiatric and cognitive conditions. However, for DBS to be clinically effective, it may require DBS technology that can alter or trigger stimulation in response to changes in biomarkers sensed from the patient's brain. A growing body of evidence suggests that such adaptive DBS is feasible, it might achieve clinical effects that are not possible with standard continuous DBS and that some of the best biomarkers are signals from the cerebral cortex. Yet capturing those markers requires the placement of cortex-optimized electrodes in addition to standard electrodes for DBS. In this Perspective we argue that the need for cortical biomarkers in adaptive DBS and the unfortunate convergence of regulatory and financial factors underpinning the unavailability of cortical electrodes for chronic uses threatens to slow down or stall research on adaptive DBS and propose public-private partnerships as a potential solution to such a critical technological gap.

Indexed as

Cerebral CortexDeep Brain StimulationBiomarkersElectrodesElectrodes, ImplantedHumansBiomarkers

Identifiers

PMID39730913
PMCPMC12413772

What OpenQuestion holds

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Registered trials

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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.