Evidence map›Paper›PMID 42238469›Full record

ArticlemedRxiv : the preprint server for health sciences2026

A clinically integrated, frameless human Neuropixels workflow.

Hugo Layard Horsfall, Ahmed K Toma, Laurence Watkins, Harith Akram, Hani J Marcus, Ainsley Stewart, Jake Chatburn, Anne Vanhoestenberghe, Brian F Coughlin, Angelique C Paulk and 6 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Hugo Layard HorsfallThe Francis Crick Institute, London, UK.ORCID 0000-0001-7848-5325
Ahmed K TomaDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0002-0294-3876
Laurence WatkinsDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0003-0678-3774
Harith AkramDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0002-2899-628X
Hani J MarcusDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0001-8000-392X
Ainsley StewartSchool of Biomedical Engineering and Imaging Sciences, Kings College London, London, UK.ORCID 0009-0007-3672-8334
Jake ChatburnThe Francis Crick Institute, London, UK.ORCID 0009-0008-9205-3914
Anne VanhoestenbergheSchool of Biomedical Engineering and Imaging Sciences, Kings College London, London, UK.ORCID 0000-0002-7244-5864
Brian F CoughlinCenter for Neurotechnology and Neurorecovery, Department of Neurology, Mass General Brigham, Boston, USA.ORCID 0000-0002-8009-5614
Angelique C PaulkCenter for Neurotechnology and Neurorecovery, Department of Neurology, Mass General Brigham, Boston, USA.ORCID 0000-0002-4413-3417
Sydney S CashCenter for Neurotechnology and Neurorecovery, Department of Neurology, Mass General Brigham, Boston, USA.ORCID 0000-0002-4557-6391
Marleen WelkenhuysenImec, Leuven, Belgium.ORCID 0000-0001-6729-9391
Barundeb DuttaImec, Leuven, Belgium.ORCID 0000-0003-4781-9630
Andreas T SchaeferThe Francis Crick Institute, London, UK.ORCID 0000-0002-4677-8788
Mihaly KolloThe Francis Crick Institute, London, UK.ORCID 0000-0002-0147-6997
William MuirheadThe Francis Crick Institute, London, UK.ORCID 0000-0001-7163-0120

Funding

Neural Activity Signatures of Tumor Infiltration in the Human BrainR01NS134410 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ANGELIQUE C PAULK · 2024 to 2026
$1.8M
NINDS NIH HHS R01 NS134410Wellcome Trust FC001153
6 · The paper itself

Abstract

High-density electrophysiological recording with Neuropixels probes enables single-unit resolution of human neural activity, but integration into routine clinical environments remains challenging and reported recordings have been limited to a few US centres. Here, we present a reproducible roadmap for human Neuropixels recordings under a nationally managed regulatory framework in the United Kingdom. Guided by the IDEAL Stage 2a (Development) framework, we established a frameless intraoperative workflow using manufacturer-sterilised probes and a commercially available, clinical-grade setup. We prospectively evaluated this workflow in six participants (mean age 62.5 years) undergoing elective ventriculoperitoneal shunt surgery, assessed across three predefined endpoints: clinical safety, procedural timing, and neural data yield. Iterative failure-mitigation cycles resolved key technical barriers, including neuronavigation interference and hardware instability. The workflow achieved zero research-related adverse events, maintained a 30-minute procedural extension, and progressively increased single-unit yield to 146 manually curated units.

Indexed as

high-density electrophysiologyIDEAL frameworkintraoperative electrophysiologyNeuropixelssingle-unit recordingsurgical innovation

Identifiers

PMID42238469
PMCPMC13228770

What OpenQuestion holds

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LicenceCC BY
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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.