| Literature DB >> 33997788 |
Calvin D Eiber1, Jean Delbeke2, Jorge Cardoso3, Martijn de Neeling4, Sam E John1, Chang Won Lee5, Jerry Skefos6, Argus Sun7, Dimiter Prodanov8, Zach McKinney9.
Abstract
The pace of research and development in neuroscience, neurotechnology, and neurorehabilitation is rapidly accelerating, with the number of publications doubling every 4.2 years. Maintaining this progress requires technological standards and scientific reporting guidelines to provide frameworks for communication and interoperability. The present lack of such neurotechnology standards limits the transparency, repro-ducibility, and meta-analysis of this growing body of literature, posing an ongoing barrier to research, clinical, and commercial objectives. Continued neurotechnological innovation requires the development of some minimal standards to promote integration between this broad spectrum of technologies and therapies. To preserve design freedom and accelerate the translation of research into safe and effective technologies with maximal user benefit, such standards must be collaboratively co-developed by the full range of neuroscience and neurotechnology stakeholders. This paper summarizes the preliminary recommendations of IEEE P2794 Standards Working Group, developing a Reporting Standard for in-vivo Neural Interface Research (RSNIR).Entities:
Keywords: Bioelectronic medicine; neurotechnology; reproducibility; scientific reporting; standardization
Year: 2021 PMID: 33997788 PMCID: PMC8118094 DOI: 10.1109/ojemb.2021.3060919
Source DB: PubMed Journal: IEEE Open J Eng Med Biol ISSN: 2644-1276
Fig. 1.A) Overview of common NI technologies and applications. Neuro-sensing Modalities: EEG (electroencephalography), ECoG (electrocortico-graphy), i/sEEG (intracranial/stereotaxic EEG), EMG (electromyography, ENG (electroneurography). Neuromodulation modalities: AP (auditory pros-thesis), DBS (deep brain stimulation), FES (functional electrical stimulation), NIBS (non-invasive brain stimulation), SCS (spinal cord stimulation), SRS (anterior sacral root stimulation), tDCS (transcranial direct current stimulation), TENS (transcutaneous electrical nerve stimulation), TMS (transcranial magnetic stimulation), VNS (Vagus nerve stimulation), VP (visual prosthesis): B) The accelerating rate of growth for neural interface research (see supplemental methods), in publications per year.
Reporting Topics for NI Study Aims and Context
|
| High-level Descriptors | Detailed Descriptors |
|---|---|---|
| Study Aims and Type | Foundational concept and technology developmentI (See also | Pre-clinical concept design study (e.g., human cadaver) |
| Demonstration in animal models | Acute animal validation and refinement of mechanism | |
| Human and clinical evaluation | Acute clinical safety & essential performance verification: e.g., partial intra-operative testing | |
| Intended Application | Neuromodulation (stimulation) | Sensory neuromodulation (e.g., cochlear prosthesis) |
| Neurosensing (recording) | Diagnostic (e.g., epileptic foci discrimination) | |
| Closed-loop control or operation | Diagnostic (e.g., H-wave, epilepsy) | |
| Physical Modality / Technology | Electrical | quasi-electrostatic (µs-s timescales), tDCS |
| Magnetic and Electromagnetic | fMRI, TMS, Magnetoencephalography (MEG) | |
| Optical and Infrared | Optogenetic stimulation | |
| Acoustic | Focused ultrasound stimulation | |
| Target Neural Structure(s)/Pathway(s) | Central Nervous System (CNS) | Targeted brain or spinal cord region(s) to be named per |
| Peripheral Nervous System (PNS) | Targeted division(s)II and neuroanatomical structures to be named per | |
| Enteric Nervous System (ENS) | Targeted neural structures to be named per |
1Lab bench and in vitro studies are beyond the official in vivo scope of RSNIR. Recommendations given here as reference, for complementarity to in vivo studies.
2The PNS is classically divided into somatic and autonomic divisions, with the autonomic further delineated into parasympathetic and sympathetic sub-divisions.
Reporting Topics for NI Experimental Design and Outcome Measures
|
| High-level Descriptors | Detailed Descriptors |
|---|---|---|
| Animal Models | Fundamental characteristics | Number and type of subjects involved, including justification of sample size (both projection and actual numbers). |
| Husbandry and housing conditions | light/ dark schedule, environmental enrichment, experimental location. | |
| Training and behavior (if relevant) | Training, reward, and performance assessment methods. | |
| Human Subjects | Eligibility and recruitment |
|
| Demographic characteristics | Number and type of subjects involved, | |
| Relevant clinical history | Timelines of disease onset and symptom presentation | |
| Interventions | Description of all interventions applied | (procedures, devices, treatment programs, surgical procedures, etc.) |
| Sequential timeline of interventions | including sequences and interrelations, | |
| Location and setting of the experiments | (e.g., clinic, home setting, animal laboratory or home cage) | |
| Experimental Equipment (Excluding NI) | Any specialized medical equipment used during the experiments, | |
| Stimulus Description | Visual StimuliII | Background illumination level (e.g., scotopic or in units of cd / m2), Adaptation state of the experimental subject (e.g., dark-adapted), |
| Auditory StimuliII | Background and stimulus sound levels, | |
| Tactile Stimuli | Similarly, for tactile stimuli, the stimulus type (e.g., vibratory, single-pulse, von Frey, etc.), intensity (in mm/s) and other properties should be reported. | |
| Other Stimuli | For more complex stimuli, such as movies or sequences of spoken words, examples should be provided as supplementary data. | |
| Outcome Measures | Basic signal quality metrics for NIs | (e.g., signal-to-noise ratio) |
| Usability and patient satisfaction scores. | For animals research, these may include behavioral assessments e.g., | |
| Computation of derived measures | References to established measures and formulas for novel measures | |
| Statistics | Identification of dataset(s) between which each comparison was conducted | Description and rationale for data grouping provided (e.g., between vs. within-subjects comparisons). |
| Derivation for each datum | Time point(s) for data sampling | |
| Other statistical methods | Methods used to examine subgroups, |
1This is important, as many drugs have effects on the nervous system which may influence NI performance, e.g., [45].
2For more complex stimuli, such as movies or sequences of spoken words, examples should be provided as supplementary data.
Reporting Topics for NI Physical Device Properties
|
| High-level Descriptors | Detailed Descriptors |
|---|---|---|
| Intended Device Service Life | Acute | Duration of intended use: ≤ 24 hours (e.g., intra- and peri-operative use) |
| Short-Term (Sub-acute and Sub-ChronicI) | Duration of intended use: 24 hours to 28 days (including acute testing of devices intended for short-term implantation). | |
| Chronic | Duration of intended use: > 28 days (including acute tests of devices intended for chronic implantation) | |
| Level of Invasiveness | Implanted | Minimally-invasiveII, including endovascular (e.g., |
| External (non-implanted) | Transcutaneous vs. Percutaneous or Semi-invasive (e.g., | |
| Implantation / Positioning Procedure | Anatomical positioning | Recording tip coordinates in stereotaxic coordinates or with reference to anatomical landmarks (gyri/sulci, lambda/bregma, branching points or major blood vessels for peripheral nerves). See Supplement, §VI.E. |
| Fixation and adjustment procedures | Intraoperative and/or postoperative, including anchoring site and fixation. | |
| Locations of secondary connections | e.g., distant return, patient reference potentialIII | |
| Lead-wire / connector positioning and fixation | Include battery / antenna / percutaneous plug placement as needed. | |
| Electrode / Transducer Design | Commercially available device specificationsIV | Vendor/model information, including firmware and graphical software versions |
| Type, number, and arrangement of electrodes/transducers | Transducer type: e.g., microwire, micromachined, or polymer-based (see | |
| Geometry of individual electrodes/transducers | Recording site footprint (e.g., diameter, width x length). See Supplement §VI.G. | |
| Lead / connector geometry | Shank / guide cannula dimensions (length, diameter, cross-section) | |
| Device Materials and Fabrication | Electrode / transducer materials | Core conductive material (See Supplement, §VI.F). |
| Other materials | Lead / connector materials, | |
| Mechanical propertiesV | Stiffness of the transducer / electrode array carrier. | |
| Fabrication methodsV | Microfabrication techniques & parameters (e.g., electrodeposition methods) see | |
| Sterilization protocol | Sterilization mechanism (e.g., autoclave, ethylene oxide, gamma irradiation, plasma) and process parameters, with reference to Standard protocols (see | |
| Electrical Properties | Electrode impedance | Impedance measurement method (see Supplement §VI.H) – Measured at 1kHz and intended NI operating frequencies |
| Stimulus Driver properties | Dynamic range, frequency response and equivalent parallel (or series) resistance and reactance. | |
| MRI compatibility | As relevant to intended application(s), compatibility w MRI | |
| Power requirements | For implanted NIs, detail minimum required flows of power and data (bitrates) for NI system function, |
1ISO 10993 [19] loosely defines the terms “sub-acute” (> 24hr, <14d) and “sub-chronic” (14-28d) in the context of systemic toxicity evaluation.
2Here, we use “minimally-invasive” to describe implanted NIs for which tissue or organ barriers such as the meninges or perineurium are not breached.
3See main text footnote 2 regarding the use of the term ‘reference’ vs ‘ground’, and also Supplementary Materials, Section VI.C.
4Reporting of other details can be referenced to literature, provided those details have been measured in an equivalent (intraoperative) environment.
5The mechanical and electrochemical properties of NIs are critical to their long-term safety & efficacy and influenced by fabrication techniques. See [50], [57], [58].
Fig. 2.Block diagram of a prototypical NI system architecture. Sensors and effectors may interface invasively or non-invasively with the central or peripheral nervous system (CNS / PNS). Neural sensing components will almost always include hardware signal conditioning, digital-to-analog conversion, digital signal processing, and feature extraction. Neuromodulation components include waveform selection and generation and the output drive to the stimulus end effector. Sensors, from top to bottom: high-density intracortical (Utah) array, ECoG array, EEG. Effectors: deep brain stimulation, peripheral nerve array (FINE, [46]), and transcutaneous stimulation.
Reporting Topics for NI Signal Processing Properties
|
| High-level Descriptors | Detailed Descriptors |
|---|---|---|
| Target Physiological Signal | High-resolution recording | Stability over time |
| Population-averaged recording | Stability over time, | |
| Neuromodulation | Spatial resolution of the imposed signal | |
| Hardware Conditioning and Acquisition | Filtering | Input gain, anti-aliasing filter time-constantI |
| Analog to digital conversion | Sampling rate, dynamic range, resolution (in bits or µV) | |
| Output channels | Number of channels | |
| Signal Processing | Filtering | Filter type (high-pass, low-pass, band-pass, notch), implementation (e.g., passive filter, active Butterworth, Bessel, etc.), filter order, and rationaleIII. |
| Artifact removal | Algorithm and parameter estimation | |
| Feature Extraction | Frequency-domain transformation | Define all analysis bands used |
| Spatial transformation | Mathematical transformation(s) used (e.g., inverse source localization) | |
| Coordinate transformation | Mathematical transformation(s) used (e.g., PCA/ICA, SVD | |
| Datatype conversion | (e.g., spike detection and sorting, autoregressive model fitting) | |
| Classification and Decision-making | Classification analyses | Classifier architecture (e.g., SVM, K-means, CNN, etc.: see |
| Inference of mental states | The states identified must be clearly specified. | |
| Control Algorithms for effectors / stimulus delivery | Including algorithms for closed-loop control, “model-in-loop” control. | |
| Stimulus Waveform Generation | Timing of stimulus delivery | Patient / subject control, |
| Stimulus type | (e.g., current, voltage, optical, acoustic, etc.). | |
| Timing of individual stimuli | Phase width, pulse shape, leading phase, inter-phase gaps. | |
| Output channels | Number of independently addressable stimulation channels available, Electrode/transducer configurations used. |
1For recording physiological signals, transient artifacts can mimic physiological signals when filtered through high-pass filters higher than first-order. To avoid this, characterizing any such filter by a single time constant value can ensure this good practice has been enforced.
2If recording signals reach saturation during regular use (e.g., due to stimulation artifacts), this should be noted along with the expected duration of invalid signal.
3Adequate filter specification is necessary to extract useful signals from noisy neurodata but is frequently underreported. Quite often, filters are used with non-linear group velocity transfer functions, and analysis methods are applied afterwards which assume linear group frequency transfer functions. We have also seen cases where non-causal filtering (e.g., MATLAB's filtfilt) is applied in such a way as to cause responses to precede stimulus, which is obviously nonsensical.
4In principle, the order of linear signal processing steps is not important. In practice, malfunction, artefacts, and other sources of confusion are more easily identified in the frame of an orderly description. See Supplemental Materials, Section VII.