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Background Brain-computer interfaces (BCIs) can restore communication in movement- and/or speech-impaired individuals by enabling neural control of computer typing applications. Single command “click” decoders provide a basic yet highly functional capability. Methods We sought to test the performance and long-term stability of click-decoding using...

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... all repeated samples and normalizing the resulting mean values between 0 and 1. We repeated this process using HG features from all channels except one (channel 112) and again by using features from a subset of 12 electrodes over cortical hand-knob (anatomically determined as channels 92, 93, 94, 100, 101, 102, 108, 109, 110, 116, 117, 118; Fig. 4e, Supplementary Figs. 2,3). Neither of these two model architectures were deployed for real-time BCI ...
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... assess which channels produced the most important HG features for classication of attempted grasp, we generated a saliency map across all channels used to train our original model (Fig. 4a). As expected, channels covering cortical face region were generally not salient for grasp classication. The channel producing the most salient HG features was located in the upper-limb area of somatosensory cortex (channel 112, Supplementary Fig. 16), with a saliency value 55% and 88% higher than the next two most salient channels ...
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... the corresponding oine classication accuracy of our original model architecture for comparison to a model architecture without channel 112 and an architecture using channels only over cortical hand-knob (see Methods: Channel contributions and oine classication comparisons); the mean accuracy from repeated 10-fold cross-validation (CV) was 92.9% (Fig. ...
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... ensure that real-time classication accuracy was not entirely driven by channel 112, we evaluated a model trained on HG features from all other channels oine. As expected, this model relied strongly on channels covering the cortical hand-knob region (Fig. 4c), and notably was not as dependent on a single channel; the saliency of the most important channel was only 23% and 60% larger than the next two most salient channels, respectively (Supplementary Fig. 16b). The oine mean classication accuracy from repeated 10-fold CV was 91.7% (Fig. 4d), which was not signicantly lower compared to the ...
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... strongly on channels covering the cortical hand-knob region (Fig. 4c), and notably was not as dependent on a single channel; the saliency of the most important channel was only 23% and 60% larger than the next two most salient channels, respectively (Supplementary Fig. 16b). The oine mean classication accuracy from repeated 10-fold CV was 91.7% (Fig. 4d), which was not signicantly lower compared to the mean accuracy using all channels (P = 0.139, Wilcoxon Rank-Sum test with 3-way Bonferroni-Holm correction, Fig. ...
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... was only 23% and 60% larger than the next two most salient channels, respectively (Supplementary Fig. 16b). The oine mean classication accuracy from repeated 10-fold CV was 91.7% (Fig. 4d), which was not signicantly lower compared to the mean accuracy using all channels (P = 0.139, Wilcoxon Rank-Sum test with 3-way Bonferroni-Holm correction, Fig. ...
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... channels covering the cortical hand-knob region made relatively larger contributions to decoding results, we investigated the classication accuracy of a model trained on HG features from a subset of electrodes covering only this region (Fig. 4e). Saliency values followed a atter distribution; the saliency of the most important channel was only 21% and 44% larger than the next two most salient channels respectively ( Supplementary Fig. 16c). Though the oine mean classication accuracy from repeated 10-fold CV remained high at 90.4% (Fig. 4f), it was statistically lower compared ...
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... a subset of electrodes covering only this region (Fig. 4e). Saliency values followed a atter distribution; the saliency of the most important channel was only 21% and 44% larger than the next two most salient channels respectively ( Supplementary Fig. 16c). Though the oine mean classication accuracy from repeated 10-fold CV remained high at 90.4% (Fig. 4f), it was statistically lower compared to the mean accuracy using all channels (P = 0.015, Wilcoxon Rank-Sum test with 3-way Bonferroni-Holm correction, Fig. 4g). This suggests that a model trained on HG features from only the cortical hand-knob could still produce effective click detection, but parameters used for data labeling, model ...
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... and 44% larger than the next two most salient channels respectively ( Supplementary Fig. 16c). Though the oine mean classication accuracy from repeated 10-fold CV remained high at 90.4% (Fig. 4f), it was statistically lower compared to the mean accuracy using all channels (P = 0.015, Wilcoxon Rank-Sum test with 3-way Bonferroni-Holm correction, Fig. 4g). This suggests that a model trained on HG features from only the cortical hand-knob could still produce effective click detection, but parameters used for data labeling, model training, and post-processing may need to be more thoroughly explored to optimize click ...

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Background Brain-computer interfaces (BCIs) can restore communication for movement- and/or speech-impaired individuals by enabling neural control of computer typing applications. Single command click detectors provide a basic yet highly functional capability. Methods We sought to test the performance and long-term stability of click decoding using a chronically implanted high density electrocorticographic (ECoG) BCI with coverage of the sensorimotor cortex in a human clinical trial participant (ClinicalTrials.gov, NCT03567213) with amyotrophic lateral sclerosis. We trained the participant’s click detector using a small amount of training data (<44 min across 4 days) collected up to 21 days prior to BCI use, and then tested it over a period of 90 days without any retraining or updating. Results Using a click detector to navigate a switch scanning speller interface, the study participant can maintain a median spelling rate of 10.2 characters per min. Though a transient reduction in signal power modulation can interrupt usage of a fixed model, a new click detector can achieve comparable performance despite being trained with even less data (<15 min, within 1 day). Conclusions These results demonstrate that a click detector can be trained with a small ECoG dataset while retaining robust performance for extended periods, providing functional text-based communication to BCI users.
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