High-resolution Cortical Mapping with Conformable Microelectrodes on a Thousand-electrode Scale: A First-in-human Study
Benjamin Rapoport 1, Mark Hettick1, Elton Ho1, Adam Poole1, Manuel Mongue1, Demetrios Papageorgiou1, Morgan LaMarca1, Daniel Trietsch1, Kyle Reed1, Mark Murphy1, Stephanie Rider1, Kate Gelman1, Yoon Woo Byun1, Timothy Hanson1, Vanessa Tolosa1, Sanjay Bhatia1, Peter Konrad1, Michael Mager1, Craig Mermel1
1Precision Neuroscience
Objective:

We describe a novel system for electrophysiologic mapping and brain-computer interface technology, comprising conformable thin-film electrode arrays and a minimally invasive surgical delivery system that together facilitate bidirectional data exchange from large portions of the cortical surface. 

Background:

We demonstrate the feasibility and safety of delivering reversible, 1024-electrode implants to multiple functional regions of the human brain intraoperatively in a first-in-human study of five neurosurgical patients in anesthetized and awake states

Design/Methods:

The system allows high-density neural recording at spatial and temporal resolutions not previously possible, real-time visualization of cortical surface activity, and accurate neural decoding of motor and speech intent. Additionally, the system facilitates functional localization: it is able, in seconds, to map and display the phase-reveral boundary between primary somatosensory and primary motor cortex with 400-micron resolution, in a manner that can support real-time intraoperative decision-making. 

Results:

These results demonstrate the highly scalable nature of micro-electrocorticography.

Conclusions:

This demonstrates utility for next-generation neural interfaces with a favorable safety profile for human use.

10.1212/WNL.0000000000206531