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research article

Closed-loop electrical neurostimulation: Challenges and opportunities

Iturrate, Iñaki
•
Pereira, Michael
•
Millán, José del R.
December 1, 2018
Current Opinion in Biomedical Engineering

Non-invasive and invasive electrical neurostimulation are promising tools to better understand brain function and ultimately treat its malfunction. In current open-loop approaches, a clinician chooses a fixed set of stimulation parameters, informed by observed therapeutic benefits and previous empirical evidence. However, this procedure leads to a large intra- and inter-subject variability often introducing side-effects and low effect sizes. Closed-loop electrical neurostimulation (CLENS) approaches strive to alleviate these limitations by tailoring the stimulation parameters to an ongoing electrophysiological biomarker. Here, we review the current status of closed-loop, supraspinal electrical stimulation in humans, presenting our vision of potential control frameworks, and support the idea of creating synergies with the field of brain-machine interfacing. Finally, we pinpoint two pivotal challenges that, in our view, need to be overcome for this technology to become a reality: dealing with the electrical stimulation artifacts, and dissociating the pathological from physiological information within the targeted biomarker.

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Type
research article
DOI
10.1016/j.cobme.2018.09.007
Author(s)
Iturrate, Iñaki
Pereira, Michael
Millán, José del R.
Date Issued

2018-12-01

Published in
Current Opinion in Biomedical Engineering
Volume

8

Start page

28

End page

37

Subjects

Closed-loop electrical neurostimulation

•

Deep brain stimulation

•

Transcranial alternating current stimulation

•

Transcranial direct current stimulation

•

Electroencephalography

•

Local field potentials

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
NCCR-ROBOTICS  
CNBI  
CNP  
FunderGrant Number

FNS-NCCR

Robotics

Available on Infoscience
November 6, 2018
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/149686
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