'Mindwriting' turns handwritten thoughts into on screen text to help those with paralysis

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A man who is paralysed from the neck down has been able to communicate just by thinking about handwriting the words, thanks to an implant in his brain. US researchers used artificial-intelligence software combined with the brain implant to decode the man's thoughts about handwriting into text on a computer screen. The man was able to communicate at speeds of about 18 words per minute, not far from 23 words per minute someone the same age would be expected to achieve texting on a smartphone. The man has two implants on the left side of his brain that pick up signals from neurons firing in the part of the brain that governs hand movement. Those brain signals are then sent via wires to a computer, where artificial-intelligence algorithms decode the signals to work out his intended hand and finger motion.

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From: Springer Nature

Neuroscience: Translating handwriting brain activity into text (N&V) *VIDEO* 

A method of communication for people with paralysis that uses a computer to decode attempted handwriting movements from brain signals is demonstrated in Nature this week. The approach may allow much faster communication than was previously possible.

Brain–computer interfaces (BCIs) can restore communication to people who have lost the ability to move or speak. A major focus of research in this field has been restoring large movements, such as reaching and grasping. However, highly dexterous movements, such as handwriting or touch typing, might enable faster communication rates, which have previously been limited to a maximum of around 40 characters per minute using point-and-click typing with a 2D computer cursor.

Francis Willett and colleagues found that a participant in their study, who was paralysed from the neck down, was able to reach a writing speed of 90 characters per minute with 94.1% accuracy when using the new handwriting BCI. The authors instructed the participant to ‘attempt’ to write sentences as if his hand were not paralysed, by imagining that he was holding a pen on a piece of ruled paper. During this exercise, the BCI used a neural network, a type of machine learning, to translate attempted handwriting movements from neural activity into text in real time. The typing speeds achieved are more than twice as fast as those reported for any other BCI so far, and are comparable to typical smartphone typing speeds in people of the same age group as the study participant (115 characters per minute).

The proof-of-concept findings open a new approach for BCIs and suggest that a handwriting BCI is capable of accurately decoding rapid, dexterous movements years after paralysis. Nevertheless, further demonstrations of its longevity, safety and efficacy will be required before it can be put to widespread clinical use. In addition, the authors suggest that these methods could be applied more generally to any sequential behaviour that cannot be observed directly; for example, decoding speech from someone who can no longer speak. However, the technology “will need to provide tremendous performance and usability benefits to justify the expense and risks associated with implanting electrodes into the brain,” note Pavithra Rajeswaran and Amy Orsborn in an accompanying News & Views article.

Multimedia

The process explained
Computer animation
Handwriting animation

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Research Springer Nature, Web page Please link to the article in online versions of your report (the URL will go live after the embargo ends).
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Nature
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Organisation/s: Stanford University, USA
Funder: F.R.W. and D.T.A. acknowledge the support of the Howard Hughes Medical Institute. L.R.H. acknowledges the support of the Office of Research and Development, Rehabilitation R&D Service, US Department of Veterans Affairs (A2295R, N2864C); the National Institute of Neurological Disorders and Stroke and BRAIN Initiative (UH2NS095548); and the National Institute on Deafness and Other Communication Disorders (R01-DC009899, U01-DC017844). K.V.S. and J.M.H. acknowledge the support of the National Institute on Deafness and Other Communication Disorders (R01-DC014034, U01-DC017844); the National Institute of Neurological Disorders and Stroke (UH2-NS095548, U01-NS098968); L. and P. Garlick; S. and B. Reeves; and the Wu Tsai Neurosciences Institute at Stanford. K.V.S. acknowledges the support of the Simons Foundation Collaboration on the Global Brain 543045 and the Howard Hughes Medical Institute (K.V.S. is a Howard Hughes Medical Institute Investigator).
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