Jing Jin

Zhaoyang Qiu, Shugeng Chen, Ian Daly et al.

Stroke is the leading cause of serious and long-term disability worldwide. Some studies have shown that motor imagery (MI) based BCI has a positive effect in poststroke rehabilitation. It could help patients promote the reorganization processes in the damaged brain regions. However, offline motor imagery and conventional online motor imagery with feedback (such as rewarding sounds and movements of an avatar) could not reflect the true intention of the patients. In this study, both virtual limbs and functional electrical stimulation (FES) were used as feedback to provide patients a closed-loop sensorimotor integration for motor rehabilitation. The FES system would activate if the user was imagining hand movement of instructed side. Ten stroke patients (7 male, aged 22-70 years, mean 49.5+-15.1) were involved in this study. All of them participated in BCI-FES rehabilitation training for 4 weeks.The average motor imagery accuracies of the ten patients in the last week were 71.3%, which has improved 3% than that in the first week. Five patients' Fugl-Meyer Assessment (FMA) scores have been raised. Patient 6, who has have suffered from stroke over two years, achieved the greatest improvement after rehabilitation training (pre FMA: 20, post FMA: 35). In the aspect of brain patterns, the active patterns of the five patients gradually became centralized and shifted to sensorimotor areas (channel C3 and C4) and premotor area (channel FC3 and FC4).In this study, motor imagery based BCI and FES system were combined to provided stoke patients with a closed-loop sensorimotor integration for motor rehabilitation. Result showed evidences that the BCI-FES system is effective in restoring upper extremities motor function in stroke. In future work, more cases are needed to demonstrate its superiority over conventional therapy and explore the potential role of MI in poststroke rehabilitation.

Olivier Deiss, Siddharth Biswal, Jing Jin et al.

Efficient label acquisition processes are key to obtaining robust classifiers. However, data labeling is often challenging and subject to high levels of label noise. This can arise even when classification targets are well defined, if instances to be labeled are more difficult than the prototypes used to define the class, leading to disagreements among the expert community. Here, we enable efficient training of deep neural networks. From low-confidence labels, we iteratively improve their quality by simultaneous learning of machines and experts. We call it Human And Machine co-LEarning Technique (HAMLET). Throughout the process, experts become more consistent, while the algorithm provides them with explainable feedback for confirmation. HAMLET uses a neural embedding function and a memory module filled with diverse reference embeddings from different classes. Its output includes classification labels and highly relevant reference embeddings as explanation. We took the study of brain monitoring at intensive care unit (ICU) as an application of HAMLET on continuous electroencephalography (cEEG) data. Although cEEG monitoring yields large volumes of data, labeling costs and difficulty make it hard to build a classifier. Additionally, while experts agree on the labels of clear-cut examples of cEEG patterns, labeling many real-world cEEG data can be extremely challenging. Thus, a large minority of sequences might be mislabeled. HAMLET has shown significant performance gain against deep learning and other baselines, increasing accuracy from 7.03% to 68.75% on challenging inputs. Besides improved performance, clinical experts confirmed the interpretability of those reference embeddings in helping explaining the classification results by HAMLET.

Jing Jin, Brendan Z. Allison, Yu Zhang et al.

Objective: Amyotrophic lateral sclerosis (ALS) is a rare disease, but is also one of the most common motor neuron diseases, and people of all races and ethnic backgrounds are affected. There is currently no cure. Brain computer interfaces (BCIs) can establish a communication channel directly between the brain and an external device by recognizing brain activities that reflect user intent. Therefore, this technology could help ALS patients in promoting functional independence through BCI-based speller systems and motor assistive devices. Methods: In this paper, two kinds of ERP-based speller systems were tested on 18 ALS patients to: (1) assess performance when they spelled 42 characters online continuously, without a break; and (2) to compare performance between a matrix-based speller paradigm (MS-P, mean visual angle 6 degree) and a new speller paradigm that used a larger visual angle called the large visual angle speller paradigm (LS-P, mean visual angle 8 degree). Results: Although results showed that there were no significant differences between the two paradigms in accuracy trend over continuous use (p>0.05), the fatigue during the LS-P condition was significantly lower than that of MS-P (p<0.05). Results also showed that continuous use slightly reduced the performance of this ERP-based BCI. Conclusion: 15 subjects obtained higher than 80% feedback accuracy (online output accuracy) and 9 subjects obtained higher than 90% feedback accuracy in one of the two paradigms, thus validating the BCI approaches in this study. Significance: Most ALS subjects in this study could spell effectively after continuous use of an ERP-based BCI. The new LS-P display may be easier for subjects to use, resulting in lower fatigue.

Zhaoyang Qiu, Brendan Z. Allison, Jing Jin et al.

Motor imagery (MI) is a mental representation of motor behavior that has been widely used as a control method for a brain-computer interface (BCI), allowing communication for the physically impaired. The performance of MI based BCI mainly depends on the subject's ability to self-modulate EEG signals. Proper training can help naive subjects learn to modulate brain activity proficiently. However, training subjects typically involves abstract motor tasks and is time-consuming. To improve the performance of naive subjects during motor imagery, a novel paradigm was presented that would guide naive subjects to modulate brain activity effectively. In this new paradigm, pictures of the left or right hand were used as cues for subjects to finish the motor imagery task. Fourteen healthy subjects (11 male, aged 22-25 years, mean 23.6+/-1.16) participated in this study. The task was to imagine writing a Chinese character. Specifically, subjects could imagine hand movements following the sequence of writing strokes in the Chinese character. This paradigm was meant to find an effective and familiar action for most Chinese people, to provide them with a specific, extensively practiced task and help them modulate brain activity. Results showed that the writing task paradigm yielded significantly better performance than the traditional arrow paradigm (p<0.001). Questionnaire replies indicated that most subjects thought the new paradigm was easier and more comfortable. The proposed new motor imagery paradigm could guide subjects to help them modulate brain activity effectively. Results showed that there were significant improvements using new paradigm, both in classification accuracy and usability.