Long-term independent use of an intracortical brain-computer interface for speech and cursor control.
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The authors' code
Jupyter notebook · 516 lines · 20 KB · no license
- # %%
- import pickle
- import numpy as np
- import os
- import pandas as pd
- import datetime
- import re
- from scipy.ndimage import gaussian_filter1d
- import matplotlib.pyplot as plt
- from matplotlib import rcParams
- from tqdm.notebook import tqdm
- sigma=4
- # 1. Configure Matplotlib for optimal vector graphic output
- rcParams.update({
- 'pdf.fonttype': 42, # Use TrueType fonts in PDF
- 'ps.fonttype': 42, # Use TrueType fonts in PS
- 'svg.fonttype': 'none', # Keep text as text in SVG
- 'font.size': 12, # Set a default font size
- 'axes.labelsize': 12, # Font size for axis labels
- 'xtick.labelsize': 10, # Font size for x-axis tick labels
- 'ytick.labelsize': 10, # Font size for y-axis tick labels
- 'legend.fontsize': 10, # Font size for legends
- 'figure.autolayout': True, # Automatically adjust subplot params
- })
- dat_info_path = 'data/dat_info.csv'
- personal_use_data_path = 'data/personal_use_data.csv'
- usage_by_session_data_path = 'data/usage_by_session_data.csv'
- dat_info = pd.read_csv(dat_info_path)
- personal_use_data = pd.read_csv(personal_use_data_path)
- usage_by_session_data = pd.read_csv(usage_by_session_data_path)
- # %% [markdown]
- # ## cumulative hours of use over time
- # %%
- plt.figure(figsize=(8, 4))
- plt.plot(usage_by_session_data['post_implant_day'], np.cumsum(usage_by_session_data['usage_hours']), linestyle='-')
- plt.xlabel('Post-Implant Day')
- plt.ylabel('Cumulative Usage Duration (hours)')
- plt.title(f'Cumulative Usage Duration Over Time: {usage_by_session_data["usage_hours"].sum():.1f} hours total')
- plt.grid(alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.ylim(0, 4000)
- plt.show()
- # %% [markdown]
- # # words per minute by post-implant day
- # %%
- dat_info
- # %%
- unique_post_implant_days = list(set(dat_info['post_implant_day']))
- unique_post_implant_days.sort()
- num_words_by_day = []
- speaking_time_s_by_day = []
- # calculate aggregate words per minute for each day, only including logs where speaking duration > 0.3s and num words > 3
- for day in unique_post_implant_days:
- day_idx_logs = np.where(dat_info['post_implant_day'] == day)[0]
- all_valid_num_words = []
- all_valid_speaking_time_s = []
- all_valid_wpm = []
- for i in day_idx_logs:
- if (
- dat_info['speaking_duration_s'][i] > 0.3
- and dat_info['num_words'][i] > 3
- ):
- all_valid_num_words.append(dat_info['num_words'][i])
- all_valid_speaking_time_s.append(dat_info['speaking_duration_s'][i])
- all_valid_num_words = np.array(all_valid_num_words)
- all_valid_speaking_time_s = np.array(all_valid_speaking_time_s)
- num_words_by_day.append(np.array(all_valid_num_words))
- speaking_time_s_by_day.append(np.array(all_valid_speaking_time_s))
- # calculate 95% confidence intervals for each day via boostrap resampling
- n_resamples = 10000
- wpm_mean_by_day = []
- wpm_ci_by_day = []
- from tqdm.notebook import tqdm
- pbar = tqdm(total=len(num_words_by_day), desc='Calculating WPM confidence intervals')
- for i in range(len(num_words_by_day)):
- resampled_wpm = np.zeros([n_resamples,])
- for n in range(n_resamples):
- resample_idx = np.random.randint(0, num_words_by_day[i].shape[0], [speaking_time_s_by_day[i].shape[0]])
- resampled_wpm[n] = np.sum(num_words_by_day[i][resample_idx]) / (np.sum(speaking_time_s_by_day[i][resample_idx]) / 60)
- wpmCI = np.percentile(resampled_wpm, [2.5, 97.5])
- wpm_mean_by_day.append(np.sum(num_words_by_day[i]) / (np.sum(speaking_time_s_by_day[i]) / 60))
- wpm_ci_by_day.append(wpmCI)
- pbar.update(1)
- pbar.close()
- # %%
- # moving average of mean WPM by day
- plt.figure(figsize=(10, 5))
- plt.plot(unique_post_implant_days, wpm_mean_by_day, '.', color='lightblue', alpha=0.5)
- plt.plot(unique_post_implant_days, wpm_mean_by_day, '-', color='lightblue', alpha=0.35)
- for i in range(len(unique_post_implant_days)):
- plt.plot([unique_post_implant_days[i], unique_post_implant_days[i]], [wpm_ci_by_day[i][0], wpm_ci_by_day[i][1]], color='lightblue', linewidth=0.4)
- plt.plot(unique_post_implant_days, gaussian_filter1d(wpm_mean_by_day, sigma=sigma), color='blue', linewidth=2)
- plt.xlabel('Post-implant Day')
- plt.ylabel('Words Per Minute (WPM)')
- plt.title('Words Per Minute (WPM) Over Time')
- plt.grid(axis='y', alpha=0.3)
- plt.ylim([0,100])
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.tight_layout()
- plt.show()
- # %% [markdown]
- # # speech decoding performance over time plots
- # %%
- unique_post_implant_days = list(set(dat_info['post_implant_day']))
- unique_post_implant_days.sort()
- correct_counts = []
- correct_with_correction_counts = []
- incorrect_counts = []
- one_word_wrong_counts = []
- mostly_correct_counts = []
- false_positive_counts = []
- no_response_counts = []
- blank_counts = []
- skipped_counts = []
- total_counts = []
- sentence_lengths = []
- syllables_per_word = []
- sentence_lengths_spelling_mode = []
- trials_per_day = []
- for day in unique_post_implant_days:
- day_idx_logs = np.where(personal_use_data['post_implant_day'] == day)[0]
- correct_counts.append(0)
- correct_with_correction_counts.append(0)
- incorrect_counts.append(0)
- one_word_wrong_counts.append(0)
- mostly_correct_counts.append(0)
- false_positive_counts.append(0)
- no_response_counts.append(0)
- blank_counts.append(0)
- skipped_counts.append(0)
- for idx in day_idx_logs:
- if personal_use_data['sentence_correctness_rating'][idx] == 'correct':
- correct_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'correct with correction':
- correct_with_correction_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'incorrect':
- incorrect_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'one word wrong':
- one_word_wrong_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'mostly correct':
- mostly_correct_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'no response':
- no_response_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'blank':
- blank_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'skipped':
- skipped_counts[-1] += 1
- elif personal_use_data['sentence_correctness_rating'][idx] == 'false positive':
- false_positive_counts[-1] += 1
- total_counts.append(correct_counts[-1] + correct_with_correction_counts[-1] + incorrect_counts[-1] + one_word_wrong_counts[-1] + mostly_correct_counts[-1])
- sentence_length = 0
- num_sentences = 0
- num_syllables = 0
- perplexity = 0
- correct_sentences = 0
- sentence_length_spelling_mode = 0
- num_sentences_spelling_mode = 0
- for idx in day_idx_logs:
- # skip if sentence correctness rating is blank, no response, or skipped
- if personal_use_data['sentence_correctness_rating'][idx] in ['skipped', 'no response', 'blank']:
- continue
- # check if this is a spelling mode trial
- if not personal_use_data['spelling_mode'][idx]:
- # not a spelling mode trial
- sentence_length += personal_use_data['num_words'][idx]
- num_sentences += 1
- else:
- # this is a spelling mode trial
- sentence_length_spelling_mode += personal_use_data['num_words'][idx]
- num_sentences_spelling_mode += 1
- sentence_lengths.append(sentence_length / num_sentences if num_sentences > 0 else 0)
- sentence_lengths_spelling_mode.append(sentence_length_spelling_mode / num_sentences_spelling_mode if num_sentences_spelling_mode > 0 else 0)
- trials_per_day.append(len(day_idx_logs))
- correct_counts = np.array(correct_counts)
- correct_with_correction_counts = np.array(correct_with_correction_counts)
- incorrect_counts = np.array(incorrect_counts)
- one_word_wrong_counts = np.array(one_word_wrong_counts)
- mostly_correct_counts = np.array(mostly_correct_counts)
- no_response_counts = np.array(no_response_counts)
- blank_counts = np.array(blank_counts)
- skipped_counts = np.array(skipped_counts)
- total_counts = np.array(total_counts)
- sentence_lengths = np.array(sentence_lengths)
- sentence_lengths_spelling_mode = np.array(sentence_lengths_spelling_mode)
- syllables_per_word = np.array(syllables_per_word)
- trials_per_day = np.array(trials_per_day)
- hours_per_day = np.array(usage_by_session_data['usage_hours'])
- correct_perc = 100 * correct_counts / total_counts
- correct_perc_with_correction_perc = 100 * correct_with_correction_counts / total_counts
- one_word_wrong_perc = 100 * one_word_wrong_counts / total_counts
- mostly_correct_perc = 100 * mostly_correct_counts / total_counts
- incorrect_perc = 100 * incorrect_counts / total_counts
- # %%
- np.array(unique_post_implant_days)[~np.isnan(correct_perc)]
- # %%
- fig = plt.figure(figsize=(7, 7))
- plt.subplot2grid((6, 1), (0, 0), rowspan=2)
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(correct_perc)],
- correct_perc[~np.isnan(correct_perc)],
- '.', color='green', alpha=0.1, markeredgecolor='none',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(correct_perc_with_correction_perc)],
- correct_perc_with_correction_perc[~np.isnan(correct_perc_with_correction_perc)],
- '.', color='mediumseagreen', alpha=0.1, markeredgecolor='none',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(one_word_wrong_perc + mostly_correct_perc)],
- (one_word_wrong_perc + mostly_correct_perc)[~np.isnan(one_word_wrong_perc + mostly_correct_perc)],
- '.', color='xkcd:tangerine', alpha=0.1, markeredgecolor='none',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(incorrect_perc)],
- incorrect_perc[~np.isnan(incorrect_perc)],
- '.', color='xkcd:scarlet', alpha=0.1, markeredgecolor='none',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(correct_perc)],
- gaussian_filter1d(correct_perc[~np.isnan(correct_perc)], sigma=sigma),
- '-', label='correct w/o correction', color='green',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(correct_perc_with_correction_perc)],
- gaussian_filter1d(correct_perc_with_correction_perc[~np.isnan(correct_perc_with_correction_perc)], sigma=sigma),
- '-', label='correct after correction', color='mediumseagreen',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(one_word_wrong_perc + mostly_correct_perc)],
- gaussian_filter1d((one_word_wrong_perc + mostly_correct_perc)[~np.isnan(one_word_wrong_perc + mostly_correct_perc)], sigma=sigma),
- '-', label='mostly correct', color='xkcd:tangerine',
- )
- plt.plot(
- np.array(unique_post_implant_days)[~np.isnan(incorrect_perc)],
- gaussian_filter1d(incorrect_perc[~np.isnan(incorrect_perc)], sigma=sigma),
- '-', label='incorrect', color='xkcd:scarlet',
- )
- plt.legend(ncols=2, fontsize=7)
- plt.ylim([0, 100])
- plt.grid(axis='y', alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.ylabel('Percentage of trials', fontsize=8)
- xlimits = plt.xlim()
- plt.xlim([xlimits[0], xlimits[1]])
- plt.xticks([100,200,300,400,500,600,700], labels=['', '', '', '', '', '', ''])
- # wpm
- plt.subplot2grid((6, 1), (2, 0), rowspan=1)
- plt.plot(unique_post_implant_days, wpm_mean_by_day, '.', color='lightblue', alpha=0.4, markeredgecolor='none')
- plt.plot(unique_post_implant_days, gaussian_filter1d(wpm_mean_by_day, sigma=sigma), '-', color='blue')
- plt.ylabel('Words / minute', fontsize=8)
- plt.grid(axis='y', alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.ylim([25,75])
- plt.yticks([25,50,75])
- plt.xlim([xlimits[0], xlimits[1]])
- plt.xticks([100,200,300,400,500,600,700], labels=['', '', '', '', '', '', ''])
- # sentence length
- plt.subplot2grid((6, 1), (3, 0), rowspan=1)
- plt.plot(np.array(unique_post_implant_days)[sentence_lengths>0], sentence_lengths[sentence_lengths>0], '.', color='lightblue', alpha=0.4, markeredgecolor='none')
- plt.plot(np.array(unique_post_implant_days)[sentence_lengths>0], gaussian_filter1d(sentence_lengths[sentence_lengths>0], sigma=sigma), '-', label='regular', color=(0/255, 0/255, 200/255))
- plt.grid(axis='y', alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.ylabel('Words / sentence', fontsize=8)
- plt.ylim([0, 25])
- plt.yticks([0, 10, 20])
- plt.xlim([xlimits[0], xlimits[1]])
- plt.xticks([100,200,300,400,500,600,700], labels=['', '', '', '', '', '', ''])
- plt.subplot2grid((6, 1), (4, 0), rowspan=1)
- plt.plot(unique_post_implant_days, trials_per_day, '.', color='lightgray', alpha=0.4, markeredgecolor='none')
- plt.plot(unique_post_implant_days, gaussian_filter1d(trials_per_day, sigma=sigma), '-', color=(100/255, 100/255, 100/255))
- plt.grid(axis='y', alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.yticks([0,500,1000])
- plt.ylabel('Sentences / day', fontsize=8)
- plt.xlim([xlimits[0], xlimits[1]])
- plt.xticks([100,200,300,400,500,600,700], labels=['', '', '', '', '', '', ''])
- plt.subplot2grid((6, 1), (5, 0), rowspan=1)
- plt.plot(unique_post_implant_days, hours_per_day, '.', color='lightgray', alpha=0.4, markeredgecolor='none')
- plt.plot(unique_post_implant_days, gaussian_filter1d(hours_per_day, sigma=sigma), '-', color=(100/255, 100/255, 100/255))
- plt.grid(axis='y', alpha=0.3)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.yticks([0,10,20])
- plt.ylabel('Hours / day', fontsize=8)
- plt.xlabel('Days since implant', fontsize=12)
- plt.xlim([xlimits[0], xlimits[1]])
- plt.tight_layout()
- fig.align_labels()
- plt.show()
- # %%
- # pie chart
- labels = [
- f'Correct: {correct_counts.sum():,}',
- f'Correct with correction: {correct_with_correction_counts.sum():,}',
- f'Mostly correct: {one_word_wrong_counts.sum() + mostly_correct_counts.sum():,}',
- f'Incorrect: {incorrect_counts.sum():,}',
- ]
- sizes = [
- correct_counts.sum(),
- correct_with_correction_counts.sum(),
- one_word_wrong_counts.sum() + mostly_correct_counts.sum(),
- incorrect_counts.sum(),
- ]
- colors = [
- 'green',
- 'lightgreen',
- 'xkcd:tangerine',
- 'lightcoral',
- ]
- fig, ax = plt.subplots()
- ax.pie(sizes, labels=labels, colors=colors,
- autopct='%1.1f%%', shadow=False, startangle=90)
- ax.axis('equal')
- plt.title(f'Personal use sentence correctness ratings\nTotal sentences: {np.sum(sizes):,}')
- plt.tight_layout()
- plt.show()
- # %% [markdown]
- # # accuracy statistics
- # %%
- start_idx = unique_post_implant_days.index(412)
- from scipy.stats import ranksums
- # compare correct_perc before and after start_idx
- before = correct_perc[~np.isnan(correct_perc)][:start_idx]
- after = correct_perc[~np.isnan(correct_perc)][start_idx:]
- stat, p_value = ranksums(before, after)
- print(f'Rank sum test of % correct before and after post-implant day {unique_post_implant_days[start_idx]}: statistic={stat:.4f}, p-value={p_value:.8f}')
- # plot histogram of correct_perc before and after start_idx
- plt.figure(figsize=(10, 5))
- plt.subplot(1, 2, 1)
- plt.hist(before, range=(0,100), bins=25, alpha=0.5, label='Before', color='blue')
- plt.hist(after, range=(0,100), bins=25, alpha=0.5, label='After', color='orange')
- plt.xlabel('Correct Percentage')
- plt.ylabel('Frequency')
- plt.title(f'Correct Percentage Histogram\nBefore and After {unique_post_implant_days[start_idx]} Days')
- plt.legend()
- plt.subplot(1, 2, 2)
- plt.boxplot([before, after], tick_labels=['Before', 'After'])
- plt.ylabel('Correct Percentage')
- plt.title(f'Correct Percentage Boxplot\nBefore and After {unique_post_implant_days[start_idx]} Days')
- plt.ylim(0,100)
- plt.grid(axis='y', alpha=0.3)
- plt.tight_layout()
- plt.show()
- # compare sentence lengths before and after start_idx
- before = sentence_lengths[sentence_lengths>0][:start_idx]
- after = sentence_lengths[sentence_lengths>0][start_idx:]
- stat, p_value = ranksums(before, after)
- print(f'Rank sum test of sentence lengths before and after post-implant day {unique_post_implant_days[start_idx]}: statistic={stat:.4f}, p-value={p_value:.8f}')
- # %% [markdown]
- # # sentence correctness vs sentence length
- # %%
- # sentence correctness rating vs length
- num_word_ranges = [
- (1, 2),
- (2, 3),
- (3, 4),
- (4, 5),
- (5, 6),
- (6, 7),
- (7, 8),
- (8, 9),
- (9, 10),
- (10, 15),
- (15, 20),
- (20, 25),
- (25, 30),
- (30, 35),
- (35, 40),
- (40, 45),
- (45, 50),
- (50, 75),
- (75, 100),
- (100, 1000),
- ]
- correctness_by_num_words = {}
- for i in range(len(personal_use_data['num_words'])):
- num_words = personal_use_data['num_words'][i]
- correctness = personal_use_data['sentence_correctness_rating'][i]
- if correctness in ['skipped', 'no response', 'blank', 'false positive']:
- continue
- if num_words == 0:
- continue
- for r in num_word_ranges:
- if num_words >= r[0] and num_words < r[1]:
- if r not in correctness_by_num_words:
- correctness_by_num_words[r] = {
- 'correct': 0,
- 'correct with correction': 0,
- 'one word wrong': 0,
- 'mostly correct': 0,
- 'incorrect': 0,
- }
- correctness_by_num_words[r][correctness] += 1
- break
- # convert to percentages
- totals = []
- for r in correctness_by_num_words:
- total = sum(correctness_by_num_words[r].values())
- totals.append(total)
- for correctness in correctness_by_num_words[r]:
- correctness_by_num_words[r][correctness] = 100 * correctness_by_num_words[r][correctness] / total
- # plot
- fig = plt.figure(figsize=(8, 5))
- plt.subplot2grid((3, 1), (0, 0), rowspan=2)
- colors = ['green', 'mediumseagreen', 'xkcd:dirty yellow', 'xkcd:tangerine', 'xkcd:scarlet']
- for c, correctness in enumerate(['correct', 'correct with correction', 'one word wrong', 'mostly correct', 'incorrect']):
- x = []
- y = []
- for i, r in enumerate(num_word_ranges):
- if r in correctness_by_num_words:
- x.append(i)
- y.append(correctness_by_num_words[r][correctness])
- plt.plot(x, y, '.-', label=correctness, color=colors[c], alpha=0.6)
- plt.ylabel('Percentage of\nsentences')
- plt.title('Sentence correctness rating vs length')
- plt.legend()
- plt.grid(axis='y', alpha=0.2)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.ylim([0, 100])
- xlimits = plt.xlim()
- plt.xticks([])
- plt.yticks(horizontalalignment='right', rotation=0)
- plt.subplot2grid((3, 1), (2, 0), rowspan=1)
- plt.semilogy(range(len(num_word_ranges)), totals, '.-', color='gray')
- plt.xlabel('Number of words in sentence')
- plt.xlim(xlimits)
- plt.ylim([10, 1e5])
- plt.yticks([10, 1000, 100000], horizontalalignment='right', rotation=0)
- plt.xticks(range(len(num_word_ranges)), [f'{r[0]}-{r[1]-1}' if (r[1]-r[0]) > 1 else f'{r[0]}' for r in num_word_ranges], rotation=90, verticalalignment='top')
- plt.ylabel('Number of\nsentences')
- plt.grid(axis='y', alpha=0.2)
- plt.gca().spines['top'].set_visible(False)
- plt.gca().spines['right'].set_visible(False)
- plt.tight_layout()
- fig.align_labels()
- plt.show()
- # %% [markdown]
- # # other general stats
- # %%
- print(f'Total decoded words: {personal_use_data["num_words"].sum():,}')
- print(f'Total decoded sentences: {len(personal_use_data["num_words"]):,}')
- print(f'Words per sentence: {personal_use_data["num_words"].sum() / len(personal_use_data["num_words"]):0.2f}')
- print(f'Total hours of BCI usage: {usage_by_session_data["usage_hours"].sum():0.2f}')
- print(f'Total speech hours: {dat_info["speaking_duration_s"].sum() / 60 / 60:0.2f}')
- print(f'Total number of sessions: {len(usage_by_session_data["post_implant_day"])} spanning {usage_by_session_data["post_implant_day"].min()} to {usage_by_session_data["post_implant_day"].max()} days post-implant')
- print(f'Avg hours per day: {np.mean(hours_per_day):0.2f} (median: {np.median(hours_per_day):0.2f})')
- print(f'Max hours per day: {np.max(hours_per_day):0.2f}')
speech_decoding_plots.ipynb at commit 22d5931, no license · at the source
Overview
- Department of Neurological Surgery, University of California, Davis, Davis, CA USA
- Department of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands
- School of Engineering and Carney Institute for Brain Science, Brown University, Providence, RI USA
- VA Center for Neurorestoration and Neurotechnology, Rehabilitation Research Development and Translation Service, Department of Veterans Affairs, Providence, RI USA
- Department of Neurology, Massachusetts General Hospital, Boston, MA USA
Abstract
Brain–computer interfaces (BCIs) can provide naturalistic communication and digital access to people with severe paralysis by decoding neural activity associated with attempted speech and movement. Recent work has demonstrated highly accurate intracortical BCIs for speech and cursor control, but two critical capabilities needed for practical viability were unmet: independent at-home operation without researcher assistance and reliable long-term performance supporting accurate speech and cursor decoding. Here we demonstrate the independent and near-daily use of a multimodal BCI with novel brain-to-text speech and computer cursor decoders by a man with paralysis and severe dysarthria due to amyotrophic lateral sclerosis. Over nearly 2 years, the participant used the BCI for more than 3,800 h at home with no researchers present to maintain rich interpersonal communication with his family and friends, independently control his personal computer and sustain full-time employment—despite being paralyzed. He communicated 183,060 sentences—totaling 1,960,163 words—at an average rate of 56 words per minute. He labeled 92% of sentences as being decoded at least mostly correctly. In formal quantifications of performance where he was asked to say words presented on a screen, attempted speech was consistently decoded with more than 99% word accuracy (125,000 word vocabulary). The participant also used the speech BCI as keyboard input and the cursor BCI as mouse input to control his personal computer, enabling him to send text messages and emails and to browse the internet. These results demonstrate that intracortical BCIs have the potential to support independent use in the home, marking a critical step toward practical assistive technology for people with severe motor impairment.
Reproduced under the paper's license (CC BY), from the paper cited above.
Repository
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Neuroprosthetics-Lab/NatMed_independent_personal_use
22d593152ff45f569a168c90bbdea3f2d8d0e181, 1 April 2026Availability: 1 check, the latest on 27 September 2026: the link answers
- 27 September 2026: the link answers
2 files
- speech_decoding_plots.ip
ynb , Jupyter, 516 lines - README.md, Text, 2 lines
Code availability
Code to reproduce the figures and statistical results in this manuscript are available via GitHub at https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Tracing map
Proposed by the machine: these links were found in the paper and verified at the source, without human review. The map will receive a Zenodo DOI once one of the paper's authors has validated it with their ORCID.
What the map holds:
- 1 repository of the authors' code, each at its verified commit, with its license and how the link was found in the paper;
- 1 script, each with its path and the digest of its content;
- no match between paragraphs and code yet;
- neither the text of the paper nor the code itself.
Its JSON (tracing-map.json) is deposited on Zenodo with its DOI once the map is validated.
Data
No dataset and no data link were found in the paper.
Data Availability Statement
Neural data and speech decoding transcripts recorded during the participant’s independent use of the BCI system cannot be shared to preserve the participant’s privacy. Data to reproduce the figures and statistical results in this manuscript are available via GitHub at https://
Code to reproduce the figures and statistical results in this manuscript are available via GitHub at https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
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Version 2, 28 September 2026
- Publisher: n/a → Nature Portfolio
Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 11 authors, 3 keywords, 8 MeSH terms, 10 funders, 33 references.
Cite
This paper
Card, N. S., Singer-Clark, T., Peracha, H., Iacobacci, C., Hou, X., Wairagkar, M., Fogg, Z., Offenberg, E. C., Hochberg, L. R., Stavisky, S. D., & Brandman, D. M. (2026). Long-term independent use of an intracortical brain-computer interface for speech and cursor control. Nature medicine, 32(7), 2504-2510. https://
BibTeX
@article{card2026long,
author = {Card, Nicholas S and Singer-Clark, Tyler and Peracha, Hamza and Iacobacci, Carrina and Hou, Xianda and Wairagkar, Maitreyee and Fogg, Zachery and Offenberg, Elena C and Hochberg, Leigh R and Stavisky, Sergey D and Brandman, David M},
title = {{Long-term independent use of an intracortical brain-computer interface for speech and cursor control}},
journal = {Nature medicine},
year = {2026},
month = jun,
volume = {32},
number = {7},
pages = {2504--2510},
publisher = {Nature Portfolio},
issn = {1078-8956},
doi = {10.1038/
url = {https://
pmid = {42297978},
pmcid = {PMC13375540}
}
RIS
TY - JOUR
AU - Card, Nicholas S
AU - Singer-Clark, Tyler
AU - Peracha, Hamza
AU - Iacobacci, Carrina
AU - Hou, Xianda
AU - Wairagkar, Maitreyee
AU - Fogg, Zachery
AU - Offenberg, Elena C
AU - Hochberg, Leigh R
AU - Stavisky, Sergey D
AU - Brandman, David M
TI - Long-term independent use of an intracortical brain-computer interface for speech and cursor control
T2 - Nature medicine
J2 - Nat Med
PY - 2026
DA - 2026/
VL - 32
IS - 7
SP - 2504
EP - 2510
SN - 1078-8956
PB - Nature Portfolio
DO - 10.1038/
UR - https://
LA - en
ER -
CSL-JSON
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"author": [
{
"family": "Card",
"given": "Nicholas S"
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"family": "Singer-Clark",
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{
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{
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"given": "Carrina"
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}
],
"container-title-short":
"volume": "32",
"issue": "7",
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"ISSN": "1078-8956",
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"URL": "https://
"language": "en",
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"date-parts": [
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}
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