Sleep disorders are a major public health concern. Electroencephalogram (EEG) analysis offers an effective approach for evaluating neurological status using K-complexes and sleep spindles as key biomarkers for sleep stage classification. This study proposes a hybrid architecture based on Temporal Convolutional Network (TCN) and Kolmogorov-Arnold Network (KAN). The model was evaluated on the DREAMS dataset and achieved a detection accuracy of 93.18% for K-complexes and 86.26% for spindles, outperforming baseline TCN models by 1%–2% across metrics. These results validate KAN's efficacy in time-domain signal classification. Notably, multi-layered KAN configurations failed to yield additional performance gains. Furthermore, we developed a sleep stage identification framework leveraging EEG biomarkers to consolidate physiologically similar stages into three macro-categories, attaining classification accuracies of 79.7% (K-complex subset) and 68.4% (spindle subset) on the DREAMs dataset. Extending this approach, we implemented a five-stage recognition system based on sleep phase duration ratios, which achieved 81.6% accuracy on the Haaglanden Medisch Centrum dataset. This work supports the feasibility of automated sleep staging using characteristic EEG waveforms.
{"title":"Detection of K-Complexes and sleep spindles using a hybrid TCN and KAN architecture","authors":"Qingqi Zhou, Weibi Chen, Weiqi Xue, Gengchen Liu, Jiaju Wang, Hao Zhang, Peng Wang, Jiaqing Yan","doi":"10.1002/brx2.70042","DOIUrl":"https://doi.org/10.1002/brx2.70042","url":null,"abstract":"<p>Sleep disorders are a major public health concern. Electroencephalogram (EEG) analysis offers an effective approach for evaluating neurological status using K-complexes and sleep spindles as key biomarkers for sleep stage classification. This study proposes a hybrid architecture based on Temporal Convolutional Network (TCN) and Kolmogorov-Arnold Network (KAN). The model was evaluated on the DREAMS dataset and achieved a detection accuracy of 93.18% for K-complexes and 86.26% for spindles, outperforming baseline TCN models by 1%–2% across metrics. These results validate KAN's efficacy in time-domain signal classification. Notably, multi-layered KAN configurations failed to yield additional performance gains. Furthermore, we developed a sleep stage identification framework leveraging EEG biomarkers to consolidate physiologically similar stages into three macro-categories, attaining classification accuracies of 79.7% (K-complex subset) and 68.4% (spindle subset) on the DREAMs dataset. Extending this approach, we implemented a five-stage recognition system based on sleep phase duration ratios, which achieved 81.6% accuracy on the Haaglanden Medisch Centrum dataset. This work supports the feasibility of automated sleep staging using characteristic EEG waveforms.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peng Wang, Lesya Ganushchak, Camille Welie, Roel van Steensel
Anxiety during speech is often assumed to differ in type between native (L1) and non-native (L2) language use. We combined continuous self-reports with high-resolution cardiac and electrodermal recordings in 40 Dutch–English bilingual adults who delivered 4-min monologues in both languages, followed by second-by-second replay ratings of felt anxiety and self-perceived proficiency. Across conditions, anxiety emerged as brief episodes (typically 1–4 s) superimposed on slower physiological adaptation. L2 speech elicited higher and more sustained autonomic arousal and a delayed return to baseline relative to L1. However, time-varying and multilevel vector autoregressive models showed that the core psychophysiological network linking felt anxiety, perceived proficiency and physiology was statistically indistinguishable across languages. What is commonly labelled ‘foreign language anxiety’ therefore reflects a context-intensified expression of a shared anxiety mechanism rather than a distinct construct. By mapping second-scale trajectories of subjective and physiological states during naturalistic speech, our findings highlight anxiety as a fluid dynamic system that adapts over tens of seconds yet is built from much shorter micro-episodes. This dynamic, multimodal approach offers a template for probing how contextual demands shape common affective mechanisms in communication across domains.
{"title":"Same anxiety, different faces: Shared mechanisms with distinct manifestations in native and non-native speech","authors":"Peng Wang, Lesya Ganushchak, Camille Welie, Roel van Steensel","doi":"10.1002/brx2.70040","DOIUrl":"https://doi.org/10.1002/brx2.70040","url":null,"abstract":"<p>Anxiety during speech is often assumed to differ in type between native (L1) and non-native (L2) language use. We combined continuous self-reports with high-resolution cardiac and electrodermal recordings in 40 Dutch–English bilingual adults who delivered 4-min monologues in both languages, followed by second-by-second replay ratings of felt anxiety and self-perceived proficiency. Across conditions, anxiety emerged as brief episodes (typically 1–4 s) superimposed on slower physiological adaptation. L2 speech elicited higher and more sustained autonomic arousal and a delayed return to baseline relative to L1. However, time-varying and multilevel vector autoregressive models showed that the core psychophysiological network linking felt anxiety, perceived proficiency and physiology was statistically indistinguishable across languages. What is commonly labelled ‘foreign language anxiety’ therefore reflects a context-intensified expression of a shared anxiety mechanism rather than a distinct construct. By mapping second-scale trajectories of subjective and physiological states during naturalistic speech, our findings highlight anxiety as a fluid dynamic system that adapts over tens of seconds yet is built from much shorter micro-episodes. This dynamic, multimodal approach offers a template for probing how contextual demands shape common affective mechanisms in communication across domains.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145887827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The substantial symptomatic overlap between unipolar depression, primarily major depressive disorder (MDD), and bipolar disorder complicates clinical diagnosis, underscoring the critical need for objective biomarkers. Resting-state electroencephalography (rsEEG) holds promise for differentiating these two conditions due to its non-invasive nature, high temporal resolution, and clinical feasibility. In this study, we reviewed rsEEG studies that explored spectral power, functional connectivity, nonlinear dynamics, machine learning (ML) applications, and animal models. The key discriminative features identified included specific spatial patterns in the high alpha band, distinctions between periodic and aperiodic components, genetically influenced alpha coherence, and reduced central–parietal alpha phase variability in patients with MDD. While ML models integrating these diverse features achieved high classification accuracy, findings for frequency power and network metrics remained inconsistent across studies. Current limitations, however, include substantial methodological heterogeneity, small sample sizes, a lack of longitudinal data, poor model generalizability, and minimal supporting evidence from animal models. We conclude by outlining these key potential markers, identifying current research gaps, and proposing future directions, specifically emphasizing the adoption of standardized pipelines, large multicenter longitudinal studies, advanced ML techniques, and the critical integration of genetic and animal findings for the development of reliable rsEEG-based diagnostic tools.
{"title":"Oscillatory biomarkers for differentiating between unipolar depression and bipolar disorder using resting-state electroencephalography","authors":"Anxin Chen, Chuanliang Han","doi":"10.1002/brx2.70041","DOIUrl":"https://doi.org/10.1002/brx2.70041","url":null,"abstract":"<p>The substantial symptomatic overlap between unipolar depression, primarily major depressive disorder (MDD), and bipolar disorder complicates clinical diagnosis, underscoring the critical need for objective biomarkers. Resting-state electroencephalography (rsEEG) holds promise for differentiating these two conditions due to its non-invasive nature, high temporal resolution, and clinical feasibility. In this study, we reviewed rsEEG studies that explored spectral power, functional connectivity, nonlinear dynamics, machine learning (ML) applications, and animal models. The key discriminative features identified included specific spatial patterns in the high alpha band, distinctions between periodic and aperiodic components, genetically influenced alpha coherence, and reduced central–parietal alpha phase variability in patients with MDD. While ML models integrating these diverse features achieved high classification accuracy, findings for frequency power and network metrics remained inconsistent across studies. Current limitations, however, include substantial methodological heterogeneity, small sample sizes, a lack of longitudinal data, poor model generalizability, and minimal supporting evidence from animal models. We conclude by outlining these key potential markers, identifying current research gaps, and proposing future directions, specifically emphasizing the adoption of standardized pipelines, large multicenter longitudinal studies, advanced ML techniques, and the critical integration of genetic and animal findings for the development of reliable rsEEG-based diagnostic tools.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145887829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>Brain-computer interface (BCI) is rapidly transitioning from concept verification to practical implementation,<span><sup>1</sup></span> and clinical trials on BCIs are currently underway across the globe.<span><sup>2</sup></span> The wireless minimally invasive implantable BCI, termed the Neural Electronic Opportunity (NEO), was developed by the team at Tsinghua University and successfully completed its inaugural clinical trial at Xuanwu Hospital in China in 2023. The next year, Beijing Tiantan Hospital in China reported a successful case where the NEO was used to assist a patient with high-level paraplegia in achieving mind control of cursor movement. Another successful case in China occurred in November 2024 in Huashan Hospital. The 38-year-old patient had been unable to grip and stand due to cervical spinal cord injury following a car accident. The patient recovered from the implantation procedure and was able to rise from bed and use a wheelchair on the third postoperative day. Clinical trials on BCIs are now in progress at many hospitals in China.</p><p>Meanwhile, Elon Musk announced on X that Neuralink would implant its first chip into a human brain, marking the commencement of Neuralink's first human clinical trial on January 30, 2024. Neuralink received FDA approval for human trials in May 2023. As of September 2025, 12 individuals have received Neuralink's BCI device implants.<span><sup>3</sup></span> Neuralink's first submission of research findings to the New England Journal of Medicine indicates that BCI technology is advancing to a new stage of development.<span><sup>4</sup></span> Health Canada approved Neuralink's clinical trials to comprehensively evaluate the self-developed fully implantable wireless BCI system in 2024.</p><p>The trials in China differ from the Neuralink trials of a fully implantable BCI in that the Chinese trials involve minimally invasive procedures which do not require opening the dura, resulting in a more stable electrode status, a lower risk of infection, and greater safety for patients.</p><p>The advantage of BCI technology could be advantageous to patients living with disabilities due to spinal cord injury,<span><sup>5, 6</sup></span> stroke,<span><sup>7-9</sup></span> treatment-resistant depression,<span><sup>10</sup></span> and other conditions,<span><sup>10</sup></span> enhancing their ability to communicate,<span><sup>11-13</sup></span> control and recover limb function,<span><sup>14</sup></span> and improving quality of life. Although BCI technology has demonstrated clear clinical value for patients with disabilities, there remain bottlenecks in core algorithm breakthroughs.<span><sup>15-18</sup></span> Additionally, the clinical application of BCIs is limited not only by technical challenges but also by medical ethics—which mandates minimizing potential harm—and by the significant cost of treatment.</p><p>BCIs remain distant from widespread clinical implementation, primarily due to two prerequisit
{"title":"Brain-computer interface in clinical application: How far is it from realization?","authors":"Shugeng Chen, Lei Jiang, Jie Jia","doi":"10.1002/brx2.70043","DOIUrl":"https://doi.org/10.1002/brx2.70043","url":null,"abstract":"<p>Brain-computer interface (BCI) is rapidly transitioning from concept verification to practical implementation,<span><sup>1</sup></span> and clinical trials on BCIs are currently underway across the globe.<span><sup>2</sup></span> The wireless minimally invasive implantable BCI, termed the Neural Electronic Opportunity (NEO), was developed by the team at Tsinghua University and successfully completed its inaugural clinical trial at Xuanwu Hospital in China in 2023. The next year, Beijing Tiantan Hospital in China reported a successful case where the NEO was used to assist a patient with high-level paraplegia in achieving mind control of cursor movement. Another successful case in China occurred in November 2024 in Huashan Hospital. The 38-year-old patient had been unable to grip and stand due to cervical spinal cord injury following a car accident. The patient recovered from the implantation procedure and was able to rise from bed and use a wheelchair on the third postoperative day. Clinical trials on BCIs are now in progress at many hospitals in China.</p><p>Meanwhile, Elon Musk announced on X that Neuralink would implant its first chip into a human brain, marking the commencement of Neuralink's first human clinical trial on January 30, 2024. Neuralink received FDA approval for human trials in May 2023. As of September 2025, 12 individuals have received Neuralink's BCI device implants.<span><sup>3</sup></span> Neuralink's first submission of research findings to the New England Journal of Medicine indicates that BCI technology is advancing to a new stage of development.<span><sup>4</sup></span> Health Canada approved Neuralink's clinical trials to comprehensively evaluate the self-developed fully implantable wireless BCI system in 2024.</p><p>The trials in China differ from the Neuralink trials of a fully implantable BCI in that the Chinese trials involve minimally invasive procedures which do not require opening the dura, resulting in a more stable electrode status, a lower risk of infection, and greater safety for patients.</p><p>The advantage of BCI technology could be advantageous to patients living with disabilities due to spinal cord injury,<span><sup>5, 6</sup></span> stroke,<span><sup>7-9</sup></span> treatment-resistant depression,<span><sup>10</sup></span> and other conditions,<span><sup>10</sup></span> enhancing their ability to communicate,<span><sup>11-13</sup></span> control and recover limb function,<span><sup>14</sup></span> and improving quality of life. Although BCI technology has demonstrated clear clinical value for patients with disabilities, there remain bottlenecks in core algorithm breakthroughs.<span><sup>15-18</sup></span> Additionally, the clinical application of BCIs is limited not only by technical challenges but also by medical ethics—which mandates minimizing potential harm—and by the significant cost of treatment.</p><p>BCIs remain distant from widespread clinical implementation, primarily due to two prerequisit","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145887871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhanxu Liu, Chenxi Yang, Bangxun Mao, Han Wang, Lin Z. Li, Ting Li
In human cerebral hemodynamics, low-frequency oscillations (LFOs) occur due to the sympathetic nervous system and blood pressure regulation. LFOs have recently been reported to be associated with cognitive-behavioral performance, though their functional relevance to cognitive load remains unclear. Here, we employed functional near-infrared spectroscopy to record changes in oxygenated (Δ[oxy-Hb]) and deoxygenated (Δ[deoxy-Hb]) hemoglobin concentrations in the prefrontal cortex (PFC) of 47 healthy young adults (aged 18–23) during N-back working memory tasks and extracted LFOs from the cerebral hemodynamic data to study their relationship with working memory load. Increasing the task load led to a marked decrease in both LFO power and LFO peak amplitude of Δ[oxy-Hb], alongside an increase in LFO peak frequency and PFC activation, revealing a load-dependent feature of cognitive engagement. Correlations between LFO power and behavioral performance, including accuracy and response time, were observed. LFOs and their characteristic parameters exhibited a strong effect on working memory load, indicating the potential of LFOs in cerebral hemodynamics as a sensitive marker for quantifying the cognitive load effect of brain activity.
{"title":"Association between cerebral hemodynamics low-frequency oscillations and working memory load: A noninvasive optical mapping study","authors":"Zhanxu Liu, Chenxi Yang, Bangxun Mao, Han Wang, Lin Z. Li, Ting Li","doi":"10.1002/brx2.70038","DOIUrl":"https://doi.org/10.1002/brx2.70038","url":null,"abstract":"<p>In human cerebral hemodynamics, low-frequency oscillations (LFOs) occur due to the sympathetic nervous system and blood pressure regulation. LFOs have recently been reported to be associated with cognitive-behavioral performance, though their functional relevance to cognitive load remains unclear. Here, we employed functional near-infrared spectroscopy to record changes in oxygenated (Δ[oxy-Hb]) and deoxygenated (Δ[deoxy-Hb]) hemoglobin concentrations in the prefrontal cortex (PFC) of 47 healthy young adults (aged 18–23) during N-back working memory tasks and extracted LFOs from the cerebral hemodynamic data to study their relationship with working memory load. Increasing the task load led to a marked decrease in both LFO power and LFO peak amplitude of Δ[oxy-Hb], alongside an increase in LFO peak frequency and PFC activation, revealing a load-dependent feature of cognitive engagement. Correlations between LFO power and behavioral performance, including accuracy and response time, were observed. LFOs and their characteristic parameters exhibited a strong effect on working memory load, indicating the potential of LFOs in cerebral hemodynamics as a sensitive marker for quantifying the cognitive load effect of brain activity.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145824668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tong Zhang, Han Lv, Ying Hui, Xinyu Zhao, Na Zeng, Ning Wu, Mingze Xu, Max Wintermark, Jing Sun, Shuohua Chen, Jing Li, Xiaoshuai Li, Shouling Wu, Liufu Cui, Zhenchang Wang, Yanying Liu
Serum uric acid (SUA) demonstrates dual roles as both an antioxidant and a pro-oxidant; however, its long-term effects on glymphatic function and cognitive performance remain unclear. This study included 944 participants in a longitudinal cohort to investigate the associations between the temporal progression of SUA levels and diffusion tensor imaging (DTI) analysis along the perivascular space (DTI-ALPS) with cognition. The results revealed that there were negative linear correlations between early average SUA levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% confidence interval [CI] −0.04 to 0.00, p = 0.03), and cumulative SUA (cumSUA) levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% CI −0.04 to −0.01, p = 0.01) and the whole brain (beta = −0.02, 95% CI −0.04 to 0.00, p = 0.03). A U-shaped relationship was observed between coefficient of variation of early SUA (CVSUA) levels and DTI-ALPS index in the left hemisphere (p = 0.01) and whole brain (p = 0.03). Higher early CVSUA levels, lower early cumSUA levels and reduced DTI-ALPS index were associated with lower MoCA scores. These findings suggest that moderately elevated SUA levels within the normal ranges, as well as stable SUA concentrations, may help mitigate future cognitive decline.
血清尿酸(SUA)具有抗氧化剂和促氧化剂的双重作用;然而,其对淋巴功能和认知能力的长期影响尚不清楚。本研究纳入944名纵向队列研究SUA水平的时间进展和沿血管周围空间(DTI- alps)扩散张量成像(DTI)分析与认知之间的关系。结果显示,早期平均SUA水平与左半球DTI-ALPS指数(β = - 0.02, 95%可信区间[CI] - 0.04 ~ 0.00, p = 0.03)、累积SUA水平与左半球DTI-ALPS指数(β = - 0.02, 95% CI - 0.04 ~ - 0.01, p = 0.01)和全脑(β = - 0.02, 95% CI - 0.04 ~ 0.00, p = 0.03)呈负线性相关。早期SUA (CVSUA)水平变异系数与左半球(p = 0.01)和全脑(p = 0.03) DTI-ALPS指数呈u型关系。较高的早期CVSUA水平、较低的早期cumSUA水平和较低的DTI-ALPS指数与较低的MoCA评分相关。这些发现表明,在正常范围内适度升高的SUA水平,以及稳定的SUA浓度,可能有助于减轻未来的认知能力下降。
{"title":"Association between early serum uric acid levels and diffusion tensor imaging analysis along the perivascular space with cognitive function","authors":"Tong Zhang, Han Lv, Ying Hui, Xinyu Zhao, Na Zeng, Ning Wu, Mingze Xu, Max Wintermark, Jing Sun, Shuohua Chen, Jing Li, Xiaoshuai Li, Shouling Wu, Liufu Cui, Zhenchang Wang, Yanying Liu","doi":"10.1002/brx2.70034","DOIUrl":"https://doi.org/10.1002/brx2.70034","url":null,"abstract":"<p>Serum uric acid (SUA) demonstrates dual roles as both an antioxidant and a pro-oxidant; however, its long-term effects on glymphatic function and cognitive performance remain unclear. This study included 944 participants in a longitudinal cohort to investigate the associations between the temporal progression of SUA levels and diffusion tensor imaging (DTI) analysis along the perivascular space (DTI-ALPS) with cognition. The results revealed that there were negative linear correlations between early average SUA levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% confidence interval [CI] −0.04 to 0.00, <i>p</i> = 0.03), and cumulative SUA (cumSUA) levels and DTI-ALPS index for the left hemisphere (beta = −0.02, 95% CI −0.04 to −0.01, <i>p</i> = 0.01) and the whole brain (beta = −0.02, 95% CI −0.04 to 0.00, <i>p</i> = 0.03). A U-shaped relationship was observed between coefficient of variation of early SUA (CVSUA) levels and DTI-ALPS index in the left hemisphere (<i>p</i> = 0.01) and whole brain (<i>p</i> = 0.03). Higher early CVSUA levels, lower early cumSUA levels and reduced DTI-ALPS index were associated with lower MoCA scores. These findings suggest that moderately elevated SUA levels within the normal ranges, as well as stable SUA concentrations, may help mitigate future cognitive decline.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145406543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the establishment of interdisciplinary platforms in medical engineering, the twenty-first century has witnessed rapid advancements in brain‒computer interface (BCI) technology, demonstrating significant potential in clinical applications. The fundamental framework of BCIs encompasses signal acquisition, preprocessing, feature extraction, signal translation, and control devices. This article explores the applications of BCIs across various disorders, including post-stroke motor recovery, consciousness disorders, mental health, and neurological diseases. Through technological innovations, BCI technology has assisted patients in overcoming communication and motor impairments resulting from neurological damage. By bypassing damaged neural pathways and enabling bidirectional interactions with brain signals, BCIs facilitate the gradual rehabilitation of motor functions in post-stroke patients and show promise in treating psychiatric disorders such as depression. Compared with traditional treatment methods, BCI technology has several unique advantages. Despite challenges in signal processing accuracy, hardware stability, and real-time data processing technology, technological innovation and interdisciplinary collaboration facilitate greater breakthroughs in the near future for BCIs. In summary, the clinical application of BCI technology presents unprecedented opportunities and challenges in modern healthcare, underscoring the need for continued research and development in this area.
{"title":"The clinical applications of brain–computer interfaces","authors":"Chao-Ran Jia, Jian-Wei Huang, Ying-Qing Hu, Hai-Yun Zhou, Hong-Yu Liu, Xin Liu, Hai Zhang, Zu-Cheng Shen, Wen-Sheng Li, Shuang-Qi Gao, Ying Guo","doi":"10.1002/brx2.70033","DOIUrl":"https://doi.org/10.1002/brx2.70033","url":null,"abstract":"<p>With the establishment of interdisciplinary platforms in medical engineering, the twenty-first century has witnessed rapid advancements in brain‒computer interface (BCI) technology, demonstrating significant potential in clinical applications. The fundamental framework of BCIs encompasses signal acquisition, preprocessing, feature extraction, signal translation, and control devices. This article explores the applications of BCIs across various disorders, including post-stroke motor recovery, consciousness disorders, mental health, and neurological diseases. Through technological innovations, BCI technology has assisted patients in overcoming communication and motor impairments resulting from neurological damage. By bypassing damaged neural pathways and enabling bidirectional interactions with brain signals, BCIs facilitate the gradual rehabilitation of motor functions in post-stroke patients and show promise in treating psychiatric disorders such as depression. Compared with traditional treatment methods, BCI technology has several unique advantages. Despite challenges in signal processing accuracy, hardware stability, and real-time data processing technology, technological innovation and interdisciplinary collaboration facilitate greater breakthroughs in the near future for BCIs. In summary, the clinical application of BCI technology presents unprecedented opportunities and challenges in modern healthcare, underscoring the need for continued research and development in this area.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145406542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hiuying Yip, Yifei He, Yoonmi Hong, Jiaolong Qin, Fan Zhang, Ye Wu
Once understood in binary terms, gender identity is increasingly recognized as a multidimensional and continuous construct shaped by both sociocultural and neurobiological factors. Although prior studies have reported associations between gender identity and brain structure, few have adopted an integrative approach to examine how gender identity emerges. Drawing on a large, non-clinical sample of young adults from the Amsterdam Open Magnetic Resonance Imaging Collection (n = 544), this study integrated psychological assessments, socioeconomic indicators, and structural MRI to investigate the relationship between gender identity and brain morphology. For participants assigned female at birth, a feminine identity was linked to reduced cortical thickness in several brain regions, including the parahippocampal, fusiform, lingual, and pericalcarine cortices. Among these regions, two distinct pathways related to the fusiform cortex were identified: a self-referential pathway (through the parahippocampal cortex) and a visual-perceptual pathway (through the pericalcarine and lingual cortices). Besides, an additional pathway related to the fusiform cortex was also identified, which connected higher socioeconomic status to crystallized intelligence. For participants assigned male at birth, a feminine identity was associated with increased anxiety and reduced cortical thickness in visual-emotional regions. In contrast, masculine identity was linked to a larger cortical area in the supramarginal gyrus and insula. Altogether, these findings suggest that gender identity is embedded in distributed neural systems that support self-representation, and that its structural correlates emerge through distinct psychological and cognitive-contextual mechanisms. By moving beyond binary classification, this study may offer a more nuanced neurobiological model of gendered self-concept in the general population.
{"title":"Heterogeneity in brain morphology and psychological, cognitive, and contextual factors of gender identity","authors":"Hiuying Yip, Yifei He, Yoonmi Hong, Jiaolong Qin, Fan Zhang, Ye Wu","doi":"10.1002/brx2.70037","DOIUrl":"https://doi.org/10.1002/brx2.70037","url":null,"abstract":"<p>Once understood in binary terms, gender identity is increasingly recognized as a multidimensional and continuous construct shaped by both sociocultural and neurobiological factors. Although prior studies have reported associations between gender identity and brain structure, few have adopted an integrative approach to examine how gender identity emerges. Drawing on a large, non-clinical sample of young adults from the Amsterdam Open Magnetic Resonance Imaging Collection (<i>n</i> = 544), this study integrated psychological assessments, socioeconomic indicators, and structural MRI to investigate the relationship between gender identity and brain morphology. For participants assigned female at birth, a feminine identity was linked to reduced cortical thickness in several brain regions, including the parahippocampal, fusiform, lingual, and pericalcarine cortices. Among these regions, two distinct pathways related to the fusiform cortex were identified: a self-referential pathway (through the parahippocampal cortex) and a visual-perceptual pathway (through the pericalcarine and lingual cortices). Besides, an additional pathway related to the fusiform cortex was also identified, which connected higher socioeconomic status to crystallized intelligence. For participants assigned male at birth, a feminine identity was associated with increased anxiety and reduced cortical thickness in visual-emotional regions. In contrast, masculine identity was linked to a larger cortical area in the supramarginal gyrus and insula. Altogether, these findings suggest that gender identity is embedded in distributed neural systems that support self-representation, and that its structural correlates emerge through distinct psychological and cognitive-contextual mechanisms. By moving beyond binary classification, this study may offer a more nuanced neurobiological model of gendered self-concept in the general population.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The perception of hazardous information is a crucial factor in ensuring safety in production. In recent years, multi-mode sensing has been proven to be an effective approach for developing efficient perception systems. However, these systems still rely on various combinations of single-function sensors within traditional von Neumann architecture, which increases the system's overall complexity. In this study, carbon-doped black phosphorus (C–BP)-based multi-perception memristors were successfully developed for hazardous information perception. The C–BP multi-perception memristor exhibits remarkable stability and high surface activity due to the coupling and synergistic effects of C doping. Its high surface activity enables the reliable perception of hazardous visual (ultraviolet light) and olfactory (ethanol, acetone, and human expirations) information in an open environment. Consequently, a hazardous detection system based on the C–BP multi-perception memristor was simulated. The results indicate that the developed system outperforms traditional detection systems with an enhanced performance rate (97.6% vs. 90.5%) in perceiving hazardous information. This work may provide new insights into developing enhanced-performance hazardous information perception systems.
{"title":"Robust carbon-doped black phosphorus multi-perception memristor for a hazardous information detection system","authors":"Shuai Yuan, Zhe Feng, Guodong Wei, Liyan Dong, Pan Wang, Yong Niu, Ying Su, Peifen Zhu, Bingshe Xu, Bocang Qiu, Zuheng Wu","doi":"10.1002/brx2.70026","DOIUrl":"https://doi.org/10.1002/brx2.70026","url":null,"abstract":"<p>The perception of hazardous information is a crucial factor in ensuring safety in production. In recent years, multi-mode sensing has been proven to be an effective approach for developing efficient perception systems. However, these systems still rely on various combinations of single-function sensors within traditional von Neumann architecture, which increases the system's overall complexity. In this study, carbon-doped black phosphorus (C–BP)-based multi-perception memristors were successfully developed for hazardous information perception. The C–BP multi-perception memristor exhibits remarkable stability and high surface activity due to the coupling and synergistic effects of C doping. Its high surface activity enables the reliable perception of hazardous visual (ultraviolet light) and olfactory (ethanol, acetone, and human expirations) information in an open environment. Consequently, a hazardous detection system based on the C–BP multi-perception memristor was simulated. The results indicate that the developed system outperforms traditional detection systems with an enhanced performance rate (97.6% vs. 90.5%) in perceiving hazardous information. This work may provide new insights into developing enhanced-performance hazardous information perception systems.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain-computer interface (BCI) technology aims to create a connection pathway for exchanging information between the brain and devices with computing capabilities. This technology has become a global research focus, and many countries and regions are working to establish a BCI industry. BCIs have many potential applications, especially in the medical field. However, the complexities of non-invasive BCIs and the implantation risks associated with invasive BCIs have limited these technologies to laboratory settings. The main challenges for the practical implementation of BCIs include the lack of foundational technologies for non-invasive and invasive BCIs, the signal processing challenges associated with BCIs, the key components of BCIs, and the compatibility of BCI software and hardware. These shortcomings should be addressed to enhance the competitiveness of BCI products and promote the application of BCIs in medicine. In the future, if novel methods for acquiring or decoding neural signals are developed that enable non-invasive BCIs to achieve signal quality comparable to that of invasive techniques, it will propel BCI technology to leapfrog in development. Technological breakthroughs will enable BCIs to enhance medical technology and improve people's quality of life.
{"title":"The application and challenges of brain-computer interfaces in the medical industry","authors":"Qi Chen, Sha Zhao, Wei Wei, Tianyu Zhao, Rui He, Sishu Zhou, Zhenhang Yu","doi":"10.1002/brx2.70036","DOIUrl":"https://doi.org/10.1002/brx2.70036","url":null,"abstract":"<p>Brain-computer interface (BCI) technology aims to create a connection pathway for exchanging information between the brain and devices with computing capabilities. This technology has become a global research focus, and many countries and regions are working to establish a BCI industry. BCIs have many potential applications, especially in the medical field. However, the complexities of non-invasive BCIs and the implantation risks associated with invasive BCIs have limited these technologies to laboratory settings. The main challenges for the practical implementation of BCIs include the lack of foundational technologies for non-invasive and invasive BCIs, the signal processing challenges associated with BCIs, the key components of BCIs, and the compatibility of BCI software and hardware. These shortcomings should be addressed to enhance the competitiveness of BCI products and promote the application of BCIs in medicine. In the future, if novel methods for acquiring or decoding neural signals are developed that enable non-invasive BCIs to achieve signal quality comparable to that of invasive techniques, it will propel BCI technology to leapfrog in development. Technological breakthroughs will enable BCIs to enhance medical technology and improve people's quality of life.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}