TechnologyHow do neural interfaces work?
How we interface with the nervous system
Every neural interface trades access, resolution and invasiveness against each other. This explorer places 32 of them on one map, by what they do and how far they have come, so that an EEG cap, a deep brain stimulator and an intracortical array can be read on the same terms.
BCI is evolving from decoding the nervous system to interacting with it.
- Reading
- Writing
- Closed loop
- Biohybrid
32 interfaces
Read
Bidirectional
Write
Non-invasive
Around the head
On the skin
Minimally invasive
Vessel or skull window
Invasive
Nerve or sense organ
On the cortex
In the cortex
Deep brain
Biohybrid · Adjacent frontier
Living neural tissue outside the body. Not an interface with a person.
Colour · function
- Read
- Write
- Bidirectional
- Biohybrid
Fill · maturity as a clinical modality
- Established
- Human feasibility
- Early human
- Preclinical
- Research frontier
- Adjacent frontier
BidirectionalInvasiveElectrical
Sensing-enabled deep brain stimulation
A deep brain stimulator that also records local field potentials from its own leads. Adaptive systems use that signal to raise or lower stimulation automatically as symptoms and medication fluctuate.
Showing Sensing-enabled deep brain stimulation: Bidirectional, Invasive.
- Where it acts
- Leads in deep nuclei, sensing beside the stimulating contacts
- Information flow
- Deep target ↔ implanted lead
How far it has come
- As a clinical modality
- EstablishedSensing stimulators are in clinical use, and adaptive stimulation is authorised for Parkinson's disease.
- As a BCI application
- Human feasibilityAuthorised adaptive systems follow one biomarker. Richer decoding from the same hardware is research.
- Access
- Invasive
- Mechanism
- Electrical
- Target
- Deep brain
- Signal
- Local field potentials out; electrical pulses in
Characteristics · bidirectional interfaces
- Recording qualityField potentials from a few contacts
- Stimulation precisionA few millimetres around each contact
- Closed-loop latencyFractions of a second to minutes in clinical use
- CoverageOne or two deep targets
- InvasivenessStereotactic brain surgery
- Long-term stabilityYears
Each track runs from low to high. A wide bar means the characteristic varies across implementations.
Strengths
- A closed loop in a fully implanted, authorised device
- Records from the circuit it treats, for years
Trade-offs
- Few channels and one or two targets
- Stimulation artefacts limit what can be sensed
Common applications
- Parkinson's disease
- Research in tremor, dystonia, epilepsy and psychiatric disorders
Human evidence
Clinical trials and authorisation for adaptive stimulation in Parkinson's disease, and long-term recordings from many patients.
What needs to happen next
Biomarkers for conditions beyond Parkinson's disease, and evidence that adapting stimulation improves outcomes over continuous stimulation.
- Same site, other direction
- Used by
- Medtronic
- Use cases
- Restore
- Patent activity
- 240 patent families name this interface, most often on stimulation, electrodes and arrays, closed loop. The patent landscape
Descriptions, ranges and maturity levels are editorial analysis, kept qualitative where the literature does not support exact comparison across technologies. Specific devices differ.
All 32 interfaces as a table
| Interface | Function | Access | Mechanism | Target | Clinical modality | BCI application |
|---|---|---|---|---|---|---|
| Read | Non-invasive | Electrical | Cortex | Established | Human feasibility | |
| Read | Non-invasive | Magnetic | Cortex | Established | Research frontier | |
| Read | Non-invasive | Optical | Cortex | Human feasibility | Research frontier | |
| Read | Non-invasive | Electrical | Muscle / neuromotor | Established | Established | |
| Read | Minimally invasive | Electrical | Cortex | Human feasibility | Human feasibility | |
| Read | Minimally invasive | Acoustic | Cortex, Deep brain | Early human | Preclinical | |
| Read | Invasive | Electrical | Peripheral nerve, Muscle / neuromotor | Early human | Early human | |
| Read | Invasive | Electrical | Cortex | Established | Human feasibility | |
| Read | Invasive | Electrical | Cortex | Human feasibility | Human feasibility | |
| Read | Invasive | Electrical | Deep brain, Cortex | Established | Early human | |
| Write | Non-invasive | Magnetic | Cortex | Established | Research frontier | |
| Write | Non-invasive | Electrical | Cortex | Human feasibility | Research frontier | |
| Write | Non-invasive | Acoustic | Cortex, Deep brain | Early human | Research frontier | |
| Write | Invasive | Electrical | Peripheral nerve | Established | Early human | |
| Write | Invasive | Electrical | Retina | Human feasibility | Human feasibility | |
| Write | Invasive | Electrical | Cochlea | Established | Established | |
| Write | Invasive | Electrical | Brainstem | Established | Established | |
| Write | Invasive | Electrical | Cortex | Established | Early human | |
| Write | Invasive | Electrical | Cortex | Early human | Early human | |
| Write | Invasive | Optical, Molecular | Cortex, Deep brain, Retina | Early human | Preclinical | |
| Write | Invasive | Electrical | Deep brain | Established | Early human | |
| Bidirectional | Invasive | Electrical | Peripheral nerve, Muscle / neuromotor | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Cortex | Established | Early human | |
| Bidirectional | Invasive | Electrical | Cortex, Deep brain | Established | Human feasibility | |
| Bidirectional | Invasive | Electrical | Cortex, Spinal cord | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Cortex | Early human | Early human | |
| Bidirectional | Invasive | Electrical | Deep brain, Cortex | Established | Early human | |
| Bidirectional | Invasive | Electrical | Deep brain | Established | Human feasibility | |
| Biohybrid | Ex vivo | Electrical, Biological | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Electrical, Optical, Biological | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Biological, Electrical | Cultured neural tissue | Adjacent frontier | Adjacent frontier | |
| Biohybrid | Ex vivo | Biological, Electrical | Cultured neural tissue | Adjacent frontier | Adjacent frontier |
Use-case explorer
Start from what people want to do
Nine human goals. Each one connects the technology, the companies, the research, the studies and the tools behind it, and says plainly what is available today.
Decoding attempted speech or writing into text and voice.
Can someone who cannot speak hold a conversation again?
Research participants with paralysis have used implanted BCIs to produce text and synthesised voice from attempted speech. All such systems remain in early feasibility studies.
Latest milestoneA single surface implant decoded speech and upper-body gestures at the same time in three participants.
- Companies
- NeuralinkSynchronPrecision NeuroscienceParadromicsBlackrock NeurotechBrainGateStairMedNeuroXessNeuCyber NeuroTechABILITY NeurotechJiMEDg.tec medical engineeringArayaCognixion
- Research
- Simultaneous speech and gesture decoding for multimodal communication in paralysisAn Accurate and Rapidly Calibrating Speech NeuroprosthesisAn instantaneous voice-synthesis neuroprosthesisA high-performance speech neuroprosthesisA high-performance neuroprosthesis for speech decoding and avatar control+10 more
- Clinical
- VOICEConnect-OneBrainGate2BRAVOUNPCortiCom+3 more
- On the calendar
- BCI Meeting 2027
Why do such different devices exist for the same goal? Each trades signal quality against surgical access. Read the dossier