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The BCI Briefing

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.

  1. Reading
  2. Writing
  3. Closed loop
  4. 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.

Fig. 01 — The interface design spacePosition shows function and access. Fill shows maturity. Select an interface.

Colour · function

  • Read
  • Write
  • Bidirectional
  • Biohybrid

Fill · maturity as a clinical modality

  • Established
  • Human feasibility
  • Early human
  • Preclinical
  • Research frontier
  • Adjacent frontier

ReadInvasiveElectrical

Electrocorticography

Electrode grids rest on the surface of the brain, above or below the dura, without penetrating tissue. Thin-film micro-ECoG raises density to a thousand or more contacts.

Showing Electrocorticography: Read, Invasive.

Where it acts
On the cortical surface
Information flow
Cortex → surface grid
Loading cortical surface…
Fig. 02 — Where it acts, and which way information flowsSchematic placement on a group-average cortical surface. Drag to rotate. Not a specific device or a surgical plan.

How far it has come

As a clinical modality
EstablishedRoutine in epilepsy surgery for mapping and monitoring.
As a BCI application
Human feasibilityResearch implants in several countries. One epidural system is authorised in China for assisted grasp.
Access
Invasive. A conventional grid under the dura needs a craniotomy. Implants that sit on the dura in a skull opening the size of the device, and films passed through a slit, avoid one: those systems are classed as minimally invasive in the company profiles.
Mechanism
Electrical
Target
Cortex
Signal
Local field potentials, including high-gamma activity

Characteristics · read interfaces

Spatial resolutionMillimetre to sub-millimetre
Temporal resolutionMilliseconds
Signal richnessPopulation activity, including high gamma
CoverageSeveral cm² per array
InvasivenessCraniotomy; slit delivery for thin films
Long-term stabilityStable over months to years in studies

Each track runs from low to high. A wide bar means the characteristic varies across implementations.

Strengths

  • Stable signals that support long recalibration-free use
  • Broad coverage of speech and motor areas
  • Does not penetrate cortex

Trade-offs

  • Cannot isolate single neurons
  • Still requires opening the skull in most designs

Common applications

  • Speech and communication
  • Computer and device control
  • Mapping function before and during epilepsy and tumour surgery

Human evidence

Speech decoded at a median 78 words per minute from a surface grid in one participant (2023), and a 128-channel implant that kept its control across days without recalibration (2021). A 32-participant trial supported the registration of an epidural system in China; its results are unpublished.

What needs to happen next

Fully implanted wireless systems with high channel counts, and trials large enough to support wider authorisation.

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
Every interface, with its function, access, mechanism, target and maturity
InterfaceFunctionAccessMechanismTargetClinical modalityBCI application
ReadNon-invasiveElectricalCortexEstablishedHuman feasibility
ReadNon-invasiveMagneticCortexEstablishedResearch frontier
ReadNon-invasiveOpticalCortexHuman feasibilityResearch frontier
ReadNon-invasiveElectricalMuscle / neuromotorEstablishedEstablished
ReadMinimally invasiveElectricalCortexHuman feasibilityHuman feasibility
ReadMinimally invasiveAcousticCortex, Deep brainEarly humanPreclinical
ReadInvasiveElectricalPeripheral nerve, Muscle / neuromotorEarly humanEarly human
ReadInvasiveElectricalCortexEstablishedHuman feasibility
ReadInvasiveElectricalCortexHuman feasibilityHuman feasibility
ReadInvasiveElectricalDeep brain, CortexEstablishedEarly human
WriteNon-invasiveMagneticCortexEstablishedResearch frontier
WriteNon-invasiveElectricalCortexHuman feasibilityResearch frontier
WriteNon-invasiveAcousticCortex, Deep brainEarly humanResearch frontier
WriteInvasiveElectricalPeripheral nerveEstablishedEarly human
WriteInvasiveElectricalRetinaHuman feasibilityHuman feasibility
WriteInvasiveElectricalCochleaEstablishedEstablished
WriteInvasiveElectricalBrainstemEstablishedEstablished
WriteInvasiveElectricalCortexEstablishedEarly human
WriteInvasiveElectricalCortexEarly humanEarly human
WriteInvasiveOptical, MolecularCortex, Deep brain, RetinaEarly humanPreclinical
WriteInvasiveElectricalDeep brainEstablishedEarly human
BidirectionalInvasiveElectricalPeripheral nerve, Muscle / neuromotorEarly humanEarly human
BidirectionalInvasiveElectricalCortexEstablishedEarly human
BidirectionalInvasiveElectricalCortex, Deep brainEstablishedHuman feasibility
BidirectionalInvasiveElectricalCortex, Spinal cordEarly humanEarly human
BidirectionalInvasiveElectricalCortexEarly humanEarly human
BidirectionalInvasiveElectricalDeep brain, CortexEstablishedEarly human
BidirectionalInvasiveElectricalDeep brainEstablishedHuman feasibility
BiohybridEx vivoElectrical, BiologicalCultured neural tissueAdjacent frontierAdjacent frontier
BiohybridEx vivoElectrical, Optical, BiologicalCultured neural tissueAdjacent frontierAdjacent frontier
BiohybridEx vivoBiological, ElectricalCultured neural tissueAdjacent frontierAdjacent frontier
BiohybridEx vivoBiological, ElectricalCultured neural tissueAdjacent frontierAdjacent 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.

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