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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
Clinical ECoG grid
Layer 7
Neuropixels 1.0
Neural interfaces, measuredElectrode size and pitch at true scale, and where each interface sits, on the dura, under it or in the cortex, and how it gets there. Each square above is 1 mm of cortex.

32 interfaces

The interface map

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. 01The 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

BidirectionalInvasiveElectrical

Bidirectional peripheral nerve interfaces

Implanted electrodes in the residual limb carry motor commands out to a prosthesis and signals of touch or position back in. The interface stays outside the brain and uses the nerves' own wiring.

Showing Bidirectional peripheral nerve interfaces: Bidirectional, Invasive.

Where it acts
On nerves and muscles of the residual limb
Information flow
Nerve ↔ implanted electrodes
← To the spinal cordTo the limb →Cuff electrodeImplant
Fig. 02Where it acts, and which way information flowsSchematic, not to scale. Not a specific device.

How far it has come

As a clinical modality
Early humanImplanted in small studies of people with amputation.
As a BCI application
Early humanDaily home use reported in small groups.
Access
Invasive. Limb surgery, outside the brain and spinal cord.
Mechanism
Electrical
Target
Peripheral nerve, Muscle / neuromotor
Signal
Nerve and muscle signals out; electrical pulses in

Characteristics · bidirectional interfaces

Recording qualityMotor commands from nerve and muscle
Stimulation precisionSensations felt in the missing hand
Closed-loop latencyMilliseconds
CoverageOne limb
InvasivenessLimb surgery, no craniotomy
Long-term stabilityYears in the longest reports

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

Strengths

  • No brain surgery
  • Evoked sensations are felt in the missing hand

Trade-offs

  • Needs intact nerves above the injury, so it cannot help after spinal cord injury
  • Few channels, and sensation is coarse

Common applications

  • Prosthetic hands and arms with sensory feedback

Human evidence

Small studies in people with arm amputation, some using the system at home for years.

What needs to happen next

More selective electrodes, fully implanted electronics and larger controlled studies.

Same site, other direction
Use cases
MoveFeel
Patent activity
221 patent families name this interface, most often on peripheral interfaces, neural decoding, signal processing. 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
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 things people want an interface to do. Each links the technology, the companies, the research, the studies and the tools behind it, and says 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.

Technology
EEGMEG / OPMEndovascularECoGIntracorticalsEEG
Companies
NeuralinkSynchronPrecision NeuroscienceParadromicsBlackrock NeurotechBrainGateStairMedNeuroXessNeuCyber NeuroTechABILITY NeurotechJiMEDg.tec medical engineeringArayaCognixion
Research
Simultaneous speech and gesture decoding for multimodal communication in paralysisLong-term independent use of an intracortical brain–computer interface for speech and cursor controlImplanted brain-computer interface functionality during nighttime in late-stage amyotrophic lateral sclerosisAn Accurate and Rapidly Calibrating Speech NeuroprosthesisAn instantaneous voice-synthesis neuroprosthesis+13 more
Clinical
VOICEConnect-OneBrainGate2BRAVOUNPCortiCom+3 more
Tools
BRANDtorch_brainimg_pipeMNE-PythonBraindecode
Datasets
Brain-to-Text '25Brain-to-Text Benchmark '24LibriBrain / LibriBrain100Podcast ECoG
Frontier
Speech & CommunicationCognitive Interfaces
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