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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

WriteInvasiveElectrical

Peripheral nerve stimulation

Electrical pulses delivered to a nerve outside the brain and spinal cord, through an implanted cuff or lead. Vagus nerve stimulation is the most widely used form.

Showing Peripheral nerve stimulation: Write, Invasive.

Where it acts
On or beside a peripheral nerve
Information flow
Implanted cuff → nerve
← To the spinal cordTo the limb →Cuff electrodeImplant
Fig. 02 — Where it acts, and which way information flowsSchematic, not to scale. Not a specific device.

How far it has come

As a clinical modality
EstablishedVagus and other nerve stimulators are authorised treatments.
As a BCI application
Early humanTouch feedback for prosthetic hands in small human studies.
Access
Invasive. The established forms are implanted. Stimulation through the skin also exists.
Mechanism
Electrical
Target
Peripheral nerve
Signal
Electrical pulses to nerve fibres

Characteristics · write interfaces

Spatial precisionA nerve, or fascicles within it
Temporal precisionMillisecond pulses
TargetabilityA whole nerve; fascicle-selective designs are research
CoverageOne nerve
InvasivenessNeck or limb surgery, no craniotomy
ReversibilityCan be switched off or removed

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

Strengths

  • Established surgery and long clinical experience
  • Stays outside the skull

Trade-offs

  • Acts on a whole nerve, including fibres that were not the target
  • Reaches the brain only indirectly

Common applications

  • Epilepsy and depression, through the vagus nerve
  • Rehabilitation after stroke, paired with therapy
  • Sensory feedback for prosthetic limbs

Human evidence

Extensive for vagus nerve stimulation in epilepsy. As a way to return touch from a prosthetic hand, evidence comes from small groups of people with amputation.

What needs to happen next

Selective activation of fibre groups within a nerve, and feedback that stays stable in daily use.

Same site, other direction
Used by
neuroloop
Use cases
FeelRestore
Patent activity
220 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 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.

Technology
EEGMEG / OPMEndovascularECoGIntracorticalsEEG
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
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