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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

WriteNon-invasiveAcoustic

Focused ultrasound neuromodulation

Low-intensity ultrasound focused through the skull changes the activity of a small volume of tissue, including deep structures that other non-invasive methods cannot reach selectively. This is distinct from high-intensity ultrasound, which destroys tissue.

Showing Focused ultrasound neuromodulation: Write, Non-invasive.

Where it acts
A transducer on the scalp, focused on a target at depth
Information flow
Transducer → focal target
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
Early humanSmall human studies of neuromodulation. Ultrasound used to ablate tissue is an established treatment, and a different use.
As a BCI application
Research frontierProposed as a non-invasive write channel. Well-funded companies, no public human interface data.
Access
Non-invasive. Transducers implanted in the skull are also being developed.
Mechanism
Acoustic
Target
Cortex, Deep brain
Signal
Pulsed low-intensity ultrasound

Characteristics · write interfaces

Spatial precisionMillimetres
Temporal precisionTens of milliseconds to seconds
Penetration depthDeep structures, through the skull
TargetabilityA small focal volume that can be steered
CoverageOne focus at a time
InvasivenessNone for transcranial use
ReversibilityEffects appear transient at low intensity

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

Strengths

  • Reaches deep targets without surgery
  • A millimetre-scale focus that can be steered

Trade-offs

  • The skull distorts and absorbs the beam
  • How it acts on neurons, and the right dose, are still being worked out

Common applications

  • Research on deep brain circuits
  • Early studies in pain, mood and movement disorders

Human evidence

Small human studies report changes in perception, mood and physiological measures. Durable clinical benefit has not been shown in large controlled trials.

What needs to happen next

Agreed dosing and safety limits, reliable targeting through individual skulls, and controlled trials with clinical endpoints.

Same site, other direction
Used by
Merge LabsGestala
Use cases
Restore
Patent activity
51 patent families name this interface, most often on ultrasound, electrodes and arrays, stimulation. 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