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The speech neuroprosthesis.

Alexander B Silva1,2, Kaylo T Littlejohn1,2,3, Jessie R Liu1,2

  • 1Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

Nature Reviews. Neuroscience
|May 14, 2024
PubMed
Summary
This summary is machine-generated.

Scientists are decoding brain activity to restore speech in paralyzed individuals. Advanced neural interfaces and algorithms enable speech neuroprostheses that surpass current assistive technologies.

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Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Computational Linguistics

Background:

  • Loss of speech due to paralysis severely impacts communication and self-expression.
  • Recent advances reveal how cortical activity underlies speech production.
  • Directly decoding speech from brain signals offers a path to restore communication.

Purpose of the Study:

  • To review progress in decoding speech from neural activity.
  • To highlight the development of speech neuroprostheses.
  • To discuss future directions for clinical viability.

Main Methods:

  • Utilizing high-spatiotemporal-resolution neural interfaces.
  • Applying state-of-the-art speech computational algorithms.
  • Decoding intracranial electroencephalography (iEEG) and electrocorticography (ECoG) data.

Main Results:

  • Successful speech decoding in individuals with epilepsy monitoring implants and in early clinical trials for paralysis.
  • Decoding neural activity into text, audible speech, and facial movements.
  • Speech neuroprostheses demonstrate performance exceeding current assistive communication rates.

Conclusions:

  • Speech neuroprostheses show significant promise for restoring communication in paralyzed individuals.
  • Standardized evaluation metrics are proposed to guide future research.
  • Further exploration of speech and language feature spaces is crucial for clinical viability.