Investigating sensory response to physical discomfort in children with autism spectrum disorder using near-infrared spectroscopy.

Self-reporting of pain can be difficult in populations with communication challenges or atypical sensory processing, such as children with autism spectrum disorder (ASD). Consequently, pain can go untreated. An objective method to identify discomfort would be valuable to individuals unable to express or recognize their own bodily distress. Near-infrared spectroscopy (NIRS) is a brain-imaging modality that is suited for this application. We evaluated the potential of detecting a cortical response to discomfort in the ASD population using NIRS. Using a continuous-wave spectrometer, prefrontal and parietal measures were collected from 15 males with ASD and 7 typically developing (TD) males 10-15 years of age. Participants were exposed to a noxious cold stimulus by immersing their hands in cold water and tepid water as a baseline task. Across all participants, the magnitude and timing of the cold and tepid water-induced brain responses were significantly different (p < 0.001). The effect of the task on the brain response depended on the study group (group x task: p < 0.001), with the ASD group exhibiting a blunted response to the cold stimulus. Findings suggest that NIRS may serve as a tool for objective pain assessment and atypical sensory processing.

Altered Brain Activation in Youth following Concussion: Using a Dual-task Paradigm.

A concussion is known as a functional injury affecting brain communication, integration, and processing. There is a need to objectively measure how concussions disrupt brain activation while completing ecologically relevant tasks.The objective of this study was to compare brain activation patterns between concussion and comparison groups (non-concussed youth) during a cognitive-motor single and dual-task paradigm utilizing functional near-infrared spectroscopy (fNIRS) in regions of the frontal-parietal attention network and compared to task performance.Youth with concussion generally exhibited hyperactivation and recruitment of additional brain regions in the dorsal lateral prefrontal (DLPFC), superior (SPC) and inferior parietal cortices (IPC), which are associated with processing, information integration, and response selection. Additionally, hyper- or hypo-activation patterns were associated with slower processing speed on the cognitive task. Our findings corroborate the growing literature suggesting that neural recovery may be delayed compared to the restoration of behavioral performance post-concussion.Concussion, near-infrared spectroscopy, dual-task paradigm, cognitive, motor, brain activation.

Development and testing an online near-infrared spectroscopy brain-computer interface tailored to an individual with severe congenital motor impairments.

PURPOSE: For non-verbal individuals, brain-computer interfaces (BCIs) are a potential means of communication. Near-infrared spectroscopy (NIRS) is a brain-monitoring modality that has been considered for BCIs. To date, limited NIRS-BCI testing has involved online classification, particularly with individuals with severe motor impairments. MATERIALS AND METHODS: We tested an online NIRS-BCI developed for a non-verbal individual with severe congenital motor impairments. The binary BCI differentiated categorical verbal fluency task (VFT) performance and rest using prefrontal measurements. The participant attended five sessions, the last two of which were online with classification feedback. RESULTS: An online classification accuracy of 63.33% was achieved using a linear discriminant classifier trained on a four-dimensional feature set. An offline, cross-validation analysis of all data yielded an optimal adjusted classification accuracy of 66.6 ± 9.11%. Inconsistent functional responses, contradictory effects of feedback, participant fatigue and motion artefacts were identified as challenges to online classification specific to this participant. CONCLUSIONS: Results suggest potential in using an NIRS-BCI controlled by the VFT in instances of severe congenital impairments. Further testing with users with severe disabilities is necessary. Implications for Rehabilitation Brain-computer interfaces (BCIs) can provide a non-motor based means of communication for individuals with severe motor impairments. Near-infrared spectroscopy (NIRS) is a haemodynamic-based brain-imaging modality used in BCIs. To date, NIRS-BCIs have not been thoroughly tested with potential target users. This case study shows that NIRS-BCIs may offer a means of practical communication for individuals with severe congenital impairments and continued exploration is advisable.

Development of a Ternary Near-Infrared Spectroscopy Brain-Computer Interface: Online Classification of Verbal Fluency Task, Stroop Task and Rest.

The majority of proposed NIRS-BCIs has considered binary classification. Studies considering high-order classification problems have yielded average accuracies that are less than favorable for practical communication. Consequently, there is a paucity of evidence supporting online classification of more than two mental states using NIRS. We developed an online ternary NIRS-BCI that supports the verbal fluency task (VFT), Stroop task and rest. The system utilized two sessions dedicated solely to classifier training. Additionally, samples were collected prior to each period of online classification to update the classifier. Using a continuous-wave spectrometer, measurements were collected from the prefrontal and parietal cortices while 11 able-bodied adult participants were cued to perform one of the two cognitive tasks or rests. Each task was used to indicate the desire to select a particular letter on a scanning interface, while rest avoided selection. Classification was performed using 25 iteration of bagging with a linear discriminant base classifier. Classifiers were trained on 10-dimensional feature sets. The BCI's classification decision was provided as feedback. An average online classification accuracy of [Formula: see text]% was achieved, representing an ITR of [Formula: see text] bits/min. The results demonstrate that online communication can be achieved with a ternary NIRS-BCI that supports VFT, Stroop task and rest. Our findings encourage continued efforts to enhance the ITR of NIRS-BCIs.

Towards a ternary NIRS-BCI: single-trial classification of verbal fluency task, Stroop task and unconstrained rest.

OBJECTIVE: The majority of near-infrared spectroscopy (NIRS) brain-computer interface (BCI) studies have investigated binary classification problems. Limited work has considered differentiation of more than two mental states, or multi-class differentiation of higher-level cognitive tasks using measurements outside of the anterior prefrontal cortex. Improvements in accuracies are needed to deliver effective communication with a multi-class NIRS system. We investigated the feasibility of a ternary NIRS-BCI that supports mental states corresponding to verbal fluency task (VFT) performance, Stroop task performance, and unconstrained rest using prefrontal and parietal measurements. APPROACH: Prefrontal and parietal NIRS signals were acquired from 11 able-bodied adults during rest and performance of the VFT or Stroop task. Classification was performed offline using bagging with a linear discriminant base classifier trained on a 10 dimensional feature set. MAIN RESULTS: VFT, Stroop task and rest were classified at an average accuracy of 71.7% ± 7.9%. The ternary classification system provided a statistically significant improvement in information transfer rate relative to a binary system controlled by either mental task (0.87 ± 0.35 bits/min versus 0.73 ± 0.24 bits/min). SIGNIFICANCE: These results suggest that effective communication can be achieved with a ternary NIRS-BCI that supports VFT, Stroop task and rest via measurements from the frontal and parietal cortices. Further development of such a system is warranted. Accurate ternary classification can enhance communication rates offered by NIRS-BCIs, improving the practicality of this technology.

Usability and performance-informed selection of personalized mental tasks for an online near-infrared spectroscopy brain-computer interface.

Brain-computer interfaces (BCIs) allow individuals to use only cognitive activities to interact with their environment. The widespread use of BCIs is limited, due in part to their lack of user-friendliness. The main goal of this work was to develop a more user-centered BCI and determine if: (1) individuals can acquire control of an online near-infrared spectroscopy BCI via usability and performance-informed selection of mental tasks without compromising classification accuracy and (2) the combination of usability and performance-informed selection of mental tasks yields subjective ease-of-use ratings that exceed those attainable with prescribed mental tasks. Twenty able-bodied participants were recruited. Half of the participants served as a control group, using the state-of-the-art prescribed mental strategies. The other half of the participants comprised the study group, choosing their own personalized mental strategies out of eleven possible tasks. It was concluded that users were, in fact, able to acquire control of the more user-centered BCI without a significant change in accuracy compared to the prescribed task BCI. Furthermore, the personalized BCI yielded higher subjective ease-of-use ratings than the prescribed BCI. Average online accuracies of [Formula: see text] and [Formula: see text] were achieved by the personalized and prescribed mental task groups, respectively.

Single-trial classification of near-infrared spectroscopy signals arising from multiple cortical regions.

Near-infrared spectroscopy (NIRS) brain-computer interface (BCI) studies have primarily made use of measurements taken from a single cortical area. In particular, the anterior prefrontal cortex has been the key area used for detecting higher-level cognitive task performance. However, mental task execution typically requires coordination between several, spatially-distributed brain regions. We investigated the value of expanding the area of interrogation to include NIRS measurements from both the prefrontal and parietal cortices to decode mental states. Hemodynamic activity was monitored at 46 locations over the prefrontal and parietal cortices using a continuous-wave near-infrared spectrometer while 11 able-bodied adults rested or performed either the verbal fluency task (VFT) or Stroop task. Offline classification was performed for the three possible binary problems using 25 iterations of bagging with a linear discriminant base classifier. Classifiers were trained on a 10 dimensional feature set. When all 46 measurement locations were considered for classification, average accuracies of 80.4±7.0%, 82.4±7.6%, and 82.8±5.9% in differentiating VFT vs rest, Stroop vs rest and VFT vs Stroop, respectively, were obtained. Relative to using measurements from the anterior PFC alone, an overall average improvement of 11.3% was achieved. Utilizing NIRS measurements from the prefrontal and parietal cortices can be of value in classifying mental states involving working memory and attention. NIRS-BCI accuracies may be improved by incorporating measurements from several, distinct cortical regions, rather than a single area alone. Further development of an NIRS-BCI supporting combinations of VFT, Stroop task and rest states is also warranted.

Variability in prefrontal hemodynamic response during exposure to repeated self-selected music excerpts, a near-infrared spectroscopy study.

Music-induced brain activity modulations in areas involved in emotion regulation may be useful in achieving therapeutic outcomes. Clinical applications of music may involve prolonged or repeated exposures to music. However, the variability of the observed brain activity patterns in repeated exposures to music is not well understood. We hypothesized that multiple exposures to the same music would elicit more consistent activity patterns than exposure to different music. In this study, the temporal and spatial variability of cerebral prefrontal hemodynamic response was investigated across multiple exposures to self-selected musical excerpts in 10 healthy adults. The hemodynamic changes were measured using prefrontal cortex near infrared spectroscopy and represented by instantaneous phase values. Based on spatial and temporal characteristics of these observed hemodynamic changes, we defined a consistency index to represent variability across these domains. The consistency index across repeated exposures to the same piece of music was compared to the consistency index corresponding to prefrontal activity from randomly matched non-identical musical excerpts. Consistency indexes were significantly different for identical versus non-identical musical excerpts when comparing a subset of repetitions. When all four exposures were compared, no significant difference was observed between the consistency indexes of randomly matched non-identical musical excerpts and the consistency index corresponding to repetitions of the same musical excerpts. This observation suggests the existence of only partial consistency between repeated exposures to the same musical excerpt, which may stem from the role of the prefrontal cortex in regulating other cognitive and emotional processes.

Trends in communicative access solutions for children with cerebral palsy.

Access solutions may facilitate communication in children with limited functional speech and motor control. This study reviews current trends in access solution development for children with cerebral palsy, with particular emphasis on the access technology that harnesses a control signal from the user (eg, movement or physiological change) and the output device (eg, augmentative and alternative communication system) whose behavior is modulated by the user's control signal. Access technologies have advanced from simple mechanical switches to machine vision (eg, eye-gaze trackers), inertial sensing, and emerging physiological interfaces that require minimal physical effort. Similarly, output devices have evolved from bulky, dedicated hardware with limited configurability, to platform-agnostic, highly personalized mobile applications. Emerging case studies encourage the consideration of access technology for all nonverbal children with cerebral palsy with at least nascent contingency awareness. However, establishing robust evidence of the effectiveness of the aforementioned advances will require more expansive studies.

Dynamic topographical pattern classification of multichannel prefrontal NIRS signals: II. Online differentiation of mental arithmetic and rest.

OBJECTIVE: Near-infrared spectroscopy (NIRS) has recently gained attention as a modality for brain-computer interfaces (BCIs), which may serve as an alternative access pathway for individuals with severe motor impairments. For NIRS-BCIs to be used as a real communication pathway, reliable online operation must be achieved. Yet, only a limited number of studies have been conducted online to date. These few studies were carried out under a synchronous paradigm and did not accommodate an unconstrained resting state, precluding their practical clinical implication. Furthermore, the potentially discriminative power of spatiotemporal characteristics of activation has yet to be considered in an online NIRS system. APPROACH: In this study, we developed and evaluated an online system-paced NIRS-BCI which was driven by a mental arithmetic activation task and accommodated an unconstrained rest state. With a dual-wavelength, frequency domain near-infrared spectrometer, measurements were acquired over nine sites of the prefrontal cortex, while ten able-bodied participants selected letters from an on-screen scanning keyboard via intentionally controlled brain activity (using mental arithmetic). Participants were provided dynamic NIR topograms as continuous visual feedback of their brain activity as well as binary feedback of the BCI's decision (i.e. if the letter was selected or not). To classify the hemodynamic activity, temporal features extracted from the NIRS signals and spatiotemporal features extracted from the dynamic NIR topograms were used in a majority vote combination of multiple linear classifiers. MAIN RESULTS: An overall online classification accuracy of 77.4 ± 10.5% was achieved across all participants. The binary feedback was found to be very useful during BCI use, while not all participants found value in the continuous feedback provided. SIGNIFICANCE: These results demonstrate that mental arithmetic is a potent mental task for driving an online system-paced NIRS-BCI. BCI feedback that reflects the classifier's decision has the potential to improve user performance. The proposed system can provide a framework for future online NIRS-BCI development and testing.

A review of past and future near-infrared spectroscopy brain computer interface research at the PRISM lab.

Single-trial classification of near-infrared spectroscopy (NIRS) signals for brain-computer interface (BCI) applications has recently gained much attention. This paper reviews research in this area conducted at the PRISM lab (University of Toronto) to date, as well as directions for future work. Thus far, research has included classification of hemodynamic changes induced by the performance of various mental tasks in both offline and online settings, as well as offline classification of cortical changes evoked by different affective states. The majority of NIRS-BCI work has only involved able-bodied individuals. However, preliminary work involving individuals from target BCI-user populations is also underway. In addition to further testing with users with severe disabilities, ongoing and future research will focus on enhancing classification accuracies, communication speed and user experience.

Dynamic topographical pattern classification of multichannel prefrontal NIRS signals.

OBJECTIVE: Near-infrared spectroscopy (NIRS) is an optical imaging technique that has recently been considered for brain-computer interface (BCI) applications. To date, NIRS-BCI studies have primarily made use of temporal features of brain activity, derived from the time-course of optical signals measured from discrete locations, to differentiate mental states. However, functional brain imaging studies have indicated that the spatial distribution of haemodynamic activity is also rich in information. Thus, the progression of a response over both time and space may be valuable to brain state classification. In this paper, we investigate the implication of including spatiotemporal features in the single-trial classification of haemodynamic events for a two-class problem by exploiting this information from dynamic NIR topograms. APPROACH: The value of spatiotemporal information was explored through a comparative analysis of four different classification schemes performed on multichannel NIRS data collected from the prefrontal cortex during a mental arithmetic activation task and rest. Employing a linear discriminant classifier, data were analysed using spatiotemporal features, temporal features, and a collective pool of spatiotemporal and temporal features. We also considered a majority vote combination of three classifiers; each established using one of the above feature sets. Lastly, two separate task durations (20 and 10 s) were considered for feature extraction. MAIN RESULTS: With features from the longer task interval, the highest overall classification accuracy was achieved using the majority voting classifier (76.1 ± 8.4%), which was greater than the accuracy obtained using temporal features alone (73.5 ± 8.5%) (F3,144 = 7.04, p = 0.0002). While results from the shorter task duration were lower overall, the classifier employing only spatiotemporal features (with an average accuracy of 67.9 ± 9.3%) achieved a higher average accuracy than the rate obtained using only temporal features (64.4 ± 8.4%) (F3,144 = 18.58, p < 10(-4)). SIGNIFICANCE: Collectively, these results suggest that spatiotemporal information can be of value in the analysis of functional NIRS data, and improved classification rates may be obtained in future NIRS-BCI applications with the inclusion of this information.