Two Player Online Brain-Controlled Chess.

Brain-computer interfaces (BCIs) allow for translating brain signals into control commands, e.g. to control games. One of the biggest quests of the BCI community is to realize new exciting applications. In this paper, we present a two player online chess application where both players control their pieces solely with their brain activity. Control is realized in a two-step process where players first select the desired chess piece and then the field they want to move it to. A selection is accomplished with visual event-related potentials that are elicited by highlighting each possible piece or field one by one. Six healthy volunteers participated in our study by playing a game against each other in pairs over a free chess server. They successfully completed at least one match per pair. Our results show that even BCI-naive players obtain almost perfect control over the application. On average, 96% of the moves were correct. Most of the errors came from technical problems that can be corrected in future versions of the application. Given the high popularity of chess, this intuitive BCI game is an appealing new application for patients and for healthy users that want to explore BCIs.

Trials of new germ cell immunohistochemical stains in 93 extragonadal and metastatic germ cell tumors.

Organic cation transporter 3/4 (OCT3/4) is a transcription factor of embryonic stem cells; c-kit (CD117) is a tyrosine kinase receptor implicated in seminoma carcinogenesis. Their reactivity is well characterized in testicular, but not extragonadal and metastatic, germ cell tumors. A total of 93 germ cell tumors (41 seminoma, 22 embryonal carcinoma, 18 teratoma, and 12 yolk sac tumor) were obtained from the central nervous system (30), mediastinum (23), retroperitoneum/abdomen (31), and other locations (9). Immunohistochemical staining for c-kit, placental-like alkaline phosphatase (PLAP), OCT3/4, and new markers D2-40 and AP-2gamma was performed on seminomas; CD30 and epithelial membrane antigen were added for nonseminomas. In embryonal carcinoma, c-kit reacted in 17 of 22 cases, OCT3/4 in 18 of 22, and PLAP in 13 of 22. OCT3/4 was superior to PLAP in intensity and percent cells staining. In seminoma, OCT3/4 and D2-40 were superior to PLAP in intensity and percent cells; c-kit and AP-2gamma were superior in percent cells. D2-40 stained 23 of 24 seminomas strongly but had only weak focal reactivity in 6 of 17 embryonal carcinomas. Sensitivity and specificity were high for OCT3/4 discriminating seminoma and embryonal carcinoma, and c-kit discriminating seminoma, from other germ cell tumors. For embryonal carcinoma, OCT3/4 had higher specificity (0.94) than CD30 (0.786) owing to CD30 reactivity in 3 of 10 teratomas. Epithelial membrane antigen discriminated teratoma from other nonseminomas with a sensitivity of 1 but reacted occasionally in embryonal carcinoma (3/15) and yolk sac tumor (2/7). In conclusion, for extragonadal seminoma, OCT3/4, AP-2gamma, D2-40, and c-kit were equivalently superior to PLAP. For embryonal carcinoma, OCT3/4 was superior to PLAP and more specific than CD30. D2-40 is recommended to discriminate between seminoma and embryonal carcinoma.

Eyes-Closed Increases the Usability of Brain-Computer Interfaces Based on Auditory Event-Related Potentials.

Recent research has demonstrated how brain-computer interfaces (BCI) based on auditory stimuli can be used for communication and rehabilitation. In these applications, users are commonly instructed to avoid eye movements while keeping their eyes open. This secondary task can lead to exhaustion and subjects may not succeed in suppressing eye movements. In this work, we investigate the option to use a BCI with eyes-closed. Twelve healthy subjects participated in a single electroencephalography (EEG) session where they were listening to a rapid stream of bisyllabic words while alternatively having their eyes open or closed. In addition, we assessed usability aspects for the two conditions with a questionnaire. Our analysis shows that eyes-closed does not reduce the number of eye artifacts and that event-related potential (ERP) responses and classification accuracies are comparable between both conditions. Importantly, we found that subjects expressed a significant general preference toward the eyes-closed condition and were also less tensed in that condition. Furthermore, switching between eyes-closed and eyes-open and vice versa is possible without a severe drop in classification accuracy. These findings suggest that eyes-closed should be considered as a viable alternative in auditory BCIs that might be especially useful for subjects with limited control over their eye movements.

Patterns of chronic injury in pediatric renal allografts.

BACKGROUND: In pediatric recipients, the pathophysiology of chronic renal allograft injury is poorly understood. METHODS: We studied the evolution and determinants of tubulointerstitial, vascular, and glomerular injury in 240 pediatric protocol renal allograft biopsies during the first 5 years posttransplant. RESULTS: Chronic tubulointerstitial injury (ci, ct) developed predominantly during the first 12 months posttransplant, whereas chronic vascular damage (cv, and arteriolar hyalinosis [ah]) and global glomerulosclerosis (gs) became increasingly prevalent at 25 to 36 months and beyond. Chronic interstitial lesions were associated with acute rejection and borderline histology (odds ratio [OR] 2.3, P<0.04), recipient body surface area less than 1.0 m2 (OR 3.6, P<0.05), and obesity (OR 2.0, P<0.03). Determinants of ct were acute rejection (OR 2.6, P=0.02) and acute tubular necrosis (OR 2.8, P<0.04). Vascular fibrous intimal thickening and ah were associated with donor hypertension (OR 3.6, P=0.001) and recipient body surface area less than 1.0 m (OR 2.6, P=0.02), respectively. The severity of ah correlated with the incidence of gs (r=0.32, P<0.0001), with 7.8% gs for ah0, 14.3% gs for ah1, 60.0% gs for ah2, and 95.5% gs for ah3 (median values). Antibody induction conferred protection from ci (OR 0.31, P=0.008), ct (OR 0.33, P=0.002), and ah (OR 0.12, P<0.001) progression. CONCLUSIONS: By 5 years posttransplant, pediatric renal allografts manifest a substantial burden of tubulointerstitial and microvascular injury. These lesions are associated with donor hypertension, acute inflammation, renal hypoperfusion, obesity, and calcineurin inhibitor toxicity. The pervasiveness and rapid progression of microvascular lesions at 25 to 36 months suggest that attempts at reducing calcineurin inhibitor exposure should be made before two years posttransplant.