Clinical application and future prespectives of brain?computer interface.

Brain - computer interface (BCI) technology, by establishing direct communication pathways between the brain and external devices, has brought groundbreaking advancements to the diagnosis, treatment and rehabilitation of neurological disorders. A typical BCI system comprises the core steps of "signa...

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Publicado en:Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 26; no. 1; pp. 13 - 21
Autores principales: ZHI, Di-xuan, JIN, Lei, WANG, Yi-he, SHAN, Yong-zhi
Formato: Journal Article
Publicado: Chinese Journal of Contemporary Neurology & Neurosurgery Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
      vid: 26
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      pub: Chinese Journal of Contemporary Neurology & Neurosurgery
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        191474744
        10.3969/j.issn.1672-6731.2026.01.003
        191474744
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        atl: Clinical application and future prespectives of brain?computer interface.
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        au:
          ZHI, Di-xuan
          JIN, Lei
          WANG, Yi-he
          SHAN, Yong-zhi
        affil: Department of Neurosurgery; Epilepsy Clinical Diagnosis and Treatment Research Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
      sug:
        subj:
          User-Computer Interface
          Technology Utilization
          Technology Ethical Issues
          Neurology
          Neurosurgery
          Paradigms
          Neural Networks (Computer)
          Electric Stimulation
          Vagal Stimulation
          Deep Brain Stimulation
          Noninvasive Procedures
          Minimally Invasive Procedures
          Invasive Procedures
          Nervous System Diseases Diagnosis
          Nervous System Diseases Therapy
          Nervous System Diseases Rehabilitation
          Feedback
      ab: Brain - computer interface (BCI) technology, by establishing direct communication pathways between the brain and external devices, has brought groundbreaking advancements to the diagnosis, treatment and rehabilitation of neurological disorders. A typical BCI system comprises the core steps of "signal acquisition - decoding - control - feedback", an architecture that aligns closely with closed- loop neuromodulation systems, such as responsive neurostimulation (RNS) for epilepsy, which follows a "recording - decoding - intervention" paradigm. Thus, closed - loop neuromodulation can be viewed as an integrated form of BCI designed for specific therapeutic objectives. Currently, BCI has demonstrated significant potential in replacing, restoring and enhancing neural functions across various clinical domains, including the management of drug-resistant epilepsy, motor rehabilitation post-stroke, neuromodulation for Parkinson's disease, functional compensation in spinal cord injury, and objective assessment of consciousness disorder. However, the technology still faces multiple challenges, including biocompatibility, signal stability, algorithmic generalizability, clinical standardization, and ethical-regulatory considerations. This review systematically examines the clinical progress of BCI, with the aim of outlining its technological classifications (non - invasive, partially invasive, and invasive), current applications, and key issues. Furthermore, it explores future directions, such as high - precision bidirectional closed - loop interaction, multimodal neuromodulation integration, intelligent virtual rehabilitation systems, and international collaborative standardization. Ultimately, this review seeks to contribute to the evolution of BCI from an assistive tool toward an intelligent integrated paradigm, laying the groundwork for precision neurology.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: Chinese
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