[HN Gopher] Brain implant lets man with complete paralysis spell...
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       Brain implant lets man with complete paralysis spell out thoughts
        
       Author : andrewgioia
       Score  : 179 points
       Date   : 2022-03-25 12:20 UTC (10 hours ago)
        
 (HTM) web link (www.science.org)
 (TXT) w3m dump (www.science.org)
        
       | AussieWog93 wrote:
       | I started (and quit) a PhD based on the Machine Learning
       | algorithms used for BCI systems such as this.
       | 
       | Every 6-12 months, someone will write a puff piece about their
       | research in order to get grant money[1]/street cred. And every
       | time, HN responds as if it's sci-fi tech from the future and I
       | shit on everybody's dreams.
       | 
       | So here we go:
       | 
       | At a glance, nothing about this system in particular is new. It
       | seems to solve the same problems as older invasive arrays from 15
       | years ago, with the same deal-breaking flaw still unfixed
       | (namely, the body rejecting the implant over time).
       | 
       | He had OK-ish performance in a single patient (one character per
       | minute on a good day), but single-patient performance is
       | misleading as it's very common for a system to work with one
       | "golden" patient but not others. Interestingly, no real research
       | has been done (at least, none as of 4 years ago) to look into why
       | this is the case - most "breakthroughs" are people throwing
       | machine-learning spaghetti at the wall to cover up deliberately
       | flawed benchmarking. (To be fair, this is more of a comment on
       | the field as a whole than this particular trial. His results seem
       | honest and humble.)
       | 
       | The field is going nowhere, and this article is yet another
       | shining example of this. Nothing will ever be achieved until we
       | abandon the current paradigm and actually learn more about the
       | underlying neurophysiology (or possibly create batshit-insane
       | sensors).
       | 
       | [1] They actually explicitly mention this in the article this
       | time, which is pretty bold:
       | 
       | >Chaudhary's foundation is seeking funding to give similar
       | implants to several more people with ALS. He estimates the system
       | would cost close to $500,000 over the first 2 years.
        
         | soperj wrote:
         | Curious why they go through each letter saying yes or no,
         | instead of just teaching them how to pick letters based on a
         | binary output (ie: a= 00000, b=00001)? you'd think the
         | characters per minute would increase dramatically.
        
           | tgb wrote:
           | There's relevant scenes to this in the Stephen Hawking
           | biopic, The Theory of Everything.
        
           | tobylane wrote:
           | Morse code, where dot is 'think about tennis' and dash is
           | 'think about home'?
           | 
           | https://amp.theguardian.com/science/2010/feb/03/vegetative-s.
           | ..
        
           | hackmiester wrote:
           | It occurs to me that this is a binary search on the alphabet,
           | but could be made into a much more human-compatible format:
           | "Is the letter in the first half of the alphabet?" "Is the
           | letter between A and F?"
        
             | soperj wrote:
             | yeah, I guess you'd start with the first 13/last 13 and
             | break it down in halves from there. It would take only 6
             | choices to pick a letter. I still think memorizing the
             | binary version of the letters would be faster, and wouldn't
             | take all that long considering the amount of use.
        
               | dn3500 wrote:
               | The code is (or can be) the same either way. I imagine
               | after a few days the user would memorize the codes for
               | the letters and skip the prompts.
               | 
               | On a related note, one character per minute is about the
               | same speed as the first trans-atlantic telegraph cable in
               | 1858.
        
         | blahblarblar wrote:
         | When I was in neuroscience I came to the same conclusion.
         | People just keep trying new ways to do information processing
         | which is really easy and fun. Solving the biology and material
         | science problems are fucking hard and high risk, as in, if you
         | try you'll probably fail. It's going to be a very long time
         | before these things are solved. Not to criticize because I'm
         | also too cowardly to try tackling those problems for the
         | aforementioned reasons.
        
         | fossuser wrote:
         | Any thoughts on Neuralink's work/approach?
        
           | gibolt wrote:
           | The promise is significantly reduced device costs for far
           | superior electrode counts. Even if it can't interpret yet,
           | the ability to get a more nuanced look at the firing of
           | neurons should be a huge benefit to help increase
           | understanding
        
         | bufferoverflow wrote:
        
         | tikwidd wrote:
         | I wish all that grant money was spent on trying to cure the
         | underlying diseases.
        
         | eminence32 wrote:
         | I don't really know much about this field. Can you say more
         | about what "batshit-insane sensors" might entail?
        
         | daedalus_f wrote:
         | As pointed out by hprotagonist in a comment below, there have
         | also been claims of research misconduct claims made against the
         | principle researchers involved with this group. So not exactly
         | promising. https://news.ycombinator.com/item?id=30773013
        
         | caycep wrote:
         | I feel like this is science research in general - it's a battle
         | for money, and only a few groups really manage great research
         | vs. doing the whole grant application shuffle.
         | 
         | What do you think about the few groups actually doing electrode
         | design (i.e. there was a UC Berkeley/Lawrence Livermore group
         | looking at electrode designs)?
         | 
         | Vs. I think most of the innovations in BCI engineering happen
         | to be in the commercial sector (i.e. deep brain stimulation
         | electrodes from Boston Sci, Medtronic, Abbott, the arrays from
         | Black Rock in Utah, Neuralynx, etc).
        
         | FieryTransition wrote:
         | Would you kindly care to explain how the field should change
         | paradigm? Do you mean that " black boxing" the brain with
         | input/output and hoping something will emerge is a non-
         | productive endeavour, and that the neurophysiology, like a
         | bottom up approach from biology/neuroscience, is the way to go?
         | 
         | I'm a comp-sci student too, and considering what possibilities
         | there are for studying BCI, machine intelligence and the brain.
         | But I think that maybe, having approached it from a more
         | biologically oriented angle would have been better. After
         | having read "On intelligence" I'm just more aware how
         | disconnected our modelling of intelligence and the brain/BCI
         | is. On one hand, there's just "throw more computing power at
         | it", and the other, there's cutting a fruit fly's brain into
         | slices and building a special machine just to do so, while
         | afterwards scanning the resulting pathways [0]. We can't even
         | understand brains way less complex than our own, so I fear that
         | a bottom up approach is way beyond my lifetime. I remember a
         | Danish neuroscientist once said, that there's a higher chance
         | to understand every star in the universe, before we understand
         | the inner workings of the human brain.
         | 
         | Do you mind me asking, what did you do instead?
         | 
         | [0] https://ai.googleblog.com/2019/08/an-interactive-
         | automated-3...
        
       | andrewgioia wrote:
       | Unbelievably hopeful and tragic at the same time. That he could
       | learn to control electrode implants to communicate (in an albeit
       | "rudimentary" way) is just incredible, but I can't imagine the
       | feelings of unfairness at such a young age for him. Hopefully
       | there's a path here to help others communicate much longer than
       | they'd otherwise be able to.
       | 
       | One of the other sentences he made out was "I love my cool son,"
       | which hit particularly close to home given I'm the same age as
       | well. Oy.
        
       | thatjoeoverthr wrote:
       | Has anyone else noticed this is sort of a permanent story? I've
       | read it as news verbatim at least once a year since the 90s. It's
       | the "Russian bombers intercepted" of medical science. This
       | article is better than most, acknowledging prior work but only to
       | a few years.
        
         | burrows wrote:
         | Are you sure it's the same story?
         | 
         | Or are we seeing reports of incremental improvements to
         | technologies for communicating with locked-in people.
        
         | icoder wrote:
         | Not sure if relevant but it's good to distinguish techniques
         | that are in the end based on muscle activity, which, even if
         | the tiniest ones around the eye, give VERY strong electrical
         | signals compared to brain activity. That's what basically makes
         | the 'consumer variants' tick as well.
         | 
         | This article seems to be actually, entirely, and directly based
         | on brain activity.
        
         | Taylor_OD wrote:
         | There is a difference between using a brain implant and other
         | devices like eye trackers and some type of muscle translator.
         | 
         | I've seen a lot of the latter. I don't think I've ever seen the
         | former.
        
       | juice_bus wrote:
       | One more step towards Lock In[0] sort of becoming real.
       | 
       | [0] https://en.wikipedia.org/wiki/Lock_In
        
       | ramesh31 wrote:
       | Now imagine he had a cochlear implant with bluetooth that allowed
       | for two way communication. That's telepathy.
        
         | robertlagrant wrote:
         | First episode of Shark Tank[1] has you covered.
         | 
         | [1] https://sharktanktales.com/ionic-ear-shark-tank-update/
        
       | coffeeblack wrote:
       | Isn't that what Musk's Neuralink is doing? They automated the
       | invasive surgery to install the device, and their device has
       | thousands of wires to read neuronal signals.
        
         | itsoktocry wrote:
         | Is there any peer-reviewed literature on what technology or
         | advances Neuralink has? It's purported to do these things, but
         | a lot of what I've seen is skeptical.
        
           | JPLeRouzic wrote:
           | There are a few publications by people with some connection
           | with Neuralink. For example:
           | 
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914248/
           | 
           | (Elon Musk is author of this publication)
           | 
           | https://pubmed.ncbi.nlm.nih.gov/34140486/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33955717/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33894832/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33784612/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33236720/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33080229/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/31996696/
        
             | bcj7393nsk wrote:
        
       | a0-prw wrote:
       | How did they get informed consent ?
        
         | mkmk wrote:
         | From the article: "His wife and sister provided written consent
         | for the surgery."
        
       | lettergram wrote:
       | I've seen and built systems that are far less invasive --
       | 
       | https://agenda.hep.wisc.edu/event/792/contributions/18594/at...
       | 
       | With accuracy on par or better than described:
       | 
       | > He eventually explained to the team that he modulated the tone
       | by trying to move his eyes. But he did not always succeed. Only
       | on 107 of 135 days reported in the study could he match a series
       | of target tones with 80% accuracy, and only on 44 of those 107
       | could he produce an intelligible sentence.
       | 
       | In fact, some of these successful efforts were done back in the
       | early 2000s.
       | 
       | From the article:
       | 
       | > Researchers inserted two square electrode arrays, 3.2
       | millimeters wide, into a part of the brain that controls
       | movement. When they asked the man to try to move his hands, feet,
       | head, and eyes, the neural signals weren't consistent enough to
       | answer yes-or-no questions, says Ujwal Chaudhary, a biomedical
       | engineer and neurotechnologist at the German nonprofit ALS Voice.
       | 
       | The speed and accuracy does take a hit using external nodes, but
       | brain implants are frankly dangerous. They come with serious
       | risks.
        
         | icoder wrote:
         | Does your less invasive solution work with fully locked in
         | patients? Often these solutions rely (partially) on some tiny
         | muscle activity still working, which they don't have. At least
         | that was what I've been taught some time ago (could be early
         | 2000s), and what's for sure hard to rule out in 'healthy'
         | patients.
        
           | lettergram wrote:
           | It was developed for fully locked in patients, who have eye
           | control. It uses a very similar mechanism except it's slower.
           | Effectively you have to look at characters on a screen to
           | type.
        
         | burrows wrote:
         | Are the risks associated with invasiveness fixed (eg, there
         | will always be at least a 1/15000 chance that a patient dies
         | within the first year of receiving a neural implant), or can
         | they be reduced with better technology and more understanding
         | of the brain?
        
           | lettergram wrote:
           | At the moment, there will always be damage.
           | 
           | There's also risks associated with the surgery (that'll be
           | much higher than 1/15,000; you're probably talking at least
           | 1/1000 just for risk of initial surgery).
           | 
           | Further, no implants last forever. They develop scar tissue
           | around the implant. So you'll have multiple surgeries if you
           | survive years.
           | 
           | Technology can mitigate much of that risk, but we are pretty
           | far away from removing risk. We also will need multiple major
           | independent breakthroughs.
        
       | hprotagonist wrote:
       | https://news.ycombinator.com/item?id=30773013 Previously:
       | 
       |  _The study comes in the context of past findings of serious
       | misconduct against Birbaumer and Chaudhary. The findings
       | concerned the data and analysis in two previous papers published
       | in PLoS Biology. The two articles, subsequently retracted, also
       | concerned the use of brain activity to decode the thoughts of
       | completely locked-in patients. The German research agency,
       | Deutsche Forschungsgemeinschaft (DFG) found that the scientists
       | failed to show complete analysis of their data and patient
       | examinations in these previous studies and made false statements.
       | The allegations do not relate to the findings of the current
       | research which involved different methodology, supervision and
       | analysis. In a statement to Technology Networks, Birbaumer said
       | that the new study "shows that all accusations are wrong" and
       | suggested that additional forthcoming legal developments would
       | further exonerate his and Chaudhary's prior research._
        
       | adam12 wrote:
       | "I would like to listen to the album by Tool loud"
       | 
       | That sentence speaks volumes to me.
        
         | olyjohn wrote:
         | I hope that somebody got the man a stereo, and turned it way
         | up. Not just some random bluetooth speaker crap, like a real
         | stereo. Loud, full and clear.
        
         | AdmiralAsshat wrote:
         | We don't know _which_ Tool album he wanted, although various
         | Rock /Metal sites that posted this article wondered if perhaps
         | the lyrics to "Parabola" might be resonating with him at the
         | moment.
        
           | excalibur wrote:
           | Might as well play them all, it's not like he has anything
           | better to do.
        
         | soperj wrote:
         | Honestly seems like the perfect choice considering Maynard
         | Keenan's mother, and her struggles being the subject of a bunch
         | of his songs.
        
           | jckahn wrote:
           | 10,000 Days couldn't be more fitting of a request. But given
           | how long he's been out I think the humane choice would be
           | Fear Inoculum so he could finally get caught up!
        
         | ______-_-______ wrote:
         | > he made dozens of sentences at a painstaking rate of about
         | one character per minute
         | 
         | It's a good thing he wanted a band with a nice short name.
         | Imagine if he was a fan of these guys https://www.metal-
         | archives.com/bands/Paracoccidioidomicosisp...
        
           | ChrisGranger wrote:
           | https://www.metal-
           | archives.com/bands/Eximperituserqethhzebib... has entered the
           | chat.
        
       | [deleted]
        
       | mcdonje wrote:
       | 50 years from now, complete paralysis will be no excuse for not
       | having a job. /s
        
       | telesilla wrote:
       | A welcome upgrade to The Diving Bell and the Butterfly
       | 
       | https://en.wikipedia.org/wiki/The_Diving_Bell_and_the_Butter...
        
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       (page generated 2022-03-25 23:01 UTC)