restoring neural function through neural prosthetic “bypass” ziv williams, md associate...

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Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences and Technology Faculty, Harvard Medical School Program in Neuroscience Massachusetts General Hospital Harvard Medical School Boston, MA 02114

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Page 1: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Restoring neural function through neural prosthetic “bypass”

Ziv Williams, MD

Associate Professor in Neurosurgery

Faculty, Harvard-MIT Health Sciences and Technology

Faculty, Harvard Medical School Program in Neuroscience

Massachusetts General Hospital

Harvard Medical School

Boston, MA 02114

Page 2: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Re-growing disrupted CNS circuits

Page 3: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Brain-machine-interface

• No need to restore normal physiological continuity• In principal, can be learned very rapidly (hours to

days)• Has the potential for recovering full motor function

(across multiple degrees of freedom)

Page 4: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Williams, et al. Nature Neurosci. 2003Williams et al. Exp Brain Res. 2005

Page 5: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 6: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Decoding neural activity based on native directional tuning

Vx (t) = a + =-m

n w()n(t ) (t)

Vx position along the x-axis t timet time laga y-interceptn neuronal firing ratew weight for each neuron e residual error

• Model training• Model decoding

Page 7: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 8: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Functional cortical-to-spinal bypass

• Benefit of restoring one’s own paralyzed limb.

• In principal, can be used to functionally connect any proximal and distal neural site.

• Cortical to spinal • Cortical to nerve• Cortical to muscle

Page 9: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 10: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Shanechi M, et al. Nature Neurosci. 2012Shanechi M, et al. Nature Comm. 2014

Brain - Neural recordings

Spinal cord - Neural stimulation

Page 11: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 12: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 13: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Restoring other motor functions

• Premotor cortex – planned target of movement

• Primary motor cortex – ongoing trajectory

• Supplementary motor area – movement sequences

Page 14: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

1:1

( | ) ) exp( ( | )( | ) ( 1:12)ck

KcK

k

Ni c i c ik Sp N k iSS

Page 15: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Shanechi M, et al. Nature Neurosci. 2012

Page 16: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Motor control based on native neural plasticity?

• In principal, any brain area.

Williams Z, et al. Nature Neurosci. 2006Haroush K & Williams Z. Cell 2015

Page 17: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 18: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Body-to-brain functional bypass (sensation)

Page 20: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences
Page 22: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

Thank you

Page 23: Restoring neural function through neural prosthetic “bypass” Ziv Williams, MD Associate Professor in Neurosurgery Faculty, Harvard-MIT Health Sciences

• Shanechi M, Hu R, Williams Z. A cortical-spinal neural prosthesis for targeted limb movement in paralyzed primate avatars. Nature Comm. 2014 Feb 18;5:3237.

• Haslinger R, Pipa G, Lewis LD, Nikolić D, Williams Z, Brown E. Encoding through patterns: regression tree-based neuronal population models. Neural Comput. 2013 Aug;25(8):1953-93.

• Shanechi MM, Hu RC, Powers M, Wornell GW, Brown EN, Williams Z. Neural population partitioning and a concurrent brain-machine interface for sequential motor function. Nature Neurosci. 2012 Dec;15(12):1715-22.

• Williams Z, Eskandar EN. Selective enhancement of associative learning by microstimulation of the anterior caudate. Nature Neurosci. 9: 562-8, 2006.

• NIH 1R01 HD059852• NIH 1R01 NS091390• NIH F32N S093769• PECASE

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