Future Brain-computer Interface Research Articles

Caregivers in implantable brain-computer interface research: a scoping review.

While the ethical significance of caregivers in neurological research has increasingly been recognized, the role of caregivers in brain-computer interface (BCI) research has received relatively less attention. This report investigates the extent to which caregivers are mentioned in publications describing implantable BCI (iBCI) research for individuals with motor dysfunction, communication impairment, and blindness. The scoping review was conducted in June 2024 using the PubMed and Web of Science bibliographic databases. The articles were systematically searched using query terms for caregivers, family members, and guardians, and the results were quantitatively and qualitatively analyzed. Our search yielded 315 unique studies, 78 of which were included in this scoping review. Thirty-four (43.6%) of the 78 articles mentioned the study participant's caregivers. We sorted these into 5 categories: Twenty-two (64.7%) of the 34 articles thanked caregivers in the acknowledgement section, 6 (17.6%) articles described the caregiver's role with regard to the consent process, 12 (35.3%) described the caregiver's role in the technical maintenance and upkeep of the BCI system or in other procedural aspects of the study, 9 (26.5%) discussed how the BCI enhanced participant communication and goal-directed behavior with the help of a caregiver, and 3 (8.8%) articles included general comments that did not fit into the other categories but still related to the importance of caregivers in the lives of the research participants. Caregivers were mentioned in less than half of BCI studies in this review. The studies that offered more robust discussions of caregivers provide valuable insight into the integral role that caregivers play in supporting the study participants and the research process. Attention to the role of caregivers in successful BCI research studies can help guide the responsible development of future BCI study protocols.

Improving non-invasive trajectory decoding via neural correlates of continuous erroneous feedback processing

Objective. Over the last decades, error-related potentials (ErrPs) have repeatedly proven especially useful as corrective mechanisms in invasive and non-invasive brain-computer interfaces (BCIs). However, research in this context exclusively investigated the distinction of discrete events intocorrectorerroneousto the present day. Due to this predominant formulation as a binary classification problem, classical ErrP-based BCIs fail to monitor tasks demanding quantitative information on error severity rather than mere qualitative decisions on error occurrence. As a result, fine-tuned and natural feedback control based on continuously perceived deviations from an intended target remains beyond the capabilities of previously used BCI setups.Approach.To address this issue for future BCI designs, we investigated the feasibility of regressing rather than classifying error-related activity non-invasively from the brain.Main results.Using pre-recorded data from ten able-bodied participants in three sessions each and a multi-output convolutional neural network, we demonstrated the above-chance regression of ongoing target-feedback discrepancies from brain signals in a pseudo-online fashion. In a second step, we used this inferred information about the target deviation to correct the initially displayed feedback accordingly, reporting significant improvements in correlations between corrected feedback and target trajectories across feedback conditions.Significance.Our results indicate that continuous information on target-feedback discrepancies can be successfully regressed from cortical activity, paving the way to increasingly naturalistic, fine-tuned correction mechanisms for future BCI applications.

Prospectively identifying risks and controls for advanced brain-computer interfaces: A Networked Hazard Analysis and Risk Management System (Net-HARMS) approach

The introduction of advanced digital technologies continues to increase system complexity and introduce risks, which must be proactively identified and managed to support system resilience. Brain-computer interfaces (BCIs) are one such technology; however, the risks arising from broad societal use of the technology have yet to be identified and controlled. This study applied a structured systems thinking-based risk assessment method to prospectively identify risks and risk controls for a hypothetical future BCI system lifecycle. The application of the Networked Hazard Analysis and Risk Management System (Net-HARMS) method identified over 800 risks throughout the BCI system lifecycle, from BCI development and regulation through to BCI use, maintenance, and decommissioning. High-criticality risk themes include the implantation and degradation of unsafe BCIs, unsolicited brain stimulation, incorrect signals being sent to safety-critical technologies, and insufficiently supported BCI users. Over 600 risk controls were identified that could be implemented to support system safety and performance resilience. Overall, many highly-impactful BCI system safety and performance risks may arise throughout the BCI system lifecycle and will require collaborative efforts from a wide range of BCI stakeholders to adequately control. Whilst some of the identified controls are practical, work is required to develop a more systematic set of controls to best support the design of a resilient sociotechnical BCI system.

Brain-computer interfaces and human factors: the role of language and cultural differences-Still a missing gap?

Brain-computer interfaces (BCIs) aim at the non-invasive investigation of brain activity for supporting communication and interaction of the users with their environment by means of brain-machine assisted technologies. Despite technological progress and promising research aimed at understanding the influence of human factors on BCI effectiveness, some topics still remain unexplored. The aim of this article is to discuss why it is important to consider the language of the user, its embodied grounding in perception, action and emotions, and its interaction with cultural differences in information processing in future BCI research. Based on evidence from recent studies, it is proposed that detection of language abilities and language training are two main topics of enquiry of future BCI studies to extend communication among vulnerable and healthy BCI users from bench to bedside and real world applications. In addition, cultural differences shape perception, actions, cognition, language and emotions subjectively, behaviorally as well as neuronally. Therefore, BCI applications should consider cultural differences in information processing to develop culture- and language-sensitive BCI applications for different user groups and BCIs, and investigate the linguistic and cultural contexts in which the BCI will be used.

The lived experiences of play and the perspectives of disabled children and their parents surrounding brain-computer interfaces

Brain-computer interfaces (BCI) offer promise to the play of children with significant physical impairments, as BCI technology can enable disabled children to control computer devices, toys, and robots using only their brain signals. However, there is little research on the unique needs of disabled children when it comes to BCI-enabled play. Thus, this paper explored the lived experiences of play for children with significant physical impairments and examined how BCI could potentially be implemented into disabled children’s play experiences by applying a social model of childhood disability. Descriptive qualitative methodology was employed by conducting four semi-structured interviews with two children with significant physical impairments and their parents. We found that disabled children’s play can be interpreted as passive or active depending on one’s definition and perceptions surrounding play. Moreover, disabled children continue to face physical, economic, and technological barriers in their play, as well as play restrictions from physical impairments. We urge that future research should strive to directly hear from disabled children themselves, as their perspectives may differ from their parents’ views. Also, future BCI development should strive to incorporate video games, recreational and entertainment applications/platforms, toys and switch-adapted toys, and power wheelchairs to better support the play of children with significant physical impairments. Implications for Rehabilitation Assistive technology research should strive to examine the social, infrastructural, and environmental barriers that continue to disable and restrict participation for disabled children and their families through applying a social model of childhood disability and other holistic frameworks that look beyond individual factors Future research that examines the needs and lives of disabled children should strive to directly seek the opinions and perspectives of disabled children themselves Brain-computer interface development should strive to incorporate video games, recreational and entertainment applications/platforms, toys and switch-adapted toys, and power wheelchairs to better support the play of children with significant physical impairments

POMDP-BCI: A Benchmark of (Re)Active BCI Using POMDP to Issue Commands.

Past research in Brain-Computer Interfaces (BCI) have presented different decoding algorithms for different modalities. Meanwhile, highly specific decision making processes have been developed for some of these modalities, while others lack such a component in their classic pipeline. The present work proposes a model based on Partially Observable Markov Decission Process (POMDP) that works as a high-level decision making framework for three different active/reactive BCI modalities. We tested our approach on three different BCI modalities using publicly available datasets. We compared the general POMDP model as a decision making process with state of the art methods for each BCI modality. Accuracy, false positive (FP) trials, no-action (NA) trials and average decision time are presented as metrics. Our results show how the presented POMDP models achieve comparable or better performance to the presented baseline methods, while being usable for the three proposed experiments without significant changes. Crucially, it offers the possibility of taking no-action (NA) when the decoding does not perform well. The present work implements a flexible POMDP model that acts as a sequential decision framework for BCI systems that lack such a component, and perform comparably to those that include it. We believe the proposed POMDP framework provides several interesting properties for future BCI developments, mainly the generalizability to any BCI modality and the possible integration of other physiological or brain data pipelines under a unified decision-making framework.

Unleashing the potential of fNIRS with machine learning: classification of fine anatomical movements to empower future brain-computer interface.

In this study, we explore the potential of using functional near-infrared spectroscopy (fNIRS) signals in conjunction with modern machine-learning techniques to classify specific anatomical movements to increase the number of control commands for a possible fNIRS-based brain-computer interface (BCI) applications. The study focuses on novel individual finger-tapping, a well-known task in fNIRS and fMRI studies, but limited to left/right or few fingers. Twenty-four right-handed participants performed the individual finger-tapping task. Data were recorded by using sixteen sources and detectors placed over the motor cortex according to the 10-10 international system. The event's average oxygenated Δ HbO and deoxygenated Δ HbR hemoglobin data were utilized as features to assess the performance of diverse machine learning (ML) models in a challenging multi-class classification setting. These methods include LDA, QDA, MNLR, XGBoost, and RF. A new DL-based model named "Hemo-Net" has been proposed which consists of multiple parallel convolution layers with different filters to extract the features. This paper aims to explore the efficacy of using fNRIS along with ML/DL methods in a multi-class classification task. Complex models like RF, XGBoost, and Hemo-Net produce relatively higher test set accuracy when compared to LDA, MNLR, and QDA. Hemo-Net has depicted a superior performance achieving the highest test set accuracy of 76%, however, in this work, we do not aim at improving the accuracies of models rather we are interested in exploring if fNIRS has the neural signatures to help modern ML/DL methods in multi-class classification which can lead to applications like brain-computer interfaces. Multi-class classification of fine anatomical movements, such as individual finger movements, is difficult to classify with fNIRS data. Traditional ML models like MNLR and LDA show inferior performance compared to the ensemble-based methods of RF and XGBoost. DL-based method Hemo-Net outperforms all methods evaluated in this study and demonstrates a promising future for fNIRS-based BCI applications.

Brain-computer interface digital prescription for neurological disorders.

Neurological and psychiatric diseases can lead to motor, language, emotional disorder, and cognitive, hearing or visual impairment By decoding the intention of the brain in real time, the Brain-computer interface (BCI) can first assist in the diagnosis of diseases, and can also compensate for its damaged function by directly interacting with the environment; In addition, provide output signals in various forms, such as actual motion, tactile or visual feedback, to assist in rehabilitation training; Further intervention in brain disorders is achieved by close-looped neural modulation. In this article, we envision the future BCI digital prescription system for patients with different functional disorders and discuss the key contents in the prescription the brain signals, coding and decoding protocols and interaction paradigms, and assistive technology. Then, we discuss the details that need to be specially included in the digital prescription for different intervention technologies. The third part summarizes previous examples of intervention, focusing on how to select appropriate interaction paradigms for patients with different functional impairments. For the last part, we discussed the indicators and influencing factors in evaluating the therapeutic effect of BCI as intervention.

Granger Causal Inference Based on Dual Laplacian Distribution and Its Application to MI-BCI Classification.

Granger causality-based effective brain connectivity provides a powerful tool to probe the neural mechanism for information processing and the potential features for brain computer interfaces. However, in real applications, traditional Granger causality is prone to the influence of outliers, such as inevitable ocular artifacts, resulting in unreasonable brain linkages and the failure to decipher inherent cognition states. In this work, motivated by constructing the sparse causality brain networks under the strong physiological outlier noise conditions, we proposed a dual Laplacian Granger causality analysis (DLap-GCA) by imposing Laplacian distributions on both model parameters and residuals. In essence, the first Laplacian assumption on residuals will resist the influence of outliers in electroencephalogram (EEG) on causality inference, and the second Laplacian assumption on model parameters will sparsely characterize the intrinsic interactions among multiple brain regions. Through simulation study, we quantitatively verified its effectiveness in suppressing the influence of complex outliers, the stable capacity for model estimation, and sparse network inference. The application to motor-imagery (MI) EEG further reveals that our method can effectively capture the inherent hemispheric lateralization of MI tasks with sparse patterns even under strong noise conditions. The MI classification based on the network features derived from the proposed approach shows higher accuracy than other existing traditional approaches, which is attributed to the discriminative network structures being captured in a timely manner by DLap-GCA even under the single-trial online condition. Basically, these results consistently show its robustness to the influence of complex outliers and the capability of characterizing representative brain networks for cognition information processing, which has the potential to offer reliable network structures for both cognitive studies and future brain-computer interface (BCI) realization.

Channel Selection for Stereo-electroencephalography (SEEG)-based Invasive Brain-Computer Interfaces using Deep Learning Methods.

Brain-computer interfaces (BCIs) can enable direct communication with assistive devices by recording and decoding signals from the brain. To achieve high performance, many electrodes will be used, such as the recently developed invasive BCIs with channel numbers up to hundreds or even thousands. For those high-throughput BCIs, channel selection is important to reduce signal redundancy and invasiveness while maintaining decoding performance. However, such endeavour is rarely reported for invasive BCIs, especially those using deep learning methods. Two deep learning-based methods, referred to as Gumbel and STG, were proposed in this paper. They were evaluated using the Stereo-electroencephalography (SEEG) signals, and compared with three other methods, including manual selection, mutual information-based method (MI), and all channels (all channels without selection). The task is to classify the SEEG signals into five movements using channels selected by each method. When 10 channels were selected, the mean classification accuracies using Gumbel, STG (referred to as STG-10), manual selection, and MI selection were 65%, 60%, 60%, and 47%, respectively, whilst the accuracy was 59% using all channels (no selection). In addition, an investigation of the selected channels showed that Gumbel and STG have successfully identified the pre-central and post-central areas, which are closely related to motor control. Both Gumbel and STG successfully selected the informative channels in SEEG recordings while maintaining decoding accuracy. This study enables future high-throughput BCIs using deep learning methods, to identify useful channels and reduce computing and wireless transmission pressure.

Rapid-IAF: Rapid Identification of Individual Alpha Frequency in EEG Data Using Sequential Bayesian Estimation.

Rapid and robust identification of the individual alpha frequency (IAF) in electroencephalogram (EEG) is an essential factor for successful brain-computer interface (BCI) use. Here we demonstrate an algorithm to determine the IAF from short-term resting-state scalp EEG data. First, we outlined the algorithm to determine IAF from short-term resting scalp EEG data and evaluated its reliability using a large-scale dataset of scalp EEG during motor imagery-based BCI use and independent dataset for generalizability confirmation (N = 147). Next, we characterized the relationship between IAF and responsive frequency band of sensorimotor rhythm, which exhibits prominent event-related desynchronization (SMR-ERD) while attempting unilateral and movement. The proposed sequential Bayesian estimation algorithm (Rapid-IAF) determined IAF from less than 26-second resting EEG data among 95% of participants, indicating a clear advance over the conventional methods, which uses 2-15 minutes of data in previous literatures. We confirmed that the determined IAF corresponded to the frequency of SMR, which exhibits the most prominent event-related desynchronization during BCI use (individual SMR-ERD frequency, ISF). Moreover, intraclass correlation revealed that the estimated IAF was more stable than ISF across sessions, suggesting its reliability and utility for robust BCI use without intermittent recalibration. Conclusion In summary, our method rapidly and reliably determined IAF compared to the conventional method using the spectral power change based on task-related response. The method can be utilized to quick BCI initialization. The demonstration of rapid, task-free parametrization of individual variability of neural responses would be of importance for future BCI systems including neural communication via a cursor, an avatar or robots, and closed-loop neurofeedback training.

Recommendations for promoting user agency in the design of speech neuroprostheses.

Brain-computer interfaces (BCI) that directly decode speech from brain activity aim to restore communication in people with paralysis who cannot speak. Despite recent advances, neural inference of speech remains imperfect, limiting the ability for speech BCIs to enable experiences such as fluent conversation that promote agency - that is, the ability for users to author and transmit messages enacting their intentions. Here, we make recommendations for promoting agency based on existing and emerging strategies in neural engineering. The focus is on achieving fast, accurate, and reliable performance while ensuring volitional control over when a decoder is engaged, what exactly is decoded, and how messages are expressed. Additionally, alongside neuroscientific progress within controlled experimental settings, we argue that a parallel line of research must consider how to translate experimental successes into real-world environments. While such research will ultimately require input from prospective users, here we identify and describe design choices inspired by human-factors work conducted in existing fields of assistive technology, which address practical issues likely to emerge in future real-world speech BCI applications.

Brain-Computer Integration: A Framework for the Design of Brain-Computer Interfaces from an Integrations Perspective

Brain-computer interface (BCI) systems hold the potential to foster human flourishing and self-actualization. However, we believe contemporary BCI system design approaches unnecessarily limit these potentialities as they are approached from a traditional interaction perspective, producing command-response experiences. This article proposes to go beyond “interaction” and toward a paradigm of human-computer integration. The potential of this paradigm is demonstrated through three prototypes: Inter-Dream, a system that integrates with the brain's autonomic physiological processes to drive users toward healthy sleep states; Neo-Noumena, a system that integrates with the user's affective neurophysiology to augment the interpersonal communication of emotion; and PsiNet, a system that integrates interpersonal brain activity to amplify human connection. Studies of these prototypes demonstrate the benefits of the integration paradigm in realizing the multifaceted benefits of BCI systems, and this work presents the brain-computer integration framework to help guide designers of future BCI integrations.

Scalable, modular continuous wave functional near-infrared spectroscopy system (Spotlight).

We present a fiberless, portable, and modular continuous wave-functional near-infrared spectroscopy system, Spotlight, consisting of multiple palm-sized modules-each containing high-density light-emitting diode and silicon photomultiplier detector arrays embedded in a flexible membrane that facilitates optode coupling to scalp curvature. Spotlight's goal is to be a more portable, accessible, and powerful functional near-infrared spectroscopy (fNIRS) device for neuroscience and brain-computer interface (BCI) applications. We hope that the Spotlight designs we share here can spur more advances in fNIRS technology and better enable future non-invasive neuroscience and BCI research. We report sensor characteristics in system validation on phantoms and motor cortical hemodynamic responses in a human finger-tapping experiment, where subjects wore custom 3D-printed caps with two sensor modules. The task conditions can be decoded offline with a median accuracy of 69.6%, reaching 94.7% for the best subject, and at a comparable accuracy in real time for a subset of subjects. We quantified how well the custom caps fitted to each subject and observed that better fit leads to more observed task-dependent hemodynamic response and better decoding accuracy. The advances presented here should serve to make fNIRS more accessible for BCI applications.

Magnetoencephalogram-based brain-computer interface for hand-gesture decoding using deep learning.

Advancements in deep learning algorithms over the past decade have led to extensive developments in brain-computer interfaces (BCI). A promising imaging modality for BCI is magnetoencephalography (MEG), which is a non-invasive functional imaging technique. The present study developed a MEG sensor-based BCI neural network to decode Rock-Paper-scissors gestures (MEG-RPSnet). Unique preprocessing pipelines in tandem with convolutional neural network deep-learning models accurately classified gestures. On a single-trial basis, we found an average of 85.56% classification accuracy in 12 subjects. Our MEG-RPSnet model outperformed two state-of-the-art neural network architectures for electroencephalogram-based BCI as well as a traditional machine learning method, and demonstrated equivalent and/or better performance than machine learning methods that have employed invasive, electrocorticography-based BCI using the same task. In addition, MEG-RPSnet classification performance using an intra-subject approach outperformed a model that used a cross-subject approach. Remarkably, we also found that when using only central-parietal-occipital regional sensors or occipitotemporal regional sensors, the deep learning model achieved classification performances that were similar to the whole-brain sensor model. The MEG-RSPnet model also distinguished neuronal features of individual hand gestures with very good accuracy. Altogether, these results show that noninvasive MEG-based BCI applications hold promise for future BCI developments in hand-gesture decoding.

Automatic Emotion Recognition from EEG Signals Using a Combination of Type-2 Fuzzy and Deep Convolutional Networks

Emotions are an inextricably linked component of human life. Automatic emotion recognition can be widely used in brain–computer interfaces. This study presents a new model for automatic emotion recognition from electroencephalography signals based on a combination of deep learning and fuzzy networks, which can recognize two different emotions: positive, and negative. To accomplish this, a standard database based on musical stimulation using EEG signals was compiled. Then, to deal with the phenomenon of overfitting, generative adversarial networks were used to augment the data. The generative adversarial network output is fed into the proposed model, which is based on improved deep convolutional networks with type-2 fuzzy activation functions. Finally, in two separate class, two positive and two negative emotions were classified. In the classification of the two classes, the proposed model achieved an accuracy of more than 98%. In addition, when compared to previous studies, the proposed model performed well and can be used in future brain–computer interface applications.

Non-human primate models and systems for gait and neurophysiological analysis.

Brain-computer interfaces (BCIs) have garnered extensive interest and become a groundbreaking technology to restore movement, tactile sense, and communication in patients. Prior to their use in human subjects, clinical BCIs require rigorous validation and verification (V&V). Non-human primates (NHPs) are often considered the ultimate and widely used animal model for neuroscience studies, including BCIs V&V, due to their proximity to humans. This literature review summarizes 94 NHP gait analysis studies until 1 June, 2022, including seven BCI-oriented studies. Due to technological limitations, most of these studies used wired neural recordings to access electrophysiological data. However, wireless neural recording systems for NHPs enabled neuroscience research in humans, and many on NHP locomotion, while posing numerous technical challenges, such as signal quality, data throughout, working distance, size, and power constraint, that have yet to be overcome. Besides neurological data, motion capture (MoCap) systems are usually required in BCI and gait studies to capture locomotion kinematics. However, current studies have exclusively relied on image processing-based MoCap systems, which have insufficient accuracy (error: ≥4° and 9 mm). While the role of the motor cortex during locomotion is still unclear and worth further exploration, future BCI and gait studies require simultaneous, high-speed, accurate neurophysiological, and movement measures. Therefore, the infrared MoCap system which has high accuracy and speed, together with a high spatiotemporal resolution neural recording system, may expand the scope and improve the quality of the motor and neurophysiological analysis in NHPs.

Sensing and Stimulation Applications of Carbon Nanomaterials in Implantable Brain-Computer Interface.

Implantable brain-computer interfaces (BCIs) are crucial tools for translating basic neuroscience concepts into clinical disease diagnosis and therapy. Among the various components of the technological chain that increases the sensing and stimulation functions of implanted BCI, the interface materials play a critical role. Carbon nanomaterials, with their superior electrical, structural, chemical, and biological capabilities, have become increasingly popular in this field. They have contributed significantly to advancing BCIs by improving the sensor signal quality of electrical and chemical signals, enhancing the impedance and stability of stimulating electrodes, and precisely modulating neural function or inhibiting inflammatory responses through drug release. This comprehensive review provides an overview of carbon nanomaterials' contributions to the field of BCI and discusses their potential applications. The topic is broadened to include the use of such materials in the field of bioelectronic interfaces, as well as the potential challenges that may arise in future implantable BCI research and development. By exploring these issues, this review aims to provide insight into the exciting developments and opportunities that lie ahead in this rapidly evolving field.

A Spiking Neural Network with Adaptive Graph Convolution and LSTM for EEG-Based Brain-Computer Interfaces.

Electroencephalography (EEG) signals classification is essential for the brain-computer interface (BCI). Recently, energy-efficient spiking neural networks (SNNs) have shown great potential in EEG analysis due to their ability to capture the complex dynamic properties of biological neurons while also processing stimulus information through precisely timed spike trains. However, most existing methods do not effectively mine the specific spatial topology of EEG channels and temporal dependencies of the encoded EEG spikes. Moreover, most are designed for specific BCI tasks and lack some generality. Hence, this study presents a novel SNN model with the customized spike-based adaptive graph convolution and long short-term memory (LSTM), termed SGLNet, for EEG-based BCIs. Specifically, we first adopt a learnable spike encoder to convert the raw EEG signals into spike trains. Then, we tailor the concepts of the multi-head adaptive graph convolution to SNN so that it can make good use of the intrinsic spatial topology information among distinct EEG channels. Finally, we design the spike-based LSTM units to further capture the temporal dependencies of the spikes. We evaluate our proposed model on two publicly available datasets from two representative fields of BCI, notably emotion recognition, and motor imagery decoding. The empirical evaluations demonstrate that SGLNet consistently outperforms existing state-of-the-art EEG classification algorithms. This work provides a new perspective for exploring high-performance SNNs for future BCIs with rich spatiotemporal dynamics.

The Unique and Practical Advantages of Applying A Capability Approach to Brain Computer Interface

Intelligent neurotechnology is an emerging field that combines neurotechnologies like brain-computer interface (BCI) with artificial intelligence. This paper introduces a capability framework to assess the responsible use of intelligent BCI systems and provide practical ethical guidance. It proposes two tests, the threshold and flourishing tests, that BCI applications must meet, and illustrates them in a series of cases. After a brief introduction (Section 1), Section 2 sets forth the capability view and the two tests. It illustrates the threshold test using examples from clinical medicine of BCI applications that enable patients with profound disabilities to function at a threshold level through computer mediation. Section 3 illustrates the flourishing test by exploring possible future applications of BCI involving neuroenhancements for healthy people, using examples adapted from research currently underway in the US military. Section 3 applies a capability lens to a complex case involving dual effects, both therapeutic and non-therapeutic, showing how the threshold and flourishing tests resolve the case. Section 4 replies to three objections: neurorights are the best tool for assessing BCI; the two tests are moving targets; and the analysis utilizes a capability view to do work it is not designed for. The paper concludes that a capability view offers unique advantages and gives practical guidance for evaluating the responsible use of present and future BCI applications. Extrapolating from our analysis may help guide other emerging technologies, such as germline gene editing, expected to impact central human capabilities.