Neural Co-Processors 4
2. Background
Significant advances have been made in understanding and modeling the effects of
electrical and other forms of neural stimulation on the brain. Researchers have
explored how information can be biomimetically or artificially encoded and delivered via
stimulation to neuronal networks in the brain and other regions of the nervous system
for auditory [
6
], visual [
7
], proprioceptive [
8
], and tactile [
9
,
10
,
11
,
12
,
13
] perception.
Advances have also been made in modeling the effects of stimulation over large scale,
multi-region networks, and across time [
17
]. Some models can additionally adapt to
ongoing changes in the brain, including changes due to the stimulation itself [
18
]. For our
simulations described below, we use a stimulation model, not unlike those cited above,
which seeks to account for both network dynamics and non-stationarity. In addition
to training the model to have a strong ability to predict the effect of stimulation, we
additionally adapt it to be useful for learning an optimal stimulation policy, a property
distinct from predictive power alone.
Researchers have also explored both open- and closed-loop stimulation protocols
for treating a variety of disorders. Open loop stimulation has been effective in treating
Parkinson’s Disease (PD) [
19
], as well as various psychiatric disorders [
20
,
21
,
22
]. In
research more directly related to our work, Khanna et al. [
23
] investigated the use of
open loop stimulation in restoring dexterity after a lesion in nonhuman primate’s (NHP)
motor cortex. The authors demonstrate that the use of low-frequency alternating current,
applied epidurally, can improve grasp performance.
While open loop stimulation techniques have yielded clinically useful results, results
in many domains have been mixed, such as in visual prostheses [
24
], and in invoking
somatosensory feedback [
13
]. We believe this is due to the stimulation not being
conditioned on the ongoing dynamics of the neural circuit being stimulated. From
moment to moment and throughout the day, a neuronal circuit in the brain can be
expected to respond differently even when the same stimulation parameters are used,
due to the multitude of different external and internal inputs influencing the circuit’s
ongoing activity. Stimulation therefore needs to be closed-loop, i.e. proactively adapted
in response. This need is even greater over longer time scales as the effects of plasticity,
changes in clinical conditions, and ageing change the dynamics and connectivity of
the brain. Closed-loop stimulation may also provide means to better regulate the
energy use of an implanted stimulator, allowing it to intelligently regulate when to
apply stimulation, in order to preserve implant battery life [
25
]. Another benefit is that
closed-loop stimulation offers an opportunity to minimize the side-effects of stimulation,
through real time regulation of the stimulation parameters, such as in the use of deep
brain stimulation (DBS) in PD patients [
26
]. In recent years, closed-loop stimulation
has been used to aid in learning new memories after some impairment [
27
,
28
], to replay
visually-invoked activations [
18
], and for optogenetic control of a thalamocortical circuit
[29], among others.
A major open question is: how does one leverage closed-loop stimulation for real-time