Design and Validation of an FPGA-Based Configurable Transcranial Doppler Neurofeedback System for Chronic Pain Patients

Neurofeedback is a self-regulation technique that can be applied to learn to voluntarily control cerebral activity in specific brain regions. In this work, a Transcranial Doppler-based configurable neurofeedback system is proposed and described. The hardware configuration is based on the Red Pitaya board, which gives great flexibility and processing power to the system. The parameter to be trained can be selected between several temporal, spectral, or complexity features from the cerebral blood flow velocity signal in different vessels. As previous studies have found alterations in these parameters in chronic pain patients, the system could be applied to help them to voluntarily control these parameters. Two protocols based on different temporal lengths of the training periods have been proposed and tested with six healthy subjects that were randomly assigned to one of the protocols at the beginning of the procedure. For the purposes of the testing, the trained parameter was the mean cerebral blood flow velocity in the aggregated data from the two anterior cerebral arteries. Results show that, using the proposed neurofeedback system, the two groups of healthy volunteers can learn to self-regulate a parameter from their brain activity in a reduced number of training sessions.

[1]  N. Werner,et al.  Cerebral blood flow dynamics during pain processing investigated by functional transcranial Doppler sonography. , 2012, Pain medicine.

[2]  Rainer Goebel,et al.  Neurofeedback: A promising tool for the self-regulation of emotion networks , 2010, NeuroImage.

[3]  J. O'Doherty,et al.  Direct Instrumental Conditioning of Neural Activity Using Functional Magnetic Resonance Imaging-Derived Reward Feedback , 2007, The Journal of Neuroscience.

[4]  M. Arns,et al.  Evaluation of neurofeedback in ADHD: The long and winding road , 2014, Biological Psychology.

[5]  Beatriz Rey,et al.  Altered cerebral blood flow velocity features in fibromyalgia patients in resting-state conditions , 2017, PloS one.

[6]  Niels Birbaumer,et al.  Neurofeedback and brain-computer interface clinical applications. , 2009, International review of neurobiology.

[7]  R. Treede,et al.  Human brain mechanisms of pain perception and regulation in health and disease , 2005, European journal of pain.

[8]  Michael Erb,et al.  Physiological self-regulation of regional brain activity using real-time functional magnetic resonance imaging (fMRI): methodology and exemplary data , 2003, NeuroImage.

[9]  Sven Haller,et al.  Real-time fMRI neurofeedback: Progress and challenges , 2013, NeuroImage.

[10]  Aaron C. Koralek,et al.  Corticostriatal plasticity is necessary for learning intentional neuroprosthetic skills , 2012, Nature.

[11]  Niels Birbaumer,et al.  Neurofeedback and brain-computer interface clinical applications. , 2009, International review of neurobiology.

[12]  M. Bryden Measuring handedness with questionnaires , 1977, Neuropsychologia.

[13]  Stefan Duschek,et al.  Patterns of Cerebral Blood Flow Modulation During Painful Stimulation in Fibromyalgia: A Transcranial Doppler Sonography Study. , 2016, Pain medicine.

[14]  Tom Chau,et al.  Online transcranial Doppler ultrasonographic control of an onscreen keyboard , 2014, Front. Hum. Neurosci..

[15]  Takeo Watanabe,et al.  Perceptual Learning Incepted by Decoded fMRI Neurofeedback Without Stimulus Presentation , 2011, Science.

[16]  T B Kuo,et al.  Frequency Domain Analysis of Cerebral Blood Flow Velocity and its Correlation with Arterial Blood Pressure , 1998, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[17]  R. Schandry,et al.  Functional transcranial Doppler sonography as a tool in psychophysiological research. , 2003, Psychophysiology.

[18]  Anselm Doll,et al.  Self-regulation of Cerebral Blood Flow by Means of Transcranial Doppler Sonography Biofeedback , 2011, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[19]  Brendan Z. Allison,et al.  Could Anyone Use a BCI? , 2010, Brain-Computer Interfaces.

[20]  Guy Vingerhoets,et al.  Transcranial Doppler Ultrasonography Monitoring of Cerebral Hemodynamics During Performance of Cognitive Tasks: A Review , 2000, Neuropsychology Review.

[21]  Robert T. Thibault,et al.  The self-regulating brain and neurofeedback: Experimental science and clinical promise , 2016, Cortex.

[22]  N. Birbaumer,et al.  BCI2000: a general-purpose brain-computer interface (BCI) system , 2004, IEEE Transactions on Biomedical Engineering.

[23]  D. Chialvo,et al.  Beyond Feeling: Chronic Pain Hurts the Brain, Disrupting the Default-Mode Network Dynamics , 2008, The Journal of Neuroscience.

[24]  John D E Gabrieli,et al.  Control over brain activation and pain learned by using real-time functional MRI. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[25]  Sheng-Fu Liang,et al.  Portable wireless neurofeedback system of EEG alpha rhythm enhances memory , 2017, Biomedical engineering online.

[26]  Tom Chau,et al.  Towards a hemodynamic BCI using transcranial Doppler without user-specific training data. , 2013, Journal of neural engineering.

[27]  J. Gruzelier EEG-neurofeedback for optimising performance. III: A review of methodological and theoretical considerations , 2014, Neuroscience & Biobehavioral Reviews.

[28]  Niels Birbaumer,et al.  Volitional Control of Anterior Insula Activity Modulates the Response to Aversive Stimuli. A Real-Time Functional Magnetic Resonance Imaging Study , 2010, Biological Psychiatry.

[29]  R. Aaslid,et al.  Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. , 1982, Journal of neurosurgery.

[30]  Roberto Hornero,et al.  Interpretation of the Lempel-Ziv Complexity Measure in the Context of Biomedical Signal Analysis , 2006, IEEE Transactions on Biomedical Engineering.

[31]  Sven Haller,et al.  Active pain coping is associated with the response in real-time fMRI neurofeedback during pain , 2016, Brain Imaging and Behavior.

[32]  René J. Huster,et al.  Brain-computer interfaces for EEG neurofeedback: peculiarities and solutions. , 2014, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[33]  M. Jensen,et al.  Steps Toward Developing an EEG Biofeedback Treatment for Chronic Pain , 2013, Applied psychophysiology and biofeedback.

[34]  Carl W. Cotman,et al.  Principles of Neuroanatomy , 1981 .

[35]  Tom Chau,et al.  Pattern classification to optimize the performance of Transcranial Doppler Ultrasonography-based brain machine interface , 2015, Pattern Recognit. Lett..

[36]  R. C. Oldfield The assessment and analysis of handedness: the Edinburgh inventory. , 1971, Neuropsychologia.

[37]  Tom Chau,et al.  A Brain-Computer Interface Based on Bilateral Transcranial Doppler Ultrasound , 2011, PloS one.

[38]  Murat Akcakaya,et al.  A brain-computer interface based on functional transcranial doppler ultrasound using wavelet transform and support vector machines , 2018, Journal of Neuroscience Methods.

[39]  T. Chau,et al.  Towards increased data transmission rate for a three-class metabolic brain–computer interface based on transcranial Doppler ultrasound , 2012, Neuroscience Letters.

[40]  N. Birbaumer Breaking the silence: brain-computer interfaces (BCI) for communication and motor control. , 2006, Psychophysiology.

[41]  Tom Chau,et al.  An online three-class Transcranial Doppler ultrasound brain computer interface , 2016, Neuroscience Research.

[42]  H. Kontos,et al.  Validity of cerebral arterial blood flow calculations from velocity measurements. , 1989, Stroke.

[43]  Tom Chau,et al.  Towards a multimodal brain–computer interface: Combining fNIRS and fTCD measurements to enable higher classification accuracy , 2013, NeuroImage.

[44]  Pedro Montoya,et al.  Cerebral Blood Flow Dynamics During Pain Processing in Patients With Fibromyalgia Syndrome , 2012, Psychosomatic medicine.

[45]  Murat Akcakaya,et al.  An EEG and fTCD based BCI for control , 2016, 2016 50th Asilomar Conference on Signals, Systems and Computers.

[46]  Roberto Hornero,et al.  Analysis of EEG background activity in Alzheimer's disease patients with Lempel-Ziv complexity and central tendency measure. , 2006, Medical engineering & physics.