Neuro-X seminar: Prof Neumann - Deep Brain Stimulation as a Therapeutic Brain-Computer Interface: From Disease Signatures to AI-Driven Neural Circuit Prosthetics
Deep brain stimulation (DBS) is a brain circuit intervention that can modulate distinct neural pathways for the treatment of brain disorders. In recent years, DBS has also emerged as a powerful research tool, advancing our understanding of network dysfunction in neuropsychiatric diseases. Building on these insights, advances in invasive neurophysiology and MRI connectomics now offer unprecedented opportunities to transform DBS into a dynamic, patient-specific therapy—shifting from static stimulation paradigms to AI-driven, closed-loop brain-computer interfaces (BCIs). In this lecture, I will introduce key disease- and symptom-specific signatures of invasively recorded brain activity and discuss their role in the clinical pathophysiology of disorders such as Parkinson’s disease, Tourette’s syndrome, obsessive compulsive disorder, and depression. I will then explore how these neural signatures originate within brain networks and examine the therapeutic mechanisms of invasive neuromodulation across micro- and macroscopic scales. Finally, I will provide an outlook on how machine learning-powered brain signal decoders can inform closed-loop DBS algorithms to revolutionize the treatment of neuropsychiatric disease—enabling precise, millisecond-scale stimulation of the right network at the right time. Towards a neural circuit prosthetic that restores disrupted neural dynamics in brain disorders.