脑机接口+AI穿戴设备双环系统,实时干预创伤后应激反应。
When neural implant meets multimodal LLM: A dual-loop system for neuromodulation and naturalistic neuralbehavioral research
- 植入设备监测杏仁核异常θ振荡,触发即时神经刺激。
- 可穿戴设备用多模态大模型识别环境与生理触发因素。
- 适用于临床治疗与真实世界神经科学研究,适合精神健康领域
我们提出一种新型双环系统,将响应式神经刺激(RNS)植入设备与人工智能驱动的可穿戴设备协同结合,用于治疗创伤后应激障碍(PTSD)并实现自然情境下的脑科学研究。在PTSD治疗模式中,植入式闭环神经装置监测杏仁核活动,在检测到病理性的θ振荡时提供按需刺激;同时,智能眼镜、手表、手机等可穿戴设备通过多模态大语言模型(LLM)分析感官数据,识别环境或生理触发因素,并及时推送音视频干预。来自神经与可穿戴双环的记录事件被用于个性化触发识别,并逐步过渡至非侵入式干预。在神经科学研究模式中,同一平台用于捕捉现实世界脑活动:可穿戴-LLM系统识别自然事件(社交互动、情绪情景、强迫行为、决策过程),并通过无线信号触发植入式RNS设备,在这些关键时刻同步记录颅内数据。该方法基于近年移动颅内脑电图记录与人类闭环神经调控进展(BRAIN Initiative, 2023;Mobbs et al., 2021)。我们讨论该跨学科系统如何通过全天候监测、情境感知干预和真实世界数据采集,革新PTSD治疗与认知神经科学,最终推动更生物合理、以人为本的人工智能发展。
原文摘要 · Abstract (English)
We propose a novel dual-loop system that synergistically combines responsive neurostimulation (RNS) implants with artificial intelligence-driven wearable devices for treating post-traumatic stress disorder (PTSD) and enabling naturalistic brain research. In PTSD Therapy Mode, an implanted closed-loop neural device monitors amygdala activity and provides on-demand stimulation upon detecting pathological theta oscillations, while an ensemble of wearables (smart glasses, smartwatches, smartphones) uses multimodal large language model (LLM) analysis of sensory data to detect environmental or physiological PTSD triggers and deliver timely audiovisual interventions. Logged events from both the neural and wearable loops are analyzed to personalize trigger detection and progressively transition patients to non-invasive interventions. In Neuroscience Research Mode, the same platform is adapted for real-world brain activity capture. Wearable-LLM systems recognize naturalistic events (social interactions, emotional situations, compulsive behaviors, decision making) and signal implanted RNS devices (via wireless triggers) to record synchronized intracranial data during these moments. This approach builds on recent advances in mobile intracranial EEG recording and closed-loop neuromodulation in humans (BRAIN Initiative, 2023) (Mobbs et al., 2021). We discuss how our interdisciplinary system could revolutionize PTSD therapy and cognitive neuroscience by enabling 24/7 monitoring, context-aware intervention, and rich data collection outside traditional labs. The vision is a future where AI-enhanced devices continuously collaborate with the human brain, offering therapeutic support and deep insights into neural function, with the resulting real-world context rich neural data, in turn, accelerating the development of more biologically-grounded and human-centric AI.
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