arXiv:2606.15091cs.HCcs.AI2026-06综述

梳理脑机接口感官恢复的四大路径,指明技术发展方向。

Sensory Restoration via Brain-Computer Interfaces: A Scoping Review

  • 构建侵入性与信号方向的二维分类框架,统一研究视角。
  • 25项研究集中于2015年后,非侵入式语音解码近年快速成熟。
  • 适合神经工程、康复医学领域研究者参考,助力闭环系统设计。

脑机接口(BCI)可恢复严重神经系统损伤患者的感官与运动功能,但侵入式神经假体与非侵入式电生理解码研究分散,术语和评估指标不统一。本综述采用2×2框架(侵入性×信号方向),梳理代表性模态及其权衡,并提出领域融合路线图。纳入1969至2025年发表于高影响力期刊的31篇关键文献,涵盖感官/运动功能恢复、替代或增强的BCI或神经假体研究。研究显示:21项为传出恢复,22项使用侵入式接口,25项发表于2015年后。非侵入式AI增强静默语音解码自2023年迅速成熟,侵入式言语与运动神经假体已实现近对话级通信速率。统一分类体系揭示不同路径的权衡,强调基础模型在弥合差异中的作用。提出短期、中期、长期发展路线,聚焦度量标准统一、长期证据及跨社区协作等关键缺口。

原文摘要 · Abstract (English)

Brain-computer interfaces (BCIs) can restore sensory and motor function in individuals with severe neurological impairment, but the literature is fragmented between invasive neuroprosthetics and non-invasive electrophysiological decoders, with inconsistent terminology and metrics. This scoping review maps BCI-mediated sensory restoration along a unified 2x2 framework (invasiveness x signal direction), charts representative modalities and their trade-offs, and synthesizes a convergence roadmap for the field. Eligible sources were peer-reviewed studies, clinical trials, and authoritative reviews on BCI or neuroprosthetic systems for sensory or motor restoration, substitution, or augmentation, published in English between 1969 and 2025, restricted to high-impact venues to prioritize landmark evidence. Rather than an exhaustive database search, we charted a purposively assembled, citation-chained corpus of 31 pivotal sources for modality, signal type, invasiveness, signal direction, resolution, clinical risk, cost, and regulatory maturity. We define and distinguish restoration, substitution, and augmentation, and map the corpus onto the four quadrants of the framework. The corpus is dominated by efferent restoration (21 of 31) and invasive interfaces (22 of 31), and is concentrated after 2015 (25 of 31). Non-invasive, AI-augmented silent-speech decoding has matured rapidly since 2023, while invasive speech and motor neuroprostheses have achieved near-conversational communication rates. The unified taxonomy clarifies trade-offs between pathways and the role of foundation models in closing the gap between them. We outline a near-, medium-, and long-term roadmap toward closed-loop, bidirectional restoration, and identify gaps in metric standardization, longitudinal evidence, and cross-community collaboration as priorities for future research.

脑机接口感官恢复神经假体综述

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