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侵入式脑机接口电极界面纤维化机制与干预策略进展

Advances in the mechanisms of fibrosis at the electrode interface of invasive brain-computer interfaces and intervention strategies

  • 摘要: 侵入式脑机接口(brain-computer interface, BCI)是一种将微电极植入脑组织采集神经电信号的技术。通过该技术获得的脑电信号具有较高的时间和空间分辨率,且信息丰富。然而,电极长期植入会产生慢性纤维化反应,严重影响脑电信号的质量。因此,保证信号采集的长期稳定性是侵入式BCI发展中的关键挑战。本文系统综述了电极界面纤维化的形成机制,阐述了从急性炎症反应到慢性胶质瘢痕形成,以及细胞外基质(extracellular matrix, ECM)沉积的过程。此外,介绍了材料与表面优化,药物与生物因子干预,以及组织工程与免疫调控3类抗纤维化策略的作用与优缺点,并评价其在动物和人体临床应用中的实际效果及局限性。最后,强调了建立标准化随访记录机制对实现长期稳定侵入式BCI的重要性,为未来的界面优化和临床转化提供参考与启示。

     

    Abstract: The invasive brain-computer interface (BCI) is a method that involves implanting microelectrodes into brain tissue to collect neural electrical signals. The signals obtained through this method are often of high precision and relatively stable. However, the chronic fibrotic reaction resulting from long-term implantation can significantly impair the quality of the collected brain electrical signals. Therefore, ensuring the long-term stability of signal acquisition is a major challenge in the development of invasive BCI. This paper systematically reviews the formation mechanisms of fibrosis at the electrode interface, elaborating on the progression from acute inflammatory responses to the development of chronic glial scars and the formation of the extracellular matrix (ECM). It introduces the roles, advantages, and disadvantages of three anti-fibrosis strategies: material and surface optimization, drug and biological factor intervention, and integration of immune regulation and tissue engineering. This paper also evaluates their practical effects and limitations in animal and human clinical applications. Finally, it highlights the importance of establishment of standardized follow-up recording mechanisms in ensuring the long-term reliability and stability of invasive BCIs, providing references and insights for future in-depth interface optimization and clinical translation.

     

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