Dr. Matthew MacDougall: Neuralink & Technologies to Enhance Human Brains | Huberman Lab Podcast

Podcast Host: Dr. Andrew Huberman (Stanford Associate Professor - brain development, brain plasticity, and neural regeneration and repair fields)

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Podcast Guest: Dr. Matt MacDougall (Head Neurosurgeon at Neuralink)
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Key takeaways

The brain regulates physiological processes and cognitive functions but can malfunction (Segment 01).
Sleep deprivation affects frontal cortex activity and emotion regulation, causing irritability and stress (Segment 02).
Neuroplasticity allows the brain to adapt, and psychedelics may enhance it (Segment 03).
Neuralink aims to alleviate suffering by enabling digital autonomy through brain implants (Segment 04).
The neocortex governs advanced cognitive processes in the human brain (Segment 05).
Neuralink is developing a high-bandwidth brain-machine interface for manipulating electronic devices (Segment 06).
Neuralink electrodes are primarily for individuals with medical conditions but are safe for use (Segment 07).
Bluetooth headphones have a negligible impact on neural function and thermal equilibrium (Segment 08).
Neuralink aims to restore connectivity between the motor cortex and body using implants
(Segment 09).
Neuralink's technology has the potential for telepathy, non-invasive devices, and cognitive enhancement (Segment 10).
Video games can be used to enhance proficiency in managing Neuralink devices (Segment 11).
Neuralink prioritizes animal welfare and uses pigs for research safety (Segment 12).
Head trauma can cause TBI with varying impacts, including disability and mortality (Segment 13).
Understanding drug effects on the adolescent brain can improve treatment strategies (Segment 14).
The human brain has high plasticity and can overcome deficits (Segment 15).
Tesla's eye-tracking system aims to enhance road safety (Segment 16).

Summary:

This discussion concerns Neuralink, a company that aims to develop innovative technologies to address clinical challenges related to the brain and nervous system. Dr. Matthew MacDougall, the chief neurosurgeon at Neuralink, exemplified the amalgamation of cutting-edge machinery and devices with the human nervous system through a surgical intervention that involved the implantation of a radio receiver in the periphery of his body. The organization utilizes an interdisciplinary approach that amalgamates diverse fields including neuroscience, neurosurgery, robotics, machine learning, computer science, and device development to revolutionize the operation of the human brain. The aim of Neuralink is to enhance brain performance by means of enhancing memory, cognition, and human-machine communication. The technology in question endeavors to tackle movement disorders, including Parkinson's disease and deep brain function disorders, while concurrently augmenting human brain function beyond the innate boundaries of evolution. The experimental research conducted by Dr. MacDougall and his team represents a significant advancement in the field of science, and he will provide a detailed report on their ongoing inquiries.

(01): 00:00:00 Dr. Matthew MacDougall

Dr. Matthew MacDougall serves as the head neurosurgeon at Neuralink, a company that aims to develop innovative technologies to address specific clinical challenges related to the brain and nervous system. Additionally, Neuralink seeks to enhance brain functionality by augmenting memory, cognition, and communication between humans and machines. These ambitious goals are achievable due to the company's unique approach, which combines existing knowledge of brain function from the fields of neuroscience and neurosurgery with robotics, machine learning, computer science, and the development of novel devices. By leveraging these interdisciplinary approaches, Neuralink is poised to revolutionize the way in which the human brain operates. The present discourse aims to elucidate the workings of the brain, with a particular focus on Neuralink's perspective regarding the tractability of challenges associated with brain function disorders. Additionally, the discourse will expound on strategies for enhancing brain functionality. The present discourse delves into the topic of developing the peripheral nervous system. Specifically, Dr. MacDougall has undergone a procedure to implant a radio receiver in the periphery of his body. This intervention was not intended to address any particular clinical issue, but rather to surmount various routine challenges of daily life. Furthermore, it serves as a demonstration of the advantageous potential of integrating innovative machinery and devices with our nervous system, as well as with diverse objects and technologies in our environment. Dr. Matthew MacDougall conducted experiments involving the implantation of devices in individuals, including his own family members. These experiments aimed to address movement disorders such as Parkinson's disease and other deep brain function disorders, as well as to enhance human brain function beyond the limits of natural evolution. The results of these experiments represent a significant advancement in the field of science. Dr. Matthew MacDougall will provide a detailed explanation of the experiments being conducted at Neuralink [1].

References

1. A Direct Link Between the Brain & Everyday Technology. Available from: https://neuralink.com/applications/.

(02): 00:07:38 Brain Function & Injury; Brain Tumor Treatment

The brain, an extraordinary organ with a weight of approximately three pounds, regulates all physiological processes, perceives and analyzes external stimuli, and embodies the fundamental aspects of the psyche and spirit. The brain is accountable for the regulation of various cognitive functions, such as intelligence, creativity, emotion, and memory, among others. The cranium serves as a protective covering for the brain, which is composed of three primary regions, namely the cerebrum, cerebellum, and brainstem.

The human brain has the capacity to process sensory information from five primary modalities, which include vision, olfaction, somatosensation, gustation, and audition, often in a simultaneous manner. The procedure of message assembly holds importance as it confers significance to the conveyed information and aids in its retention in our cognitive faculties. The brain, which is a component of the central nervous system, plays a crucial role in the regulation of cognitive processes such as memory, thought, and speech, as well as motor functions such as the movement of limbs and the proper functioning of bodily organs.

The Central Nervous System (CNS) comprises the encephalon and the spinal cord. The composition of the peripheral nervous system (PNS) consists of spinal nerves that bifurcate from the spinal cord and cranial nerves that bifurcate from the brain. The ability of the brain to generate human behavior and sustain life through electrical impulses is a remarkable phenomenon. Upon observing patients with brain tumors, it becomes apparent that discrete functions of the brain can be affected in isolation, highlighting the modular nature of the brain. Despite being connected within the confines of the skull; the brain is composed of functional modules that can exhibit intriguing failure modes.

The brain is responsible for a wide range of functions, including the regulation of hormone levels, visual and sensory processing, and various forms of muscular movements, such as eye movements and bicep contractions. However, it is important to note that any of these processes can potentially malfunction [2].

An abnormal mass of tissue characterized by the uncontrolled proliferation of cells is commonly referred to as an intracranial tumor, or a brain tumor. The observed expansion takes place in an autonomous manner, without being subject to the usual regulatory mechanisms that govern the behavior of normal cells. In cases where an individual present with a diminutive intracranial neoplasm situated in a deeply embedded region of the brain, the conventional method of surgical intervention would necessitate the excision of a substantial amount of healthy brain tissue, thereby causing disruption to a significant number of neurons and white matter tracts that serve as conduits for inter-neuronal communication. The contemporary method entails the creation of a 2mm aperture in the cranium, through which a fiber optic cannula can be inserted and connected to a laser. The laser is then utilized to heat the tumor located deep within the brain while being monitored in real-time via MRI imaging. This process involves capturing images every second, allowing for precise temperature monitoring to ensure that the tumor is heated to the desired level, thereby eliminating the tumor cells without causing harm to the surrounding healthy brain cells. This advanced technology has proven to be highly effective [3].

Figure 1. Brain injury and Tumor [4].

References

2. Anatomy of the Brain Available from: https://mayfieldclinic.com/pe-anatbrain.htm.

3. Skandalakis, G.P., et al., Hyperthermia treatment advances for brain tumors. Int J Hyperthermia, 2020. 37(2): p. 3-19.

4. Shillington, P. Can cancer cells help cure paralysis and reverse brain damage? 2021; Available from: https://www.massachusetts.edu/news/can-cancer-cells-help-cure-paralysis-and-reverse-brain-damage.

(03): 00:13:52 Frontal Lobe Filter; Sleep Deprivation

The prefrontal cortex of the brain is regarded to be the location of cognitive control, acting as a sort of filter to prevent distracting ideas, perceptions, and memories from getting in the way of a job at hand. The frontal lobe act as a sort of filter, they selectively are saying “stop” to the rest of the brain behind them, when part of your brain says this thing looks very much attractive I want to grab it and take it, the frontal lobe is saying you can if you pay for this thing, frontal lobe actually are filtering the behavior, they are letting the impulse through but in a controlled way, this is very broad thinking about how the frontal lobe works, we can say it’s a filter calming the rest of the brain down from acting on every possible impulse [5].

As per a study carried out by scholars at the University of California, Berkeley, the medial prefrontal cortex, accountable for the regulation of anxiety, undergoes a state of inactivity due to a solitary episode of sleep deprivation, and also lack of sleep led to a notable reduction in the relative metabolism of the frontal cortex, thalamus, and striatum. Neuroimaging techniques were employed to acquire this data. Simultaneously, the mechanisms responsible for regulating emotions in the brain were overburdened. The state of being deprived of sleep can result in increased levels of irritability, stress, and challenges in effectively managing one's emotions among individuals. Sleep deprivation can have significant impacts on various regions of the brain, potentially leading to the manifestation of visual hallucinations. The visual cortex, located in the posterior region of the brain, may be particularly susceptible to such effects. Sleep deprivation has been found to have a negative impact on an individual's motor coordination [6].

Figure 2. Sleep deprivation affects the Pre-frontal cortex [7].

References

5. Suppressing the brain's 'filter' can improve performance in creative tasks. 2013; Available from: https://www.sciencedaily.com/releases/2013/03/130314144356.htm#:~:text=The%20brain's%20prefrontal%20cortex%20is,with%20a%20task%20at%20hand.

6. A Real Brain Drain: Sleep Deprivation and Its Effects on The Brain. 2022; Available from: https://sleepcenterinfo.com/blog/sleep-deprivation-effects-on-brain/#:~:text=Brain%20scans%20conducted%20by%20UC,brain's%20emotional%20regulators%20were%20overworked.

7. Bosch, O.G., et al., Sleep deprivation increases dorsal nexus connectivity to the dorsolateral prefrontal cortex in humans. 2013. 110(48): p. 19597-19602.

(04): 00:19:00 Neuroplasticity, Pharmacology & Machines

Neuroplasticity, referred to as neural plasticity or brain plasticity, encompasses a phenomenon whereby the brain undergoes adaptive modifications in both its structural and functional aspects. Neuroplasticity refers to the capacity of the nervous system to modify its activity in reaction to endogenous or exogenous stimuli through the reconfiguration of its structure, functions, or connections following incidents such as a stroke or traumatic brain injury (TBI). This discourse pertains to the concept of neuroplasticity, its assessment, and treatment, and examines the significance of collaborative healthcare teams in enhancing patient outcomes. Neuroplasticity goes down in the older brains, and it is harder for older people to learn new things to make radical changes in their behavior, to kick habits that they had for years [8].

Multiple research studies suggest that there exists preclinical and clinical substantiation that endorses the concept of neuroplasticity as a convergent downstream mechanism of action for these innovative fast-acting antidepressants. The administration of ketamine and psychedelics, such as psilocybin, lysergic acid diethylamide (LSD), and N, N-dimethyltryptamine (DMT), results in synaptic, structural, and functional alterations in pyramidal neurons situated in the prefrontal cortex. These modifications are primarily brought about by the interaction of these substances with glutamate or serotonin receptor targets. The factors mentioned above include an increase in the release of glutamate, the activation of α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid receptors (AMPARs), signaling that is mediated by a brain-derived neurotrophic factor (BDNF) and mammalian target of rapamycin (mTOR), the expression of synaptic proteins, and the process of synaptogenesis. The influences mentioned above possess the capability to facilitate the adaptive rewiring of neurocircuitry that is characterized by pathological features. The aforementioned framework is centered on the concept of neuroplasticity and serves to elucidate the enduring and consistent therapeutic outcomes of said compounds. Machines and computerized implanted electrodes may not be the most apparent solution for enhancing plasticity when compared to pharmacological interventions such as psychedelics, which have been shown to have a significant impact on plasticity. Determining the optimal brain region for electrode stimulation to enhance plasticity in a comprehensive manner relative to existing pharmacological agents poses a challenging task. The topic of neuroplasticity pertains to the brain as a whole and involves the modification of numerous synapses, all of which possess the capacity for rewiring. In order to direct electrical stimulation to specific areas of the brain, a device such as Neuralink may be utilized, which could potentially allow for a more comprehensive ability to manipulate current across multiple targets with a certain degree of regulation. However, it is improbable to attain the same level of broad targeting with any electrodes, as it would require the encoding of the entire surface and depth of the brain, a feat that can be achieved through the use of drugs. The optimization of plasticity research can be achieved by prioritizing pharmacologic agents [9].

Figure 3. Neuroplasticity and psychedelics [9].

References

8. Robbins, J., Butler, S. G., Daniels, S. K., Gross, R. D., Langmore, S., Lazarus, C. L., ... & Rosenbek, J. (2008). Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. https://doi.org/10.1044/1092-4388(2008/021)

9. Boi, F., Moraitis, T., De Feo, V., Diotalevi, F., Bartolozzi, C., Indiveri, G., & Vato, A. (2016). A bidirectional brain-machine interface featuring a neuromorphic hardware decoder. Frontiers in neuroscience, 10, 563. https://doi.org/10.3389/fnins.2016.00563.

(05): 00:22:10 Neuralink, Neural Implants & Injury, Robotics & Surgery

Neuralink technology has been subject to the projection of hopes and fears by individuals, leading to an array of assumptions about its capabilities. While there are potential benefits to this technology, such as altering brain function, it is important to note that the extreme fears associated with Neuralink are largely unfounded. Researchers at Neuralink are developing a neural implant and utilizing a robotic insertion device to place small electrodes, smaller than the size of a human hair, throughout a specific region of the brain. The initial indication of this technology involves implanting a series of electrodes into the brains of individuals who have suffered from spinal cord injuries, resulting in quadriplegia. These individuals possess fully functional brains, yet are unable to utilize their limbs due to high-level The objective of the researchers is to implant a device into the motor cortex of an individual, enabling them to manipulate a computer, such as a mouse and a keyboard, through neural signals. This would allow the individual to regain their digital autonomy and connect to the internet without the need for physical movement, as their motor intentions would be transmitted directly from the brain to the device.

Robotic technology is superior to human capability in performing Neuralink implantation surgery, owing to the minuscule size of the electrodes and the high density of blood vessels on the brain's surface. The precision required to accurately place the electrode thread's micron-width loop into the cortical surface at the appropriate depth to penetrate all cortical layers is beyond the physical capacity of human hands. Robotic technology is capable of achieving superior performance in Neuralink procedures due to its exceptional precision, speed, and ability to accurately place a large number of electrodes in the appropriate regions of the brain. The current iteration of the de, as submitted by the Neuralink team to the FDA, is limited to the placement of electrodes. The surgical procedure involves the use of robots, but the neurosurgeon is still responsible for the initial steps of incising the skin and skull and exposing the pristine brain surface for electrode implantation.

Neuralink's objective is to alleviate human suffering in the short term. It is anticipated that a brain interface could eventually serve as a tool for incorporating AI into the human brain, thereby enhancing human capabilities. Their focus is directed toward individuals who are experiencing severe medical conditions that currently lack viable options for motor control. The late Krishna Shenoy was a prominent figure in the realm of motor prostheses, and his contributions laid the groundwork for individuals working in this area. Additionally, he provided guidance to Neuralink, an organization that has made significant progress in addressing surface-level brain functions. At present, researchers at Neuralink are primarily concerned with studying the surface features of the brain. However, they face limitations in accessing the more complex deep functions of the brain, such as those related to mood, appetite, addiction, pain, and sleep [10].

Figure 4. Robot are used for Neuralink implantation surgery [11].

References

10. Breakthrough Technology for the Brain. Available from: https://neuralink.com/.

11. Inside Neuralink, Elon Musk’s mysterious brain chip startup: A culture of blame, impossible deadlines, and a missing CEO. Available from: https://fortune.com/longform/neuralink-brain-computer-interface-chip-implant-elon-musk/.

(06): 00:32:20 Neocortex vs. Deep Brain

The neocortex constitutes a segment of the cerebral cortex in the human brain, which is believed to be the source of advanced cognitive processes. The neocortex is organized into four distinct lobes, each with specialized functions, owing to the inherent grooves and ridges in the brain. The neocortex constitutes a significant portion of the cerebral cortex and accounts for roughly 50% of the total volume of the human brain. The neural computations associated with attention, thought, perception, and episodic memory are believed to be under its purview. The neocortex exhibits structural similarity throughout its entirety. Nevertheless, scholarly investigations indicate that particular functions are confined to discrete regions. The characterization of this localization has been conducted through various factors such as cytoarchitecture, input, and output connectivity, the proportion of cell types, modular structure, and micro-circuitry [12].

Figure 5. Neocortex of the brain [12].

The subcortical regions of the brain exhibit a higher degree of stereotypy and interspecies similarity compared to the cortical surface. These regions are akin to firmware, responsible for regulating fundamental physiological processes such as body temperature, blood pressure, and sexual behavior, which do not vary significantly between different species. The location and physical requirements of the outer reasoning functions or problem-solving functions in the brain differ significantly between foxes and humans due to their vast differences in cognitive abilities [13].

Figure 6. Deep brain stimulation [14].

References

12. Baars, B.J. and N.M. Gage, Chapter 13 - Emotion, in Cognition, Brain, and Consciousness (Second Edition), B.J. Baars and N.M. Gage, Editors. 2010, Academic Press: London. p. 420-442.

13. Zgaljardic, D.J., P.J. Mattis, and A. Charness, Executive Dysfunction, in Encyclopedia of Movement Disorders, K. Kompoliti and L.V. Metman, Editors. 2010, Academic Press: Oxford. p. 458-462.

14. SHEIKH, N. Deep Brain Stimulation and Alzheimer’s Disease: A Look at the Research Studies. 2022; Available from: https://altoida.com/blog/deep-brain-stimulation-and-alzheimers-disease-a-look-at-the-research-studies/.

(07): 00:36:45 Decoding Brain Signals

The aim of Brain-Computer Interfaces (BCIs) is to create a substitute route for issuing commands to the external environment, utilizing the electroencephalographic activity or other electrophysiological measures of brain function, without the involvement of muscular activity. The effectiveness of Brain-Computer Interface (BCI) systems is dependent on the methodologies utilized for the analysis of neural signals. Neuralink is primarily dedicated to addressing the highly complex and widely regarded most challenging issue currently confronting humanity, namely the deciphering of the brain via electrical stimulation and recording. The objective is not to integrate pharmacology and stimulation. Currently, the scientists at Neuralink are not discussing the prospect of reconnecting the brain to the patient's own limbs in the near future, as it is not included in their current roadmap. However, it is situated at a considerable distance in the future, several years from now, according to the roadmap. The scientists at Neuralink are focused on enabling individuals to manipulate electronic devices in their vicinity solely through their motor intentions. Initially, the objective of the researchers was to enable patients to manipulate the mouse and keyboard solely through their physical movements. The patients were able to envision flexing their fists or moving their wrists, which corresponded to the movement of the mouse on the screen. Subsequently, they were able to perform various actions such as clicking, opening files, and accessing their word processor. A keyboard was also provided at the bottom of the screen, which facilitated the selection of letters and sequencing, thereby enabling the patients to type. This approach was deemed to be the most straightforward method to commence the study [15].

The utilization of clinical brain-machine interfaces has been limited due to their low channel counts, thereby constraining their potential. Brain-machine interfaces exhibit the potential for the restoration of sensory and motor capabilities, as well as the management of neurological disorders. As per a scholarly investigation, Neuralink has commenced the preliminary stages of creating a brain-machine interface that is both scalable and high-bandwidth. Arrays of thin and flexible electrode threads have been developed, with each array comprising a maximum of 3072 electrodes that are distributed across 96 threads. Furthermore, a neurosurgical robot has been developed with the capability to administer six threads, which equates to 192 electrodes, per minute. With a precision of micron level, individual threads can be inserted into the brain to specifically target a particular region while circumventing the surface vasculature. The electrode array is housed within a compact implanted device that features a customized chipset designed for low-power onboard amplification and digitization. The package size for 3072 channels is smaller than 2318.52 mm3. The capacity for concurrent recording from all channels is facilitated by the utilization of a solitary USB-C cable, enabling full-bandwidth data streaming from the device. The implementation of this technology has resulted in electrode spikes occurring up to 70% of the time. The Neuralink brain-machine interface technique is characterized by an unprecedented level of packaging density and scalability, rendering it a clinically valuable solution. Researchers are employing advanced algorithms to extract motor intentions from the brain and transfer some of the cognitive load from the patient to software. This technique has been successfully tested on monkeys, who were incentivized to play video games and demonstrated exceptional performance. Scientists have achieved a world record in terms of the bit rate of information extracted from the monkey's brain to intelligently manipulate a cursor on a screen. However, it is not possible to elicit the monkey's cognitive processes or instruct it to attempt novel approaches, nor can one observe any potentially informative cross-body neuron activation. However, upon examining the capabilities of humans, it is evident that they possess the ability to execute tasks according to their volition, thereby expediting the process and yielding more compelling outcomes for scientists [16].

Figure 7. Decoding signal in the Human brain [17].

References

15. Chaudhary, U., N. Mrachacz‐Kersting, and N.J.T.J.o.p. Birbaumer, Neuropsychological and neurophysiological aspects of brain‐computer‐interface (BCI) control in paralysis. 2021. 599(9): p. 2351-2359.

16. Musk, E., An Integrated Brain-Machine Interface Platform With Thousands of Channels. J Med Internet Res, 2019. 21(10): p. e16194.

17. Clavin, W. Brain-Machine Interface Device Predicts Internal Speech. 2022; Available from: https://neuroscience.caltech.edu/news/brain-machine-interface-device-predicts-internal-speech.

(08): 00:42:08 “Confidence Test” & Electrical Stimulation; RFID Implants

Dr. Matthew MacDougall has expressed a desire to undergo a procedure to implant Neuralink electrodes into his own body. As per his statement, the initial version of the apparatus would not hold much significance for him as his cerebral system is capable of controlling his extremities. According to the speaker, the device is being developed as a medical device primarily aimed at individuals with severe medical conditions and limited treatment options. In the immediate future, it would lack coherence for an individual without physical disabilities to acquire one. Advancements in technology have led to the creation of devices tailored to execute tasks that may not be feasible for individuals with physical impairments. Such devices include those that enable rapid typing through brainwave interpretation, as well as those that facilitate text-to-speech and speech-to-text functionalities. These features may prove useful even for individuals with fully functional bodily faculties. Neuralink electrodes exhibit a higher degree of safety compared to several FDA-approved surgical procedures that are commonly performed by medical practitioners. Neuralink has surpassed a safety threshold that exceeds the generally accepted safety threshold. Also, the Patient Registry is open to individuals who fulfill the following requirements: they must have reached the age of majority in their state and be at least 18 years old, possess the capacity to provide informed consent, and have received a diagnosis of quadriplegia, paraplegia, vision loss, hearing loss, and/or speech impairment. The Patient Registry cordially invites individuals who reside within the United States to participate [18].

Dr. Matthew MacDougall had undergone a procedure to implant a small, programmable Radio Frequency Identification (RFID) chip, commonly referred to as a writable RPID tag. The primary purpose of this chip is to enable wireless devices to be powered temporarily upon approaching an antenna, facilitating the exchange of small amounts of data. As a result, the majority of mobile phones possess the capacity to both read from and write to this chip. In addition, it enables an individual to gain access to a locked entrance. Moreover, it possesses the capacity to be written on, thereby enabling the storage of a limited amount of data. For instance, an individual may choose to store their personal wallet password or code. The chips under consideration are classified as passive and are constructed using biocompatible glass material. These chips are deemed to be relatively safe, as they do not contain any active electronics or battery components. It is widely acknowledged that technology is subject to continuous improvement. Therefore, in order to upgrade a technological device, one simply needs to remove the existing component and replace it with a newer one.

Figure 8. X-rays show RFID Implant [19].

References

18. Join Neuralink's Patient Registry. Available from: https://neuralink.com/patient-registry/.

19. Giusti, A.C. Chip-and-skin: Payments’ Matrix moment. 2018; Available from: https://www.americanbanker.com/payments/news/chip-and-skin-implantable-rfid-gives-payments-its-matrix-moment.

(09): 00:51:33 Bluetooth Headphones & Electromagnetic Fields; Heat

Based on a study, it has been observed that the electromagnetic fields (EMFs) generated by a commonly used Bluetooth device do not significantly affect the latency and amplitude of cochlear nerve action potentials (CNAPs). This finding contradicts previous research on the topic. The cochlear nerve may experience varying degrees of electromagnetic field attenuation due to different biological tissues, which distinguishes the conditions of EMF exposure from those encountered in everyday life. Nevertheless, the aforementioned findings may have noteworthy safety ramifications. As per the assertions of Dr. Matthew MacDougall. The impact of the electromagnetic field or radiation emitted by Bluetooth headphones on neural tissue function is negligible due to the low energy levels involved. Furthermore, the likelihood of ionizing radiation, which is known to cause tumors, being emitted by these devices is extremely low. Bluetooth devices emit low-power signals that are ubiquitous. Regardless of whether one uses Bluetooth headphones, exposure to ionizing radiation from these signals is inevitable albeit in minute quantities. This holds true for all individuals worldwide, except those residing in areas with substantial water coverage. It is an inescapable reality that individuals must rely on their body's inherent DNA repair mechanisms to manage the continual exposure to ionizing radiation stemming from cosmic rays while existing within the universe. Upon examination of the electromagnetic field, it can be observed that the energy level falls below the threshold that is known to induce tumor growth [20].

Moreover, these electronic devices release thermal energy. The human body is equipped with a complex network of fluids that function as a distributed cooling system, similar to that of a radiator in an automobile. The body's blood circulation is maintained at a precisely controlled temperature, mainly composed of water, which efficiently disperses thermal energy from any localized regions of the body that are subjected to heating or cooling. An approach that could be adopted involves the application of an ice cube onto the skin until it undergoes complete melting, following which the blood would facilitate the transportation of heat to the region of interest. Despite the potential hazards linked with ultraviolet radiation exposure, it is possible for an individual to remain in the sun, which emits significantly more potent thermal rays that can affect the human body. One may contemplate the sun's function as a thermal energy provider and establish a parallel with Bluetooth headphones. The human organism exhibits proficiency in thermal dissipation through physiological processes such as perspiration evaporation and thermal equilibrium. Consequently, the dissipation of any thermal energy produced within the ear can be efficiently facilitated. Although a bony partition is present in this particular area, there is sufficient blood circulation in both the scalp and brain to maintain thermal equilibrium. While slight fluctuations in temperature may be observed, it is improbable that they will lead to noteworthy complications. The hypothalamus is accountable for the regulation of the internal body temperature. The hypothalamus evaluates an individual's current body temperature and compares it to the normative temperature of approximately 37°C. The hypothalamus triggers physiological processes to promote thermoregulation and re-establish equilibrium when the body's temperature surpasses the standard range [21].

Figure 9. Electromagnetic and Bluetooth radiation [22].

References

20. Mandalà, M., et al., Effect of Bluetooth headset and mobile phone electromagnetic fields on the human auditory nerve. Laryngoscope, 2014. 124(1): p. 255-9.

21. How is body temperature regulated and what is fever? 2009; Available from: https://www.ncbi.nlm.nih.gov/books/NBK279457/#:~:text=Our%20internal%20body%20temperature%20is,body%20generates%20and%20maintains%20heat.

22. Brueck, H. What a CDC nuclear radiation expert says to people who worry about cancer from cellphones and Bluetooth devices. 2021; Available from: https://www.insider.com/does-radiation-cellphone-and-bluetooth-cause-cancer-cdc-expert-2021-6.

(10): 00:57:43 Brain Augmentation & Paralysis

The primary objective of Neuralink is to establish a reconnection between the patient's own muscle and motor cortex. The objective is to reestablish this pathway in the future, albeit not presently feasible. The team at Neuralink has conducted extensive research on the development of a spinal cord stimulation system. In order to restore connectivity between the motor cortex and the body, researchers propose the implementation of a spinal cord implant that bypasses the damaged area of the spinal cord. This implant would be connected to a corresponding implant in the brain, allowing for the transmission of motor signals from the cortex to the spinal cord. The spinal cord implant would be situated below the level of injury, such as those caused by car accidents or gunshot wounds, where the wiring remains intact It is plausible that the brain can be reconnected to the body in an aforementioned manner. In the coming years, Neuralink may possess a greater capacity to establish a connection between an individual's brain and their physical form [23].

Also, Elon Musk and his team of researchers provided a comprehensive overview of the latest iteration of the implantable brain chip developed by the company. The presentation detailed how this technology could potentially facilitate visual perception for individuals who are blind or enable the recovery of motor function for individuals with spinal cord injuries [24].

Figure 10. Restoring Function in Paralyzed Patients [25].

References

23. Fan, C., et al., Restoration of spinal cord biophysical microenvironment for enhancing tissue repair by the injury-responsive smart hydrogel. Biomaterials, 2022. 288: p. 121689.

24. Shankland, S. Neuralink's Upgraded Brain Chip Hopes to Help the Blind See and the Paralyzed Walk. 2022; Available from: https://www.cnet.com/science/neuralink-upgraded-brain-chip-hopes-to-help-the-blind-see-and-the-paralyzed-walk/.

25. Mount Sinai Receives $2.9 Million To Study First-of-Its-Kind Brain Implant for Restoring Function in Paralyzed Patients. Available from: https://reports.mountsinai.org/article/neuro2022-10-stentrode-research.

(11): 01:02:09 Brain Implants & Peripheral Devices

It is conceivable that two individuals may be able to telepathically perceive each other's thoughts without engaging in verbal communication. This phenomenon can be likened to the use of telephones, whereby two individuals can communicate with each other without visual contact. Transferring the aforementioned function from a mobile phone to an implanted device does not necessitate any extraordinary breakthroughs or sophisticated technologies. It simply entails the incorporation of a device that enables keyboard and mouse control. The notion of communicating via brain signals may appear unstimulating, but it is conceivable to envision the integration of a similar apparatus in a more linguistically oriented region of the brain, which would enable the articulation of one's thoughts in a more organic manner [26].

Peripheral devices are likely to be employed more frequently than brain surgery devices due to their lower barriers to entry and adaptation. In the context of designing a tactile glove, the objective is to create a product that is highly appealing and easy to use, allowing for effortless donning and doffing without causing any skin lacerations. The assessment of the effectiveness of a device is not without limitations, particularly when comparing devices across different modalities, as there is no universally accepted standard for measuring efficacy. Valuable data can be transmitted to and from the brain and converted into digital format. It is possible to quantify this data by determining the bit rate of incoming and outgoing information when examining the device. To what extent can information be transmitted from and to the human body and brain through the system? Researchers at Neuralink have observed a significantly reduced threshold for bit rate on certain devices that aim to circumvent the need for invasive brain surgery. Quantifying the utility of technology in this domain poses a challenge as it is difficult to assign a singular numerical value to its usefulness. One approach to approximate this metric is to consider the bit rate, which can be likened to the era of dial-up modems where the bit rate was typically 56 or 96k and gradually increased over time. The internet service provider assigns a numerical value representing the maximum amount of data that can be transmitted between the user and the internet. This value serves as a useful metric for evaluating the efficacy of assistive devices in terms of their ability to transmit information to and from the brain. Currently, this value is relatively low compared to that of older modems. It is important to consider the theoretical maximum capacity of a given technology when assessing its potential, as many technologies have a low theoretical maximum capacity even when executed and developed to perfection. The appeal of Neuralink technology lies in its vast potential for neural interference, which could be refined and developed to impact millions of neurons. This high-band brain interface is the ideal platform for the development of a semantic prosthetic group and an AI assistant to enhance cognitive ability [27].

Figure 11. Neural Implantable devices [28].

References

26. Vassanelli, S., Brain-Chip Interfaces: The Present and The Future. Procedia Computer Science, 2011. 7: p. 61-64.

27. Rapeaux, A.B. and T.G. Constandinou, Implantable brain-machine interfaces: first-in-human studies, technology challenges, and trends. Current Opinion in Biotechnology, 2021. 72: p. 102-111.

28. Cho, Y.U., et al., Transparent neural implantable devices: a comprehensive review of challenges and progress. npj Flexible Electronics, 2022. 6(1): p. 53.

(12): 01:12:44 Brain Machine Interface (BMI), Neurofeedback; Video Games

Researchers at Neuralink employ software intelligence that is capable of adapting to changes in brain activity. While not a fully developed AI, this software is adept at learning and can facilitate a symbiotic relationship between human intelligence and artificial intelligence. As a result, individuals who utilize Neuralink devices can expect to improve their proficiency with the technology over time. It is highly probable that the software developed by Neuralink engineers will incorporate the firing pattern captured by the device, and subsequently prioritize significant signal movements over time. In the context of neural activity associated with mouse cursor movement, it is observed that high firing rates of neurons do not inherently possess knowledge of the intended direction of movement. Rather, such activity is initially perceived as a random sequence of signals by the chip. However, through a process of correlation with the user's expressed intentions, as demonstrated through a series of games, it is assumed that the user desires to move the cursor towards a designated target on the AI model developed within the software to facilitate the user's intended actions. The user was then given the opportunity to interact with the model, allowing for a period of learning and improvement. This was observed through the user's ability to manipulate the model effectively, as indicated by the appropriate movement of the mouse on the screen. Consider a hypothetical situation in which an individual is requested to play the piano, but the sound produced by each key undergoes random fluctuations over time. This presents a challenging problem, but with the assistance of software, the human brain is capable of resolving it by effectively mapping the fluctuations to a semi-stable state. Consequently, individuals can utilize the piano even after turning off the device for the night and returning to it the following day, despite some of the signals having shifted [29].

The ability of humans to acquire proficiency in software-based games makes video games a valuable tool for researchers to employ as a training medium to enhance individuals' aptitude in managing such systems. This approach is a conventional and self-evident strategy. It is interesting to observe the interaction between monkeys and humans while playing video games.

Figure 12. Brain-machine interface [30].

References

29. Chaudhary, U., N. Birbaumer, and M.R. Curado, Brain-Machine Interface (BMI) in paralysis. Annals of Physical and Rehabilitation Medicine, 2015. 58(1): p. 9-13.

30. Iturrate, I., et al., Teaching brain-machine interfaces as an alternative paradigm to neuroprosthetics control. Scientific Reports, 2015. 5(1): p. 13893.

(13): 01:22:13 Improving Animal Experimentation, Pigs

The majority of Neuralink s staff exhibit a strong affinity towards animals, as evidenced by the numerous signs that have been voluntarily displayed throughout the office premises. These signs reflect the organization's collective desire to safeguard and preserve the welfare of animals. When examining the number of animals utilized in research, it is comparatively negligible in comparison to the vast number of animals slaughtered daily for human consumption. It is challenging to comprehend the rationale behind utilizing an exceedingly limited number of animals in research, particularly when considering the substantial quantity of animals that humans exploit for sustenance and other purposes, ultimately leading to their demise. The utilization of animals in historical contexts has been driven by various factors. Consequently, animal research is conducted out of necessity, as there are no viable alternatives. However, if regulatory laws were to change and permit early-stage experimentation on willing human participants, it would present an intriguing option. This would likely result in a significant number of individuals volunteering to participate in clinical research at the initial stages. Neuralink strives to provide comprehensive support to animal agencies in all aspects of research, surpassing the efforts of any other organization known to date. The Neuralink team demonstrated an impressive commitment to animal welfare and ethical experimentation by designing opt-in procedures that do not coerce animal participation beyond the initial surgical intervention. Furthermore, at Neuralink, the animals were provided unrestricted access to food throughout the duration of the study, thereby ensuring that they did not experience hunger or thirst. The sole motivator for individuals is the prospect of receiving additional food beyond their regular allotment, as there is no instance of food scarcity. There is an absence of negative stimuli that serve as a motivator for their actions [31].

Pigs are commonly employed in medical device research, specifically in the cardiac domain, owing to the resemblance of their heart to that of humans. There exists a multitude of pig breeds and species, each possessing unique attributes that can be strategically employed in varying scenarios to maximize particular traits. Researchers at Neuralink have successfully trained pigs to carry out specific tasks for scientific purposes. However, there is currently no significant cognitive data available regarding their mental capabilities. These swine function as a biological platform. The swine was employed as a safety measure to showcase the safety of the device for insertion and its non-toxic nature.

Figure 13. Similarities between Pig and Humans [32]

References

31. Alternatives to animal experimentation in biomedical education. Available from: https://altex.org/index.php/altex/article/view/2183.

32. Zettler, S., et al., A decade of experience with genetically tailored pig models for diabetes and metabolic research. Animal Reproduction, 2020. 17.

(14): 01:33:18 Skull & Injury, Traumatic Brain Injury (TBI)

The cranium is proficient in its functions, considering the limitations of the tools available to the Neuralink team, who work with biological organisms that undergo development within the maternal uterus. Typically, the cranium is appropriately sized and is one of the most rigid structures in the human body. The temporal region of the skull contains some of the smallest bones, and the thin temporal bone houses one of the largest arteries that supply blood to the brain's lining, which is closely attached to its interior. The bone located adjacent to the eye is susceptible to fracturing upon impact. The resulting sharp edges of the fractured bone have been observed to lacerate the middle meningeal artery, leading to the formation of a significant blood clot that exerts pressure on the brain. This condition is known to be fatal, even in cases of minor skull injuries. What is the rationale for placing the artery adjacent to the thin bone with a high likelihood of fracture on the right side? The design of the human skull remains a persistent enigma. Despite this, it is likely that the most vulnerable aspect of the skull's design is its failure to adequately protect the brain from impact. However, in terms of overall impact resistance, the human anatomy's architecture is relatively effective, especially given the range of possible developmental outcomes. Notably, the presence of a fluid sheath surrounding the brain, which is primarily composed of fat and suspended in salt water, serves as an effective shock absorber. This feature helps to prevent the development of traumatic brain injuries by providing a protective cushion against brain bruising or bleeding during rapid acceleration or deceleration.

The occurrence of a traumatic brain injury (TBI) may be induced by an object that penetrates the skull and enters the brain. Traumatic brain injuries are not always a consequence of every type of head trauma. Traumatic brain injury (TBI) has the potential to cause temporary impairment of various cognitive and physical functions, such as cognition, comprehension, mobility, communication, and behavior. Traumatic brain injury (TBI) has the potential to result in long-term disability and mortality. Acute injuries manifest immediately. The secondary effects of Traumatic Brain Injury (TBI) may manifest over varying time periods ranging from hours to weeks. The neurological consequences that follow head trauma are known to result in subsequent brain damage.

There are two types of head traumas: penetrating and non-penetrating. Penetrating Traumatic Brain Injury (TBI), commonly referred to as Open TBI, is a type of injury that results from the penetration of foreign objects such as bullets, shrapnel, bone fragments, hammers, or knives into the brain tissue through the skull. Traumatic brain injury (TBI) that penetrates the skull has been observed to result in damage to specific regions of the brain. Non-penetrating traumatic brain injury (TBI), also referred to as closed head injury or blunt TBI, occurs when an external force of sufficient magnitude displaces the brain within the skull. Causes of injuries include falls, car accidents, sports-related incidents, blast injuries, and object strikes. The occurrence of traumatic brain injury (TBI) can result from a variety of catastrophic events, including explosions and natural disasters, and may manifest as either penetrating or non-penetrating injuries within the same individual [33].

Figure 14. Traumatic Brain Injury (TBI) [34].

References

33. Traumatic Brain Injury (TBI). Available from: https://www.ninds.nih.gov/health-information/disorders/traumatic-brain-injury-tbi.

34. Focus on Traumatic Brain Injury Research. Available from: https://www.ninds.nih.gov/current-research/focus-disorders/focus-traumatic-brain-injury-research.

(15): 01:39:14 Brain Health, Alcohol

Individuals who consume excessive amounts of alcohol over an extended period exhibit brain scans that depict a reduction in brain volume, resembling small walnuts within their cranial cavity. Chronic alcohol consumption is a prevalent cause of brain damage, and the cumulative morbidity associated with this condition is perplexing, given that it is not a widely recognized public health concern. As per the statement made by a distinguished researcher in the respective field, Dr. Susan Tapert asserted that. Throughout the period of adolescence, there is a restricted modification in the overall volume of the brain. The study reveals a significant decrease in grey matter, which is accountable for cognitive and emotional processing, and a corresponding increase in white matter, which functions as a network of connections between different grey matter regions in the brain. The prefrontal cortex, responsible for cognitive processes such as judgment, impulse control, and decision-making, does not achieve full white matter density until the age of 25 or 30, posing a challenge for adolescents. The insufficiency of white matter is a causative element in the heightened propensity of adolescents to engage in perilous behaviors [35].

The use of amphetamine has been found to have an impact on the development of the prefrontal cortex and mesolimbic dopamine pathways, leading to modifications in reward systems, socio-emotional processing, and cognition. Additional ramifications encompass interference with cognitive functions, a manifestation of anxiety-related conditions, and heightened susceptibility to future substance misuse during adulthood. While preventive and control policies are effective in mitigating the negative impact of drug abuse on the adolescent brain, a deeper comprehension of their neurobiological consequences can facilitate the development of enhanced treatment and mitigation strategies for the associated neuropsychiatric sequelae [36].

Figure 15. The brain of Alcohol drinkers [35].

References

35. The Effects of Drinking on the Teenage Brain. Available from: https://www.brainandlife.org/articles/how-does-alcohol-affect-the-teenage-brain.

36. Salmanzadeh, H., et al., Adolescent drug exposure: A review of the evidence for the development of persistent changes in brain function. Brain Research Bulletin, 2020. 156: p. 105-117.

(16):01:43:34 Neuroplasticity, Brain Lesions & Redundancy

Neuroplasticity, referred to as neural plasticity or brain plasticity, is a phenomenon characterized by adaptive modifications in the structural and functional aspects of the brain. Neuroplasticity refers to the capacity of the nervous system to modify its functioning, structure, or connections in reaction to internal or external stimuli, following incidents such as a stroke or traumatic brain injury (TBI). When a specific portion of a pig or rabbit brain is extracted, there may not be any noticeable changes in their behavior, speech, or bodily functions. However, if a small portion of the human brain is removed, it can significantly impact various pathways, such as those involved in speech coordination or finger movement, as well as the visual cortex. Therefore, it is evident that the species of the brain matters. Additionally, age is a crucial factor to consider. For instance, if half of the brain is removed from a very young baby, there is a reasonable chance that the remaining half of the brain can develop high degrees of function. The reason for this phenomenon is attributed to the fact that infants are in an early stage of development, during which their cognitive faculties are still evolving. The human brain possesses a high degree of plasticity over an extended period, which enables it to overcome various deficits. In the case of an adult brain that lacks functional differentiation, these deficits may not be apparent due to the presence of redundancy. Other animals have cerebral and spinal circuits that generate stereotyped behavior patterns, which may not require the involvement of the brain to execute motor activities such as walking. The susceptibility of adult humans to the loss of discrete brain functions is largely contingent upon the experimental design [37].

Figure 16. Brain lesions [38].

References

37. Puderbaugh M, E.P. Neuroplasticity. 2022; Available from: https://www.ncbi.nlm.nih.gov/books/NBK557811/.

38. Ferguson, M.A., et al., A human memory circuit derived from brain lesions causing amnesia. Nature Communications, 2019. 10(1): p. 3497.

(17):01:47:32 Car Accidents & Driver Alertness

The Tesla corporation, under the ownership of Elon Musk, boasts a team of exceptional engineers who have developed a distinctive feature for their Tesla automobile. This system is designed to alert the driver when their attention is not focused on the road. The mechanism operates through a small camera located in the rearview mirror, which utilizes an eye-tracking program to determine whether the driver's eyes are open or closed. Tesla is endeavoring to preserve the lives of human beings [39].

References

39. Tesla Vehicle Safety Report. Available from: https://www.tesla.com/VehicleSafetyReport.

(18):01:50:00 Future Possibilities in Brain Augmentation & BMI; Neuralink

Humans are gradually gaining mastery over certain maladaptive cognitive processes. It is a common experience for individuals to have either direct or indirect exposure to individuals affected by addiction, depression, suicide, or obesity, which are attributed to either normal or abnormal brain functions. Dr. Matthew MacDougall has expressed a professional interest in addressing these issues in his career. As per his statement, he envisions the complete integration of human cognition with artificial intelligence and unrestricted access to the internet, without any limitations on one's ability to think and communicate with others. This would eliminate the need to refer to external sources such as Wikipedia to inform one's thoughts and remove the constraints imposed by physical communication through speech. The mode of communication in question is highly susceptible to misinterpretation and represents a limited conduit for exchanging messages, akin to a narrow bottleneck. However, there is no inherent reason for this to persist as the status quo, as it is merely a product of historical precedent rather than an immutable characteristic of communication. The future may hold alternative means of communication that are less constrained and more effective. There exist numerous science fiction possibilities regarding the amalgamation of human minds to form a more powerful multi-unit organism. These are the elements that are currently distant in the future.

Elon Musk is known for his transparency as he frequently discloses his plans to the public and follows through with them, without withholding any information. The release of Tesla's master plan, in which the company outlined its intentions for the upcoming years, has consistently elicited surprise from the public. Despite this, there have been suspicions that the plan may contain some form of deception or misdirection. However, it is worth noting that both Tesla and Neuralink have been transparent in their operations, with all plans being made available to the public. Neuralink is actively seeking highly skilled individuals to contribute to the groundbreaking work initiated by Elon Musk at Neuralink. Neuralink aims to provide assistance to patients and encourages motivated individuals to enlist in the patient registry and participate in clinical trials [10].

Figure 17. Future Possibilities in Brain Implants [40].

References

40. Rech, D. Brain implants could give governments and companies power to read your mind, scientists warn. 2019; Available from: https://edition.cnn.com/2019/09/10/world/brain-implants-telepathy-intl-scn-scli/index.html.

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