Implementing High-resolution Cortical Arrays in the Intraoperative Setting - Early Experiences, Lessons, and Scientific Findings for Neurosurgical Mapping and Brain Computer Interface Development
Welcome
Saturday, January 24, 2026
3:30 PM - 3:35 PM PST
Location: Milano Ballroom III & IV
Session
Description: Join us for an exciting exploration of first-in-human clinical experience using high-resolution cortical arrays in the intraoperative environment. Developments in brain computer interface (BCI) technologies have resulted in flexible, thin-film arrays with 100s to 1,000s of microelectrodes to record neural activity at high-resolution without penetrating the brain. This non-damaging approach has enabled short-duration testing of BCIs during standard neurosurgical procedures such as deep brain stimulation implantation or tumor resection. In this context, we can decode awake behaviors and map functional brain regions, revealing neural patterns at resolutions never before seen. In this session, you’ll hear firsthand from the neurosurgeons and scientists at the forefront of implementing this technology in the operating room. Details will be shared on best practices for deploying high-resolution thin-film arrays during burr-hole and open craniotomy procedures and designing intraoperative experiment paradigms compatible with standard surgical workflows. You’ll also discover exciting scientific results of real-time decoding of hand gestures and speech using only minutes of intraoperative data, and methods for two-dimensional microscale mapping of neuro-anotomical boundaries. This session will spark discussions of creative intraoperative experimental paradigms, hypotheses, and surgical approaches for testing high-resolution, thin-film BCIs.