Effects of the presentation order of stimulations in sequential ERP/SSVEP Hybrid Brain-Computer Interface

Hybrid Brain-Computer Interface (hBCI) combines multiple neurophysiology modalities or paradigms to speed up the output of a single command or produce multiple ones simultaneously. Concurrent hBCIs that employ endogenous and exogenous paradigms are limited by the reduced set of possible commands. Conversely, the fusion of different exogenous visual evoked potentials demonstrated impressive performances; however, they suffer from limited portability. Yet, sequential hBCIs did not receive much attention mainly due to slower transfer rate and user fatigue during prolonged BCI use (Lorenz et al 2014 J. Neural Eng. 11 035007). Moreover, the crucial factors for optimizing the hybridization remain under-explored. In this paper, we test the feasibility of sequential Event Related-Potentials (ERP) and Steady-State Visual Evoked Potentials (SSVEP) hBCI and study the effect of stimulus order presentation between ERP-SSVEP and SSVEP-ERP for the control of directions and speed of powered wheelchairs or mobile robots with 15 commands. Exploiting the fast single trial face stimulus ERP, SSVEP and modern efficient convolutional neural networks, the configuration with SSVEP presented at first achieved significantly (p < 0.05) higher average accuracy rate with 76.39% ( ± 7.30 standard deviation) hybrid command accuracy and an average Information Transfer Rate (ITR) of 25.05 ( ± 5.32 standard deviation) bits per minute (bpm). The results of the study demonstrate the suitability of a sequential SSVEP-ERP hBCI with challenging dry electroencephalography (EEG) electrodes and low-compute capacity. Although it presents lower ITR than concurrent hBCIs, our system presents an alternative in small screen settings when the conditions for concurrent hBCIs are difficult to satisfy.

A scoping review of gaze and eye tracking-based control methods for assistive robotic arms

Background: Assistive Robotic Arms are designed to assist physically disabled people with daily activities. Existing joysticks and head controls are not applicable for severely disabled people such as people with Locked-in Syndrome. Therefore, eye tracking control is part of ongoing research. The related literature spans many disciplines, creating a heterogeneous field that makes it difficult to gain an overview. Objectives: This work focuses on ARAs that are controlled by gaze and eye movements. By answering the research questions, this paper provides details on the design of the systems, a comparison of input modalities, methods for measuring the performance of these controls, and an outlook on research areas that gained interest in recent years. Methods: This review was conducted as outlined in the PRISMA 2020 Statement. After identifying a wide range of approaches in use the authors decided to use the PRISMA-ScR extension for a scoping review to present the results. The identification process was carried out by screening three databases. After the screening process, a snowball search was conducted. Results: 39 articles and 6 reviews were included in this article. Characteristics related to the system and study design were extracted and presented divided into three groups based on the use of eye tracking. Conclusion: This paper aims to provide an overview for researchers new to the field by offering insight into eye tracking based robot controllers. We have identified open questions that need to be answered in order to provide people with severe motor function loss with systems that are highly useable and accessible.

OptEF-BCI: An Optimization-Based Hybrid EEG and fNIRS-Brain Computer Interface

Multimodal data fusion (electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS)) has been developed as an important neuroimaging research field in order to circumvent the inherent limitations of individual modalities by combining complementary information from other modalities. This study employed an optimization-based feature selection algorithm to systematically investigate the complementary nature of multimodal fused features. After preprocessing the acquired data of both modalities (i.e., EEG and fNIRS), the temporal statistical features were computed separately with a 10 s interval for each modality. The computed features were fused to create a training vector. A wrapper-based binary enhanced whale optimization algorithm (E-WOA) was used to select the optimal/efficient fused feature subset using the support-vector-machine-based cost function. An online dataset of 29 healthy individuals was used to evaluate the performance of the proposed methodology. The findings suggest that the proposed approach enhances the classification performance by evaluating the degree of complementarity between characteristics and selecting the most efficient fused subset. The binary E-WOA feature selection approach showed a high classification rate (94.22 ± 5.39%). The classification performance exhibited a 3.85% increase compared with the conventional whale optimization algorithm. The proposed hybrid classification framework outperformed both the individual modalities and traditional feature selection classification (p < 0.01). These findings indicate the potential efficacy of the proposed framework for several neuroclinical applications.

A high-speed hybrid brain-computer interface with more than 200 targets

Objective. Brain-computer interfaces (BCIs) have recently made significant strides in expanding their instruction set, which has attracted wide attention from researchers. The number of targets and commands is a key indicator of how well BCIs can decode the brain's intentions. No studies have reported a BCI system with over 200 targets.Approach. This study developed the first high-speed BCI system with up to 216 targets that were encoded by a combination of electroencephalography features, including P300, motion visual evoked potential (mVEP), and steady-state visual evoked potential (SSVEP). Specifically, the hybrid BCI paradigm used the time-frequency division multiple access strategy to elaborately tag targets with P300 and mVEP of different time windows, along with SSVEP of different frequencies. The hybrid features were then decoded by task-discriminant component analysis and linear discriminant analysis. Ten subjects participated in the offline and online cued-guided spelling experiments. Other ten subjects took part in online free-spelling experiments.Main results.The offline results showed that the mVEP and P300 components were prominent in the central, parietal, and occipital regions, while the most distinct SSVEP feature was in the occipital region. The online cued-guided spelling and free-spelling results showed that the proposed BCI system achieved an average accuracy of 85.37% ± 7.49% and 86.00% ± 5.98% for the 216-target classification, resulting in an average information transfer rate (ITR) of 302.83 ± 39.20 bits min-1and 204.47 ± 37.56 bits min-1, respectively. Notably, the peak ITR could reach up to 367.83 bits min-1.Significance.This study developed the first high-speed BCI system with more than 200 targets, which holds promise for extending BCI's application scenarios.

Advances in P300 brain-computer interface spellers: toward paradigm design and performance evaluation

A brain-computer interface (BCI) is a non-muscular communication technology that provides an information exchange channel for our brains and external devices. During the decades, BCI has made noticeable progress and has been applied in many fields. One of the most traditional BCI applications is the BCI speller. This article primarily discusses the progress of research into P300 BCI spellers and reviews four types of P300 spellers: single-modal P300 spellers, P300 spellers based on multiple brain patterns, P300 spellers with multisensory stimuli, and P300 spellers with multiple intelligent techniques. For each type of P300 speller, we further review several representative P300 spellers, including their design principles, paradigms, algorithms, experimental performance, and corresponding advantages. We particularly emphasized the paradigm design ideas, including the overall layout, individual symbol shapes and stimulus forms. Furthermore, several important issues and research guidance for the P300 speller were identified. We hope that this review can assist researchers in learning the new ideas of these novel P300 spellers and enhance their practical application capability.

Cortico-muscular coupling to control a hybrid brain-computer interface for upper limb motor rehabilitation: A pseudo-online study on stroke patients

Brain-Computer Interface (BCI) systems for motor rehabilitation after stroke have proven their efficacy to enhance upper limb motor recovery by reinforcing motor related brain activity. Hybrid BCIs (h-BCIs) exploit both central and peripheral activation and are frequently used in assistive BCIs to improve classification performances. However, in a rehabilitative context, brain and muscular features should be extracted to promote a favorable motor outcome, reinforcing not only the volitional control in the central motor system, but also the effective projection of motor commands to target muscles, i.e., central-to-peripheral communication. For this reason, we considered cortico-muscular coupling (CMC) as a feature for a h-BCI devoted to post-stroke upper limb motor rehabilitation. In this study, we performed a pseudo-online analysis on 13 healthy participants (CTRL) and 12 stroke patients (EXP) during executed (CTRL, EXP unaffected arm) and attempted (EXP affected arm) hand grasping and extension to optimize the translation of CMC computation and CMC-based movement detection from offline to online. Results showed that updating the CMC computation every 125 ms (shift of the sliding window) and accumulating two predictions before a final classification decision were the best trade-off between accuracy and speed in movement classification, independently from the movement type. The pseudo-online analysis on stroke participants revealed that both attempted and executed grasping/extension can be classified through a CMC-based movement detection with high performances in terms of classification speed (mean delay between movement detection and EMG onset around 580 ms) and accuracy (hit rate around 85%). The results obtained by means of this analysis will ground the design of a novel non-invasive h-BCI in which the control feature is derived from a combined EEG and EMG connectivity pattern estimated during upper limb movement attempts.

Effects of inter-stimulus intervals on concurrent P300 and SSVEP features for hybrid Brain-computer interfaces

BACKGROUND

Recently, we have implemented a high-speed brain-computer interface (BCI) system with a large instruction set using the concurrent P300 and steady-state visual evoked potential (SSVEP) features (also known as hybrid features). However, it remains unclear how to select inter-stimulus interval (ISI) for the proposed BCI system to balance the encoding efficiency and decoding performance.

NEW METHOD

This study developed a 6⁎9 hybrid P300-SSVEP BCI system and investigated a series of ISIs ranged from -175ms to 0ms with a step of 25ms. The influence of ISI on the hybrid features was analyzed from several aspects, including the amplitude of the induced features, classification accuracy, information transfer rate (ITR). Twelve naive subjects were recruited for the experiment.

RESULTS

The results showed the ISI factor had a significant impact on the hybrid features. Specifically, as the values of ISI decreased, the amplitudes of the induced features and accuracies decreased gradually, while the ITRs increased rapidly. It's achieved the highest ITR of 158.50 bits/min when ISI equal to -175ms.

COMPARISON WITH EXISTING METHOD

The optimal ISI in this study achieved superior performance in comparison with the one we used in the previous study.

CONCLUSIONS

The ISI can exert an important influence on the P300-SSVEP BCI system and its optimal value is -175ms in this study, which is significant for developing the high-speed BCI system with larger instruction sets in the future.

Analysis of Human Gait Using Hybrid EEG-fNIRS-Based BCI System: A Review

Human gait is a complex activity that requires high coordination between the central nervous system, the limb, and the musculoskeletal system. More research is needed to understand the latter coordination's complexity in designing better and more effective rehabilitation strategies for gait disorders. Electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) are among the most used technologies for monitoring brain activities due to portability, non-invasiveness, and relatively low cost compared to others. Fusing EEG and fNIRS is a well-known and established methodology proven to enhance brain–computer interface (BCI) performance in terms of classification accuracy, number of control commands, and response time. Although there has been significant research exploring hybrid BCI (hBCI) involving both EEG and fNIRS for different types of tasks and human activities, human gait remains still underinvestigated. In this article, we aim to shed light on the recent development in the analysis of human gait using a hybrid EEG-fNIRS-based BCI system. The current review has followed guidelines of preferred reporting items for systematic reviews and meta-Analyses (PRISMA) during the data collection and selection phase. In this review, we put a particular focus on the commonly used signal processing and machine learning algorithms, as well as survey the potential applications of gait analysis. We distill some of the critical findings of this survey as follows. First, hardware specifications and experimental paradigms should be carefully considered because of their direct impact on the quality of gait assessment. Second, since both modalities, EEG and fNIRS, are sensitive to motion artifacts, instrumental, and physiological noises, there is a quest for more robust and sophisticated signal processing algorithms. Third, hybrid temporal and spatial features, obtained by virtue of fusing EEG and fNIRS and associated with cortical activation, can help better identify the correlation between brain activation and gait. In conclusion, hBCI (EEG + fNIRS) system is not yet much explored for the lower limb due to its complexity compared to the higher limb. Existing BCI systems for gait monitoring tend to only focus on one modality. We foresee a vast potential in adopting hBCI in gait analysis. Imminent technical breakthroughs are expected using hybrid EEG-fNIRS-based BCI for gait to control assistive devices and Monitor neuro-plasticity in neuro-rehabilitation. However, although those hybrid systems perform well in a controlled experimental environment when it comes to adopting them as a certified medical device in real-life clinical applications, there is still a long way to go.

Developing a Motor Imagery-Based Real-Time Asynchronous Hybrid BCI Controller for a Lower-Limb Exoskeleton

This study aimed to develop an intuitive gait-related motor imagery (MI)-based hybrid brain-computer interface (BCI) controller for a lower-limb exoskeleton and investigate the feasibility of the controller under a practical scenario including stand-up, gait-forward, and sit-down. A filter bank common spatial pattern (FBCSP) and mutual information-based best individual feature (MIBIF) selection were used in the study to decode MI electroencephalogram (EEG) signals and extract a feature matrix as an input to the support vector machine (SVM) classifier. A successive eye-blink switch was sequentially combined with the EEG decoder in operating the lower-limb exoskeleton. Ten subjects demonstrated more than 80% accuracy in both offline (training) and online. All subjects successfully completed a gait task by wearing the lower-limb exoskeleton through the developed real-time BCI controller. The BCI controller achieved a time ratio of 1.45 compared with a manual smartwatch controller. The developed system can potentially be benefit people with neurological disorders who may have difficulties operating manual control.

Hybrid EEG-fNIRS BCI Fusion Using Multi-Resolution Singular Value Decomposition (MSVD)

Brain-computer interface (BCI) multi-modal fusion has the potential to generate multiple commands in a highly reliable manner by alleviating the drawbacks associated with single modality. In the present work, a hybrid EEG-fNIRS BCI system—achieved through a fusion of concurrently recorded electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) signals—is used to overcome the limitations of uni-modality and to achieve higher tasks classification. Although the hybrid approach enhances the performance of the system, the improvements are still modest due to the lack of availability of computational approaches to fuse the two modalities. To overcome this, a novel approach is proposed using Multi-resolution singular value decomposition (MSVD) to achieve system- and feature-based fusion. The two approaches based up different features set are compared using the KNN and Tree classifiers. The results obtained through multiple datasets show that the proposed approach can effectively fuse both modalities with improvement in the classification accuracy.

Hybrid Human-Machine Interface for Gait Decoding Through Bayesian Fusion of EEG and EMG Classifiers

Despite the advances in the field of brain computer interfaces (BCI), the use of the sole electroencephalography (EEG) signal to control walking rehabilitation devices is currently not viable in clinical settings, due to its unreliability. Hybrid interfaces (hHMIs) represent a very recent solution to enhance the performance of single-signal approaches. These are classification approaches that combine multiple human-machine interfaces, normally including at least one BCI with other biosignals, such as the electromyography (EMG). However, their use for the decoding of gait activity is still limited. In this work, we propose and evaluate a hybrid human-machine interface (hHMI) to decode walking phases of both legs from the Bayesian fusion of EEG and EMG signals. The proposed hHMI significantly outperforms its single-signal counterparts, by providing high and stable performance even when the reliability of the muscular activity is compromised temporarily (e.g., fatigue) or permanently (e.g., weakness). Indeed, the hybrid approach shows a smooth degradation of classification performance after temporary EMG alteration, with more than 75% of accuracy at 30% of EMG amplitude, with respect to the EMG classifier whose performance decreases below 60% of accuracy. Moreover, the fusion of EEG and EMG information helps keeping a stable recognition rate of each gait phase of more than 80% independently on the permanent level of EMG degradation. From our study and findings from the literature, we suggest that the use of hybrid interfaces may be the key to enhance the usability of technologies restoring or assisting the locomotion on a wider population of patients in clinical applications and outside the laboratory environment.

A Hybrid Speller Design Using Eye Tracking and SSVEP Brain-Computer Interface

Steady-state visual evoked potentials (SSVEPs) have been extensively utilized to develop brain-computer interfaces (BCIs) due to the advantages of robustness, large number of commands, high classification accuracies, and information transfer rates (ITRs). However, the use of several simultaneous flickering stimuli often causes high levels of user discomfort, tiredness, annoyingness, and fatigue. Here we propose to design a stimuli-responsive hybrid speller by using electroencephalography (EEG) and video-based eye-tracking to increase user comfortability levels when presented with large numbers of simultaneously flickering stimuli. Interestingly, a canonical correlation analysis (CCA)-based framework was useful to identify target frequency with a 1 s duration of flickering signal. Our proposed BCI-speller uses only six frequencies to classify forty-eight targets, thus achieve greatly increased ITR, whereas basic SSVEP BCI-spellers use an equal number of frequencies to the number of targets. Using this speller, we obtained an average classification accuracy of 90.35 ± 3.597% with an average ITR of 184.06 ± 12.761 bits per minute in a cued-spelling task and an ITR of 190.73 ± 17.849 bits per minute in a free-spelling task. Consequently, our proposed speller is superior to the other spellers in terms of targets classified, classification accuracy, and ITR, while producing less fatigue, annoyingness, tiredness and discomfort. Together, our proposed hybrid eye tracking and SSVEP BCI-based system will ultimately enable a truly high-speed communication channel.

An EEG-/EOG-Based Hybrid Brain-Computer Interface: Application on Controlling an Integrated Wheelchair Robotic Arm System

Most existing brain-computer Interfaces (BCIs) are designed to control a single assistive device, such as a wheelchair, a robotic arm or a prosthetic limb. However, many daily tasks require combined functions which can only be realized by integrating multiple robotic devices. Such integration raises the requirement of the control accuracy and is more challenging to achieve a reliable control compared with the single device case. In this study, we propose a novel hybrid BCI with high accuracy based on electroencephalogram (EEG) and electrooculogram (EOG) to control an integrated wheelchair robotic arm system. The user turns the wheelchair left/right by performing left/right hand motor imagery (MI), and generates other commands for the wheelchair and the robotic arm by performing eye blinks and eyebrow raising movements. Twenty-two subjects participated in a MI training session and five of them completed a mobile self-drinking experiment, which was designed purposely with high accuracy requirements. The results demonstrated that the proposed hBCI could provide satisfied control accuracy for a system that consists of multiple robotic devices, and showed the potential of BCI-controlled systems to be applied in complex daily tasks.

EEG-Based Brain-Computer Interfaces

Brain-computer interfaces (BCIs) provide a direct communication channel between human brain and output devices. Due to advantages such as non-invasiveness, ease of use, and low cost, electroencephalography (EEG) is the most popular method for current BCIs. This chapter gives an overview of the current EEG-based BCIs for the main purpose of communication and control. This chapter first provides a taxonomy of the EEG-based BCI systems by categorizing them into three major groups: (1) BCIs based on event-related potentials (ERPs), (2) BCIs based on sensorimotor rhythms, and (3) hybrid BCIs. Next, this chapter describes challenges and potential solutions in developing practical BCI systems toward high communication speed, convenient system use, and low user variation. Then this chapter briefly reviews both medical and non-medical applications of current BCIs. Finally, this chapter concludes with a summary of current stage and future perspectives of the EEG-based BCI technology.

Enhancing Performance of a Hybrid EEG-fNIRS System Using Channel Selection and Early Temporal Features

Brain-Computer Interface (BCI) techniques hold a great promise for neuroprosthetic applications. A desirable BCI system should be portable, minimally invasive, and feature high classification accuracy and efficiency. As two commonly used non-invasive brain imaging modalities, Electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) BCI system have often been incorporated in the development of hybrid BCI systems, largely due to their complimentary properties. In this study, we aimed to investigate whether the early temporal information extracted from singular EEG and fNIRS channels on each hemisphere can be used to enhance the accuracy and efficiency of a hybrid EEG-fNIRS BCI system. Eleven healthy volunteers were recruited and underwent simultaneous EEG-fNIRS recording during a motor execution task that included left and right hand movements. Singular EEG and fNIRS channels corresponding to the motor cortices of each hemisphere were selected using a general linear model. Early temporal information was extracted from the EEG channel (0–1 s) along with initial hemodynamic dip information from fNIRS (0–2 s) for classification using a support vector machine (SVM). Results demonstrated a lofty classification accuracy using a minimal number of channels and features derived from early temporal information. In conclusion, a hybrid EEG-fNIRS BCI system can achieve higher classification accuracy (91.02 ± 4.08%) and efficiency by integrating their complimentary properties, compared to using EEG (85.64 ± 7.4%) or fNIRS alone (85.55 ± 10.72%). Such a hybrid system can also achieve minimal response lag in application by focusing on rapidly-evolving brain dynamics.

Errare machinale est: the use of error-related potentials in brain-machine interfaces

The ability to recognize errors is crucial for efficient behavior. Numerous studies have identified electrophysiological correlates of error recognition in the human brain (error-related potentials, ErrPs). Consequently, it has been proposed to use these signals to improve human-computer interaction (HCI) or brain-machine interfacing (BMI). Here, we present a review of over a decade of developments toward this goal. This body of work provides consistent evidence that ErrPs can be successfully detected on a single-trial basis, and that they can be effectively used in both HCI and BMI applications. We first describe the ErrP phenomenon and follow up with an analysis of different strategies to increase the robustness of a system by incorporating single-trial ErrP recognition, either by correcting the machine's actions or by providing means for its error-based adaptation. These approaches can be applied both when the user employs traditional HCI input devices or in combination with another BMI channel. Finally, we discuss the current challenges that have to be overcome in order to fully integrate ErrPs into practical applications. This includes, in particular, the characterization of such signals during real(istic) applications, as well as the possibility of extracting richer information from them, going beyond the time-locked decoding that dominates current approaches.

Affective Brain-Computer Interfaces As Enabling Technology for Responsive Psychiatric Stimulation

There is a pressing clinical need for responsive neurostimulators, which sense a patient's brain activity and deliver targeted electrical stimulation to suppress unwanted symptoms. This is particularly true in psychiatric illness, where symptoms can fluctuate throughout the day. Affective BCIs, which decode emotional experience from neural activity, are a candidate control signal for responsive stimulators targeting the limbic circuit. Present affective decoders, however, cannot yet distinguish pathologic from healthy emotional extremes. Indiscriminate stimulus delivery would reduce quality of life and may be actively harmful. We argue that the key to overcoming this limitation is to specifically decode volition, in particular the patient's intention to experience emotional regulation. Those emotion-regulation signals already exist in prefrontal cortex (PFC), and could be extracted with relatively simple BCI algorithms. We describe preliminary data from an animal model of PFC-controlled limbic brain stimulation and discuss next steps for pre-clinical testing and possible translation.

Switching between Manual Control and Brain-Computer Interface Using Long Term and Short Term Quality Measures

Assistive devices for persons with limited motor control translate or amplify remaining functions to allow otherwise impossible actions. These assistive devices usually rely on just one type of input signal which can be derived from residual muscle functions or any other kind of biosignal. When only one signal is used, the functionality of the assistive device can be reduced as soon as the quality of the provided signal is impaired. The quality can decrease in case of fatigue, lack of concentration, high noise, spasms, tremors, depending on the type of signal. To overcome this dependency on one input signal, a combination of more inputs should be feasible. This work presents a hybrid Brain-Computer Interface (hBCI) approach where two different input signals (joystick and BCI) were monitored and only one of them was chosen as a control signal at a time. Users could move a car in a game-like feedback application to collect coins and avoid obstacles via either joystick or BCI control. Both control types were constantly monitored with four different long term quality measures to evaluate the current state of the signals. As soon as the quality dropped below a certain threshold, a monitoring system would switch to the other control mode and vice versa. Additionally, short term quality measures were applied to check for strong artifacts that could render voluntary control impossible. These measures were used to prohibit actions carried out during times when highly uncertain signals were recorded. The switching possibility allowed more functionality for the users. Moving the car was still possible even after one control mode was not working any more. The proposed system serves as a basis that shows how BCI can be used as an assistive device, especially in combination with other assistive technology.

Tools for Brain-Computer Interaction: A General Concept for a Hybrid BCI

The aim of this work is to present the development of a hybrid Brain-Computer Interface (hBCI) which combines existing input devices with a BCI. Thereby, the BCI should be available if the user wishes to extend the types of inputs available to an assistive technology system, but the user can also choose not to use the BCI at all; the BCI is active in the background. The hBCI might decide on the one hand which input channel(s) offer the most reliable signal(s) and switch between input channels to improve information transfer rate, usability, or other factors, or on the other hand fuse various input channels. One major goal therefore is to bring the BCI technology to a level where it can be used in a maximum number of scenarios in a simple way. To achieve this, it is of great importance that the hBCI is able to operate reliably for long periods, recognizing and adapting to changes as it does so. This goal is only possible if many different subsystems in the hBCI can work together. Since one research institute alone cannot provide such different functionality, collaboration between institutes is necessary. To allow for such a collaboration, a new concept and common software framework is introduced. It consists of four interfaces connecting the classical BCI modules: signal acquisition, preprocessing, feature extraction, classification, and the application. But it provides also the concept of fusion and shared control. In a proof of concept, the functionality of the proposed system was demonstrated.

The hybrid BCI

Nowadays, everybody knows what a hybrid car is. A hybrid car normally has two engines to enhance energy efficiency and reduce CO2 output. Similarly, a hybrid brain-computer interface (BCI) is composed of two BCIs, or at least one BCI and another system. A hybrid BCI, like any BCI, must fulfill the following four criteria: (i) the device must rely on signals recorded directly from the brain; (ii) there must be at least one recordable brain signal that the user can intentionally modulate to effect goal-directed behaviour; (iii) real time processing; and (iv) the user must obtain feedback. This paper introduces hybrid BCIs that have already been published or are in development. We also introduce concepts for future work. We describe BCIs that classify two EEG patterns: one is the event-related (de)synchronisation (ERD, ERS) of sensorimotor rhythms, and the other is the steady-state visual evoked potential (SSVEP). Hybrid BCIs can either process their inputs simultaneously, or operate two systems sequentially, where the first system can act as a “brain switch”. For example, we describe a hybrid BCI that simultaneously combines ERD and SSVEP BCIs. We also describe a sequential hybrid BCI, in which subjects could use a brain switch to control an SSVEP-based hand orthosis. Subjects who used this hybrid BCI exhibited about half the false positives encountered while using the SSVEP BCI alone. A brain switch can also rely on hemodynamic changes measured through near-infrared spectroscopy (NIRS). Hybrid BCIs can also use one brain signal and a different type of input. This additional input can be an electrophysiological signal such as the heart rate, or a signal from an external device such as an eye tracking system.