植入式脑机接口医学应用伦理规范考量  

Ethical considerations for medical applications of implantable brain-computer interfaces

作　　者：张喆 陈衍肖[2,3] 赵旭 王帆 丁鹏[2,3] 赵磊(综述) 伏云发(审校)[2,3] ZHANG Zhe;CHEN Yanxiao;ZHAO Xu;WANG Fan;DING Peng;ZHAO Lei;FU Yunfa(Faculty of Marxism,Kunming University of Science and Technology,Kunming 650500,P.R.China;Brain Cognition and Brain-computer Intelligence Integration Group,Kunming University of Science and Technology,Kunming 650500,P.R.China;Faculty of Information Engineering and Automation,Kunming University of Science and Technology,Kunming 650500,P.R.China;Faculty of Science,Kunming University of Science and Technology,Kunming 650500,P.R.China)

机构地区：[1]昆明理工大学马克思主义学院,昆明650500 [2]昆明理工大学脑认知与脑机智能融合创新团队,昆明650500 [3]昆明理工大学信息工程与自动化学院,昆明650500 [4]昆明理工大学理学院,昆明650500

出　　处：《生物医学工程学杂志》2024年第1期177-183,共7页Journal of Biomedical Engineering

基　　金：国家自然科学基金(82172058,62376112,81771926,61763022,62366026)。

摘　　要：植入式脑机接口(BCI)因电极接近或植入大脑皮质,其空间分辨率和信噪比高,具有重要的临床应用前景。然而,植入式BCI的手术和电极存在损伤脑组织的安全风险,其医学应用面临着伦理挑战,而迄今为止少有文献系统地考量这一问题。为促进该类BCI技术的临床转化,本文从降低植入式BCI手术和电极对脑组织损伤的风险、向患者提供定制的个性化植入式BCI治疗、确保多学科协作的植入式BCI临床应用、负责任地使用植入式BCI等方面考量植入式BCI医学应用伦理规范,以期为植入式BCI医学应用伦理规范的研究及制定提供思考与借鉴。Implantable brain-computer interfaces(BCIs)have potentially important clinical applications due to the high spatial resolution and signal-to-noise ratio of electrodes that are closer to or implanted in the cerebral cortex.However,the surgery and electrodes of implantable BCIs carry safety risks of brain tissue damage,and their medical applications face ethical challenges,with little literature to date systematically considering ethical norms for the medical applications of implantable BCIs.In order to promote the clinical translation of this type of BCI,we considered the ethics of practice for the medical application of implantable BCIs,including:reducing the risk of brain tissue damage from implantable BCI surgery and electrodes,providing patients with customized and personalized implantable BCI treatments,ensuring multidisciplinary collaboration in the clinical application of implantable BCIs,and the responsible use of implantable BCIs,among others.It is expected that this article will provide thoughts and references for the research and development of ethics of the medical application of implantable BCI.

关 键 词：植入式BCI的安全性 BCI医学应用伦理 植入式BCI BCI医学应用 

分 类 号：R-052[医药卫生]