Harnessing Brain Plasticity: Video Games and the Future of Neurotherapeutics
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1 Harnessing Brain Plasticity: Video Games and the Future of Neurotherapeutics Adam Gazzaley, MD PhD Director, Neuroscience Imaging Center Neurology, Physiology and Psychiatry University of California, San Francisco
2 Goal Improve quality of life
3 Societal Challenge Develop effective approaches to enhance cognition in both healthy and impaired individuals
4 Current System 60 year old with mild cognitive impairment Poor characterization Poor targeting Non-personalized Unimodal Open Loop
5 Create a New System targeted / personalized / multimodal / closed-loop
6 Create a New System fmri EEG TES Our brain is vulnerable to a negative impact of interference This all gets worse as we get older
7 Create a New System
8 Brain Plasticity The brain s ability to modify its function, structure & chemistry in response to new experiences
9 Cognitive Enhancement Traditional Education Physical exercise Nutrition Meditation Neurofeedback Cognitive Training Enriched Environments Video games Ritalin Adderall Pharmaceuticals Modafanil Aricept Neuromodulation Transcranial magnetic stimulation (TMS) Transcranial electrical stimulation (tces) Direct Brain-Computer Interfaces
10 Video Games But, can they have deep and positive impact? Video games are just another manifestation of human mania, our endearing quality of going relentlessly after absolutely pointless goals. John Skow, Time Magazine, 1982
11 Video Game Training Can we develop a custom-designed video game to enhance cognitive control in older adults?
12 Video Game Training
13 Multitasking Midline Frontal Performance Theta 12 hours 0% -20% -27% -40% -60% -80% -63% -100% s 30s 40s 50s 60s 70s 1 month later
14 Transfer of Benefits 12 hours Working Memory & Sustained Attention
15
16 Move to the Real World Akili Interactive Labs Co-founder and Chief Science Advisor
17 Move to the Real World ADHD Scott Kollins, Duke University / Andrew Cutler, FLCRC [Shire Pharmaceuticals] Depression Patricia Arean, UCSF [NIH] Dementia [Pfizer] Autism Elysa Marco, UCSF [Wallace Foundation / James Gates Family Foundation]
18 Develop New Video Games Internal Distraction Long term Memory Attention Rhythm
19 Develop New Video Games Virtual Reality More Real - World Deeper Immersion Wider Field of View Depth of Field
20 Develop New Video Games Full-Body Motion More Real - World Deeper Immersion Embodied Cognition Physical Exercise
21 Create a New System
22 Enhance the Effects Neuromodulation Neurofeedback Video games
23 Real-Time EEG
24 Close the Loop Behavior Neural Electrical Environment
25 EEG EEG tacs targeted / personalized / multimodal / closed-loop
26 Over the Next 10 years... Parkinson s Disease Anxiety Disorder Schizophrenia Alzheimer s Disease Multiple Sclerosis Depression Education Autism Attention Deficit Disorder Traumatic Brain Injury Post Traumatic Stress Disorder
27 Bridging the Gap Between Technology and Neuroscience
28 Neuroscape
29 Thanks for your attention
30 Many thanks Hardware Support Apple Oculus VR NVIDIA National Institute on Aging National Institute of Mental Health Faculty Ted Zanto Judy Pa American Federation of Aging Research Robert Wood Johnson Foundation Zynga Foundation Jyoti Mishra Peter Wais Research Partners Pat Arean Elysa Marco Fellows David Ziegler Morgan Hough Bradley Voytek Joaquin Anguera Yixuan Ku Martine Schouwenburg Financial Support Research Associates Jacki Janowich Cammie Rolle Roger Anguera Rajat Jain Anirudh Wodeyar Game Development Matt Omernick Dmitri Ellingson Eric Johnson Noah Fahlstein Sandler Foundation Jamie Gates Family Foundation Rose Family Foundation Feldman Family Foundation Ty Clark Matt Whitman Mike Gonzales Mickey Hart thanks to the many Gazzlab alumni and past partners Students Zack Chadick Omar Alhashimi Alan Legitt Benjamin Dorn WanYu Hsu GlassBrain Partners Tim Mullen Christian Kothe Oleg Konigs John Fesenko Matt Omernick UCSF CTSI Posit Science Pfizer / Eisai Tim Ferriss
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