Research

Circuits, Interfaces,
and Modulation

Our research program spans from the basic science of human intracranial electrophysiology to translational devices and clinical trials. Every project maintains a direct line from mechanism to therapy.

The Chan Lab occupies a rare position: a physician-scientist laboratory embedded in one of the most active surgical epilepsy programs in Appalachia. Patients undergoing stereo-EEG implantation, DBS, RNS, and VNS provide irreplaceable windows into the living human brain. We combine that access with rigorous signal processing, computational neuroscience, and device development to answer questions that cannot be addressed in animal models or non-invasive imaging.

Human Brain Circuit Dynamics
SEEG Intracranial EEG LFP Network neuroscience

The electrical signals recorded directly from the human brain with stereoEEG electrodes contain information that is fundamentally inaccessible to scalp EEG or fMRI. High-gamma activity, oscillatory phase coupling, cross-frequency interactions, and single-unit activity each reveal different aspects of circuit function. We work within the epilepsy monitoring unit to record broadband intracranial signals during cognitive tasks, resting state, and natural behavior, building a mechanistic understanding of how large-scale networks coordinate perception, mood, and memory.

A central focus is the frontal–limbic circuit and its role in comorbid depression in epilepsy. Approximately one-third of epilepsy patients meet criteria for major depression — not a reaction to diagnosis, but a shared circuit-level vulnerability. By recording simultaneously from prefrontal cortex, anterior cingulate, amygdala, and hippocampus during emotional paradigms, we characterize the oscillatory signatures that distinguish depressed from non-depressed epilepsy patients. This work underpins our NIMH K23 award.

SEEG recording during cognitive and emotional paradigms in the EMU
Frontal–limbic beta oscillation dynamics and depression biomarkers
Theta–gamma coupling in human hippocampus and memory encoding
Graph-theoretic analysis of functional connectivity networks
High-frequency oscillations as epileptogenicity markers
Brain-Computer Interfaces
Precision Neuro In-ear EEG AR-BCI Axon-R High-density ECoG

Brain-computer interfaces are the central passion of our lab. Our flagship BCI collaboration is with Precision Neuroscience, working alongside Dr. Peter Konrad and the WVU neurosurgery team. Precision's Layer 7 cortical interface is a high-density, minimally invasive electrode array with FDA 510(k) clearance. We leverage this technology to study the neural basis of cognition, including motor and speech function, as well as spinal cord and spine anatomy, mapping how the human cortex encodes movement and language at unprecedented spatial resolution.

Beyond intracortical interfaces, our BCI program operates two non-invasive platforms: an in-ear EEG system embedded in a commercial hearing aid form factor, and Axon-R (the Cognixion ONE AR headset), an augmented-reality BCI for patients with expressive aphasia after stroke or epilepsy surgery.

Our in-ear EEG platform targets a fundamental unmet need: continuous, ambulatory, naturalistic monitoring of brain activity in epilepsy patients. The canal is an acoustically and electrically privileged recording site, and our work has demonstrated that in-ear EEG can capture interictal epileptiform discharges with sufficient signal quality for machine learning-based detection. This has implications not just for seizure monitoring but for passive digital biomarker capture in neurodegenerative conditions.

The AR-BCI program, pursued through the NSF BRAIN Pilot IUCRC, uses the eye-tracking and display capabilities of the Axon-R headset combined with P300-based or gaze-based decoding to provide a communication and language rehabilitation interface for patients with aphasia.

High-density cortical mapping of motor and speech function with Precision Layer 7
Cortical and spinal anatomy studies via high-density ECoG
In-ear EEG hardware design and ambulatory epilepsy monitoring
Augmented reality interfaces for neurological rehabilitation
P300, SSVEP, and gaze-based neural decoding
Neuromodulation
DBS RNS VNS Emerging modulation Non-invasive modulation

Neuromodulation therapies have transformed the treatment of epilepsy, Parkinson's disease, depression, and OCD — yet we still have only a limited mechanistic understanding of how they work. Our program uses the unique opportunity of intraoperative and post-implant recordings in patients undergoing DBS, RNS, and VNS to characterize the electrophysiological effects of stimulation on target circuits in real time.

We are also interested in emerging non-invasive and minimally invasive neuromodulation approaches, and in using SEEG-based biomarkers to understand how novel modulation techniques interact with ongoing thalamocortical rhythms in epilepsy. This work combines the precision of intracranial recording with next-generation therapeutic approaches.

Intraoperative LFP recording during DBS lead implantation
Closed-loop RNS optimization using spectral biomarkers
SEEG-guided mechanistic studies of emerging neuromodulation techniques
VNS and vagal afferent modulation of cortical excitability
Cortical and subcortical stimulation mapping for epilepsy surgery
Neurodegenerative Disease
Digital biomarkers Alzheimer's Hearing technology Cognitive decline

The overlap between epilepsy and neurodegenerative disease — particularly Alzheimer's disease — is increasingly recognized. Epilepsy is both a risk factor for and a consequence of neurodegeneration. This provides a natural bridge for our lab's expertise in neural signal analysis and device development to address a much larger patient population.

Our neurodegeneration program centers on passive digital biomarker discovery using commercial hearing aid technology. Modern hearing aids continuously sample the acoustic environment, track activity metrics, and in some cases detect falls. We are developing the scientific framework to use this passively acquired data — collected over months and years — to identify neural signatures of cognitive decline earlier than conventional clinical assessments allow. In partnership with Starkey Hearing Technologies, we are building a retrospective observational study in a neurodegenerative disease cohort.

This research direction is expected to become the laboratory's primary growth area over the next decade, as the aging of Appalachia creates urgent demand for scalable, low-burden monitoring solutions.

Hearing aid acoustic environment and activity as cognitive biomarkers
Digital biomarker discovery in MCI and early Alzheimer's disease
Eye-tracking metrics as neurodegenerative signatures
Wearable and passive sensing for longitudinal cognitive monitoring
Neural signatures of degeneration in late-onset epilepsy
Traumatic Brain Injury & Post-Traumatic Epilepsy
TBI Post-traumatic epilepsy PTE grant Clinical research

Traumatic brain injury is one of the strongest risk factors for developing epilepsy, yet the mechanisms that convert an initial injury into chronic, recurrent seizures remain poorly understood. Post-traumatic epilepsy (PTE) is especially relevant to West Virginia, where high rates of traumatic injury, falls, and occupational hazards create a substantial at-risk population that has been historically underserved by neurological research.

In close collaboration with Dr. Javier Cárdenas, Chair of Neurology and a national expert in traumatic brain injury, our lab is building a clinical research program focused on the identification, prevention, and treatment of post-traumatic epilepsy. This partnership pairs Dr. Cárdenas's deep expertise in TBI with our laboratory's strengths in intracranial electrophysiology and biomarker discovery, with the goal of identifying which patients are at highest risk of developing epilepsy after injury and intervening before seizures become established.

Clinical characterization of post-traumatic epilepsy risk after TBI
Electrophysiological biomarkers of epileptogenesis following injury
Prospective PTE cohort development in the Appalachian population
Early intervention strategies to prevent post-traumatic seizures
Therapeutic Discovery
Drug discovery Zebrafish model Botanical therapeutics Anti-seizure

Roughly one-third of people with epilepsy remain resistant to existing medications, and the range of drug targets has changed little in decades. Plant-derived molecules have repeatedly become mainstream epilepsy therapeutics, and traditional botanical formulas offer a clinically pre-filtered source of new chemical matter that may act through complementary mechanisms.

In collaboration with the WVU School of Pharmacy and the Department of Biology, we are building a botanical drug-discovery program for epilepsy using a larval zebrafish seizure platform. This high-throughput model allows us to screen candidate compounds for anticonvulsant activity and to begin defining how they work, establishing a new therapeutic-discovery capability at WVU that bridges medicinal chemistry, neurodevelopmental genetics, and clinical epilepsy.

Larval zebrafish seizure platform for anticonvulsant screening
Bioassay-guided identification of active botanical constituents
Cross-disciplinary collaboration with Pharmacy and Biology
Preliminary mechanism-of-action studies for lead compounds
Collaborations

Scientific Partnerships

Our research benefits from multi-institutional collaborations spanning neurosurgery, computational neuroscience, psychiatry, and biomedical engineering.

Dr. Helen Mayberg
Mount Sinai · DBS, depression circuits, subcallosal cingulate
Dr. Muhammad Parvaz
Mount Sinai · Cognitive neuroscience, addiction neurology
Dr. Peter Konrad
WVU · Neurosurgery, BCI, neuromodulation
Dr. David Adelson
WVU RNI · Pediatric neurosurgery, epilepsy surgery
Dr. Javier Cárdenas
WVU · TBI, post-traumatic epilepsy
Dr. Lawrence Morton
WVU RNI · Epilepsy, transition-of-care
Dr. Ray Guo
WVU School of Pharmacy · Epilepsy teleclinic, health services research
Dr. Werner Geldenhuys
WVU School of Pharmacy · Medicinal chemistry, drug discovery
Dr. Sadie Bergeron
WVU Department of Biology · Zebrafish genetics, neurodevelopment
Precision Neuroscience
Layer 7 cortical interface · High-density BCI
Starkey Hearing Technologies
Minnesota · Digital biomarker platform, hearing AI