Myomatrix arrays for high-definition muscle recording

Reviewer #1 (Public Review):

The main objective of this paper is to report the development of a new intramuscular probe that the authors have named Myomatrix arrays. The goal of the Myomatrix probe is to significantly advance the current technological ability to record the motor output of the nervous system, namely fine-wire electromyography (EMG). Myomatrix arrays aim to provide large-scale recordings of multiple motor units in awake animals under dynamic conditions without undue movement artifacts and maintain long-term stability of chronically implanted probes. Animal motor behavior occurs through muscle contraction, and the ultimate neural output in vertebrates is at the scale of motor units, which are bundles of muscle fibers (muscle cells) that are innervated by a single motor neuron. The authors have combined multiple advanced manufacturing techniques, including lithography, to fabricate large and dense electrode arrays with mechanical features such as barbs and suture methods that would stabilize the probe's location within the muscle without creating undue wiring burden or tissue trauma. Importantly, the fabrication process they have developed allows for rapid iteration from design conception to a physical device, which allows for design optimization of the probes for specific muscle locations and organisms. The electrical output of these arrays are processed through a variety of means to try to identify single motor unit activity. At the simplest, the approach is to use thresholds to identify motor unit activity. Of intermediate data analysis complexity is the use of principal component analysis (PCA, a linear second-order regression technique) to disambiguate individual motor units from the wide field recordings of the arrays, which benefits from the density and numerous recording electrodes. At the highest complexity, they use spike sorting techniques that were developed for Neuropixels, a large-scale electrophysiology probe for cortical neural recordings. Specifically, they use an estimation code called kilosort, which ultimately relies on clustering techniques to separate the multi-electrode recordings into individual spike waveforms.

An account of the major strengths and weaknesses of the methods and results.
The biggest strength of this work is the design and implementation of the hardware technology. It is undoubtedly a major leap forward in our ability to record the electrical activity of motor units. The myomatrix arrays trounce fine-wire EMGs when it comes to the quality of recordings, the number of simultaneous channels that can be recorded, their long-term stability, and resistance to movement artifacts.

The primary weakness of this work is its reliance on kilosort in circumstances where most of the channels end up picking up the signal from multiple motor units. As the authors quite convincingly show, this setting is a major weakness for fine-wire EMG. They argue that the myomatrix array succeeds in isolating individual motor unit waveforms even in that challenging setting through the application of kilosort.

Although the authors call the estimated signals as well-isolated waveforms, there is no independent evidence of the accuracy of the spike sorting algorithm. The additional step (spike sorting algorithms like kilosort) to estimate individual motor unit spikes is the part of the work in question. Although the estimation algorithms may be standard practice, the large number of heuristic parameters associated with the estimation procedure are currently tuned for cortical recordings to estimate neural spikes. Even within the limited context of Neuropixels, for which kilosort has been extensively tested, basic questions like issues of observability, linear or nonlinear, remain open. By observability, I mean in the mathematical sense of well-posedness or conditioning of the inverse problem of estimating single motor unit spikes given multi-channel recordings of the summation of multiple motor units. This disambiguation is not always possible. kilosort's validation relies on a forward simulation of the spike field generation, which is then truth-tested against the sorting algorithm. The empirical evidence is that kilosort does better than other algorithms for the test simulations that were performed in the context of cortical recordings using the Neuropixels probe. But this work has adopted kilosort without comparable truth-tests to build some confidence in the application of kilosort with myomatrix arrays? Furthermore, as the paper on the latest version of kilosort, namely v4, discusses, differences in the clustering algorithm is the likely reason for kilosort4 performing more robustly than kilosort2.5 (used in the myomatrix paper). Given such dependence on details of the implementation and the use of an older kilosort version in this paper, the evidence that the myomatrix arrays truly record individual motor units under all the types of data obtained is under question.

There is an older paper with a similar goal to use multi-channel recording to perform source-localization that the authors have failed to discuss. Given the striking similarity of goals and the divergence of approaches (the older paper uses a surface electrode array), it is important to know the relationship of the myomatrix array to the previous work. Like myomatrix arrays, the previous work also derives inspiration from cortical recordings, in that case it uses the approach of source localization in large-scale EEG recordings using skull caps, but applies it to surface EMG arrays. Ref: van den Doel, K., Ascher, U. M., & Pai, D. K. (2008). Computed myography: three-dimensional reconstruction of motor functions from surface EMG data. Inverse Problems, 24(6), 065010.

The incompleteness of the evidence that the myomatrix array truly measures individual motor units is limited to the setting where multiple motor units have similar magnitude of signal in most of the channels. In the simpler data setting where one motor dominates in some channel (this seems to occur with some regularity), the myomatrix array is a major advance in our ability to understand the motor output of the nervous system. The paper is a trove of innovations in manufacturing technique, array design, suture and other fixation devices for long-term signal stability, and customization for different muscle sizes, locations, and organisms. The technology presented here is likely to achieve rapid adoption in multiple groups that study motor behavior, and would probably lead to new insights into the spatiotemporal distribution of the motor output under more naturally behaving animals than is the current state of the field.

Reviewer #2 (Public Review):

Motoneurons constitute the final common pathway linking central impulse traffic to behavior, and neurophysiology faces an urgent need for methods to record their activity at high resolution and scale in intact animals during natural movement. In this consortium manuscript, Chung et al. introduce high-density electrode arrays on a flexible substrate that can be implanted into muscle, enabling the isolation of multiple motor units during movement. They then demonstrate these arrays can produce high-quality recordings in a wide range of species, muscles, and tasks. The methods are explained clearly, and the claims are justified by the data. While technical details on the arrays have been published previously, the main significance of this manuscript is the application of this new technology to different muscles and animal species during naturalistic behaviors. Overall, we feel the manuscript will be of significant interest to researchers in motor systems and muscle physiology, and we have no major concerns. A few minor suggestions for improving the manuscript follow.

The authors perhaps understate what has been achieved with classical methods. To further clarify the novelty of this study, they should survey previous approaches for recording from motor units during active movement. For example, Pflüger & Burrows (J. Exp. Biol. 1978) recorded from motor units in the tibial muscles of locusts during jumping, kicking, and swimming. In humans, Grimby (J. Physiol. 1984) recorded from motor units in toe extensors during walking, though these experiments were most successful in reinnervated units following a lesion. In addition, the authors might briefly mention previous approaches for recording directly from motoneurons in awake animals (e.g., Robinson, J. Neurophys. 1970; Hoffer et al., Science 1981).

For chronic preparations, additional data and discussion of the signal quality over time would be useful. Can units typically be discriminated for a day or two, a week or two, or longer? A related issue is whether the same units can be tracked over multiple sessions and days; this will be of particular significance for studies of adaptation and learning.

It appears both single-ended and differential amplification were used. The authors should clarify in the Methods which mode was used in each figure panel, and should discuss the advantages and disadvantages of each in terms of SNR, stability, and yield, along with any other practical considerations.

Is there likely to be a motor unit size bias based on muscle depth, pennation angle, etc.?

Can muscle fiber conduction velocity be estimated with the arrays?

The authors suggest their device may have applications in the diagnosis of motor pathologies. Currently, concentric needle EMG to record from multiple motor units is the standard clinical method, and they may wish to elaborate on how surgical implantation of the new array might provide additional information for diagnosis while minimizing risk to patients.

Reviewer #3 (Public Review):

This work provides a novel design of implantable and high-density EMG electrodes to study muscle physiology and neuromotor control at the level of individual motor units. Current methods of recording EMG using intramuscular fine-wire electrodes do not allow for isolation of motor units and are limited by the muscle size and the type of behavior used in the study. The authors of myomatrix arrays had set out to overcome these challenges in EMG recording and provided compelling evidence to support the usefulness of the new technology.

Strengths:

• They presented convincing examples of EMG recordings with high signal quality using this new technology from a wide array of animal species, muscles, and behavior.
• The design included suture holes and pull-on tabs that facilitate implantation and ensure stable recordings over months.
• Clear presentation of specifics of the fabrication and implantation, recording methods used, and data analysis

Weaknesses:

• The justification for the need to study the activity of isolated motor units is underdeveloped. The study could be strengthened by providing example recordings from studies that try to answer questions where isolation of motor unit activity is most critical. For example, there is immense value for understanding muscles with smaller innervation ratio which tend to have many motor neurons for fine control of eyes and hand muscles.