Reviewer #2 (Public Review):
Merk et al., compare grip force decoding performance between cortical ECoG electrodes and subthalamic LFP and find that electrodes over cortical regions perform better. They first compare a simple linear regression model, and then use several more sophisticated techniques to decode grip performance for each electrode for both contra and ipsi movements. Overall the claim that ECoG electrodes decode grip force with higher accuracy than subthalamic LFP seems supported with their data, although there are some inherent limitations of the clinical data that need to be addressed if not with data than in the discussion section. In addition, they find that decoding performance is negatively correlated with PD impairment and they use connectivity models to identify if decoding performance is related to connectivity profiles.
I appreciate that this paper uses several different decoding techniques and attempts to decode grip force for contra and ipsi movements for each electrode. The main result of this paper is that neural signals from ECoG electrodes are superior to subthalamic LFP for movement decoding. Based on the analyses that the authors provide, these results seem to be of potential interest for clinical researchers interested in adaptive deep brain stimulation (aDBS) and basic science researchers interested in motor control. Although the difference in grip force decoding appears quite large, there are a couple limitations that I think the authors could address to make the paper even stronger.
The first limitation when comparing cortical and subthalamic electrodes is that the size and structure of the probe may be different. This means that instead of comparing apples to apples, it is more like comparing apples to oranges. This does not completely undermine the result because the difference in decoding between the areas, even given experimental differences, is likely to be of interest to clinical researchers studying DBS. If the surface area of the electrode is different between the two regions, then this could be a factor in decoding performance that does not have to do with brain region. Additionally, the electrodes in the subthalamus nucleus are circular, which are likely targeting very different neural populations across the probe within the small nucleus, which is different from the cortical electrodes which are on the surface targeting neural populations which are adjacent. Both of these factors (e.g. size and shape) could contribute to differences in decoding performance regardless of brain region. I did not see details of the electrodes in the method section, but this would be important to report as surface area is related to the number of neurons/dendrites summing to create the LFP, and this might lead to qualitatively different results for something like hand gripping irrespective of area. Similarly, with the shape of the electrode. These details will be an important addition to the paper and something that others can continue to investigate (e.g., researchers who have different size or shape of electrodes in the STN). I am sympathetic that this is not a variable that the researchers can change given the clinical nature of DBS, but the surface area of electrodes in each area should be mentioned in the method section, and if the surface area of the electrodes are different, then it should also be mentioned as a limitation in the discussion section. Nonetheless, the results are likely to be of interest for clinical researchers, but they would need these details in order to compare to their own DBS system (there are now directional leads which have more electrodes and thus smaller surface area).
The second possible limitation is whether you have fully explored the neural feature space. Although the cutoffs for frequency bands remain somewhat arbitrary, your selection of frequency bands seems very reasonable and seems to cover all the possibilities. One suggestion I have is that you also include the time domain data as a feature along with your frequency bands. Some papers have shown pretty good decoding with this feature - sometimes called the local motor potential. Here are some papers which discuss this feature in more detail. This could be an interesting addition especially if it performs well as it requires little preprocessing for studies doing online preprocessing and decoding.
Flint, R. D., Wang, P. T., Wright, Z. A., King, C. E., Krucoff, M. O., Schuele, S. U., ... & Slutzky, M. W. (2014). Extracting kinetic information from human motor cortical signals. Neuroimage, 101, 695-703.
Mehring, C., Nawrot, M. P., de Oliveira, S. C., Vaadia, E., Schulze-Bonhage, A., Aertsen, A., & Ball, T. (2004). Comparing information about arm movement direction in single channels of local and epicortical field potentials from monkey and human motor cortex. Journal of Physiology-Paris, 98(4-6), 498-506.
Schalk, G., Kubanek, J., Miller, K. J., Anderson, N. R., Leuthardt, E. C., Ojemann, J. G., ... & Wolpaw, J. R. (2007). Decoding two-dimensional movement trajectories using electrocorticographic signals in humans. Journal of neural engineering, 4(3), 264.
Given how similar the descriptive power plots are, I am surprised that low gamma has much larger weights compared to high gamma or HFA. It looks like you aren't using regularization for your linear regression model. If your features (band pass filters) are highly correlated, the interpretation of the weights might not be meaningful. Have you thought about using ridge regression or lasso to deal with your seemingly highly correlated features? If not then I don't believe it makes sense to try and interpret the weights. It looks like you do use regularized regression later, but looking at the method section for your linear regression model there is no regularization term - so based on that it seems like for this first section it is just standard linear regression. I would suggest also using regularized regression for these analyses as interpreting the weights of linear regression with highly correlated features may be problematic.
The correlation with decoding performance and motor PD impairment is intriguing and I think this analysis and the result is of value to both clinical and basic researchers.
Although not dependent on your main claim, I had a difficult time understanding the logic and the methods of your last section which relates decoding performance with connectivity maps. For example, after reading the methods section, I was still unclear how you determined if a fiber was significant or not. I believe that this section needs more detail and clarity before publication. For example, you have analyses for structural and functional connectivity, but for the functional connectivity I could not find anything in the method section about what the patient was doing when this was computed - were the patients at rest, were they doing the same gripping task? These details are important for understanding the analyses and interpretation.