Capturing the Electrical Activity of All Cortical Neurons: Are Solutions within Reach?

Recent advancements in high-density implantable intracortical electrode technology have significantly improved neural interfaces for both research and clinical applications. However, a significant challenge persists: scaling up these devices to achieve recording of all single-unit activity across large brain volumes. This critical review explores recent progress in neural electrode design, focusing on the challenges of achieving scalable solutions for this ambitious goal. The physical and technical constraints of both rigid and flexible probes are addressed, highlighting the limitations imposed by shank stiffness, mechanical tissue damage, and foreign body response. It is identified that the physics of inserting the electrodes into the brain tissue poses a fundamental constraint, which inherently restricts achievable electrode density. Biohybrid strategies, integrating biological and synthetic components, have shown promise, but they have yet to overcome major challenges necessary to achieve a scalable functional interface. It is concluded that, given the current limitations of available techniques, there is a pressing need to explore fundamentally novel approaches to realize the vision of recording the electrical activity of every cortical neuron within the brain.