Decoding concept representations in aphasia after stroke

Many stroke survivors with aphasia struggle to map their thoughts into words or motor plans. Neuroprostheses that decode concept representations could help these individuals communicate by predicting the words, phrases, or sentences that they are struggling to produce. Here we decoded concept representations measured using functional magnetic resonance imaging (fMRI) from participants with different aphasia profiles. The decoders generated continuous word sequences that could describe the concepts that the participants were hearing about, seeing, or imagining. To forecast how this approach would generalize across the heterogeneity of aphasia profiles, we characterized how stroke affects the anatomical organization and information capacity of conceptual processing. Mapping how concepts are organized across the brain, we found that conceptual tuning during non-linguistic processing was largely consistent between the participants with aphasia and neurologically healthy participants. Comparing information processing between the participants with aphasia and neurologically healthy participants, we found that both groups processed similar amounts of non-linguistic information. Our findings indicate that concept representations can be largely spared in individuals with aphasia and demonstrate how these representations can be decoded to support communication.