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Biomedical subjects

M C Wanet-Defalque

Publications and source records attributed to M C Wanet-Defalque.

11 recordsLinked to original sources
PubMed2002

The microsystems based visual prosthesis for optic nerve stimulation.

The microsystems based visual prosthesis (MiViP) visual prosthesis generates visual perceptions well below safety and stimulator saturation limits. These perceptions, called phosphenes, are of reasonably small size and are broadly distributed in the visual field. They can thus be used to convey useful visual information. Psychophysical evaluations are being performed in order to assess the implantee's benefits in the use of the MiViP optic nerve visual prosthesis. In a pattern-recognition task, the performance improved regularly with practice with an increasing score and a decreasing delay to recognition. These observations open the way toward an evaluation of general mobility improvement with the portable system. In conclusion, the results obtained so far still support the potential usefulness of the optic nerve visual prosthesis. A low-resolution artificial vision can be expected from the prosthesis after extensive training.

Electric Stimulation↗
PubMed2001

Occipital activation by pattern recognition in the early blind using auditory substitution for vision.

This PET study aimed at investigating the neural structures involved in pattern recognition in early blind subjects using sensory substitution equipment (SSE). Six early blind and six blindfolded sighted subjects were studied during three auditory processing tasks: a detection task with noise stimuli, a detection task with familiar sounds, and a pattern recognition task using the SSE. The results showed a differential activation pattern with the SSE as a function of the visual experience: in addition to the regions involved in the recognition process in sighted control subjects, occipital areas of early blind subjects were also activated. The occipital activation was more important when the early blind subjects used SSE than during the other auditory tasks. These results suggest that activity of the extrastriate visual cortex of early blind subjects can be modulated and bring additional evidence that early visual deprivation leads to cross-modal cerebral reorganization.

Acoustic Stimulation↗
PubMed2001

Auditory triggered mental imagery of shape involves visual association areas in early blind humans.

Previous neuroimaging studies identified a large network of cortical areas involved in visual imagery in the human brain, which includes occipitotemporal and visual associative areas. Here we test whether the same processes can be elicited by tactile and auditory experiences in subjects who became blind early in life. Using positron emission tomography, regional cerebral blood flow was assessed in six right-handed early blind and six age-matched control volunteers during three conditions: resting state, passive listening to noise sounds, and mental imagery task (imagery of object shape) triggered by the sound of familiar objects. Activation foci were found in occipitotemporal and visual association areas, particularly in the left fusiform gyrus (Brodmann areas 19-37), during mental imagery of shape by both groups. Since shape imagery by early blind subjects does involve similar visual structures as controls at an adult age, it indicates their developmental crossmodal reorganization to allow perceptual representation in the absence of vision.

Adult↗
PubMed2001

Electrical stimulation of anterior visual pathways in retinitis pigmentosa.

PURPOSE: To explore electrically induced phosphenes in blind patients with retinitis pigmentosa (RP) in comparison with healthy subjects and to develop a screening test for candidates for an optic nerve visual prosthesis implantation. METHODS: Phosphenes are obtained by charge balanced biphasic pulse stimulations through a surface cathode over the closed eyelids and an anode near the opposite ear. The resulting strength-duration relationship for somatosensory, phosphene, and pain threshold has been recorded in five RP patients as well as in 10 healthy volunteers. RESULTS: In sighted subjects, the average rheobase and chronaxy for phosphene perception are 0.28 mA and 3.07 msec, respectively. For pulse durations longer than 2 msec, phosphenes are usually obtained at current strengths below the level giving rise to any other electrically generated sensation. In RP patients, however, phosphenes are not so easily obtained. One in five had no visual response at all. Another patient reported a flash perception for the longest pulse durations only. Spontaneous phosphenes interfered heavily with the stimulation in a third person. Finally, despite the higher threshold, two patients displayed normally shaped strength-duration curves. CONCLUSIONS: The surface stimulation has proven harmless, adequate, and very helpful to ascertain that the optic nerve can be electrically activated in completely blind individuals. Long-duration stimulation pulses yield very low phosphene thresholds in healthy subjects. Anterior visual pathways activation requires higher currents in RP patients.

Adult↗
PubMed1999

Auditory coding of visual patterns for the blind.

Recognition tasks of simple visual patterns have been used to assess an early visual--auditory sensory-substitution system, consisting of the coupling of a rough model of the human retina with an inverse model of the cochlea, by means of a pixel-frequency relationship. The potential advantage of the device, compared with previous ones, is to give the blind the ability to both localise and recognise visual patterns. Four evaluation sessions assessed the performance of twenty-four blindfolded sighted subjects using the device. Subjects had to recognise twenty-five visual patterns, one at a time, using a head-mounted small camera and interpreting the corresponding sounds given by the device. Half the subjects were trained by means of a correction feedback procedure during ten one-hour training sessions embedded in between the evaluation sessions. Results revealed extremely successful training effects. Performance of trained subjects significantly increased with practice compared with the untrained control group. The improvement was also observed for new patterns, demonstrating a learning-process generalisation. The negative correlation observed between scores and processing time showed that the subjects' response accuracy was related to their speed. In conclusion, simple pattern recognition is possible with a fairly natural vision-to-audition coding scheme, given the possibility for the subjects to have sensory--motor interactions while using the device.

Adult↗
PubMed1998

Visual sensations produced by optic nerve stimulation using an implanted self-sizing spiral cuff electrode.

A blind volunteer with retinitis pigmentosa was chronically implanted with a self-sizing spiral cuff electrode around an optic nerve. Electrical stimuli applied to the nerve produced localized visual sensations that were broadly distributed throughout the visual field and could be varied by changing the stimulating conditions. These results demonstrate the potential for constructing a visual prosthesis, based on electrical stimulation of the optic nerve, for blind subjects who have intact retinal ganglion cells.

Electric Stimulation↗
PubMed1992

Use of an ultrasonic echolocation prosthesis by early visually deprived cats.

The aim of this study was to design an animal model of sensory substitution in the case of blindness. Six kittens were binocularly enucleated; as adults, they were fitted with an ultrasonic echolocation prosthesis. This device provided the animals with auditory signals that coded distance and direction of obstacles. Animals were trained by operant conditioning to use the prosthesis in various behavioral situation. The results showed that visually deprived animals tried to solve the task using natural information and that they only used artificial information provided by the prosthesis when they were unable to succeed with natural cues. Under these conditions, it was asserted that in a jumping test these animals evaluated depth by means of the prosthesis; in a locomotion task in a maze, it was also demonstrated that they could use the prosthesis for avoiding obstacles.

Animals↗
PubMed1990

Glucose utilization in human visual cortex is abnormally elevated in blindness of early onset but decreased in blindness of late onset.

Glucose utilization has been studied in the visual cortex of blind human subjects, by comparison with normal volunteers, using positron emission tomography. In 6 subjects who became blind early in life ('early blindness'), metabolism in visual cortex was elevated, comparable to that of normal subjects studied with the eyes open. By contrast, glucose utilization in visual areas of 6 human subjects who became blind after completion of visual development ('late blindness') was decreased, slightly lower than in normal volunteers studied with the eyes closed. This unexpected difference between early and late blind subjects might reflect the persistence, in early blindness, of supranumerary synapses which would escape the normal developmental decrease in synaptic density during infancy.

Adult↗
PubMed1988

High metabolic activity in the visual cortex of early blind human subjects.

Glucose metabolism has been studied in the visual cortex of early blind human subjects. In the forebrain of these subjects, regional glucose utilization was the highest in the striate and prestriate cortical areas. Furthermore, this activity was higher than in blindfolded sighted subjects, whether at rest or during an auditory or tactile task. These observations raise the question of the functionality of the blind's visual cortex.

Blindness↗
PubMed1986

Effects of deprivation of vision and vibrissae on goal-directed locomotion in cats.

The locomotor behaviour of adult cats blinded soon after birth was compared to that of control cats by measuring running time in a maze. The effects of vibrissae deprivation in trained blind and control cats and of visual deprivation in control cats was studied. The performance of the control cats decreased in darkness to the level reached by the blind cats. Deprivation of vibrissae affected the performance of the control cats only in darkness and had no effect on the blind cats. The role played by various sensory systems in locomotion during development and in adulthood is discussed.

Animals↗