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Tatsuto Takeuchi

Publications and source records attributed to Tatsuto Takeuchi.

5 recordsLinked to original sources

Long-term follow up of surgical outcomes in patients with cervical disorders undergoing hemodialysis.

OBJECT: As increasing numbers of patients receive long-term hemodialysis, the number of reports regarding hemodialysis-related cervical spine disorders has also increased. However, there have been few reports summarizing the surgical results in patients with these disorders. The objective of this study was to evaluate the long-term follow up and clinical results after surgical treatment of cervical disorders in patients undergoing hemodialysis. METHODS: Seventeen patients in whom surgery was performed for cervical spine disorders while they received long-term hemodialysis therapy were enrolled in this study. Of these, 15 underwent follow-up review for more than 3 years after surgery, and these represent the study population. The remaining two patients died of postoperative sepsis. The average follow-up period was 120 months. Five patients without spinal instability underwent spinal cord decompression in which bilateral open-door laminoplasty was performed. Ten patients with destructive spondyloarthropathy (DSA) underwent reconstructive surgery involving pedicle screw (PS) fixation. In eight patients in whom posterior instrumentation was placed, anterior strut bone grafting was performed with autologous iliac bone to treat anterior-column destruction. Marked neurological recovery was obtained in all patients after the initial surgery. In the mobile segments adjacent to the site of previous spinal fusion, the authors observed progressive destructive changes with significant instability in four patients (40%) who underwent circumferential spinal fusion. No patients required a second surgery after laminoplasty for spinal canal stenosis without DSA changes. CONCLUSIONS: Cervical PS-assisted reconstruction provided an excellent fusion rate and good spinal alignment. During the long-term follow-up period, however, some cases required extension of the spinal fusion due to the destructive changes in the adjacent vertebral levels. Guidelines or recommendations to overcome these problems should be produced to further increase the survival rates of patients undergoing hemodialysis.

Adult↗

The effect of eccentricity and the adapting level on the café wall illusion.

The café wall pattern is composed of rows of alternating light and dark tiles, and alternate rows are shifted by one fourth of a cycle. The rows of tiles are separated by narrow horizontal mortar lines whose luminance is between those of the dark and the light tiles. Although the mortar lines are physically parallel, they are perceived to be tilted, which is known as the café wall illusion. In this study, an energy-based model for encoding orientation is implemented in order to estimate the strength of the café wall illusion, and it is shown that the estimated orientation depends on the spatial frequency to which each orientation-encoding unit is tuned. The estimation of mortar line orientation from an orientation-encoding unit tuned to a lower spatial frequency was greater than that from a unit tuned to a higher spatial frequency. It is assumed that the perceived mortar line orientation is the result of an integration of responses from the orientation-encoding units tuned to various spatial frequencies. This leads to the prediction that under viewing conditions in which responses from orientation-encoding units tuned to a higher spatial frequency are presumably weakened, the strength of the café wall illusion increases. In agreement with this prediction, it is shown that the café wall illusion is stronger when the café wall image is presented at the periphery or is observed under low luminance levels. On the other hand, the weighted averaging of the estimated mortar orientations across spatial frequencies overestimates the perceived orientation of the mortar lines. This suggests that the final percept of the café wall illusion could be determined by some kind of nonlinear interaction, such as an inhibitory interaction, between orientation-encoding units.

Adaptation, Psychological↗

Texture segregation by motion under low luminance levels.

We examined the effect of average luminance level on texture segregation by motion. We determined the minimum presentation duration required for subjects to detect a target defined by motion direction against a moving background. The average luminance level and retinal position of the target were systematically varied. We found that the minimum presentation duration needed for texture segregation depends significantly on the average luminance level and on retinal position. The minimum presentation duration increased as the mean luminance decreased. At a very low (presumably scotopic) luminance level, the motion-defined target was never detected rapidly. Under scotopic conditions, the minimum presentation duration was shorter in the periphery than in a near foveal region when the task was simple detection of the target. When the task included identifying the shape of the target patch, however, the target presented near the fovea was identified faster at all luminance levels. These results suggest that the performance of texture segregation is constrained by the spatiotemporal characteristics of the early visual system.

Adult↗

[Temporal characteristics of signal enhancement by visual attention].

The effects of spatial attention by precuing the location of the target stimulus are attributed to two mechanisms: noise reduction and stimulus signal enhancement. The signal enhancement hypothesis proposes that attention directly improves the quality of the stimulus representation. In this study, we examined the temporal characteristics of signal enhancement by combining an orientation discrimination sensitivity measurement and the Speed-Accuracy Trade-off procedure. To minimize the spatial uncertainty, target position was indicated in advance. We found that the valid precue improved the orientation discrimination sensitivity by speeding up the rate of information processing, while not affecting the asymptotic level of sensitivity. We conclude that the signal enhancement by the attention is observed only at the early stage of information processing, and it has different temporal characteristics from that of noise reduction.

Attention↗

The influence of color on the perception of luminance motion.

We examined the role of color in the processing of motion of a luminance-varying pattern by alternating the color of a moving pattern and measuring the luminance contrast required for accurate discrimination of the motion direction. We report that the contrast threshold for perceiving the direction of motion of luminance-varying patterns is greatly elevated when the mean chromaticity of the moving luminance pattern alternates between two hues. Thus, color plays a critical role in the discrimination of luminance motion direction. The magnitude of the threshold elevation is directly related to the magnitude of the LM opponent color contrast produced by the color alternation. S-cone contrast produces little or no effect. The interference produced by color alternation was greatly reduced in the retinal periphery. Our results indicate that first-order luminance motion mechanisms are sensitive to the color of moving objects as coded by a differencing of the outputs of L and M cones. Contrary to the widely accepted notion that luminance-defined motion is processed primarily in the spectrally broadband magnocellular (M) pathway, our results suggest that the hue-selective parvocellular (P) mechanisms provide input to first-order motion detectors.

Color Perception↗