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Reliability of visual examination, fibre-optic transillumination, and bite-wing radiography, and reproducibility of direct visual examination following tooth separation for the identification of cavitated carious lesions in contacting approximal surfaces.

The aim of this study was to evaluate the diagnostic accuracy of visual, fibreoptic transillumination (FOTI), and bite-wing radiographic examination performed by 4 observers for the identification of cavitated carious lesions in contacting approximal surfaces, and to assess the inter-observer agreement with these methods and with direct visual examination conducted after tooth separation, the method used as validation for definitive determination of cavitation. A total of 338 unrestored approximal surfaces in 53 students were examined independently by 4 dentists using the diagnostic methods under study. The results from the diagnostic methods were compared with the results from the validation method for each observer. The sensitivities for identification of cavitated lesions using visual examination ranged from 0.12 to 0.50. For FOTI and radiography, the sensitivities ranged from 0.00 to 0.08 and from 0.56 to 0.69, respectively. The specificities exceeded 0.90 for all observers with all methods. Kappa values expressing inter-observer reproducibility were lowest for FOTI, followed by visual and radiographic examination. On the basis of these results, it was concluded that FOTI was the least reliable of the diagnostic methods tested. For the validation method, the inter-observer agreement was only 'substantial'. This implies that the method cannot be used as a validation for other diagnostic methods applied for the identification of cavitated carious lesions in contacting approximal surfaces. However, visual inspection after tooth separation may serve as a supplementary diagnostic tool to conventional visual and radiographic examination for clinical management of aproximal carious lesions.

Adult↗

Visual behavior and perception of trajectories of moving objects with visual occlusion.

Experienced athletes in sports with moving objects have shown greater skill when using visual information to anticipate the direction of a moving object than nonexperienced athletes of those sports. Studies have shown that expert athletes are more effective than novices in occlusion situations in the first stages of the sports sequence. In this study, 12 athletes with different competitive experience in sports with moving objects viewed a sequence of tennis ball launches with and without visual occlusion, launched by a ball-shooting machine toward different areas with respect to the participant's position. The relation among visual behavior, occlusion time, and the precision of the task is reviewed. The spot where the balls bounced was analysed by a digital camera and visual behavior by an Eye Tracking System. Analysis showed that the nonexperienced athletes made significantly more errors and were more variable in visual occlusion conditions. Participants had a stable visual search strategy.

Adult↗

Effects of training in visual discrimination after one year: visual analysis of volleyball skills.

Although the effects of specialized training in visual analysis of skills are well documented, whether the effects are lasting is not. The purpose of the present study was to analyze the effect a visual skills training program in volleyball had on participants one year after the completion of a training intervention. Subjects received either traditional performance instruction supplemented with visual training or traditional performance instruction in volleyball only. All subjects remaining in the teacher education program from a previous study were given a visual test on diagnosing errors in three different volleyball skills (the forearm pass, the overhead pass, and the overhead serve). Subjects exposed to visual training remained significantly better at diagnosing errors for the three volleyball skills one year later as compared to those subjects who had not received visual training.

Adult↗

Migraine with visual aura in developing age: visual disorders.

Visual disorders are an important symptom in the migraine of developing age. Different kinds of visual disturbances can precede, accompany or follow a migraine attack. These visual disturbances can be grouped into negative (hemianopsia, quadrantopsia, scotoma) and positive (phosphene, teicopsia, metamorphopsia, macropsia, micropsia, teleopsia, diplopia, dischromatopsia, hallucination disturbances) disorders. The pathogenetic mechanism of the visual phenomena of migraine has not yet been clarified. Various hypotheses have been proposed: vasospasm with consequent ischemia of some cerebral areas, the opening of arteriovenous shunts between the intra and extra cerebral circulation, the formation of microthrombi in arterioles and dopaminergic hypersensitivity of some nervous centers. We have studied 1787 children, affected by migraine with (13%) or without (87%) aura. Among the patients, 211 (12%) referred visual disorders, especially scotoma and phosphene. These data let us hypothesize that a relationship between migraine and visual disorders is present also in pediatric age. However this relationship is less important than in adults.

Adolescent↗

Interrogative visualization: embedding deformation and Constructive Solid Geometry into volume visualization.

Existing volume visualization algorithms lack sophisticated volumetric modeling capabilities to represent, construct and manipulate objects of interest within a volumetric dataset. Integrating manipulations such as non-linear deformations and constructions similar to those in solid modeling into the visualization process would have significant value in surgical planning and simulation. Interrogative visualization--the ability to extract, enumerate, deform and track objects of interest is also crucial in other visualization tasks. The conventional approach to visualize the volume deformation and construction process is to construct an intermediate volume for each step of manipulation. This is prohibitively time consuming and costly. This paper presents an approach to overcome this constraint. We model the target capture space as octrees. The target octree is adaptively subdivided to efficiently balance the complexity of deformation and visualization. The source volumetric data can either be in octree or conventional 3D array format. Deformations are specified by landmark displacements, and in-between deformation is filled in by scattered data interpolation. Volumetric modeling is supported by a Constructive Solid Geometry (CSG) structure. Spatial Coherency is exploited in the view-dependent node traversal and projection of individual octree nodes.

Algorithms↗

Visual field loss in primary gaze and reading gaze due to acquired blepharoptosis and visual field improvement following ptosis surgery.

Acquired blepharoptosis has been associated with loss of the superior visual field (SVF) in primary gaze. Because many patients with acquired blepharoptosis complained of difficulty reading or performing other visual functions in reading gaze, a prospective study was undertaken to determine if acquired blepharoptosis was the cause of these visual dysfunctions. Preoperative and postoperative SVFs were tested in primary gaze and reading gaze in 19 patients with unilateral or bilateral acquired blepharoptosis totaling 30 eyes. Preoperative testing revealed a marked loss of the SVF in both primary gaze and reading gaze. All patients underwent levator aponeurosis defect repair. Postoperative results showed a significant improvement in both primary and reading gaze SVFs. Therefore, patients with good visual acuity complaining of difficulty reading or carrying out other visual functions in reading gaze should be examined for the presence of acquired blepharoptosis. Blepharoptosis repair can be expected to improve the SVF in both primary gaze and reading gaze.

Adult↗

Effects of corpus callosum section on functional compensation in the posteromedial lateral suprasylvian visual area after early visual cortex damage in cats.

A visual cortex lesion made in adult cats leads to a loss of direction selectivity and a loss of response to the ipsilateral eye among cells in posteromedial lateral suprasylvian (PMLS) cortex of cats. However, a visual cortex lesion made in young cats results in normal direction selectivity and normal ocular dominance in PMLS cortex. Thus cats with an early lesion demonstrate functional compensation in PMLS cortex. The present experiment determined whether the functional compensation depends upon an intact corpus callosum. Cats received a unilateral visual cortex lesion on the day of birth (day 1) or at 8 weeks of age. When the cats were adult, the corpus callosum was sectioned and 24 hours later recordings were made in PMLS cortex ipsilateral to the visual cortex lesion. Results were compared to cats with a similar lesion and an intact corpus callosum. In cats with a lesion made on day 1, a corpus callosum section did not affect receptive-field properties or ocular dominance in PMLS cortex. Therefore, functional compensation is not dependent on input via the corpus callosum in these animals. However, in cats with a lesion made at 8 weeks. a corpus callosum section resulted in a decrease in the percentage of direction-selective cells and in the percentage of cells driven by the ipsilateral eye. Despite the decrease, the percentage of direction-selective cells still was greater than in cats with an adult unilateral visual cortex lesion. Thus, while partly dependent on callosal inputs, some functional compensation for direction selectivity remains on the basis of ipsilateral inputs.(ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials↗

Simultaneous recordings of visual evoked potentials and BOLD MRI activations in response to visual motion processing.

Visual motion processing in humans was studied by simultaneous 32-channel electroencephalography (EEG) recordings of visual evoked potentials and BOLD MRI activations at 2.9 T. The paradigms compared three different random dot patterns (12 s duration) with stationary random dots (18 s) or with each other. The stimuli represented pattern reversal (500 ms switches between two stationary patterns), motion onset (200 ms of starfield motion followed by 1000 ms of stationary dots) and motion reversal (reversal of moving starfield directions every 1000 ms). Whereas motion-evoked visual potentials, and in particular the N2 component in occipito-temporal channels, were most prominent for motion onset, the most extended BOLD MRI activations and strongest signal changes in V5/MT+ were obtained in response to motion reversal. These apparently contradictory findings most likely reflect different physiological aspects of the neural activity associated with visual motion processing. For example, desynchronized activity of subpopulations of cortical neurons inside V5/MT+ is expected to attenuate visual evoked potentials in scalp recordings while continuously driving metabolic demands that lead to sustained BOLD MRI responses. The understanding of the physiological correlates and neural processes underlying either technique is fundamental to exploring fully the potential of combined EEG-MRI for studying human brain function at both high temporal and spatial resolution.

Adult↗

Correlations between intraocular pressure, visual field and visual acuity, based on 11 years of observations of treated chronic glaucomas.

In a retrospective study of 114 patients under treatment for chronic glaucoma (81 without and 33 with visual field defect) over an 11-year period of observation, a highly significant correlation between intraocular pressure and progression of visual field defects could be demonstrated. This correlation could be shown for the visual field outer boundary in 81 eyes with ocular hypertension and for typical visual field defects in 33 eyes with chronic glaucoma. The relationship was, however, only significant when both the standard deviation of the annual intraocular pressure and the influence of cataract development upon visual acuity were considered. Quantitative analysis of the results of Goldmann perimetry was by planimetry and took into account only changes during the 11-year observation period.

Aged↗

Influence of the presentation of remote visual stimuli on visual responses of cat area 17 and lateral suprasylvian area.

Single units were recorded extracellularly from area 17 and lateral suprasylvian area (LSSA) in curarized cats. Visual stimuli, usually a 10 degree black spot, were introduced abruptly in the visual field remote from the discharge area of a neuron's receptive field and moved at a speed of about 30 degrees/sec. The effect of these remote stimuli (S2) on the reponse to a restricted visual stimulus (S1) crossing the discharge area was studied. It was found that most units in area 17 were not affected by the presentation of remote stimuli, the remainder being either slightly facilitated or slightly inhibited. In contrast the LSSA neurons were usually inhibited by the presentation of S2: this effect was strong, was present in all classes of LSSA neurons and was independent of the relative directions of movement of S1 and S2. On the basis of these data and those previously obtained from the superior colliculus it is concluded that the way the extrageniculate centres respond to a stimulus abruptly introduced in the visual field is substantially different from that of the striate cortex. Only in the extrageniculate centres a new stimulus, besides exciting the neurons which correspond to the position of the stimulus in the field, concomitantly decreases the responses of neurons located in positions of the visual field remote from that stimulus. Possible behavioral implications of the findings are discussed.

Animals↗

Processes of visual recognition in monkeys and their neuronal correlates in the visual cortex: the influence of a blocker of M-cholinoreceptors.

The activity of individual neurons of the visual cortex was recorded simultaneously in behavioral experiments on monkeys before and after the systemic administration of a blocker of M-cholinoreceptors, amizil (0.8-1.0 mg/kg). The animals were trained to delayed visual differentiation of stimuli of various colors. After the administration of amizil, the characteristics of recognition deteriorated substantially: the duration of the storage of information in short-term memory sharply declined, while the time of the motoric reaction increased. The deterioration of these characteristics was accompanied by inhibition of the activity of the neurons of the visual cortex, inhibition which depended on the stage of recognition, and which intensified when there was an increase in the delay interval. The results obtained suggest that cholinergic mechanisms of the visual cortex are included in visual recognition, and apparently play various functional roles at various stages of behavior.

Animals↗

Methods of visual acuity determination with the spatial frequency sweep visual evoked potential.

PURPOSE: The spatial frequency sweep visual evoked potential (sVEP) is used to rapidly determine visual acuity in children or non-responsive patients. Two techniques have been used to separate signal from noise: (1) the 95% confidence interval for the signal amplitude (95% CI) or (2) the amplitude of a Fourier frequency adjacent to 2x the signal frequency (DFT). The purpose of this study is to determine if there is a significant difference in acuity estimates with these techniques. METHODS: Ten normal subjects (approximately 0.00 logMAR acuity) and 11 patients with decreased visual acuity took part in this project. Stimulus production and data analysis were done with an Enfant 4010 (Neuroscientific Corp). Standard VEP recording techniques were employed. The stimulus was a horizontal-oriented, sine wave grating that swept up the spatial frequency spectrum (contrast 80%, temporal reversal rate 7.5 Hz). Sweeps were repeated until the confidence intervals for the data were no longer decreasing. The Bailey Lovie logMAR chart was used to determine visual acuity. A line was fit to the high spatial frequency data using either the 95% CI or the DFT as the noise estimate. By using these linear equations, acuity estimates were obtained at 0, 1, and 2 microV signal amplitudes. RESULTS: The average logMAR acuity for the subjects with normal acuity was -0.06 +/- 0.070 (SD). The sVEP acuity estimates were 0.08 +/- 0.098, 0.18 +/- 0.092, and 0.33 +/- 0.195 (0, 1, and 2 microV extrapolations) with the 95% CI used as noise and 0.07 +/- 0.100, 0.18 +/- 0.103, and 0.33 +/- 0.202 (0, 1, and 2 microV extrapolations) with the DFT used as noise. By using the average noise from the Fourier frequency as the extrapolation level, the acuity was 0.10 +/- 0.098 logMAR. The average logMAR acuity for the subjects with decreased visual acuity was 0.67 +/- 0.306 (SD). The sVEP acuity estimates were 0.53 +/- 0.175, 0.66 +/- 0.171, and 0.88 +/- 0.295 (0, 1, and 2 microV extrapolations) with the 95% CI used as noise and 0.53 +/- 0.179, 0.65 +/- 0.176, and 0.86 +/- 0.268 (0, 1, and 2 microV extrapolations) with the DFT used as noise. By using the average noise from the Fourier frequency as the extrapolation level, the acuity was 0.57 +/- 0.186 logMAR. No significant difference was found between the two acuity estimate techniques for all of the subjects (repeated measures ANOVA, p = 0.16, F20 = 2.131). The sVEP estimates of acuity to the 0 microV and noise levels were not significantly different from the logMAR acuity (paired t-test, all p values > 0.05). CONCLUSIONS: The results indicate that the sVEP acuity does not depend on the noise estimation technique. In agreement with prior studies, the sVEP acuity underestimates the logMAR acuity in normally sighted individuals by about an octave.

Adolescent↗

Gradients of protein kinase C substrate phosphorylation in primate visual system peak in visual memory storage areas.

Two protein kinase C (PKC) substrates of 50 and 81 kDa display topographical gradients in 32P-incorporation along the occipitotemporal visual processing pathway in rhesus monkey cerebral cortex. The 50 kDa protein appears to be homologous to protein F1 from rat (47 kDa) on the basis of isoelectric point, two-dimensional phosphopeptide maps, and kinase specificity, while the 81 kDa protein is probably the same as a previously described PKC substrate. The phosphorylation of protein F1 and 81 kDa was significantly higher in temporal regions of the occipitotemporal pathway, which have been implicated in the storage of visual representations, than in occipital regions, which appear to be less important for visual memory functions. These results suggest that the PKC phosphorylation system, which has been related previously to changes in neural plasticity, plays a progressively greater role in later stages of visual processing, and that this role may involve the storage of visual information in inferotemporal cortical areas.

Animals↗

Visual evoked potentials and positron emission tomographic mapping of regional cerebral blood flow and cerebral metabolism: can the neuronal potential generators be visualized?

Visual evoked potentials (VEPs) and visual evoked spectrum array (VESA) to flashes and pattern-reversal were correlated with regional cerebral blood flow (rCBF) or local cerebral glucose metabolism in 4 hemianopsic patients and one subject with cortical blindness. Normal VEPs, topographical distribution and occipital rCBF were noted in hemianopsic patients with macular sparing. A dissociation of topographical distribution of VEPs to flashes and pattern-reversal was demonstrated in one patient with hemianopsia and macular splitting. In this case, rCBF showed unilateral activation of visual areas 17, 18 and 19 of the cortex. The distribution of surface-recorded potentials reflected the complex interaction of electrical field potentials within at least 3 cortical areas rather than volume transmission of striate dipoles alone. VEPs were preserved in a cortically blind patient. rCBF and local cerebral glucose metabolism revealed a functioning island of occipital cortex that most likely represented the generator of the VEP. The combination of VEP and PET permits the correlation of electrophysiological events with the visualization of cortical areas presumably activated by the same visual stimulus.

Blindness↗

Midsagittal transection of the optic chiasm and the corpus callosum induces visual split brain in cats: the effect on ocular dominance and responsiveness to cells in the visual cortex.

The geniculocortical pathways from the contralateral eye and the callosal pathway were interrupted in cats in order to study how cortical cells are influenced by changes induced in the interhemispheric transfer of visual information. Unit recording was carried out from areas 17 and 18 boundary, the callosal projection zone. The ocular dominance distribution of cortical cells showed absence of interhemispheric interaction. The visual areas in the two sides of the brain thus functioned independently, presenting a condition of visual split brain. This also has been reflected by the absence of compensatory visual inputs via an alternative commissural pathway. Furthermore, remarkable diminution in the excitability level was found as indicated by the reduction in the proportion of visually responsive cells. Finally, the results of the split brain cat reflect the condition of the individual operations from which it is composed.

Animals↗

The objective assessment of visual contrast sensitivity by pattern reversal visual evoked potentials in diabetes.

Recent studies have described abnormalities of visual evoked potentials and pattern electroretinography in diabetics without retinopathy. The visual contrast sensitivity, determined by psychophysical tests, has proved to be abnormal in diabetic patients with and without clinical retinopathy. In this study we evaluated contrast sensitivity function using both electrophysiologic and psychophysical methods. The objective assessment of functional visual contrast sensitivity was superior to psychophysical evaluation in the detection of contrast sensitivity alterations. No relationships were found between contrast sensitivity dysfunction and abnormalities of pattern electroretinography or fluorescein angiography. Our data suggest that functional visual deficits might precede background retinopathy and that the involvement of foveal function is early and very frequent in diabetic patients, even if they have normal visual acuity.

Adolescent↗

Global-local visual processing in schizophrenia: evidence for an early visual processing deficit.

BACKGROUND: Abnormalities in early-stage visual processing might contribute to observed higher neurocognitive deficits in schizophrenia, but to date no clear link has been established. Schizophrenia has been associated with deficits in the magnocellular visual pathway, suggesting a relative bias for processing elemental (local) as opposed to configural (global) aspects of a hierarchical stimulus; however, global-local paradigm studies in schizophrenia have yielded mixed results. METHODS: In the current study, global-local and event-related potential (ERP) procedures were concomitantly used to assess temporal and spatial characteristics of hierarchical visual stimulus processing abnormalities. RESULTS: Patients (n = 24) had slower and less accurate responses to global stimuli than a healthy comparison group (n = 29). They exhibited a marked decrement in N150 ERP amplitude, which correlated with speed of response to global stimuli. They also failed to show an augmented P300 response to local stimuli. CONCLUSIONS: Behavioral and physiological data are consistent and support a global visual processing deficit in schizophrenia. This is manifest at a relatively early stage of visual processing and might relate to physiological disturbances in areas V3/V3a of the extrastriate cortex.

Adolescent↗

Category-related brain activity to natural categories is associated with the retrieval of visual features: Evidence from repetition effects during visual and functional judgments.

It is debated whether category-related brain activation reflects a modality-specific (e.g., visual, functional representation systems) or a domain-specific (e.g., natural vs. artifactual categories) semantic memory organization. The present event-related potentials (ERPs) study is aimed at elucidating the nature of semantic representations of objects from natural (e.g., animal) and artifactual (e.g., tool) categories. Within a repetition priming paradigm, we tested the assumption that modality-specific semantic systems are differentially involved in representing artifacts and natural kinds by probing either visual or functional knowledge in a test task. In the exposure phase, subjects performed a classification task on object names for artifacts and natural objects. In the test phase, these previously presented (old) names were presented together with new names, and subjects had to perform either a visual (shape) or a functional (use) judgment. As in previous ERP studies, words from natural categories were associated with a more positive potential at occipito-parietal electrodes than words from artifactual categories. This effect was only obtained during the visual judgment task. This category-related ERP effect was diminished for words that had been previously presented. In the functional judgment task, category-related ERP effects were not obtained at all, probably due to the heterogeneity of the probed features. The observed interaction between task, category and repetition provides direct evidence that visual features play a more important role for the representations of natural compared to artifactual categories. Our data are therefore compatible with the notion of modality-specific semantic systems.

Adult↗