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Observation of a finger or an object movement primes imitative responses differentially.

Behavioural advantages for imitation of human movements over movements instructed by other visual stimuli are attributed to an 'action observation-execution matching' (AOEM) mechanism. Here, we demonstrate that priming/exogenous cueing with a videotaped finger movement stimulus (S1) produces specific congruency effects in reaction times (RTs) of imitative responses to a target movement (S2) at defined stimulus onset asynchronies (SOAs). When contrasted with a moving object at an SOA of 533 ms, only a human movement is capable of inducing an effect reminiscent of 'inhibition of return' (IOR), i.e. a significant advantage for imitation of a subsequent incongruent as compared to a congruent movement. When responses are primed by a finger movement at SOAs of 533 and 1,200 ms, inhibition of congruent or facilitation of incongruent responses, respectively, is stronger as compared to priming by a moving object. This pattern does not depend on whether S2 presents a finger movement or a moving object, thus effects cannot be attributed to visual similarity between S1 and S2. We propose that, whereas both priming by a finger movement and a moving object induces processes of spatial orienting, solely observation of a human movement activates AOEM. Thus, S1 immediately elicits an imitative response tendency. As an overt imitation of S1 is inadequate in the present setting, the response is inhibited which, in turn, modulates congruency effects.

Adult↗

Effect of altered sensory conditions on multivariate descriptors of human postural sway.

Multivariate descriptors of sway were used to test whether altered sensory conditions result not only in changes in amount of sway but also in postural coordination. Eigenvalues and directions of eigenvectors of the covariance of shnk and hip angles were used as a set of multivariate descriptors. These quantities were measured in 14 healthy adult subjects performing the Sensory Organization test, which disrupts visual and somatosensory information used for spatial orientation. Multivariate analysis of variance and discriminant analysis showed that resulting sway changes were at least bivariate in character, with visual and somatosensory conditions producing distinct changes in postural coordination. The most significant changes were found when somatosensory information was disrupted by sway-referencing of the support surface (P = 3.2 x 10(-10)). The resulting covariance measurements showed that subjects not only swayed more but also used increased hip motion analogous to the hip strategy. Disruption of vision, by either closing the eyes or sway-referencing the visual surround, also resulted in altered sway (P = 1.7 x 10(-10)), with proportionately more motion of the center of mass than with platform sway-referencing. As shown by discriminant analysis, an optimal univariate measure could explain at most 90% of the behavior due to altered sensory conditions. The remaining 10%, while smaller, are highly significant changes in posture control that depend on sensory conditions. The results imply that normal postural coordination of the trunk and legs requires both somatosensory and visual information and that each sensory modality makes a unique contribution to posture control. Descending postural commands are multivariate in nature, and the motion at each joint is affected uniquely by input from multiple sensors.

Adult↗

Functional magnetic resonance imaging of the human brain: data acquisition and analysis.

It is now feasible to create spatial maps of activity in the human brain completely non-invasively using magnetic resonance imaging. Magnetic resonance imaging (MRI) images in which the spin magnetization is refocussed by gradient switching are sensitive to local changes in magnetic susceptibility, which can occur when the oxygenation state of blood changes. Cortical neural activity causes increases in blood flow, which usually result in changes in blood oxygenation. Hence changes of image intensity can be observed, given rise to the so-called Blood Oxygenation Level Dependent (BOLD) contrast technique. Use of echo-planar imaging methods (EPI) allows the monitoring over the entire brain of such changes in real time. A temporal resolution of 1-3 s, and a spatial resolution of 2 mm in-plane, can thus be obtained. Generally in a brain mapping experiment hundred of brain image volumes are acquired at repeat times of 1-6 s, while brain tasks are performed. The data are transformed into statistical maps of image difference, using the technique known as statistical parametric mapping (SPM). This method, based on robust multilinear regression techniques, has become the method of reference for analysis of positron emission tomography (PET) image data. The special characteristics of functional MRI data require some modification of SPM algorithms and strategies, and the MRI data must be gaussianized in time and space to conform to the assumptions of the statistics of Gaussian random fields. The steps of analysis comprise: removal of head movement effects, spatial smoothing, and statistical interference, which includes temporal smoothing and removal by fitting of temporal variations slower than the experimental paradigm. By these means, activation maps can be generated with great flexibility and statistical power, giving probability estimates for activated brain regions based on intensity or spatial extent, or both combined. Recent studies have shown that patterns of activation obtained in human brain for a given stimulus are independent of the order and spatial orientation with which MRI images are acquired, and hence that inflow effects are not important for EPI data with a TR much longer than T1.

Artifacts↗

Forebrain connections of medial agranular cortex in the prairie vole, Microtus ochrogaster.

Fluorescent axonal tracers were used to investigate the connections of medial agranular cortex (frontal area 2, Fr2) in male prairie voles. The rostral and caudal portions of Fr2 (rFr2 and cFr2) have distinct but partially overlapping patterns of connections. Thalamic labeling after cFr2 injections was present in anteromedial nucleus (AM), ventrolateral nucleus (VL), lateral segment, mediodorsal nucleus (MDl), centrolateral nucleus (CL), ventromedial nucleus (VM), posterior nucleus (Po) and lateral posterior nucleus (LP). A band of labeled cells involving CL, central medial nucleus (CM) and rhomboid nucleus (Rh) formed a halo around the periphery of submedial (gelatinosus) nucleus (Sm). Within cFr2 there is a rostrocaudal gradient whereby projections from VL and MDl become progressively sparser caudally, whereas those from LP and Po become denser. Rostral Fr2 receives afferents from a similar group of thalamic nuclei, but has denser innervation from VL and MDl, lacks afferents from LP, and receives less input from nuclei around the periphery of Sm. Caudal Fr2 has extensive cortical connections including orbital cortex, rostral Fr2, Fr1, caudal parietal area 1 (Par1), parietal area 2 (Par2), and posterior parietal, retrosplenial and visual areas. Rostral Fr2 has similar connections with areas Fr1, Par1 and Par2; orbital connections focused in ventrolateral orbital cortex (VLO); connections with caudal Fr2; greatly reduced connections with posterior parietal cortex and the visual areas; and no connections with retrosplenial cortex. The axons linking rFr2 and cFr2 with each other and with other cortical areas travel predominately in the deep gray matter of layers VI and VII rather than in the white matter. Projections to the dorsal striatum from rFr2 are widespread in the head of the caudate, become progressively restricted to a dorsocentral focus more caudally, and disappear by the level of the anterior commissure. The projections from cFr2 are largely restricted to a focal dorsocentral region of the striatum and to the dorsolateral margin of the caudatoputamen. In comparison to area Fr2, the laterally adjacent area Fr1 has thalamic and cortical connections which are markedly restricted. Area Fr1 receives thalamic input from nuclei VL, anteroventral nucleus (AV), CL and Po, but none from mediodorsal nucleus (MD) or LP, and its input from VM is reduced. Cortical afferents to Fr1 originate from areas Fr2, caudal Par1 and Par2. Medial agranular cortex of prairie voles has a pattern of connections largely similar to that seen in rats, suggesting that area Fr2 in prairie voles is part of a cortical network that may mediate complex behaviors involving spatial orientation.

Animals↗

A multivariate approach to registration of dissimilar tomographic images.

We devised a method to allow for retrospective registration of tomographic images with very different information content, the main emphasis being on sets of positron emission tomography images obtained with different tracers. A multivariate cost-function based on information theory was used as an index of "goodness-of-alignment". The cost-function makes no assumptions regarding the form of the relationship between the two image sets, and is hence very general. Image volumes, with known relative spatial orientation, were simulated for tracers with different uptake patterns and the method was validated by assessing its ability to recover these known orientations. The method was able to recover the known transformations with an accuracy of about 1 mm and 1 degrees along and around all axes, even for tracer combinations with radically different uptake patterns and with large initial misalignment. With the suggested method it is feasible to retrospectively align examinations obtained with different tracers and/or modalities.

Adult↗

A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results.

The objective of this paper is to present a new type of volumetric CT which uses the cone-beam technique instead of traditional fan-beam technique. The machine is dedicated to the dento-maxillo-facial imaging, particularly for planning in the field of implantology. The main characteristics of the unit are presented with reference to the technical parameters as well as the software performance. Images obtained are reported as various 2D sections of a volume reconstruction. Also, measurements of the geometric accuracy and the radiation dose absorbed by the patient are obtained using specific phantoms. Absorbed dose is compared with that given off by spiral CT. Geometric accuracy, evaluated with reference to various reconstruction modalities and different spatial orientations, is 0.8-1% for width measurements and 2.2% for height measurements. Radiation dose absorbed during the scan shows different profiles in central and peripheral axes. As regards the maximum value of the central profile, dose from the new unit is approximately one sixth that of traditional spiral CT. The new system appears to be very promising in dentomaxillo-facial imaging and, due to the good ratio between performance and low cost, together with low radiation dose, very interesting in view of large-scale use of the CT technique in such diagnostic applications.

Absorption↗

Evaluation of the middle and inner ear structures: comparison of hybrid rendering, virtual endoscopy and axial 2D source images.

Recent developments in 3D reconstructions can enhance the quality and diagnostic value of axial 2D image data sets with direct benefits for clinical practice. To show the possible advantages of a hybrid rendering method [color-coded 3D shaded-surface display (SSD)- and volume rendering method] with the possibility of virtual endoscopy we have specifically highlighted the use in relation to the middle and inner ear structures. We examined 12 patients with both normal findings and postoperative changes, using image data sets from high-resolution spiral computed tomography (HRSCT). The middle and inner ear was segmented using an interactive threshold interval density volume-growing method and visualized with a color-coded SSD rendering method. The temporal bone was visualized using a transparent volume rendering method. The 3D- and virtual reconstructions were compared with the axial 2D source images. The evaluated middle and inner ear structures could be seen in their complete form and correct topographical relationship, and the 3D- and virtual reconstructions indicated an improved representation and spatial orientation of these structures. A hybrid and virtual endoscopic method could add information and improve the value of imaging in the diagnosis and management of patients with middle or inner ear diseases making the understanding and interpretation of axial 2D CT image data sets easier. The introduction of an improved rendering algorithm aids radiological diagnostics, medical education, surgical planning, surgical training, and postoperative assessment.

Adult↗

Arthropod touch reception: spider hair sensilla as rapid touch detectors.

Wandering spiders like Cupiennius salei are densely covered by tactile hairs. In darkness Cupiennius uses its front legs as tactile feelers. We selected easily identifiable hairs on the tarsus and metatarsus which are stimulated during this behavior to study tactile hair properties. Both the mechanical and electrophysiological hair properties are largely independent of the direction of hair displacement. Restoring torques measure 10(-9) to 10(-8) Nm. The torsional restoring constant S changes non-linearly with deflection angle. It is of the order of 10(-8) Nm/rad, which is about 10,000 times larger than for trichobothria. Angular thresholds for the generation of action potentials are ca.1 degrees. Electrophysiology reveals a slow and a fast sensory cell, differing in adaptation time. Both cells are movement detectors mainly responding to the dynamic phase (velocity) of a stimulus. When applying behaviorally relevant stimulus velocities (up to 11 cm s(-1)) threshold deflection for the elicitation of action potentials and maximum response frequency are reached as early as 1.2 ms after stimulus onset and followed by a rapid decline of impulse frequency. Obviously these hairs inform the spider on the mere presence of a stimulus but not on details of its time-course and spatial orientation.

Action Potentials↗

[Imaging techniques in cardiology: three-dimensional echocardiography].

UNLABELLED: Three-dimensional echocardiography offers new opportunities for clinical cardiology and the solution of scientific questions. Data acquisition is possible using different techniques: (1) Realtime 3D echocardiography with matrix-array transducers is the most promising approach, but is still limited by several difficulties; (2) 3D reconstruction is based on a number of sequentially acquired 2D image planes (like in multiplane TEE), which are put together afterwards. There are 2 ways of data analysis. 1. Morphological analysis. Surface rendering of the endocardial border can create perspectives not achievable with conventional methods such as the "en face" view of atrial septal defects or the atrial view of the mitral valve. Prolapsing leaflets and the spatial relationship can be identified much easier than using 2D methods. In complex congenital heart disease 3D echo may provide better spatial orientation and easier communication with the cardiothoracic surgeons. 2. Quantitative analysis of volumes, masses, and surfaces is only possible after manual contour tracing with several cut planes generated from the 3D data set. This procedure is time consuming and limits the use in clinical routine, even though validation studies demonstrated that 3D echo determination of masses and volumes is superior to one- or two-dimensional techniques which are based on geometric assumptions. Furthermore, quantitative 3D analysis has a unique pre- and postinterventional diagnostic potential. FUTURE PERSPECTIVES: Combination with color Doppler data may lead to a more precise quantitation of valve regurgitations. Improvements of hard- and software will allow faster acquisition, reconstruction, and quantitative analysis. Assessment of regional myocardial perfusion may be possible in combination with left heart contrast agents. CONCLUSION: 3D echocardiography allows perspectives not achievable conventionally and has a great potential for precise quantitative and reproducible analysis of cardiac morphology which overcomes the limitations of 2D echocardiography.

Angiography↗

Three-dimensional analysis of nystagmus in benign paroxysmal positional vertigo. New insights into its pathophysiology.

Nystagmus is a rhythmical rotation of the eyeball. Its characteristics can be defined mathematically by the axis of rotation and the angular velocity around this axis. We analysed the axis of rotation for the nystagmus in benign paroxysmal positional vertigo (BPPV) to elucidate its pathophysiology. Thirteen patients with typical unilateral BPPV participated in the present study. The axis of rotation for the nystagmus was calculated from images recorded on digital videotape with an infrared CCD camera, using an algorithm that we developed. The patients' responsiveness to Semont's liberatory maneuver was also assessed.The results showed that patients could be assigned to one of two groups based on the rotation axis of the nystagmus. In one group of patients (n = 7; Group A), the axis of rotation was almost vertical to the plane containing the posterior semicircular canal (PSC) on the presumed affected side. In the other group of patients (n = 6; Group B), it was clustered around the naso-occipital axis. These results suggest that in the patients in Group A the responsible lesion is confined to the PSC, whereas the pathogenesis underlying the conditions in those in Group B is considered to be more complicated. This speculation was reinforced by the difference in responsiveness to Semont's liveratory maneuver. All of the patients in Group A showed remission of vertigo within 10 days (mean, 2.4 days) after onset of treatment using Semont's liberatory maneuver, whereas the patients in Group B required much longer periods of time for remission to occur (mean, 25.7 days). Our findings lead to the conclusion that by considering the spatial orientation of individual semicircular canals, in the patients in Group B the pathophysiology is not confined to the PSC, but most probably all three semicircular canals are involved.

Adult↗

Idiopathic spasmodic torticollis is not associated with abnormal kinesthetic perception from neck proprioceptive and vestibular afferences.

Proceeding from recent evidence for a sensory involvement in the pathophysiology of idiopathic spasmodic torticollis (ST), we asked whether the abnormal head posture of these patients is associated with distortions of their internal spatial reference frames due to abnormal processing of neck proprioceptive and/or vestibular input. Twelve ST patients were instructed to estimate, by adjusting a light pointer in the dark, their head and trunk mid-sagittal directions (as representatives of ego-centric references) and to reproduce a remembered target location in space (space centric reference). They did so before and after horizontal head and trunk rotations, which evoked isolated or combined vestibular and/or neck stimulation. In ST patients, unlike in normal controls, pre-stimulus estimates of the head and trunk mid-sagittal directions (baselines) showed a pronounced across-subjects variability, with essentially normal mean values. Their post-stimulus estimates in all tasks, after correction for the individual baseline errors, were normal with respect to both amplitude and variability, independent of stimulus direction, modality and rotation dynamics. Our findings suggest that ST patients have a rather inaccurate knowledge of their head posture, but can effectively use neck proprioceptive input and vestibular cues when estimating head and trunk displacements in ego-centric and space centric spatial orientation tasks. We propose that an offset of a non-sensory set point signal in the neck proprioceptive loop for head-on-trunk control may be responsible for the pathological head deviation in ST.

Adult↗

The effect of discordant sensory information in graphic production: two distinct subject groups.

The present study investigated the underlying processes used to cope with discordant sensory information induced in a mirror-drawing task. Two experiments were carried out in which adults copied simple geometrical figures made up of either horizontal and vertical segments or oblique segments meeting at a right angle in both a normal and a mirror condition. Experiment 1 identified individual differences in relation to preferred graphic movement directions; some subjects preserved the visual directions that occurred in normal drawing by reversing the direction of drawing movements (perceived-direction group), while others preserved normal drawing directions that produced reversed visual directions (performed-direction group). Experiment 2 was performed to elucidate whether these two distinct behaviors resulted from different strategies used to cope with visuo-proprioceptive discordances. The main results showed that preference for the perceived directions led to longer pauses, slower movement velocity, greater movement dysfluency, and greater spatial orientation accuracy. By contrast, longer reaction time and greater angular accuracy characterized performance in the performed-direction group. These results were interpreted as indicating that two distinct information-processing strategies can be used when resolving sensory discordance in graphic production.

Adolescent↗

Evaluating minimally invasive surgery training using low-cost mechanical simulations.

BACKGROUND: The goal of this study was to develop, test, and validate the efficacy of inexpensive mechanical minimally invasive surgery (MIS) model simulations for training faculty, residents, and medical students. We sought to demonstrate that trained and experienced MIS surgeon raters could reliably rate the MIS skills acquired during these simulations. METHODS: We developed three renewable models that represent difficult or challenging segments of laparoscopic procedures; laparoscopic appendectomy (LA), laparoscopic cholecystectomy (LC), and laparoscopic inguinal hernia (LH). We videotaped 10 students, 12 surgical residents, and 1 surgeon receiving training on each of the models and again during their posttraining evaluation session. Five MIS surgeons then assessed the evaluation session performance. For each simulation, we asked them to rate overall competence (COM) and four skills: clinical judgment (respect for tissue) (CJ), dexterity (economy of movement) (DEX), serial/simultaneous complexity (SSC), and spatial orientation (SO). We computed intraclass correlation (ICC) coefficients to determine the extent of agreement (i.e., reliability) among ratings. RESULTS: We obtained ICC values of 0.74, 0.84, and 0.81 for COM ratings on LH, LC, and LA, respectively. We also obtained the following ICC values for the same three models: CJ, 0.75, 0.83, and 0.89; DEX, 0.88, 0.86, and 0.89; SSC, 0.82, 0.82, and 0.82; and SO, 0.86, 0.86, and 0.87, respectively. CONCLUSIONS: We obtained very high reliability of performance ratings for competence and surgical skills using a mechanical simulator. Typically, faculty evaluations of residents in the operating room are much less reliable. In contrast, when faculty members observe residents in a controlled, standardized environment, their ratings can be very reliable.

Clinical Competence↗

Comparison of two-dimensional vs three-dimensional camera systems in laparoscopic surgery.

BACKGROUND: The lack of depth perception and spatial orientation in video vision are the drawbacks of laparoscopic surgery. The advent of a three-dimensional camera system enables surgeons to regain binocular vision and may be advantageous in complex laparoscopic procedures. METHODS: We prospectively studied two groups of surgeons (with and without experiences in laparoscopic surgery) who performed a designated standardized laparoscopic task using a two-dimensional camera system (Olympus OTV-S4) vs a three-dimensional camera system (Baxter-V. Mueller VS7700) and compared their time performances. RESULTS: The results suggested that only experience in laparoscopic surgery had significant effect on individual's performance. We could not demonstrate any superiority of the 3D system over the 2D system. However, two-thirds of the surgeons commented that the depth perception did improve. CONCLUSIONS: With further refinement of the technology, the 3D system may improve its potential in laparoscopic surgery.

Evaluation Studies as Topic↗

Visualization of UV exposure of the human body based on data from a scanning UV-measuring system.

In general, measurements of UV radition are related to horizontal surfaces, as in the case of the internationally standardized and applied UV index, for example. In order to obtain more relevant information on UV exposure of humans the new measuring system ASCARATIS (Angle SCAnning RAdiometer for determination of erythemally weighted irradiance on TIlted Surfaces) was developed and built. Three systems of ASCARATIS have been in operation at different locations in Bavaria for 3 years, providing erythemally weighted UV irradiation data for 27 differently inclined surfaces every 2 min. On the basis of these data virtual three-dimensional models of the human body surface consisting of about 20,000 triangles could be created and each of these triangles coloured according to its UV irradiation. This allowed the UV exposure of the human body to be visualized for any kind of body posture and spatial orientation on the basis of real measuring data. The results of the UV measurements on inclined surfaces have shown that measuring UV radiation on horizontal surfaces, as done routinely worldwide, often underestimates the UV exposure of the human skin. Especially at times of the day or year with low solar elevations the UV exposure of parts of the human skin can be many times higher than that of the horizontal surface. Examples of three-dimensional modelling of the human UV irradiation are shown for different times of the day and year, altitudes above sea level, body postures and genders. In these examples the UV "hotspots" can be detected and, among other things, used to inform and educate the public about UV radiation.

Environmental Exposure↗

Patchy distribution fields: an interleaved survey design and reconstruction adequacy.

A mathematical model was used to compare the effects of a regular (one-pass) or interleaved (two-pass) acoustic survey on the adequacy of reconstructing patchy distribution fields. The model simulates fish or plankton patches of different shapes and spatial orientations, and a set of parallel or zigzag transects forming a regular or interleaved acoustic survey. The efficiency of a survey is determined by the adequacy of a reconstructed field to that originally generated, which is evaluated by calculating their correlations. Regarding the immovable fields, the efficiency of a regular or interleaved acoustic survey was tested with the following two alternative assumptions: (1) the entire survey was completed; (2) the survey was interrupted for some reason at the moment when one transect remained non-accomplished. In the former case, the efficiencies of both acoustic surveys were nearly the same; in the latter case, the efficiency of an interleaved survey was superior to that of a regular one. With respect to movable fields, the efficiency of the completed interleaved surveys was even higher than that of the regular ones. Thus, the results obtained allow us to conclude that an interleaved survey is expedient in cases where there is no preference regarding the position of a vessel for further work.

Acoustics↗

Patchy distribution fields: sampling distance unit of an interleaved survey and reconstruction adequacy.

A mathematical model was used to examine the effects of choosing various units of sampling distance of an interleaved (two-pass) acoustic survey on the adequacy of reconstructing patchy distribution fields. The model simulates fish or plankton patches (or gaps) of different shapes and spatial orientations, and an interleaved survey by parallel or zigzag transects, along which a unit of sampling distance is set. The efficiency of a survey is determined by the adequacy of a reconstructed field to that originally generated, which is evaluated by calculating their correlations (r). Regarding immovable fields, the experiments conducted indicate that a patchy field can be reconstructed properly (r2 > 0.70) if the distance between transects D < (1.5-2.0)R and the unit of sampling distance d < (1.5- 2.0)R(p). As, for regular surveys d < (1.0-1.5)R(p), it may be concluded that interleaved surveys are more efficient than regular ones because of the factor studied. In regard to movable fields, a comparison of the results of interleaved surveys with those of regular surveys directly indicates that the former may ensure a more adequate field reconstruction than the latter do. This fact confirms the previous conclusion that an interleaved survey is expedient in cases where there is no preference regarding the position of a vessel for further work.

Acoustics↗

Patchy distribution fields: a spiral survey design and reconstruction adequacy.

A mathematical model was used to examine the effects of a spiral survey design on the adequacy of reconstructing patchy distribution fields. The model simulates fish or plankton patches (or gaps) of different shapes and spatial orientations, and acoustic surveys by a spiral of Archimedes; for comparison, surveys by parallel or zigzag transects are imitated. Adequacy of the reconstructed fields to those originally generated was evaluated by calculating their correlations (r). The mathematical experiments conducted showed that spiral surveys ensure, practically speaking, the same adequacy of field reconstruction (both in cases of immovable or movable patches) as do surveys by parallel or zigzag transects with greater sampling effort (overall path). In the case of a spiral survey, a patchy field can be reconstructed properly (r(2) = 0.70) if the overall survey path is not less than S/R(av) = 20-30, where R(av) is the autocorrelation radius averaged for various directions. Thus, the results obtained allow us to conclude that a spiral survey design is expedient in cases that the minimal duration of a survey is a decisive factor for its conduction and there is a priori information that no onshore-offshore gradients of fish density exist in a region under study.

Acoustics↗