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Use of a blue filter in visual field analysis.

One hundred and twenty seven eyes of 127 patients were studied by means of a Kodak 47B Wratten blue gelatin filter in conjunction with the Friedmann Mark 1 visual field analyser. There were 49 patients in the normal group, 50 patients in the ocular hypertension group, and 28 patients in a group with early glaucoma. A simple scoring system did not show a useful difference between these three groups. However, use of a derived threshold value for each target group designated by the letters B to P (giving selective blue field scores) differentiated between normal subjects and those with early glaucomatous field loss. When used with a calculated upper limit of normal to give a specificity of 96%, this test had a sensitivity of 64%. Of the ocular hypertension group 22% gave abnormal results in comparison with normal persons. This simple adaptation to the Friedmann protocol may aid the ophthalmologist in the detection and confirmation of early glaucoma.

Evaluation Studies as Topic

Radiation dosimetry by automatic image analysis of dicentric chromosomes.

A system for scoring dicentric chromosomes by image analysis comprised fully automatic location of mitotic cells, automatic retrieval, focus and digitization at high resolution, automatic rejection of nuclei and debris and detection and segmentation of chromosome clusters, automatic centromere location, and subsequent rapid interactive visual review of potential dicentric chromosomes to confirm positives and reject false positives. A calibration set of about 15,000 cells was used to establish the quadratic dose response for 60Co gamma-irradiation. The dose-response function parameters were established by a maximum likelihood technique, and confidence limits in the dose response and in the corresponding inverse curve, of estimated dose for observed dicentric frequency, were established by Monte Carlo techniques. The system was validated in a blind trial by analysing a test set comprising a total of about 8000 cells irradiated to 1 of 10 dose levels, and estimating the doses from the observed dicentric frequency. There was a close correspondence between the estimated and true doses. The overall sensitivity of the system in terms of the proportion of the total population of dicentrics present in the cells analysed that were detected by the system was measured to be about 40%. This implies that about 2.5 times more cells must be analysed by machine than by visual analysis. Taking this factor into account, the measured review time and false positive rates imply that analysis by the system of sufficient cells to provide the equivalent of a visual analysis of 500 cells would require about 1 h for operator review.

Cells, Cultured

Occupational asthma: validity of monitoring of peak expiratory flow rates and non-allergic bronchial responsiveness as compared to specific inhalation challenge.

The sensitivity and specificity of monitoring peak expiratory flow rates (PEFR) and bronchial responsiveness to the provocative concentration of histamine or methacholine (PC20) has been determined as compared to specific inhalation challenges in the diagnosis of occupational asthma. A prospective study of 61 subjects referred for occupational asthma to various agents was performed. PEFR was assessed every 2 h during a period away from work for at least 2 weeks. The period at work was 2 weeks, or less if there was increased symptomatology or marked changes in PEFR. At least one PC20 assessment was obtained at work and away from work. Graphs of PEFR and PC20 values were interpreted in blind fashion by three experienced readers. There was complete agreement among the three in 54 out of 61 instances (78%). Twenty five out of 61 subjects (41%) had positive specific inhalation challenges. The best index for comparing results of PEFR with specific inhalation challenges was the visual analysis of PEFR with sensitivity and specificity of 81% and 74%. All of the numerical indices were significantly less satisfactory. We conclude that visual analysis of PEFR is an interesting tool for investigating occupational asthma, although sensitivity and specificity values do not seem satisfactory enough to warrant using it alone.

Adult

Analysis of visual scanning patterns of pistol shooters.

Visual behaviour of pistol shooters of various levels of experience was studied using a video-oculometric technique to record the direction of gaze. A spatio-temporal analysis of the fixation patterns of subjects (five international pistol shooters and five international pentathletes) found that patterns were related to the level of skill. The pentathletes, whose level was lower, positioned their gaze on the weapon sight and visually followed the movement of the weapon towards the target. The pistol shooters appeared to use negative feedback in bringing up their weapons, so reducing the angle formed by the weapon, target and gaze. They fixed their gaze directly on the target or between the target and the weapon. Observations showed a prolonged time of attack (means = 1.107 s vs 0.558 s; P less than 0.001) and a shorter stabilization time (means = 0.714 s vs 1.216 s; P less than 0.001) for the most expert shooters. The psycho-physiological mechanisms which were the basis of these patterns and the reasons why shooters chose them are discussed.

Humans

[Further research on the functional asymmetry between the superior and inferior visual hemifields: analysis of the reaction time to simultaneous stimulation of the two hemi-fields].

It has been previously reported that presentation of square-wave gratings to either side of the horizontal meridian of the visual field gives rise to different Simple Reaction Times (RTs), depending upon the spatial frequency of the stimuli. Specifically, for 1 c/deg stimulus RT is faster in the lower hemefield, whereas the reverse is true for 3 c/deg pattern, RT being faster in the upper visual field. In the reported experiment, RT to simultaneous presentation of either the same (alternatively 1 c/deg or 3 c/deg) or different (i.e. 1 c/deg and 3 c/deg combined) spatial frequencies to both hemifields was analyzed. The data show that whenever the two half components correspond to different RTs, the resulting RT equates that of the faster component. Conversely, when the two components give rise to identical RTs, the resulting RT does not differ from the value obtained with each half stimulus. Implications of this result for the functional organization of the visual system are discussed.

Adult

Graphical analysis and visualization of three-dimensional properties of molecules and solids.

A simple approach is presented for visualizing three-dimensional properties of molecular and crystalline systems by using PC-based molecular drawing software. This allows a scientist with lower-cost PC-graphics capability to carry out analysis of data, such as wave functions and electron density, which would otherwise require a dedicated graphics workstation and expensive specialized software. In this approach, a data set [x,y,z,f1(x,y,z)] is transformed to a new set of data [x,y,z] for values of f1 meeting specified requirements. The function f1, which varies throughout a chemical system is difficult to visualize. However, a more manageable data set is obtained if the set of Cartesian coordinates corresponding to locations in the system where f1 has a specified value are used. This set of points can then be visualized and plotted with standard graphics software or PC-based molecular modeling programs. In addition, the use of PC-based molecular graphics permits one to superimpose the data describing molecular properties on drawings of the molecular geometry. The entire object can then be rotated to facilitate a clear analysis of the property of the molecule.

Chemical Phenomena

Patterns in visual interpretation of coronary arteriograms as detected by quantitative coronary arteriography.

In part 1 of a three-part study, 14 novice readers and 6 experienced cardiologists interpreted phantom images of known stenosis severity. No difference between the interpretations of experienced and novice readers was detectable. Visual estimates of "moderately" severe stenosis were 30% higher than actual percent diameter stenosis. In part 2 of the study, visual interpretation of percent diameter stenosis from 212 stenoses on 241 arteriograms was compared with quantitative coronary arteriographic assessment. The visual analysis overestimated disease severity in arteries with greater than or equal to 50% diameter stenosis (except for right coronary lesions) and underestimated severity in all arteries with less than 50% diameter stenosis. Of the 241 arteriograms, 40 had quantitative and visual analysis of all three coronary arteries for assessment of significant disease. In only 62% of the cases did visual and quantitative methods agree on the presence of severe disease; visual estimates diagnosed significantly (p less than 0.05) more three-vessel disease. In part 3 of the study, comparison of percent diameter stenosis by visual estimate with quantitative coronary arteriographic assessment before and after balloon angioplasty of 38 stenoses showed that visual interpretation significantly (p less than 0.001) overestimated initial lesion severity and underestimated stenosis severity after angioplasty.

Angiography

Parameters of exponentially damped sinusoids in noise and their application to the analysis of visual evoked potentials.

The backward prediction and singular value (SV) truncation methods for estimating multiple exponentially damped real sinusoids in noise have been studied. The basic theory and algorithm are outlined, and the effect on the error of computational parameters, such as the sampling window, the sampling rate, the order of the prediction-error filter (PEF) and the truncated point of SV, were studied using simulated data. If the computational parameters are carefully chosen, the estimate of frequency and damping factor of a damped sinusoid is quite accurate (within a certain range of signal to noise (S/N) ratio). We use this method to estimate the parameters of visual evoked potentials (VEP) and then reconstructed them from estimated parameters according to the resonant model. The error between original VEP and the reconstructed waveform is within 5%. This method can be used in the analysis and recognition of various systems.

Algorithms

Multivariate analysis of visual evoked response.

The visual potentials evoked by flash are analyzed in healthy subjects in cases of retinal detachment, of optic nerve lesions, and of amblyopia by means of different statistical methods: 1. Analysis of the various features of the response, evaluated separately 2. Analysis of the interdependence between the measures of the various features The first method supplies information on the differences in 'size' of the curves in the various samples, the second method reveals differences of 'shape'. The second method has proved to be able to distinguish both normal conditions from pathologic impairment of optic structures and the different sites of the lesions.

Adolescent

Natural history of platelet deposition on Dacron aortic bifurcation grafts in the first year after implantation.

This study defined the dynamics of platelet deposition on Dacron arterial grafts up to 1 year after implantation in human subjects. Indium-111 platelet imaging was performed on 8 men 1 to 2 weeks after graft implantation and on 5 of these patients at a mean of 31 weeks (range 28 to 34) and again at 55 weeks (range 50 to 62). Serial imaging was performed at 24 to 96 hours after platelet labeling and injection in each study. Quantitative analysis was performed using a graft/blood ratio that compared background-corrected indium-111 platelet activity in the graft region to whole-blood indium-111 platelet activity. Additionally, blinded qualitative visual analysis of the images compared graft activity with the activity in adjacent native arteries. The mean of all graft/blood ratios (24, 48, 72, and 96 hours) progressively decreased from 4.4 +/- 2.1 (+/- 1 standard deviation) at 1 to 2 weeks to 3.0 +/- 1.8 at 31 weeks (p = 0.002). There was no further decrease at 55 weeks (2.8 +/- 2.0). For comparison, 12 normal subjects without grafts had a mean ratio of 1.8 +/- 0.7. Visual analysis detected platelet deposition in 7 of 8 grafts at 1 to 2 weeks, 4 of 5 at 31 weeks, and 4 of 5 at 55 weeks. Deposition decreased qualitatively in 2 of 5 patients at late study. It is concluded that there is consistent, early platelet deposition on Dacron grafts in man. Although deposition decreases over 31 weeks, it remains readily detectable in most patients at 1 year. These findings suggest absent or incomplete endothelialization of the graft flow surface in humans in the first year after implantation.

Aged

The use of computer-assisted video image analysis in the enumeration of immuno-stained cells in tissue sections.

A novel method of computer-assisted video image analysis (VIA) was used to determine the number of immunostained cells in tissue sections. This method permitted an accurate and objective quantification of cells of a particular phenotype. This enumeration was achieved by measuring the area stained by a test monoclonal antibody (such as the T cell marker, CD3) and comparing it with the area stained by a leukocyte common (LCA) monoclonal antibody (CD45). The proportion of T cells within the total leukocyte population in a particular tissue was then calculated. The differentiation of positive (stained) and negative (unstained) cells was uniformly maintained by setting the computer to detect a threshold for staining intensity. This enabled consistency to be maintained within a tissue section as well as between sections stained with the same antibody. In the present study, we determined the phenotype of leukocytes in colonic carcinomas by VIA and compared this with results obtained by normal visual analysis. The VIA method showed distinct advantages over normal visual analysis especially in sections which contained moderate numbers of stained cells.

Antibodies, Monoclonal

The visualization of femoral vessels in delayed bone scans--a sign of arteriosclerosis? A comparison of 99mTc-MDP and 99mTc-DPD.

The activity of femoral vessels in delayed bone scans was evaluated visually in 237 consecutive patients and quantified in 40 female patients. In visual analysis the patients were randomly divided into three groups and in quantitative analysis into four groups of equal size. Two different MDP preparations and one DPD preparation were used as bone-seeking agents. With aging, the activity in femoral vessels increased with all agents in visual analysis, significantly with MDPs (P less than 0.001) between patients less than or equal to 60 years and greater than 60 years. In female patients with all agents a significant increase in femoral activity was found (P less than 0.001 with MDPs, P less than 0.05 with DPD). In patients greater than 60 years, the femoral uptake was significantly higher with MDP when compared with the DPD uptake (P less than 0.01 with MDP1, P less than 0.05 with MDP2). Between the MDPs no significant differences were found. In quantitative analysis the femoral vessel to soft tissue ratio was significantly higher in patients greater than 70 years when compared with patients less than or equal to 50 years with MDP. No difference was found with DPD. Histological examination of excised arteries of ten patients with intense femoral uptake of MDP showed arteriosclerosis and calcification in all cases. The findings suggest that the femoral visualization in delayed bone scans is probably related to arteriosclerosis and is not a non specific finding. There may be age-related differences in the distribution of MDP and DPD.

Age Factors

Cluster analysis of visual cortical responses evoked by moving lines.

The cortical evoked responses to a bar of light (line) moving in 8 different directions across the visual field of 6 unanaesthetized, immobilized cats were compared in 18 experimental sessions. The shape of the response is unique for each direction. This is particularly apparent during the first 350 msec of the response. Cluster analysis of the evoked potentials reveals that the recognition of the direction of the moving line is probably less distinct when the line moves in a downward direction. This finding is more pronounced in the left hemisphere. The results of the cluster analysis indicate that the technique may be a useful tool in the analysis and classification of large numbers of evoked potentials. Furthermore, such clustering may eventually reveal some of the physiological mechanisms that contribute to the shape of the evoked response.

Animals

An ethological approach to autism: an analysis of visual behaviour and interpersonal contact in a child versus adult interaction.

Eighteen children classified into 4 diagnostic categories were compared based on their behaviour in a child-adult interaction. The categories consist of autistic children with full syndrome, autistic children in a residual state, hyperactive children, and mentally retarded children. An ethological analysis of the interpersonal distance, the amount of physical contact, and the direction of the look/gaze was carried out to describe some behavioural aspects of infantile autism. The autistic children with full syndrome were found to be different from the other categories by a relatively close interpersonal distance, a high frequency of physical contact, and a low frequency of "look at face".

Adolescent

Analysis of visual modulation sensitivity. III. Meridional variations in peripheral flicker sensitivity.

Critical flicker frequency (CFF) and modulation sensitivity were measured throughout the visual field as a function of meridian, eccentricity, and luminance. The stimulus conditions were designed to excite preferentially the long-wavelength-sensitive (R) cones in equal numbers at each retinal location. Temporal-frequency responses under these conditions can be partitioned into two components by following the analysis of Kelly [J. Opt. Soc. Am. 51, 422 (1961)]: a high-frequency linear component unaffected by the mean luminance level and a nonlinear adaptive component that conforms to Weber's law of proportionality to luminance. The results suggest that the time constant of the linear component varies to some extent with meridian at a constant eccentricity, in addition to the substantial increase with eccentricity along all meridians. Retinal variations in sensitivity of the nonlinear, adaptive aspect of the visual response were small when equal numbers of cones were stimulated, and the variations did not account for the changes in CFF with either eccentricity or meridian.

Humans