Evaluating integration of letter fragments through contrast and spatially targeted masking.

Four experiments were conducted to gain a better understanding of the visual mechanisms related to how integration of partial shape cues provides for recognition of the full shape. In each experiment, letters formed as outline contours were displayed as a sequence of adjacent segments (fragments), each visible during a 17-ms time frame. The first experiment varied the contrast of the fragments. There were substantial individual differences in contrast sensitivity, so stimulus displays in the masking experiments that followed were calibrated to the sensitivity of each participant. Masks were displayed either as patterns that filled the entire screen (full field) or as successive strips that were sliced from the pattern, each strip lying across the location of the letter fragment that had been shown a moment before. Contrast of masks were varied to be lighter or darker than the letter fragments. Full-field masks, whether light or dark, provided relatively little impairment of recognition, as was the case for mask strips that were lighter than the letter fragments. However, dark strip masks proved to be very effective, with the degree of recognition impairment becoming larger as mask contrast was increased. A final experiment found the strip masks to be most effective when they overlapped the location where the letter fragments had been shown a moment before. They became progressively less effective with increased spatial separation from that location. Results are discussed with extensive reference to potential brain mechanisms for integrating shape cues.

Human perception of flicker-fused letters that are luminance balanced.

The Talbot-Plateau law specifies what combinations of flash frequency, duration, and intensity will yield a flicker-fused stimulus that matches the brightness of a steady stimulus. It has proven to be remarkably robust in its predictions, and here we provide additional support though the use of a contrast discrimination task. However, we also find that the visual system can register flicker-fused letters when the combination of frequency and duration is relatively low. The letters are recognized even though they have the same physical luminance as background. We hypothesize that the letters elicit synchronous oscillations that encode for stimulus attributes, which prevents the letter from blending into the background.

Evaluating the Talbot-Plateau law.

The Talbot-Plateau law asserts that when the flux (light energy) of a flicker-fused stimulus equals the flux of a steady stimulus, they will appear equal in brightness. To be perceived as flicker-fused, the frequency of the flash sequence must be high enough that no flicker is perceived, i.e., it appears to be a steady stimulus. Generally, this law has been accepted as being true across all brightness levels, and across all combinations of flash duration and frequency that generate the matching flux level. Two experiments that were conducted to test the law found significant departures from its predictions, but these were small relative to the large range of flash intensities that were tested.

Recognition of letters displayed as successive contour fragments.

Shapes can be displayed as parts but perceived as a whole through feedforward and feedback mechanisms in the visual system, though the exact spatiotemporal relationships for this process are still unclear. Our experiments examined the integration of letter fragments that were displayed as a rapid sequence. We examined the effects of timing and masking on integration, hypothesizing that increasing the timing interval between frames would impair recognition by disrupting contour linkage. We further used different mask types, a full-field pattern mask and a smaller strip mask, to examine the effects of global vs local masking on integration. We found that varying mask types and contrast produced a greater decline in recognition than was found when persistence or mask density was manipulated. The study supports prior work on letter recognition and provides greater insight into the spatiotemporal factors that contribute to the identification of shapes.

Libman-Sacks endocarditis and associated cerebrovascular disease: The role of medical therapy.

BACKGROUND: Libman-Sacks endocarditis in patients with systemic lupus erythematosus (SLE) is commonly complicated with embolic cerebrovascular disease (CVD) or valve dysfunction for which high-risk valve surgery is frequently performed. However, the role of medical therapy alone for Libman-Sacks endocarditis and associated acute CVD remains undefined. OBJECTIVE: To determine in this cross-sectional and longitudinal study if conventional anti-inflammatory and anti-thrombotic therapy may be an effective therapy in SLE patients with Libman-Sacks endocarditis and associated acute CVD. METHODS AND MATERIALS: 17 SLE patients with Libman-Sacks endocarditis detected by two-and-three-dimensional transesophageal echocardiography (TEE) and complicated with acute CVD [stroke/TIA, focal brain injury on MRI, or cognitive dysfunction] were treated with conventional anti-inflammatory and anti-thrombotic therapy for a median of 6 months and then underwent repeat TEE, transcranial Doppler, brain MRI, and neurocognitive testing for re-assessment of Libman-Sacks endocarditis and CVD. RESULTS: Valve vegetations decreased in number, diameter, and area (all p ≤0.01); associated valve regurgitation significantly improved (p = 0.04), and valve thickening did not progress (p = 0.56). In 13 (76%) patients, valve vegetations or valve regurgitation resolved or improved in number and size or by ≥1 degree, respectively, as compared to 4 (24%) patients in whom vegetations or valve regurgitation persisted unchanged or increased in size or by ≥1 degree (p = 0.03). Also, cerebromicroembolism, lobar and global gray and white matter cerebral perfusion, ischemic brain lesion load, and neurocognitive dysfunction resolved or significantly improved (all p ≤0.04). CONCLUSION: These preliminary data suggest that combined conventional anti-inflammatory and antithrombotic therapy may be an effective treatment for Libman-Sacks endocarditis and its associated CVD and may obviate the need for high-risk valve surgery.

Evaluating spatiotemporal integration of shape cues.

Prior work has shown that humans can successfully identify letters that are constructed with a sparse array of dots, wherein the dot pattern reflects the strokes that would normally be used to fashion a given letter. In the present work the dots were briefly displayed, one at a time in sequence, varying the spatial order in which they were shown. A forward sequence was spatially ordered as though one were passing a stroke across the dots to connect them. Experiments compared this baseline condition to the following three conditions: a) the dot sequence was spatially ordered, but in the reverse direction from how letter strokes might normally be written; b) the dots in each stroke of the letter were displayed in a random order; c) the sequence of displayed dots were chosen for display from any location in the letter. Significant differences were found between the baseline condition and all three of the comparison conditions, with letter recognition being far worse for the random conditions than for conditions that provided consistent spatial ordering of dot sequences. These findings show that spatial order is critical for integration of shape cues that have been sequentially displayed.

Progression of atherosclerosis versus arterial stiffness with age within and between arteries in systemic lupus erythematosus.

The progression of atherosclerosis versus arterial stiffness with age within and between arteries has not been defined. Systemic lupus erythematosus (SLE) is a human model of accelerated arterial disease that may permit this determination. 76 SLE patients (69 women, age 37 ± 12 years) and 26 age-and-sex-matched controls (22 women, age 34 ± 11 years) underwent transesophageal echocardiography and carotid ultrasonography for assessment of atherosclerosis [plaques and intima-media thickening (IMT)] and arterial stiffness [increased pressure-strain elastic modulus (PSEM)] of the descending thoracic aorta and carotid arteries. Since IMT is highly associated with plaques, IMT was used as a marker of atherosclerosis to assess its progression in relation with age and PSEM. Aortic and carotid plaques, IMT, and PSEM were greater in patients than in controls (all p ≤ 0.05). Within the aorta and within the carotid arteries, the average percent increases per decade of age for IMT versus PSEM were similar in patients (8.55% versus 9.33% and 3.39% versus 2.46%, respectively) and controls (5.53% versus 6.60% and 4.75% versus 3.49%, respectively) (all p ≥ 0.58). However, in SLE patients, the average percent increases per decade of age for IMT and PSEM were higher in the aorta than in the carotid arteries (8.55% and 9.33% versus 3.39% and 2.46%, respectively, both p ≤ 0.03). In patients with SLE, atherosclerosis and arterial stiffness progress with age parallel to each other within arteries, but divergently between arteries with different anatomy and hemodynamics.

Masking the Integration of Complementary Shape Cues.

Retinal and cortical mechanisms provide for persistence of visual information across intervals of many hundreds of milliseconds, which supports the integration of partial shape cues. The present experiments displayed unknown shapes in a match recognition task, wherein a target shape was quickly followed by a comparison shape; the task was to specify whether the comparison shape was the same or different from the target. The target and comparison shapes were displayed as sparse dots that marked boundary locations. The first experiment successively displayed the target shape as two complementary subsets and found that the probability of correct match remained above chance with up to 500 ms of subset separation. The second experiment demonstrated masking of the target by a random pattern of dots when the target and mask were displayed simultaneously, but with much less or no masking when the two were separated by 100 ms. The third experiment displayed the target subsets with 200 ms of separation and found that match recognition was disrupted when the random-dot mask was displayed midway between the two subsets. Much less masking of an intact target was produced with that amount of temporal separation, which suggests that mechanisms for integration of shape cues have a special vulnerability to masking. The third experiment also found very little impairment of match recognition when the mask was displayed simultaneous with one of the subsets. We hypothesize that there is embedding of the subset pattern within the mask pattern, but additional display of the other subset effectively disembeds the buried partial shape cues.

Evaluating persistence of shape information using a matching protocol.

Many laboratories have studied persistence of shape information, the goal being to better understand how the visual system mediates recognition of objects. Most have asked for recognition of known shapes, e.g., letters of the alphabet, or recall from an array. Recognition of known shapes requires access to long-term memory, so it is not possible to know whether the experiment is assessing short-term encoding and working memory mechanisms, or has encountered limitations on retrieval from memory stores. Here we have used an inventory of unknown shapes, wherein a string of discrete dots forms the boundary of each shape. Each was displayed as a target only once to a given respondent, with recognition being tested using a matching task. Analysis based on signal detection theory was used to provide an unbiased estimate of the probability of correct decisions about whether comparison shapes matched target shapes. Four experiments were conducted, which found the following: a) Shapes were identified with a high probability of being correct with dot densities ranging from 20% to 4%. Performance dropped only about 10% across this density range. b) Shape identification levels remained very high with up to 500 milliseconds of target and comparison shape separation. c) With one-at-a-time display of target dots, varying the total time for a given display, the proportion of correct decisions dropped only about 10% even with a total display time of 500 milliseconds. d) With display of two complementary target subsets, also varying the total time of each display, there was a dramatic decline of proportion correct that reached chance levels by 500 milliseconds. The greater rate of decline for the two-pulse condition may be due to a mechanism that registers when the number of dots is sufficient to create a shape summary. Once a summary is produced, the temporal window that allows shape information to be added may be more limited.

Visual encoding of partial unknown shape boundaries.

Prior research has found that known shapes and letters can be recognized from a sparse sampling of dots that mark locations on their boundaries. Further, unknown shapes that are displayed only once can be identified by a matching protocol, and here also, above-chance performance requires very few boundary markers. The present work examines whether partial boundaries can be identified under similar low-information conditions. Several experiments were conducted that used a match-recognition task, with initial display of a target shape followed quickly by a comparison shape. The comparison shape was either derived from the target shape or was based on a different shape, and the respondent was asked for a matching judgment, i.e., did it "match" the target shape. Stimulus treatments included establishing how density affected the probability of a correct decision, followed by assessment of how much positioning of boundary dots affected this probability. Results indicate that correct judgments were possible when partial boundaries were displayed with a sparse sampling of dots. We argue for a process that quickly registers the locations of boundary markers and distills that information into a shape summary that can be used to identify the shape even when only a portion of the boundary is represented.

New encoding concepts for shape recognition are needed.

Models designed to explain how shapes are perceived and stored by the nervous system commonly emphasize encoding of contour features, especially orientation, curvature, and linear extent. A number of experiments from my laboratory provide evidence that contours deliver a multitude of location markers, and shapes can be identified when relatively few of the markers are displayed. The emphasis on filtering for orientation and other contour features has directed attention away from full and effective examination of how the location information is registered and used for summarizing shapes. Neural network (connectionist) models try to deal with location information by modifying linkage among neuronal populations through training trials. Connections that are initially diffuse and not useful in achieving recognition get eliminated or changed in strength, resulting in selective response to a given shape. But results from my laboratory, reviewed here, demonstrate that unknown shapes that are displayed only once can be identified using a matching task. These findings show that our visual system can immediately encode shape information with no requirement for training trials. This encoding might be accomplished by neuronal circuits in the retina.

Information persistence evaluated with low-density dot patterns.

After more than a century of study, we do not yet fully understand how shapes and patterns are encoded and identified. Greater progress might result from quantifying stimulus information, thus allowing manipulation of the degree to which a shape or pattern can elicit recognition. The present work used discrete dot patterns that are seen as letters of the alphabet. By adjusting the density of the dots in each pattern, one can determine the probability that it will be recognized. The experiments displayed low-density dot patterns to human respondents, assessing the interval across which non-redundant information provided by two compatible subsets would combine to elicit recognition. This provided a measure of the time required for decay of information persistence. Viewed in the context of prior work, the evidence indicates that the retina mediates initial visibility of the stimulus trace, but the longer-duration persistence required for memory retrieval is mediated by visual cortex.

Recognizing Words and Reading Sentences with Microsecond Flash Displays.

Strings of dots can be used to construct easily identifiable letters, and these in turn can be used to write words and sentences. Prior work found that respondents could identify individual letters when all the dots were simultaneously flashed for an ultra-brief duration. Four of the experiments reported here constructed five-letter words with these dot-letters and a fifth experiment used them to write complete sentences. Respondents were able to recognize individual words that were displayed with a single, simultaneous ultra-brief flash of all the letters. Further, sentences could be efficiently read with a sequence of simultaneous flashes at a frequency that produced perceptual fusion. One experiment determined the frequency range that would produce flicker-fusion. Two experiments established the relation of intensity to probability of recognition with single flashes and with fused-flicker frequencies. Another established the intensities at which flicker-fused and steady displays were judged to be equal in brightness. The final experiment used those flicker-fused and steady intensities to display sentences. The two display conditions were read with equal efficiency, even though the flicker-fused displays provided light stimulation only 0.003% of the time.

Lambl's Excrescences: Association with Cerebrovascular Disease and Pathogenesis.

BACKGROUND: Lambl's excrescences (LEx) are detected by transesophageal echocardiography (TEE) and are characterized as thin, elongated, and hypermobile structures located at the leaflets' coaptation point of the heart valves. The association of LEx with cerebrovascular disease (CVD) is still undefined and yet patients with LEx and suspected CVD receive unproven effective antiplatelet or anticoagulant therapy or even undergo valve surgery. Also, the association of LEx with aging and atherogenic, inflammatory, or thrombogenic parameters has not been reported. METHODS: Seventy-seven patients with systemic lupus erythematosus (SLE) (71 women, age 37 ± 12 years) and 26 age- and sex-matched healthy controls (22 women, age 34 ± 11 years) prospectively underwent routine history and physical exam, transcranial Doppler, brain MRI, TEE, carotid duplex, and clinical and laboratory evaluations of atherogenesis, inflammation, platelet activity, coagulation, and fibrinolysis. Subjects without stroke/TIA on enrollment (with and without LEx) had a median follow-up of 57 months. RESULTS: On enrollment, 33 (43%) of 77 patients had CVD manifested as acute stroke/TIA (23 patients), cerebromicroembolism by transcranial Doppler (17 patients), or cerebral infarcts by MRI (14 patients). Mitral or aortic valve LEx were equally frequent in healthy controls (46%) as in patients with and without any CVD (39 and 43%), stroke/TIA (35 and 43%), cerebromicroembolism (41 and 42%), or cerebral infarcts (36 and 43%) (all p ≥ 0.72). Also, other mechanisms for CVD other than LEx such as Libman-Sacks vegetations, patent foramen ovale or interatrial septal aneurysm, aortic or carotid atherosclerosis, or thrombogenesis were found in ≥94% of patients with CVD. In addition, 36 subjects with and 44 without LEx had similar low incidence of stroke/TIA (1 (1.3%) and 2 (2.5%), respectively, p = 1.0) during follow-up. Finally, LEx were not associated with aging, atherogenic risk factors, atherosclerosis, inflammation, or thrombogenesis. CONCLUSIONS: In this study, LEx are similarly prevalent in healthy controls and SLE patients, are not associated with CVD, and are not associated with pathogenic risk factors. Therefore, the study findings suggest that LEx may not be cardioembolic substrates, may not represent pathologic valve structures, and may not require therapy.

Recognition of letters displayed as briefly flashed dot patterns.

Complex shapes can be identified (named) when only the outer boundary of the shape is represented by discrete dots and with the dots being displayed for a duration lasting only a few microseconds (µs). This line of work is extended here to include recognition of letters with 10 µs flashes as a means to study visible persistence and information persistence. The first two studies were designed to assess visible persistence. Models were derived that quantified how recognition changed as a function of flash intensity. Then each letter was displayed twice, each at a near-threshold level of intensity and varying the interval between flashes. The second flash was able to boost the influence of the first flash for about 100 ms. This corresponds to the duration that a brief flash will remain visible, so these conditions likely were producing visible persistence. Information persistence was studied by manipulating dot density of the letter patterns. Recognition declined as the density of dots in each letter pattern was reduced. When two complimentary low-density samples were flashed, there was summation of their influence that declined to an asymptote in about 200 ms, and then remained above the one-flash control out to the maximum test interval of 1 s. The summation of high-salience, low-density dot patterns over such a long interval likely reflects both iconic memory persistence and access to working memory.

Evaluating letter recognition, flicker fusion, and the Talbot-Plateau law using microsecond-duration flashes.

Four experiments examined the ability of respondents to identify letters that were displayed on an LED array with flashes lasting little more than a microsecond. The first experiment displayed each letter with a single, simultaneous flash of all the dots forming the letter and established the relation of flash intensity to the probability of letter identification. The second experiment displayed the letters with multiple flashes at different frequencies to determine the probability that the sequence of flashes would be perceived as fused. The third experiment displayed the letters at a frequency that was above the flicker-fusion frequency, varying flash intensity to establish the amount needed to elicit a given probability of letter identification. The fourth experiment displayed each letter twice, once at a frequency where no flicker was perceived and also with steady light emission. The intensity of each flash was fixed and the steady intensity was varied; respondents were asked to judge whether the fused-flicker display and the steady display appeared to be the same brightness. Steady intensity was about double the average flash intensity where the two conditions were perceived as being equal in brightness. This is at odds with Talbot-Plateau law, which predicts that these two values should be equal. The law was formulated relative to a flash lasting half of each period, so it is surprising that it comes this close to being correct where the flash occupies only a millionth of the total period.

Shape recognition elicited by microsecond flashes is not based on photon quantity.

It is generally thought that the perceptual impact of a brief flash of light is determined by the quantity of photons the flash delivers. This means that only the total quantity of photons is important below a critical duration of about 30-100 ms. Recent findings have challenged this concept and the present work provides additional evidence that it is not correct. The first experiment reported here delivered a given quantity of photons in under 200 µs, either as a single threshold-intensity flash or as multiple flashes at the same intensity. The single flash was ineffective at eliciting recognition, but multiple flashes became progressively more effective as the number of flashes was increased. A second experiment varied the number of 10 µs flashes. The effectiveness of multiple flashes was far higher than would be expected on the basis of the total quantity of photons being delivered. The results of both experiments suggest that the brief transitions of intensity provided by the flashes are far more important than the quantity of photons. A final experiment examined the combined impact from two threshold-intensity flashes as the interstimulus interval was increased. The pair members were able to combine their influence for at least 100 ms. These results call for more attention to how very brief light flashes generate signals that convey image content.

Aortic stiffness is associated with left ventricular diastolic dysfunction in systemic lupus erythematosus: a controlled transesophageal echocardiographic study.

BACKGROUND: Aortic stiffness and left ventricular (LV) diastolic dysfunction are common and associated with increased morbidity and mortality in systemic lupus erythematosus (SLE). HYPOTHESIS: In SLE, aortic stiffness and LV diastolic dysfunction may be associated. METHODS: This 6-year-duration, cross-sectional, and controlled study was conducted in 76 SLE patients (69 women; mean age, 37 ± 12 years) and 26 age- and sex-matched healthy controls. All subjects underwent clinical and laboratory evaluations and transesophageal echocardiography (TEE) to assess LV diastolic function and stiffness of the descending thoracic aorta using the pressure-strain elastic modulus (PSEM). To validate results using PSEM, aortic strain, stiffness, and distensibility were assessed. RESULTS: Patients as compared with controls had higher PSEM (8.14 ± 4.25 vs 5.97 ± 2.31 U, P < 0.001) and had lower mitral inflow E/A and septal and lateral mitral annulus tissue Doppler E'/A' velocity ratios, longer isovolumic relaxation time, lower septal and lateral mitral annulus E' velocities, and higher mitral E/septal E' and mitral E/lateral E' velocity ratios (all P ≤ 0.03), all indicative of LV diastolic dysfunction. In patients, PSEM was correlated with parameters of LV diastolic dysfunction (all P < 0.05), was independently negatively associated with E/A and E'/A' ratios and E' velocities, and was positively associated with E/E' ratios (P ≤ 0.02 for each parameter and P < 0.001 for all parameters as a profile). Aortic strain, stiffness, and distensibility were also worse in patients than in controls (all P < 0.05) and were correlated with parameters of LV diastolic dysfunction (all P ≤ 0.03). CONCLUSIONS: Aortic stiffness is independently associated with LV diastolic dysfunction in young adult patients with SLE.

Shapes displayed with durations in the microsecond range do not obey Bloch's law of temporal summation.

Shape patterns were displayed with simultaneous brief flashes from a light-emitting diode array. Flash durations in the microsecond range and luminous intensities were adjusted to vary the degree of successful shape recognition. Four experiments were conducted to test whether Bloch's law would apply in this task. Bloch's law holds that for very brief flashes the perceptual threshold is determined by the total number of photons being delivered, i.e., there is reciprocity of intensity and duration. The present results did not find that effectiveness of flashes was based on the total quantity of photons, as predicted by Bloch's law. Additionally, the evidence points to a visual mechanism that has ultra-high temporal precision that either registers the rate of photon flux or the duration of flashes.