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1.
J Neurol Neurosurg Psychiatry ; 94(11): 924-933, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37433662

RESUMEN

BACKGROUND: Neurodegeneration in multiple sclerosis (MS) affects the visual system but dynamics and pathomechanisms over several years especially in primary progressive MS (PPMS) are not fully understood. METHODS: We assessed longitudinal changes in visual function, retinal neurodegeneration using optical coherence tomography, MRI and serum NfL (sNfL) levels in a prospective PPMS cohort and matched healthy controls. We investigated the changes over time, correlations between outcomes and with loss of visual function. RESULTS: We followed 81 patients with PPMS (mean disease duration 5.9 years) over 2.7 years on average. Retinal nerve fibre layer thickness (RNFL) was reduced in comparison with controls (90.1 vs 97.8 µm; p<0.001). Visual function quantified by the area under the log contrast sensitivity function (AULCSF) remained stable over a continuous loss of RNFL (0.46 µm/year, 95% CI 0.10 to 0.82; p=0.015) up until a mean turning point of 91 µm from which the AULCSF deteriorated. Intereye RNFL asymmetry above 6 µm, suggestive of subclinical optic neuritis, occurred in 15 patients and was related to lower AULCSF but occurred also in 5 out of 44 controls. Patients with an AULCSF progression had a faster increase in Expanded Disability Status Scale (beta=0.17/year, p=0.043). sNfL levels were elevated in patients (12.2 pg/mL vs 8.0 pg/mL, p<0.001), but remained stable during follow-up (beta=-0.14 pg/mL/year, p=0.291) and were not associated with other outcomes. CONCLUSION: Whereas neurodegeneration in the anterior visual system is already present at onset, visual function is not impaired until a certain turning point. sNfL is not correlated with structural or functional impairment in the visual system.


Asunto(s)
Esclerosis Múltiple Crónica Progresiva , Esclerosis Múltiple , Neuritis Óptica , Humanos , Esclerosis Múltiple/complicaciones , Esclerosis Múltiple/diagnóstico por imagen , Esclerosis Múltiple Crónica Progresiva/diagnóstico por imagen , Células Ganglionares de la Retina , Fibras Nerviosas , Estudios Prospectivos , Tomografía de Coherencia Óptica/métodos
2.
J Vis ; 23(6): 13, 2023 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-37378989

RESUMEN

Clinical trials typically analyze multiple endpoints for signals of efficacy. To improve signal detection for treatment effects using the high-dimensional data collected in trials, we developed a hierarchical Bayesian joint model (HBJM) to compute a five-dimensional collective endpoint (CE5D) of contrast sensitivity function (CSF) and visual acuity (VA). The HBJM analyzes row-by-row CSF and VA data across multiple conditions, and describes visual functions across a hierarchy of population, individuals, and tests. It generates joint posterior distributions of CE5D that combines CSF (peak gain, peak frequency, and bandwidth) and VA (threshold and range) parameters. The HBJM was applied to an existing dataset of 14 eyes, each tested with the quantitative VA and quantitative CSF procedures in four Bangerter foil conditions. The HBJM recovered strong correlations among CE5D components at all levels. With 15 qVA and 25 qCSF rows, it reduced the variance of the estimated components by 72% on average. Combining signals from VA and CSF and reducing noises, CE5D exhibited significantly higher sensitivity and accuracy in discriminating performance differences between foil conditions at both the group and test levels than the original tests. The HBJM extracts valuable information about covariance of CSF and VA parameters, improves precision of the estimated parameters, and increases the statistical power in detecting vision changes. By combining signals and reducing noise from multiple tests for detecting vision changes, the HBJM framework exhibits potential to increase statistical power for combining multi-modality data in ophthalmic trials.


Asunto(s)
Sensibilidad de Contraste , Humanos , Teorema de Bayes , Agudeza Visual
3.
Water Sci Technol ; 86(5): 938-949, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36358038

RESUMEN

Pressures related to urban growth and industrial activities exacerbated by climate change had an impact on water resources in Tunisia. The present study examines the application of cladode cactus mucilage (CCM) flocculants for hot alkaline chemical degreasing Zn-electroplating wastewater treatment and reuse (WWTR). The CCM flocculation process was selected through their environmental benefits, economic facilities, sustainable use of the natural biopolymer product, input biopolymers substitution, and on-site treated wastewater (TWW) reuse and recovery. The alum coagulation and CCM flocculation were performed by the jar test series. The suitability of treated wastewater quality (TWWQ) with alum/CCM was also assessed for reuse purpose in terms of corrosion-scaling indices (RSI, LSI, PSI, AI), oxidation-reduction potential (ORP), and microbiological community growth (Bacillus, Pseudomonas, Mesophilic bacteria and yeasts) for 28 days storage at 25 °C. The total alkalinity removal efficiency reached 95.8% with an optimum dosage of alum + CCM for hot alkaline chemical degreasing wastewater bath rinsing. The results showed that the stability of TWWQ has significantly deteriorated during storage leading to aggressive wastewater, pathogen growth, and biological malodor production which make them unsuitable for reuse. Therefore, there is a need for CCM processing alternatives that preserve the physico-chemical and microbial of TWW properties during storage.


Asunto(s)
Cactaceae , Purificación del Agua , Aguas Residuales/análisis , Eliminación de Residuos Líquidos/métodos , Galvanoplastia , Purificación del Agua/métodos , Floculación
4.
Neuroimage ; 216: 116491, 2020 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-31923604

RESUMEN

Most fMRI studies investigating smooth pursuit (SP) related brain activity have used simple synthetic stimuli such as a sinusoidally moving dot. However, real-life situations are much more complex and SP does not occur in isolation but within sequences of saccades and fixations. This raises the question whether the same brain networks for SP that have been identified under laboratory conditions are activated when following moving objects in a movie. Here, we used the publicly available studyforrest data set that provides eye movement recordings along with 3 â€‹T fMRI recordings from 15 subjects while watching the Hollywood movie "Forrest Gump". All three major eye movement events, namely fixations, saccades, and smooth pursuit, were detected with a state-of-the-art algorithm. In our analysis, smooth pursuit (SP) was the eye movement of interest, while saccades were acting as the steady state of viewing behaviour due to their lower variability. For the fMRI analysis we used an event-related design modelling saccades and SP as regressors initially. Because of the interdependency of SP and content motion, we then added a new low-level content motion regressor to separate brain activations from these two sources. We identified higher BOLD-responses during SP than saccades bilaterally in MT+/V5, in middle cingulate extending to precuneus, and in the right temporoparietal junction. When the motion regressor was added, SP showed higher BOLD-response relative to saccades bilaterally in the cortex lining the superior temporal sulcus, precuneus, and supplementary eye field, presumably due to a confounding effect of background motion. Only parts of V2 showed higher activation during saccades in comparison to SP. Taken together, our approach should be regarded as proof of principle for deciphering brain activity related to SP, which is one of the most prominent eye movements besides saccades, in complex dynamic naturalistic situations.


Asunto(s)
Encéfalo/diagnóstico por imagen , Encéfalo/fisiología , Imagen por Resonancia Magnética/métodos , Percepción de Movimiento/fisiología , Películas Cinematográficas , Seguimiento Ocular Uniforme/fisiología , Algoritmos , Femenino , Humanos , Masculino , Estimulación Luminosa/métodos , Movimientos Sacádicos/fisiología
5.
J Vis ; 20(8): 26, 2020 08 03.
Artículo en Inglés | MEDLINE | ID: mdl-32845961

RESUMEN

Research on eye movements has primarily been performed in two distinct ways: (1) under highly controlled conditions using simple stimuli such as dots on a uniform background, or (2) under free-viewing conditions with complex images, real-world movies, or even with observers moving around in the world. Although both approaches offer important insights, the generalizability among eye movement behaviors observed under these different conditions is unclear. Here, we compared eye movement responses to video clips showing moving objects within their natural context with responses to simple Gaussian blobs on a blank screen. Importantly, for both conditions, the targets moved along the same trajectories at the same speed. We measured standard oculometric measures for both stimulus complexities, as well as the effect of the relative angle between saccades and pursuit, and compared them across conditions. In general, eye movement responses were qualitatively similar, especially with respect to pursuit gain. For both types of stimuli, the accuracy of saccades and subsequent pursuit was highest when both eye movements were collinear. We also found interesting differences; for example, latencies of initial saccades to moving Gaussian blob targets were significantly faster compared to saccades to moving objects in video scenes, whereas pursuit accuracy was significantly higher in video scenes. These findings suggest a lower processing demand for simple target conditions during saccade preparation and an advantage for tracking behavior in natural scenes due to higher predictability provided by the context information.


Asunto(s)
Percepción de Movimiento/fisiología , Películas Cinematográficas , Nervio Oculomotor/fisiología , Seguimiento Ocular Uniforme/fisiología , Movimientos Sacádicos/fisiología , Adulto , Femenino , Humanos , Masculino , Distribución Normal , Grabación en Video , Adulto Joven
6.
Eur Arch Psychiatry Clin Neurosci ; 269(4): 407-418, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29305645

RESUMEN

BACKGROUND: Eye tracking dysfunction (ETD) observed with standard pursuit stimuli represents a well-established biomarker for schizophrenia. How ETD may manifest during free visual exploration of real-life movies is unclear. METHODS: Eye movements were recorded (EyeLink®1000) while 26 schizophrenia patients and 25 healthy age-matched controls freely explored nine uncut movies and nine pictures of real-life situations for 20 s each. Subsequently, participants were shown still shots of these scenes to decide whether they had explored them as movies or pictures. Participants were additionally assessed on standard eye-tracking tasks. RESULTS: Patients made smaller saccades (movies (p = 0.003), pictures (p = 0.002)) and had a stronger central bias (movies and pictures (p < 0.001)) than controls. In movies, patients' exploration behavior was less driven by image-defined, bottom-up stimulus saliency than controls (p < 0.05). Proportions of pursuit tracking on movies differed between groups depending on the individual movie (group*movie p = 0.011, movie p < 0.001). Eye velocity on standard pursuit stimuli was reduced in patients (p = 0.029) but did not correlate with pursuit behavior on movies. Additionally, patients obtained lower rates of correctly identified still shots as movies or pictures (p = 0.046). CONCLUSION: Our results suggest a restricted centrally focused visual exploration behavior in patients not only on pictures, but also on movies of real-life scenes. While ETD observed in the laboratory cannot be directly transferred to natural viewing conditions, these alterations support a model of impairments in motion information processing in patients resulting in a reduced ability to perceive moving objects and less saliency driven exploration behavior presumably contributing to alterations in the perception of the natural environment.


Asunto(s)
Conducta Exploratoria/fisiología , Percepción de Movimiento/fisiología , Reconocimiento Visual de Modelos/fisiología , Seguimiento Ocular Uniforme/fisiología , Esquizofrenia/fisiopatología , Adulto , Medidas del Movimiento Ocular , Femenino , Humanos , Masculino , Persona de Mediana Edad , Películas Cinematográficas
7.
J Vis ; 19(14): 10, 2019 12 02.
Artículo en Inglés | MEDLINE | ID: mdl-31830239

RESUMEN

Eye movements are fundamental to our visual experience of the real world, and tracking smooth pursuit eye movements play an important role because of the dynamic nature of our environment. Static images, however, do not induce this class of eye movements, and commonly used synthetic moving stimuli lack ecological validity because of their low scene complexity compared to the real world. Traditionally, ground truth data for pursuit analyses with naturalistic stimuli are obtained via laborious hand-labelling. Therefore, previous studies typically remained small in scale. We here present the first large-scale quantitative characterization of human smooth pursuit. In order to achieve this, we first provide a methodological framework for such analyses by collecting a large set of manual annotations for eye movements in dynamic scenes and by examining the bias and variance of human annotators. To enable further research on even larger future data sets, we also describe, improve, and thoroughly analyze a novel algorithm to automatically classify eye movements. Our approach incorporates unsupervised learning techniques and thus demonstrates improved performance with the addition of unlabelled data. The code and data related to our manual and automated eye movement annotation are publicly available via https://web.gin.g-node.org/ioannis.agtzidis/gazecom_annotations/.


Asunto(s)
Fijación Ocular/fisiología , Percepción de Movimiento/fisiología , Seguimiento Ocular Uniforme/fisiología , Percepción Visual/fisiología , Algoritmos , Lateralidad Funcional/fisiología , Humanos , Desempeño Psicomotor/fisiología
8.
Behav Res Methods ; 51(2): 556-572, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30411227

RESUMEN

Deep learning approaches have achieved breakthrough performance in various domains. However, the segmentation of raw eye-movement data into discrete events is still done predominantly either by hand or by algorithms that use hand-picked parameters and thresholds. We propose and make publicly available a small 1D-CNN in conjunction with a bidirectional long short-term memory network that classifies gaze samples as fixations, saccades, smooth pursuit, or noise, simultaneously assigning labels in windows of up to 1 s. In addition to unprocessed gaze coordinates, our approach uses different combinations of the speed of gaze, its direction, and acceleration, all computed at different temporal scales, as input features. Its performance was evaluated on a large-scale hand-labeled ground truth data set (GazeCom) and against 12 reference algorithms. Furthermore, we introduced a novel pipeline and metric for event detection in eye-tracking recordings, which enforce stricter criteria on the algorithmically produced events in order to consider them as potentially correct detections. Results show that our deep approach outperforms all others, including the state-of-the-art multi-observer smooth pursuit detector. We additionally test our best model on an independent set of recordings, where our approach stays highly competitive compared to literature methods.


Asunto(s)
Movimientos Oculares , Reconocimiento de Normas Patrones Automatizadas/métodos , Algoritmos , Humanos , Seguimiento Ocular Uniforme , Movimientos Sacádicos
9.
Proc Natl Acad Sci U S A ; 111(5): 2035-9, 2014 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-24449865

RESUMEN

Visual plasticity peaks during early critical periods of normal visual development. Studies in animals and humans provide converging evidence that gains in visual function are minimal and deficits are most severe when visual deprivation persists beyond the critical period. Here we demonstrate visual development in a unique sample of patients who experienced extended early-onset blindness (beginning before 1 y of age and lasting 8-17 y) before removal of bilateral cataracts. These patients show surprising improvements in contrast sensitivity, an assay of basic spatial vision. We find that contrast sensitivity development is independent of the age of sight onset and that individual rates of improvement can exceed those exhibited by normally developing infants. These results reveal that the visual system can retain considerable plasticity, even after early blindness that extends beyond critical periods.


Asunto(s)
Ceguera/fisiopatología , Sensibilidad de Contraste/fisiología , Visión Ocular/fisiología , Niño , Preescolar , Estudios Transversales , Encuestas Epidemiológicas , Humanos , Lactante , Estudios Longitudinales , Factores de Tiempo
10.
J Vis ; 16(6): 3, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27058271

RESUMEN

A key property of human visual behavior is the very frequent movement of our eyes to potentially relevant information in the environment. Observers thus continuously have to prioritize information for directing their eyes to. Research in this field has been hampered by a lack of appropriate measures and tools. Here, we propose and validate a novel measure of priority that takes advantage of the variability in the natural viewing behavior of individual observers. In short, our measure assumes that priority is low when observers' gaze behavior is inconsistent and high when it is very consistent. We calculated priority for gaze data obtained during an experiment in which participants viewed dynamic natural scenes while we simultaneously recorded their gaze position and brain activity using functional magnetic resonance imaging. Our priority measure shows only limited correlation with various saliency, surprise, and motion measures, indicating it is assessing a distinct property of visual behavior. Finally, we correlated our priority measure with the BOLD signal, thereby revealing activity in a select number of human occipital and parietal areas. This suggests the presence of a cortical network involved in computing and representing viewing priority. We conclude that our new analysis method allows for empirically establishing the priority of events in near-natural vision paradigms.


Asunto(s)
Encéfalo/fisiología , Fijación Ocular/fisiología , Percepción Visual/fisiología , Adolescente , Mapeo Encefálico/métodos , Movimientos Oculares/fisiología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Lóbulo Parietal/fisiología , Lóbulo Temporal/fisiología , Adulto Joven
11.
J Vis ; 15(8): 3, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26057546

RESUMEN

Sensitivity to luminance contrast is a prerequisite for all but the simplest visual systems. To examine contrast increment detection performance in a way that approximates the natural environmental input of the human visual system, we presented contrast increments gaze-contingently within naturalistic video freely viewed by observers. A band-limited contrast increment was applied to a local region of the video relative to the observer's current gaze point, and the observer made a forced-choice response to the location of the target (≈25,000 trials across five observers). We present exploratory analyses showing that performance improved as a function of the magnitude of the increment and depended on the direction of eye movements relative to the target location, the timing of eye movements relative to target presentation, and the spatiotemporal image structure at the target location. Contrast discrimination performance can be modeled by assuming that the underlying contrast response is an accelerating nonlinearity (arising from a nonlinear transducer or gain control). We implemented one such model and examined the posterior over model parameters, estimated using Markov-chain Monte Carlo methods. The parameters were poorly constrained by our data; parameters constrained using strong priors taken from previous research showed poor cross-validated prediction performance. Atheoretical logistic regression models were better constrained and provided similar prediction performance to the nonlinear transducer model. Finally, we explored the properties of an extended logistic regression that incorporates both eye movement and image content features. Models of contrast transduction may be better constrained by incorporating data from both artificial and natural contrast perception settings.


Asunto(s)
Sensibilidad de Contraste/fisiología , Seguimiento Ocular Uniforme/fisiología , Movimientos Sacádicos/fisiología , Percepción Visual/fisiología , Adulto , Teorema de Bayes , Femenino , Fijación Ocular/fisiología , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
12.
J Vis ; 15(9): 2, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26161631

RESUMEN

The contrast sensitivity function (CSF) provides a fundamental characterization of spatial vision, important for basic and clinical applications, but its long testing times have prevented easy, widespread assessment. The original quick CSF method was developed using a two-alternative forced choice (2AFC) grating orientation identification task (Lesmes, Lu, Baek, & Albright, 2010), and obtained precise CSF assessments while reducing the testing burden to only 50 trials. In this study, we attempt to further improve the efficiency of the quick CSF method by exploiting the properties of psychometric functions in multiple-alternative forced choice (m-AFC) tasks. A simulation study evaluated the effect of the number of alternatives m on the efficiency of the sensitivity measurement by the quick CSF method, and a psychophysical study validated the quick CS method in a 10AFC task. We found that increasing the number of alternatives of the forced-choice task greatly improved the efficiency of CSF assessment in both simulation and psychophysical studies. The quick CSF method based on a 10-letter identification task can assess the CSF with an averaged standard deviation of 0.10 decimal log unit in less than 2 minutes.


Asunto(s)
Conducta de Elección , Sensibilidad de Contraste/fisiología , Psicofísica/métodos , Humanos , Orientación , Psicometría
13.
Clin Oral Investig ; 19(5): 1029-37, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25280511

RESUMEN

OBJECTIVES: The aim of the present study was to evaluate the trend of dental practitioners in the federal state of Saarland in Germany in regard to restoring endodontically treated teeth using a Web-based survey. MATERIALS AND METHODS: An interactive Web-based survey instrument was developed, including seven clinical scenarios, presented by photographs of natural incisor and premolar with different types of cavities. Following a decision tree adapted to the clinical treatment, questions on different aspects of the post-endodontic treatment were asked. All 615 members of the Saarland Dental Association (SDA) were asked to participate in the survey. RESULTS: A total of 33 % completed the survey. The majority of the participants believed in the reinforcement effect of the ferrule design, as well as the post placement. The vast majority of the responding practitioners (92 %) adapted their treatment strategies to a high extent to the destruction degree of the endodontically treated tooth. Fiber-reinforced composite (FRC) posts are the most popular prefabricated post type, regardless of the cavity size and tooth localization. Significant differences between the dentists according to the degree of experience were detected only for the use of glass-ionomer cements as core buildup material. CONCLUSIONS: The predominant post-endodontic treatment strategies of German dental practitioners are only partly in agreement with the current literature. There is a clear trend toward the increasing use of metal-free post and core materials. CLINICAL SIGNIFICANCE: Although the participants showed a general adoption of modern materials and techniques, different patterns of post-endodontic treatment were revealed that were not consistent with approaches supported by the literature.


Asunto(s)
Diente Premolar , Restauración Dental Permanente/métodos , Incisivo , Pautas de la Práctica en Odontología/estadística & datos numéricos , Diente no Vital/terapia , Materiales Dentales , Alemania , Humanos , Internet , Técnica de Perno Muñón , Encuestas y Cuestionarios
14.
J Neurosci ; 33(3): 1211-7, 2013 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-23325257

RESUMEN

The fundamental role of the visual system is to guide behavior in natural environments. To optimize information transmission, many animals have evolved a non-homogeneous retina and serially sample visual scenes by saccadic eye movements. Such eye movements, however, introduce high-speed retinal motion and decouple external and internal reference frames. Until now, these processes have only been studied with unnatural stimuli, eye movement behavior, and tasks. These experiments confound retinotopic and geotopic coordinate systems and may probe a non-representative functional range. Here we develop a real-time, gaze-contingent display with precise spatiotemporal control over high-definition natural movies. In an active condition, human observers freely watched nature documentaries and indicated the location of periodic narrow-band contrast increments relative to their gaze position. In a passive condition under central fixation, the same retinal input was replayed to each observer by updating the video's screen position. Comparison of visual sensitivity between conditions revealed three mechanisms that the visual system has adapted to compensate for peri-saccadic vision changes. Under natural conditions we show that reduced visual sensitivity during eye movements can be explained simply by the high retinal speed during a saccade without recourse to an extra-retinal mechanism of active suppression; we give evidence for enhanced sensitivity immediately after an eye movement indicative of visual receptive fields remapping in anticipation of forthcoming spatial structure; and we demonstrate that perceptual decisions can be made in world rather than retinal coordinates.


Asunto(s)
Movimientos Oculares/fisiología , Visión Binocular/fisiología , Adulto , Medidas del Movimiento Ocular , Humanos , Masculino , Persona de Mediana Edad , Estimulación Luminosa , Movimientos Sacádicos/fisiología , Campos Visuales/fisiología
15.
Sci Rep ; 13(1): 16795, 2023 10 05.
Artículo en Inglés | MEDLINE | ID: mdl-37798305

RESUMEN

We make use of expected information gain to quantify the amount of knowledge obtained from measurements in a population. In the first application, we compared the expected information gain in the Snellen, ETDRS, and qVA visual acuity (VA) tests, as well as in the Pelli-Robson, CSV-1000, and qCSF contrast sensitivity (CS) tests. For the VA tests, ETDRS generated more expected information gain than Snellen. Additionally, the qVA test with 15 rows (or 45 optotypes) generated more expected information gain than ETDRS, whether scored with VA threshold alone or with both VA threshold and VA range. Regarding the CS tests, CSV-1000 generated more expected information gain than Pelli-Robson, and the qCSF test with 25 trials generated more expected information gain than CSV-1000, whether scored with AULCSF or with CSF at six spatial frequencies. The active learning-based qVA and qCSF tests have the potential to generate more expected information gain than traditional paper chart tests. Although we have specifically applied it to compare VA and CS tests, expected information gain is a general concept that can be used to compare measurements in any domain.


Asunto(s)
Sensibilidad de Contraste , Pruebas de Visión , Agudeza Visual , Conocimiento , Aprendizaje Basado en Problemas
16.
Res Sq ; 2023 Jun 09.
Artículo en Inglés | MEDLINE | ID: mdl-37333239

RESUMEN

We introduce expected information gain to quantify measurements and apply it to compare visual acuity (VA) and contrast sensitivity (CS) tests. We simulated observers with parameters covered by the visual acuity and contrast sensitivity tests and observers based on distributions of normal observers tested in three luminance and four Bangerter foil conditions. We first generated the probability distributions of test scores for each individual in each population in the Snellen, ETDRS and qVA visual acuity tests and the Pelli-Robson, CSV-1000 and qCSF contrast sensitivity tests and constructed the probability distributions of all possible test scores of the entire population. We then computed expected information gain by subtracting expected residual entropy from the total entropy of the population. For acuity tests, ETDRS generated more expected information gain than Snellen; scored with VA threshold only or with both VA threshold and VA range, qVA with 15 rows (or 45 optotypes) generated more expected information gain than ETDRS. For contrast sensitivity tests, CSV-1000 generated more expected information gain than Pelli-Robson; scored with AULCSF or with CS at six spatial frequencies, qCSF with 25 trials generated more expected information gain than CSV-1000. The active learning based qVA and qCSF tests can generate more expected information than the traditional paper chart tests. Although we only applied it to compare visual acuity and contrast sensitivity tests, information gain is a general concept that can be used to compare measurements and data analytics in any domain.

17.
Transl Vis Sci Technol ; 10(12): 18, 2021 10 04.
Artículo en Inglés | MEDLINE | ID: mdl-34647962

RESUMEN

Purpose: The goal of this study is to develop a hierarchical Bayesian model (HBM) to better quantify uncertainty in visual acuity (VA) tests by incorporating the relationship between VA threshold and range across multiple individuals and tests. Methods: The three-level HBM consisted of multiple two-dimensional Gaussian distributions of hyperparameters and parameters of the VA behavioral function (VABF) at the population, individual, and test levels. The model was applied to a dataset of quantitative VA (qVA) assessments of 14 eyes in 4 Bangerter foil conditions. We quantified uncertainties of the estimated VABF parameters (VA threshold and range) from the HBM and compared them with those from the qVA. Results: The HBM recovered covariances between VABF parameters and provided better fits to the data than the qVA. It reduced the uncertainty of their estimates by 4.2% to 45.8%. The reduction of uncertainty, on average, resulted in 3 fewer rows needed to reach a 95% accuracy in detecting a 0.15 logMAR change of VA threshold or both parameters than the qVA. Conclusions: The HBM utilized knowledge across individuals and tests in a single model and provided better quantification of the uncertainty of the estimated VABF, especially when the number of tested rows was relatively small. Translational Relevance: The HBM can increase the accuracy in detecting VA changes. Further research is necessary to evaluate its potential in clinical populations.


Asunto(s)
Ojo , Pruebas de Visión , Teorema de Bayes , Humanos , Incertidumbre , Agudeza Visual
18.
Transl Vis Sci Technol ; 10(1): 1, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33505768

RESUMEN

Purpose: To evaluate the performance of the quantitative visual acuity (qVA) method in measuring the visual acuity (VA) behavioral function. Methods: We evaluated qVA performance in terms of the accuracy, precision, and efficiency of the estimated VA threshold and range in Monte Carlo simulations and a psychophysical experiment. We also compared the estimated VA threshold from the qVA method with that from the Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) and Freiburg Visual Acuity Text (FrACT) methods. Four repeated measures with all three methods were conducted in four Bangerter foil conditions in 14 eyes. Results: In both simulations and psychophysical experiment, the qVA method quantified the full acuity behavioral function with two psychometric parameters (VA threshold and VA range) with virtually no bias and with high precision and efficiency. There was a significant correlation between qVA estimates of VA threshold and range in the psychophysical experiment. In addition, qVA threshold estimates were highly correlated with those from the E-ETDRS and FrACT methods. Conclusions: The qVA method can provide an accurate, precise, and efficient assessment of the full acuity behavioral function with both VA threshold and range. Translational Relevance: The qVA method can accurately, precisely, and efficiently assess the full VA behavioral function. Further research will evaluate the potential value of these rich measures for both clinical research and patient care.


Asunto(s)
Retinopatía Diabética , Ojo , Humanos , Pruebas de Visión , Agudeza Visual
19.
Front Neurosci ; 15: 591302, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33708068

RESUMEN

BACKGROUND: Impairment of visual function is one of the major symptoms of people with multiple sclerosis (pwMS). A multitude of disease effects including inflammation and neurodegeneration lead to structural impairment in the visual system. However, the gold standard of disability quantification, the expanded disability status scale (EDSS), relies on visual assessment charts. A more comprehensive assessment of visual function is the full contrast sensitivity function (CSF), but most tools are time consuming and not feasible in clinical routine. The quantitative CSF (qCSF) test is a computerized test to assess the full CSF. We have already shown a better correlation with visual quality of life (QoL) than for classical high and low contrast charts in multiple sclerosis (MS). OBJECTIVE: To study the precision, test duration, and repeatability of the qCSF in pwMS. In order to evaluate the discrimination ability, we compared the data of pwMS to healthy controls. METHODS: We recruited two independent cohorts of MS patients. Within the precision cohort (n = 54), we analyzed the benefit of running 50 instead of 25 qCSF trials. The repeatability cohort (n = 44) was assessed by high contrast vision charts and qCSF assessments twice and we computed repeatability metrics. For the discrimination ability we used the data from all pwMS without any previous optic neuritis and compared the area under the log CSF (AULCSF) to an age-matched healthy control data set. RESULTS: We identified 25 trials of the qCSF algorithm as a sufficient amount for a precise estimate of the CSF. The median test duration for one eye was 185 s (range 129-373 s). The AULCSF had better test-retest repeatability (Mean Average Precision, MAP) than visual acuity measured by standard high contrast visual acuity charts or CSF acuity measured with the qCSF (0.18 vs. 0.11 and 0.17, respectively). Even better repeatability (MAP = 0.19) was demonstrated by a CSF-derived feature that was inspired by low-contrast acuity charts, i.e., the highest spatial frequency at 25% contrast. When compared to healthy controls, the MS patients showed reduced CSF (average AULCSF 1.21 vs. 1.42, p < 0.01). CONCLUSION: High precision, usability, repeatability, and discrimination support the qCSF as a tool to assess contrast vision in pwMS.

20.
J Vis ; 10(10): 28, 2010 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-20884493

RESUMEN

How similar are the eye movement patterns of different subjects when free viewing dynamic natural scenes? We collected a large database of eye movements from 54 subjects on 18 high-resolution videos of outdoor scenes and measured their variability using the Normalized Scanpath Saliency, which we extended to the temporal domain. Even though up to about 80% of subjects looked at the same image region in some video parts, variability usually was much greater. Eye movements on natural movies were then compared with eye movements in several control conditions. "Stop-motion" movies had almost identical semantic content as the original videos but lacked continuous motion. Hollywood action movie trailers were used to probe the upper limit of eye movement coherence that can be achieved by deliberate camera work, scene cuts, etc. In a "repetitive" condition, subjects viewed the same movies ten times each over the course of 2 days. Results show several systematic differences between conditions both for general eye movement parameters such as saccade amplitude and fixation duration and for eye movement variability. Most importantly, eye movements on static images are initially driven by stimulus onset effects and later, more so than on continuous videos, by subject-specific idiosyncrasies; eye movements on Hollywood movies are significantly more coherent than those on natural movies. We conclude that the stimuli types often used in laboratory experiments, static images and professionally cut material, are not very representative of natural viewing behavior. All stimuli and gaze data are publicly available at http://www.inb.uni-luebeck.de/tools-demos/gaze.


Asunto(s)
Movimientos Oculares/fisiología , Fijación Ocular/fisiología , Percepción de Movimiento/fisiología , Reconocimiento Visual de Modelos/fisiología , Humanos , Estimulación Luminosa
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