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1.
Article in English | MEDLINE | ID: mdl-39256251

ABSTRACT

Stochastic resonance (SR) is the phenomenon wherein the introduction of a suitable level of noise enhances the detection of subthreshold signals in non linear systems. It manifests across various physical and biological systems, including the human brain. Psychophysical experiments have confirmed the behavioural impact of stochastic resonance on auditory, somatic, and visual perception. Aging renders the brain more susceptible to noise, possibly causing differences in the  SR phenomenon between young and elderly individuals. This study investigates the impact of noise on motion detection accuracy throughout the lifespan, with 214 participants ranging in age from 18 to 82. Our objective was to determine the optimal noise level to induce an SR-like response in both young and old populations. Consistent with existing literature, our findings reveal a diminishing advantage with age, indicating that the efficacy of noise addition progressively diminishes. Additionally, as individuals age, peak performance is achieved with lower levels of noise. This study provides the first insight into how SR changes across the lifespan of healthy adults and establishes a foundation for understanding the pathological alterations in perceptual processes associated with aging.

2.
Article in English | MEDLINE | ID: mdl-39294391

ABSTRACT

PURPOSE: Visual acuity is a psychophysical threshold that we want to determine as precisely and efficiently as possible. The Freiburg Vision Test FrACT employs the automated Bayesian "Best PEST" algorithm for this purpose: the next optotype size is always selected to be at threshold based on the information acquired so far, thereby maximizing information gain. METHODS: We assessed the test-retest Limits of Agreement (LoA, Bland & Altman 1986) across 6 to 48 trials in 2 × 78 runs involving 26 participants; visual acuity (in part artificially reduced) ranged from 1.22 to -0.59 LogMAR. RESULTS: LoA exhibited a steep decline from ± 0.46 LogMAR at six trials to ± 0.17 at 18 trials; with more trials, LoA showed less change, reaching ± 0.12 LogMAR at 48 trials. LoA did not significantly change over the wide acuity range assessed here. CONCLUSION: These findings suggest that 18 trials represent an efficient balance between precision and burden on the participant and examiner. This observation holds for the eight response alternatives used in this study (8 Landolt C orientations) and is anticipated to apply to the ten Sloan letters as well. With only four choices (e.g., tumbling E), more trials will be necessary. KEY MESSAGES: What is known When assessing visual acuity, a tradeoff between precision and effort is necessary. What is new A run length of 18 trials is a good compromise between effort and precision for an 8-alternative task (the Landolt C). With 18 trials a 95% confidence interval of ± 0.17 LogMAR for test-retest is found. The test-retest precision is independent of the acuity level over the 1.5 LogMAR range studied here.

3.
Adv Sci (Weinh) ; : e2401379, 2024 Sep 09.
Article in English | MEDLINE | ID: mdl-39248654

ABSTRACT

Focusing on a specific conversation amidst multiple interfering talkers is challenging, especially for those with hearing loss. Brain-controlled assistive hearing devices aim to alleviate this problem by enhancing the attended speech based on the listener's neural signals using auditory attention decoding (AAD). Departing from conventional AAD studies that relied on oversimplified scenarios with stationary talkers, a realistic AAD task that involves multiple talkers taking turns as they continuously move in space in background noise is presented. Invasive electroencephalography (iEEG) data are collected from three neurosurgical patients as they focused on one of the two moving conversations. An enhanced brain-controlled assistive hearing system that combines AAD and a binaural speaker-independent speech separation model is presented. The separation model unmixes talkers while preserving their spatial location and provides talker trajectories to the neural decoder to improve AAD accuracy. Subjective and objective evaluations show that the proposed system enhances speech intelligibility and facilitates conversation tracking while maintaining spatial cues and voice quality in challenging acoustic environments. This research demonstrates the potential of this approach in real-world scenarios and marks a significant step toward developing assistive hearing technologies that adapt to the intricate dynamics of everyday auditory experiences.

4.
Res Sq ; 2024 Jul 30.
Article in English | MEDLINE | ID: mdl-39149459

ABSTRACT

Brain injury can cause many distinct types of visual impairment in children, but these deficits are difficult to quantify due to co-morbid deficits in communication and cognition. Clinicians must instead rely on low-resolution, subjective judgements of simple reactions to handheld stimuli, which limits treatment potential. We have developed an interactive assessment program called the Visual Ladder, which uses gaze-based responses to intuitive, game-like tasks to address the lack of broad-spectrum quantified data on the visual abilities of children with brain injury. Here, we present detailed metrics on eye movements, field asymmetries, contrast sensitivity, and other critical visual abilities measured longitudinally using the Ladder in hospitalized children with varying types and degrees of brain injury, many of whom were previously considered untestable. Our findings show which abilities are most likely to exhibit recovery and reveal how distinct patterns of task outcomes defined unique diagnostic clusters of visual impairment.

5.
IEEE Open J Eng Med Biol ; 5: 589-592, 2024.
Article in English | MEDLINE | ID: mdl-39157059

ABSTRACT

Goal: We validate a recent reverse correlation approach to tinnitus characterization by applying it to individuals with clinically-diagnosed tinnitus. Methods: Two tinnitus patients assessed the subjective similarity of their non-tonal tinnitus percepts and random auditory stimuli. Regression of the responses onto the stimuli yielded reconstructions which were evaluated qualitatively by playing back resynthesized waveforms to the subjects and quantitatively by response prediction analysis. Results: Subject 1 preferred their resynthesis to white noise; subject 2 did not. Response prediction balanced accuracies were significantly higher than chance across subjects: subject 1: 0.5963, subject 2: 0.6922. Conclusion: Reverse correlation can provide the foundation for reconstructing accurate representations of complex, non-tonal tinnitus in clinically diagnosed subjects. Further refinements may yield highly similar waveforms to individualized tinnitus percepts.

6.
Behav Res Methods ; 2024 Aug 13.
Article in English | MEDLINE | ID: mdl-39138734

ABSTRACT

In behavioral sciences, there is growing concern about the inflation of false-positive rates due to the amount of under-powered studies that have been shared in the past years. While problematic, having the possibility to recruit (lots of) participants (for a lot of time) is realistically not achievable for many research facilities. Factors that hinder the reaching of optimal sample sizes are, to name but a few, research costs, participants' availability and commitment, and logistics. We challenge these issues by introducing PsySuite, an Android app designed to foster a remote approach to multimodal behavioral testing. To validate PsySuite, we first evaluated its ability to generate stimuli appropriate to rigorous psychophysical testing, measuring both the app's accuracy (i.e., stimuli's onset, offset, and multimodal simultaneity) and precision (i.e., the stability of a given pattern across trials), using two different smartphone models. We then evaluated PsySuite's ability to replicate perceptual performances obtained using a classic psychophysical paradigm, comparing sample data collected with the app against those measured via a PC-based setup. Our results showed that PsySuite could accurately reproduce stimuli with a minimum duration of 7 ms, 17 ms, and 30 ms for the auditory, visual, and tactile modalities, respectively, and that perceptual performances obtained with PsySuite were consistent with the perceptual behavior observed using the classical setup. Combined with the high accessibility inherently supported by PsySuite, here we ought to share the app to further boost psychophysical research, aiming at setting it to a cheap, user-friendly, and portable level.

7.
Brain Sci ; 14(8)2024 Jul 26.
Article in English | MEDLINE | ID: mdl-39199448

ABSTRACT

To ensure survival, the visual system must rapidly extract the most important elements from a large stream of information. This necessity clashes with the computational limitations of the human brain, so a strong early data reduction is required to efficiently process information in fast vision. A theoretical early vision model, recently developed to preserve maximum information using minimal computational resources, allows efficient image data reduction by extracting simplified sketches containing only optimally informative, salient features. Here, we investigate the neural substrates of this mechanism for optimal encoding of information, possibly located in early visual structures. We adopted a flicker adaptation paradigm, which has been demonstrated to specifically impair the contrast sensitivity of the magnocellular pathway. We compared flicker-induced contrast threshold changes in three different tasks. The results indicate that, after adapting to a uniform flickering field, thresholds for image discrimination using briefly presented sketches increase. Similar threshold elevations occur for motion discrimination, a task typically targeting the magnocellular system. Instead, contrast thresholds for orientation discrimination, a task typically targeting the parvocellular system, do not change with flicker adaptation. The computation performed by this early data reduction mechanism seems thus consistent with magnocellular processing.

8.
J Cogn ; 7(1): 59, 2024.
Article in English | MEDLINE | ID: mdl-39035071

ABSTRACT

Within the realm of consciousness research, different methods of measuring the content of visual awareness are used: On the one hand, subjective measures require a report of sensory experiences related to a stimulus. On the other hand, objective measures rely on the observer's performance to accurately detect or discriminate the stimulus. The most appropriate measure of awareness is currently debated. To contribute to this debate, we review findings on the relation between subjective and objective measures of awareness. Although subjective measures sometimes lag behind objective measures, a substantial number of studies demonstrates a convergence of measures. Based on the reviewed studies, we identify five aspects relevant for achieving a convergence of measures. Future research could then identify and empirically test the boundary conditions, under which a convergence or divergence of subjective and measures of awareness is observed.

9.
Int J Audiol ; : 1-4, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38949065

ABSTRACT

OBJECTIVES: A case of sudden sensorineural hearing loss following use of sildenafil was examined in detail over a period of three days from first report to recovery. DESIGN: Case study. The subject presented with sudden sensorineural hearing loss and diplacusis a day after onset. Testing involved detailed interview, standard audiometry, detailed inter-octave audiometry, and measurement of detailed psychophysical frequency tuning curves during a two day recovery period. STUDY SAMPLE: One male aged in his thirties with otherwise normal hearing. RESULTS: Although standard audiometry was within normal limits, detailed inter-octave audiometry and psychophysical frequency tuning curves were consistent with a punctate unilateral intra-cochlear lesion that resolved over a period of three days. CONCLUSIONS: This is the first report of such a frequency-specific audiometric shift and diplacusis after sildenafil, and is not consistent with previous reports of direct ototoxic pharmacological effects. We propose that the lesion was most likely caused by a cochlear bleed, and may have been due to physical exertion rather than a direct pharmaceutical effect. The study highlights the important role of additional diagnostic testing that can be easily achieved in a clinical setting with minimal equipment.

10.
Brain Inform ; 11(1): 18, 2024 Jul 10.
Article in English | MEDLINE | ID: mdl-38987386

ABSTRACT

The flicker stimulus is a visual stimulus of intermittent illumination. A flicker stimulus can appear flickering or steady to a human subject, depending on the physical parameters associated with the stimulus. When the flickering light appears steady, flicker fusion is said to have occurred. This work aims to bridge the gap between the psychophysics of flicker fusion and the electrophysiology associated with flicker stimulus through a Deep Learning based computational model of flicker perception. Convolutional Recurrent Neural Networks (CRNNs) were trained with psychophysics data of flicker stimulus obtained from a human subject. We claim that many of the reported features of electrophysiology of the flicker stimulus, including the presence of fundamentals and harmonics of the stimulus, can be explained as the result of a temporal convolution operation on the flicker stimulus. We further show that the convolution layer output of a CRNN trained with psychophysics data is more responsive to specific frequencies as in human EEG response to flicker, and the convolution layer of a trained CRNN can give a nearly sinusoidal output for 10 hertz flicker stimulus as reported for some human subjects.

11.
Br J Ophthalmol ; 2024 Jul 31.
Article in English | MEDLINE | ID: mdl-39084884

ABSTRACT

BACKGROUND/AIMS: Recent decades have seen significant advances in both structural and functional testing of retinal disease. However, the current clinical value of specific testing modalities, as well as future trends, need to be clearly identified in order to highlight areas for further development in routine care and clinical trials. METHODS: We designed a modified two-round Delphi study to obtain the opinion of a multidisciplinary group of 33 international experts involved in the field of retinal disease management/research to determine the level of agreement and consensus regarding the value and performance of specific structural and functional testing methods for retinal disease. On a Likert scale, a median of 1-2 indicated disagreement with the statement, and 5-6 indicated agreement with the statement. An IQR of ≤2 indicated consensus in the responses. Several questions also allowed comments on responses. RESULTS: There was overall agreement that structural testing currently predominates for detection and monitoring. There was moderate agreement that functional testing remains important and will continue to do so in the future because it provides complementary information. Certain respondents considered that properly designed and applied psychophysical tests are as reliable and repeatable as structural observations and that functional changes are the most important in the long run. Respondents considered future care and research to require a combination of structural and functional testing with strong consensus that the relative importance will depend on disease type and stage. CONCLUSION: The study obtained important insights from a group of international experts regarding current and future needs in the management of retinal disease using a mix of quantitative and qualitative approaches. Responses provide a rich range of opinions that will be of interest to researchers seeking to design tests for future patient care and clinical trials.

12.
Cell Rep ; 43(8): 114534, 2024 Aug 27.
Article in English | MEDLINE | ID: mdl-39067025

ABSTRACT

To determine whether post-natal improvements in form vision result from changes in mid-level visual cortex, we studied neuronal and behavioral responses to texture stimuli that were matched in local spectral content but varied in "naturalistic" structure. We made longitudinal measurements of visual behavior from 16 to 95 weeks of age, and of neural responses from 20 to 56 weeks. We also measured behavioral and neural responses in near-adult animals more than 3 years old. Behavioral sensitivity reached half-maximum around 25 weeks of age, but neural sensitivities remained stable through all ages tested. Neural sensitivity to naturalistic structure was highest in V4, lower in V2 and inferotemporal cortex (IT), and barely discernible in V1. Our results show a dissociation between stable neural performance and improving behavioral performance, which may reflect improved processing capacity in circuits downstream of visual cortex.


Subject(s)
Visual Cortex , Animals , Visual Cortex/physiology , Macaca mulatta , Photic Stimulation , Neurons/physiology , Male , Visual Perception/physiology
13.
Brain Res Bull ; 215: 111026, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38971478

ABSTRACT

Achromatopsia is an inherited retinal disease that affects 1 in 30,000-50,000 individuals and is characterised by an absence of functioning cone photoreceptors from birth. This results in severely reduced visual acuity, no colour vision, marked sensitivity to light and involuntary oscillations of the eyes (nystagmus). In most cases, a single gene mutation prevents normal development of cone photoreceptors, with mutations in the CNGB3 or CNGA3 gene being responsible for ∼80 % of all patients with achromatopsia. There are a growing number of studies investigating recovery of cone function after targeted gene therapy. These studies have provided some promise for patients with the CNGA3 mutation, but thus far have found limited or no recovery for patients with the CNGB3 mutation. Here, we developed colour-calibrated visual stimuli designed to isolate cone photoreceptor responses. We combined these with adapted fMRI techniques and pRF mapping to identify if cortical responses to cone-driven signals could be detected in 9 adult patients with the CNGB3 mutation after receiving gene therapy. We did not detect any change in brain activity after gene therapy when the 9 patients were analysed as a group. However, on an individual basis, one patient self-reported a change in colour perception, corroborated by improved performance on a psychophysical task designed to selectively identify cone function. This suggests a level of cone sensitivity that was lacking pre-treatment, further supported by a subtle but reliable change in cortical activity within their primary visual cortex.


Subject(s)
Color Vision Defects , Cyclic Nucleotide-Gated Cation Channels , Genetic Therapy , Magnetic Resonance Imaging , Mutation , Retinal Cone Photoreceptor Cells , Humans , Adult , Color Vision Defects/genetics , Color Vision Defects/therapy , Color Vision Defects/physiopathology , Genetic Therapy/methods , Male , Magnetic Resonance Imaging/methods , Female , Mutation/genetics , Cyclic Nucleotide-Gated Cation Channels/genetics , Retinal Cone Photoreceptor Cells/physiology , Middle Aged , Young Adult , Photic Stimulation/methods , Color Perception/physiology , Visual Cortex/diagnostic imaging
14.
J Neurophysiol ; 132(3): 666-677, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39015072

ABSTRACT

Nonhuman primates (NHPs), especially rhesus macaques, have significantly contributed to our understanding of the neural computations underlying human vision. Besides the established homologies in the visual brain areas between these species and our ability to probe detailed neural mechanisms in monkeys at multiple scales, NHPs' ability to perform human-like visual behavior makes them an extremely appealing animal model of human vision. Traditionally, such behavioral studies have been conducted in controlled laboratory settings, offering experimenters tight control over variables like luminance, eye movements, and auditory interference. However, in-lab experiments have several constraints, including limited experimental time, the need for dedicated human experimenters, additional lab space requirements, invasive surgeries for headpost implants, and extra time and training for chairing and head restraints. To overcome these limitations, we propose adopting home-cage behavioral training and testing of NHPs, enabling the administration of many vision-based behavioral tasks simultaneously across multiple monkeys with reduced human personnel requirements, no NHP head restraint, and monkeys' unrestricted access to experiments. In this article, we present a portable, low-cost, easy-to-use kiosk system developed to conduct home-cage vision-based behavioral tasks in NHPs. We provide details of its operation and build to enable more open-source development of this technology. Furthermore, we present validation results using behavioral measurements performed in the lab and in NHP home cages, demonstrating the system's reliability and potential to enhance the efficiency and flexibility of NHP behavioral research.NEW & NOTEWORTHY Training nonhuman primates (NHPs) for vision-based behavioral tasks in a laboratory setting is a time-consuming process and comes with many limitations. To overcome these challenges, we have developed an affordable, open-source, wireless, touchscreen training system that can be placed in the NHPs' housing environment. This system enables NHPs to work at their own pace. It provides a platform to implement continuous behavioral training protocols without major experimenter intervention and eliminates the need for other standard practices like NHP chair training, collar placement, and head restraints. Hence, these kiosks ultimately contribute to animal welfare and therefore better-quality neuroscience in the long run. In addition, NHPs quickly learn complex behavioral tasks using this system, making it a promising tool for wireless electrophysiological research in naturalistic, unrestricted environments to probe the relation between brain and behavior.


Subject(s)
Behavior, Animal , Macaca mulatta , Animals , Behavior, Animal/physiology , Male , Visual Perception/physiology , Vision, Ocular/physiology
15.
J Neurophysiol ; 132(3): 643-652, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39015076

ABSTRACT

We frequently interact with textured surfaces with both our feet and hands. Like texture's importance for grasping, texture perception via the foot sole might provide important signals about the stability of a surface, aiding in maintaining balance. However, how textures are perceived by the foot, and especially under the high forces experienced during walking, is unknown. The current study builds on extensive research investigating texture perception at the hand by presenting everyday textures to the foot while stepping onto them, exploring them with the foot while sitting, and exploring them with the hand. Participants rated each texture along three perceptual dimensions: roughness, hardness, and stickiness. Participants also rated how stable their posture felt when standing upon each texture. Results show that perceptual ratings of each textural dimension were highly correlated across conditions. Hardness exhibited the greatest consistency and stickiness the weakest. Moreover, correlations between stepping and exploration with the foot were lower than those between exploration with the foot and exploration with the hand, suggesting that mode of interaction (high vs. low force) impacts perception more than body region used (foot vs. hand). On an individual level, correlations between conditions were higher than those between participants, suggesting that differences are greater between individuals than between mode of interaction or body region. When investigating the relationship to perceived stability, only hardness contributed significantly, with harder surfaces rated as more stable. Overall, tactile perception appears consistent across body regions and interaction modes, although differences in perception are greater during walking.NEW & NOTEWORTHY We frequently interact with textured surfaces using our feet, but little is known about how textures on the foot sole are perceived as compared with the hand. Here, we show that roughness, hardness, and stickiness ratings are broadly consistent when stepping on textures, exploring them with the foot sole, or with the hand. Hardness also contributes to perceived stability.


Subject(s)
Foot , Hand , Touch Perception , Walking , Humans , Walking/physiology , Male , Female , Foot/physiology , Touch Perception/physiology , Adult , Hand/physiology , Young Adult , Sitting Position
16.
Vision Res ; 222: 108450, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38964164

ABSTRACT

One well-established characteristic of early visual processing is the contrast sensitivity function (CSF) which describes how sensitivity varies with the spatial frequency (SF) content of the visual input. The CSF prompted the development of a now standard model of spatial vision. It represents the visual input by activity in orientation- and SF selective channels which are nonlinearly recombined to predict a perceptual decision. The standard spatial vision model has been extensively tested with sinusoidal gratings at low contrast because their narrow SF spectra isolate the underlying SF selective mechanisms. It is less studied how well these mechanisms account for sensitivity to more behaviourally relevant stimuli such as sharp edges at high contrast (i.e. object boundaries) which abound in the natural environment and have broader SF spectra. Here, we probe sensitivity to edges (2-AFC, edge localization) in the presence of broadband and narrowband noises. We use Cornsweet luminance profiles with peak frequencies at 0.5, 3 and 9 cpd as edge stimuli. To test how well mechanisms underlying sinusoidal contrast sensitivity can account for edge sensitivity, we implement a single- and a multi-scale model building upon standard spatial vision model components. Both models account for most of the data but also systematically deviate in their predictions, particularly in the presence of pink noise and for the lowest SF edge. These deviations might indicate a transition from contrast- to luminance-based detection at low SFs. Alternatively, they might point to a missing component in current spatial vision models.


Subject(s)
Contrast Sensitivity , Sensory Thresholds , Contrast Sensitivity/physiology , Humans , Sensory Thresholds/physiology , Photic Stimulation/methods , Space Perception/physiology , Psychophysics , Adult
17.
Front Hum Neurosci ; 18: 1390609, 2024.
Article in English | MEDLINE | ID: mdl-38826615

ABSTRACT

Our brain constantly integrates afferent information, such as visual and tactile information, to perceive the world around us. According to the maximum-likelihood estimation (MLE) model, imprecise information will be weighted less than precise, making the multisensory percept as precise as possible. Individuals with fibromyalgia (FM), a chronic pain syndrome, show alterations in the integration of tactile information. This could lead to a decrease in their weight in a multisensory percept or a general disruption of multisensory integration, making it less beneficial. To assess multisensory integration, 15 participants with FM and 18 pain-free controls performed a temporal-order judgment task in which they received pairs of sequential visual, tactile (unisensory conditions), or visuotactile (multisensory condition) stimulations on the index and the thumb of the non-dominant hand and had to determine which finger was stimulated first. The task enabled us to measure the precision and accuracy of the percept in each condition. Results indicate an increase in precision in the visuotactile condition compared to the unimodal conditions in controls only, although we found no intergroup differences. The observed visuotactile precision was correlated to the precision predicted by the MLE model in both groups, suggesting an optimal integration. Finally, the weights of the sensory information were not different between the groups; however, in the group with FM, higher pain intensity was associated with smaller tactile weight. This study shows no alterations of the visuotactile integration in individuals with FM, though pain may influence tactile weight in these participants.

18.
Front Psychol ; 15: 1354392, 2024.
Article in English | MEDLINE | ID: mdl-38840738

ABSTRACT

The validity of psychological measurement is crucially connected to a peculiar form of epistemic circularity. This circularity can be a threat when there are no independent ways to assess whether a certain procedure is actually measuring the intended target of measurement. This paper focuses on how Fechner addressed the measurement circularity that emerged in his psychophysical research. First, I show that Fechner's approach to the problem of circular measurement involved a core idealizing assumption of a shared human physiology. Second, I assess Fechner's approach to this issue against the backdrop of his own epistemology of measurement and the measurement context of his time. Third, I claim that, from a coherentist and historically-situated perspective, Fechner's quantification can be regarded as a first successful step of a longer-term quantification process. To conclude, I draw from these insights some general epistemological reflections that are relevant to current quantitative psychology.

19.
Adv Exp Med Biol ; 1455: 35-50, 2024.
Article in English | MEDLINE | ID: mdl-38918345

ABSTRACT

Humans have the capability to make judgments about the relative duration of time intervals with accuracy (correct perceived duration) and precision (low variability). However, this capability has limitations, some of which are discussed in the present chapter. These limitations, either in terms of accuracy or precision, are obvious when there are changes in the physical characteristics of the stimuli used to mark the intervals to be judged. The characteristics are the structure (filled vs. empty) of the intervals and the sensory origin of the stimuli used to mark them. The variability of time estimates also depends on the use of single intervals by opposition to the use of sequences of intervals, and on the duration range under investigation. In addition to the effect caused by the physical characteristics of the stimuli, the perceived duration also relies on the way of presenting successive stimuli and on whether the intervals are marked by a single source or by different sources with distance (spatial effect) between them.


Subject(s)
Time Perception , Humans , Time Perception/physiology , Time Factors
20.
Front Robot AI ; 11: 1363952, 2024.
Article in English | MEDLINE | ID: mdl-38873121

ABSTRACT

Force is crucial for learning psychomotor skills in laparoscopic tissue manipulation. Fundamental laparoscopic surgery (FLS), on the other hand, only measures time and position accuracy. FLS is a commonly used training program for basic laparoscopic training through part tasks. The FLS is employed in most of the laparoscopic training systems, including box trainers and virtual reality (VR) simulators. However, many laparoscopic VR simulators lack force feedback and measure tissue damage solely through visual feedback based on virtual collisions. Few VR simulators that provide force feedback have subjective force metrics. To provide an objective force assessment for haptic skills training in the VR simulators, we extend the FLS part tasks to haptic-based FLS (HFLS), focusing on controlled force exertion. We interface the simulated HFLS part tasks with a customized bi-manual haptic simulator that offers five degrees of freedom (DOF) for force feedback. The proposed tasks are evaluated through face and content validity among laparoscopic surgeons of varying experience levels. The results show that trainees perform better in HFLS tasks. The average Likert score observed for face and content validity is greater than 4.6 ± 0.3 and 4 ± 0.5 for all the part tasks, which indicates the acceptance of the simulator among subjects for its appearance and functionality. Face and content validations show the need to improve haptic realism, which is also observed in existing simulators. To enhance the accuracy of force rendering, we incorporated a laparoscopic tool force model into the simulation. We study the effectiveness of the model through a psychophysical study that measures just noticeable difference (JND) for the laparoscopic gripping task. The study reveals an insignificant decrease in gripping-force JND. A simple linear model could be sufficient for gripper force feedback, and a non-linear LapTool force model does not affect the force perception for the force range of 0.5-2.5 N. Further study is required to understand the usability of the force model in laparoscopic training at a higher force range. Additionally, the construct validity of HFLS will confirm the applicability of the developed simulator to train surgeons with different levels of experience.

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