Retinotopically specific effects of attention on human early visual cortex activity.

Attention helps us to select what is relevant from the enormous amounts of information taken up by our senses. However, it remains unclear just how early in sensory processing attentional selection can occur. Here, we investigated this question in healthy volunteers by assessing the effect of attentional load on the earliest component (C1) of the visual evoked potential (VEP). We mapped participants' C1 responses to task-irrelevant peripheral textures of different densities and then selected those textures eliciting maximal C1 amplitudes in the upper and lower visual field in each participant. In a second experimental session, these optimal C1 stimuli served as peripheral distracters while participants performed easy or difficult detection tasks at fixation. Our results show a reduction of C1 amplitudes under high attentional load selectively in the lower visual field. This asymmetric effect is opposite to previously reported results obtained without preselecting stimuli. We conclude that attentional selection during early visual processing is possible, but depends on the interaction between anatomic and functional anisotropies of the visual system. This underscores the importance of precisely delineating when, where, and how attentional filtering can operate on initial perceptual processing. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Anatomic and functional asymmetries interactively shape human early visual cortex responses.

Early visual processing is surprisingly flexible even in the adult brain. This flexibility involves both long-term structural plasticity and online adaptations conveyed by top-down feedback. Although this view is supported by rich evidence from both human behavioral studies and invasive electrophysiology in nonhuman models, it has proven difficult to close the gap between species. In particular, it remains debated whether noninvasive measures of neural activity can capture top-down modulations of the earliest stages of processing in the human visual cortex. We previously reported modulations of retinotopic C1, the earliest component of the human visual evoked potential. However, these effects were selectively observed in the upper visual field (UVF). Here we test whether this asymmetry is linked to an interaction between differences in spatial resolution across the visual field and the specific stimuli used in previous studies. We measured visual evoked potentials in response to task-irrelevant, high-contrast textures of different densities in a comparatively large sample of healthy volunteers (N = 31) using high-density electroencephalogram. Our results show differential response profiles for upper and lower hemifields, with UVF responses saturating at higher stimulus densities. In contrast, lower visual field responses did not increase, and even showed a tendency toward a decrease at the highest density tested. We propose that these findings reflect feature- and task-specific pooling of signals from retinotopic regions with different sensitivity profiles. Such complex interactions between anatomic and functional asymmetries need to be considered to resolve whether human early visual cortex activity is modulated by top-down factors.

Diagnostic value of digital clock drawing test in comparison with CERAD neuropsychological battery total score for discrimination of patients in the early course of Alzheimer's disease from healthy individuals.

The early detection of cognitive impairment or dementia is in the focus of current research as the amount of cognitively impaired individuals will rise intensely in the next decades due to aging population worldwide. Currently available diagnostic tools to detect mild cognitive impairment (MCI) or dementia are time-consuming, invasive or expensive and not suitable for wide application as required by the high number of people at risk. Thus, a fast, simple and sensitive test is urgently needed to enable an accurate detection of people with cognitive dysfunction and dementia in the earlier stages to initiate specific diagnostic and therapeutic interventions. We examined digital Clock Drawing Test (dCDT) kinematics for their clinical utility in differentiating patients with amnestic MCI (aMCI) or mild Alzheimer's dementia (mAD) from healthy controls (HCs) and compared it with the diagnostic value of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological battery total score. Data of 381 participants (138 patients with aMCI, 106 patients with mAD and 137 HCs) was analyzed in the present study. All participants performed the clock drawing test (CDT) on a tablet computer and underwent the CERAD test battery and depression screening. CERAD total scores were calculated by subtest summation, excluding MMSE scores. All tablet variables (i.e. time in air, time on surface, total time, velocity, pressure, pressure/velocity relation, strokes per minute, time not painting, pen-up stroke length, pen-up/pen-down relation, and CDT score) during dCDT performance were entered in a forward stepwise logistic regression model to assess, which parameters best discriminated between aMCI or mAD and HC. Receiver operating characteristics (ROC) curves were constructed to visualize the specificity in relation to the sensitivity of dCDT variables against CERAD total scores in categorizing the diagnostic groups. dCDT variables provided a slightly better diagnostic accuracy of 81.5% for discrimination of aMCI from HCs than using CERAD total score (accuracy 77.5%). In aMCI patients with normal CDT scores, both dCDT (accuracy 78.0%) and CERAD total scores (accuracy 76.0%) were equally accurate in discriminating against HCs. Finally, in differentiating patients with mAD from healthy individuals, accuracy of both dCDT (93.0%) and CERAD total scores (92.3%) was excellent. Our findings suggest that dCDT is a suitable screening tool to identify early cognitive dysfunction. Its performance is comparable with the time-consuming established psychometric measure (CERAD test battery).

Early retinotopic responses to violations of emotion-location associations may depend on conscious awareness.

Reports of modulations of early visual processing suggest that retinotopic visual cortex may actively predict upcoming stimuli. We tested this idea by showing healthy human participants images of human faces at fixation, with different emotional expressions predicting stimuli in either the upper or the lower visual field. On infrequent test trials, emotional faces were followed by combined stimulation of upper and lower visual fields, thus violating previously established associations. Results showed no effects of such violations at the level of the retinotopic C1 of the visual evoked potential over the full sample. However, when separating participants who became aware of these associations from those who did not, we observed significant group differences during extrastriate processing of emotional faces, with inverse solution results indicating stronger activity in unaware subjects throughout the ventral visual stream. Moreover, within-group comparisons showed that the same peripheral stimuli elicited differential activity patterns during the C1 interval, depending on which stimulus elements were predictable. This effect was selectively observed in manipulation-aware subjects. Our results provide preliminary evidence for the notion that early visual processing stages implement predictions of upcoming events. They also point to conscious awareness as a moderator of predictive coding.

Neurofeedback of Slow Cortical Potentials in Children with Attention-Deficit/Hyperactivity Disorder: A Multicenter Randomized Trial Controlling for Unspecific Effects.

Background: Neurofeedback (NF) in children with attention-deficit/hyperactivity disorder (ADHD) has been investigated in a series of studies over the last years. Previous studies did not unanimously support NF as a treatment in ADHD. Most studies did not control for unspecific treatment effects and did not demonstrate that self-regulation took place. The present study examined the efficacy of NF in comparison to electromyographic (EMG) feedback to control for unspecific effects of the treatment, and assessed self-regulation of slow cortical potentials (SCPs). Methods: A total of 150 children aged 7-9 years diagnosed with ADHD (82% male; 43% medicated) were randomized to 25 sessions of feedback of SCPs (NF) or feedback of coordination of the supraspinatus muscles (EMG). The primary endpoint was the change in parents' ratings of ADHD core symptoms 4 weeks after the end of treatment compared to pre-tests. Results: Children in both groups showed reduced ADHD-core symptoms (NF 0.3, 95% CI -0.42 to -0.18; EMG 0.13, 95% CI -0.26 to -0.01). NF showed a significant superiority over EMG (treatment difference 0.17, 95% CI 0.02-0.3, p = 0.02). This yielded an effect size (ES) of d = 0.57 without and 0.40 with baseline observation carried forward (BOCF). The sensitivity analysis confirmed the primary result. Successful self-regulation of brain activity was observed only in NF. As a secondary result teachers reported no superior improvement from NF compared to EMG, but within-group analysis revealed effects of NF on the global ADHD score, inattention, and impulsivity. In contrast, EMG feedback did not result in changes despite more pronounced self-regulation learning. Conclusions: Based on the primary parent-rated outcome NF proved to be superior to a semi-active EMG feedback treatment. The study supports the feasibility and efficacy of NF in a large sample of children with ADHD, based on both specific and unspecific effects. Trial Register: Current controlled trials ISRCTN76187185, registered 5 February 2009.