The impact of a perceptual and adaptive learning module on transoesophageal echocardiography interpretation by anaesthesiology residents.

BACKGROUND: The role of transoesophageal echocardiography (TOE) in anaesthetic practice is expanding. We evaluated the effect of a TOE perceptual and adaptive learning module (PALM) on first-yr anaesthesiology residents' performance, in diagnosing cardiac pathology by TOE. METHODS: First-yr residents were assigned to a group (n = 12) that used a TOE PALM or a control group that did not (n = 12). Both groups received a TOE pretest that measured their accuracy and response times. The PALM group completed the PALM and a posttest within 30 min and a delayed test six months later. The control group received a delayed test six months after their pretest. Accuracy and fluency (accurate responses within 10 s) were measured. RESULTS: The PALM group had statistically significant improvements for both accuracy and fluency (P < 0.0001) in diagnosing cardiac pathology by TOE. After six months, the PALM group's performance remained significantly higher than their pretest values for accuracy (P = 0.0002, d = 2.7) and fluency (P < 0.0001, d = 2.3). CONCLUSIONS: In this pilot study, exposure to a PALM significantly improved accuracy and fluency in diagnosing TOE cardiac pathology, in a group of first-year anaesthesiology residents. PALMs can significantly improve learning and pattern recognition in medical education.

Approximation, torsion, and amodally-completed surfaces.

Consider a stereoscopic display simulating two rectangular patches, the lower frontoparallel and the upper slanted around the vertical axis. When the two patches are amodally completed and appear as the unoccluded parts of a smooth surface partially hidden by a foreground frontoparallel surface, either real or illusory, their relative slant is underestimated with respect to a baseline condition in which they are perceived as separate rectangles. Slant assimilation was studied in three experiments using with- vs. without-occluder displays and two methods, slant matching and speeded classification of twist direction. In Experiments 1 and 2 we found slant assimilation in with-occluder displays and slant contrast in without-occluder displays. In Experiment 3 we isolated a component of slant assimilation attributable to the mere presence of the occluder. Twist classification performance was impaired even when edge geometry hindered amodal completion, but the performance loss was larger when surface patches were amodally completed. To minimize the required amount of torsion, input fragments are misperceived, indicating that in limiting conditions amodal completion is mediated by approximation rather than interpolation. Slant assimilation decreases as twist angle increases, up to a limit above which the visual system does not support the formation of a smooth amodal surface with torsion.

Interpolation processes in the visual perception of objects.

Visual perception of objects depends on segmentation and grouping processes that act on fragmentary input. This paper gives a brief overview of these processes. A simple geometry accounting for contour interpolation is described, and its applications to 2D, 3D, and spatiotemporal object interpolation processes are considered. A method is described for distinguishing interpolation based on this geometry from more global or top-down influences. Results suggest a separation between interpolation based on relatively local stimulus relations, which give rise to precise boundary representations, and processes involving recognition from partial information, which do not. Aspects of the model-especially the unified treatment of illusory and occluded objects-raise questions about the nature of seeing. Although it is often believed that illusory objects are perceived, while occluded objects are inferred, I suggest that both research and theory converge in supporting a more unified account. Illusory and occluded contours and surfaces do not divide into the real, the perceived, and the inferred, but are all represented, and in key respects, derive from identical perceptual processes.

Separating processes in object perception.

In this article, I consider research by Needham and colleagues examining the role of object knowledge on infant's segregation of scenes into objects. I suggest that research in this area would benefit from closer connections to computational, psychophysical, and neurophysiological research on adult perceptual segmentation and grouping. I sketch a framework for understanding the components of object perception and apply it to the paradigm and displays used by Needham. This analysis suggests two ideas. First, it would be valuable to demonstrate the role of object knowledge in cases that are less impoverished in terms of perceptual information for segregation and more typical of object arrangements in ordinary scenes. Second, some method is needed to distinguish whether infants' object knowledge affects perceptual organization of new scenes or produces specific beliefs, inferences, or expectations about particular objects and scenes. As a specific example of the benefits of connecting developmental and adult research, some recent research in adult perception is described. The research indicates that in adult object segregation, two types of processes may be distinguished: basic perceptual processes of object segregation and more cognitive processes involving recognition. I suggest that Needham's research may be revealing the developmental origins of the latter processes.

Surface integration influences depth discrimination.

Image fragments arising from partial occlusion may be perceptually unified by a surface integration process on the basis of similar color or texture. In a new objective measure pitting surface feature similarity against binocular disparity, observers discriminated whether a colored circle had either crossed or uncrossed disparity relative to a surrounding gray rectangle. Sensitivity to disparity was impaired only when (1) the configuration of the other surface fragments in the display supported the integration of a surface behind the rectangle and circle, and (2) matched the color of the central circle. Results were consistent with the hypothesis that a surface integration process integrated similarly-colored surface fragments into a smooth surface, even when those fragments were at different depths. Surface integration caused small and reliable effects on depth perception despite unambiguous disparity information. Perceived depth does not depend solely upon disparity, and may be determined after three-dimensional figural unity is established.

The dynamic specification of surfaces and boundaries.

Sequential changes in small separated texture elements can produce perception of a moving form with continuous boundaries. This process of spatiotemporal boundary formation may exist to provide a robust means of detecting moving objects that occlude more distant textured surfaces. Whereas most research on spatiotemporal boundary formation has been focused on boundary and shape perception, two experiments are reported here on the perception of surface qualities in spatiotemporal boundary formation. In experiment 1 a free-report procedure was used to investigate whether surface perception can be determined by dynamic information alone, apart from static spatial differences. Results showed that dynamic information was sufficient to determine the appearance of a surface. This dynamic information may play an important role in other aspects of perception. In experiment 2, it was shown that dynamically specifying an extended, opaque surface facilitated edge perception. Implications for the relation of boundary and surface perception and for theories of perceptual transparency are discussed.

Interactions between spatial and spatiotemporal information in spatiotemporal boundary formation.

The surface and boundaries of an object generally move in unison, so the motion of a surface could provide information about the motion of its boundaries. Here we report the results of three experiments on spatiotemporal boundary formation that indicate that information about the motion of a surface does influence the formation of its boundaries. In Experiment 1, shape identification at low texture densities was poorer for moving forms in which stationary texture was visible inside than for forms in which the stationary texture was visible only outside. In Experiment 2, the disruption found in Experiment 1 was removed by adding a second external boundary. We hypothesized that the disruption was caused by boundary assignment that perceptually grouped the moving boundary with the static texture. Experiment 3 revealed that accurate information about the motion of the surface facilitated boundary formation only when the motion was seen as coming from the surface of the moving form. Potential mechanisms for surface motion effects in dynamic boundary formation are discussed.

A common mechanism for illusory and occluded object completion.

New phenomena and results are reported that implicate a common contour interpolation mechanism in illusory and occluded (modal and amodal) object completion. In 3 experiments, a speeded classification task was used to study novel quasimodal displays in which occluded and illusory contours join. Results showed the same advantages in speed and accuracy over control displays for quasimodal, illusory, and occluded displays. The implications of quasimodal displays, along with another new display type in which contour linkages must precede determination of modal or amodal appearance, are considered. These logical considerations and empirical results suggest that amodal and modal completion depend on a common underlying mechanism that connects edges across gaps.

Spatio-temporal boundary formation: the role of local motion signals in boundary perception.

Spatio-temporal boundary formation (SBF) refers to a perceptual process responsible for perception of moving, bounded surfaces from sequential changes in spatially separated local elements. Previous research has indicated that this process produces perception of global form, continuous boundaries and global motion from spatially and temporally sparse element changes. In the present paper, we sought to distinguish between two classes of models for SBF: form-precedes-motion and motion-precedes-form models. Experiment 1 tested the effects of the addition of spurious motion signals, a manipulation that should affect a motion-precedes-form computation but not a form-precedes-motion computation. Shape identification in a 10-alternative forced-choice procedure was disrupted by this manipulation, supporting the former class of models. A particular computational scheme, edge orientation from motion (EOFM) instantiating a motion-precedes-form model is described and tested in Experiment 2. The EOFM model should be disrupted when initiating element changes occur in a certain type of sequential order, relative to randomly arranged changes. Sequential changes markedly disrupted performance, supporting this EOFM approach. The results favor motion-precedes-form models of SBF and are consistent with the particular computational scheme proposed.

Surface completion complements boundary interpolation in the visual integration of partly occluded objects.

Previous research on perceptual completion has emphasized how the spatial relationships of edges influence the visual integration of the image fragments that result from partial occlusion. We report studies testing the hypothesis that the similarity of surface features also influences visual integration, complementing edge interpolation processes. Using displays that separated edge interpolation processes from surface-feature interpolation processes, we tested the hypotheses that a surface completion process integrates image fragments with similar surface features, and that surface completion is constrained by amodally interpolated and amodally extended boundaries. Both edge relatability and surface-feature similarity were manipulated in a series of paired-comparison and classification tasks. The results of these studies supported the hypotheses and were extended to surface features of colors, textures, and color gradients. Results also suggest that, under certain conditions, surface completion may interact with and influence edge interpolation.

Extracting object motion during observer motion: combining constraints from optic flow and binocular disparity.

Detection of object motion by moving observers and perception of velocity by stationary or moving observers ordinarily require information about object distance. It might be expected that object motion could be obtained without distance by use of a combination of optic flow and binocular disparity information. We describe how object motion could, in principle, be derived this way. The analysis also permits recovery of target distance. Finally, information about the observer's motion may be obtained in a similar fashion, assuming the existence of two stationary environmental points at an unknown distance. Although studies of human observers have not been completed, it appears that these informational variables are available under conditions in which observers perform well at detecting motion and stability. In particular, the information may help to explain why a visible surface in near space facilitates accurate perception.

Spatiotemporal boundary formation: boundary, form, and motion perception from transformations of surface elements.

Continuous surface boundaries, object shape, and global motion can be perceived from information that is fragmentary in both space and time. The authors report investigations indicating that accretion and deletion of texture is only 1 member of a broader class of element transformations that produce boundaries, shape, and motion, through spatiotemporal boundary formation (SBF). The authors report 4 experiments exploring SBF. The first 3 examine the class of transformations producing SBF, indicating that local element changes in color, orientation, or location are all effective. A 4th experiment examines temporal constraints on SBF. Integration of local element changes to produce boundaries, form, and global motion appears to be confined to a 165-ms window. Two classes of spatiotemporal integration models are considered; the relation between SBF and other cases of boundary interpolation are discussed.

Optical tearing in spatiotemporal boundary formation: when do local element motions produce boundaries, form, and global motion?

Perception of continuous boundaries, shape, and global motion can be produced by transformations in local elements separated in both space and time, a process here called spatiotemporal boundary formation (SBF). Prior research has shown that a broad class of element transformations gives rise to SBF. The present work used the transformation of local element displacement to explore the initiating conditions for SBF. Three experiments assessed SBF using a 10-alternative, forced-choice, shape identification task. Experiment 1a showed that large element displacements, but not small ones, produced high accuracy in shape identification. Experiment 1b tested the detectability of the small and large element displacements in an unrelated task, indicating that the results of Experiment 1a were not due to poor detectability for small displacements. Experiment 2 found no variation in SBF performance with changes in viewing distance. Experiment 3 provided evidence that initiating SBF depends on a ratio of element displacement to element separation. These results support an interpretation of SBF as a process geared to detection of object boundaries from spatiotemporal change. Initiating SBF requires transformations in local elements that are classified as spatiotemporal discontinuities (STDs). Small element displacements in a display of a given density do not register as STDs because they are classified as local deformations in an intact, implicit surface connecting visible elements. Complementarity is suggested between element changes which preserve continuity with their neighbors (optic flow) and those comprising spatiotemporal discontinuities (optic tearing). Classification of element transformations as optic flow or tearing may determine whether they provide information about surface form (e.g., through structure-from-motion) or about object boundaries, through SBF.

Strength of visual interpolation depends on the ratio of physically specified to total edge length.

We report four experiments in which the strength of edge interpolation in illusory figure displays was tested. In Experiment 1, we investigated the relative contributions of the lengths of luminance-specified edges and the gaps between them to perceived boundary clarity as measured by using a magnitude estimation procedure. The contributions of these variables were found to be best characterized by a ratio of the length of luminance-specified contour to the length of the entire edge (specified plus interpolated edge). Experiment 2 showed that this ratio predicts boundary clarity for a wide range of ratio values and display sizes. There was no evidence that illusory figure boundaries are clearer in displays with small gaps than they are in displays with larger gaps and equivalent ratios. In Experiment 3, using a more sensitive pairwise comparison paradigm, we again found no such effect. Implications for boundary interpolation in general, including perception of partially occluded objects, are discussed. The dependence of interpolation on the ratio of physically specified edges to total edge length has the desirable ecological consequence that unit formation will not change with variations in viewing distance.

A theory of visual interpolation in object perception.

We describe a new theory explaining the perception of partly occluded objects and illusory figures, from both static and kinematic information, in a unified framework. Three ideas guide our approach. First, perception of partly occluded objects, perception of illusory figures, and some other object perception phenomena derive from a single boundary interpolation process. These phenomena differ only in respects that are not part of the unit formation process, such as the depth placement of units formed. Second, unit formation from static and kinematic information can be treated in the same general framework. Third, spatial and spatiotemporal discontinuities in the boundaries of optically projected areas are fundamental to the unit formation process. Consistent with these ideas, we develop a detailed theory of unit formation that accounts for most cases of boundary perception in the absence of local physical specification. According to this theory, discontinuities in the first derivative of projected edges are initiating conditions for unit formation. A formal notion of relatability is defined, specifying which physically given edges leading into discontinuities can be connected to others by interpolated edges. Intuitively, relatability requires that two edges be connectable by a smooth, monotonic curve. The roots of the discontinuity and relatability notions in ecological constraints on object perception are discussed. Finally, we elaborate our approach by discussing related issues, some new phenomena, connections to other approaches, and issues for future research.

The role of discontinuities in the perception of subjective figures.

Recently we proposed a theory of visual interpolation (Kellman & Shipley, in press) that addresses a variety of unit formation phenomena, including the perception of partly occluded objects and subjective figures. A basic notion of the theory is that discontinuities in the first derivative of projected edges are the initiating conditions for interpolation of boundaries that are not physically specified. In this paper, we report four experiments in which this claim was tested in the domain of subjective figures. Experiments 1 and 2 demonstrate that discontinuities in the first derivative of the edges of inducing elements have a clear effect on the frequency of report and the perceived clarity of simple subjective figures. Similar effects are found when unfamiliar subjective figures and inducing elements are used (Experiment 3). Experiment 4 rules out the possibility that the discontinuities in the first derivative merely add to the clarity of subjective figures. These experiments suggest that first-order discontinuities play a central role in unit formation.

Development of three-dimensional form perception.

In three experiments with infants and one with adults we explored the generality, limitations, and informational bases of early form perception. In the infant studies we used a habituation-of-looking-time procedure and the method of Kellman (1984), in which responses to three-dimensional (3-D) form were isolated by habituating 16-week-old subjects to a single object in two different axes of rotation in depth, and testing afterward for dishabituation to the same object and to a different object in a novel axis of rotation. In Experiment 1, continuous optical transformations given by moving 16-week-old observers around a stationary 3-D object specified 3-D form to infants. In Experiment 2 we found no evidence of 3-D form perception from multiple, stationary, binocular views of objects by 16- and 24-week-olds. Experiment 3A indicated that perspective transformations of the bounding contours of an object, apart from surface information, can specify form at 16 weeks. Experiment 3B provided a methodological check, showing that adult subjects could neither perceive 3-D forms from the static views of the objects in Experiment 3A nor match views of either object across different rotations by proximal stimulus similarities. The results identify continuous perspective transformations, given by object or observer movement, as the informational bases of early 3-D form perception. Detecting form in stationary views appears to be a later developmental acquisition.

Object and observer motion in the perception of objects by infants.

Sixteen-week-old human infants distinguish optical displacements given by their own motion from displacements given by moving objects, and they use only the latter to perceive the unity of partly occluded objects. Optical changes produced by moving the observer around a stationary object produced attentional levels characteristic of stationary observers viewing stationary displays and much lower than those shown by stationary observers viewing moving displays. Real displacements of an object with no subject-relative displacement, produced by moving an object so as to maintain a constant relation to the moving observer, evoked attentional levels that were higher than with stationary displays and more characteristic of attention to moving displays, a finding suggesting detection of the real motion. Previously reported abilities of infants to perceive the unity of partly occluded objects from motion information were found to depend on real object motion rather than on optical displacements in general. The results suggest that object perception depends on registration of the motions of surfaces in the three-dimensional layout.

Infant perception of object unity from translatory motion in depth and vertical translation.

Previous research indicated that 4-month-old infants perceive the unity of a center-occluded object when its visible ends share a common lateral translation in space. The present work investigated the class of motion relationships that can specify object unity to infants, specifically, asking whether it includes all rigid translations. 3 experiments tested the informativeness of 2 axes of translation not previously studied: translation in depth and vertical translation. These motions also allowed assessment of certain interpretations of previous results that invoke specific sensory consequences of lateral movement, rather than perceived motion, as underlying perceived unity. Experiment 1 provided evidence that a small extent of translation in depth specified the unity of an object, but only to the subgroup of infants who detected the motion. Experiment 2 used a greater displacement in depth and found clear evidence for perception of object unity. Experiment 3 indicated that vertical translation, in which the 2 visible areas of the partly hidden object undergo dissimilar changes, also specifies object unity to infants. These results suggest that infants' perception of object unity depends on perceived coherence of motion, no matter how specified, and that the class of informative motions includes all rigid translations.