Iceland screens, treats, or prevents multiple myeloma (iStopMM): a population-based screening study for monoclonal gammopathy of undetermined significance and randomized controlled trial of follow-up strategies.

Monoclonal gammopathy of undetermined significance (MGUS) precedes multiple myeloma (MM). Population-based screening for MGUS could identify candidates for early treatment in MM. Here we describe the Iceland Screens, Treats, or Prevents Multiple Myeloma study (iStopMM), the first population-based screening study for MGUS including a randomized trial of follow-up strategies. Icelandic residents born before 1976 were offered participation. Blood samples are collected alongside blood sampling in the Icelandic healthcare system. Participants with MGUS are randomized to three study arms. Arm 1 is not contacted, arm 2 follows current guidelines, and arm 3 follows a more intensive strategy. Participants who progress are offered early treatment. Samples are collected longitudinally from arms 2 and 3 for the study biobank. All participants repeatedly answer questionnaires on various exposures and outcomes including quality of life and psychiatric health. National registries on health are cross-linked to all participants. Of the 148,704 individuals in the target population, 80 759 (54.3%) provided informed consent for participation. With a very high participation rate, the data from the iStopMM study will answer important questions on MGUS, including potentials harms and benefits of screening. The study can lead to a paradigm shift in MM therapy towards screening and early therapy.

Temporal Characteristics of Priming of Attention Shifts Are Mirrored by BOLD Response Patterns in the Frontoparietal Attention Network.

Priming of attention shifts involves the reduction in search RTs that occurs when target location or target features repeat. We used functional magnetic resonance imaging to investigate the neural basis of such attentional priming, specifically focusing on its temporal characteristics over trial sequences. We first replicated earlier findings by showing that repetition of target color and of target location from the immediately preceding trial both result in reduced blood oxygen level-dependent (BOLD) signals in a cortical network that encompasses occipital, parietal, and frontal cortices: lag-1 repetition suppression. While such lag-1 suppression can have a number of explanations, behaviorally, the influence of attentional priming extends further, with the influence of past search trials gradually decaying across multiple subsequent trials. Our results reveal that the same regions within the frontoparietal network that show lag-1 suppression, also show longer term BOLD reductions that diminish over the course of several trial presentations, keeping pace with the decaying behavioral influence of past target properties across trials. This distinct parallel between the across-trial patterns of cortical BOLD and search RT reductions, provides strong evidence that these cortical areas play a key role in attentional priming.

The intensity order illusion: temporal order of different vibrotactile intensity causes systematic localization errors.

Haptic illusions serve as important tools for studying neurocognitive processing of touch and can be utilized in practical contexts. We report a new spatiotemporal haptic illusion that involves mislocalization when the order of vibrotactile intensity is manipulated. We tested two types of motors mounted in a 4 × 4 array in the lower thoracic region. We created apparent movement with two successive vibrotactile stimulations of varying distance (40, 20, or 0 mm) and direction (up, down, or same) while changing the temporal order of stimulation intensity (strong-weak vs. weak-strong). Participants judged the perceived direction of movement in a 2-alternative forced-choice task. The results suggest that varying the temporal order of vibrotactile stimuli with different intensity leads to systematic localization errors: when a strong-intensity stimulus was followed by a weak-intensity stimulus, the probability that participants perceived a downward movement increased, and vice versa. The illusion is so strong that the order of the strength of stimulation determined perception even when the actual presentation movement was the opposite. We then verified this "intensity order illusion" using an open response format where observers judged the orientation of an imaginary line drawn between two sequential tactor activations. The intensity order illusion reveals a strong bias in vibrotactile perception that has strong implications for the design of haptic information systems.NEW & NOTEWORTHY We report a new illusion involving mislocalization of stimulation when the order of vibrotactile intensity is manipulated. When a strong-intensity stimulus follows a weak-intensity stimulus, the probability that participants perceive an upward movement increases, and vice versa. The illusion is so strong that the order of the strength of stimulation determined perception even when the actual presentation movement was the opposite. This illusion is important for the design of vibrotactile stimulation displays.

How functional are functional viewing fields?

Hulleman & Olivers' (H&O's) proposal is a refreshing addition to the visual search literature. Although we like their proposal that fixations, not individual items should be considered a fundamental unit in visual search, we point out some unresolved problems that their account will have to solve. Additionally, we consider predictions that can be made from the account, in particular in relation to priming of visual search, finding that the account generates interesting testable predictions.