The effect of expert knowledge on medical search: medical experts have specialized abilities for detecting serious lesions.

How does domain-specific knowledge influence the experts' performance in their domain of expertise? Specifically, can visual search experts find, with uniform efficiency, any type of target in their domain of expertise? We examined whether acquired knowledge of target importance influences an expert's visual search performance. In some professional searches (e.g., medical screenings), certain targets are rare; one aim of this study was to examine the extent to which experts miss such targets in their searches. In one experiment, radiologists (medical experts) engaged in a medical lesion search task in which both the importance (i.e., seriousness/gravity) and the prevalence of targets varied. Results showed decreased target detection rates in the low prevalence conditions (i.e., the prevalence effect). Also, experts were better at detecting important (versus unimportant) lesions. Results of an experiment using novices ruled out the possibility that decreased performance with unimportant targets was due to low target noticeability/visibility. Overall, the findings suggest that radiologists do not have a generalized ability to detect any type of lesion; instead, they have acquired a specialized ability to detect only those important lesions relevant for effective medical practices.

[The role of sustained attention in shift-contingent change blindness].

Previous studies of change blindness have examined the effect of temporal factors (e.g., blank duration) on attention in change detection. This study examined the effect of spatial factors (i.e., whether the locations of original and changed objects are the same or different) on attention in change detection, using a shift-contingent change blindness task. We used a flicker paradigm in which the location of a to-be-judged target image was manipulated (shift, no-shift). In shift conditions, the image of an array of objects was spatially shifted so that all objects appeared in new locations; in no-shift conditions, all object images of an array appeared at the same location. The presence of visual stimuli (dots) in the blank display between the two images was.manipulated (dot, no-dot) under the assumption that abrupt onsets of these stimuli would capture attention. Results indicated that change detection performance was improved by exogenous attentional capture in the shift condition. Thus, we suggest that attention can play an important role in change detection during shift-contingent change blindness.

Task-irrelevant object response to action enhances the sense of agency for controlling the object in automation.

The sense of agency (SoA) refers to the experience of controlling our bodies and tools. Recent automated systems require the operators to have less manual control, which decreases the SoA. This study investigated how to increase the SoA when operating automated systems, by focusing on the effect of an object's responses to operators' actions on the SoA. Participants applied brakes to a moving black circle by pressing a key, in order to stop the circle near a goal. Then, they estimated their SoA for stopping the circle. We informed them that there were automatic control trials in which the circle stopped independently of their keypress (86% of the trials). The circle's color briefly changed to white (i.e., flashed) when they pressed the key in a half of the automatic control trials. The SoA was higher with the flash than without it. However, the SoA neither increased when the circle flashed independently of a keypress nor when another object flashed due to a keypress. Furthermore, the keypress contingent object-flash did not influence the SoA when the participants controlled the circle manually. These results indicated that spatiotemporally contingent object responses to actions can enhance the SoA in automatic control situations.

How are emotional facial expressions detected rapidly and accurately? A diffusion model analysis.

Previous psychological studies have shown that people detect emotional facial expressions more rapidly and accurately than neutral facial expressions. However, the cognitive mechanisms underlying the efficient detection of emotional facial expressions remain unclear. To investigate this issue, we used diffusion model analyses to estimate the cognitive parameters of a visual search task in which participants detected faces with normal expressions of anger and happiness and their anti-expressions within a crowd of neutral faces. The anti-expressions were artificially created to control the visual changes of facial features but were usually recognized as emotionally neutral. We tested the hypothesis that the emotional significance of the target's facial expressions modulated the non-decisional time and the drift rate. We also conducted an exploratory investigation of the effect of facial expressions on threshold separation. The results showed that the non-decisional time was shorter, and the drift rate was larger for targets with normal expressions than with anti-expressions. Subjective emotional arousal ratings of facial targets were negatively related to the non-decisional time and positively associated with the drift rate. In addition, the threshold separation was larger for normal expressions than for anti-expressions and positively associated with arousal ratings for facial targets. These results suggest that the efficient detection of emotional facial expressions is accomplished via the faster and more cautious accumulation of emotional information of facial expressions which is initiated more rapidly by enhanced attentional allocation.

Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations.

Mindfulness meditation is increasingly used for clinical treatment and to improve well-being. One of the most fundamental benefits of mindfulness meditation is now considered as enhanced attentional control. Mindfulness meditation is a complex technique but most of its variants consist of a combination of two types of basic meditation practice: focused attention meditation (FAM) and open monitoring meditation (OMM). Although many studies have examined the effect of relatively long-term meditation on attention, some recent studies have focused on the effect of a brief one-time meditation on cognitive processing, including attentional functions. Furthermore, it is necessary to discuss the relationship between the effect of mindfulness meditation on attentional functions and personality traits (especially traits related to mindfulness). This study investigated whether attentional control is improved by a single 30-min FAM or OMM and whether the degree of improvement in attentional functions - alerting, orienting, and conflict monitoring - induced by the meditation varies according to the participant's trait scores related to mindfulness measured by the Five Facets Mindfulness Questionnaire. Participants were randomly assigned to one of three groups, i.e., FAM, OMM, and no-meditation (noM) groups, and given an Attentional Network Test before and after each 30-min meditation session. Compared with the noM group, there was no overall improvement in attentional functions with either type of meditation. However, there were associations between the change of the alerting function's score and the personality traits: in the FAM group, alerting scores were negatively associated with the nonreactivity facet of the FFMQ, and in the OMM group, alerting scores were positively associated with describing facet scores of the FFMQ. The results indicate that the effects of meditation methods on attentional functions could depend on the individual's traits related to mindfulness and that mindfulness meditation could sometimes appear to have no impact on attentional functions.

Influence of levels of automation on the sense of agency during continuous action.

Recent advances in automation technology can lead to unsafe situations where operators lose their sense of agency over the automated equipment. On the other hand, increasing evidence has shown that providing operators with opportunities of continuous operation and helping them improve their performance on tasks through automation can boost their sense of agency. However, it is challenging to ensure that the operator maintains a sense of agency when working with a fully automated tool that removes him/her from the control loop. By demonstrating a tracking task in which participants continuously tracked a moving target through a cursor controlled by a joystick under different levels of automation, we illustrate how the participants' sense of agency and tracking performance were altered in accordance with the level of automation. The results showed that their sense of agency was enhanced by increasing automation but began to decline when the level of automation exceeded 90%. More generally, this suggests that allowing operators a little contribution to control over the continuous operation of an automated tool may be sufficient to maintain their sense of agency while yielding the maximum improvement in performance.

[Visual representation of natural scenes in flicker changes].

Coherence theory in scene perception (Rensink, 2002) assumes the retention of volatile object representations on which attention is not focused. On the other hand, visual memory theory in scene perception (Hollingworth & Henderson, 2002) assumes that robust object representations are retained. In this study, we hypothesized that the difference between these two theories is derived from the difference of the experimental tasks that they are based on. In order to verify this hypothesis, we examined the properties of visual representation by using a change detection and memory task in a flicker paradigm. We measured the representations when participants were instructed to search for a change in a scene, and compared them with the intentional memory representations. The visual representations were retained in visual long-term memory even in the flicker paradigm, and were as robust as the intentional memory representations. However, the results indicate that the representations are unavailable for explicitly localizing a scene change, but are available for answering the recognition test. This suggests that coherence theory and visual memory theory are compatible.

Explicit Sense of Agency in an Automatic Control Situation: Effects of Goal-Directed Action and the Gradual Emergence of Outcome.

Sense of agency (SoA), or the subjective feeling that "I am the agent controlling the object," is essential for learning and enjoying object manipulation. Recently developed automatic control systems, such as the cruise control systems in autonomous vehicles, require less manual control from the manipulators. It has to date been impossible to completely relieve operators of the need for manual control in many automatic control systems developed for tool-using situations. Therefore, it is important to examine how to maintain SoA (illusorily) during an automatic control situation. We investigated the effects of two typical characteristics of everyday tool-use situations on SoA when braking a moving object with a keypress. These characteristics included the presence of a goal (e.g., in driving situations, the driver steps on the brake pedal to stop the car at an expected position) and the gradual emergence of the outcome (e.g., the driver steps on the brake pedal and the car usually slows down first and then stops). We conducted an experiment in which participants stopped a moving object and then rated their SoA for stopping the object. Participants were explicitly informed that the object would sometimes stop independently of their keypress. Results showed that both characteristics decreased SoA in the manual control situation but increased SoA in the automatic control situation. Thus, these characteristics could be useful for maintaining a sense of agency in automatic control situations.

Beyond one's body parts: Remote object movement with sense of agency involuntarily biases spatial attention.

Humans' own body postures and/or actions bias visual attention. This study examined whether an object controlled remotely with a sense of agency (SoA) can bias attentional allocation, even if the mappings of body movement and object movement do not correspond (i.e., with a less extended body representation). In the experiments, participants shifted a circle toward an instructed direction via keypress. On some trials, the task changed to identification of visual characters instead of the circle shift. Strength of SoA was manipulated based on the probability that the circle actually moved to the participant's intended location, with high probability producing a strong SoA. Results showed that visual identification performance became higher for appearance of the target at the intended location than at the unintended location, but only when observers felt a strong SoA. This suggests that the object's movement attracts attention when the observer feels a strong SoA over its control.

Peripersonal versus extrapersonal visual scene information for egocentric direction and position perception.

When perceiving the visual environment, people simultaneously perceive their own direction and position in the environment (i.e., egocentric spatial perception). This study investigated what visual information in a scene is necessary for egocentric spatial perceptions. In two perception tasks (the egocentric direction and position perception tasks), observers viewed two static road images presented sequentially. In Experiment 1, the critical manipulation involved an occluded region in the road image, an extrapersonal region (far-occlusion) and a peripersonal region (near-occlusion). Egocentric direction perception was worse in the far-occlusion condition than in the no-occlusion condition, and egocentric position perceptions were worse in the far- and near-occlusion conditions than in the no-occlusion condition. In Experiment 2, we conducted the same tasks manipulating the observers' gaze location in a scene-an extrapersonal region (far-gaze), a peripersonal region (near-gaze) and the intermediate region between the former two (middle-gaze). Egocentric direction perception performance was the best in the far-gaze condition, and egocentric position perception performances were not different among gaze location conditions. These results suggest that egocentric direction perception is based on fine visual information about the extrapersonal region in a road landscape, and egocentric position perception is based on information about the entire visual scene.

Task-irrelevant spatial dividers facilitate counting and numerosity estimation.

Counting is characterized as a slow and error-prone action relying heavily on serial allocation of focused attention. However, quick and accurate counting is required for many real-world tasks (e.g., counting heads to ensure everyone is evacuated to a safe place in an emergency). Previous research suggests that task-irrelevant spatial dividers, which segment visual displays into small areas, facilitate focused attention and improve serial search. The present study investigated whether counting, which is also closely related to focused attention, can be facilitated by spatial dividers. Furthermore, the effect of spatial dividers on numerosity estimation, putatively dependent upon distributed attention, was also examined to provide insights into different types of number systems and different modes of visual attention. The results showed profound performance improvement by task-irrelevant spatial dividers in both counting and numerosity estimation tasks, indicating that spatial dividers may activate interaction between number and visual attention systems. Our findings provide the first evidence that task-irrelevant spatial dividers can be used to facilitate various types of numerical cognition.

The whereabouts of visual attention: Involuntary attentional bias toward the default gaze direction.

This study proposed and verified a new hypothesis on the relationship between gaze direction and visual attention: attentional bias by default gaze direction based on eye-head coordination. We conducted a target identification task in which visual stimuli appeared briefly to the left and right of a fixation cross. In Experiment 1, the direction of the participant's head (aligned with the body) was manipulated to the left, front, or right relative to a central fixation point. In Experiment 2, head direction was manipulated to the left, front, or right relative to the body direction. This manipulation was based on results showing that bias of eye position distribution was highly correlated with head direction. In both experiments, accuracy was greater when the target appeared at a position where the eyes would potentially be directed. Consequently, eye-head coordination influences visual attention. That is, attention can be automatically biased toward the location where the eyes tend to be directed.

Temporal Characteristics of Radiologists' and Novices' Lesion Detection in Viewing Medical Images Presented Rapidly and Sequentially.

Although viewing multiple stacks of medical images presented on a display is a relatively new but useful medical task, little is known about this task. Particularly, it is unclear how radiologists search for lesions in this type of image reading. When viewing cluttered and dynamic displays, continuous motion itself does not capture attention. Thus, it is effective for the target detection that observers' attention is captured by the onset signal of a suddenly appearing target among the continuously moving distractors (i.e., a passive viewing strategy). This can be applied to stack viewing tasks, because lesions often show up as transient signals in medical images which are sequentially presented simulating a dynamic and smoothly transforming image progression of organs. However, it is unclear whether observers can detect a target when the target appears at the beginning of a sequential presentation where the global apparent motion onset signal (i.e., signal of the initiation of the apparent motion by sequential presentation) occurs. We investigated the ability of radiologists to detect lesions during such tasks by comparing the performances of radiologists and novices. Results show that overall performance of radiologists is better than novices. Furthermore, the temporal locations of lesions in CT image sequences, i.e., when a lesion appears in an image sequence, does not affect the performance of radiologists, whereas it does affect the performance of novices. Results indicate that novices have greater difficulty in detecting a lesion appearing early than late in the image sequence. We suggest that radiologists have other mechanisms to detect lesions in medical images with little attention which novices do not have. This ability is critically important when viewing rapid sequential presentations of multiple CT images, such as stack viewing tasks.

Facilitation of visual perception in head direction: visual attention modulation based on head direction.

People usually see things using frontal viewing, and avoid lateral viewing (or eccentric gaze) where the directions of the head and eyes are largely different. Lateral viewing interferes with attentive visual search performance, probably because the head is directed away from the target and/or because the head and eyes are misaligned. In this study, we examined which of these factors is the primary one for interference by conducting a visual identification experiment where a target was presented in the peripheral visual field. The critical manipulation was the participants' head direction and fixation position: the head was directed to the fixation location, the target position, or the opposite side of the fixation. The performance was highest when the head was directed to the target position even when there was misalignment of the head and eye, suggesting that visual perception can be influenced by both head direction and fixation position.

Egocentric Direction and Position Perceptions are Dissociable Based on Only Static Lane Edge Information.

When observers perceive several objects in a space, at the same time, they should effectively perceive their own position as a viewpoint. However, little is known about observers' percepts of their own spatial location based on the visual scene information viewed from them. Previous studies indicate that two distinct visual spatial processes exist in the locomotion situation: the egocentric position perception and egocentric direction perception. Those studies examined such perceptions in information rich visual environments where much dynamic and static visual information was available. This study examined these two perceptions in information of impoverished environments, including only static lane edge information (i.e., limited information). We investigated the visual factors associated with static lane edge information that may affect these perceptions. Especially, we examined the effects of the two factors on egocentric direction and position perceptions. One is the "uprightness factor" that "far" visual information is seen at upper location than "near" visual information. The other is the "central vision factor" that observers usually look at "far" visual information using central vision (i.e., foveal vision) whereas 'near' visual information using peripheral vision. Experiment 1 examined the effect of the "uprightness factor" using normal and inverted road images. Experiment 2 examined the effect of the "central vision factor" using normal and transposed road images where the upper half of the normal image was presented under the lower half. Experiment 3 aimed to replicate the results of Experiments 1 and 2. Results showed that egocentric direction perception is interfered with image inversion or image transposition, whereas egocentric position perception is robust against these image transformations. That is, both "uprightness" and "central vision" factors are important for egocentric direction perception, but not for egocentric position perception. Therefore, the two visual spatial perceptions about observers' own viewpoints are fundamentally dissociable.

Eye-head coordination for visual cognitive processing.

We investigated coordinated movements between the eyes and head ("eye-head coordination") in relation to vision for action. Several studies have measured eye and head movements during a single gaze shift, focusing on the mechanisms of motor control during eye-head coordination. However, in everyday life, gaze shifts occur sequentially and are accompanied by movements of the head and body. Under such conditions, visual cognitive processing influences eye movements and might also influence eye-head coordination because sequential gaze shifts include cycles of visual processing (fixation) and data acquisition (gaze shifts). In the present study, we examined how the eyes and head move in coordination during visual search in a large visual field. Subjects moved their eyes, head, and body without restriction inside a 360° visual display system. We found patterns of eye-head coordination that differed those observed in single gaze-shift studies. First, we frequently observed multiple saccades during one continuous head movement, and the contribution of head movement to gaze shifts increased as the number of saccades increased. This relationship between head movements and sequential gaze shifts suggests eye-head coordination over several saccade-fixation sequences; this could be related to cognitive processing because saccade-fixation cycles are the result of visual cognitive processing. Second, distribution bias of eye position during gaze fixation was highly correlated with head orientation. The distribution peak of eye position was biased in the same direction as head orientation. This influence of head orientation suggests that eye-head coordination is involved in gaze fixation, when the visual system processes retinal information. This further supports the role of eye-head coordination in visual cognitive processing.

Saliency-based gaze prediction based on head direction.

Despite decades of attempts to create a model for predicting gaze locations by using saliency maps, a highly accurate gaze prediction model for general conditions has yet to be devised. In this study, we propose a gaze prediction method based on head direction that can improve the accuracy of any model. We used a probability distribution of eye position based on head direction (static eye-head coordination) and added this information to a model of saliency-based visual attention. Using empirical data on eye and head directions while observers were viewing natural scenes, we estimated a probability distribution of eye position. We then combined the relationship between eye position and head direction with visual saliency to predict gaze locations. The model showed that information on head direction improved the prediction accuracy. Further, there was no difference in the gaze prediction accuracy between the two models using information on head direction with and without eye-head coordination. Therefore, information on head direction is useful for predicting gaze location when it is available. Furthermore, this gaze prediction model can be applied relatively easily to many daily situations such as during walking.

Why do we move our head to look at an object in our peripheral region? Lateral viewing interferes with attentive search.

Why do we frequently fixate an object of interest presented peripherally by moving our head as well as our eyes, even when we are capable of fixating the object with an eye movement alone (lateral viewing)? Studies of eye-head coordination for gaze shifts have suggested that the degree of eye-head coupling could be determined by an unconscious weighing of the motor costs and benefits of executing a head movement. The present study investigated visual perceptual effects of head direction as an additional factor impacting on a cost-benefit organization of eye-head control. Three experiments using visual search tasks were conducted, manipulating eye direction relative to head orientation (front or lateral viewing). Results show that lateral viewing increased the time required to detect a target in a search for the letter T among letter L distractors, a serial attentive search task, but not in a search for T among letter O distractors, a parallel preattentive search task (Experiment 1). The interference could not be attributed to either a deleterious effect of lateral gaze on the accuracy of saccadic eye movements, nor to potentially problematic optical effects of binocular lateral viewing, because effect of head directions was obtained under conditions in which the task was accomplished without saccades (Experiment 2), and during monocular viewing (Experiment 3). These results suggest that a difference between the head and eye directions interferes with visual processing, and that the interference can be explained by the modulation of attention by the relative positions of the eyes and head (or head direction).

Visual search in divided areas: dividers initially interfere with and later facilitate visual search.

A common search paradigm requires observers to search for a target among undivided spatial arrays of many items. Yet our visual environment is populated with items that are typically arranged within smaller (subdivided) spatial areas outlined by dividers (e.g., frames). It remains unclear how dividers impact visual search performance. In this study, we manipulated the presence and absence of frames and the number of frames subdividing search displays. Observers searched for a target O among Cs, a typically inefficient search task, and for a target C among Os, a typically efficient search. The results indicated that the presence of divider frames in a search display initially interferes with visual search tasks when targets are quickly detected (i.e., efficient search), leading to early interference; conversely, frames later facilitate visual search in tasks in which targets take longer to detect (i.e., inefficient search), leading to late facilitation. Such interference and facilitation appear only for conditions with a specific number of frames. Relative to previous studies of grouping (due to item proximity or similarity), these findings suggest that frame enclosures of multiple items may induce a grouping effect that influences search performance.

Visual search of experts in medical image reading: the effect of training, target prevalence, and expert knowledge.

The aims of this study are (a) To determine the effect of training on the multiple-target lesion search performance; and (b) To examine the effect of target prevalence on the performance of radiologists and novices. We conducted four sessions of 500 trials in a lesion search on a medical image task in which participants searched for three different target lesions. Participants were 10 radiologists and novices. In each session, the prevalence of the different target lesions varied from low (2%) to high (40%). The sensitivity of novices was higher in the later sessions than in the first session, whereas there were no differences among sessions in radiologists. The improvement on sensitivity of novices was largely due to attenuations of false alarm (FA) errors. In addition, miss rates of the three targets did not differ in data of novices, whereas radiologists produced a higher miss rate for the highest prevalence target lesion (non-serious lesion) than for the other two lesions (serious lesions). The conclusions are (a) The training for the multiple-target lesion search task can be effective to reduce FA errors; and (b) The prevalence effect on lesion search can be attenuated by the multiple-target identification and the knowledge about seriousness of lesions. This suggests that acquired knowledge about normal cases and serious lesions is an important aspect of a radiologists' skill in searching for medical lesions and their high performance levels.