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Biomedical subjects

R Jürgens

Publications and source records attributed to R Jürgens.

At least 19 recordsLinked to original sources
PubMed2001

Sensor fusion by neural networks using spatially represented information.

A neural network model based on a lateral-inhibition-type feedback layer is analyzed with regard to its capabilities to fuse signals from two different sensors reporting the same event ("multisensory convergence"). The model consists of two processing stages. The input stage holds spatial representations of the sensor signals and transmits them to the second stage where they are fused. If the input signals differ, the model exhibits two different processing modes: with small differences it produces a weighted average of the input signals, whereas with large differences it enters a decision mode where one of the two signals is suppressed. The dynamics of the network can be described by a series of two first-order low-pass filters, whose bandwidth depends nonlinearly on the level of concordance of the input signals. The network reduces sensor noise by means of both its averaging and filtering properties. Hence noise suppression, too, depends on the level of concordance of the inputs. When the network's neurons have internal noise, sensor noise suppression is reduced but still effective as long as the input signals do not differ strongly. The possibility of extending the scheme to three and more inputs is discussed.

Artifacts↗
PubMed2000

Vestibular perception of self-rotation in different postures: a comparison between sitting and standing subjects.

We investigated whether posture - either seated (S) or upright standing (O, orthostatic) - affects the vestibular perceptions of angular velocity (V) and displacement (D) in the horizontal plane. We also examined whether the two perceptions are equivalent, that is, whether perceived displacement can be viewed as the time integral of perceived velocity. Sinusoidal stimuli were delivered to subjects sitting on a Barany chair or standing on a turning platform. Frequencies ranged from 0.028 Hz to 0.45 Hz, peak-to-peak amplitudes from 11.3 degrees to 180 degrees, and peak velocities from 4 degrees/s to 64 degrees/s. Perceptions were measured by retrospective magnitude estimation in relation to a standard stimulus (STD) of 0.11 Hz, 45 degrees, 16 degrees/s. For D-estimates, two different moduli were assigned to the STD: Either "45 degrees" (allowing subjects to use the familiar degree scale, which can easily be related to the body scheme) or "10" (which bears no relation to an accustomed scale). For V-estimations the modulus was always "10" (there is no "natural" velocity scale). D-estimates exhibited only a marginal, non-significant dependence on posture (S larger than O); they were highly veridical (linear function of stimulus amplitude, gain close to 1) when subjects used the degree scale but had a reduced gain (approximately 0.76) with a modulus of 10. V-estimates, on the other hand, varied with posture (S significantly larger than O), particularly upon presentation of large stimuli; also, they deviated increasingly from veracity as stimulus magnitude increased (saturating function). Finally, posture had no effect upon the vestibular detection threshold. The frequency response of D-estimates, tested with stimuli of constant amplitude and varying frequency, was bimodal at low frequencies: stimuli were either not detected at all or were veridically estimated, on average (with a large scatter, though). The frequency response of V-estimates, tested with stimuli of constant peak velocity, exhibited a continuous increase with stimulation frequency. We conclude that published quantifications of vestibular self-motion perception, collected mostly with sitting subjects, are likely to be applicable also to the more natural situation of standing subjects provided they are based on displacement indications; in contrast, velocity indications appear to be modulated by posture. The different susceptibility of displacement and velocity estimates to posture and their incongruent frequency characteristics suggest that perceived displacement does not, or does not always, equal the time integral of perceived velocity. The persistence of nearly veridical displacement estimates at low frequencies suggests the intervention of cognitive processes.

Acceleration↗
PubMed2000

Benefit of echocontrast-enhanced transcranial color-coded duplex ultrasound in the assessment of intracranial collateral pathways.

BACKGROUND AND PURPOSE: Although clinically important, proper assessment of intracranial arterial collateral pathways by transcranial color-coded duplex sonography (TCCD) in patients with internal carotid artery (ICA) high-grade stenosis or occlusion is occasionally made difficult by an insufficient temporal bone window, an unfavorable insonation angle, or low flow velocity or volume. In these cases, echocontrast could be helpful to increase the diagnostic confidence or to make the diagnosis at all. METHODS: We investigated 50 temporal windows of 44 patients with ipsilateral high-grade (>/=70%) ICA stenosis or occlusion and insufficient native transtemporal insonation conditions before and after the application of the echo enhancer Levovist with an infusion pump. RESULTS: Compared with the precontrast scans, echocontrast allowed for more segments to be evaluated by pulsed Doppler sonography (P<0. 0001) and for longer lumen segments to be displayed on color mode (P<0.0001). Also, collateral flow via the anterior and posterior communicating artery could be demonstrated in 25 and 32 scans, respectively, compared with only 1 demonstration of each collateral pathway before the application of contrast medium (both P<0.0001). Similarly, with the help of contrast medium, flow velocity in the middle cerebral artery could be measured in 45 cases compared with only 26 cases before contrast was applied (P<0.0001). CONCLUSIONS: In patients with poor precontrast visualization of intracranial arteries, echocontrast-enhanced TCCD is very helpful in the assessment of intracranial collateral pathways recruited downstream to ICA stenoses and occlusions.

Adult↗
PubMed1999

Estimation of self-turning in the dark: comparison between active and passive rotation.

The present work compares passive and active rotations in darkness with the aim of characterizing the contribution of efferent and proprioceptive information to the perception of angular displacement. The perception of angular displacements was measured in 12 naive subjects (Ss), who either stood on a rotating platform (passive mode, P) or actively turned about their vertical axis by stepping around "on the spot" on a stationary platform (active mode, A). Rotations consisted of short acceleration epochs followed by constant velocity periods of 18.5, 37, and 55 degrees /s, with angular displacements ranging from 30 degrees to 810 degrees (presented in a randomized order); in the case of active turning, Ss had learned to approximately produce any of these three velocity levels on command. Ss indicated perceived displacement either verbally (verbal estimation mode, E), or by stopping their rotation when self-displacement appeared to match the magnitude specified by the experimenter (targeting, T). The resulting four conditions (PE, PT, AE, AT) were administered blockwise. In none of the four conditions was there a systematic dependence of perception on turning velocity. Therefore, the results were pooled across velocities, and the Ss' performance was summarized in the form of estimation curves showing median estimates as a function of physical displacement. There were several differences between the passive and active modes: AE- and AT-estimation curves were linear, close to veracity, and fairly similar to each other. In contrast, the PE-curve was curved rightwardly ("saturation"), with small displacements being overestimated and large ones underestimated, whereas the PT-curve was linear and indicated a pronounced overestimation of large displacements. Moreover, both the random and the systematic errors (measures of individual consistency and correctness of individual calibration, respectively) were significantly smaller in the active than in the passive modes. The observed independence of Ss' perception from turning velocity also during passive rotation suggests that the perceptual time constant was significantly longer than 16 s (a value cited as typical for vestibular perception), being possibly "enhanced" by contextual implications and by expectations of the Ss. The clear improvement of perceptual performance in the active mode testifies to the importance of the efferent and proprioceptive signals arising during active motion. On the assumption that these signals are about as "noisy" as the vestibular ones, the smaller errors during active turning could result from their combination with the vestibular signal. Alternatively, they could also be intrinsically less noisy than the vestibular signal and simply replace the latter during active motion. In the context of these alternatives (which are not exhaustive), the general problem of sensory fusion is discussed, that is, by which mechanisms are signals from different sensory sources combined to obtain a unified representation of the self's orientation.

Adult↗
PubMed1999

Podokinetic after-rotation does not depend on sensory conflict.

Humans who have been stepping for 10 min or more about their vertical axis on a counterrotating platform while fixating on a stationary visual scene continue to circle in the same direction when they attempt, thereafter, to step on firm ground in darkness without turning ("podokinetic after-rotation": PKAR). In the present report, we investigate whether PKAR is due to: (1) a sensory reinterpretation triggered by the conflict between the visual signal of stationarity and the somatosensory message of feet-on-platform rotation, or (2) an adaptation of the somatosensory afferents to prolonged unilateral stimulation irrespective of visual stimulation. Subjects (Ss) circled for 10 min about their vertical axis on an either stationary or counterrotating platform while they were either in darkness, or exposed to an optokinetic stimulus, or to a "head-fixed" stationary pattern. Thereafter, Ss first stood motionless in darkness for 30 s, allowing vestibular after-effects to decay, and then tried (still without vision) to step in place on the stationary platform without turning while their body rotation was recorded by a potentiometer coupled to the head. All conditions involving podomotor activity without concomitant optokinetic stimulation evoked similar PKAR. With optokinetic stimulation, PKAR became larger, apparently because it was summed with an optokinetically induced after-rotation (oPKAR). This oPKAR could be demonstrated in isolation when Ss were passively rotated in front of the OKN-pattern instead of actively circling. PKAR could not be "dumped"; it reappeared after 30 s of straight stepping under visual control. We suggest that PKAR is caused by adaptation of the somatosensory channel and not by a sensory conflict.

Afferent Pathways↗
PubMed1999

Echocontrast-enhanced ultrasound of extracranial internal carotid artery high-grade stenosis and occlusion.

BACKGROUND AND PURPOSE: Proper assessment of extracranial internal carotid artery high-grade stenosis and occlusion by extracranial color-coded duplex sonography (ECCD) is occasionally made difficult by shadowing, an unfavorable insonation angle, low flow velocity or volume, or a deep insonation depth. In these cases, echocontrast could be helpful to quantify the degree of stenosis and to diagnose occlusion. METHODS: We investigated 17 arteries with poor precontrast investigation conditions and suspected high-grade stenosis or occlusion by contrast-enhanced ECCD. RESULTS: Compared with the precontrast scans, echocontrast allowed for significantly more segments to be evaluated by pulsed Doppler sonography (P<0.001) and for longer lumen segments to be displayed on color mode (P<0.001). Because it was now possible to place the sample volume right into the jet of the stenosis, the maximal flow velocity registered increased in all patients with stenosis. CONCLUSIONS: Echocontrast-enhanced ECCD of the carotid arteries is helpful for stenosis classification in a small group of preselected patients with poor original examination conditions.

Adult↗
PubMed1998

Eye-head coordination in labyrinthine-defective humans.

Eye-head coordination during saccadic gaze shifts normally relies on vestibular information. A vestibulo-saccadic reflex (VSR) is thought to reduce the eye-in-head saccade to account for current head movement, and the vestibulo-ocular reflex (VOR) stabilizes postsaccadic gaze while the head movement is still going on. Acute bilateral loss of vestibular function is known to cause overshoot of gaze saccades and postsaccadic instability. We asked how patients suffering from chronic vestibular loss adapt to this situation. Eye and head movements were recorded from six patients and six normal control subjects. Subjects tracked a random sequence of horizontal target steps, with their heads (1) fixed in primary position, (2) free to move, or (3) preadjusted to different head-to-target offsets (to provoke head movements of different amplitudes). Patients made later and smaller head movements than normals and accepted correspondingly larger eye eccentricities. Targeting accuracy, in terms of the mean of the signed gaze error, was better in patients than in normals. However, unlike in normals, the errors of patients exhibited a large scatter and included many overshoots. These overshoots cannot be attributed to the loss of VSR because they also occurred when the head was not moving and were diminished when large head movements were provoked. Patients' postsaccadic stability was, on average, almost as good as that of normals, but the individual responses again showed a large scatter. Also, there were many cases of inappropriate postsaccadic slow eye movements, e.g., in the absence of concurrent head movements, and correction saccades, e.g., although gaze was already on target. Performance in patients was affected only marginally when large head movements were provoked. Except for the larger lag of the head upon the eye, the temporal coupling of eye and head movements in patients was similar to that in normals. Our findings show that patients with chronic vestibular loss regain the ability to make functionally appropriate gaze saccades. We assume, in line with previous work, three main compensatory mechanisms: a head movement efference copy, an active cervico-ocular reflex (COR), and a preprogrammed backsliding of the eyes. However, the large trial-to-trial variability of targeting accuracy and postsaccadic stability indicates that the saccadic gaze system of patients does not regain the high precision that is observed in normals and which appears to require a vestibular head-in-space signal. Moreover, this variability also permeates their gaze performance in the absence of head movements.

Adaptation, Physiological↗
PubMed1998

Localisation of epileptic foci with electric, magnetic and combined electromagnetic models.

We compare the localisation of epileptic foci by means of (1) EEG, (2) magnetoencephalography (MEG) and (3) combined EEG/MEG data in a group of patients suffering from pharmaco-resistant focal epilepsy. Individual epileptic events were localised by means of a moving dipole model in a 4-shell spherical head approximation. A patient's epileptic activity was summarised by calculating the spatial density distribution (DD) of all localised events, and the centre of gravity of DD was considered the most likely locus of seizure generation. To verify these loci a subgroup of 6 patients was selected, in which seizures could be related to a clearly identifiable lesion in MRI. On average, the combined EEG/MEG approach resulted in the smallest error (1.8 cm distance between calculated locus and the nearest lesion border); using only MEG yielded the largest error (2.4 cm), while EEG resulted in an intermediate value (2.2 cm). In the individual patients, EEG/MEG would also rank intermediate, but never worst. In summary, combining EEG/MEG appears to be a more robust approach to localisation than using only EEG or only MEG. Finally, we also report on the use of the barbiturate methohexital as a safe method of increasing the number of spike events during an EEG/MEG recording session.

Algorithms↗
PubMed1998

Development of neuroventricular cells into ocular pigment cells in embryonic chick eyes: morphometrical and electrophysiological observations.

The development of neuro-ventricular cells into pigment cells (outer layer of the optic cup) was studied morphometrically and electrophysiologically in eye primordia of chick embryos. The prospective pigment cells are homogeneous until days 4 to 5 1/2 of embryonic development. During this period, all cells are devoid of pigment and display a basic neuroventricular profile of both inward (probably sodium) and outward (potassium) currents evoked by depolarization. Pigment cell differentiation occurs rapidly between days 5 and 6. On day 6 most cells are pigmented and respond to depolarization with outward currents only. Inward currents were elicted only in a few pigmented cells. By contrast, the minority of unpigmented cells (or cells with faintly dark cytoplasmic inclusions, probably premelanosomes) still present on day six displayed the "immature" pattern of mixed inward and outward currents. We conclude, that the differentiation of neuroepithelial cells into pigment cells involves both the synthesis of pigment granula and the down-regulation of the expression of inward current-mediating ion channels in their membrane.

Animals↗
PubMed1997

Visually-guided saccadic eye movements in adolescents at genetic risk for schizophrenia.

Visually-guided saccades of 21 offspring of schizophrenic parents and 21 individually matched controls were compared with regard to the frequency of occurrence of saccadic hypometria and hypermetria, non-fixations, and omissions of target jumps. Target steps ranged from 10 to 60 degrees, and interstimulus intervals averaged 2.5 s; subjects were promised financial reward depending on performance. Recordings were carried out at the subjects' homes. To screen for cognitive abilities and psychopathological behavior, subjects were tested by means of an intelligence scale and a behavioral checklist. With large target steps (40-60 degrees), the high-risk group made significantly more grossly hypometric saccades (gain < or = 0.8) than the control group; responses to small target steps (10-30 degrees) exhibited a similar, albeit statistically not significant, trend. There were no significant differences with regard to the occurrence of hypermetria. Non-fixations scored marginally higher in the high-risks as compared to controls, but this was again not a significant difference. The incidence of omissions of saccades was very low in both groups. The results of the study suggest that subjects at genetic risk for schizophrenia may differ from controls by an increased incidence of conspicuously hypometric saccades. Clearly, this difference is not caused by a deficit of the saccadic motor circuitry proper; comparison to control data obtained with a similar experimental protocol suggests that it probably reflects an impaired internal control of saccades in the presence of distraction and stress. The relevance of saccades as indicators of a possible schizophrenic vulnerability is discussed.

Adolescent↗
PubMed1995

Comparative assessment of saccadic eye movements, psychomotor and cognitive performance in schizophrenics, their first-degree relatives and control subjects.

This study is aimed at detecting biological markers for schizophrenia. For this purpose, a total of 70 subjects (21 schizophrenic patients, 27 first-degree relatives and 22 controls) performed a series of tests assessing various attentional, psychomotor and cognitive functions and saccadic eye movements. The schizophrenics performed significantly poorer than both high-risk and control subjects in most of the tests demanding attention, concentration and psychomotor speed (d2 concentration test, reaction times and Stroop test of perceptual interference) as well as cognition (Wechsler intelligence scales). On the other hand, these tests did not differentiate between the high-risk and control subjects. This distinction, however, could be made by two other parameters: hypometria score of saccadic eye movements and ratio of verbal to performance intelligence scores. Both parameters were significantly increased in both the schizophrenic and the high-risk group, distinguishing both from the control group. The relevance of these findings in indicating a schizophrenic disposition is discussed.

Adult↗
PubMed1994

[The significance of quantitative computerized tomography in the long-term prognosis of ischemic stroke].

The courses of 118 patients who had suffered a supratentorial ischaemic infarction were observed over a mean follow-up period of 4 years. One goal of this study was to assess the prognostic value of quantitative cranial computerized tomography (CT). The infarct volume was determined using CT and expressed quantitatively as a percentage of the total brain volume. The infarct volume correlated negatively with the global outcome as estimated by the Barthel Index. It correlated positively with the occurrence of psychiatric alterations, disturbances of consciousness or alterations in the EEG. Nicotine, alcohol consumption and hyperuricaemia were the most frequent risk factors identified for men, while for women, especially those over 60, cardiac diseases were the most relevant risk factors. In looking only at the older patients, age, psychiatric alterations and cardiac disease at the time of the stroke were unfavourable prognostic factors. CT lesions in the basal ganglia were also unfavourable prognostic factors. Infarcts in the posterior cerebral artery region were seen as prognostically favourable. During the 4-year follow-up period, the reinfarction rate was 26%. Nearly 50% of the total patient population died. This group was significantly older, had more psychiatric alterations as well as multiple infarct areas in CT.

Adolescent↗
PubMed1993

First experiences with a multichannel software gradiometer recording normal and tangential components of MEG.

We describe a 28-channel magnetometer that operates as a 22-channel 'software gradiometer'. Gradiometer function is achieved by subtraction of weighted signals representing the noise field along three orthogonal axes as detected by six compensation channels. The instrument measures both normal and tangential field components; the user can select a total of 22 normal and/or tangential measuring sites from two arrays of 16 sites each. First experiences indicate that the combination of a shielded room with a software suppression of the residual field entering the room is amply sufficient to allow biomagnetic measurements in a hospital environment.

Brain Mapping↗
PubMed1991

A comparison of normal and tangential magnetic field component measurements in biomagnetic investigations.

Because of the way most available hardware gradiometers are designed and in view of the prediction, by theory, that the normal magnetic field component provides all available information on the intrinsic current source, MEG and MCG measurements generally consider only the field vector normal to the head or truck surface. However, when looking for single events, the information contained in the normal component often cannot be fully sampled, because the sensor array has limited dimensions and therefore covers only a fraction of the field's spatial extension. Simulation of a current dipole in a sphere using realistic parameters shows that there is a considerable area where the amplitude of the tangential field components is larger than that of the normal one. Measurements using a 28-channel magnetometer system with normal and tangential pick-up coils and a current dipole in a phantom model confirm this prediction; depending on dipole orientation, the signal-to-noise ratio (SNR) could improve by a factor of up to 20 if the total field was considered instead of only the normal component. MCG recordings with the same instrument demonstrated a broad area above the heart where the tangential SNR was clearly better than the normal one. Preliminary measurements indicate that tangential components can also be recorded in the MEG; it is suggested that they may help source localisation.

Brain↗
PubMed1990

Human oblique saccades: quantitative analysis of the relation between horizontal and vertical components.

Are the horizontal and vertical components of oblique saccades produced by two separate pulse generators or by a single, vectorial pulse generator? To investigate this question, purely horizontal and vertical ("cardinal") saccades as well as oblique saccades with a meridional direction of +/- 45 deg (horizontal and vertical components of equal size) were recorded in 10 human subjects using a magnetic search coil. The components of oblique saccades were slower than cardinal saccades of comparable size, yet the oblique vector velocity was slightly larger than the velocity along cardinal directions. The onset of the two components was always synchronized, but their times to peak velocity and their durations, although approximately equal on average, frequently were different in individual trials; the component velocities were weakly correlated only. Correspondingly, the trajectory of oblique saccades exhibited various types of curvature which often changed from trial to trial. There was no correlation between curvature and aiming accuracy. These results are discussed in terms of various models of saccade generation. It is suggested that each of the two components is generated by its own local feedback pulse generator; the two components would be coordinated by crosscoupling the two local feedback circuits at the level of their error signals. By contrast, the extraretinal feedback that prepares corrective saccades is apparently not evaluated componentwise but may use a vector representation, since the latency of oblique corrective saccades was a function of the vectorial error magnitude.

Data Collection↗