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Physiology of human photosensitivity.

Human epileptic photosensitivity has been studied in several ways. (a) Visual stimulation that resembles the stimulation normally responsible for seizures, such as that from televisions or videogames, both of which typically use cathode ray tubes in which the display is created in a flickering pattern. Such stimulation is often rendered yet more epileptogenic by programmes with content that also involves flashing or patterned material. (b) Elementary visual stimuli that enable inferences to be drawn concerning the physiological trigger mechanisms. The topographic distribution of epileptiform EEG activity in response to such stimuli has complemented this approach, leading to the inference that the trigger is cortical and requires sychronised mass action of neurons. (c) Stimuli that avoid paroxysmal EEG activity and permit an investigation of the subepileptic response to visual stimuli, using the evoked potential. This has revealed abnormalities in the cortical mechanisms that control the response to strong visual stimulation.

Epilepsy, Reflex↗

Keeping it short: a comparison of methods for brief picture presentation.

Research has shown that backward masking is a powerful tool for studying unconscious mental processes. Whereas studies have traditionally presented stimuli using cathode-ray tube (CRT) monitors or mechanical shutters together with slide projectors, recent studies (mainly in functional magnetic resonance imaging, fMRI) have begun to use methods based on liquid crystal displays (LCDs) and thin-film transistor (TFT) technology. However, because of differences in technology, all methods may not be equally suited for masking. When methods were compared for their accuracy in presenting pictures at short durations, LCD and TFT presentations had poor accuracy, but shutter and CRT presentations had better accuracy. Because CRTs interfere with the imaging process in fMRI, we recommend the use of mechanical shutters. However, our results may not generally apply to all displays, so we advise researchers to validate the presentation parameters of their displays. The procedure described here may be useful for that purpose.

Consciousness↗

Fixation disparity at different viewing distances of a visual display unit.

Fixation disparity was measured while subjects observed a realistic alphanumeric pattern on the cathode ray tube (CRT) of a visual display unit at viewing distances of 25-85 cm. The psychometric function of fixation disparity was determined by analysing the observers' responses to a series of short (100 ms) flashes of nonius targets that were superimposed on the CRT-image by means of a half-silvered mirror. Test-retest correlation of fixation disparity was high (r = 0.8) at viewing distances of 40 and 82 cm and lower (r = 0.55) at the shorter distance of 26.5 cm. Mean fixation disparity increased to a more exophoric condition as the display approached the eyes. However, this effect was observed only in some of the subjects, so the susceptibility of fixation disparity to viewing distance appears to be an individual characteristic. When subjects observed the VDU screen continuously for 30 min at viewing distances of 85, 47, 31 and 25 cm in different sessions, fixation disparity and accommodation remained unchanged over time.

Accommodation, Ocular↗

Relation between static and dynamic aspects of vergence, estimated with a subjective test using flashed dichoptic nonius lines.

The psychophysical technique for measuring vergence with dichoptic nonius lines was used to investigate dynamic responses to step vergence stimuli. Liquid crystal shutter glasses were operated with a cathode ray tube monitor to present convergent or divergent step stimuli of 32 min arc at t = 0. The resulting initial vergence response was estimated with nonius lines that appeared for 80 ms at a fixed delay of 400 ms after the vergence step stimulus. The vergence state reached 400 ms after the step depended on the vergence accuracy assumed before the step, i.e. baseline fixation disparity (FD). The following physiologically plausible results were found: (i) the amount of dynamic vergence changes within 400 ms tended to be negatively correlated between the convergent and divergent direction; (ii) subjects with a smaller convergent dynamic change had a steeper proximity-FD curve measured with static fusion targets as a function of viewing distance; (iii) FD was more eso or more exo depending on whether the vergence change was larger in the convergent or divergent direction respectively.

Convergence, Ocular↗

Influence of the rate of contrast change on the quality of contrast sensitivity assessment: a comparison of three psychophysical methods.

Criterion-free forced-choice procedures for measuring contrast sensitivity with a cathode ray tube (CRT) have low within-subject, intersubject, and test-retest variabilities, but a long test time compared with psychophysical methods that rely on the subject's criterion to determine threshold. Test time and variability of criterion-dependent methods depend on the rate at which the contrast changes on the CRT display. This study compared two criterion-dependent psychophysical methods for measuring contrast sensitivity (the method of increasing contrast and the von Békésy tracking method) with a criterion-free two-alternative forced-choice procedure. A range of rates of contrast change was studied: 0.1, 0.3, 0.5, 0.7 and 1.0 log unit s-1. Contrast sensitivity, within-subject variability, intersubject variability, test-retest variability, and test time of the three methods were compared. The 2-AFC procedure performed best with regard to within-subject, intersubject, and test-retest variabilities. A time-efficient alternative was the von Békésy tracking method at rates between 0.1 and 0.5 log unit s-1.

Adult↗

The effect of refractive blur on the detection sensitivity to light offsets in the central visual field.

Detection sensitivity to light decrements created on a cathode ray tube was measured along the nasal horizontal meridian of the central visual fields of 5 normal subjects. Decremental (light offset = negative contrast = dark-on-bright) static stimuli were presented at 6, 12, 18, 24 and 30 degrees eccentricity. Detection thresholds to rectangular stimuli of both 4 and 16 mm2 (Goldmann equivalent size III and IV, respectively) were determined with ascending staircase single-crossing technique under various Snellen visual acuity levels. Detection sensitivity diminished with increasing amounts of plus lens-induced refractive blur. One log unit decrease in visual acuity resulted in elevation of detection thresholds for an average of 3.8 contrast decibels (dB) using size III offset stimuli. The effect of blur was less with size IV offset stimuli which resulted in an average of 0.9 dB elevation in detection thresholds. The larger size decremental stimuli provided a wider dynamic range, less interindividual variation in stimulus visibility and more resistance to refractive error than those obtained with the smaller size stimuli.

Adult↗

Assessment of the optical contributions to the age-related deterioration in vision.

Contrast sensitivities were measured in human observers of different ages in response to sinusoidal grating patterns generated by laser interferometer and cathode ray tube (c.r.t.). The former method bypasses the effects of the optical media to assess directly the contrast sensitivity of the retina/visual system, while the over-all assessment including optical media is made to the c.r.t. display. The ratio of the two sets of values gives the contrast ratio of the optical media. The latter assessment does not include the effects of wide-angle light scattering which were measured by comparing the responses of eyes with a Perspex lens implant or without any lens at all (i.e. without the major source of scattering) with natural eyes. With increasing age, c.r.t. contrast sensitivities remained steady until the sixth decade when they declined while laser interference fringe contrast sensitivities declined continuously, apart from some abnormally low results for teenage observers. In contrast, the optical contrast did not vary systematically with age nor did its rate of change with spatial frequency vary. The latter was always less than the rate for laser interference fringe contrast sensitivities indicating that the retina/visual system always sets the limit to visual resolution. Wide-angle light scattering was not found to contribute significantly to the changes in ageing nor did reduced retinal illumination, as reproduced by reduced pupil diameter or viewing through a neutral density filter. We therefore conclude that the age-related deterioration is primarily caused by changes within the central nervous system rather than the optical media, the transmission quality of which remains unaffected.

Adult↗

The variation of hand tremor with force in healthy subjects.

1. Total root-mean-square (r.m.s.) error over an effectively unrestricted band, and error power spectra from 0.256 to 12.5 c/s were measured for four subjects attempting to maintain fixed forces of 1-6 Lb. (0.45-2.72 kg) on a pressure joystick. The subject could see his errors as the deflexion of a cathode ray tube spot.2. The total r.m.s. error increases linearly with force with a considerable (positive) intercept when the line is extrapolated to zero force. Hence accuracy in the sense (r.m.s. error)/(force) increases with force for this type of control.3. The rate of increase of total r.m.s. error with force is greater in subjects with prominent tremor peaks in their power spectra at 8-10 c/s.4. At each frequency the r.m.s. error per unit bandwidth also increases linearly with force. Except at the very lowest frequencies the rate of increase is greater in subjects with prominent tremor peaks at 8-10 c/s. This is thought to account for the observation described in paragraph 3.5. The frequency of the tremor peak near 8-10 c/s is almost independent of the force exerted.

Feedback↗

Spatial and temporal contrast sensitivity of neurones in areas 17 and 18 of the cat's visual cortex.

1. We have examined the spatial and temporal tuning properties of 238 cortical neurones, recorded using conventional techniques from acutely prepared anaesthetized cats. We determined spatial and temporal frequency tuning curves using sinusoidal grating stimuli presented to each neurone's receptive field by a digital computer on a cathode ray tube. 2. We measured tuning curves either by determining response amplitude as a function of spatial or temporal frequency, or by measuring contrast sensitivity (the inverse of the contrast of the grating that just elicited a detectable response). The two measures give very similar tuning curves in all cases. 3. We recorded from 184 neurones in area 17; of these 156 had receptive fields within 5 degrees of the area centralis. The range of preferred spatial frequency for these neurones was 0.3--3 c/deg, and their spatial frequency tuning band widths varied from 0.7 to 3.2 octaves at half-amplitude. The most common band width was roughly 1.3 octaves. Simple and complex cells in area 17 did not differ in their distributions of preferred spatial frequency, although complex cells were, on average, slightly less selective for spatial frequency than simple cells. 4. We recorded from fifty-four neurones from area 18, and performed several experiments in which we recorded from corresponding portions of both area 17 and area 18 in the same electrode penetration. Neurones in area 18 preferred spatial frequencies that were, on average, one third as high as those preferred by area 17 neurones at the same retinal eccentricity. Thus the range of preferred spatial frequency in area eighteen cells having receptive fields within 5 deg of the area centralis was between less than 0.1 and 0.5 c/deg. The distributions of optimum spatial frequency in the two areas were practically non-overlapping at eccentricities as high as 15 deg, the greatest eccentricity we examined. Neurones in area 18 were about as selective for spatial frequency as were neurones in area 17. 5. We determined temporal frequency tuning characteristics for some neurones from each area, using gratings that moved steadily across the screen. Neurones from area 17 all responded well to low temporal frequencies, and less well to higher frequencies (in excess of, usually, 2 or 4 Hz). In contrast, neurones recorded from area 18 sometimes had similar tuning properties, but more commonly showed a pronounced reduction in response as the temporal frequency was moved either above or below some optimum value (usually 2--8 Hz). 6. We conclude from these results that areas 17 and 18 act in parallel to process different aspects of the visual information relayed from the retina via the lateral geniculate complex. Some or all of the differences between the areas may be attributable to the predominance of Y cell input to area 18 and the predominance of X cell input to area 17...

Action Potentials↗

Evaluation of and compensation for spatial noise of LCDs in medical applications.

Recent developments in liquid crystal display (LCD) technology suggest that this technology will replace the cathode ray tube (CRT) as the most popular softcopy display technology in the medical arena. However, LCDs are far from ideal for medical imaging. One of the principal problems they possess is spatial noise contamination, which requires accurate characterization and appropriate compensation before LCD images can be effectively utilized for reliable diagnosis. This paper presents some work we have conducted recently on characterization of spatial noise of high resolution LCDs. The primary purpose of this work is to explore the properties of spatial noise and propose a method to reduce it. A high quality CCD camera was used for physical evaluation. Spatial noise properties were analyzed and estimated from the camera images via signal modeling and processing. A noise compensation algorithm based on error diffusion was developed to process images before they were displayed. Results shown in this paper suggest that LCD spatial noise can be effectively reduced via appropriate processing.

Algorithms↗

Resolution and noise measurements of five CRT and LCD medical displays.

The performance of soft-copy displays plays a significant role in the overall image quality of a digital radiographic system. In this work, we discuss methods to characterize the resolution and noise of both cathode ray tube (CRT) and liquid crystal display (LCD) devices. We measured the image quality of five different commercial display devices, representing both CRT and LCD technologies, using a high-quality charge-coupled device (CCD) camera. The modulation transfer function (MTF) was calculated using the line technique, correcting for the MTF of the CCD camera and the display pixel size. The normalized noise power spectrum (NPS) was computed from two-dimensional Fourier analysis of uniform images. To separate the effects of pixel structure from interpixel luminance variations, we created structure-free images by eliminating the pixel structures of the display device. The NPS was then computed from these structure-free images to isolate interpixel luminance variations. We found that the MTF of LCDs remained close to the theoretical limit dictated by their inherent pixel size (0.85 +/- 0.08 at Nyquist frequency), in contrast to the MTF for the two CRT displays, which dropped to 0.15 +/- 0.08 at the Nyquist frequency. However, the NPS of LCDs showed significant peaks due to the subpixel structure, while the NPS of CRT displays exhibited a nearly flat power spectrum. After removing the pixel structure, the structured noise peaks for LCDs were eliminated and the overall noise magnitude was significantly reduced. The average total noise-to-signal ratio for CRT displays was 6.55% +/- 0.59%, of which 6.03% +/- 0.24% was due to interpixel luminance variations, while LCD displays had total noise to signal ratios of 46.1% +/- 5.1% of which 1.50% +/- 0.41% were due to interpixel luminance variations. Depending on the extent of the blurring and prewhitening processes of the human visual system, the magnitude of the display noise (including pixel structure) potentially perceived by the observer was reduced to 0.43% +/- 0.01% (accounting for blurring only) and 0.40 +/- 0.01% (accounting for blurring and prewhitening) for CRTs, and 1.02% +/- 0.22% (accounting for blurring only) and 0.36% +/- 0.08% (accounting for blurring and prewhitening) for LCDs.

Algorithms↗

Viewing angle performance of medical liquid crystal displays.

Cathode-ray tube (CRT) and liquid crystal display (LCD) are currently two main technologies for displaying medical images. LCDs possess a number of advantages, but their performance varies as a function of viewing angle. Our purpose in this study was to characterize the angular response performance of five medical-grade LCDs, and to substantiate their impact on their compliance with the DICOM gray scale display function (GSDF). Furthermore, the study aimed to test a framework to define an angular acceptance range for medical LCDs based on the recent AAPM TG18 guidelines. Measurements were made on five calibrated dual-domain LCDs, including two 3 megapixel monochrome LCDs, two 5 megapixel monochrome LCDs, and one 9 megapixel color LCD. The luminance performance of each display device was measured as a function of the viewing angle at 17 discrete levels using TG18-LN test patterns and a Fourier-optics-based luminance meter. The luminance data were analyzed according to the AAPM TG18 methodology. The displays showed notable variation in luminance and contrast performance as a function of the viewing angle, particularly in diagonal viewing orientations. Overall, the luminance ratio remained greater than 175 within +/-20 degrees and +/-33 degrees viewing angle cones (beta175 = 20 degrees-33 degrees). Aiming to maintain a maximum deviation from the GSDF contrast less than 0.3, i.e., kappa17 < or = 0.3, acceptable viewing angle cones of +/-22 degrees and +/-35 degrees were indicated (alpha 0.3= 22 degrees-35 degrees). The findings demonstrate the significant impact of angular response on image contrast, and the utility of alpha 0.3 and beta175 quantities for defining the viewing angle cones within which a medical LCD device can be effectively utilized.

Beta Particles↗

A laser-based multiformat camera for medical imaging.

The spatial resolution and contrast resolution required of a multiformat camera (MFC) for medical imaging are discussed. A typical cathode-ray tube (CRT) MFC and a prototype laser MFC are compared based on the following measured quantities: line spread function and associated contrast transfer function, noise characteristics, intensity transfer function (dynamic range), large-area contrast, and film irradiance. The laser MFC is found to provide significantly better performance than the CRT MFC in all of these areas.

Fourier Analysis↗

Performance of high-resolution monitors for digital chest imaging.

High-resolution cathode-ray tubes (CRT's) are currently the most viable soft-copy display for digital radiography. We present here methods for measuring large-area contrast ratio and detail contrast ratio. A two-dimensional charge coupled device (ccd) array signal-averaged with a video frame buffer permits linear microradiometric measure of individual beam lines. Results from three different 1000-line monitors demonstrate the shift variance of resolution. The detail contrast ratio (or modulation depth) was found to vary from 100% to less than 10% across the face of one CRT. Dynamic focus in both the horizontal and vertical deflection circuitry proved effective in reducing this shift variance. Comparisons of three phosphors demonstrate the utility of long persistence phosphors (P164) for static display in producing brighter images with less flicker. Recommendations for CRT design and selection for high-resolution digital radiography are included.

Computer Systems↗

Automation of the Limulus amoebocyte lysate test by using the Abbott MS-2 microbiology system.

A rapid, automated method for the performance of the Limulus amoebocyte lysate endotoxin assay has been developed by using the Abbott MS-2 Microbiology System. This instrument automatically determines sequential changes in the optical density of up to 176 samples at 1- or 5-min increments during a 1-h assay period. Graphic representation of optical density changes can be viewed on a cathode-ray tube or reproduced by using a hard-copy printer. Limulus amoebocyte lysate preparations that were obtained from different commercial producers and that had similar endotoxin sensitivities by the conventional gelation method varied somewhat in reactivity when determinations were based upon rate changes in optical density. Lysates from Associates of Cape Cod, Difco Laboratories, and M. A. Bioproducts were the most readily adaptable to the MS-2 System. Use of the MS-2 system increased the sensitivity of these preparations from 60- to 250-fold, and as little as 1 pg/ml was detected. Adaptation of the MS-2 instrument for this purpose provides an objective, reproducible, automated method for the performance of Limulus amoebocyte lysate tests on a variety of fluids.

Autoanalysis↗

Experiences with the Coulter counter in bacteriology.

Viable and killed suspensions of Staphylococcus aureus SM, Escherichia coli, and Serratia marcescens, as well as polystyrene spheres, 0.81 and 2.85 mu in diameter, were counted electronically with a model A Coulter Counter. Simultaneous counts by standard bacteriological methods and microscopy were done for purposes of control and comparison with the data from the Coulter Counter. Results indicated: (i) electrical characteristics of different bacterial populations are different; (ii) electronic counts were consistent for species used; (iii) live S. aureus exhibits a denser pattern of thick bright pulses on the cathode-ray tube than does live E. coli; (iv) killed bacteria resemble inert particles in pulse pattern; and (v) some viable bacteria do not react independently of current flow, as do inert particles and killed bacteria.

Bacteria↗

A comparison of automated static dark stimuli with the Humphrey STATPAC program in glaucomatous visual field loss.

Visual field examination is conventionally performed with bright stimuli on a dark background. Dark stimuli on a bright background, however, may provide different information as light increases and decreases are subject to parallel processing in the visual pathway. Twenty five eyes with primary open angle glaucoma and visual field loss were examined with the Humphrey visual field analyser thresholding program 30-2 and the computer assisted moving eye campimeter (CAMEC) using static dark stimuli at four different Weber contrast levels of -10 (n = 9), -22 (n = 25), -37 (n = 14), and -76% (n = 25) on a cathode ray tube with a background luminance of 10 cd/m2. The cumulative results obtained with STATPAC 'pattern deviation' empirical probability maps and the results from each contrast of the dark stimulus at identical test locations were compared at eccentricity annuli bands of 4-9, 10-20, and 21-28 degrees. Dark stimuli of lower contrast provided higher abnormal point detection rates. Furthermore, visual field defects to the low contrast dark stimuli were more extensive than those to the luminous stimuli. In conclusion, dark stimuli allowed the delineation between glaucomatous field defects and the normal regions in the central visual field.

Adult↗

Assessment of colour vision as a screening test for sight threatening diabetic retinopathy before loss of vision.

AIM: To assess the effects of sight threatening diabetic retinopathy (STDR) on colour vision and to evaluate automated tritan contrast threshold (TCT) testing for STDR screening before significant visual loss. METHOD: Patients were recruited from a hospital based photographic screening clinic. All subjects underwent best corrected Snellen visual acuity (BCVA) and those with 20/30 vision or worse were excluded. Automated TCT was performed with a computer controlled, cathode ray tube based technique. The system produced a series of sinusoidal, standardised equiluminant chromatic gratings along a tritan confusion axis. Grading of diabetic retinopathy was made by one of the team of experienced ophthalmic registrars (SpR) using slit lamp biomicroscopy and a 78D lens; HbA(1c) and urine albumin were also tested. RESULTS: Patients with STDR had significantly worse TCT despite normal BCVA (p<0.0001). TCT yielded a sensitivity of 100% for detecting diabetic maculopathy and 94% for STDR with a specificity of 95%. Logistic regression analyses showed that TCT (p<0.001) and HbA(1c) (p<0.05) correlated significantly with the presence of STDR but duration of diabetes, urine albumin counts, and BCVA failed to show any significant correlation. No associations between TCT and duration of disease, TCT and HbA(1c), and TCT and urine albumin counts were found. CONCLUSION: Tritan colour vision deficiency was observed in patients with STDR despite their normal BCVA. These results indicate that automated TCT assessment is an effective and clinically viable technique for detecting STDR, particularly diabetic maculopathy, before visual loss.

Adolescent↗