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PubMed1990

Metacontrast masking between cyclopean and luminance stimuli.

This study investigated the functional equivalence between cyclopean (global stereoscopic) and luminance (local stereoscopic) stimuli. To do so, a metacontrast masking paradigm was employed to determine the level of perceptual interaction between the two stimulus domains. Four target and mask combinations were used: cyclopean target-cyclopean mask, luminance target-luminance mask, cyclopean target-luminance mask, and luminance target-cyclopean mask. Substantial intradomain masking occurred, with the form of masking being similar for both domains. Moreover, significant interdomain masking also occurred, in equal measure for the cyclopean and luminance stimuli, although the magnitude of masking was one-half that of intradomain masking. These results imply that there is a functional equivalence at some stage of the visual system between the mechanisms representing cyclopean and luminance stimuli.

Adult↗
PubMed2006

Repositioning accuracy of two different mask systems-3D revisited: comparison using true 3D/3D matching with cone-beam CT.

PURPOSE: The repositioning accuracy of mask-based fixation systems has been assessed with two-dimensional/two-dimensional or two-dimensional/three-dimensional (3D) matching. We analyzed the accuracy of commercially available head mask systems, using true 3D/3D matching, with X-ray volume imaging and cone-beam CT. METHODS AND MATERIALS: Twenty-one patients receiving radiotherapy (intracranial/head-and-neck tumors) were evaluated (14 patients with rigid and 7 with thermoplastic masks). X-ray volume imaging was analyzed online and offline separately for the skull and neck regions. Translation/rotation errors of the target isocenter were analyzed. Four patients were treated to neck sites. For these patients, repositioning was aided by additional body tattoos. A separate analysis of the setup error on the basis of the registration of the cervical vertebra was performed. The residual error after correction and intrafractional motility were calculated. RESULTS: The mean length of the displacement vector for rigid masks was 0.312 +/- 0.152 cm (intracranial) and 0.586 +/- 0.294 cm (neck). For the thermoplastic masks, the value was 0.472 +/- 0.174 cm (intracranial) and 0.726 +/- 0.445 cm (neck). Rigid masks with body tattoos had a displacement vector length in the neck region of 0.35 +/- 0.197 cm. The intracranial residual error and intrafractional motility after X-ray volume imaging correction for rigid masks was 0.188 +/- 0.074 cm, and was 0.134 +/- 0.14 cm for thermoplastic masks. CONCLUSIONS: The results of our study have demonstrated that rigid masks have a high intracranial repositioning accuracy per se. Given the small residual error and intrafractional movement, thermoplastic masks may also be used for high-precision treatments when combined with cone-beam CT. The neck region repositioning accuracy was worse than the intracranial accuracy in both cases. However, body tattoos and image guidance improved the accuracy. Finally, the combination of both mask systems with 3D image guidance has the potential to replace therapy simulation and intracranial stereotaxy.

Algorithms↗
PubMed2005

Protecting healthcare staff from severe acute respiratory syndrome: filtration capacity of multiple surgical masks.

Guidelines issued by the Centers for Disease Control and Prevention and the World Health Organisation state that healthcare workers should wear N95 masks or higher-level protection during all contact with suspected severe acute respiratory syndrome (SARS). In areas where N95 masks are not available, multiple layers of surgical masks have been tried to prevent transmission of SARS. The in vivo filtration capacity of a single surgical mask is known to be poor. However, the filtration capacity of a combination of masks is unknown. This was a crossover trial of one, two, three and five surgical masks in six volunteers to determine the in vivo filtration efficiency of wearing more than one surgical mask. We used a Portacount to measure the difference in ambient particle counts inside and outside the masks. The best combination of five surgical masks scored a fit factor of 13.7, which is well below the minimum level of 100 required for a half face respirator. Multiple surgical masks filter ambient particles poorly. They should not be used as a substitute for N95 masks unless there is no alternative.

Cross-Over Studies↗
PubMed2005

Differences in real and illusory shape perception revealed by backward masking.

Illusory contours (ICs) are thought to be a result of processes involved in the perceptual recovery of occluded surfaces. Here, we investigate the relationship between real and illusory contour perception using a shape discrimination task and backward masking paradigm. ICs can mask other ICs when times between mask onset and stimulus onset, or SOAs, are very long ( approximately 300 ms), but real contours (RCs) are not similarly effective. Masking is absent for RC masks at perceptually salient contrasts, as well as for those with contrast lowered to match the perceived brightness of the illusory surface. We also find that RCs are not masked at long SOAs, either by ICs or by other RCs. Finally, the masking seen between ICs can occur for different sizes of target and mask. The cross-size masking would not be expected if the masking were at a level sensitive to retinal contour location. The late masking therefore may be related to a higher level of processing of shape categories and surfaces, the level at which shapes defined by ICs and RCs are differentially represented.

Form Perception↗
PubMed2006

Contributions of lateral inhibition to object substitution masking and attention.

Lateral inhibition, the inhibition of neurons by other neurons at the same level, exists at several levels of the visual system. Implications of lateral inhibition for sensory coding and perception have been investigated with a mathematical model that accounts for many properties of metacontrast masking and brief storage of sensory information. Here that model simulates object substitution masking, where a target and mask appear simultaneously but the mask disappears after a variable delay. The target becomes strongly masked if the mask offset is delayed after target offset, and target visibility does not recover with longer mask offset delays. Object substitution masking is most effective if attention is diverted by the presence of many simultaneous masks, only one of which surrounds a target. The lateral inhibitory model reproduces the effects of attention on object substitution masking by exploiting the longer latency of response to unattended stimuli. Decreasing the interval over which sensory codes are analyzed, reflecting the shorter latency of response to attended stimuli, weakens the masking in a way that reflects the psychophysical effects of attention.

Attention↗
PubMedDate not supplied

Feedback control of the auditory periphery: anti-masking effects of middle ear muscles vs. olivocochlear efferents.

Both MEM and MOC systems are sound-evoked reflexes to the auditory periphery which can be elicited by sound in either ear. Both MEM and MOC systems can increase thresholds in the auditory periphery: the MEM system acts by stiffening the ossicular chain, the MOC system by decreasing outer hair cell amplification of sound-induced motion in the inner ear. MEM-induced attenuations are largest for low frequency stimuli, MOC-induced attenuations are largest for mid- to high-frequency sounds. Both MEM and MOC systems can have anti-masking effects. The MEM reflex can decrease the masking of high-frequency signals by low-frequency noise (i.e., the upward spread of masking). The MOC reflex is complementary in that it minimizes masking of high-frequency transient signals by high-frequency continuous noise. MEM anti-masking arises by reducing suppressive masking and can improve masked thresholds at high frequencies. MOC anti-masking arises by counteracting excitatory masking. It does not improve masked thresholds, but can improve the detectability of small suprathreshold intensity increments. Anti-masking effects of both MEM and MOC systems should be reduced in cases of sensorineural hearing loss.

Animals↗
PubMed1997

Spatial frequency masking with the sweep-VEP.

A suprathreshold sinewave grating can change the amplitude of the steady-state visual evoked potential (VEP) in response to a test grating if the two are close in spatial frequency (SF). The change in amplitude provides clues to underlying pattern analyzers. Masking was measured in 12 observers using the steady-state VEP. As a test grating reversed at 7 Hz, a masker of similar temporal frequency (9 Hz) but of variable SF was superimposed on it. Test gratings were 1, 3 and 8 c/deg (20% contrast). Within a 10 sec trial, the mask (20 or 40% contrast) was fixed at one of nine SFs or was swept across 19 SFs (5 octaves). The amplitude of the test response (at 14 Hz) was measured as a function of the SF of the masker. Group masking functions were broad (2-3 octaves) and revealed multiple minima. Functions for 1 and 3 c/deg tests each revealed minima near 1 and 3 c/deg. Functions for 8 c/deg tests revealed minima at 3 and 8 c/deg. Doubling the contrast of the mask from 20 to 40% increased masking but in a nonlinear fashion that enlarged the off-peak minima. Swept masks caused slightly more masking than fixed masks, and caused masked amplitudes to exceed unmasked amplitudes (i.e., enhancement) in one condition (3 c/deg.test, 20% contrast mask). The data suggest that each VEP masking function reflects the outputs of multiple spatial analyzers, that a discrete set of analyzers may underlie the data, and that the efficient sweep-VEP can measure SF tuning.

Adolescent↗
PubMed2002

Continuum of impulsiveness caused by auditory masking.

OBJECTIVE: Impulsivity is a hallmark of attention deficit/hyperactivity disorder (ADHD). Various auditory masking procedures can quantify the impulsivity caused by distracting background sounds. This study compares the impulsiveness and distraction caused by informational masking (unpredictable tones) with previously published data on central masking (contralateral noise) in children with and without ADHD. METHODS: Twenty-six normal and 14 children diagnosed as having ADHD (combined type), all between the ages of 7 and 13, indicated whether they heard a 512-ms, 500-Hz pure tone in a single-interval task under conditions of informational masking and in quiet. The masker consisted of 10 randomly selected frequencies between 1,000 and 2,500 Hz presented simultaneously at an overall level of 60 dB SPL. A maximum-likelihood method estimated thresholds and false alarm rates. RESULTS: There were no differences due to ADHD in thresholds or false alarm rates either with informational masking or in quiet. With informational masking, normal children had high false alarm rates, similar to those from children with ADHD under central masking. With informational masking, all children tended to say a stimulus was present when it was not. CONCLUSIONS: All children behave impulsively under some conditions. Pediatric patients with attention disorders can thus be reassured that impulsiveness with unpredictable background sounds is normal, to some extent. Response biases of children with ADHD may only diverge from normal in situations where distracting external stimuli have an intermediate level of predictability. A previous study showed that with central masking, children with ADHD are more impulsive than normal. There appears to be a limit to the uncertainty in auditory masking that can be tolerated by children. Children with ADHD become impulsive at lower levels of uncertainty than normal. Increasing the predictability of distracting background sounds may thus improve the performance of children with ADHD. Informational masking may, for normal listeners, mimic something of what it is like to have an attention deficit. ADHD can be profitably studied with auditory tasks.

Acoustic Stimulation↗
PubMed1998

Respiratory complications associated with tracheal extubation. Timing of tracheal extubation and use of the laryngeal mask during emergence from anaesthesia.

Sixty patients were randomly allocated to one of three groups and the incidences of respiratory complications which occurred during emergence from anaesthesia were compared under the following three circumstances: tracheal extubation after the patient had regained consciousness (awake group); tracheal extubation while the patient was still anaesthetised (anaesthetised group); and the use of the laryngeal mask during emergence from anaesthesia (mask group). In the mask group, the laryngeal mask was inserted under deep anaesthesia before tracheal extubation and the lungs were ventilated through the laryngeal mask after tracheal extubation. In the awake group, straining (bucking) occurred in 18 patients and desaturation (arterial oxygen haemoglobin saturation < 95%) in two patients. In the anaesthetised group, airway obstruction occurred in 17 patients and desaturation in one of these patients. In the mask group, ventilation through the laryngeal mask was temporarily difficult immediately after tracheal extubation in one patient and coughing occurred before removal of the mask in three patients. No respiratory complications occurred in two patients in the awake group, three patients in the anaesthetised group and 16 patients in the mask group. The incidence of respiratory complications during recovery from anaesthesia was significantly lower in the mask group than in the other two groups (pooled) (p << 0.001). Therefore, the use of the laryngeal mask after tracheal extubation decreases the incidence of respiratory complications during recovery from anaesthesia.

Adolescent↗
PubMed2002

Laryngeal mask airway--a novel method of airway protection during ERCP: comparison with endotracheal intubation.

BACKGROUND: ERCP sometimes requires deep sedation and rarely general anesthesia with airway protection. The laryngeal mask airway device is placed perorally to create a seal over the larynx. Unlike endotracheal intubation, no tube traverses the vocal cords, thus reducing airway stimulation and obviating the need to administer muscle relaxants. The feasibility of using the laryngeal mask airway during ERCP was evaluated and recovery times compared for patients undergoing ERCP with the laryngeal mask airway versus endotracheal intubation. METHODS: In this retrospective cohort study, anesthesia records were reviewed for anesthesiologist-assisted ERCP procedures performed during a 30-month period. Demographics, procedure duration, and time from endoscope removal to extubation were abstracted. Either propofol or inhalation agents were used for anesthesia in all patients. OBSERVATIONS: Anesthesiologists administered sedation for 41 ERCPs. The airway was managed in 12 patients with endotracheal intubation and the laryngeal mask airway in 20 patients. Six patients underwent laryngeal mask airway insertion and removal while prone. A therapeutic duodenoscope was passed beyond the laryngeal mask airway with little or no resistance in all cases. Repositioning the laryngeal mask airway during the procedure was required in 1 case. Laryngeal mask airway use was associated with shorter extubation time compared with endotracheal intubation (7.2 vs. 12 min.; p = 0.004). There were no airway complications. CONCLUSION: ERCP can be performed while using the laryngeal mask airway for airway protection. The laryngeal mask airway can be placed with the patient prone, obviating the need to change position. Laryngeal mask airway shortens extubation time compared with endotracheal intubation.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMed1989

Backward masking spatial frequency effects among hypothetically schizotypal individuals.

The present investigation relied upon a neurophysiological explanation of visual masking and compared the backward masking susceptibility of hypothetical schizotypal individuals to that of controls. In order to assess the relative contributions of the visual system's transient and sustained channels to the backward masking deficit characteristic of the schizophrenia spectrum, performance within low spatial frequency (LSF) and high spatial frequency (HSF) masking conditions was compared. Because this design was intended to test the hypothesis that a transient channel abnormality underlies the spectrum masking deficit, only the transient facilitating, LSF masking condition was expected to produce group differences. Although the two masking conditions were equivalent in their stimulus energies, as predicted, the at-risk subjects evidenced an LSF masking deficit, but did not differ from controls in the sustained facilitating, HSF masking condition. These results suggest that multichannel neurophysiological models of masking may help to direct research designed to gain an increased understanding of the specific nature of the spectrum masking deficit.

Adult↗
PubMed2007

Estimates of basilar-membrane nonlinearity effects on masking of tones and speech.

OBJECTIVE: The aim of this experiment was to assess the contribution of cochlear nonlinearities to speech recognition in noise for individuals with normal hearing and a range of quiet thresholds. For signals close to the characteristic frequency (CF) of a place on the basilar membrane, the normal growth of response of the basilar membrane is linear at lower signal levels and compressed at medium to higher signal levels. In contrast, at moderate to high CFs, the basilar membrane responds more linearly to stimuli at frequencies well below the CF regardless of input level. Thus, for moderate-level speech and a lower frequency masker, the response to the masker grows linearly whereas the response to the speech is compressed, which may result in changes in the effectiveness of the masker on speech recognition with increases in masker level. To test this hypothesis, observed speech-recognition scores were compared with scores predicted using an audibility-based model, which did not include nonlinear effects that may influence masker effectiveness. DESIGN: Growth of simultaneous masking was measured for moderate-level bandpass-filtered nonsense syllables and for 350-msec pure tones at frequencies within the speech passband. Masker frequencies were within (on-frequency) or below (off-frequency) the speech passband. Estimates of basilar-membrane nonlinearities were derived from growth-of-masking functions for 10-msec, 2.0- and 4.0-kHz tones in narrowband, off-frequency maskers presented simultaneously. Subjects were 26 adults with normal hearing with approximately a 20-dB range of average quiet thresholds. RESULTS: Breakpoints (i.e., the levels corresponding to the transitions from linear to nonlinear responses) were strongly associated with quiet thresholds but slopes measured above the breakpoints were independent of quiet thresholds. Individual differences were substantially larger for off-frequency masking of pure tones and speech than for on-frequency masking of pure tones and speech. Using an audibility-based predictive model, the change in speech audibility resulting from the compressed response to speech with increasing off-frequency masker level (and the resulting decline in scores) was well predicted from nonlinear growth of masking for pure tones measured in the same off-frequency masker. However, absolute speech-recognition predictions were generally inaccurate and were a function of how well pure-tone signal levels at masked threshold estimated masker effectiveness for speech. That is, subjects with lower off-frequency masked thresholds had less accurate predictions of speech recognition in off-frequency maskers. CONCLUSIONS: Large individual differences in off-frequency masking of pure tones and speech are consistent with the assumption that small changes in the shape of the basilar-membrane input-output function result in large changes in the amount of off-frequency masking but small (if any) changes in on-frequency masking where the signal and masker are subject to a similar compression. Growth of off-frequency masking of pure tones and speech were correlated with each other, consistent with the underlying basilar-membrane response, and consistent with changes in breakpoints for subjects with normal hearing and a range of quiet thresholds. These results provide support for a role of nonlinear effects in the understanding of speech in noise.

Adult↗
PubMed1992

Masking release for gap detection.

In random noise, masking is influenced almost entirely by noise components in a narrow band around the signal frequency. However, when the noise is not random, but has a modulation pattern which is coherent across frequency, noise components relatively remote from the signal frequency can actually produce a release from masking. This masking release has been called comodulation masking release (CMR). The present research investigated whether a similar release from masking occurs in the analysis of a suprathreshold signal. Specifically, the ability to detect the presence of a temporal gap was investigated in conditions which do and do not result in CMR for detection threshold. Similar conditions were investigated for the masking level difference (a binaural masking release phenomenon). The results indicated that suprathreshold masking release for gap detection occurred for both the masking-level difference (MLD) and for CMR. However, masking release for gap detection was generally smaller than that obtained for detection threshold. The largest gap detection masking release effects obtained corresponded to relatively low levels of stimulation, where gap detection was relatively poor.

Acoustic Stimulation↗
PubMed2005

Effects of immobilization mask material on surface dose.

This work investigates the increase in surface dose caused by thermoplastic masks used for patient positioning and immobilization. A thermoplastic mask is custom fit by stretching a heated mask over the patient at the time of treatment simulation. This mask is then used at treatment to increase the reproducibility of the patient position. The skin sparing effect of mega-voltage X-ray beams can be reduced when the patient's skin surface is under the mask material. The sheet of thermoplastic mask has holes to reduce this effect and is available from one manufacturer with two different sizes of holes, one larger than the other. This work investigates the increase in surface dose caused by the mask material and quantifies the difference between the two samples of masks available. The change in the dose buildup was measured using an Attix parallel plate chamber by measuring tissue maximum ratios (TMRs) using solid water. Measurements were made with and without the mask material on the surface of the solid water for 6-MV and 15-MV X-ray beams. The effective thickness of equivalent water was estimated from the TMR curves, and the increase in surface dose was estimated. The buildup effect was measured to be equivalent to 2.2 mm to 0.6 mm for masks that have been stretched by different amounts. The surface dose was estimated to change from 16% and 12% for 6 MV and 15 MV, respectively, to 27% to 61% for 6 MV and 18% to 40% for 15 MV with the mask samples.

Biocompatible Materials↗
PubMed2004

Grating and plaid masks indicate linear summation in a contrast gain pool.

In human vision, the response to luminance contrast at each small region in the image is controlled by a more global process where suppressive signals are pooled over spatial frequency and orientation bands. But what rules govern summation among stimulus components within the suppressive pool? We addressed this question by extending a pedestal plus pattern mask paradigm to use a stimulus with up to three mask components: a vertical 1 c/deg pedestal, plus pattern masks made from either a grating (orientation = -45 degrees ) or a plaid (orientation = +/-45 degrees ), with component spatial frequency of 3 c/deg. The overall contrast of both types of pattern mask was fixed at 20% (i.e., plaid component contrasts were 10%). We found that both of these masks transformed conventional dipper functions (threshold vs. pedestal contrast with no pattern mask) in exactly the same way: The dipper region was raised and shifted to the right, but the dipper handles superimposed. This equivalence of the two pattern masks indicates that contrast summation between the plaid components was perfectly linear prior to the masking stage. Furthermore, the pattern masks did not drive the detecting mechanism above its detection threshold because they did not abolish facilitation by the pedestal (Foley, 1994). Therefore, the pattern masking could not be attributed to within-channel masking, suggesting that linear summation of contrast signals takes place within a suppressive contrast gain pool. We present a quantitative model of the effects and discuss the implications for neurophysiological models of the process.

Adaptation, Ocular↗
PubMed1988

Contrast dependence and mechanisms of masking interactions among chromatic and luminance gratings.

The contrast dependence of simultaneous masking has been measured using isochromatic yellow-black luminance sinusoids and isoluminant red-green chrominance gratings. Masking functions for all four combinations of chromatic and luminance masks and tests are reported. In the two same-on-same conditions (luminance mask/luminance test and chromatic mask/chromatic test) these functions (increment threshold contrast versus mask contrast) have the typical dipper shape and are almost identical when test and mask contrasts are normalized to the unmasked contrast thresholds. The contrast dependence of the luminance mask/color test and color mask/luminance test functions are quite different. The luminance mask/color test shows facilitation over a broad range of both subthreshold and suprathreshold contrasts of the luminance mask. In the color mask/luminance test condition facilitation is never observed, but at suprathreshold contrasts a 2-cycle/degree (c/deg) chromatic grating masks a 2-c/deg luminance grating as strongly as does a luminance mask. The luminance mask/chromatic test results are invariant over the 0.25-2-c/deg spatial-frequency range, whereas the robust masking of luminance by color at 2 c/deg diminishes at lower spatial frequencies. The spatial-frequency selectivity of the luminance-facilitates-color interaction is much broader than facilitatory interactions in either the color-color or luminance-luminance conditions. Possible mechanisms of color-luminance interactions are considered. The lack of facilitation in the color mask/luminance test condition precludes a simple pedestal interpretation of this masking interaction. The data are, however, consistent with models that invoke inhibitory or more elaborate excitatory masking interactions.

Color↗
PubMed2006

Efficacy of a heat exchanger mask in cold exercise-induced asthma.

STUDY OBJECTIVES: To determine the efficacy of a novel mask device in limiting cold air exercise-induced decline in lung function in subjects with a history of exercise-induced asthma (EIA). SETTING: In spite of appropriate medical therapy, many asthma patients are limited in cold weather activities. DESIGN: In study 1, 13 asthmatic subjects performed two randomized, single-blind treadmill exercise tests while breathing cold air (- 25 to - 15 degrees C) through a placebo or active heat exchanger mask. In study 2, five subjects with EIA performed three treadmill exercise tests while breathing cold air: one test using the heat exchanger mask, one test without the mask but with albuterol pretreatment, and one test with neither the mask nor albuterol pretreatment (unprotected exercise). For all studies, spirometry was performed before and at 5, 15, and 30 min after exercise challenge. PATIENTS: For both studies, a total of 15 subjects with a history of asthma symptoms during cold air exercise were recruited. RESULTS: In study 1, the mean decrease (+/- SE) in FEV1 was 19 +/- 4.9% with placebo, and 4.3 +/- 1.6% with the active device (p = 0.0002). The mean decrease in maximum mid-expiratory flow (FEF(25-75)) was 31 +/- 5.7% with placebo and 4.7 +/- 1.7% with the active device (p = 0.0002). In study 2, the mean decrease in FEV1 was 6.3 +/- 3.9%, 11 +/- 3.7%, and 28 +/- 10% for the heat exchanger mask, albuterol pretreatment, and unprotected exercises, respectively (p = 0.4375 for mask vs albuterol, p = 0.0625 for mask vs unprotected exercise). The mean decrease in FEF(25-75) was 10 +/- 4.8%, 23 +/- 6.0%, and 36 +/- 11%, respectively (p = 0.0625 for mask vs albuterol, p = 0.0625 for mask vs unprotected exercise). CONCLUSIONS: This heat exchanger mask blocks cold exercise-induced decline in lung function at least as effectively as albuterol pretreatment.

Adult↗
PubMed2004

Testing quantitative models of backward masking.

We analyzed the relationship between U-shaped and monotonic-shaped masking functions, using both computer simulations of quantitative models and experimental data Our analysis revealed that quantitative models of backward masking predict that U-shaped masking functions should appear for weak masks and monotonic masking functions should appear for strong masks. The models predict, moreover, that for a fixed target and experimental task, as the mask changes it is possible to go from U-shaped to monotonic-shaped masking functions. Significantly, the models predict that at each stimulus onset asynchrony between the target and the mask, the U-shaped function must have weaker masking than the monotonic-shaped function. Contrary to the predictions of the models, we show an experimental situation that generates masking functions that violate this prediction.

Form Perception↗