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Discrimination of simulated texture patterns on the human hand.

1. Textures formed by periodic dot arrays are defined by the dot density, spacing, and angular orientation with respect to the direction of motion. In this report we evaluate the effects of the dot density (intensive cues) and arrangement (spatial cues) on the ability of human subjects to discriminate texture patterns scanned across an OPTACON tactile stimulator that selective stimulates rapidly adapting cutaneous mechanoreceptors. We compared dot arrays arranged on the index finger in specific patterns (horizontal, vertical, diamond, up diagonal, or down diagonal orientation) and spaced 4.8, 7.2, or 9.6 mm apart (high, medium, and low density) with the use of a two-alternative forced-choice protocol. 2. Textures are well discriminated when their elements are tightly spaced along one axis and widely spaced on all other axes. Humans distinguish textures that differ only in orientation with mean accuracy of 75% at low density and 65% at medium density, but discriminate high-density textures poorly (mean accuracy = 48%). Accuracy is related to the angular disparity between patterns, and to similarity of spacing and orientation along major and minor axes of the arrays. Vertical and horizontal patterns are more accurately distinguished than the oblique ones, and diamond arrays are the least well discriminated. Diagonal and diamond textures are often confounded, and the up and down diagonal patterns are confused with each other particularly as the texture density rises. The preference for the vertical and horizontal patterns may relate to an interaction between the orientation axis of the texture and its direction of motion across the skin. 3. Intensive cues provided by the total number of applied stimuli supplement the spatial cues inherent to the pattern orientation, because textures that differ in both spacing and orientation are discriminated better than those that differ only in orientation or spacing. Mean accuracy ranges from 96% for comparisons of high- and low-density textures, which differ in the total number of dots by a factor of 2, to 80% when medium-density patterns are compared with high- or low-density textures. 4. Textures that differ in density but not in orientation are less well discriminated than those of different orientation. For example, 82% of patterns that differ in both density and orientation are distinguished correctly in pairings of low- and medium-density textures, whereas those that differ only in density are discriminated correctly on 45% of trials. Subjects seem to use spatial rather than intensive cues when discriminating patterns of similar density, suggesting that the similarity of form (the spatial arrangement of the closely spaced dots) is more readily apparent than small differences in spacing along the axis of motion. 5. Subjects are most most successful in differentiating texture patterns when they are able to mentally picture the orientation and spacing of the pattern. We found a strong correlation between the subjects' ability to discriminate textures of a given spacing and their ability to identify the specific texture by matching it to the appropriate visual representation. Subjects are able to identify correctly all five orientations at low and medium densities, with mean accuracy of 76%, but recognize only the vertical arrays when high-density patterns are presented. The ability to image the textures is noteworthy, because subjects received no feedback about performance. 6. Spatial imaging of textures appears limited by the diameter of cutaneous receptive fields on the hand. We propose that the structural axis of a regular texture array results from perceptual linkage of adjacent elements along one principal axis by continuous bands of neural activity when their spacing is smaller than the receptive field diameter.(ABSTRACT TRUNCATED)

Adult↗

A continuous 4D motion model from multiple respiratory cycles for use in lung radiotherapy.

Respiratory motion causes errors when planning and delivering radiotherapy treatment to lung cancer patients. To reduce these errors, methods of acquiring and using four-dimensional computed tomography (4DCT) datasets have been developed. We have developed a novel method of constructing computational motion models from 4DCT. The motion models attempt to describe an average respiratory cycle, which reduces the effects of variation between different cycles. They require substantially less memory than a 4DCT dataset, are continuous in space and time, and facilitate automatic target propagation and combining of doses over the respiratory cycle. The motion models are constructed from CT data acquired in cine mode while the patient is free breathing (free breathing CT - FBCT). A "slab" of data is acquired at each couch position, with 3-4 contiguous slabs being acquired per patient. For each slab a sequence of 20 or 30 volumes was acquired over 20 seconds. A respiratory signal is simultaneously recorded in order to calculate the position in the respiratory cycle for each FBCT. Additionally, a high quality reference CT volume is acquired at breath hold. The reference volume is nonrigidly registered to each of the FBCT volumes. A motion model is then constructed for each slab by temporally fitting the nonrigid registration results. The value of each of the registration parameters is related to the position in the respiratory cycle by fitting an approximating B spline to the registration results. As an approximating function is used, and the data is acquired over several respiratory cycles, the function should model an average respiratory cycle. This can then be used to calculate the value of each degree of freedom at any desired position in the respiratory cycle. The resulting nonrigid transformation will deform the reference volume to predict the contents of the slab at the desired position in the respiratory cycle. The slab model predictions are then concatenated to produce a combined prediction over the entire region of interest. We have performed a number of experiments to assess the accuracy of the nonrigid registration results and the motion model predictions. The individual slab models were evaluated by expert visual assessment and the tracking of easily identifiable anatomical points. The combined models were evaluated by calculating the discontinuities between the transformations at the slab boundaries. The experiments were performed on five patients with a total of 18 slabs between them. For the point tracking experiments, the mean distance between where a clinician manually identified a point and where the registration results located the point, the target registration error (TRE), was 1.3 mm. The mean distance between a manually identified point and the models prediction of the point's location, the target model error (TME), was 1.6 mm. The mean discontinuity between model predictions at the slab boundaries, the Continuity Error, was 2.2 mm. The results show that the motion models perform with a level of accuracy comparable to the slice thickness of 1.5 mm.

Artifacts↗

Performance and brain electrical activity during prolonged confinement.

A subset of the AGARD-STRES battery including memory search, unstable tracking, and a combination of both tasks (dual-task), was applied repeatedly to the four chamber crew members before, during, and after the 60-day isolation period of EXEMSI. Five ground control group members served as a control group. A subjective state questionnaire was also included. The results were subjected to a quantitative single-subject analysis. Electroencephalograms (EEG) were recorded to permit correlation of changes in task performance with changes in the physiological state. Evaluation of the EEG focused on spectral parameters of spontaneous EEG waves. No physiological data were collected from the control group. Significant decrements in tracking ability were observed in the chamber crew. The time course of these effects followed a triphasic pattern with initial deterioration, intermediate recovery to pre-isolation baseline scores after the first half of the isolation period, and a second deterioration towards the end. None of the control group subjects displayed such an effect. Memory search (speed and accuracy) was only occasionally impaired during isolation, but the control group displayed a similar pattern of changes. It is suggested that a state of decreased alertness causes tracking deterioration, which leads to a reduced efficiency of sustained cue utilization. The assumption of low alertness was further substantiated by higher fatigue ratings by the chamber crew compared to those of the control group. Analysis of the continuous EEG recordings revealed that only two subjects produced reliable alpha wave activity (8-12 Hz) over Pz and, to a much smaller extent, Fz-theta wave activity (5-7 Hz) during task performance. In both subjects Pz-alpha power decreased consistently under task conditions involving single-task and dual-task tracking. Fz-theta activity was increased more by single-task and dual-task memory search than by single-task tracking. The alpha attenuation appears to be associated with an increasing demand on perceptual cue utilization required by the tracking performance. In one subject marked attenuation of alpha power occurred during the first half of the confinement period, where he also scored the highest fatigue ratings. A striking increase in fronto-central theta activity was observed in the same subject after six weeks of isolation. The change was associated with an efficient rather than a degraded task performance, and a high rating of the item "concentrated" and a low rating of the item "fatigued." This finding supports the hypothesis that the activation state associated with increased fronto-central theta activity accompanies efficient performance of demanding mental tasks. The usefulness of standardized laboratory tasks as monitoring instruments is demonstrated by the direct comparability with results of studies obtained from other relevant research applications using the same tasks. The feasibility of a self-administered integrated psychophysiological assessment of the individual state was illustrated by the nearly complete collection of data. The large number of individual data collected over the entire period permitted application of quantitative single-subject analysis, allowing reliable determination of changes in the individual state in the course of time. It thus appears that this assessment technique can be adapted for in-flight monitoring of astronauts during prolonged spaceflights. Parallel EEG recording can provide relevant supplementary information for diagnosing the individual activation state associated with task performance. The existence of large individual differences in the generation of task-sensitive EEG rhythms forms an important issue for further studies.

Adult↗

Structural studies by high-field NMR spectroscopy of a binary-addressed complementary oligonucleotide system juxtaposing pyrene and perfluoro-azide units.

Recently, a new approach has been proposed to improve the site-specificity and efficiency of the modification of nucleic acid target sequences, the binary system of complementary-addressing nucleic acid sequences. The binary system comprises two oligonucleotides, one modified with a photosensitizing group and the other with a photoreactive group. The sites of chemical modification are arranged to bring the two chemical functions close enough together in space to allow efficient energy transfer from the photo-excited photosensitizer to an arylazide moiety which expels N2 to form a nitrene which subsequently covalently labels the target nucleic acid. Structural analysis performed by high-resolution 2D NMR spectroscopy (400 MHz and 600 MHz) are reported for the model binary system 1:2:3, where 1 is the target 12-mer pdGTATCAGTTTCT, 2 is a photoactivatable fluoroazide derivative dAGAAACp-L-Az and 3 is the photosensitizer derivative Pyr-pdTGATAC (here: Az is the p-azidotetrafluorobenzyl group, Pyr the pyrenyl-1-methylamino group, L a linker group). The assignment of oligonucleotide and modifying group protons was performed using 1H COSY, TOCSY and NOESY experiments. Comprehensive analysis of 1H NOESY spectra of 1:2:3 showed that terminal fragments of the complex [5'p-1T-2G-3A-4T-], [-21A-22T-23A-24C], [-8T-9T-10T-11C-12T] and [13A-14G-15A-15A-17A-18C-] gave a continuous set of intra- and inter-nucleotide interactions, typical of regular double-stranded B-DNA. In contrast, the central region of the complex composed of 5C, 6A, 7G, 19T and 20G nucleotide residues, nearest the Pyr and Az groups, was found to be distorted. Thus some signals from aromatic and/or sugar-ring protons of the above nucleotide residues were extremely broadened or almost absent. Moreover, some intra- and/or inter-nucleotide interactions, typical of the regular DNA duplex, were not detected for the [-5C-6A-7G-] and [-19T-20G-] regions of the tandem system. Instead of that, some cross-peaks of low-intensity between the H2 proton of the Pyr group and 7G(H1'), 7G(H2'/H2"), 7G(H3'), 4T(H2"), 4T(H4') and 4T(H5'/H5") were observed. Additional 1H -1H NOE-interactions between methylene protons of the linker group L and some sugar ring protons of 18C nucleotide residue were detected. A preliminary structural model, constructed using proton-proton distances between Pyr and the DNA and Az-L and DNA obtained from a 1H NOESY experiment at 300 ms mixing time as constraints for the refinement of the structure, displayed significant distortion from B-DNA of the double-stranded helix in the middle of the complex, (-5C-6A-7G, -18C-19T-20G-). The Pyr group was located in what remains of the minor groove near 4T, 5C, 6A and 7G and the centroid of the azide ring less than 9A degrees from the centroid of the ring system of Pyr group.

Azides↗

Radiosurgery for residual or recurrent nonfunctioning pituitary adenoma.

OBJECT: Nonfunctioning pituitary adenomas comprise approximately 30% of all pituitary tumors. The purpose of this retrospective study is to evaluate the efficacy and role of gamma knife radiosurgery (GKS) in the management of residual or recurrent nonfunctioning pituitary adenomas. METHODS: A review was conducted of the data obtained in 42 patients who underwent adjuvant GKS at the University of Pittsburgh between 1987 and 2001. Prior treatments included transsphenoidal resection, craniotomy and resection, or conventional radiotherapy. Endocrinological, ophthalmological, and radiological responses were evaluated. The duration of follow-up review varied from 6 to 102 months (mean 31.2 months). Fifteen patients were observed for more than 40 months. The mean radiation dose to the tumor margin was 16 Gy. Conformal radiosurgery planning was used to restrict the dose to the optic nerve and chiasm. Tumor control after GKS was achieved in 100% of patients with microadenomas and 97% of patients with macroadenomas. Gamma knife radiosurgery was equally effective in controlling adenomas with cavernous sinus invasion and suprasellar extension. No patient developed a new endocrinological deficiency following GKS. One patient's tumor enlarged with an associated decline in visual function. Another patient experienced a deterioration of visual fields despite a decrease in tumor size. CONCLUSIONS: Gamma knife radiosurgery can achieve tumor control in virtually all residual or recurrent nonfunctioning pituitary adenomas. Dose sparing facilitates tumor management even when the adenoma is close to the optic apparatus or invades the cavernous sinus.

Adenoma↗