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Motion sickness potentiates core cooling during immersion in humans.

1. The present study tested the hypothesis that motion sickness affects thermoregulatory responses to cooling in humans. 2. Ten healthy male volunteers underwent three separate head-out immersions in 28 degrees C water after different preparatory procedures. In the 'control' procedure immersion was preceded by a rest period. In the 'motion sickness' procedure immersion was preceded by provocation of motion sickness in a human centrifuge. This comprised rapid and repeated alterations of the gravitational (G-) stress in the head-to-foot direction, plus a standardized regimen of head movements at increased G-stress. In the 'G-control' procedure, the subjects were exposed to similar G-stress, but without the motion sickness provocation. 3. During immersion mean skin temperature, rectal temperature, the difference in temperature between the forearm and 3rd digit of the right hand (DeltaT(forearm-fingertip)), oxygen uptake and heart rate were recorded. Subjects provided ratings of temperature perception, thermal comfort and level of motion sickness discomfort at regular intervals. 4. No differences were observed in any of the variables between control and G-control procedures. In the motion sickness procedure, the DeltaT(forearm-fingertip) response was significantly attenuated, indicating a blunted vasoconstrictor response, and rectal temperature decreased at a faster rate. No other differences were observed. 5. Motion sickness attenuates the vasoconstrictor response to skin and core cooling, thereby enhancing heat loss and the magnitude of the fall in deep body temperature. Motion sickness may predispose individuals to hypothermia, and have significant implications for survival time in maritime accidents.

Adult↗

Motion-correction techniques for standing equine MRI.

Magnetic resonance imaging (MRI) of the distal extremities of the standing, sedated horse would be desirable if diagnostic quality images could be obtained. With the availability of extremity and special purpose magnet designs on the market, a system to safely accommodate the standing horse may gain increasing popularity. This paper considers the issue of motion that will need to be addressed to achieve successful, diagnostic quality images. The motion of the carpus and tarsus of five standing, sedated horses was quantified. The obtained motion records were then used to induce motion in cadaveric joint specimens during several MRI scans. The measured dorsal-palmar/plantar, medial-lateral, and proximal-distal random wobbling motions in the standing sedated horse were several centimeters in magnitude and generated severe motion-artifacts during axial MRI of the cadaveric specimens. Two retrospective motion-correction techniques (autocorrection and navigator-based adaptive correction) were used to correct the corrupted images. The motion artifacts were nearly eliminated with the use of both techniques in series. Although significant hurdles remain, these results suggest promise for allowing diagnostic quality MRI of the carpus and tarsus in the standing horse.

Animals↗

Response characteristics of the pigeon's pretectal neurons to illusory contours and motion.

Misinterpretations of visual information received by the retina are called visual illusions, which are known to occur in higher brain areas. However, whether they would be also processed in lower brain structures remains unknown, and how to explain the neuronal mechanisms underlying the motion after-effect is intensely debated. We show by extracellular recording that all motion-sensitive neurons in the pigeon's pretectum respond similarly to real and illusory contours, and their preferred directions are identical for both contours in unidirectional cells, whereas these directions are changed by 90 deg for real versus illusory contours in bidirectional cells. On the other hand, some pretectal neurons produce inhibitory (excitatory) after-responses to cessation of prolonged motion in the preferred (null) directions, whose time course is similar to that of the motion after-effect reported by humans. Because excitatory and inhibitory receptive fields of a pretectal cell overlap in visual space and possess opposite directionalities, after-responses to cessation of prolonged motion in one direction may create illusory motion in the opposite direction. It appears that illusory contours and motion could be detected at the earliest stage of central information processing and processed in bottom-up streams, and that the motion after-effect may result from functional interactions of excitatory and inhibitory receptive fields with opposite directionalities.

Animals↗

Study on effect of graded facetectomy on change in lumbar motion segment torsional flexibility using three-dimensional continuum contact representation for facet joints.

Facet joints provide rigidity to the lumbar motion segment and thus protect the disk, particularly against torsional injury. A surgical procedure that fully or partially removes the facet joints (facetectomy) will decrease the mechanical stiffness of the motion segment, and potentially place the disk at risk of injury. Analytical models can be used to understand the effect of facet joints on motion segment stability. Using a facet joint model that represents the contact area as contact between two surfaces rather than as point contact, it was concluded that a substantial sudden change in rotational motion, due to applied torsion moment, was observed after 75 percent of any one of the facet joints was removed. Applied torsional moment loading produced coupled extension motion in the intact motion segment. This coupled motion also experienced a large change following complete unilateral facetectomy. Clinically, the present study showed that surgical intervention in the form of unilateral or bilateral total facetectomy might require fusion to reduce the primary torsion motion.

Finite Element Analysis↗

Focal spot motion of linear accelerators and its effect on portal image analysis.

The focal spot of a linear accelerator is often considered to have a fully stable position. In practice, however, the beam control loop of a linear accelerator needs to stabilize after the beam is turned on. As a result, some motion of the focal spot might occur during the start-up phase of irradiation. When acquiring portal images, this motion will affect the projected position of anatomy and field edges, especially when low exposures are used. In this paper, the motion of the focal spot and the effect of this motion on portal image analysis are quantified. A slightly tilted narrow slit phantom was placed at the isocenter of several linear accelerators and images were acquired (3.5 frames per second) by means of an amorphous silicon flat panel imager positioned approximately 0.7 m below the isocenter. The motion of the focal spot was determined by converting the tilted slit images to subpixel accurate line spread functions. The error in portal image analysis due to focal spot motionwas estimated by a subtraction of the relative displacement of the projected slit from the relative displacement of the field edges. It was found that the motion of the focal spot depends on the control system and design of the accelerator. The shift of the focal spot at the start of irradiation ranges between 0.05-0.7 mm in the gun-target (GT) direction. In the left-right (AB) direction the shift is generally smaller. The resulting error in portal image analysis due to focal spotmotion ranges between 0.05-1.1 mm for a dose corresponding to two monitor units (MUs). For 20 MUs, the effect of the focal spot motion reduces to 0.01-0.3 mm. The error in portal image analysis due to focal spot motion can be reduced by reducing the applied dose rate.

Artifacts↗

Respiratory motion estimation from slowly rotating x-ray projections: theory and simulation.

Understanding the movement of tumors caused by respiratory motion is very important for conformal radiatherapy. However, respiratory motion is very difficult to study by conventional x-ray CT imaging since object motion causes inconsistent projection views, leading to artifacts in reconstructed images. We propose to estimate the parameters of a nonrigid, free breathing motion model from a set of projection views of the thorax that are acquired using a slowly rotating cone-beam CT scanner. This approach involves deforming a motion-free reference thorax volume according to the estimated parameters and comparing its projections to the corresponding measured projection views. The parameters are optimized by minimizing a regularized squared error cost function. Simulation results with a fan-beam geometry show good agreement between the estimated motion and the true motion, which supports the potential of this approach for estimating four-dimensional (three-dimensional spatial + temporal) respiratory motion.

Algorithms↗

Dosimetric impact of geometric errors due to respiratory motion prediction on dynamic multileaf collimator-based four-dimensional radiation delivery.

The synchronization of dynamic multileaf collimator (DMLC) response with respiratory motion is critical to ensure the accuracy of DMLC-based four dimensional (4D) radiation delivery. In practice, however, a finite time delay (response time) between the acquisition of tumor position and multileaf collimator response necessitates predictive models of respiratory tumor motion to synchronize radiation delivery. Predicting a complex process such as respiratory motion introduces geometric errors, which have been reported in several publications. However, the dosimetric effect of such errors on 4D radiation delivery has not yet been investigated. Thus, our aim in this work was to quantify the dosimetric effects of geometric error due to prediction under several different conditions. Conformal and intensity modulated radiation therapy (IMRT) plans for a lung patient were generated for anterior-posterior/posterior-anterior (AP/PA) beam arrangements at 6 and 18 MV energies to provide planned dose distributions. Respiratory motion data was obtained from 60 diaphragm-motion fluoroscopy recordings from five patients. A linear adaptive filter was employed to predict the tumor position. The geometric error of prediction was defined as the absolute difference between predicted and actual positions at each diaphragm position. Distributions of geometric error of prediction were obtained for all of the respiratory motion data. Planned dose distributions were then convolved with distributions for the geometric error of prediction to obtain convolved dose distributions. The dosimetric effect of such geometric errors was determined as a function of several variables: response time (0-0.6 s), beam energy (6/18 MV), treatment delivery (3D/4D), treatment type (conformal/IMRT), beam direction (AP/PA), and breathing training type (free breathing/audio instruction/visual feedback). Dose difference and distance-to-agreement analysis was employed to quantify results. Based on our data, the dosimetric impact of prediction (a) increased with response time, (b) was larger for 3D radiation therapy as compared with 4D radiation therapy, (c) was relatively insensitive to change in beam energy and beam direction, (d) was greater for IMRT distributions as compared with conformal distributions, (e) was smaller than the dosimetric impact of latency, and (f) was greatest for respiration motion with audio instructions, followed by visual feedback and free breathing. Geometric errors of prediction that occur during 4D radiation delivery introduce dosimetric errors that are dependent on several factors, such as response time, treatment-delivery type, and beam energy. Even for relatively small response times of 0.6 s into the future, dosimetric errors due to prediction could approach delivery errors when respiratory motion is not accounted for at all. To reduce the dosimetric impact, better predictive models and/or shorter response times are required.

Fluoroscopy↗

Deblurring of breathing motion artifacts in thoracic PET images by deconvolution methods.

In FDG-PET imaging of thoracic tumors, blurring due to breathing motion often significantly degrades the quality of the observed image, which then obscures the tumor boundary. We demonstrate a deblurring technique that combines patient-specific motion estimates of tissue trajectories with image deconvolution techniques, thereby partially eliminating breathing-motion induced artifacts. Two data sets were used to evaluate the methodology including mobile phantoms and clinical images. The clinical images consist of PET/CT co-registered images of patients diagnosed with lung cancer. A breathing motion model was used to locally estimate the location-dependent tissue location probability function (TLP) due to breathing. The deconvolution process is carried by an expectation-maximization (EM) iterative algorithm using the motion-based TLP. Several methods were used to improve the robustness of the deblurring process by mitigating noise amplification and compensating for motion estimate uncertainties. The mobile phantom study with controlled settings demonstrated significant reduction in underestimation error of concentration in high activity case without significant superiority between the different applied methods. In case of medium activity concentration (moderate noise levels), less improvement was reported (10%-15% reduction in underestimation error relative to 15%-20% reduction in high concentration). Residual denoising using wavelets offered the best performance for this case. In the clinical data case, the image spatial resolution was significantly improved, especially in the direction of greatest motion (cranio-caudal). The EM algorithm converged within 15 and 5 iterations in the large and small tumor cases, respectively. A compromise between a figure-of-merit and entropy minimization was suggested as a stopping criterion. Regularization techniques such as wavelets and Bayesian methods provided further refinement by suppressing noise amplification. Our initial results show that the proposed method provides a feasible framework for improving PET thoracic images, without the need for gated/4-D PET imaging, when 4-D CT is available to estimate tumor motion.

Algorithms↗

Experiments for two MR imaging theories of motion phase sensitivity.

Two theories of motion-sensitive phase shifts in magnetic resonance (MR) imaging result in different mathematical predictions of the observed effects of gradient modulation-induced motion artifacts. The consequences are critical for gradient waveform designed to minimize motion artifact contaminations from time-dependent motion sensitivity. To resolve this discrepancy with a test case (the monopolar waveform of a commonly used, discretely pulsed encoding phase gradient), computer integration of the fundamental Bloch equations for MR imaging with motion was performed. Simulation images for constant and erratic motion showed almost complete agreement with the predictions of the transport integral solutions for motion phase sensitivity; the artifact was solely time-of-flight oblique flow misregistration. Conventional method-of-moments gradient moment nulling compensations produced greater motion artifacts in experiments than did use of no waveform compensation at all. Transport equation solutions implied second-integral zeroing instead; these modifications eliminated the artifacts.

Magnetic Resonance Imaging↗

Brain motion: measurement with phase-contrast MR imaging.

Brain motion during the cardiac cycle was measured prospectively in 10 healthy volunteers by using a phase-contrast cine magnetic resonance (MR) pulse sequence. The major cerebral lobes, diencephalon, brain stem, cerebellum, cerebellar tonsils, and spinal cord were studied. The overall pattern of brain motion showed caudal motion of the central structures (diencephalon, brain stem, and cerebellar tonsils) shortly after carotid systole, with concurrent cephalic motion of the major cerebral lobes and posterior cerebellar hemisphere. Peak brain displacement was in the range of 0.1-0.5 mm for all the structures except the cerebellar tonsils, which had greater displacement (0.4 mm +/- 0.16 [mean +/- standard error of mean]). Caudal motion of the central structures did not occur simultaneously but progressed in a caudal-to-rostral and posterior-to-anterior sequence, being seen first in the cerebellar tonsils and then later in the diencephalon (hypothalamus). Caudal motion of the low brain stem and cerebellar tonsil was simultaneous with caudal motion of cerebrospinal fluid in the cervical subarachnoid space. Oscillatory flow in the aqueduct was delayed compared with brain stem motion.

Brain↗

Vestibular contributions to gaze stability during transient forward and backward motion.

The accuracy with which the vestibular system anticipates and compensates for the visual consequences of translation during forward and backward movements was investigated with transient motion profiles in rhesus monkeys trained to fixate targets on an isovergence screen. Early during motion when visuomotor reflexes remain relatively ineffective and vestibular-driven mechanisms have an important role for controlling the movement of the eyes, a large asymmetry was observed for forward and backward heading directions. During forward motion, ocular velocity gains increased steeply and reached near unity gains as early as 40-50 ms after motion onset. In addition, instantaneous directional errors also remained <10 degrees for forward headings. In contrast, backward motion was characterized by smaller vestibular gains and larger directional errors during the first 70 ms of the movement. To evaluate the accumulated retinal slip and vergence errors during the early epochs of motion when vestibular-driven mechanisms dominate gaze stability, the movement of a virtual fixation point defined by the intersection of the two gaze lines was quantitatively compared with the respective movement of the extinguished target in head coordinates. Both conjugate retinal slip and vergence errors were <0.2 degrees during the first 70 ms of the movement, with forward motion conjugate errors typically being smaller as compared with backward motion directions. Thus vestibularly driven gaze stabilization mechanisms can effectively minimize conjugate retinal slip errors as well as keep binocular disparity errors low during the open loop interval of head movement.

Animals↗

Neuroimaging of direction-selective mechanisms for second-order motion.

Psychophysical findings have revealed a functional segregation of processing for 1st-order motion (movement of luminance modulation) and 2nd-order motion (e.g., movement of contrast modulation). However neural correlates of this psychophysical distinction remain controversial. To test for a corresponding anatomical segregation, we conducted a new functional magnetic resonance imaging (fMRI) study to localize direction-selective cortical mechanisms for 1st- and 2nd-order motion stimuli, by measuring direction-contingent response changes induced by motion adaptation, with deliberate control of attention. The 2nd-order motion stimulus generated direction-selective adaptation in a wide range of visual cortical areas, including areas V1, V2, V3, VP, V3A, V4v, and MT+. Moreover, the pattern of activity was similar to that obtained with 1st-order motion stimuli. Contrary to expectations from psychophysics, these results suggest that in the human visual cortex, the direction of 2nd-order motion is represented as early as V1. In addition, we found no obvious anatomical segregation in the neural substrates for 1st- and 2nd-order motion processing that can be resolved using standard fMRI.

Analysis of Variance↗

Activity of rostral superior colliculus neurons during passive and active viewing of motion.

The superior colliculus (SC) has long been known to be important for the control of saccades, and recent findings indicate that the rostral SC (rSC) plays some role in pursuit as well. The recent finding that the prelude activity of some SC neurons exhibits directional selectivity suggests that the rSC might process visual motion signals relevant for the control of pursuit. We have now tested the activity of buildup neurons in the rSC during the passive viewing of motion stimuli placed within their response field and also during the previewing of visual motion stimuli that were subsequently tracked with pursuit eye movements. We found that rSC buildup neurons typically responded well to motion stimuli, but that they exhibited essentially no selectivity for the direction or speed of visual motion, and that they also responded well to stationary flickering dots. However, during the previewing of visual motion prior to the onset of pursuit, many neurons did exhibit a buildup of activity similar to that exhibited before saccades. These results are inconsistent with the notion that the rSC mediates visual motion signals used to drive pursuit, but instead support the idea that visual motion signals can be used by rSC neurons as part of a mechanism for selecting targets for pursuit and saccades.

Animals↗

Perception of self-motion from peripheral optokinetic stimulation suppresses visual evoked responses to central stimuli.

In a previous functional neuroimaging study we found that early visual areas deactivated when a rotating optical flow stimulus elicited the illusion of self-motion (vection) compared with when it was perceived as a moving object. Here, we investigated whether electrical cortical responses to an independent central visual probe stimulus change as a function of whether optical flow stimulation in the periphery induces the illusion of self-motion or not. Visual-evoked potentials (VEPs) were obtained in response to pattern-reversals in the central visual field in the presence of a constant peripheral large-field optokinetic stimulus that rotated around the naso-occipital axis and induced intermittent sensations of vection. As control, VEPs were also recorded during a stationary peripheral stimulus and showed no difference than those obtained during optokinetic stimulation. The VEPs during constant peripheral stimulation were then divided into two groups according to the time spans where the subjects reported object- or self-motion, respectively. The N70 VEP component showed a significant amplitude reduction when, due to the peripheral stimulus, subjects experienced self-motion compared to when the peripheral stimulus was perceived as object-motion. This finding supplements and corroborates our recent evidence from functional neuroimaging that early visual cortex deactivates when a visual flow stimulus elicits the illusion of self-motion compared with when the same sensory input is interpreted as object-motion. This dampened responsiveness might reflect a redistribution of sensorial and attentional resources when the monitoring of self-motion relies on a sustained and veridical processing of optic flow and may be compromised by other sources of visual input.

Adult↗

Visual motion processing for the initiation of smooth-pursuit eye movements in humans.

We have used the initiation of pursuit eye movements as a tool to reveal properties of motion processing in the neural pathways that provide inputs to the human pursuit system. Horizontal and vertical eye position were recorded with a magnetic search coil in six normal adults. Stimuli were provided by individual trials of ramp target motion. Analysis was restricted to the first 100 ms of eye movement, which precedes the onset of corrective feedback. By recording the transient response to target motion at speeds the pursuit motor system can achieve, we investigated the visual properties of images that initiate pursuit. We have found effects of varying the retinal location, the direction, the velocity, the intensity, and the size of the stimulus. Eye acceleration in the first 100 ms of pursuit depended on both the direction of target motion and the initial position of the moving target. For horizontal target motion, eye acceleration was highest if the stimulus was close to the center of the visual field and moved toward the vertical meridian. For vertical target motion, eye acceleration was highest when the stimulus moved upward or downward within the lower visual field. The shape of the relationship between eye acceleration and initial target position was similar for target velocities ranging from 1.0 to 45 degrees/s. The initiation of pursuit showed two components that had different visual properties and were expressed early and late in the first 100 ms of pursuit. In the first 20 ms, instantaneous eye acceleration was in the direction of target motion but did not depend on other visual properties of the stimulus. At later times (e.g., 80-100 ms after pursuit initiation), instantaneous eye acceleration was strongly dependent on each property we tested. Targets that started close to and moved toward the position of fixation evoked the highest eye accelerations. For high-intensity targets, eye acceleration increased steadily as target velocity increased. For low-intensity targets, eye acceleration was selective for target velocities of 30-45 degrees/s. The properties of pursuit initiation in humans, including the differences between the early and late components, are remarkably similar to those reported by Lisberger and Westbrook (12) in monkeys. Our data provide evidence that the cell populations responsible for motion processing are similar in humans and monkeys and imply that the functional organization of the visual cortex is similar in the two species.

Adult↗

Dendritic calcium accumulation associated with direction-selective adaptation in visual motion-sensitive neurons in vivo.

Motion adaptation in directionally selective tangential cells (TC) of the fly visual system has previously been explained as a presynaptic mechanism. Based on the observation that adaptation is in part direction selective, which is not accounted for by the former models of motion adaptation, we investigated whether physiological changes located in the TC dendrite can contribute to motion adaptation. Visual motion in the neuron's preferred direction (PD) induced stronger adaptation than motion in the opposite direction and was followed by an afterhyperpolarization (AHP). The AHP subsides in the same time as adaptation recovers. By combining in vivo calcium fluorescence imaging with intracellular recording, we show that dendritic calcium accumulation following motion in the PD is correlated with the AHP. These results are consistent with a calcium-dependent physiological change in TCs underlying adaptation during continuous stimulation with PD motion, expressing itself as an AHP after the stimulus stops. However, direction selectivity of adaptation is probably not solely related to a calcium-dependent mechanism because direction-selective effects can also be observed for fast moving stimuli, which do not induce sizeable calcium accumulation. In addition, a comparison of two classes of TCs revealed differences in the relationship of calcium accumulation and AHP when the stimulus velocity was varied. Thus the potential role of calcium in motion adaptation depends on stimulation parameters and cell class.

Adaptation, Physiological↗

Three-dimensional stapes footplate motion in human temporal bones.

The literature provides conflicting information on whether the motion of the stapes footplate is piston-like or some other type of motion, such as rotational or rocking. Examination of the three-dimensional (3D) motion of the stapes footplate appears to be an excellent way to understand this complicated motion. Five microsphere reflective targets were placed on the stapes footplate in ten fresh human cadaver temporal bone preparations, and their vibration measured through an extended facial recess approach using a laser Doppler vibrometer. The five target sites on the stapes footplate were center, anterior, posterior, superior and inferior. The stimulus was a sound input of 80-120 dB SPL at the tympanic membrane over a frequency range of 0.1 to 10 kHz. The 3D motion of the stapes footplate was calculated using the velocity amplitude and phase obtained for each target. For frequencies up to 1.0 kHz the vibration of the stapes footplate was primarily piston-like; this motion became complex at higher frequencies, with rotary motion along both the long and short axis of the footplate. When the cochlea was drained, stapes footplate motion became essentially piston-like for all frequencies.

Aged↗

Sensory and motor conflict in motion sickness.

Motion sickness occurs in a wide variety of circumstances involving real or apparent motion, many of them novel and man-made. Significantly, voluntary body movements rarely result in symptoms, and the likelihood of motion sickness is greatly reduced by having control of the vehicle in which one is riding. The unifying theory of Reason [1978] proposes that motion sickness results when there is a mismatch between predicted and actual sensory inputs. Hence, the less predictable the sensory input (because it results from an externally imposed motion, or from motion which results in errors of neural transduction), the more likely that motion sickness will develop. With continuing exposure, predictability increases and adaptation to motion sickness occurs.

Adaptation, Physiological↗