Visual Evaluation Research Articles

Patterns of glucose hypometabolism can help differentiate FTLD-FET from other types of FTLD.

FTLD-FET is a newly described subtype of frontotemporal lobar degeneration (FTLD characterized by pathologic inclusions of FET proteins: fused in sarcoma (FUS), Ewing sarcoma, and TATA-binding protein-associated factor 2N (TAF15)). Severe caudate volume loss on MRI has been linked to FTLD-FUS, yet glucose hypometabolism in FTLD-FET has not been studied. We assessed [18F] fluorodeoxyglucose PET (FDG-PET) hypometabolism in FTLD-FET subtypes and compared metabolism to FTLD-tau and FTLD-TDP. We retrospectively reviewed medical records of 26 autopsied FTLD patients (six FTLD-FET, ten FTLD-Tau, and ten FTLD-TDP) who had completed antemortem FDG-PET. We evaluated five regions, caudate nucleus, medial frontal cortex, lateral frontal cortex, and medial temporal using a 0-3 visual rating scale and validated our findings quantitatively using CORTEX-ID suite Z scores. Of the six FTLD-FET cases (three females) with median age at onset = 36, three were atypical FTLD-U (aFTLD-U) and three were neuronal intermediate filament inclusion disease (NIFID). bvFTD was the most common presentation. Four of the six FTLD cases (3 aFTLD-U + 1 NIFID) showed prominent caudate hypometabolism relatively early in the disease course. FTLD-tau and FTLD-TDP did not show early prominent caudate hypometabolism. Hypometabolism in medial and lateral temporal cortex was associated with FTLD-TDP, while FTLD-tau had normal-minimal regional metabolism. Prominent caudate hypometabolism, especially early in the disease course, appears to be a hallmark feature of the aFTLD-U subtype of FTLD-FET. Assessing caudate and temporal hypometabolism on FDG-PET will help to differentiate FTLD-FET from FTLD-tau and FTLD-TDP.

Nonrigid registration method for longitudinal chest CT images in COVID-19

Rationale and objectivesTo analyze morphological changes in patients with COVID-19-associated pneumonia over time, a nonrigid registration technique is required that reduces differences in respiratory phase and imaging position and does not excessively deform the lesion region. A nonrigid registration method using deep learning was applied for lung field alignment, and its practicality was verified through quantitative evaluation, such as image similarity of whole lung region and image similarity of lesion region, as well as visual evaluation by a physician. Materials and methodsFirst, the lung field positions and sizes of the first and second CT images were roughly matched using a classical registration method based on iterative calculations as a preprocessing step. Then, voxel-by-voxel transformation was performed using VoxelMorph, a nonrigid deep learning registration method. As an objective evaluation, the similarity of the images was calculated. To evaluate the invariance of image features in the lesion site, primary statistics and 3D shape features were calculated and statistically analyzed. Furthermore, as a subjective evaluation, the similarity of images and whether nonrigid transformation caused unnatural changes in the shape and size of the lesion region were visually evaluated by a pulmonologist. ResultsThe proposed method was applied to 509 patient data points with high image similarity. The variances in histogram characteristics before and after image deformation were confirmed. Visual evaluation confirmed the agreement between the shape and internal structure of the lung field and the natural deformation of the lesion region. ConclusionThe developed nonrigid registration method was shown to be effective for quantitative time series analysis of the lungs.

Visual evaluation of graph representation learning based on the presentation of community structures

Various graph representation learning models convert graph nodes into vectors using techniques like matrix factorization, random walk, and deep learning. However, choosing the right method for different tasks can be challenging. Communities within networks help reveal underlying structures and correlations. Investigating how different models preserve community properties is crucial for identifying the best graph representation for data analysis. This paper defines indicators to explore the perceptual quality of community properties in representation learning spaces, including the consistency of community structure, node distribution within and between communities, and central node distribution. A visualization system presents these indicators, allowing users to evaluate models based on community structures. Case studies demonstrate the effectiveness of the indicators for the visual evaluation of graph representation learning models.

Resting-state EEG predicts cognitive decline in a neuropathologically diagnosed longitudinal community autopsied cohort

ObjectiveTo assess correlative strengths of quantitative electroencephalography (qEEG) and visual rating scale EEG features on cognitive outcomes in only autopsied cases from the Arizona Study of Neurodegenerative Disorders (AZSAND). We hypothesized that autopsy proven Parkinson Disease will show distinct EEG features from Alzheimer's Disease prior to dementia (mild cognitive impairment). BackgroundCognitive decline is debilitating across neurodegenerative diseases. Resting-state EEG analysis, including spectral power across frequency bins (qEEG), has shown significant associations with neurodegenerative disease classification and cognitive status, with autopsy confirmed diagnosis relatively lacking. MethodsBiannual EEG was analyzed from autopsied cases in AZSAND who had at least one rsEEG (>1 min eyes closed±eyes open). Analysis included global relative spectral power and a previously described visual rating scale (VRS). Linear mixed regression was performed for neuropsychological assessment and testing within 2 years of death (n = 236, 594 EEG exams) in a mixed linear regression model. ResultsThe cohort included cases with final clinicopathologic diagnoses of Parkinson's disease (n = 73), Alzheimer disease (n = 65), and tauopathy not otherwise specified (n = 56). A VRS score of 3 diffuse or frequent generalized slowing) over the study duration was associated with an increase in consensus diagnosis cognitive worsening at 4.9 (3.1) years (HR 2.02, CI 1.05–3.87). Increases in global theta power% and VRS were the most consistently associated with large regression coefficients inversely with cognitive performance measures. ConclusionResting-state EEG analysis was meaningfully related to cognitive performance measures in a community-based autopsy cohort. EEG deserves further study and use as a cognitive biomarker.

Comorbidity of white matter lesions in parkinson's disease: a study on risk factors and phenotypic differences.

Comorbidity of white matter lesions (WMLs) in idiopathic Parkinson's disease (PD) is becoming increasingly common. To analyze the risk factors and phenotypic differences for the occurrence and severity of WMLs in patients with PD. A total of 123 PD patients underwent clinical, laboratory, and magnetic resonance imaging (MRI) evaluations. PD patients with WMLs were found to have a higher association with age, Modified Hoehn & Yahr stage (H-Y stage), and hypertension. There was a certain correlation between the severity of WMLs and PD phenotypes. 89% of PD patients had periventricular hyperintensities (PVH). Additionally, the score of the modified version of the Scheltens visual rating scale of PVH in the postural instability gait difficulty (PIGD) phenotype of PD was significantly higher than that in the tremor-dominant (TD) phenotype. The Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores in the PIGD group were significantly lower than those in the TD group. Furthermore, compared with the TD group, the serum homocysteine level was significantly higher in the PIGD group. Age, H-Y stage, and hypertension are independent risk factors for WMLs in PD, and the severity of WMLs is related to the phenotype of PD patients. Our study found that PVH is the most common occurrence of WMLs in Parkinson's disease, and the burden of PVH is significantly higher in the PIGD phenotype compared to the TD phenotype of PD. Additionally, the PIGD phenotype is associated with more severe cognitive decline and elevated homocysteine levels.

Efficacy and Safety of Nerve Growth Factor in Treating Neurotrophic Keratitis Patients: A Meta-Analysis.

Aims/Background Nerve growth factor has been approved for treating neurotrophic keratitis in Europe and the United States. However, its clinical efficacy and safety profile in neurotrophic keratitis patients have not been systematically evaluated. Therefore, this study systematically assessed the efficacy and safety of nerve growth factor (NGF) in treating patients with neurotrophic keratitis. Methods Various databases, including Wanfang, China National Knowledge Internet (CNKI), Embase, PubMed, and Web of Science were systematically searched. This search included all articles published up to January 2024. Moreover, these articles were thoroughly reviewed and carefully screened following predetermined inclusion and exclusion criteria. Furthermore, the quality of the included studies was assessed using the Cochrane Risk of Bias Manual 5.3 (The Cochrane Collaboration, London, UK). Stata26.0 (StataCorp LLC, College Station, TX, USA) was used for meta-analysis. The outcome indicators evaluated in this study included corneal healing efficiency, corneal complete healing rate, best vision correction rate, ailment progression, and the number of adverse events. Results A total of 4 articles were included in this study, including 293 sufferers. The findings from the meta-analysis revealed that the corneal healing efficiency (odds ratio (OR) = 1.72, 95% confidence interval (CI): 1.20-2.45), the corneal complete healing rate (OR = 2.23, 95% CI: 1.41-3.54), and the best visual acuity correction rate (OR = 1.97, 95% CI: 1.11-3.47) were significantly higher in the experimental group compared to the control group. However, the incidence of ailment progression (OR = 0.44, 95% CI: 0.17-1.13) and adverse events (OR = 0.88, 95% CI: 0.50-1.56) did not show significant differences between these two groups. Conclusion In summary, for patients with neuropathic keratitis, NGF treatment can promote corneal healing efficiency, effectively improve visual correction, and reduce disease progression and incidence of adverse events to a large extent. The clinical effect and safety are high, and it is worthy of clinical promotion and application.

A Simple Method for Visualization and Quantitative Evaluation of Single and Collective Cell Migration in Bright Field Microscopy Images

A Simple Method for Visualization and Quantitative Evaluation of Single and Collective Cell Migration in Bright Field Microscopy Images

Radiation of pain: Psychophysical evidence for a population coding mechanism in humans.

The spread of pain across body locations remains poorly understood but may provide important insights into the encoding of sensory features of noxious stimuli by populations of neurons. In this psychophysical experiment, we hypothesized that more intense noxious stimuli would lead to spread of pain, but more intense light stimuli would not produce perceptual radiation. Fifty healthy volunteers (27 females, 23 males, ages 14-44) participated in this study wherein noxious stimuli (43, 45, 47 and 49°C) were applied to glabrous (hand) and hairy skin (forearm) skin with 5s and 10s durations. Also, visual stimuli displayed on the target bodily area were utilized as a control. Participants provided pain (and light) spatial extent ratings as well as pain (and light) intensity ratings. In the extent rating procedure, participants adjusted the extent of the square displayed on the screen with the extent of pain (or light) which they experienced. Pain extent ratings showed statistically significant radiation of pain indicated by 12.42× greater spatial spread of pain (pain extent) than the area of the stimulation with 49°C (p<0.001), in contrast to visual ratings which closely approximated the size of the stimulus (1.22×). Pain radiation was more pronounced in hairy than glabrous skin (p<0.05) and was more pronounced with longer stimulus duration (p<0.001). Pain intensity explained only 14% of the pain radiation variability. The relative independence of the pain radiation from pain intensity indicates that distinct components of population coding mechanisms may be involved in the spatial representation of pain versus intensity coding.

Deciphering Motorists’ Perceptions of Scenic Road Visual Landscapes: Integrating Binocular Simulation and Image Segmentation

Traditional scenic road visual landscape assessment methods struggle to quantify drivers’ subjective visual perceptions. This study aims to develop a new method to decipher Scenic Road Visual Landscape Evaluation (SRVLE) of motorists’ visual field, reconciling the longstanding subjectivity–objectivity dichotomy in landscape quality research. By adopting binocular visual simulation and image segmentation, this paper conceptualizes a novel “non-scale semantic differential approach” to quantify landscape qualities across the dimensions of naturalness–artificiality (NA), diversity–coherence (DC), and openness–deepness (OD), constructing a three-dimensional visual landscape quality evaluation system. Taking the Nujiang Beautiful Road in Yunnan as a case study, the results show the following: (1) The three indicators reveal the scenic road’s distinctive visual landscape characteristics, marked by high naturalness, coherence, and relative openness. (2) SRVLE is found to vary between the two driving directions and different sections. (3) The three-dimensional evaluation cube intuitively displays the comprehensive characteristics of landscape quality, providing a basis for scenic road planning. This method offers a new approach to resolving the subjective–objective divide in SRVLE and can assist road administrations in enhancing policy planning, construction, and management, thereby promoting the high-quality development of scenic roads.

Cerebrovascular and Alzheimer's disease biomarkers in dementia with Lewy bodies and other dementias.

Co-pathologies are common in dementia with Lewy bodies and other dementia disorders. We investigated cerebrovascular and Alzheimer's disease co-pathologies in patients with dementia with Lewy bodies in comparison with patients with mild cognitive impairment, Alzheimer's disease, mixed dementia, vascular dementia or Parkinson's disease with dementia and cognitively unimpaired participants. We assessed the association of biomarkers of cerebrovascular and Alzheimer's disease co-pathologies with medial temporal atrophy and global cognitive performance. Additionally, we evaluated whether the findings were specific to dementia with Lewy bodies. We gathered a multi-cohort dataset of 4549 participants (dementia with Lewy bodies = 331, cognitively unimpaired = 1505, mild cognitive impairment = 1489, Alzheimer's disease = 708, mixed dementia = 268, vascular dementia = 148, Parkinson's disease with dementia = 120) from the MemClin Study, Karolinska Imaging in Dementia Study, Gothenburg H70 Birth Cohort Studies and the European DLB Consortium. Cerebrovascular co-pathology was assessed with visual ratings of white matter hyperintensities using the Fazekas scale through structural imaging. Alzheimer's disease biomarkers of β-amyloid and phosphorylated tau were assessed in the cerebrospinal fluid for a subsample (N = 2191). Medial temporal atrophy was assessed with visual ratings and global cognition with the mini-mental state examination. Differences and associations were assessed through regression models, including interaction terms. In dementia with Lewy bodies, 43% had a high white matter hyperintensity load, which was significantly higher than that in cognitively unimpaired (14%), mild cognitive impairment (26%) and Alzheimer's disease (27%), but lower than that in vascular dementia (62%). In dementia with Lewy bodies, white matter hyperintensities were associated with medial temporal atrophy, and the interaction term showed that this association was stronger than that in cognitively unimpaired and mixed dementia. However, the association between white matter hyperintensities and medial temporal atrophy was non-significant when β-amyloid was included in the model. Instead, β-amyloid predicted medial temporal atrophy in dementia with Lewy bodies, in contrast to the findings in mild cognitive impairment where medial temporal atrophy scores were independent of β-amyloid. Dementia with Lewy bodies had the lowest performance on global cognition, but this was not associated with white matter hyperintensities. In Alzheimer's disease, global cognitive performance was lower in patients with more white matter hyperintensities. We conclude that white matter hyperintensities are common in dementia with Lewy bodies and are associated with more atrophy in medial temporal lobes, but this association depended on β-amyloid-related pathology in our cohort. The associations between biomarkers were overall stronger in dementia with Lewy bodies than in some of the other diagnostic groups.

Photosensitized Reduction and Polymerization for One-Step Preparation of Leucomethylene Blue Hydrogel as a Visual Indicator for Both Gaseous and Dissolved Oxygen.

Oxygen is crucial for many chemical and biological processes, and its facile detection is of great significance in our daily lives. In this study, we report a leucomethylene blue (LMB)-encapsulated hydrogel visual indicator for the detection of both gaseous and dissolved Oxygen (DO). The photosensitization of methylene blue (MB) not only lead to its reduction to colorless LMB but also resulted in hydrogel polymerization, thus allowing the one-step preparation of the LMB-hydrogel. Meanwhile, the photosensitized reduction of MB was quite fast (5000-fold faster than the classical glucose reduction). In this manner, the blue color of MB could be completely decayed within only 1 min. Also, the efficient polymerization triggered by MB photosensitization ensured the rapid preparation of LMB hydrogels within 10 min. By placing the oxygen indicator in air or water, oxygen can specifically oxidize the colorless LMB-hydrogel to the blue MB-hydrogel. When coupled with a smartphone, the oxygen indicator exhibited a linear response to DO in the range 0.23-10 mg/L with a detection limit of 0.077 mg/L. The LMB-hydrogel indicator was successfully explored for visual evaluation of vacuum degree during food packaging. The LMB-hydrogel, with the advantages of low cost, ease of preparation, as well as facile use, is a promising visual indicator for both gaseous and dissolved oxygen, especially for in-house usage.

Collaborative masking based speckle disentanglement for self-supervised optical coherence tomography image despeckling

Optical coherence tomography (OCT) has proven to be an effective and safe diagnostic tool in clinical settings due to its unique advantages. Nonetheless, the OCT images are unavoidably corrupted with speckle noise. Despeckling has become a vital preliminary step in OCT based image processing and analysis tasks. The supervised deep learning (DL) based denoising algorithms have recently attracted much attention due to their promising performance, but the lack of the noise-free OCT images renders it difficult to provide the effective supervision for DL model training. This paper has presented a self-supervised OCT image despeckling approach which does not depend on the reference clean image and combines the disentangled representation strategy with speckle noise estimation for the effective denoising. The proposed algorithm firstly disentangles the corrupted image into the speckle noise and clean image. Then, the multiple generated clean images are multiplied by the disentangled speckle noise to synthesize the speckle-corrupted image for self-supervised learning. To make the generated clean image and extracted speckle noise more statistically realistic, a collaborative masking strategy and a noise calibration module are applied to explore the spatial correlation of the clean image and refine speckle noise. The proposed method has been validated on two public datasets. Experimental results demonstrate that our method has superior speckle reduction performance to some traditional and DL-based despeckling approaches in terms of visual evaluation and quantitative metrics. Particularly, our method provides contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR) improvements of at least 0.35 dB and 14.37 dB over the compared methods, respectively. Additionally, the retinal image classification results provide further evidence for the exceptional despeckling performance of our approach against other compared methods. It is obvious that the developed method has significant advantages in keeping the fidelity of retinal structure and enhancing the speckle suppression level. Meanwhile, the presented method holds certain reference value for improving diagnostic efficiency in clinical.

Physical effort modulates perceptual awareness judgment independent of level of processing

Recent studies have emphasized the association between action and perceptual awareness, suggesting that action-related information can contribute to perceptual awareness. Given that the Level of Processing (LoP) hypothesis proposes that the emergence of awareness depends on the level of stimulus processing, the current study examines whether action impacts perceptual awareness across different processing levels. In Experiment 1, participants identified target stimuli’s color (low-level task) or category (high-level task) via mouse clicks, followed by visual awareness ratings. Experiment 2 replicated the tasks using hand-grip dynamometers. Results from Experiment 1 support the LoP theory, showing a more gradual emergence of awareness for low-level features and a more dichotomous emergence for high-level features. In Experiment 2, higher reported visual awareness ratings were observed at greater physical effort, regardless of task type. These results suggest that action-related information influences reported awareness of stimuli in the same way at low- and high-level stimulus processing.

Comparison of the efficacy and safety of a 730-nm picosecond titanium sapphire laser and a 1064-nm picosecond neodymium yttrium aluminum garnet laser for the treatment of acquired bilateral nevus of Ota-like macules: A split-face, evaluator-blinded, randomized, and controlled pilot trial.

The picosecond neodymium yttrium aluminum garnet laser (PNYL) has been successfully used in treating acquired bilateral nevus of Ota-like macules (ABNOM). The 730-nm picosecond titanium sapphire laser (PTSL) is an emerging tool for pigmentary disorders. However, no studies have compared two different wavelengths of picosecond laser for the treatment of ABNOM. To compare the efficacy and safety of the 730-nm PTSL with the 1064-nm PNYL in the treatment of ABNOM. Fifteen participants with ABNOM were randomized to undergo a single session of either the 730-nm PTSL on one side of the face and 1064-nm PNYL on the other side. Efficacy and safety assessments were performed by blinded visual evaluations at baseline, 12 weeks, and 24 weeks posttreatment. Participants' satisfaction and adverse effects were recorded. Compared to baseline, The 730-nm PTSL-treated side showed better improvement than that of the 1064-nm PNYL-treated side at 24 weeks posttreatment (1.67 ± 1.047 vs. 0.87 ± 0.640, p = 0.027). There were no significant differences in pain sensation and participants' satisfaction between the two laser treatments. The 730-nm PTSL is more effective than the 1064-nm PNYL in the treatment of ABNOM.

Electromagnetical and ultrasonic characterizations of concretes subjected to internal swelling reactions

Among pathologies of reinforced concrete structures, internal swelling reactions (ISR), including alkali-aggregate reaction and delayed ettringite formation, are at the origin of cracks and major disorders due to rebar corrosion. Visual evaluation of crack density combined to non-destructive testing techniques can be used to characterize the global swelling and then give some structural diagnosis. For the last ones, an intermediate step (assimilated to a calibration step) can be performed at laboratory to evaluate the sensitivity of electromagnetic, electrical and ultrasonic properties of concretes subject to ISR.This present study focuses on such characterizations of concrete samples presenting different levels of ISR and for several water content. Numerous samples have been extracted from mock-ups representative of two massive concrete structures, affected one by alkali-aggregate reaction and the other by delayed ettringite formation, and conditioned in homogeneous and controlled conditions. After describing the experimental campaign, results are shown and commented.

Evaluation of Femoral Head Avascular Necrosis With Virtual Noncalcium Dual-Energy Computed Tomography.

Our aim was to investigate the effectiveness of the dual-energy computed tomography (DECT) virtual noncalcium (VNCa) technique in avascular necrosis (AVN) for detecting bone marrow edema (BME) and staging. This prospective study included adult patients diagnosed with unilateral or bilateral femoral head AVN between January 2023 and December 2023, who had magnetic resonance imaging (MRI) and DECT. Two participants were excluded from the study due to undergoing surgical procedures during the period between the scans. Two reviewers, blinded to MRI images and clinical data, visually examined color-coded VNCa pictures to assess BME using a binary classification (0 = normal bone marrow, 1 = BME). Same 2 reviewers also used color-coded and nonmapped images to stage AVN in accordance to the "Association for Research on Osseous Circulation" (ARCO) staging system. Interobserver agreements for the visual evaluation and staging were calculated with κ coefficient. Following a visual assessment of BME and the staging of AVN, same 2 reviewers conducted CT density measurements on regions of BME regions utilizing DECT noncalcium images. An independent third investigator (reference standard) utilized MRI, x-ray, and clinical data to confirm the definitive diagnosis and staging of AVN. A P value less than 0.05 was considered statistically significant. Fifty patients (28 men, 22 women, mean age: 44.2 ± 13.1 years, range: 25-75 years) were included in the final analysis. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the VNCa technique in detecting BME were 96.0%, 94.4%, 97.9%, 89.4%, and 95.6%, respectively, for reviewer 1; and 96.0%, 88.9%, 96.0%, 88.9%, and 94.1%, respectively, for reviewer 2. Interobserver agreement was almost perfect ( κ = 0.84). Both reviewer 1 and reviewer 2 accurately classified 92.7% of the AVNs. The density measurements showed a statistically significant difference ( P = 0.001) between the edema regions and the normal marrow regions. No statistically significant difference was observed in the density measurements of edema regions at different stages ( P = 0.13). DECT VNCa technique exhibits excellent performance in detecting BME in hip AVN cases, as well as accurately determining the stage of AVN.

The relationship between gadolinium enhancement and [18 F]fluorothymidine uptake in brain lesions with the use of hybrid PET/MRI

BackgroundTo evaluate and compare the diagnostic power of [18F]FLT-PET with ceMRI in patients with brain tumours or other focal lesions.Methods121 patients with suspected brain tumour or those after brain tumour surgery were enroled in this retrospective study (61 females, 60 males, mean age 37.3 years, range 1–80 years). All patients underwent [18F]FLT-PET/MRI with gadolinium contrast agent application. In 118 of these patients, a final diagnosis was made, verified by histopathology or by follow-up. Agreement between ceMRI and [18F]FLT-PET of the whole study group was established. Further, sensitivity and specificity of ceMRI and [18F]FLT-PET were calculated for differentiation of high-grade vs. low-grade tumours, high-grade vs. low-grade tumours together with non-tumour lesions and for differentiation of high-grade tumours from all other verified lesions.Results[18F]FLT-PET and ceMRI findings were concordant in 119 cases (98%). On closer analysis of a subset of 64 patients with verified gliomas, the sensitivity and specificity of both PET and ceMRI were identical (90% and 84%, respectively) for differentiating low-grade from high-grade tumours, if the contrast enhancement and [18F]FLT uptake were considered as hallmarks of high-grade tumour. For differentiation of high-grade tumours from low-grade tumours and lesions of nontumorous aetiology (e.g., inflammatory lesions or post-therapeutic changes) in a subgroup of 93 patients by visual evaluation, the sensitivity of both PET and ceMRI was 90%, whereas the specificity of PET was slightly higher (61%) compared to ceMRI (57%). By receiver operating characteristic analysis, the sensitivity and specificity were 82% and 74%, respectively, when the threshold of SUVmax in the tumour was set to 0.9 g/ml.ConclusionWe demonstrated a generally very high correlation of [18F]FLT accumulation with contrast enhancement visible on ceMRI and a comparable diagnostic yield in both modalities for differentiating high-grade tumours from low-grade tumours and lesions of other aetiology.

A Quality of Experience and Visual Attention Evaluation for 360° Videos with Non-spatial and Spatial Audio

This article presents the results of an empirical study that aimed to investigate the influence of various types of audio (spatial and non-spatial) on the user quality of experience (QoE) of and visual attention in 360° videos. The study compared the head pose, eye gaze, pupil dilations, heart rate, and subjective responses of 73 users who watched ten 360° videos with different sound configurations. The configurations evaluated were no sound; non-spatial (stereo) audio; and two spatial sound conditions (first- and third-order ambisonics). The videos covered various categories and presented both indoor and outdoor scenarios. The subjective responses were analyzed using an ANOVA (Analysis of Variance) to assess mean differences between sound conditions. Data visualization was also employed to enhance the interpretability of the results. The findings reveal diverse viewing patterns, physiological responses, and subjective experiences among users watching 360° videos with different sound conditions. Spatial audio, in particular third-order ambisonics, garnered heightened attention. This is evident in increased pupil dilation and heart rate. Furthermore, the presence of spatial audio led to more diverse head poses when sound sources were distributed across the scene. These findings have important implications for the development of effective techniques for optimizing processing, encoding, distributing, and rendering content in virtual reality (VR) and 360° videos with spatialized audio. These insights are also relevant in the creative realms of content design and enhancement. They provide valuable guidance on how spatial audio influences user attention, physiological responses, and overall subjective experiences. Understanding these dynamics can assist content creators and designers in crafting immersive experiences that leverage spatialized audio to captivate users, enhance engagement, and optimize the overall quality of VR and 360° video content. The dataset, scripts used for data collection, ffmpeg commands used for processing the videos, and the subjective questionnaire and its statistical analysis are publicly available.

Predicting visual outcomes in keratoprosthesis surgery with critical flicker fusion frequency, B-scan, visual electrophysiology and endoscopy

PurposeThis study evaluates the predictive power of the critical flicker fusion frequency (CFF) test for visual outcomes in keratoprosthesis (KPro) candidates, comparing its accuracy with B-scan ultrasound, flash visual evoked...

Reduced awareness of cognitive deficits in idiopathic normal pressure hydrocephalus and its change following lumbar puncture

ObjectiveAwareness of cognitive deficits is related to executive functions and may, therefore, be sensitive to the effects of lumbar puncture (LP) in idiopathic normal pressure hydrocephalus (iNPH). Although a reduction in awareness of cognitive deficits (RACD) has been previously described in iNPH, there is a lack of systematic, psychometrically validated reports. In this study, we investigated RACD and its LP-related changes in iNPH patients and compared them with those in clinical and healthy control groups. MethodsRACD was assessed before and after lumbar puncture (LP) in 24 patients (14 iNPH, 10 other age-associated cognitive syndromes; AACS) and compared with 23 healthy controls (HC), employing two RACD measures alongside cognitive examination. Local metacognition was measured using a visual percentile-based rating system and operationalized as the t-scaled distance between the participants' task-specific performance estimations and their objective test performance (ΔTSPE). Global metacognition, targeting broader estimates of cognitive functioning (ECF), was quantified by subtracting self- from informant-obtained sum scores on a questionnaire evaluating participants' dysexecutive problems (DEX-DS). Within-group and between-group differences in ΔTSPE and DEX-DS scores were compared non-parametrically, focusing on post-LP changes. ResultsAveraged ΔTSPE was higher in the patient groups and mirrored the groups' lower objective test performance, while averaged DEX-DS showed no group difference. Following LP, group comparisons revealed iNPH-specific decrease in both RACD measures. ConclusionOur study revealed LP-related RACD changes in iNPH patients compared to those in AACS and HC participants. The results suggest a mitigation of impaired metacognitive abilities in iNPH, possibly resulting from LP-induced improvements in (local) metacognitive performance, facilitating ECF adjustment alongside a metacognitively stimulating testing procedure.