Download - Visual Fields and fMRI - McGill University
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Visual Fields and fMRI
Adler’s Physiology of the Eye 11th Ed.Chapter 35 - by Johnson & Wall
http://www.mcgill.ca/mvr/resident/
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Visual Fields
• Perimetry and visual field testing- detect functional losses- identify the location of a visual deficit- monitor the status of acute and chronic disease- evaluate efficacy of treatment
• Old technique, but continued improvements- automation- standardization- immediate statistical evaluation- greater efficiency
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Visual Fields
Photopic adaptation, in normal eye, and visual system
Hill of Vision
temporalnasal60o 100o
15o
HM
30o
3o
Weber’s LawL/L=C
standard deviationabout 3dB
>300% more for damaged
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Visual Fields
• Kinetic Visual Fields- egg shaped isopters for a given target- efficient & flexible method for center and periphery- more variability, more expertise needed, less standards
• Static Visual Fields- most common, good standardization, and prediction- immediate statistics, can monitor reliability, align. & fixation- demanding for patient, high variability for low sensitivity
• Suprathreshold static perimetry- rapid to detect field defects, over entire field- limited quantification, lower sensitivity and specificity,- less validation
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Visual Fields
Standard Automated Perimetry (SAP)
~1000 x dimmer than maximum
Glaucoma Hemifield Test
Mean DeviationPattern Standard Deviation
Total Deviation Pattern Deviation (remove generalized sensitivity differences up to 85 percentile)
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Visual Fields
• Normal vision, but ‘trigger happy’- abnormally high sensitivity & false positives,hitting the button too often
• Generalized, widespread field loss
• Localized field loss
• Mixture of localized and widespread loss
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Visual Fields
• good gaze tracking
• excessive blinking
• droopy eyelid
• fatigue
• alignment problems
Gaze tracking with infrared Purkinje image system
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Field Defects
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arcuaterespect HM
bitemporalrespect VM central
homonymous
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Field Defects
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New Perimetric Tests
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State of Affairs in 1990’s
• Monkey Visual Cortex Felleman & Van Essen, 1991
• Human Visual Cortex Clarke & Miklossy, 1990; Horton & Hoyt, 1991
• fMRI Kwong et al., 1992; Ogawa et al., 1992
• Cortical Surface Representation Dale & Sereno, 1993
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State of Affairs in 1990’s
• Idea of Phase-Encoded Stimuli & fMRI Engel et al., 1994
• Mapping Human Visual Cortex with fMRI Sereno et al., 1995
• Visual Cortex Activation with Stimulation/PET Dobelle et al., 1979; Fox et al., 1986
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Magnetic Resonance Imaging
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T1 weighted T2 weighted
Brain Images Showing T1 and T2 Contrast
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By varying the timing of sending and receivingsignals in the MR scanner, most anatomical MRimages are either T1 weighted or T2 weighted.This is done to create contrast between differenttissues types.
Functional MRI is a newer technique that detectsthe T2 difference between oxy-hemoglobin anddeoxy-hemoglobin
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A V A V
The BOLD Effect
oxyhemoglobin
deoxyhemoglobin
Normal Flow High Flow
“Blood Oxygen Level Dependent”
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LOCALIZED CHANGES IN BLOOD FLOW AND OXYGENATION
VISUALIZE CHANGES WITH BOLD fMRI
CHANGES IN INFORMATION PROCESSING DEMANDS
LOCALIZED CHANGES IN NEURAL ACTIVITY
fMRI Is an Indirect Measure of Neural Activity
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Mapping Visual Cortex
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Eccentricity and Polar Angle Stimuli
TIME
TIME
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Eccentricity and Polar Angle Analysis
TIME
INTENSITY
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Activation Viewed on Brain Slices
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Maps of Cardinal Axes on Flattened Cortical Surface
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Maps of Cardinal Axes on Flattened Cortical Surface
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‘Field-Sign’ is Calculated from Cardinal Axes
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Inflated View of Areas
V3A
V3
V2
VPV4v
V1
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Inflated View of Areas
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View of Areas
monkeyhuman
human
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Comparison with Other PrimatesCortical Magnification
Human has highest magnification factor
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Current Efforts to Relate Human and Monkey Cortex
Monkey Human
Orban et al., 2004
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Use of Standard Landmarks Alone & with FMRI Landmarks
Brodmann Areas
Standard Landmarks Standard & fMRI
Orban et al., 2004
Current Efforts to Relate Human and Monkey Cortex:
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Lack of Consensus Exists Even for Monkey
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Mapping Ipsilateral Field
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18
16
9 10 11 12 13 14 15 16
7 6 5 4 3 2 18
Receptive Fields at 17/18 Border
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Callosally Projecting Neurons at 17/18 Border
Bourdet et al., 1996Concept: stabilization of CC connections for neurons with similar receptive fields
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Human Ipsilateral Visual Field Representation
Moving stimulus confined to hemifield
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Effects of Varying Wedge Size
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Cortical Magnification &Other Functional Organization
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Retinotopy & Cortical Magnification
V1
* = occipital pole = foveal vision
Tootell et al., 1998b
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Ocular Dominance (blind spot)
Tootell et al., 1998a
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Contrast Sensitivity
Pelli-Robson Chart
How could V1 be activated selectively?
MT has high contrast sensitivity V1 has lower contrast sensitivity
Tootell et al., 1998b
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Well studied in monkeys Distinctive anatomy (myelin) and function direction selectivityPresent in all primates tested.
Tootell et al., 1995
Human Cortical Area MT
Localizing Stimuli
low-contrast motion comparedto low-contrast stationary