An analysis of the VEP to luminance modulation and of its nonlinearity

Extraction of M and P components from the visual evoked potential using pseudorandom stimulation with swept parameter technique

To develop a method of extract magnocellular (M) and parvocellular (P) components from VEP, the nonlinear system identification method using pseudorandom binary sequence (PRBS) stimulation combined with swept parameter technique was examined. VEP elicited by achromatic sinusoidal grating reverse based on PRBS was recorded and their binary kernels were calculated as cross-correlation between PRBS and VEP. To manipulate the magnitudes of M and P visual pathways responses in VEP, the spatial frequency of gratings were swept during the PRBS stimulation. VEP to this stimulation was recorded from 4 healthy participants and their binary kernels changes during the stimulation were evaluated. PRBS stimulation of 40950 ms period was repeated twice, and the spatial frequency was swept from 0.5 to 9 [c/d] or 9 to 0.5 [c/d] within the period. Binary kernel of each epoch was calculated by cross-correlating VEP with PRBS of 40950 ms duration. Different waveforms of binary kernels obtained from the former and latter half of the PRBS stimulation were confirmed, and the waveforms were continuously changed during the stimulation. The changes may reflect the M and P pathway contribution changes during the stimulation and depend on the spatial frequency sweeping. The suggested technique would be effective for studying and screening several eye and neurocognitive disorders which have been reported to relate with selective damage in M/P pathways.

Studies of human visual pathophysiology with visual evoked potentials

Visual evoked potentials (VEPs) offer reproducible and quantitative data on the function of the visual pathways and the visual cortex. Pattern reversal VEPs to full-field stimulation are best suited to evaluate anterior visual pathways while hemi-field stimulation is most effective in the assessment of post-chiasmal function. However, visual information is processed simultaneously via multiple parallel channels and each channel constitutes a set of sequential processes. We outline the major parallel pathways of the visual system from the retina to the primary visual cortex and higher visual areas via lateral geniculate nucleus that receive visual input. There is no best method of stimulus selection, rather visual stimuli and VEPs' recording should be tailored to answer specific clinical and/or research questions. Newly developed techniques that can assess the functions of extrastriate as well as striate cortices are discussed. Finally, an algorithm of sequential steps to evaluate the various levels of visual processing is proposed and its clinical use revisited.

A fast visual evoked potential method for functional assessment and follow-up of childhood optic gliomas

OBJECTIVE

To evaluate a fast technique of visual evoked potentials (VEPs) recording, in response to steady-state luminance stimuli (SS-LVEPs), for functional assessment and follow-up of childhood optic gliomas (OGs).

METHODS

Eighteen OG patients (age range: 3.5-18 years), with different degrees of optic pathway damage severity, were examined. Sixteen age-matched normal subjects served as controls. Ten of the 18 OG patients were re-tested 1-3 months after the first examination. SS-LVEPs were elicited by a sinusoidally-modulated flickering (8 Hz) uniform field, generated by a light emitting diode (LED)-array and presented monocularly in a mini-ganzfeld. Amplitude and phase of the Fourier-analyzed response fundamental (1F) and second harmonic (2F) were measured. The full VEP protocol had a median duration of 6 min (range: 4-12).

RESULTS

When compared to normal control values, median 1F and 2F SS-LVEP amplitudes of OG patients were reduced (P<0.01), with a borderline increase in 2F phase lag (P<0.05). In 11 OG patients with asymmetric optic pathway damage in between-eye comparisons, median 1F amplitude losses were greater (P<0.01) in fellow eyes with more severe damage. No significant interocular difference was observed in control subjects. Median test-retest changes of 1F and 2F component were <20% and 30 degrees for amplitude and phase, respectively. In individual OG patients, 1F and 2F amplitudes were positively correlated (P<0.01) with visual acuity. 1F amplitude losses were correlated (P=0.01) with the severity of optic disc atrophy. Considering both 1F and 2F abnormalities, diagnostic sensitivity of SS-LVEP in detecting OG-induced optic pathways damage was 83.3%.

CONCLUSIONS

The present findings support the use of this technique, as an alternative to pattern VEPs, for functional assessment and follow-up of OG in uncooperative children.

Local luminance and pattern reversal stimuli yield different visual evoked potential topography

We studied how the stimulation of quadrants of the visual field affect brain potential topography, and we compared activity elicited by conventional pattern reversal or by local luminance stimuli. The method of quasi-simultaneous stimulation of many small visual field elements by binary m-sequences allowed us to reconstruct the potentials evoked at each of 54 visual field locations independently. Data from all field elements within each quadrant and in the whole stimulation field were summed and compared to those elicited by checkerboard reversal stimuli presented in the four quadrants or as full field stimuli. In twenty-two healthy adults evoked brain activity was recorded in 30 channels with an electrode array densely spaced over the occipital brain areas. With local flash stimuli as well as with checkerboard reversal the topographical distributions of cortical activation changed significantly with retinal stimulus location. Analysis of three components occurring between 50 and 240 ms revealed significant differences between pattern reversal and local luminance evoked brain activity. Reversal stimuli yielded not only larger amplitudes but also a completely different component structure and topography. Our results illustrate that different neuronal generators are activated by pattern reversal and local luminance stimuli although visual field location of the stimuli was identical indicating that the same retinal and cortical structures respond in a different way depending on stimulation mode.

The topography of visual evoked response properties across the visual field

Visual evoked potentials (VEPs) to luminance and pattern reversal stimulation were derived for a large number of small areas throughout the central visual field. In one study, the field was tested with a stimulus array consisting of 64 equal-area patches. Local response components were extracted by independent m-sequence modulation of the patches. Field topographies were compared between and within subjects using different electrode placements. The subject-dependent local variability observed in response characteristics is attributed to contributions from two or more cortical representations of the visual field and to inter-subject variations in gross cortical anatomy. The second study used luminance modulation of 56 patches across a 15 degrees field, scaled to activate approximately equal cortical areas in area V1. This produced many robust signals at all eccentricities. Bipolar and double differential ("1-dimensional Laplacian") signals were compared. The double differencing reduced contributions from distant or distributed sources, enhancing nearby current source activity, and greatly improved S/N for many stimulus locations. The high-resolution visual field maps demonstrated that clinical field testing using the VEP is not feasible because of effects of cortical convolutions on responses. However, the vast improvement in data quality and quantity make it a useful tool for VEP source localization and identification.