Temporal frequency responsivity shows multiple maturational phases: state-dependent visual evoked potential luminance flicker fusion from birth to 9 months

Rhythmic visual stimulation as a window into early brain development: A systematic review

Rhythmic visual stimulation (RVS), the periodic presentation of visual stimuli to elicit a rhythmic brain response, is increasingly applied to reveal insights into early neurocognitive development. Our systematic review identified 69 studies applying RVS in 0- to 6-year-olds. RVS has long been used to study the development of the visual system and applications have more recently been expanded to uncover higher cognitive functions in the developing brain, including overt and covert attention, face and object perception, numeral cognition, and predictive processing. These insights are owed to the unique benefits of RVS, such as the targeted frequency and stimulus-specific neural responses, as well as a remarkable signal-to-noise ratio. Yet, neural mechanisms underlying the RVS response are still poorly understood. We discuss critical challenges and avenues for future research, and the unique potentials the method holds. With this review, we provide a resource for researchers interested in the breadth of developmental RVS research and hope to inspire the future use of this cutting-edge method in developmental cognitive neuroscience.

Cerebral hemodynamic responses in preterm-born neonates to visual stimulation: classification according to subgroups and analysis of frontotemporal-occipital functional connectivity

How neurovascular coupling develops in preterm-born neonates has been largely neglected in scientific research. We measured visually evoked (flicker light) hemodynamic responses (HRs) in preterm-born neonates ( n = 25 , gestational age: 31.71 ± 3.37 weeks, postnatal age: 25.48 ± 23.94 days) at the visual cortex (VC) and left frontotemporal lobe (FTL) using functional near-infrared spectroscopy (fNIRS) neuroimaging. We found that the HR characteristics show a large intersubject variability but could be classified into three groups according to the changes of oxyhemoglobin concentration at the VC [(A) increase, (B) decrease, or (C) inconclusive]. In groups A and B, the HRs at the left FTL were correlated with those at the VC, indicating the presence of a frontotemporal-occipital functional connectivity. Neonates in group A had a higher weight at measurement compared to those in group B, and had the lowest baseline total hemoglobin concentration and hematocrit compared to group C. To the best of our knowledge, this is the first fNIRS study showing (1) that the HRs of preterm-born neonates need to be classified into subgroups, (2) that the subgroups differed in terms of weight at measurement, and (3) that HRs can be observed also at the FTL during visual stimulation. These findings add insights into how neurovascular coupling develops in preterm-born neonates.

Temporal Tuning of Word- and Face-selective Cortex

Sensitivity to temporal change places fundamental limits on object processing in the visual system. An emerging consensus from the behavioral and neuroimaging literature suggests that temporal resolution differs substantially for stimuli of different complexity and for brain areas at different levels of the cortical hierarchy. Here, we used steady-state visually evoked potentials to directly measure three fundamental parameters that characterize the underlying neural response to text and face images: temporal resolution, peak temporal frequency, and response latency. We presented full-screen images of text or a human face, alternated with a scrambled image, at temporal frequencies between 1 and 12 Hz. These images elicited a robust response at the first harmonic that showed differential tuning, scalp topography, and delay for the text and face images. Face-selective responses were maximal at 4 Hz, but text-selective responses, by contrast, were maximal at 1 Hz. The topography of the text image response was strongly left-lateralized at higher stimulation rates, whereas the response to the face image was slightly right-lateralized but nearly bilateral at all frequencies. Both text and face images elicited steady-state activity at more than one apparent latency; we observed early (141-160 msec) and late (>250 msec) text- and face-selective responses. These differences in temporal tuning profiles are likely to reflect differences in the nature of the computations performed by word- and face-selective cortex. Despite the close proximity of word- and face-selective regions on the cortical surface, our measurements demonstrate substantial differences in the temporal dynamics of word- versus face-selective responses.

Spatial and temporal aspects of visual backward masking in children and young adolescents

The development of visual functions is very diverse. Some visual functions mature within the first year of life, whereas maturation for other functions extends into adolescence. The reasons for these developmental differences are largely unknown. Here, we investigated spatiotemporal processing in children (7–9 years, n = 15), young adolescents (11–13 years, n = 26), and adults (18–33 years, n = 24) using the shine-through visual backward-masking paradigm. We found that children had significantly longer vernier durations than either young adolescents or adults. However, children’s spatial and temporal processing of complex masks was very similar to that of young adolescents and adults. We suggest that spatiotemporal processing related to visual backward masking is already fully developed at age 7, whereas the attentional processes related to target enhancement only mature in young adolescence.

Fast development of global motion processing in human infants

Although global motion processing is thought to emerge early in infancy, there is debate regarding the age at which it matures to an adult-like level. In the current study, we address the possibility that the apparent age-related improvement in global motion processing might be secondary to age-related increases in the sensitivity of mechanisms (i.e., local motion detectors) that provide input to global motion mechanisms. To address this, we measured global motion processing by obtaining motion coherence thresholds using stimuli that were equally detectable in terms of contrast across all individuals and ages (3-, 4-, 5-, 6-, and 7-month-olds and adults). For infants, we employed a directional eye movement (DEM) technique. For adults, we employed both DEM and a self-report method. First, contrast sensitivity was obtained for a local task, using a stochastic motion display in which all the dots moved coherently. Contrast sensitivity increased significantly between 3 and 7 months, and between infancy and adulthood. Each subject was then tested on the global motion task with the contrast of the dots set to 2.5 × each individual's contrast threshold. Coherence thresholds were obtained by varying the percentage of coherently moving "signal" versus "noise" dots in the stochastic motion display. Results revealed remarkably stable global motion sensitivity between 3 and 7 months of age, as well as between infancy and adulthood. These results suggest that the mechanisms underlying global motion processing develop to an adult-like state very quickly.

Children with a history of atypical febrile seizures show abnormal steady state visual evoked potential brain responses

Atypical febrile seizures (FSs) are considered a risk factor for the onset of epilepsy in later life as well as for potential cognitive impairment. However, distinctive characteristics defining the group of children at risk for negative outcomes are not well established. In the following study, children from 6 to 59 months with a history of atypical FSs were investigated using steady state visual evoked potentials (ssVEP), a brain response known to increase with age. Abnormally, low theta and alpha ssVEP brain responses were found in children with a history of atypical FSs.

Monocular and binocular steady-state flicker VEPs: frequency-response functions to sinusoidal and square-wave luminance modulation

Steady-state VEPs to full-field flicker (FFF) using sinusoidally modulated light were compared with those elicited by square-wave modulated light across a wide range of stimulus frequencies with monocular and binocular FFF stimulation. Binocular and monocular VEPs were elicited in 12 adult volunteers to FFF with two modes of temporal modulation: sinusoidal or square-wave (abrupt onset and offset, 50% duty cycle) at ten temporal frequencies ranging from 2.83 to 58.8 Hz. All stimuli had a mean luminance of 100 cd/m(2) with an 80% modulation depth (20-180 cd/m(2)). Response magnitudes at the stimulus frequency (F1) and at the double and triple harmonics (F2 and F3) were compared. For both sinusoidal and square-wave flicker, the FFF-VEP magnitudes at F1 were maximal for 7.52 Hz flicker. F2 was maximal for 5.29 Hz flicker, and F3 magnitudes are largest for flicker stimulation from 3.75 to 7.52 Hz. Square-wave flicker produced significantly larger F1 and F2 magnitudes for slow flicker rates (up to 5.29 Hz for F1; at 2.83 and 3.75 Hz for F2). The F3 magnitudes were larger overall for square-wave flicker. Binocular FFF-VEP magnitudes are larger than those of monocular FFF-VEPs, and the amount of this binocular enhancement is not dependant on the mode of flicker stimulation (mean binocular: monocular ratio 1.41, 95% CI: 1.2-1.6). Binocular enhancement of F1 for 21.3 Hz flicker was increased to a factor of 2.5 (95% CI: 1.8-3.5). In the healthy adult visual system, FFF-VEP magnitudes can be characterized by the frequency-response functions of F1, F2 and F3. Low-frequency roll-off in the FFF-VEP magnitudes is greater for sinusoidal flicker than for square-wave flicker for rates ≤ 5.29 Hz; magnitudes for higher-frequency flicker are similar for the two types of flicker. Binocular FFF-VEPs are larger overall than those recorded monocularly, and this binocular summation is enhanced at 21.3 Hz in the mid-frequency range.

Neonatal hemodynamic response to visual cortex activity: high-density near-infrared spectroscopy study

The neurodevelopmental outcome of neonatal intensive care unit (NICU) infants is a major clinical concern with many infants displaying neurobehavioral deficits in childhood. Functional neuroimaging may provide early recognition of neural deficits in high-risk infants. Near-infrared spectroscopy (NIRS) has the advantage of providing functional neuroimaging in infants at the bedside. However, limitations in traditional NIRS have included contamination from superficial vascular dynamics in the scalp. Furthermore, controversy exists over the nature of normal vascular, responses in infants. To address these issues, we extend the use of novel high-density NIRS arrays with multiple source-detector distances and a superficial signal regression technique to infants. Evaluations of healthy term-born infants within the first three days of life are performed without sedation using a visual stimulus. We find that the regression technique significantly improves brain activation signal quality. Furthermore, in six out of eight infants, both oxy- and total hemoglobin increases while deoxyhemoglobin decreases, suggesting that, at term, the neurovascular coupling in the visual cortex is similar to that found in healthy adults. These results demonstrate the feasibility of using high-density NIRS arrays in infants to improve signal quality through superficial signal regression, and provide a foundation for further development of high-density NIRS as a clinical tool.

Hemodynamic response to visual stimulation in newborn infants using functional near-infrared spectroscopy

Brain activity is associated with physiological changes, which alter the optical properties of tissue. These changes can be detected by near-infrared spectroscopy (NIRS). Aim of the study was to determine changes in cerebral oxygenation in response to stimulation in the visual cortex in newborn infants during spontaneous sleep in the first days of life. We used an in-house developed multichannel NIRS imaging instrument, the MCP-II, to measure changes in concentration of oxyhemoglobin (O(2)Hb) and deoxyhemoglobin (HHb) in specific brain areas. In 10 out of 15 subjects, a significant increase in O(2)Hb and/or a significant decrease in HHb were found in one or more channels over the occipital cortex. During stimulation, O(2)Hb increased by a mean of 0.98 mumol/l, HHb decreased by a mean 0.17 mumol/l, and total-Hb increased by a mean of 0.81 mumol/l. The hemodynamic response to visual stimulation in the occipital cortex in newborn infants is similar to adults. The increase in O(2)Hb and the simultaneous decrease in HHb during stimulation suggest an increase in cerebral blood flow (CBF) that overcompensates for the increased oxygen consumption (CMRO(2)) in the activated cortical area.

ERGs and psychophysical thresholds in students with reading discomfort

PURPOSE

Symptoms of reading discomfort include unpleasant somatic and perceptual effects, such as eye-strain, headache, and blurred text, despite normal visual acuity. Reading discomfort has been proposed to be the result of increased noise in the visual system. Several studies have suggested that the symptoms can be minimized by having the subject wear colored filters. Thus, there may be abnormal neural processing in the cone pathways. This study measured L- and M-cone isolating (1) ERGs and (2) psychophysical thresholds in normal and reading discomfort subjects to determine if cone processing was abnormal in the reading discomfort population.

METHODS

Twenty-two normal and nineteen reading discomfort college students took part in this study. The normal subjects had Conlon survey scores within 0.5 SD of the mean and the reading discomfort subjects had scores >1.5 SD above the mean. ERGs were determined for a range (5 to 15%) of L- and M-cone contrasts. Slopes were determined for the L- and M-cone ERG amplitudes for each subject. Psychophysical thresholds were determined with a 2AFC technique combined with a 3-up and 1-down staircase procedure that terminated after 18 reversals occurred. The threshold was calculated as the average of the last 8 reversals.

RESULTS

The average ERG slopes were not significantly different between the normal and reading discomfort groups (L-Cone, p = 0.086; M-Cone, p = 0.47). The L/M cone ratios for the slopes were not significantly different (p = 0.55). The log of the color contrast thresholds were not significantly different between the normal and reading discomfort groups (L-Cone, p = 0.97; M-Cone, p = 0.92).

CONCLUSIONS

L- and M- cone ERG contrast gains and psychophysical estimates of color contrast thresholds were not significantly different. These results do not support the noisy visual system hypothesis of reading discomfort.

Cortical processing of visual motion in young infants

High-density EEG was used to investigate the cortical processing of a rotating visual pattern in 2-, 3-, and 5-month-old infants and in adults. Motion induced ERP in the parietal and the temporal-occipital border regions (OT) was elicited at all ages. The ERP was discernable in the 2-months-olds, significant and unilateral in the 3-month-olds and significantly bilateral in the 5-month-olds and adults. The motion induced ERP in the primary visual area was absent in the 2-month-olds and later than in the OT area for the 3-month-olds indicating that information to OT may be supplied by the V1 bypass at these ages. The results are in agreement with behavioural and psychophysical data in infants.

The neonatal development of the light flash visual evoked potential

AIMS

To follow visual development longitudinally in the normal neonate using the flash visual evoked potential (VEP) and to find indications for a relationship between potential development and visual development.

METHODS

Twenty healthy infants, born at term, were included in the study. Flash and patterned flash VEPs were used. The first VEP was recorded the day of birth or just postnatally, and succeeding recordings were performed the following weeks and months.

RESULTS

The data revealed different types of VEP in the neonatal period suggesting great variability in visual function on the day of birth. In the early development a potential of long latency and duration preceded the development of a more compound potential of shorter latency. The two types of responses seemed to coalesce during early development; the first late response was attenuated and was eventually integrated in the more mature VEP. At approximately five weeks of age changes in the VEP were simultaneous with the development of responsive smiling and another visual behaviour of the infants.

CONCLUSIONS

The results showed many similarities between the VEP development in infants and in immature animals. In developing animals geniculo-cortical and extra-geniculate visual afferent pathways evoke two types of VEPs similar to those recorded in the present study. The early responses were also similar to previous recordings from children with lesions in the geniculo-striatal pathway or primary cortex. Our interpretation of the results was that the human VEP also consists of responses evoked by afferents running both in geniculo-cortical and extra-geniculate pathways and that the two types of responses could be separated in the VEP in the neonatal period. These findings are important for our understanding of conditions with a delay in visual maturation, for example intracranial haemorrhages, hydrocephalus, pre/dys-maturity and 'idiopathic' delayed visual maturation.

Development of temporal contrast sensitivity in human infants

The time course for the development of the temporal contrast sensitivity function in humans is uncertain. Some studies indicate that temporal contrast sensitivity is immature in infants. However, earlier work suggests that critical flicker fusion is adult-like by 2 months. We traced the development of temporal contrast sensitivity to uniform field flicker in 2-, 3- and 4-month-old infants using a modified preferential-looking technique that employed a rating scale. Two-month-old infants exhibited highest sensitivities at 1 and 2 Hz. Three- and 4-month infants exhibited peak sensitivity at 4 and 8 Hz, respectively. Overall temporal contrast sensitivity increased with age and the peak frequency shifted toward higher temporal frequencies. Using this paradigm, no infant subjects showed responses to 32 Hz, the highest temporal frequencies tested.

Development of the temporal properties of visual evoked potentials to luminance and colour contrast in infants

We have studied the development of the temporal characteristics of the pattern visual evoked potentials (P-VEPs) in response to contrast reversal of patterns of low spatial frequency (0.1 c/deg) of either pure luminance contrast (yellow-black plaid patterns) or pure colour contrast (equiluminant red-green plaid patterns) in 15 infants between 6 and 30 weeks of age. High contrast patterns were modulated temporally either sinusoidally at various temporal frequencies to elicit steady-state responses, or abruptly at a low temporal frequency to elicit transient responses. Analysis of both the transient and steady-state responses suggests the existence of three different mechanisms contributing to the infant and adult P-VEP responses at low, medium and high temporal frequencies. The responses at the three different temporal frequency ranges have different time constants, and develop at different rates. The low frequency response predominates at 8 weeks, where it spans the range 1-6 Hz with an apparent latency of about 230 msec, for both colour and luminance stimulation. This response increases in bandwidth and decreases in latency progressively with age, at a similar rate for luminance and colour contrast, up to 14 weeks. After 14 weeks, the luminance response undergoes major changes, with the emergence of a new response with a shorter latency (about 100 msec) and a peak activity near 10 Hz. This mid-frequency response matures further with age, until it dominates the whole response of the adult P-VEP to luminance contrast. It also makes a contribution to the chromatic response at frequencies above 10 Hz, generating the characteristic double-peaked amplitude response in adults. However, its contribution is very limited below 10 Hz, where the response latency is 140 msec in adults, as it was at 14 weeks of age. A third component is evident at very high temporal frequencies of the luminance response as early as 6 weeks, extending up to 15 Hz in 8-week-olds and up to 25 Hz for older infants. It remains apparent up to 18 weeks, thereafter being swamped by the major mid-frequency response. The apparent latency of response over this frequency range is about 70 msec at all ages. The development of transient P-VEPs paralleled that of the steady-state P-VEPs. At all ages there was an early negative component (N70) at about 70 msec, corresponding to the fast steady-state response at high frequencies for luminance contrast. Before 14 weeks, the luminance and chromatic transient response had the same morphology, with a single major peak of similar latency to the apparent latency of the low temporal frequency response. After this age, the morphology of the luminance response changed, particularly in the first 100 msec, consistent with the emergence of the mid-frequency response. We discuss whether the high-frequency component may represent pre- or early post-synaptic cortical activity, already mature by 8 weeks, and how the different maturation rates of the mid and high-frequency components may reflect different intra-cortical circuitry for colour and luminance.

Infants' sensitivity to uniform motion

Uniform motion across the retina is a powerful cue to the perception of self-motion. In spite of its importance for adaptive functioning, little is known about the early development of uniform motion sensitivity. Six-, 12-, and 18-week-old infants viewed random-dot kinematograms depicting leftward or rightward uniform motion. The display induced optokinetic nystagmus (OKN), which a trained observer used to judge the direction of target motion. Both speed of motion and directional coherence were varied to obtain independent motion detection thresholds. Infants of all three ages could detect uniform motion, and their detection thresholds were constant during this period of development. This is in contrast to the clear improvements in relative motion sensitivity noted previously between 6 and 18 weeks of age with a preferential looking (PL) paradigm. The developmental differences between these studies may result from: (1) separate mechanisms for detecting uniform (absolute) and differential (relative) motion; or (2) separate mechanisms underlying OKN and PL response measures.

Electrodiagnosis in paediatric ophthalmogenetics

In the present overview, practical application of the visual evoked potential (VEP) in paediatric neuro-ophthalmology is described across a wide range of ophthalmogenetic disorders, including albinism, Pelizaeus-Merzbacher disease and spastic paraplegia. The VEP approach is based on a four parameter subdivision of the electrophysiological response which includes, (1) amplitude (microV), (2) latency (ms), (3) waveform (component specificity), and (4) topography (potential distribution across the electrode array). In the case studies presented, evoked potential measures provide clinically useful and even at times invaluable insights concerning the presence, extent and type of visual pathway compromise. The four parameter subdivision along with age matched normative standards provides a sensitive and reliable means to facilitate detection and diagnosis of sensory anomalies in the developing visual system. The non-invasive electrophysiological assessment of visual function and its maturational course also provides early identification of affected family members as well as an objective measure of various treatment regimes which, particularly for the pre-verbal and non-verbal child, is critical for effective patient care.