Cortical and retinal refractory periods in the human visual system

Reliability of the Flash Visual Evoked Potential P2: Double-Stimulation Study

The flash visual evoked potential P2 (FVEP-P2) has been identified as a potentially useful clinical, diagnostic tool for Alzheimer's dementia (AD) and mild cognitive impairment (MCIa) due to its association with cholinergic functioning in the brain. The FVEP-P2 is the second positive component of the VEP waveform elicited by a single strobe flash. Despite finding a selective delay in the latency of the FVEP-P2 in AD and MCIa groups, adequate levels of sensitivity and specificity have not been achieved due to natural group differences and inter-individual variability. In response, Fix and colleagues introduced a novel, double-stimulation paradigm that contained two strobe flashes (i.e., stimulations). The first stimulation served as a visual challenge while the second stimulation produced the recorded FVEP-P2 component. The results of that investigation indicated that the latency of the FVEP-P2 could be used to reliably discriminate between aMCI and healthy controls when the ISI of the double-stimulation condition was 100 ms or higher. Unfortunately, very little is known regarding the psychometric properties of the FVEP-P2 when produced by a double-stimulation condition. Consequently, we assessed the test-retest reliability of the FVEP-P2 latency produced by a single- and twelve double-stimulation conditions in a sample of young, healthy individuals (N = 20). Results indicated that while the FVEP-P2 latencies produced by the single- and double-stimulation paradigm were reliable, the intra-individual variability continued to be too high for the FVEP-P2 latency to be used clinically. Methods of reducing the intra-individual variability are discussed, including the use of monochromatic light.

Spatio-temporal dynamics of adaptation in the human visual system: a high-density electrical mapping study

When sensory inputs are presented serially, response amplitudes to stimulus repetitions generally decrease as a function of presentation rate, diminishing rapidly as inter-stimulus intervals (ISIs) fall below 1 s. This 'adaptation' is believed to represent mechanisms by which sensory systems reduce responsivity to consistent environmental inputs, freeing resources to respond to potentially more relevant inputs. While auditory adaptation functions have been relatively well characterized, considerably less is known about visual adaptation in humans. Here, high-density visual-evoked potentials (VEPs) were recorded while two paradigms were used to interrogate visual adaptation. The first presented stimulus pairs with varying ISIs, comparing VEP amplitude to the second stimulus with that of the first (paired-presentation). The second involved blocks of stimulation (N = 100) at various ISIs and comparison of VEP amplitude between blocks of differing ISIs (block-presentation). Robust VEP modulations were evident as a function of presentation rate in the block-paradigm, with strongest modulations in the 130-150 ms and 160-180 ms visual processing phases. In paired-presentations, with ISIs of just 200-300 ms, an enhancement of VEP was evident when comparing S2 with S1, with no significant effect of presentation rate. Importantly, in block-presentations, adaptation effects were statistically robust at the individual participant level. These data suggest that a more taxing block-presentation paradigm is better suited to engage visual adaptation mechanisms than a paired-presentation design. The increased sensitivity of the visual processing metric obtained in the block-paradigm has implications for the examination of visual processing deficits in clinical populations.

Using visual evoked potentials for the early detection of amnestic mild cognitive impairment: a pilot investigation

OBJECTIVE

Amnesic mild cognitive impairment (MCIa) is often characterized as an early stage of Alzheimer's dementia (AD). The latency of the P2, an electroencephalographic component of the flash visual evoked potential (FVEP), is significantly longer in those with AD or MCIa when compared with controls. The present investigation examined the diagnostic accuracy of several FVEP-P2 procedures in distinguishing people with MCIa and controls.

METHODS

The latency of the FVEP-P2 was measured in participants exposed to a single flash condition and five double flash conditions. The double flash conditions had different inter-stimulus intervals between the pair of strobe flashes.

RESULTS

Significant group differences were observed in the single flash and two of the double flash conditions. One of the double flash conditions (100 ms) displayed a higher predictive accuracy than the single flash condition, suggesting that this novel procedure may have more diagnostic potential. Participants with MCIa displayed similar P2 latencies across conditions, while controls exhibited a consistent pattern of P2 latency differences. These differences demonstrate that the double stimulation procedure resulted in a measurable refractory effect for controls but not for those with MCIa.

CONCLUSIONS

The pattern of P2 group differences suggests that those with MCIa have compromised cholinergic functioning that results in impaired visual processing. Results from the present investigation lend support to the theory that holds MCIa as an intermediate stage between normal healthy aging and the neuropathology present in AD. Measuring the FVEP-P2 during several double stimulation conditions could provide diagnostically useful information about the health of the cholinergic system.

Habituation of visual evoked responses in neonates and fetuses: a MEG study

In this study we aimed to develop a habituation paradigm that allows the investigation of response decrement and response recovery and examine its applicability for measuring the habituation of the visually evoked responses (VERs) in neonatal and fetal magnetoencephalographic recordings. Two paradigms, one with a long and one with a short inter-train interval (ITI), were developed and tested in separate studies. Both paradigms consisted of a train of four light flashes; each train being followed by a 500Hz burst tone. Healthy pregnant women underwent two prenatal measurements and returned with their babies for a neonatal investigation. The amplitudes of the neonatal VERs in the long-ITI condition showed within-train response decrement. An increased response to the auditory dishabituator was found confirming response recovery. In the short-ITI condition, neonatal amplitude decrement could not be demonstrated while response recovery was present. In both ITI conditions, the response rate of the cortical responses was much lower in the fetuses than in the neonates. Fetal VERs in the long-ITI condition indicate amplitude decline from the first to the second flash with no further decrease. The long-ITI paradigm might be useful to investigate habituation of the VERs in neonates and fetuses, although the latter requires precaution.

The Effect of Stimulation Frequency and Retinal Stimulus Location on Visual Evoked Potential Topography

The activity of cortical neurons is influenced by retinal stimulus location and temporal modulation. We investigated how reversal frequency of black-and-white checkerboard patterns presented in different parts of the visual field affects evoked potential topography. Visual evoked potentials were recorded from an array of 16 electrodes over the occipital cortex in 12 healthy adults. A checkerboard reversal stimulus (40' check size) was presented with frequencies between 1.95 reversals/s and 7.81 reversals/s in the center or in the left or right hemiretina. Evoked potential fields displayed the well-known components of pattern reversal evoked activity. Computation of FFT and wavelets displayed electrical brain responses directly related to stimulation frequency. Further analysis showed that both retinal stimulus location and stimulation frequency affected visual evoked activity. Field strength as well as scalp field topography changed significantly with different reversal frequency. In addition, the pattern of lateralization of components also depended on temporal frequency of stimulation. Electrical brain activity elicited by visual stimuli shows globally similar features which are modulated by stimulus location and frequency. Our results indicate that--at least partly--different neuronal assemblies are activated by stimuli of different temporal characteristics.

Auditory-visual multisensory interactions attenuate subsequent visual responses in humans

Effects of multisensory interactions on how subsequent sensory inputs are processed remain poorly understood. We investigated whether multisensory interactions between rudimentary visual and auditory stimuli (flashes and beeps) affect later visual processing. A 2 x 3 design varied the number of flashes (1 or 2) with the number of beeps (0, 1, or 2) presented on each trial, such that '2F1B' refers to the presentation of 2 flashes with 1 beep. Beeps, when present, were synchronous with the first flash, and pairs of stimuli within a trial were separated by 52 ms ISI. Subjects indicated the number of flashes presented. Electrical neuroimaging of 128-channel event-related potentials assessed both the electric field strength and topography. Isolation of responses a visual stimulus that was preceded by a multisensory event was achieved by calculating the difference between the 2F1B and 1F1B conditions, and responses to a visual stimulus preceded by a unisensory event were isolated by calculating the difference between the 2F0B and 1F0B conditions (MUL and VIS, respectively). Comparison of MUL and VIS revealed that the treatment of visual information was significantly attenuated approximately 160 ms after the onset of the second flash when it was preceded by a multisensory event. Source estimations further indicated that this attenuation occurred within low-level visual cortices. Multisensory interactions are ongoing in low-level visual cortices and affect incoming sensory processing. These data provide evidence that multisensory interactions are not restricted in time and can dramatically influence the treatment of subsequent stimuli, opening new lines of multisensory research.

Auditory and visual refractory period effects in children and adults: An ERP study

OBJECTIVE

This developmental study was designed to investigate event-related potential (ERP) refractory period effects in the auditory and visual modalities in children and adults and to correlate these electrophysiological measures with standard behavioral measures.

METHODS

ERPs, accuracy, and reaction time were recorded as school-age children and adults monitored a stream of repetitive standard stimuli and detected occasional targets. Standards were presented at various interstimulus intervals (ISIs) in order to measure refractory period effects on early sensory components.

RESULTS

As has been reported previously in adults, larger components for standards with longer ISIs were observed for an auditory N1 and the visual occipital P1 and P2 in adults. Remarkably similar effects were observed in children. However, only children showed refractory effects on the amplitude of the visual N1 and P2 measured at anterior sites. Across groups, behavioral accuracy and reaction time were correlated with latencies of auditory N1 and visual P2 across ISI conditions.

CONCLUSIONS

The results establish a normal course of development for auditory and visual ERP refractory period effects across the 6- to 8-year-old age range and indicate similar refractoriness in the neural systems indexed by ERPs in these paradigms in typically developing children and adults. Further, the results suggest that electrophysiological measures and standard behavioral measures may at least in part index similar processing in the present paradigms.

SIGNIFICANCE

These findings provide a foundation for further investigation into atypical development, particularly in those populations for which processing time deficits have been implicated such as children with specific language impairment or dyslexia.

Automatic word form processing in masked priming: An ERP study

Five prime types (unrelated words, pronounceable nonwords, illegal strings of letters, false fonts, or neutral strings of Xs) preceded word and nonword targets in a masked priming study designed to investigate word form processing as indexed by event-related potentials (ERPs). Participants performed a lexical decision task on targets. In the 150-250-ms epoch at fronto-central, central, and temporo-parietal sites ERPs were smallest to targets preceded by words and nonwords, followed by letter strings, false fonts, and finally neutral primes. This refractory pattern sensitive to orthography supports the view that ERPs in the 150-250-ms epoch index activation of neural systems involved in word form processing and suggests that such activation may be graded, being maximal with word-like stimuli and relatively reduced with alphabet-like stimuli. Further, these results from a masked priming paradigm confirm the automatic nature of word form processing.