Automatic image registration on intraoperative CBCT compared to Surface Matching registration on preoperative CT for spinal navigation: accuracy and workflow

INTRODUCTION

Spinal navigation solutions have been slower to develop compared to cranial ones. To facilitate greater adoption and use of spinal navigation, the relatively cumbersome registration processes need to be improved upon. This study aims to validate a new solution for automatic image registration and compare it to a traditional Surface Matching method.

METHOD

Adult patients undergoing spinal surgery requiring navigation were enrolled after providing consent. A registration matrix-Universal AIR (= Automatic Image Registration)-was placed in the surgical field and used for automatic registration based on intraoperative 3D imaging. A standard Surface Matching method was used for comparison. Accuracy measurements were obtained by comparing planned and acquired coordinates on the vertebrae.

RESULTS

Thirty-nine patients with 42 datasets were included. The mean accuracy of Universal AIR registration was 1.20 ± 0.42 mm, while the mean accuracy of Surface Matching registration was 1.94 ± 0.64 mm. Universal AIR registration was non-inferior to Surface Matching registration. Post hoc analysis showed a significantly greater accuracy for Universal AIR registration. In Surface Matching, but not automatic registration, user-related errors such as incorrect identification of the vertebral level were seen.

CONCLUSION

Automatic image registration for spinal navigation using Universal AIR and intraoperative 3D imaging provided improved accuracy compared to Surface Matching registration. In addition, it minimizes user errors and offers a standardized workflow, making it a reliable registration method for navigated spinal procedures.

Reduction in CT scan number with the reference frame middle attachment method in intraoperative CT navigation for adolescent idiopathic scoliosis

PURPOSE

Elucidate whether it is preferable to use the reference frame (RF) middle attachment (RFMA) method over the edge of the planned pedicle screw (PS) insertion area for RF placement in the surgery for adolescent idiopathic scoliosis (AIS) with intraoperative computed tomography (CT) navigation.

METHODS

Eighty-six consecutive patients (76 female and 10 male; mean age: 15.9 years) with AIS who underwent posterior spinal fusion using intraoperative CT navigation were enrolled. The group with the RF placed at the most distal part of the CT scan range was defined as the distal group (Group D), with other placements classified into the middle group (Group M). PS perforation rate and surgical outcome were compared between the groups.

RESULTS

There was no significant difference in perforation rate between Group M and Group D (3.4% vs. 3.0%, P = 0.754). The mean ± standard deviation number of instrumented vertebrae at the first CT scan was significantly higher in Group M (8.2 ± 1.2 vs. 6.3 ± 1.2, P < 0.001), while mean blood loss was significantly lower (266 ± 185 mL vs. 416 ± 348 mL, P = 0.011). The frequency of needing a second CT scan for PS insertion was significantly lower in Group M (38% vs. 69%, P = 0.04).

CONCLUSION

The RFMA method in thoracic scoliosis surgery for AIS with intraoperative CT navigation could significantly decrease the number of CT scans and blood loss while maintaining a comparable PS perforation rate to RF placement at the distal end of the planned PS insertion range.

Left or right, that is the question: use of egocentric frame of reference and the right-eye advantage for understanding gestural signs in bottlenose dolphins (Tursiops truncatus)

How do bottlenose dolphins visually perceive the space around them? In particular, what cues do they use as a frame of reference for left-right perception? To address this question, we examined the dolphin's responses to various manipulations of the spatial relationship between the dolphin and the trainer by using gestural signs for actions given by the trainer, which have different meanings in the left and right hands. When the dolphins were tested with their backs to the trainer (Experiment 1) or in an inverted position underwater (Experiments 2 and 3), correct responses from the trainer's perspective were maintained for signs related to movement direction instructions. In contrast, reversed responses were frequently observed for signs that required different sounds for the left and right hands. When the movement direction instructions were presented with symmetrical graphic signs such as " × " and "●", accuracy decreased in the inverted posture (Experiment 3). Furthermore, when the signs for sounds were presented from either the left or right side of the dolphin's body, performance was better when the side of the sign movement coincided with the body side on which it was presented than when it was mismatched (Experiment 4). In the final experiment, when one eye was covered with an eyecup, the results showed that, as in the case of body-side presentation, performance was better when the open eye coincided with the side on which the sign movement was presented. These results indicate that dolphins used the egocentric frame for visuospatial cognition. In addition, they showed better performances when the gestural signs were presented to the right eye, suggesting the possibility of a left-hemispheric advantage in the dolphin's visuospatial cognition.

Shape of my likes: how explicit and implicit reference frames shape the liking of insect-based protein bar

A high-protein bar incorporating mealworm powder was developed. The impact of explicit and implicit frame formation on the acceptance and sensory characteristics of this target bar was investigated by comparing it with four commercial protein bars for a total of 275 consumers. To construct the explicit frame, consumers watched a video clip about each frame (environment/nutrition/meal replacement) just before the evaluation. In the no-explicit-frame group, five protein bars were evaluated without video priming. The control group tasted the target sample only without any information. The implicit framework formed during the progress of exposure to various protein bar samples had a greater influence than explicit cues on the acceptance of the target. Promoting the nutritional and environmental merits of edible insects was not sufficient to improve the acceptability of the insect-incorporated protein bar. The liking decreased significantly with the inclusion of the commercial samples during the progress of sequential monadic serving.

Virtual Reality for Spatial Navigation

Immersive virtual reality (VR) allows its users to experience physical space in a non-physical world. It has developed into a powerful research tool to investigate the neural basis of human spatial navigation as an embodied experience. The task of wayfinding can be carried out by using a wide range of strategies, leading to the recruitment of various sensory modalities and brain areas in real-life scenarios. While traditional desktop-based VR setups primarily focus on vision-based navigation, immersive VR setups, especially mobile variants, can efficiently account for motor processes that constitute locomotion in the physical world, such as head-turning and walking. When used in combination with mobile neuroimaging methods, immersive VR affords a natural mode of locomotion and high immersion in experimental settings, designing an embodied spatial experience. This in turn facilitates ecologically valid investigation of the neural underpinnings of spatial navigation.

Navigation strategies in patients with vestibular loss tested in a virtual reality T-maze

During navigation, humans mainly rely on egocentric and allocentric spatial strategies, two different frames of reference working together to build a coherent representation of the environment. Spatial memory deficits during navigation have been repeatedly reported in patients with vestibular disorders. However, little is known about how vestibular disorders can change the use of spatial navigation strategies. Here, we used a new reverse T-maze paradigm in virtual reality to explore whether vestibular loss specifically modifies the use of egocentric or allocentric spatial strategies in patients with unilateral (n = 23) and bilateral (n = 23) vestibular loss compared to healthy volunteers (n = 23) matched for age, sex and education level. Results showed that the odds of selecting and using a specific strategy in the T-maze were significantly reduced in both unilateral and bilateral vestibular loss. An exploratory analysis suggests that only right vestibular loss decreased the odds of adopting a spatial strategy, indicating an asymmetry of vestibular functions. When considering patients who used strategies to navigate, we observed that a bilateral vestibular loss reduced the odds to use an allocentric strategy, whereas a unilateral vestibular loss decreased the odds to use an egocentric strategy. Age was significantly associated with an overall lower chance to adopt a navigation strategy and, more specifically, with a decrease in the odds of using an allocentric strategy. We did not observe any sex difference in the ability to select and use a specific navigation strategy. Findings are discussed in light of previous studies on visuo-spatial abilities and studies of vestibulo-hippocampal interactions in peripheral vestibular disorders. We discuss the potential impact of the history of the disease (chronic stage in patients with a bilateral vestibulopathy vs. subacute stage in patients with a unilateral vestibular loss), of hearing impairment and non-specific attentional deficits in patients with vestibular disorders.

The form of reference frames in vision: The case of intermediate shape-centered representations

Although a great deal is known about the early sensory and the later, perceptual, stages of visual processing, far less is known about the nature of intermediate representational units and reference frames. Progress in understanding intermediate levels of representations in vision is hindered by the complexity of interactions among multiple levels of representation in the visual system, making it difficult to isolate and study the nature of each particular level. Nature occasionally provides the opportunity to peer inside complex systems by isolating components of a system through accidental damage or genetic modification of neural components. We have recently reported the case of a young woman who perceives 2D bounded regions of space as if they were plane-rotated by 90, 180 or 270° around their center, mirrored across their own axes, or both. This suggested that an intermediate stage of processing consists in representing mutually exclusive 2D bounded regions extracted from the retinal image in their own "shape-centered" perceptual frame. We proposed to refer to this level of representation as "intermediate shape-centered representation" (ISCR). Here, we used Davida's pattern of errors across 9 experiments as a tool for specifying in greater detail the geometrical properties of the reference frame in which elongated and/or symmetrical shapes are represented at the level of the ISCR. The nature of Davida's errors in these experiments suggests that ISCRs are represented in reference frames composed of orthogonal axes aligned with and centered on the most elongated segment of elongated shapes and, for symmetrical shapes deprived of a straight segment, aligned with their axis of symmetry, and centered on their centroid.

Surface reconstruction from routine CT-scan shows large anatomical variations of falx cerebri and tentorium cerebelli

BACKGROUND

Finite element modeling of the human head offers an alternative to experimental methods in understanding the biomechanical response of the head in trauma brain injuries. Falx, tentorium, and their notches are important structures surrounding the brain, and data about their anatomical variations are sparse.

OBJECTIVE

To describe and quantify anatomical variations of falx cerebri, tentorium cerebelli, and their notches.

METHODS

3D reconstruction of falx and tentorium was performed by points identification on 40 brain CT-scans in a tailored Matlab program. A scatter plot was obtained for each subject, and 8 anatomical landmarks were selected. A reference frame was defined to determine the coordinates of landmarks. Segments and areas were computed. A reproducibility study was done.

RESULTS

The height of falx was 34.9 ± 3.9 mm and its surface area 56.5 ± 7.7 cm². The width of tentorium was 99.64 ± 4.79 mm and its surface area 57.6 ± 5.8 cm². The mean length, height, and surface area of falx notch were respectively 96.9 ± 8 mm, 41.8 ± 5.9 mm, and 28.8 ± 5.8 cm² (range 15.8-40.5 cm²). The anterior and maximal widths of tentorial notch were 25.5 ± 3.5 mm and 30.9 ± 2.5 mm; its length 54.9 ± 5.2 mm and its surface area 13.26 ± 1.6 cm². The length of falx notch correlated with the length of tentorial notch (r = 0.62, P < 0.05).

CONCLUSION

We observe large anatomical variations of falx, tentorium, and notches, crucial to better understand the biomechanics of brain injury, in personalized finite element models.

Tactile numerosity is coded in external space

Humans, and several non-human species, possess the ability to make approximate but reliable estimates of the number of objects around them. Alike other perceptual features, numerosity perception is susceptible to adaptation: exposure to a high number of items causes underestimation of the numerosity of a subsequent set of items, and vice versa. Several studies have investigated adaptation in the auditory and visual modality, whereby stimuli are preferentially encoded in an external coordinate system. As tactile stimuli are primarily coded in an internal (body-centered) reference frame, here we ask whether tactile numerosity adaptation operates based on internal or external spatial coordinates as it occurs in vision or audition. Twenty participants performed an adaptation task with their right hand located either in the right (uncrossed) or left (crossed) hemispace, in order for the two hands to occupy either two completely different positions, or the same position in space, respectively. Tactile adaptor and test stimuli were passively delivered either to the same (adapted) or different (non-adapted) hands. Our results show a clear signature of tactile numerosity adaptation aftereffects with a pattern of over- and under-estimation according to the adaptation rate (low and high, respectively). In the uncrossed position, we observed stronger adaptation effects when adaptor and test stimuli were delivered to the "adapted" hand. However, when both hands were aligned in the same spatial position (crossed condition), the magnitude of adaptation was similar irrespective of which hand received adaptor and test stimuli. These results demonstrate that numerosity information is automatically coded in external coordinates even in the tactile modality, suggesting that such a spatial reference frame is an intrinsic property of numerosity processing irrespective of the sensory modality.

No evidence for an independent retinotopic reference frame for inhibition of return

Inhibition of return (IOR) represents a delay in responding to a previously inspected location and is viewed as a crucial mechanism that sways attention toward novelty in visual search. Although most visual processing occurs in retinotopic, eye-centered, coordinates, IOR must be coded in spatiotopic, environmental, coordinates to successfully serve its role as a foraging facilitator. Early studies supported this suggestion but recent results have shown that both spatiotopic and retinotopic reference frames of IOR may co-exist. The present study tested possible sources for IOR at the retinotopic location including being part of the spatiotopic IOR gradient, part of hemifield inhibition and being an independent source of IOR. We conducted four experiments that alternated the cue-target spatial distance (discrete and contiguous) and the response modality (manual and saccadic). In all experiments, we tested spatiotopic, retinotopic and neutral (neither spatiotopic nor retinotopic) locations. We did find IOR at both the retinotopic and spatiotopic locations but no evidence for an independent source of retinotopic IOR for either of the response modalities. In fact, we observed the spread of IOR across entire validly cued hemifield including at neutral locations. We conclude that these results indicate a strategy to inhibit the whole cued hemifield or suggest a large horizontal gradient around the spatiotopically cued location. PUBLIC SIGNIFICANCE STATEMENT: We perceive the visual world around us as stable despite constant shifts of the retinal image due to saccadic eye movements. In this study, we explore whether Inhibition of return (IOR), a mechanism preventing us from returning to previously attended locations, operates in spatiotopic, world-centered or in retinal, eye-centered coordinates. We tested both saccadic and manual IOR at spatiotopic, retinotopic, and control locations. We did not find an independent retinotopic source of IOR for either of the response modalities. The results suggest that IOR spreads over the whole previously attended visual hemifield or there is a large horizontal spatiotopic gradient. The current results are in line with the idea of IOR being a foraging facilitator in visual search and contribute to our understanding of spatiotopically organized aspects of visual and attentional systems.

Memory for retinotopic locations is more accurate than memory for spatiotopic locations, even for visually guided reaching

To interact successfully with objects, we must maintain stable representations of their locations in the world. However, their images on the retina may be displaced several times per second by large, rapid eye movements. A number of studies have demonstrated that visual processing is heavily influenced by gaze-centered (retinotopic) information, including a recent finding that memory for an object's location is more accurate and precise in gaze-centered (retinotopic) than world-centered (spatiotopic) coordinates (Golomb & Kanwisher, 2012b). This effect is somewhat surprising, given our intuition that behavior is successfully guided by spatiotopic representations. In the present experiment, we asked whether the visual system may rely on a more spatiotopic memory store depending on the mode of responding. Specifically, we tested whether reaching toward and tapping directly on an object's location could improve memory for its spatiotopic location. Participants performed a spatial working memory task under four conditions: retinotopic vs. spatiotopic task, and computer mouse click vs. touchscreen reaching response. When participants responded by clicking with a mouse on the screen, we replicated Golomb & Kanwisher's original results, finding that memory was more accurate in retinotopic than spatiotopic coordinates and that the accuracy of spatiotopic memory deteriorated substantially more than retinotopic memory with additional eye movements during the memory delay. Critically, we found the same pattern of results when participants responded by using their finger to reach and tap the remembered location on the monitor. These results further support the hypothesis that spatial memory is natively retinotopic; we found no evidence that engaging the motor system improves spatiotopic memory across saccades.

Spatial Updating Strategy Affects the Reference Frame in Path Integration

This study investigated how spatial updating strategies affected the selection of reference frames in path integration. Participants walked an outbound path consisting of three successive waypoints in a featureless environment and then pointed to the first waypoint. We manipulated the alignment of participants' final heading at the end of the outbound path with their initial heading to examine the adopted reference frame. We assumed that the initial heading defined the principal reference direction in an allocentric reference frame. In Experiment 1, participants were instructed to use a configural updating strategy and to monitor the shape of the outbound path while they walked it. Pointing performance was best when the final heading was aligned with the initial heading, indicating the use of an allocentric reference frame. In Experiment 2, participants were instructed to use a continuous updating strategy and to keep track of the location of the first waypoint while walking the outbound path. Pointing performance was equivalent regardless of the alignment between the final and the initial headings, indicating the use of an egocentric reference frame. These results confirmed that people could employ different spatial updating strategies in path integration (Wiener, Berthoz, & Wolbers Experimental Brain Research 208(1) 61-71, 2011), and suggested that these strategies could affect the selection of the reference frame for path integration.

The geometry of consciousness

Conscious experience implies a reference-frame or vantage, which is often important in scientific models. Control models of ball-interception are used as an example. Models that use viewer-dependent egocentric reference-frames are contrasted with viewer-independent allocentric ones. Allocentric reference-frames serve well for models like Newtonian physics, which utilize static coordinate-systems that allow forces and object-movements to be compartmentalized. In contrast, egocentric reference-frames are natural for modeling mobile organisms or robots when controlling perception-action behavior. Lower-level perception-action behavior is often characterized using egocentric coordinate-systems that optimize processing-speed, while higher-level cognitive-processes use allocentric frames that provide a stationary spatial reference. Brain-behavior models like the Ventral-Stream What System, and Dorsal-Stream Where-How System, also respectively utilize allocentric and egocentric reference-frames. Reference-frame clarification can resolve disputes about models of control-tasks like running to catch baseballs, and can provide insights for biomimetic-robots. Confusion regarding geometry and reference-frames contributes to a lack of clarity between how and when egocentric versus allocentric geometries are imposed, with perception-actions generally being more egocentric and conscious experience more allocentric.

The Roelofs and induced Roelofs effects

The visual image provides important cues for an observer's sense of location and orientation within the world. Occasionally, though, these cues can be misleading, resulting in illusions. In the Roelofs and induced Roelofs effects, for example, a large illuminated frame, offset from the observer's midline in otherwise complete darkness, tends to bias the observer's judgment of straight ahead, causing the position of the frame, and anything contained within it, to be misperceived. Studies of these illusions have provided much insight into the processes that establish an observer's egocentric reference frame, and the manner in which object locations are encoded relative to this frame for perception and action.

Internal control beliefs and reference frame concurrently impact early performance monitoring ERPs

This study investigated the impact of criterion-based vs. social reference frames on behavioural and neural correlates of performance monitoring while taking individual differences in control beliefs into account. We conducted two experiments administering a time estimation task in which feedback was either delivered pertaining to participants’ own performance (nonsocial/criterion-based reference) or to the performance of a reference group of previous participants (social reference). In Experiment 1, 34 male volunteers participated. To test generalizability of the observed results to both sexes/genders, we recruited 36 female volunteers for Experiment 2. P2 and P300 amplitudes were generally larger in social than in nonsocial reference trials in the male participants of Experiment 1. ΔFRN amplitudes were larger for social compared to non-social reference trials in Experiment 1. No effects of reference frame were found in the female sample of Experiment 2. Rather, P2 and ΔFRN effects showed opposing patterns for nonsocial versus social reference frames. However, stronger internal control beliefs were accompanied by larger FRN amplitudes of negative social reference trials in both samples, suggesting generalizable effects independent of sex/gender. Enhanced P2 and ΔFRN amplitudes for social versus nonsocial reference trials suggest enhanced attentional capture and higher saliency of socially framed feedback in male participants only. In both sexes/genders, however, the social reference frame possibly challenges internal control beliefs and by this enhances performance monitoring. Our results demonstrate the complex interplay of trait variables and reference frames during performance monitoring influencing our daily lives-reference frames are omnipresent in education and one’s working environment.

Walking and non-walking space in an equivalent virtual reality task: Sexual dimorphism and aging decline of spatial abilities

Spatial memory enables us to locate places and objects in space, to determine our position and manage spatial relationships in our environment. Our operations are displayed in a space that sometimes is inaccessible. In this case, the impossibility of movement within the context forces individuals to rely on the information gathered from limited viewpoints. This study investigates the use of walking and non-walking spaces using two equivalent virtual reality tasks in which displacement is only permitted in one of them. One hundred and fifty participants were divided into three age groups: 50-59, 60-69 and 70-79 year-old subjects. The starting position changed pseudo-randomly and two difficulty levels were set, with one and three positions to be found. Results provided evidence for 70-79 year-old people impairment of their spatial abilities compared with 50-59 and 60-69 year-old groups. In both difficulty conditions, participants made more errors in the non-walking space than in the walking space. All participants showed an improvement in the last trials of the task. Moreover, sexual dimorphism was registered in the high level of difficulty, in which men outperformed women. This study supports the idea that aging impairs the organization of spatial representations of the environment, and that this aspect is more noticeable in conditions where displacement is limited.

Analytic processing of distance

How does a human observer extract from the distance between two frontal points the component corresponding to an axis of a rectangular reference frame? To find out we had participants classify pairs of small circles, varying on the horizontal and vertical axes of a computer screen, in terms of the horizontal distance between them. A response signal controlled response time. The error rate depended on the irrelevant vertical as well as the relevant horizontal distance between the test circles with the relevant distance effect being larger than the irrelevant distance effect. The results implied that the horizontal distance between the test circles was imperfectly extracted from the overall distance between them. The results supported an account, derived from the Exemplar Based Random Walk model (Nosofsky & Palmieri, 1997), under which distance classification is based on the overall distance between the test circles, with relevant distance being extracted from overall distance to the extent that the relevant and irrelevant axes are differentially weighted so as to reduce the contribution of irrelevant distance to overall distance. The results did not support an account, derived from the General Recognition Theory (Ashby & Maddox, 1994), under which distance classification is based on the relevant distance between the test circles, with the irrelevant distance effect arising because a test circle's perceived location on the relevant axis depends on its location on the irrelevant axis, and with relevant distance being extracted from overall distance to the extent that this dependency is absent.

The reference frame for encoding and retention of motion depends on stimulus set size

The goal of this study was to investigate the reference frames used in perceptual encoding and storage of visual motion information. In our experiments, observers viewed multiple moving objects and reported the direction of motion of a randomly selected item. Using a vector-decomposition technique, we computed performance during smooth pursuit with respect to a spatiotopic (nonretinotopic) and to a retinotopic component and compared them with performance during fixation, which served as the baseline. For the stimulus encoding stage, which precedes memory, we found that the reference frame depends on the stimulus set size. For a single moving target, the spatiotopic reference frame had the most significant contribution with some additional contribution from the retinotopic reference frame. When the number of items increased (Set Sizes 3 to 7), the spatiotopic reference frame was able to account for the performance. Finally, when the number of items became larger than 7, the distinction between reference frames vanished. We interpret this finding as a switch to a more abstract nonmetric encoding of motion direction. We found that the retinotopic reference frame was not used in memory. Taken together with other studies, our results suggest that, whereas a retinotopic reference frame may be employed for controlling eye movements, perception and memory use primarily nonretinotopic reference frames. Furthermore, the use of nonretinotopic reference frames appears to be capacity limited. In the case of complex stimuli, the visual system may use perceptual grouping in order to simplify the complexity of stimuli or resort to a nonmetric abstract coding of motion information.

Automatic Identification of the Optimal Reference Frame for Segmentation and Quantification of Focal Liver Lesions in Contrast-Enhanced Ultrasound

Post-examination interpretation of contrast-enhanced ultrasound (CEUS) cineloops of focal liver lesions (FLLs) requires offline manual assessment by experienced radiologists, which is time-consuming and generates subjective results. Such assessment usually starts by manually identifying a reference frame, where FLL and healthy parenchyma are well-distinguished. This study proposes an automatic computational method to objectively identify the optimal reference frame for distinguishing and hence delineating an FLL, by statistically analyzing the temporal intensity variation across the spatially discretized ultrasonographic image. Level of confidence and clinical value of the proposed method were quantitatively evaluated on retrospective multi-institutional data (n = 64) and compared with expert interpretations. Results support the proposed method for facilitating easier, quicker and reproducible assessment of FLLs, further increasing the radiologists' confidence in diagnostic decisions. Finally, our method yields a useful training tool for radiologists, widening CEUS use in non-specialist centers, potentially leading to reduced turnaround times and lower patient anxiety and healthcare costs.

Endogenous spatial attention directed to intracutaneous electrical stimuli on the forearms involves an external reference frame

In the present study, we examined whether the direction of attention while anticipating intracutaneous electrical stimuli on the left or right forearm occurs within an internal somatotopic or an external body-based reference frame. Participants placed their hands on a table in front of them in a normal position or in a crossed-hands position. A symbolic cue with a validity of 80% instructed participants to attend to either the left or the right side, which varied from trial to trial. Crossing the hands induces a conflict of internal and external reference frames which allows to determine the dominating reference frame(s). Analyses of the electroencephalogram (EEG) during the orienting phase revealed that crossing the arms did not induce a reversal of neural activity over central sites as a late direction attention-related positivity and increased ipsilateral alpha power over occipital and central sites was observed in both conditions. Hand position influenced the processing of the electrical stimuli as no effect of cue validity was observed on the P3a component in the crossed-hands position. Our results indicate that endogenous spatial attention to intracutaneous electrical stimuli primarily occurs within an external reference frame.

Reference frames in spatial updating when body-based cues are absent

The current study investigated the reference frame used in spatial updating when idiothetic cues to self-motion were minimized (desktop virtual reality). In Experiment 1, participants learned a layout of eight objects from a single perspective (learning heading) in a virtual environment. After learning, they were placed in the same virtual environment and used a keyboard to navigate to two of the learned objects (visible) before pointing to a third object (invisible). We manipulated participants' starting orientation (initial heading) and final orientation (final heading) before pointing, to examine the reference frame used in this task. We found that participants used the initial heading and the learning heading to establish reference directions. In Experiment 2, the procedure was almost the same as in Experiment 1 except that participants pointed to objects relative to an imagined heading that differed from their final heading in the virtual environment. In this case, pointing performance was only affected by alignment with the learning heading. We concluded that the initial heading played an important role in spatial updating without idiothetic cues, but the representation established at this heading was transient and affected by the interruption of spatial updating; the learning heading, on the other hand, corresponded to an enduring representation which was used consistently.

Are pedicle screw perforation rates influenced by distance from the reference frame in multilevel registration using a computed tomography-based navigation system in the setting of scoliosis?

BACKGROUND CONTEXT

Pedicle screw fixation is commonly employed for the surgical correction of scoliosis but carries a risk of serious neurovascular or visceral structure events during screw insertion. To avoid these complications, we have been using a computed tomography (CT)-based navigation system during pedicle screw placement. As this could also prolong operation time, multilevel registration for pedicle screw insertion for posterior scoliosis surgery was developed to register three consecutive vertebrae in a single time with CT-based navigation. The reference frame was set either at the caudal end of three consecutive vertebrae or at one or two vertebrae inferior to the most caudal registered vertebra, and then pedicle screws were inserted into the three consecutive registered vertebrae and into the one or two adjacent vertebrae.

OBJECTIVES

This study investigated the perforation rates of vertebrae at zero, one, two, three, or four or more levels above or below the vertebra at which the reference frame was set.

STUDY DESIGN

This is a retrospective, single-center, single-surgeon study.

PATIENT SAMPLE

One hundred sixty-one scoliosis patients who had undergone pedicle screw fixation were reviewed.

OUTCOME MEASURES

Screw perforation rates were evaluated by postoperative CT.

MATERIALS AND METHODS

We evaluated 161 scoliosis patients (34 boys and 127 girls; mean±standard deviation age: 14.6±2.8 years) who underwent pedicle screw fixation guided by a CT-based navigation system between March 2006 and December 2015.

RESULTS

A total of 2,203 pedicle screws were inserted into T2-L5 using multilevel registration with CT-based navigation. The overall perforation rates for Grade 1, 2, or 3, Grade 2 or 3 (major perforations), and Grade 3 perforations (violations) were as follows: vertebrae at which the reference frame was set: 15.9%, 6.1%, and 2.5%; one vertebra above or below the reference frame vertebra: 16.5%, 4.0%, and 1.2%; two vertebrae above or below the reference frame vertebra: 20.7%, 8.7%, and 2.3%; three vertebrae above or below the reference frame vertebra: 23.8%, 7.9%, and 3.5%; and four vertebrae or more above/below the reference frame vertebra: 25.4%, 9.5%, and 4.1%, respectively. Fisher exact test was performed to detect significant differences among the above five groups. With regard to Grade 1, 2, or 3 perforations, the rates of screw perforation for three and four vertebrae or more above or below the reference frame vertebra were significantly larger than that for vertebrae at the reference frame (both p<.01). No significant differences were found for Grade 3 perforations (violations) among the groups.

CONCLUSIONS

In multilevel registration of three consecutive vertebrae, the accuracy of screw insertion into vertebrae at which the reference frame was not set was not significantly inferior to that in vertebrae at which the reference frame was set with regard to major perforation rate. Including minor perforations, however, a distance of three vertebrae or more above or below the reference frame vertebra produced significantly more frequent perforations.

Priming biological motion changes extrapersonal space categorization

Recent results have shown that the way we categorize space varies as a function of the frame of reference. If the reference frame (RF) is another person vs. an object, the distance is judged as reduced. It has been suggested that such an effect is due to the spontaneous processing of the other's motor potentialities. To investigate the impact of movement representation on space perception, we used biological motion displays as a prime for a spatial categorization task. In Exp. 1, participants were presented with a point-light walker or a scrambled motion, and then judged the location ("Near" or "Far") of a target with a human body or an inanimate object as RF. In Exp. 2, participants were primed with point-light walkers of different speeds: a runner, a normal walker and a slow walker. In Exp. 3 they were primed with a point-light display depicting a human body sitting down on or standing up from a chair, with a human body RF either oriented or not oriented towards the target. Results showed a reduced judged distance when the human body RF was primed with a point-light walker (Exp. 1). Furthermore, we found an additional reduction of the judged distance when priming with a runner (Exp. 2). Finally, Exp. 3 showed that the human body RF has to be target oriented as a precondition for priming effects of the point-light walker.

Vector and position coding in goal-directed movements

Two different ways to code a goal-directed movement have been proposed in the literature: vector coding and position coding. Assuming that the code is fine-tuned if a movement is immediately repeated, one can predict that repeating movements to the same endpoint will increase precision if movements are coded in terms of the position of the endpoint. Repeating the same movement vector at slightly different positions will increase precision if movements are coded in terms of vectors. Following this reasoning, Hudson and Landy (J Neurophys 108(10):2708–2716, 2012) found evidence for both types of coding when participants moved their hand over a table while the target and feedback were provided on a vertical screen. Do we also see evidence for both types of coding if participants repeat movements within a more natural visuo-motor mapping? To find out, we repeated the study of Hudson and Landy (J Neurophys 108(10):2708–2716, 2012), but our participants made movements directly to the targets. We compared the same movements embedded in blocks of repetitions of endpoints and blocks of repetitions of movement vectors. Within blocks, the movements were presented in a random order. We found no benefit of repeating either a position or a vector. We subsequently repeated the experiment with a similar mapping between movements and images to those used by Hudson and Landy and found that participants only clearly benefit from repeating a position. We conclude that repeating a position is particularly useful when dealing with unusual visuo-motor mappings.

In vitro hip testing in the International Society of Biomechanics coordinate system

Many innovative experiments are designed to answer research questions about hip biomechanics, however many fail to define a coordinate system. This makes comparisons between studies unreliable and is an unnecessary hurdle in extrapolating experimental results to clinical reality. The aim of this study was to present a specimen mounting protocol which aligns and registers hip specimens in the International Society of Biomechanics (ISB) coordinate system, which is defined by bony landmarks that are identified by palpation of the patient׳s body. This would enable direct comparison between experimental testing and clinical gait analysis or radiographic studies. To represent the intact hip, four intact synthetic full-pelves with 8 full-length articulating femora were assembled and digitised to define the ISB coordinate system. Using our proposed protocol, pelvis specimens were bisected into left and right hemi-pelves and femora transected at the mid-shaft, and then mounted in bone pots to represent a typical experimental setup. Anatomical landmarks were re-digitised relative to mechanical features of the bone pots and the misalignment was calculated. The mean misalignment was found to be less than 1.5° flexion/extension, ab/adduction and internal/external rotation for both the pelves and femora; this equates to less than 2.5% of a normal range of hip motion. The proposed specimen mounting protocol provides a simple method to align in vitro hip specimens in the ISB coordinate system which enables improved comparison between laboratory testing and clinical studies. Engineering drawings are provided to allow others to replicate the simple fixtures used in the protocol.

Examining reference frame interaction in spatial memory using a distribution analysis

Previous research showed competition among reference frames in spatial attention and language. The present studies developed a new distribution analysis to examine reference frame interactions in spatial memory. Participants viewed virtual arrays of colored pegs and were instructed to remember them either from their own perspective or from the perspective aligned with the rectangular floor. Then they made judgments of relative directions from their respective encoding orientation. Those taking the floor-axis perspective showed systematic bias in the signed errors toward their egocentric perspective, while those taking their own perspective showed no systematic bias, both for random and symmetrical object arrays. The bias toward the egocentric perspective was observed when learning a real symmetric regular object array with strong environmental cues for the aligned axis. These results indicate automatic processing of the self reference while taking the floor-axis perspective but not vice versa, and suggest that research on spatial memory needs to consider the implications of competition effects in reference frame use.

Mixed body- and gaze-centered coding of proprioceptive reach targets after effector movement

Previous studies demonstrated that an effector movement intervening between encoding and reaching to a proprioceptive target determines the underlying reference frame: proprioceptive reach targets are represented in a gaze-independent reference frame if no movement occurs but are represented with respect to gaze after an effector movement (Mueller and Fiehler, 2014a). The present experiment explores whether an effector movement leads to a switch from a gaze-independent, body-centered reference frame to a gaze-dependent reference frame or whether a gaze-dependent reference frame is employed in addition to a gaze-independent, body-centered reference frame. Human participants were asked to reach in complete darkness to an unseen finger (proprioceptive target) of their left target hand indicated by a touch. They completed 2 conditions in which the target hand remained either stationary at the target location (stationary condition) or was actively moved to the target location, received a touch and was moved back before reaching to the target (moved condition). We dissociated the location of the movement vector relative to the body midline and to the gaze direction. Using correlation and regression analyses, we estimated the contribution of each reference frame based on horizontal reach errors in the stationary and moved conditions. Gaze-centered coding was only found in the moved condition, replicating our previous results. Body-centered coding dominated in the stationary condition while body- and gaze-centered coding contributed equally strong in the moved condition. Our results indicate a shift from body-centered to combined body- and gaze-centered coding due to an effector movement before reaching towards proprioceptive targets.

Qualitative differences in memory for vista and environmental spaces are caused by opaque borders, not movement or successive presentation

Two classes of space define our everyday experience within our surrounding environment: vista spaces, such as rooms or streets which can be perceived from one vantage point, and environmental spaces, for example, buildings and towns which are grasped from multiple views acquired during locomotion. However, theories of spatial representations often treat both spaces as equal. The present experiments show that this assumption cannot be upheld. Participants learned exactly the same layout of objects either within a single room or spread across multiple corridors. By utilizing a pointing and a placement task we tested the acquired configurational memory. In Experiment 1 retrieving memory of the object layout acquired in environmental space was affected by the distance of the traveled path and the order in which the objects were learned. In contrast, memory retrieval of objects learned in vista space was not bound to distance and relied on different ordering schemes (e.g., along the layout structure). Furthermore, spatial memory of both spaces differed with respect to the employed reference frame orientation. Environmental space memory was organized along the learning experience rather than layout intrinsic structure. In Experiment 2 participants memorized the object layout presented within the vista space room of Experiment 1 while the learning procedure emulated environmental space learning (movement, successive object presentation). Neither factor rendered similar results as found in environmental space learning. This shows that memory differences between vista and environmental space originated mainly from the spatial compartmentalization which was unique to environmental space learning. Our results suggest that transferring conclusions from findings obtained in vista space to environmental spaces and vice versa should be made with caution.

Use of Occlusal Splint for Noninvasive Fixation of a Reference Frame in Orbital Navigation Surgery

INTRODUCTION

When prepping for navigation surgery, a reference frame must be fixed to the patient's head with a Mayfield clamp, bone anchor, headset, or headband. Fixation of the clamp or bone anchor with a screw or head pins is invasive, whereas use of a headband or headset is noninvasive. However, during orbital surgery for blowout fractures or orbital tumors, surgeons or instruments can interfere between the reference frame and the optical tracking navigation system, even if using noninvasive fixation.

MATERIALS AND METHODS

We used an occlusal splint for noninvasive fixation of a reference frame in orbital navigation surgery to overcome the problems.

RESULTS

A surgeon could operate without interferences between the reference frame and the optical tracking navigation system during orbital navigation surgery.

CONCLUSION

We recommend the use of an occlusal splint for noninvasive fixation of a reference frame in orbital navigation surgery.

Surround-contingent motion aftereffect

We investigated whether motion aftereffects (MAE) can be contingent on surroundings. Random dots moving leftward and rightward were presented in alternation. Moving dots were surrounded by an open circle or an open square. After prolonged exposure to these stimuli, MAE were found to be contingent upon the surrounding frames: dots moving in a random direction appeared moving leftward when surrounded by the frame that was presented in conjunction with rightward motion. The effect lasted for 24h and was observed when adapter and test stimuli were presented not only retinotopically, but also at the same spatiotopic position. Furthermore, the effect was observed even when the adapter and test stimuli were presented at different retinotopic and spatiotopic positions as long as they were presented in the same hemi-field. These results indicate that MAE would be influenced not only by the stimulus features, but also by their surroundings, and they suggest that the surround-contingent MAE might be mediated in the higher stage of the motion processing pathway.

Spatial properties of non-retinotopic reference frames in human vision

Many visual attributes of a target stimulus are computed according to dynamic, non-retinotopic reference frames. For example, the motion trajectory of a reflector on a bicycle wheel is perceived as orbital, even though it is in fact cycloidal in retinal, as well as spatial coordinates. We cannot perceive the cycloidal motion because the linear motion of the bike is discounted for. In other words, the linear motion common to all bicycle components serves as a non-retinotopic reference frame, with respect to which the residual (orbital) motion of the reflector is computed. Very little is known about the underlying mechanisms involved in formation and operation of non-retinotopic reference frames. Here, we investigate spatial properties of non-retinotopic reference frames. We show that reference frames are not restricted within the boundaries of moving stimuli but extend over space. By using a variation of the Ternus-Pikler paradigm, we show that the spatial extent of a non-retinotopic reference frame is independent of the size of the inducing elements and the target position near the object boundary. While dynamic reference-frames interact with each other significantly, a static reference-frame has no effect on a dynamic one. The magnitude of interactions between two neighboring dynamic reference-frames increases as the distance between them reduces. Finally, our results indicate that the reference-frame strength is significantly attenuated if the locus of attention is shifted to the elements of the neighboring reference instead of the main reference. We suggest that these results can be conceptualized as reference frames that act and interact as fields.

The role of rat posterior parietal cortex in coordinating spatial representations during place avoidance in dissociated reference frames on a continuously rotating arena (Carousel)

On the Carousel maze, rats are trained to avoid a sector of a circular rotating arena, punishable by a mild electric foot-shock. In the room frame (RF) variant, the punishable sector remains stable relative to the room, while in the arena frame (AF) version, the sector rotates with the arena. The rats therefore need to disregard local olfactory, tactile and self-motion cues in RF condition and distal extra-maze landmarks in the AF task. In both primates and rodents, the coordination of various spatial reference frames is thought to depend on the posterior parietal cortex (PPC). We have previously shown that PPC-lesioned rats can solve both variants of the Carousel avoidance task. Here we aimed to determine the effects of bilateral thermocoagulation lesion of the PPC in Long-Evans rats on the ability to transition between multiple spatial strategies. The rats were first trained in five sessions in one condition and then another five sessions in the other. The following training schemes were used: RF to AF, RF to RF reversal (sector on the opposite side), and AF to RF. We found a PPC lesion-associated impairment in the transition from the AF to RF task, but not vice versa. Furthermore, PPC lesion impaired performance in RF reversal. In accordance to the literature, we also found an impairment in navigation guided by intra-maze visuospatial cues, but not by extra-maze cues in the water maze. Therefore, the PPC lesion-induced impairment is neither specific to distant cues nor to allocentric processing. Our results thus indicate a role of the PPC in the flexibility in spatial behaviors guided by visual orientation cues.

To pass or not to pass: more a question of body orientation than visual cues

This study investigated the influence of pitch body tilt on judging the possibility of passing under high obstacles in the presence of an illusory horizontal self-motion. Seated subjects tilted at various body orientations were asked to estimate the possibility of passing under a projected bar (i.e., a parking barrier), while imagining a forward whole-body displacement normal to gravity. This task was performed under two visual conditions, providing either no visual surroundings or a translational horizontal optic flow that stopped just before the barrier appeared. The results showed a main overestimation of the possibility of passing under the bar in both cases and most importantly revealed a strong influence of body orientation despite the visual specification of horizontal self-motion by optic flow (i.e., both visual conditions yielded a comparable body tilt effect). Specifically, the subjective passability was proportionally deviated towards the body tilt by 46% of its magnitude when facing a horizontal optic flow and 43% without visual surroundings. This suggests that the egocentric attraction exerted by body tilt when referring the subjective passability to horizontal self-motion still persists even when anchoring horizontally related visual cues are displayed. These findings are discussed in terms of interaction between spatial references. The link between the reliability of available sensory inputs and the weight attributed to each reference is also addressed.

Effects of visual information regarding allocentric processing in haptic parallelity matching

Research has revealed that haptic perception of parallelity deviates from physical reality. Large and systematic deviations have been found in haptic parallelity matching most likely due to the influence of the hand-centered egocentric reference frame. Providing information that increases the influence of allocentric processing has been shown to improve performance on haptic matching. In this study allocentric processing was stimulated by providing informative vision in haptic matching tasks that were performed using hand- and arm-centered reference frames. Twenty blindfolded participants (ten men, ten women) explored the orientation of a reference bar with the non-dominant hand and subsequently matched (task HP) or mirrored (task HM) its orientation on a test bar with the dominant hand. Visual information was provided by means of informative vision with participants having full view of the test bar, while the reference bar was blocked from their view (task VHP). To decrease the egocentric bias of the hands, participants also performed a visual haptic parallelity drawing task (task VHPD) using an arm-centered reference frame, by drawing the orientation of the reference bar. In all tasks, the distance between and orientation of the bars were manipulated. A significant effect of task was found; performance improved from task HP, to VHP to VHPD, and HM. Significant effects of distance were found in the first three tasks, whereas orientation and gender effects were only significant in tasks HP and VHP. The results showed that stimulating allocentric processing by means of informative vision and reducing the egocentric bias by using an arm-centered reference frame led to most accurate performance on parallelity matching.

Intrinsic frames of reference in haptic spatial learning

It has been proposed that spatial reference frames with which object locations are specified in memory are intrinsic to a to-be-remembered spatial layout (intrinsic reference theory). Although this theory has been supported by accumulating evidence, it has only been collected from paradigms in which the entire spatial layout was simultaneously visible to observers. The present study was designed to examine the generality of the theory by investigating whether the geometric structure of a spatial layout (bilateral symmetry) influences selection of spatial reference frames when object locations are sequentially learned through haptic exploration. In two experiments, participants learned the spatial layout solely by touch and performed judgments of relative direction among objects using their spatial memories. Results indicated that the geometric structure can provide a spatial cue for establishing reference frames as long as it is accentuated by explicit instructions (Experiment 1) or alignment with an egocentric orientation (Experiment 2). These results are entirely consistent with those from previous studies in which spatial information was encoded through simultaneous viewing of all object locations, suggesting that the intrinsic reference theory is not specific to a type of spatial memory acquired by the particular learning method but instead generalizes to spatial memories learned through a variety of encoding conditions. In particular, the present findings suggest that spatial memories that follow the intrinsic reference theory function equivalently regardless of the modality in which spatial information is encoded.

Learning to navigate: experience versus maps

People use "route knowledge" to navigate to targets along familiar routes and "survey knowledge" to determine (by pointing, for example) a target's metric location. We show that both root in separate memories of the same environment: participants navigating through their home city relied on representations and reference frames different from those they used when doing a matched survey task. Tübingen residents recalled their way along a familiar route to a distant target while located in a photorealistic virtual 3D model of Tübingen, indicating their route decisions on a keyboard. Participants had previously done a survey task (pointing) using the same start points and targets. Errors and response latencies observed in route recall were completely unrelated to errors and latencies in pointing. This suggests participants employed different and independent representations for each task. Further, participants made fewer routing errors when asked to respond from a horizontal walking perspective rather than a constant aerial perspective. This suggests that instead of the single reference, north-up frame (similar to a conventional map) they used in the survey task, participants employed different, and most probably multiple, reference frames learned from "on the ground" navigating experience. The implication is that, within their everyday environment, people use map or navigation-based knowledge according to which best suits the task.