Successful tactile based visual sensory substitution use functions independently of visual pathway integrity
Identifieur interne : 000E15 ( Main/Merge ); précédent : 000E14; suivant : 000E16Successful tactile based visual sensory substitution use functions independently of visual pathway integrity
Auteurs : Vincent K. Lee [États-Unis] ; Amy C. Nau [États-Unis] ; Charles Laymon [États-Unis] ; Kevin C. Chan [États-Unis] ; Bedda L. Rosario [États-Unis] ; Chris Fisher [États-Unis]Source :
- Frontiers in Human Neuroscience [ 1662-5161 ] ; 2014.
Abstract
Url:
DOI: 10.3389/fnhum.2014.00291
PubMed: 24860473
PubMed Central: 4026734
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Successful tactile based visual sensory substitution use functions independently of visual pathway integrity</title>
<author><name sortKey="Lee, Vincent K" sort="Lee, Vincent K" uniqKey="Lee V" first="Vincent K." last="Lee">Vincent K. Lee</name>
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<author><name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C." last="Nau">Amy C. Nau</name>
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<country xml:lang="fr">États-Unis</country>
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<affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Ophthalmology, Louis J. Fox Center for Vision Restoration, University of Pittsburgh</institution>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
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<author><name sortKey="Laymon, Charles" sort="Laymon, Charles" uniqKey="Laymon C" first="Charles" last="Laymon">Charles Laymon</name>
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<author><name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
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<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff4"><institution>McGowan Institute for Regenerative Medicine, University of Pittsburgh</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Ophthalmology, Louis J. Fox Center for Vision Restoration, University of Pittsburgh</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Department of Bioengineering, University of Pittsburgh</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Center for the Neural Basis of Cognition, University of Pittsburgh–Carnegie Mellon University</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<author><name sortKey="Rosario, Bedda L" sort="Rosario, Bedda L" uniqKey="Rosario B" first="Bedda L." last="Rosario">Bedda L. Rosario</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Radiology, University of Pittsburgh</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Fisher, Chris" sort="Fisher, Chris" uniqKey="Fisher C" first="Chris" last="Fisher">Chris Fisher</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Sensory Substitution Laboratory, Department of Ophthalmology, Eye and Ear Institute, University of Pittsburgh</institution>
<country>Pittsburgh, PA, USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
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</analytic>
<series><title level="j">Frontiers in Human Neuroscience</title>
<idno type="eISSN">1662-5161</idno>
<imprint><date when="2014">2014</date>
</imprint>
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<front><div type="abstract" xml:lang="en"><p><bold>Purpose:</bold>
Neuronal reorganization after blindness is of critical interest because it has implications for the rational prescription of artificial vision devices. The purpose of this study was to distinguish the microstructural differences between perinatally blind (PB), acquired blind (AB), and normally sighted controls (SCs) and relate these differences to performance on functional tasks using a sensory substitution device (BrainPort).</p>
<p><bold>Methods:</bold>
We enrolled 52 subjects (PB <italic>n</italic>
= 11; AB <italic>n</italic>
= 35; SC <italic>n</italic>
= 6). All subjects spent 15 h undergoing BrainPort device training. Outcomes of light perception, motion, direction, temporal resolution, grating, and acuity were tested at baseline and after training. Twenty-six of the subjects were scanned with a three Tesla MRI scanner for diffusion tensor imaging (DTI), and with a positron emission tomography (PET) scanner for mapping regional brain glucose consumption during sensory substitution function. Non-parametric models were used to analyze fractional anisotropy (FA; a DTI measure of microstructural integrity) of the brain via region-of-interest (ROI) analysis and tract-based spatial statistics (TBSS).</p>
<p><bold>Results:</bold>
At baseline, all subjects performed all tasks at chance level. After training, light perception, time resolution, location and grating acuity tasks improved significantly for all subject groups. ROI and TBSS analyses of FA maps show areas of statistically significant differences (<italic>p</italic>
≤ 0.025) in the bilateral optic radiations and some visual association connections between all three groups. No relationship was found between FA and functional performance with the BrainPort.</p>
<p><bold>Discussion:</bold>
All subjects showed performance improvements using the BrainPort irrespective of nature and duration of blindness. Definite brain areas with significant microstructural integrity changes exist among PB, AB, and NC, and these variations are most pronounced in the visual pathways. However, the use of sensory substitution devices is feasible irrespective of microstructural integrity of the primary visual pathways between the eye and the brain. Therefore, tongue based devices devices may be usable for a broad array of non-sighted patients.</p>
</div>
</front>
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