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Successful tactile based visual sensory substitution use functions independently of visual pathway integrity

Identifieur interne : 003020 ( Ncbi/Checkpoint ); précédent : 003019; suivant : 003021

Successful 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 :

RBID : PMC:4026734

Abstract

Purpose: 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).

Methods: We enrolled 52 subjects (PB n = 11; AB n = 35; SC n = 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).

Results: 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 (p ≤ 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.

Discussion: 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.


Url:
DOI: 10.3389/fnhum.2014.00291
PubMed: 24860473
PubMed Central: 4026734


Affiliations:


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PMC:4026734

Le document en format XML

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<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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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Laymon, Charles" sort="Laymon, Charles" uniqKey="Laymon C" first="Charles" last="Laymon">Charles Laymon</name>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">États-Unis</country>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<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">
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<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>
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<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>
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<series>
<title level="j">Frontiers in Human Neuroscience</title>
<idno type="eISSN">1662-5161</idno>
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<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>
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<name sortKey="Liu, Y" uniqKey="Liu Y">Y. Liu</name>
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<author>
<name sortKey="Zhang, Y" uniqKey="Zhang Y">Y. Zhang</name>
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<author>
<name sortKey="Jiang, T" uniqKey="Jiang T">T. Jiang</name>
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<author>
<name sortKey="Wilhelm, B" uniqKey="Wilhelm B">B. Wilhelm</name>
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<name sortKey="Durst, W" uniqKey="Durst W">W. Durst</name>
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<author>
<name sortKey="Zrenner, E" uniqKey="Zrenner E">E. Zrenner</name>
</author>
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<name sortKey="Woods, R P" uniqKey="Woods R">R. P. Woods</name>
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<author>
<name sortKey="Cherry, S R" uniqKey="Cherry S">S. R. Cherry</name>
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<name sortKey="Mazziotta, J C" uniqKey="Mazziotta J">J. C. Mazziotta</name>
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<author>
<name sortKey="Woods, R P" uniqKey="Woods R">R. P. Woods</name>
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<author>
<name sortKey="Grafton, S T" uniqKey="Grafton S">S. T. Grafton</name>
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<analytic>
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<list>
<country>
<li>États-Unis</li>
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<name sortKey="Lee, Vincent K" sort="Lee, Vincent K" uniqKey="Lee V" first="Vincent K." last="Lee">Vincent K. Lee</name>
</noRegion>
<name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
<name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
<name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
<name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
<name sortKey="Chan, Kevin C" sort="Chan, Kevin C" uniqKey="Chan K" first="Kevin C." last="Chan">Kevin C. Chan</name>
<name sortKey="Fisher, Chris" sort="Fisher, Chris" uniqKey="Fisher C" first="Chris" last="Fisher">Chris Fisher</name>
<name sortKey="Laymon, Charles" sort="Laymon, Charles" uniqKey="Laymon C" first="Charles" last="Laymon">Charles Laymon</name>
<name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C." last="Nau">Amy C. Nau</name>
<name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C." last="Nau">Amy C. Nau</name>
<name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C." last="Nau">Amy C. Nau</name>
<name sortKey="Nau, Amy C" sort="Nau, Amy C" uniqKey="Nau A" first="Amy C." last="Nau">Amy C. Nau</name>
<name sortKey="Rosario, Bedda L" sort="Rosario, Bedda L" uniqKey="Rosario B" first="Bedda L." last="Rosario">Bedda L. Rosario</name>
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