Marina Pavlovskaya

Searching with Unilateral Neglect

We address two longstanding conflicts in the visual search and unilateral neglect literature by studying feature and conjunction search performance of neglect patients using laterally presented search arrays. The first issue relates to whether feature search is performed independently of attention, or rather requires spread attention. If feature search is preattentive, it should survive neglect. However, we find neglect effects for both feature and conjunction search, suggesting that feature search, too, has an attentional requirement. The second controversy refers to the space-or object-based nature of neglect following unilateral right-hemisphere parietal lobe damage. If neglect were a purely spatial phenomenon, then we would expect no detriment in performance in the right (nonneglect) field, and diminished performance for the whole left (neglect) field. On the other hand, if neglect were purely object-based, we would expect diminished performance on the left side of the search array, irrespective of its location in the visual field. We now demonstrate a combination of strong object-based and space-based neglect effects for conjunction search with laterally placed element arrays, suggesting that these two mechanisms work in tandem.

Visual extinction and cortical connectivity in human vision

Visual extinction is a common, poorly understood, consequence of unilateral cerebral damage, where a patient fails to detect one of two simultaneously presented stimuli (the one more contralateral to the lesion), despite the fact that each stimulus is correctly detected when presented in isolation. The phenomenon implies a failure of shifting attention from an attended object to an unattended one. We show here that pair detection is improved in conditions where the two stimuli presented to the two halves of the visual field are proximal, co-oriented and co-axial. It is further shown that stimulus properties producing reduced extinction correlate with the selectivity pattern of spatial lateral interactions observed in the primary visual cortex. We suggest that neuronal activity in early stages of cortical visual processing encodes, using long-range lateral interactions, an image description in which visual objects are already segmented and marked. Segmentation seems to function properly even in the presence of significant destruction of the parietal cortex leading to extinction.

Abnormal binocular rivalry in unilateral neglect: evidence for a non-spatial mechanism of extinction

Unilateral spatial neglect (USN) is considered to be an attention deficit, which is primarily related to space. Recent evidence points to the relevance of non-spatially lateralized mechanisms, with impairments found in rapid stimulus presentation conditions. Here we used the phenomenon of binocular rivalry (BR) to explore a non-spatial deficit over long temporal intervals. Six right-hemisphere damaged (RHD) patients with contralesional neglect (USN+), five RHD patients without neglect (USN−) and six normal controls were tested on the basic properties of BR induced by dichoptic presentation of orthogonal gratings at fixation. USN+ patients had much slower perceptual alternations compared to the USN− and normal groups (factors 2.5 and 4, respectively), and were much more sensitive to inter-ocular changes in relative stimulus contrast, which, unlike normals, altered both the suppression and dominance phases. Most notably, a small advantage of one monocular stimulus caused a long-term extinction of the other stimulus in the USN+ group alone. We explain the results in terms of impaired habituation to dominant and attended stimuli, which normally prevents a winner-takes-all behavior and extinction of the weak. This impaired habituation may in turn contribute to inappropriate environmental monitoring and attenuated novelty-seeking behavior.

Methylphenidate effect on hemispheric attentional imbalance in patients with traumatic brain injury: A psychophysical study

Primary objective: We found spatially asymmetric allocation of attention in patients with traumatic brain injury (TBI) without overt asymmetry on neurological examination. The possible effect of Methylphenidate in reducing this asymmetry is evaluated in the current research. Research design: Psychophysical study using a visual spatial attention task. Identification rates were measured after precuing attention to different visual field loci. TBI patients were tested before, during and after administration of Methylphenidate. Methods and procedures: After precuing to a locus 5° into the left or right hemifield, target patterns were presented briefly at the cued location (valid), or on the opposite side (invalid) – requiring an attentional shift. Patients were treated with a gradually increasing dosage of a psychostimulant over two weeks, followed by a similar two-week period of gradually diminishing dosage. Patients were tested before treatment, at its peak, and (twice) following its completion. Main outcome and results: Patients demonstrated significantly worse performance with leftward than with rightward cross-hemifield shifts of attention. This difference was significantly reduced during and following treatment. Conclusions: Asymmetric performance and improvement with treatment suggest that diffuse TBI damage leads to a lateralized attention-related deficit. These findings support the hypotheses that attention is a distributed and asymmetrically lateralized function. The findings are consistent with the conclusion that Methylphenidate may be an effective treatment for attentional deficits in TBI patients.

Visual search in peripheral vision: Learning effects and set-size dependence

Feature search for a light bar with one orientation (or color) embedded in an array of bars with a very different orientation (or color) is quick, easy and independent of the number of array elements. In contrast, search for a conjunction target has a linear response time dependence on the number of distractors. Training can improve performance of both these tasks. We report that these properties may not be valid for eccentric stimulus presentation. In general, the two hemifields are not equally suited to search, and training is most effective in the weaker hemifield. In addition, the feature-search independence of set-size may not always be valid for stimulus arrays that are presented peripherally. Subjects were tested on orientation and color feature tasks, and on orientation-color conjunction search with 3 array sizes presented at fixation or eccentrically in the right or left hemifield. During a second testing session, improvement was so much greater for the non-preferred hemifield that sometimes the preference was switched. Surprisingly, preferred hemifield performance actually declined for some subjects. Thus, the hemifield preference effect seems related to competition, and perhaps an automatic attention-directing mechanism. We confirmed the central presentation set-size independence for feature search but found a great difference between large and small arrays when presentation was lateral. There are two sources of this array size effect: 1. Target eccentricity, demonstrated by comparing performance for different target locations with the same array size. 2. Target location uncertainty, seen by comparing performance for different size arrays when the target elements appeared at the same locations. Training also affected the array-size dependence, changing search performance from set-size dependent to independent or vice versa at the point of greatest training effect.

Coordinate frame for pattern recognition in unilateral spatial neglect

The present research examines the effect of spatial (object-centered) attentional constraints on pattern recognition. Four normal subjects and two right-hemisphere-damaged patients with left visual neglect participated in the study. Small, letterlike, prelearned patterns served as stimuli. Short exposure time prevented overt scanpaths during stimulus presentation. Attention was attracted to a central (midsagittal) hation point by precuing this location prior to each stimulus presentation. Minute (up to 1.5 of visual angle) rightward and leftward stimulus shifts caused attention to be allocated each time to a different location on the object space, while remaining in a fixed central position in viewercentered coordinates. The task was to decide which of several prelearned patterns was presented in each trial. In the normal subjects, best performance was achieved when the luminance centroid (LC; derived from the analysis of low-spatial frequencies in the object space) of each pattern coincided with the spatial position of the precue. In contrast, the patients with neglect showed optimal recognition performance when precuing attracted attention to locations within the object space, to the left of the LC. The normal performance suggests that the LC may serve as a center of gravity for attention allocation during pattern recognition. This point seems to be the target location where focal attention is normally directed, following a primary global analysis based on the low spatial frequencies. Thus, the LC of a simple pattern may serve as the origin point for an object-centered-coordiate-frame (OCCF), dividing it into right and left. This, in turn, serves to create a prototype description of the pattern, in its own coordinates, in memory, to be addressed during subsequent recognition tasks. The best match of the percept with the stored description may explain the observed advantage of allocating attention to the LC. The performance of the brain- damaged patients can be explained in terms of neglect operating in the OCCE

Perceptual learning transfer between hemispheres and tasks for easy and hard feature search conditions.

Perceptual learning involves modification of cortical processes so that transfer to new task variants depends on neuronal representation overlap. Neuron selectivity varies with cortical level, so that the degree of transfer should depend on training-induced modification level. We ask how different can stimuli be, how far apart can their representations be, and still induce training transfer. We measure transfer across both long distances within the visual field, namely across cerebral hemispheres, as well as across perceptual dimensions, i.e., between detection of odd color and orientation. In Experiment 1, subjects learned feature search using eccentric arrays randomly presented in the right or left hemifield. Odd elements differed in color or orientation, depending on the presentation hemifield. Following training and performance improvement, the dimensions were switched between hemifields. There was little cross-hemifield or cross-task transfer for difficult cases, and the greater transfer found for easier cases could be across hemispheres and/or perceptual dimensions. Testing these two elements separately, Experiment 2 confirmed considerable transfer across task dimensions, training one dimension and testing another, and Experiment 3 confirmed such transfer across hemifields, training search on one side and testing on the other. Results support Reverse Hierarchy Theory (M. Ahissar & S. Hochstein, 1997, 2004) in that, for easier perceptual tasks involving and modifying higher cortical levels, considerable transfer occurs both across perceptual dimensions and across visual field location even across hemifields.

Computing an average when part of the population is not perceived

The syndrome of unilateral spatial neglect (USN) after right-hemisphere damage is characterized by failure of salient left-sided stimuli to activate an orienting response, attract attention, and gain access to conscious awareness. The explicit failure processing left-sided visual information is not uniform, however, and patients seem to be more successful performing certain visual tasks than others. The source of this difference is still not clear. We focus on processing of visual scene statistical properties, asking whether, in computing the average size of an array of objects, USN patients give appropriate weight to objects on the left; disregard left-side objects entirely; or assign them an intermediate, lower weight, in accord with their tendency to neglect these objects. The interest in testing this question stems from a series of studies in healthy individuals that led Chong and Treisman [Chong, S. C., & Treisman, A. Statistical processing: Computing the average size in perceptual groups. Vision Research, 45, 891–900, 2005a; Chong, S. C., & Treisman, A. Attentional spread in the statistical processing of visual displays. Perception & Psychophysics, 67, 1–13, 2005b] to propose that processing of statistical properties (like the average size of visual scene elements) is carried out in parallel, with no need for serial allocation of focal attention to the different scene elements. Our results corroborate this suggestion, showing that objects in the left (“neglected”) hemispace contribute to average size computation, despite a marked imbalance in spatial distribution of attention, which leads to a reduced weight of left-side elements in the averaging computation. This finding sheds light on the nature of the impairment in USN and on basic mechanisms underlying statistical processing in vision. We confirm that statistical processing depends mainly on spread-attention mechanisms, which are largely spared in USN.

Contrast dependence of perceptual grouping in brain-damaged patients with visual extinction.

Extinction is manifested in conditions of bilateral simultaneous stimulation, as a failure to detect the stimulus contra-lateral to the side of a cerebral lesion, while the same stimulus is correctly detected there when presented in isolation. The phenomenon is usually interpreted in terms of impaired mobilization of attention from an attended to an unattended object. We have recently shown, using pairs of Gabor patches as stimuli, that pair detection is maximally improved in conditions where the two stimuli presented simultaneously to the two halves of the visual field are co-oriented and co-axial and their location is not too eccentric. Here we add new information by showing that contrast isotropy of the stimulus pair is important in producing this orientation-similarity gain. The further advantage of co-oriented co-linear stimuli over co-oriented parallel (vertical) stimuli was shown exclusively with iso-contrast stimulus pairs, and was significantly enhanced when the contrast level of the stimulus pair was low. Stimulus properties producing reduced extinction seem to correlate with the selectivity pattern and contrast dependence of (a) spatial lateral facilitation observed in psychophysical studies with normal observers, and (b) long-range interactions observed in the primary visual cortex. Thus, two remote visual stimuli seem to be processed as a single object when the corresponding neuronal activities are linked via long-range lateral interactions. The present demonstration of contrast dependency in such processing, strengthens our previous conjecture that even in the presence of significant, extinction producing, parietal damage, the primary visual cortex preserves the capacity to encode, using long-range lateral interactions, an image description in which visual objects are already segregated from background.

Hemispheric visual atentional imbalance in patients with traumatic brain injury

We find a spatially asymmetric allocation of attention in patients with traumatic brain injury (TBI) despite the lack of obvious asymmetry in neurological indicators. Identification performance was measured for simple spatial patterns presented briefly to a locus 5 degrees into the left or right hemifield, after precuing attention to the same (ipsilateral) or opposite (cross-hemifield) side. Though the cue was non-predictive of target location overall, performance was significantly slower for cross than for ipsilateral trials in both patients and controls. We tested 21 TBI patients without overt focal brain damage and nine control subjects. Only patients demonstrated significantly worse performance for left side presentation in the ipsilateral condition. Furthermore, in the cross-hemifield condition, the left-right difference seen in TBI patients was significantly larger-reflecting a failure in producing a leftward attention shift. Again no significant difference was found in controls. These hemifield effects suggest an asymmetry in the ability of TBI patients in shifting attention to the left hemifield, whether from central fixation or from a cue in the contra-lateral hemifield. The results support basic hypotheses regarding visual attention: Attentional control may be asymmetric and attention may be a distributed, rather than localized cortical function.