Urs Kleinholdermann

Standard value of ultrasound elastography using acoustic radiation force impulse imaging (ARFI) in healthy liver tissue of children and adolescents.

PURPOSE Ultrasound elastography by acoustic radiation force impulse imaging (ARFI) is used in adults for non invasive measurement of liver stiffness, indicating liver diseases like fibrosis. To establish ARFI in children and adolescents we determined standard values of healthy liver tissue and analysed potentially influencing factors. MATERIALS AND METHODS 132 patients between 0 and 17 years old were measured using ARFI. None of them had any liver disease or any other disease that could affect the liver secondarily. All patients had a normal ultrasound scan, a normal BMI and normal liver function tests. The mean value of all ARFI measurements was calculated and potentially influencing factors were analysed. RESULTS The mean value of all ARFI elastography measurements was 1.16 m/sec (SD ± 0.14 m/sec). Neither age (p = 0.533) nor depth of measurement (p = 0.066) had no significant influence on ARFI values, whereas a significant effect of gender was found with lower ARFI values in females (p = 0.025), however, there was no significant interaction between age groups (before or after puberty) and gender (p = 0.276). There was an interlobar difference with lower values in the right liver lobe compared to the left (p = 0.036) and with a significantly lower variance (p < 0.001). Consistend values were measured by different examiners (p = 0.108), however, the inter examiner variance deviated significantly (p < 0.001). CONCLUSION ARFI elastography is a reliable method to measure liver stiffness in children and adolescents. In relation to studies which analyse liver diseases, the standard value of 1.16 m/sec (± 0.14 m/sec) allows a differentiation of healthy versus pathological liver tissue.

Grasping trapezoidal objects.

When grasping rectangular or circular objects with a precision grip the digits close in on the object in opposite directions. In doing so the digits move perpendicular to the local surface orientation as they approach opposite sides of the object. This perpendicular approach is advantageous for accurately placing the digits. Trapezoidal objects have non-parallel surfaces so that moving the digits in opposite directions would make the digits approach the contact surfaces at an angle that is not 90°. In this study we examined whether this happens, or whether subjects tend to approach trapezoidal objects’ surfaces perpendicularly. We used objects of different sizes and with different surface slants. Subjects tended to approach the object’s surfaces orthogonally, suggesting that they aim for an optimal precision of digit placement rather than simply closing their hand as it reaches the object.

Does bimanual grasping of the Müller-Lyer illusion provide evidence for a functional segregation of dorsal and ventral streams?

Studies claiming a differential processing of visual illusions for perception and action have been subjected to many challenges. One criticism is that attentional demands were mismatched between the perception and action tasks. Dewar and Carey (2006) reexamined this argument by comparing bimanual grasping to bimanual size estimation and concluded that manual size estimation (ManEst) was affected by the illusion to a greater extent than grasping, supporting the case for two functionally distinct streams of visual processing. We tested whether this result may be due to their use of closed loop visual conditions by replicating their study under both closed and open loop conditions. We found that the difference in illusion effects between grasping and ManEst disappeared under open loop conditions, indicating that Dewar and Careys findings can be explained by the availability of visual feedback and not a perception/action dissociation. We also discuss potential shortcomings of bimanual designs.

Center or side: biases in selecting grasp points on small bars

Abstract Choosing appropriate grasp points is necessary for successfully interacting with objects in our environment. We brought two possible determinants of grasp point selection into conflict: the attempt to grasp an object near its center of mass to minimize torque and ensure stability and the attempt to minimize movement distance. We let our participants grasp two elongated objects of different mass and surface friction that were approached from different distances to both sides of the object. Maximizing stability predicts grasp points close to the object’s center, while minimizing movement costs predicts a bias of the grasp axis toward the side at which the movement started. We found smaller deviations from the center of mass for the smooth and heavy object, presumably because the larger torques and more slippery surface for the heavy object increase the chance of unwanted object rotation. However, our right-handed participants tended to grasp the objects to the right of the center of mass, irrespective of where the movement started. The rightward bias persisted when vision was removed once the hand was half way to the object. It was reduced when the required precision was increased. Starting the movement above the object eliminated the bias. Grasping with the left hand, participants tended to grasp the object to the left of its center. Thus, the selected grasp points seem to reflect a compromise between maximizing stability by grasping near the center of mass and grasping on the side of the acting hand, perhaps to increase visibility of the object.

Grasping isoluminant stimuli.

We used a virtual reality setup to let participants grasp discs, which differed in luminance, chromaticity and size. Current theories on perception and action propose a division of labor in the brain into a color proficient perception pathway and a less color-capable action pathway. In this study, we addressed the question whether isoluminant stimuli, which provide only a chromatic but no luminance contrast for action planning, are harder to grasp than stimuli providing luminance contrast or both kinds of contrast. Although we found that grasps of isoluminant stimuli had a slightly steeper slope relating the maximum grip aperture to disc size, all other measures of grip quality were unaffected. Overall, our results do not support the view that isoluminance of stimulus and background impedes the planning of a grasping movement.