Dynamics of human decision-making : vestibular perception and neural correlates

Thesis: Ph. D. in Biomedical Engineering, Harvard-MIT Program in Health Sciences and Technology, 2017.Cataloged from PDF version of thesis.Includes bibliographical references (pages 102-110).When making daily decisions, people naturally ask two questions: how soon can I make a decision, and is it a good decision? In experimental setting, humans can subjectively yet quantitatively assess choice confidence (i.e. how good) based on their perceptual precision even when a decision is made without an immediate reward or feedback. Such choice confidence has been shown to have a non-monotonic relationship with decision time (i.e. how soon), such that choice confidence can be correlated either positively or negatively with decision time depending on how decision time is constrained. However, the neural mechanisms underlying the interaction between choice confidence and decision time during perceptual decision-making are still unclear. Hence, the goals of this research were to (1) develop dynamic computational models and to (2) find neural representations of choice confidence in human scalp potentials. The dynamic models of choice confidence were developed by merging two parallel conceptual frameworks of decision-making, signal detection theory and sequential analyses (i.e., drift diffusion model). Specifically, in order to capture the end-point statistics of binary choice and confidence, we built on a previous study that defined choice confidence in terms of psychophysics derived from signal detection theory. At the same time, we augmented this mathematical model to include accumulator dynamics of a drift-diffusion model to characterize the time-dependence of choice behaviors in a standard forced-choice paradigm. Twelve human subjects performed a subjective visual vertical task, simultaneously reporting binary orientation choice and probabilistic confidence. Both binary choice and confidence experimental data displayed statistics and dynamics consistent with both signal detection theory and evidence accumulation, respectively. Specifically, the computational simulations showed that the unbounded evidence accumulator model fits the confidence data better than the classical bounded model while bounded and unbounded models were indistinguishable for binary choice data. These results suggest that the brain can utilize mechanisms consistent with signal detection theory to assess confidence when observation duration is externally controlled. As a neural mechanism that binds choice action and confidence, a fronto-parietal network has been implicated. Such bi-local neural circuitry is consistent with dual-route model of metacognition, in which the prefrontal cortex supervises and evaluates objectlevel parietal cortex. However, the neural dynamics underlying the interaction between choice confidence and decision time in the fronto-parietal network during the perceptual decision-making have yet to be elucidated. Here we show in fifteen human subjects that choice confidence contributes to frontal event-related potential (ERP) during a predecisional stage when choice accuracy is emphasized over speed during a free response task. We found that the second positive peak, particularly the curvature, of the stimuluslocked frontal ERP at 400-600ms covaries with confidence while the amplitude of the centro-parietal ERP increases with faster decision response time during the same time interval. This finding provides evidence for a causal role of confidence in perceptual decision-making, complementing earlier ERP evidence supporting a retrospective role. Altogether, these results suggest that an internal representation of choice confidence evolves concurrently with choice action prior to reporting a decision. Furthermore, the non-monotonic dynamics of confidence arise from its dual roles that may be determined by the prior expectation of decision time constraint. In other words, the causal role of confidence may underlie the negative correlations between choice confidence and decision time behaviors while the retrospective role may underlie the positive correlations.by Koeun Lim.Ph. D. in Biomedical Engineerin

Scattering-Based Light-Sheet Microscopy Imaging of Human Papillomavirus-Associated Squamous Lesions of the Anal Canal: A Proof-of-Principle Study

Demand for anal cancer screening is expected to rise following the recent publication of the Anal Cancer–HSIL Outcomes Research trial, which showed that treatment of high-grade squamous intraepithelial lesions significantly reduces the rate of progression to anal cancer. While screening for human papillomavirus–associated squamous lesions in the cervix is well established and effective, this is less true for other sites in the lower anogenital tract. Current anal cancer screening and prevention rely on high-resolution anoscopy with biopsies. This procedure has a steep learning curve for providers and may cause patient discomfort. Scattering-based light-sheet microscopy (sLSM) is a novel imaging modality with the potential to mitigate these challenges through real-time, microscopic visualization of disease-susceptible tissue. Here, we report a proof-of-principle study that establishes feasibility of dysplasia detection using an sLSM device. We imaged 110 anal biopsy specimens collected prospectively at our institution's dysplasia clinic (including 30 nondysplastic, 40 low-grade squamous intraepithelial lesion, and 40 high-grade squamous intraepithelial lesion specimens) and found that these optical images are highly interpretable and accurately recapitulate histopathologic features traditionally used for the diagnosis of human papillomavirus–associated squamous dysplasia. A reader study to assess diagnostic accuracy suggests that sLSM images are noninferior to hematoxylin and eosin images for the detection of anal dysplasia (sLSM accuracy = 0.87; hematoxylin and eosin accuracy = 0.80; P = .066). Given these results, we believe that sLSM technology holds great potential to enhance the efficacy of anal cancer screening by allowing accurate sampling of diagnostic tissue at the time of anoscopy. While the current imaging study was performed on ex vivo biopsy specimens, we are currently developing a handheld device for in vivo imaging that will provide immediate microscopic guidance to high-resolution anoscopy providers.6 month embargo; first published 12, April 2024This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]