Imagining circles: empirical data and a perceptual model for the arc-size illusion

An essential part of visual object recognition is the evaluation of the curvature of both an object's outline as well as the contours on its surface. We studied a striking illusion of visual curvature--the arc-size illusion (ASI)--to gain insight into the visual coding of curvature. In the ASI, short arcs are perceived as flatter (less curved) compared to longer arcs of the same radius. We investigated if and how the ASI depends on (i) the physical size of the stimulus and (ii) on the length of the arc. Our results show that perceived curvature monotonically increases with arc length up to an arc angle of about 60°, thereafter remaining constant and equal to the perceived curvature of a full circle. We investigated if the misjudgment of curvature in the ASI translates into predictable biases for three other perceptual tasks: (i) judging the position of the centre of circular arcs; (ii) judging if two circular arcs fall on the circumference of the same (invisible) circle and (iii) interpolating the position of a point on the circumference of a circle defined by two circular arcs. We found that the biases in all the above tasks were reliably predicted by the same bias mediating the ASI. We present a simple model, based on the central angle subtended by an arc, that captures the data for all tasks. Importantly, we argue that the ASI and related biases are a consequence of the fact that an object's curvature is perceived as constant with viewing distance, in other words is perceptually scale invariant

In the blink of an eye: reading mental states from briefly presented eye regions

Faces provide not only cues to an individual’s identity, age, gender, and ethnicity but also insight into their mental states. The aim was to investigate the temporal aspects of processing of facial expressions of complex mental states for very short presentation times ranging from 12.5 to 100 ms in a four-alternative forced choice paradigm based on Reading the Mind in the Eyes test. Results show that participants are able to recognise very subtle differences between facial expressions; performance is better than chance, even for the shortest presentation time. Importantly, we show for the first time that observers can recognise these expressions based on information contained in the eye region only. These results support the hypothesis that the eye region plays a particularly important role in social interactions and that the expressions in the eyes are a rich source of information about other peoples’ mental states. When asked to what extent the observers guessed during the task, they significantly underestimated their ability to make correct decisions, yet perform better than chance, even for very brief presentation times. These results are particularly relevant in the light of the current COVID-19 pandemic and the associated wearing of face coverings. </jats:p

Predictive value for cardiovascular events of common carotid intima media thickness and its rate of change in individuals at high cardiovascular risk - Results from the PROG-IMT collaboration.

AIMS: Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk. METHODS AND RESULTS: From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of the combined endpoint (myocardial infarction, stroke or vascular death) per standard deviation (SD) of CIMT change, adjusted for CVD risk factors. These HRs were pooled across studies. In groups A, B and C we observed 3483, 2845 and 1165 endpoint events, respectively. Average common CIMT was 0.79mm (SD 0.16mm), and annual common CIMT change was 0.01mm (SD 0.07mm), both in group A. The pooled HR per SD of annual common CIMT change (0.02 to 0.43mm) was 0.99 (95% confidence interval: 0.95-1.02) in group A, 0.98 (0.93-1.04) in group B, and 0.95 (0.89-1.04) in group C. The HR per SD of common CIMT (average of the first and the second CIMT scan, 0.09 to 0.75mm) was 1.15 (1.07-1.23) in group A, 1.13 (1.05-1.22) in group B, and 1.12 (1.05-1.20) in group C. CONCLUSIONS: We confirm that common CIMT is associated with future CVD events in individuals at high risk. CIMT change does not relate to future event risk in high-risk individuals

Revealing the influence of bias in a letter acuity identification task: A noisy template model

In clinical testing of visual acuity, it is often assumed that performance reflects sensory abilities and observers do not exhibit strong biases for or against specific letters, but this assumption has not been extensively tested. We re-analyzed single-letter identification data as a function of letter size, spanning the resolution threshold, for 10 Sloan letters at central and paracentral visual field locations. Individual observers showed consistent letter biases across letter sizes. Preferred letters were named much more often and others less often than expected (group averages ranged from 4% to 20% across letters, where the unbiased rate was 10%). In the framework of signal detection theory, we devised a noisy template model to distinguish biases from differences in sensitivity. When bias varied across letter templates the model fitted very well - much better than when sensitivity varied without bias. The best model combined both, having substantial biases and small variations in sensitivity across letters. The over- and under-calling decreased at larger letter sizes, but this was well-predicted by template responses that had the same additive bias for all letter sizes: with stronger inputs (larger letters) there was less opportunity for bias to influence which template gave the biggest response. The neural basis for such letter bias is not known, but a plausible candidate is the letter-recognition machinery of the left temporal lobe. Future work could assess whether such biases affect clinical measures of visual performance. Our analyses so far suggest very small effects in most settings

Non-linear global pooling in the discrimination of circular and non-circular shapes

The ability to discriminate minute deviations from circularity is dependent upon global summation mechanisms integrating information along entire contours. The aim of this study was to determine how the strength of global summation depends on various stimulus features. To determine if the strength of global summation differs between shapes, contour discrimination for various contour shapes, generated by applying a sinusoidal modulation to the radius of a circle (radial frequency - RF - patterns), was measured. Shapes differed in frequency (number of lobes RF3, RF5 and RF20) and amplitude ('sharpness' of the lobes ranged between 0 and 20× thresholds for detecting deviation from a circle). Low amplitudes test discrimination against a circle while high amplitudes measure sensitivity for highly non-circular shapes (e.g. five-pointed star-shapes). The ability to integrate information along contours was assessed by comparing the effect of applying radial deformations to the entire contour or to only fractions (various number of cycles). Results show that discrimination thresholds remain in the hyperacuity range for low amplitudes, but increase for higher amplitudes. Concerning signal integration, discrimination, expressed as a function of the amount of contour deformed, exhibits a shallow and a steep regime. Discrimination improves only slowly as more contour cycles are deformed until the point when the entire pattern is modulated, when sensitivity increases substantially. The initial shallow regime is well captured by probability summation. The increase in sensitivity when the entire pattern is modulated compared to a single cycle provides evidence for global pooling. The pattern of integration and the existence of global pooling is dependent on shape frequency. The two-part behavior is independent of shape amplitude but is only seen for low RFs (3 and 5). Data for RF20 follow the prediction of probability summation. We next investigated various stimulus characteristics and their effect on integration strength. Global pooling exceeding probability summation is evident for different pattern sizes, presentation times and for high as well as low absolute contrasts. Only if the contrasts of different fractions of a contour shape are individually scaled to match their respective visibilities is integration strength below the level of probability summation. This explains the lack of apparent global pooling in previous studies employing mixed contrasts. The marked increase in performance for discriminating completely modulated RF patterns argues in favor of highly specialized, global shape mechanisms that are seen over a wide range of stimulus configurations. The results indicate global, non-linear mechanisms, which respond most strongly when stimulated by the entire pattern and comparatively weakly when only stimulated by parts of it

An Integrated Care Platform System (C3-Cloud) for Care Planning, Decision Support, and Empowerment of Patients With Multimorbidity: Protocol for a Technology Trial

Background: There is an increasing need to organize the care around the patient and not the disease, while considering the complex realities of multiple physical and psychosocial conditions, and polypharmacy. Integrated patient-centered care delivery platforms have been developed for both patients and clinicians. These platforms could provide a promising way to achieve a collaborative environment that improves the provision of integrated care for patients via enhanced information and communication technology solutions for semiautomated clinical decision support. Objective: The Collaborative Care and Cure Cloud project (C3-Cloud) has developed 2 collaborative computer platforms for patients and members of the multidisciplinary team (MDT) and deployed these in 3 different European settings. The objective of this study is to pilot test the platforms and evaluate their impact on patients with 2 or more chronic conditions (diabetes mellitus type 2, heart failure, kidney failure, depression), their informal caregivers, health care professionals, and, to some extent, health care systems. Methods: This paper describes the protocol for conducting an evaluation of user experience, acceptability, and usefulness of the platforms. For this, 2 “testing and evaluation” phases have been defined, involving multiple qualitative methods (focus groups and surveys) and advanced impact modeling (predictive modeling and cost-benefit analysis). Patients and health care professionals were identified and recruited from 3 partnering regions in Spain, Sweden, and the United Kingdom via electronic health record screening. Results: The technology trial in this 4-year funded project (2016-2020) concluded in April 2020. The pilot technology trial for evaluation phases 3 and 4 was launched in November 2019 and carried out until April 2020. Data collection for these phases is completed with promising results on platform acceptance and socioeconomic impact. We believe that the phased, iterative approach taken is useful as it involves relevant stakeholders at crucial stages in the platform development and allows for a sound user acceptance assessment of the final product. Conclusions: Patients with multiple chronic conditions often experience shortcomings in the care they receive. It is hoped that personalized care plan platforms for patients and collaboration platforms for members of MDTs can help tackle the specific challenges of clinical guideline reconciliation for patients with multimorbidity and improve the management of polypharmacy. The initial evaluative phases have indicated promising results of platform usability. Results of phases 3 and 4 were methodologically useful, yet limited due to the COVID-19 pandemic

Predictive value for cardiovascular events of common carotid intima media thickness and its rate of change in individuals at high cardiovascular risk – Results from the PROG-IMT collaboration

Aims Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk. Methods and results From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of the combined endpoint (myocardial infarction, stroke or vascular death) per standard deviation (SD) of CIMT change, adjusted for CVD risk factors. These HRs were pooled across studies. In groups A, B and C we observed 3483, 2845 and 1165 endpoint events, respectively. Average common CIMT was 0.79mm (SD 0.16mm), and annual common CIMT change was 0.01mm (SD 0.07mm), both in group A. The pooled HR per SD of annual common CIMT change (0.02 to 0.43mm) was 0.99 (95% confidence interval: 0.95–1.02) in group A, 0.98 (0.93–1.04) in group B, and 0.95 (0.89–1.04) in group C. The HR per SD of common CIMT (average of the first and the second CIMT scan, 0.09 to 0.75mm) was 1.15 (1.07–1.23) in group A, 1.13 (1.05–1.22) in group B, and 1.12 (1.05–1.20) in group C. Conclusions We confirm that common CIMT is associated with future CVD events in individuals at high risk. CIMT change does not relate to future event risk in high-risk individuals

Meta-regression plot for the HR (combined endpoint) per SD of annual mean CCA-IMT change (model 1), by the correlation of baseline and follow-up common CIMT.

<p>The size of each circle represents the precision of the log HR.</p